2024-08-15T15:06:57-05:00 2023-09-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-10-01 832130386 LANCASTER PATIENT CARE CENTER LANC 6037884911 173 MIDDLE STREET LANCASTER NH 03584 MATTHEW STREETER SYSTEM CFO 6037884911 2024-08-15 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-08-13 2022 2024-08-08 14:25:15Z MICHAEL D LEE 173 MIDDLE STREET LANCASTER NH 03584 179000 0 X WWW.WEEKSMEDICAL.ORG X 2018 NH A SUPPORTING ORGANIZATION OF WEEKS MEDICAL CENTER CREATED AS A REQUIREMENT OF NEW MARKET TAX CREDIT FINANCING FOR THE BUILDING OF A REPLACEMENT PHYSICIAN OFFICE FOR WEEKS MEDICAL CENTER PROVIDERS. 6 3 0 3 0 0 0 0 179000 179000 0 0 0 0 179000 179000 0 0 0 0 0 0 0 0 0 593313 593293 593313 593293 -414313 -414293 12705161 12339486 13285415 13334033 -580254 -994547 LANCASTER PATIENT CARE CENTER (THE "CORPORATION") IS ORGANIZED AND SHALL ALWAYS BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF WEEKS MEDICAL CENTER ("WMC"), A NEW HAMPSHIRE NONPROFIT CORPORATION, ALL IN FURTHERANCE OF CHARITABLE AND EDUCATIONAL PURPOSES WITHIN THE MEANING. 0 0 543543 0 179000 THE ORGANIZATION IS SUPPORTING WEEKS MEDICAL CENTER BY OBTAINING FINANCING FOR THE BUILDING OF A 45,310 SQUARE FOOT PHYSICIAN OFFICE BUILDING THROUGH A NEW MARKET TAX CREDIT STRUCTURE. FINANCING WAS EXECUTED ON NOVEMBER 14, 2018. WEEKS MEDICAL CENTER IS LEASING THE SPACE FROM LPCC AS OF DECEMBER 2019. THE FINANCING STRUCTURE WILL REMAIN INTACT FOR AT LEAST SEVEN YEARS, PER THE NEW MARKET TAX CREDIT REGULATIONS. THE PROJECT STARTED IN FISCAL YEAR 2019 AND WAS COMPLETED IN FISCAL YEAR 2020. 543543 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X MATTHEW STREETER 6033265610 8 CLOVER LANE WHITEFIELD NH 03598 MICHAEL D LEE CHAIR & PRESIDENT/CEO - WMC 1.00 40.00 X X 0 361347 5211 MATTHEW STREETER VICE CHAIR & SYSTEM CFO 0.50 45.50 X X 0 300812 10917 DAVID HILL TREASURER 1.00 X 0 0 0 LISA TETREAULT SECRETARY 1.00 39.00 X X 0 86144 5985 SARAH DESROCHERS BOARD MEMBER 1.00 2.00 X 0 0 0 JON FREEMAN BOARD MEMBER 1.00 X 0 0 0 THOMAS MEE SYSTEM CEO 0.50 45.50 X 0 681354 28979 0 1429657 51092 0 0 1 0 0 RENTAL INCOME 532000 179000 179000 179000 179000 179000 0 0 49750 49750 135818 135818 407725 407725 593293 543543 49750 0 255685 170413 256236 256236 13006123 1138036 12193240 11868087 0 44750 12705161 12339486 33955 0 13251460 13334033 13285415 13334033 X -580254 -994547 -580254 -994547 12705161 12339486 -414293 0 X X 0 1 X 1 0 X X 1 WEEKS MEDICAL CENTER 020222242 3 1 593293 0 1 593293 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 13006123 1138036 11868087 11868087 0 1 0 0 0 0 0 0 0 THOMAS MEE SYSTEM CEO 0 537600 0 131095 0 12659 0 1891 0 27088 0 710333 0 0 MICHAEL D LEE CHAIR & PRESIDENT/CEO - WMC 0 289772 0 65825 0 5750 0 0 0 5211 0 366558 0 0 MATTHEW STREETER VICE CHAIR & SYSTEM CFO 0 276715 0 23655 0 442 0 2631 0 8286 0 311729 0 0 PART I, LINE 3 NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B THOMAS MEE, SYSTEM CEO, PARTICIPATED IN A 457(F) PLAN ADMINISTERED BY NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION. THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS IN 2022. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CHAIR OF THE BOARD AND THE CFO OF WEEKS MEDICAL CENTER. AFTER THEIR REVIEW IS COMPLETE, THE FORM IS SHARED ELECTRONICALLY WITH THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST ARE ADDRESSED BY WEEKS MEDICAL CENTER, A RELATED ORGANIZATION. ANNUAL CONFLICT OF INTEREST FORMS ARE SIGNED BY ALL OFFICERS, AND BOARD MEMBERS. BOARD MEMBERS WITH A CONFLICT ARE EXCUSED FROM VOTING ON ANY ITEMS THAT RELATE TO THE OTHER ORGANIZATION, ETC. THAT IS THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LANCASTER PATIENT CARE CENTER HAS NO EMPLOYEES. THE PRESIDENT OF THE ORGANIZATION IS COMPENSATED BY WEEKS MEDICAL CENTER, A RELATED ORGANIZATION. THE PRESIDENT'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE WEEKS MEDICAL CENTER BOARD (SERVING AS THE COMPENSATION COMMITTEE), A WRITTEN EMPLOYMENT CONTRACT, A STATE COMPENSATION SURVEY AND APPROVAL OF THE FULL BOARD AND EXECUTIVE COMMITTEE. OTHER OFFICERS HAVE THEIR COMPENSATION DETERMINED THROUGH A STATE COMPENSATION SURVEY, ALONG WITH APPROVAL OF THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE WERE NO CHANGES MADE FROM PRIOR YEAR. ANDROSCOGGIN VALLEY HOSPITAL INC 59 PAGE HILL ROAD BERLIN NH 03570 020280367 CRITICAL ACCESS HOSPITAL NH 501(C)(3) LINE 3 NORTH COUNTRY HEALTHCARE INC 1 WEEKS MEDICAL CENTER 173 MIDDLE STREET LANCASTER NH 03584 020222242 CRITICAL ACCESS HOSPITAL NH 501(C)(3) LINE 3 NORTH COUNTRY HEALTHCARE INC 1 UPPER CONNECTICUT VALLEY HOSPITAL 181 CORLISS LANE COLEBROOK NH 03576 020276210 CRITICAL ACCESS HOSPITAL NH 501(C)(3) LINE 3 NORTH COUNTRY HEALTHCARE INC 1 NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC 536 COTTAGE STREET LITTLETON NH 03561 020300637 HOME HEALTH AGENCY NH 501(C)(3) LINE 10 NORTH COUNTRY HEALTHCARE INC 1 NORTHCARE INC 59 PAGE HILL ROAD BERLIN NH 03570 521596952 SUPPORTING SERVICES NH 501(C)(3) LINE 12B, II ANDROSCOGGIN VALLEY HOSPITAL INC 1 ANDROSCOGGIN VALLEY HOSPITAL FOUNDATION 59 PAGE HILL ROAD BERLIN NH 03570 223035216 MANAGEMENT AND FINANCIAL SUPPORT NH 501(C)(3) LINE 12B, II ANDROSCOGGIN VALLEY HOSPITAL INC 1 GREAT NORTHWOODS COMMUNITY FOUNDATION 59 PAGE HILL ROAD BERLIN NH 03570 020452547 HEALTHCARE SERVICES NH 501(C)(3) LINE 12B, II ANDROSCOGGIN VALLEY HOSPITAL INC 1 NORTH COUNTRY HEALTHCARE INC 8 CLOVER LANE WHITEFIELD NH 03598 812225283 HEALTHCARE MANAGEMENT NH 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0