Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
Liabilities / Revenue
64th percentile
Higher debt load relative to revenue than 64% of similar nonprofits.
Net Margin
35th percentile
Higher net margin than 35% of similar nonprofits.
Top Officer Pay
57th percentile
Higher top officer pay than 57% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
51st percentile
Faster asset growth than 51% of similar nonprofits.
Revenue Growth
32nd percentile
Faster revenue growth than 32% of similar nonprofits.
Assets
Up$195,103,878
Up $11,518,995 (+6.3%) from 2016
Net Assets
Up$26,821,183
Up $8,657,877 (+48%) from 2016
Liabilities
Up$168,282,695
Up $2,861,118 (+1.7%) from 2016
Revenue
Up$231,823,960
Up $661,474 (+0.3%) from 2016
Expenses
Down$230,894,293
Down $2,157,311 (-0.9%) from 2016
Net Income
Up$929,667
Up $2,818,785 (+149%) from 2016
LRGHealthcare's mission is to provide quality, compassionate care and to strengthen the well-being of our community.
Provide quality, compassionate care and strengthen the well-being of our community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $117,119,974 | $126,344,990 | ▲ $9,225,016 |
| Accounts Receivable | $27,024,556 | $31,680,805 | ▲ $4,656,249 |
| Savings and Temporary Cash Investments | $25,058,370 | $20,692,337 | ▼ $4,366,033 |
| Inventories for Sale or Use | $5,342,302 | $5,457,690 | ▲ $115,388 |
| Prepaid Expenses and Deferred Charges | $2,173,574 | $3,030,234 | ▲ $856,660 |
| Investments Other Securities | $1,957,112 | $2,500,598 | ▲ $543,486 |
| Investments in Publicly Traded Securities | $1,964,874 | $2,234,994 | ▲ $270,120 |
| Receivables From Officers Etc | $133,009 | - | - |
| Cash and Non-Interest-Bearing Accounts | $7,677 | $122,090 | ▲ $114,413 |
| Pledges and Grants Receivable | $39,915 | $27,698 | ▼ $12,217 |
| Total Assets | $183,584,883 | $195,103,878 | ▲ $11,518,995 |
| Other Assets Total | $2,763,520 | $3,012,442 | ▲ $248,922 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $122,517,535 | $118,293,321 | ▼ $4,224,214 |
| Accounts Payable and Accrued Expenses | $20,063,409 | $29,104,059 | ▲ $9,040,650 |
| Other Liabilities | $22,840,633 | $20,885,315 | ▼ $1,955,318 |
| Total Liabilities | $165,421,577 | $168,282,695 | ▲ $2,861,118 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $11,843,603 | $20,960,413 | ▲ $9,116,810 |
| Temporarily Rstr Net Assets | $4,119,966 | $3,661,033 | ▼ $458,933 |
| Permanently Rstr Net Assets | $2,199,737 | $2,199,737 | → $0 |
| Total Net Assets Fund Balance | $18,163,306 | $26,821,183 | ▲ $8,657,877 |
| Total Liabilities and Net Assets / Fund Balance | $183,584,883 | $195,103,878 | ▲ $11,518,995 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $48,905,956 | $91,098,228 | $140,004,184 |
| Buildings | $47,387,406 | $38,112,777 | $85,500,183 |
| Other Land Buildings | $28,235,002 | - | $28,235,002 |
| Land | $1,816,626 | - | $1,816,626 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2016 | $11,635,778 | $1,118,006 | - | $1,576,939 | $11,176,845 |
| 2015 | $10,773,627 | $1,047,509 | - | $185,358 | $11,635,778 |
| 2014 | $13,413,737 | $1,070,116 | ▲ $26,423 | $3,736,649 | $10,773,627 |
| 2013 | $13,687,560 | $292,719 | ▲ $61,630 | $628,172 | $13,413,737 |
| 2012 | $13,138,173 | $1,499,832 | ▲ $120,333 | $1,070,778 | $13,687,560 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Glenn Fusonie MD | Past President, Medical Staff | FT | $497,127 | $54,004 | $551,131 |
| John Vignati MD | Physician | FT | $501,495 | $37,826 | $539,321 |
| David Mattice MD | Physician | FT | $458,301 | $55,873 | $514,174 |
| Vercin Ephrem MD | Vice President, Medical Staff | FT | $402,139 | $52,770 | $454,909 |
| Sandra Maruszak MD | Physician | FT | $405,202 | $23,338 | $428,540 |
| Frederick Jones MD | Physician | FT | $404,994 | $23,465 | $428,459 |
| Samuel Brown MD | Physician | FT | $369,697 | $28,902 | $398,599 |
| Paul Racicot MD | President, Medical Staff | FT | $288,066 | $39,665 | $327,731 |
| Henry Lipman FACHE | CFO (until Jan 2017) | FT | $268,830 | $33,377 | $302,207 |
| Kevin Donovan | President & CEO | FT | $251,181 | $14,451 | $265,632 |
| Seth Warren | Former President & CEO | FT | $199,669 | $9,131 | $208,800 |
| Name | Title |
|---|---|
| Scott Sullivan | Trustee/Chair |
| Robert Evans MD | Trustee/Vice Chair |
| Gil Schohan | Trustee |
| James Clements | Trustee |
| K Mark Primeau | Trustee |
| Nancy LeRoy | Trustee |
| Russell Thibeault | Trustee |
| Scott Clarenbach | Trustee |
| Stuart Trachy | Trustee |
| David Palfrey | Trustee (part year) |
| Elizabeth Merry | Trustee (part year) |
| James Aberg | Trustee (part year) |
| Cynthia Baron | Trustee/Treasurer & Secretary |
| Wayne Bennett | CFO (begin Feb 2017) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Laconia Clinic PC | Health Services | PO Box 637, Laconia, NH 03246 | $15,613,797 |
| Orthopedic Professional Associates | Health Services | 14 Maple Street Suite 200, Gilford, NH 03249 | $5,526,716 |
| Lakes Region Anesthesiology PA | Professional Services | 34 Robertson Drive, Gilford, NH 03249-6624 | $5,142,953 |
| ENT Associates of NH PA | Health Services | 85 Spring Street, Laconia, NH 03246 | $3,879,000 |
| Central NH ER Associates PA | Emergency Room Coverage | 6 Picket Fence Road, Meredith, NH 03253 | $1,794,662 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $124,703,828 |
| Other Expenses | $106,003,990 |
| Total Fundraising Expense | $194,495 |
| Grants and Similar Amounts Paid | $186,475 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $84,015,334 | $17,706,490 | $153,563 | $101,875,387 |
| Fees for Services Other | $14,528,816 | $10,790,139 | $12,248 | $25,331,203 |
| Other Employee Benefits | $9,426,755 | $2,040,638 | $9,959 | $11,477,352 |
| Depreciation Depletion | $6,219,937 | $1,097,636 | - | $7,317,573 |
| Occupancy | $5,715,199 | $990,642 | - | $6,705,841 |
| Payroll Taxes | $4,784,043 | $1,577,034 | $10,066 | $6,371,143 |
| Interest | $4,562,588 | $805,163 | - | $5,367,751 |
| Office Expenses | $2,098,994 | $2,801,581 | $8,588 | $4,909,163 |
| Information Technology | $1,902,799 | $2,890,941 | - | $4,793,740 |
| Pension Plan Contributions | $2,532,344 | $573,905 | - | $3,106,249 |
| Other Expenses | $1,188,962 | $1,093,058 | - | $2,282,020 |
| Current Officers, Directors, Trustees, and Key Employees | $674,531 | $1,199,166 | - | $1,873,697 |
| Insurance | $481,549 | $549,157 | - | $1,030,706 |
| Advertising | $419,936 | $510,744 | $62 | $930,742 |
| Travel | $531,590 | $250,712 | $9 | $782,311 |
| Fees for Services Legal | - | $241,259 | - | $241,259 |
| Grants to Domestic Orgs | $186,475 | - | - | $186,475 |
| All Other Expenses | $127,058 | - | - | $127,058 |
| Fees for Services Accounting | - | $125,742 | - | $125,742 |
| Fees for Services Lobbying | - | $26,873 | - | $26,873 |
| Total Functional Expenses | $185,428,918 | $45,270,880 | $194,495 | $230,894,293 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $233,887,551 |
| Expenses per Audited Statements | $230,894,293 |
| Total Expenses per Form 990 | $230,894,293 |
| Expenses Not Reported on Form 990 | $2,993,258 |
| Expenses Not Reported on Financial Statements | $0 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Health First Family Care Center Inc | Franklin, NH | 501(c)(3) | To support the Health First Family Care Center, Inc. in its mission to provide charity care to the Lakes Region and Twin Rivers Communities. | $175,000 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $70,316 |
| Fundraising Direct Expenses | $54,530 |
| Gaming Gross Income | $1,925 |
| Gaming Direct Expenses | $963 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Red Dress Gala | $121,044 | $46,480 | $9,365 | $37,115 |
| Golf Classic | $75,010 | $23,836 | $5,749 | $18,087 |
| Total Events | $220,240 | $70,316 | $54,530 | $15,786 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Mark K Primeau | Trustee of LRGHealthcare and President & CEO of Bank of NH | LRGHealthcare maintains multiple cash accounts with Bank of New Hampshire. Transactions in fiscal year ended 9/30/17 were in excess of $10,000. An exact figure cannot be stated due to daily account activity and balance changes. The accounts were active prior to Mr. Primeau joining the Board and all transactions with Bank of New Hampshire are at fair market value for fiscal year ended 9/30/17. Mr. Primeau has been classified as an independent Trustee. | No | $128,349 |
| Robert Evans MD | LRGH Board Member has family members who are employees | LRGHealthcare employed two individuals who are related to Dr. Robert Evans, a board member and physician of the Hospital. Dr. Evans' daughter and son-in-law were both employees of the Hospital during the fiscal year, and are considered a family member to an interested person warranting disclosure in Schedule L, Part IV. Dr. Evans' daughter, who was employed by the Hospital as an RN, received 2016 salary and benefits of $49,138. Dr. Evans' son-in-law, who was employed by the Hospital as an occupational therapist, received 2016 salary and benefits of $79,211. Salary and benefits paid to both individuals are in line with the salary structure for similarly employed persons at the Hospital and do not represent higher than market rate compensation due to their familial relationship with Dr. Evans. | No | - |
| Russell Thibeault | Trustee of LRGHealthcare and Director of Bank of NH | LRGHealthcare maintains multiple cash accounts with Bank of New Hampshire. Transactions in fiscal year ended 9/30/17 were in excess of $10,000. An exact figure cannot be stated due to daily account activity and balance changes. The accounts were active prior to Mr. Thibeault joining the Board and all transactions with Bank of New Hampshire are at fair market value for fiscal year ended 9/30/17. Mr. Thibeault has been classified as an independent Trustee. | No | - |
| Scott Clarenbach | Trustee of LRGHealthcare and Trustee of Franklin Savings Bank | LRGHealthcare maintains a lockbox account with Franklin Savings Bank. Transactions in fiscal year ended 9/30/17 were in excess of $10,000. An exact figure cannot be stated due to the daily account activity and balance changes. The account was active prior to Mr. Clarenbach joining the Board and all transactions with Franklin Savings Bank are at fair market value for fiscal year ended 9/30/17. Mr. Clarenbach has been classified as an independent trustee. | No | - |
| Stuart Trachy | Trustee of LRGHealthcare and Trustee of Franklin Savings Bank | LRGHealthcare maintains a lockbox account with Franklin Savings Bank. Transactions in fiscal year ended 9/30/17 were in excess of $10,000. An exact figure cannot be stated due to the daily account activity and balance changes. The account was active prior to Mr. Trachy joining the Board and all transactions with Franklin Savings Bank are at fair market value for fiscal year ended 9/30/17. Mr. Trachy has been classified as an independent trustee. | No | - |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $133,009 | - | - |
| Liability | Amount |
|---|---|
| Estimated Third-Party Payor Settlements | $15,075,369 |
| Accrued Workers Comp Liabilities | $5,769,360 |
| Accrued Pension/Retirement Costs | $40,586 |
“LRGHealthcare has 850 members who are also considered stakeholders who are eligible to vote.”
“The members, also known as stakeholders, may elect one or more board members of the governing body at the annual meeting.”
“The members, also known as stakeholders, approve bylaws and articles of incorporation changes. The Members shall support the mission of LRGHealthcare, provide information to the Board of Trustees to enable it to better fulfill the vision, serve as ambassadors in the community, and perform such other functions and activities as requested by the Chair. Members may participate in the consideration of any matter that properly comes before a meeting of the Members and shall be eligible to hold any position with LRGHealthcare to which he or she may be elected, appointed or hired. Members shall elect new Members of LRGHealthcare, ratify the election and re-election of Trustees, and vote to dissolve the Corporation.”
“A draft of the Form 990 is prepared with the assistance of an independent public accounting firm. The draft is then initially reviewed in detail by key finance employees and general comments and revisions are incorporated before sending a copy of the draft to LRGH's Finance Committee for review and recommendation. Each member of the board is then provided with a copy of the Form 990 prior to filing with the IRS.”
“A copy of LRGHealthcare's conflict of interest policy is distributed annually to all officers, trustees, medical staff officers and committee members, and the senior team. All are required to report any conflicts and sign, date, and return the policy, whether or not a conflict exists, to confirm compliance. Conflicts are disclosed in accordance with State of New Hampshire RSA 7 19-A in the local newspaper and submitted to the New Hampshire Attorney General.”
“The CEO's compensation and benefits are reviewed, adjusted, and voted upon by the full board annually. The board of trustees uses comparative data provided by a consultant who surveys compensation for healthcare executives in the New Hampshire and broader New England area. Survey data from the New Hampshire Hospital Association (NHHA) and the American Society for Healthcare Human Resources (ASHHRA) is also used to validate that the salary, benefits, and pay range for the CEO is fair, reasonable, and competitive. The CEO is excused from discussions surrounding CEO compensation during any meeting. The CEO uses data provided from human resource consultants, NHHA and ASHHRA surveys to evaluate salaries and approve market adjustments for employees at the Vice President level and below. Physician salary ranges are established annually using the Medical Group Management Association (MGMA) salary survey data. These reviews are also conducted annually.”
“LRGHealthcare files audited financial statements annually with the New Hampshire Attorney General's Charitable Trust Unit. Current copies of the bylaws, conflict of interest policy, and Form 990 are on file with the Charitable Trust Unit. Copies of the Organization's governing documents, conflict of interest policy, and financial statements are also available to the public upon request.”
“The 2016 compensation reported for Dr. Ephrem, Dr. Fusonie, and Dr. Racicot is for their full-time services as physicians on the medical staff and does not reflect remuneration for services as board of trustees members of the Hospital. Seth Warren served as CEO of LRGHealthcare until April 15, 2016. Kevin Donovan took over the role of CEO in June 2016. Mr. Warren is reported as a former officer on Part VII-A of the Form 990 and Schedule J since he left before the fiscal year began on October 1, 2016 but received 2016 calendar year compensation. The compensation reported for him includes all amounts earned between January 1, 2016 and his departure on April 15, 2016. Mr. Donovan is reported as the current CEO during the fiscal year and the compensation reported for him is the total compensation earned between his start date in June 2016 and December 31, 2016. This reporting is in accordance with IRS instructions. Wayne Bennett became Chief Financial Officer of LRGHealthcare in February 2017. IRS instructions stipulate that compensation information be reported for an organization's officers in Form 990, Part VII based on the calendar year ending within the fiscal year covered by this Form 990. As the Hospital's current Form 990 is for the fiscal year ending September 30, 2017 the calendar year compensation reported in Part VII is based on calendar year ending December 31, 2016. As Mr. Bennett's tenure with the Hospital began after 2016, no compensation information is being reported for him in Part VII. The Hospital's 2017 Form 990 will report compensation information for Mr. Bennett.”
“Contracted Providers: Program service expenses 3,462,225. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,462,225. Administrative and Infrastructure Support: Program service expenses 2,372,181. Management and general expenses 6,689,617. Fundraising expenses 0. Total expenses 9,061,798. Consulting Fees: Program service expenses 3,737,407. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,737,407. Recruiting Fees: Program service expenses 441,438. Management and general expenses 0. Fundraising expenses 0. Total expenses 441,438. Transcription Services: Program service expenses 150,427. Management and general expenses 0. Fundraising expenses 0. Total expenses 150,427. Service Contracts: Program service expenses 4,365,138. Management and general expenses 4,100,522. Fundraising expenses 12,248. Total expenses 8,477,908.”
“Adjustment to Pension Liability 6,250,431. Investment in Affiliate 1,111,345.”
“The audit process has not changed from the prior year.”
“To further the Hospitals' mission.”
“The Hospitals, with the exception of Hillside, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospitals' tax positions and concluded the Hospitals have maintained their tax-exempt status, do not have any significant unrelated business income and have taken no uncertain tax positions that require adjustment to or disclosure in the consolidated financial statements. Hillside is a for-profit subsidiary and is a limited liability company. As such, the subsidiary is subject to state taxation but is not subject to federal taxation. Deferred taxes are not significant at September 30, 2017 and 2016.”
“Revenue of Subsidiary 3,962,447. Occupancy Costs for Rentals 237,000. Adjustment to Pension Liability 6,250,431.”
“Occupancy Costs for Rentals 237,000. Expenses in Subsidiary 2,756,258.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 20063409 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 29104059 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 27024556 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 31680805 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | Provide quality, compassionate care and strengthen the well-being of our community. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 62 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 510744 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 419936 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 930742 |
| IRS990/AllOtherContributionsAmt | 0 | 1168888 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 127058 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 127058 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Wayne Bennett Chief Financial Officer |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6035272802 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 80 Highland Street |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Laconia |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 032463298 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 7677 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 122090 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 15 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1199166 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 674531 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1873697 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 15613797 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 5526716 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 5142953 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 3879000 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1794662 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO Box 637 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 14 Maple Street Suite 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 34 Robertson Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 85 Spring Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 6 Picket Fence Road |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Laconia |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Gilford |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Gilford |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Laconia |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Meredith |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 03246 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 03249 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 032496624 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 03246 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 03253 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Laconia Clinic PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Orthopedic Professional Associates |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Lakes Region Anesthesiology PA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | ENT Associates of NH PA |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Central NH ER Associates PA |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Health Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Health Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Professional Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Health Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Emergency Room Coverage |
| IRS990/ContriRptFundraisingEventAmt | 0 | 149924 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1334812 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 186475 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1012558 |
| IRS990/CYOtherExpensesAmt | 0 | 106003990 |
| IRS990/CYOtherRevenueAmt | 0 | 43081 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 229433509 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 929667 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 124703828 |
| IRS990/CYTotalExpensesAmt | 0 | 230894293 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 194495 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 231823960 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1097636 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 6219937 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 7317573 |
| IRS990/Desc | 0 | LRGHealthcare (the Institution) is a New Hampshire not-for-profit corporation that owns and operates two hospitals and their affiliated programs and services in the Twin Rivers and Lake Winnipesaukee regions of NH approximately 90 miles north of Boston, MA. The Institution is the corporate name for the healthcare system comprised of Lakes Region General Hospital (LRGH) and Franklin Regional Hospital (FRH). LRGH is located in Laconia, New Hampshire. LRGH, designated as a rural referral center and sole community hospital under Medicare, is a community and regional acute care facility with a licensed bed capacity of 137 beds. FRH, designated as a critical access hospital under Medicare, is a 35 bed community hospital serving the Greater Franklin, New Hampshire community. On July 1, 2002, LRGH merged with FRH to become LRGHealthcare (The Institution). The Institution offers a broad range of medical, surgical, specialty and sub-specialty services to adults, children, and infants. As a community-based institution, the Institution offers all the inpatient services of an acute care, community hospital system. In addition, the Institution offers specialty services not commonly found in comparable hospitals, including vascular surgery and specialty services in oncology and nephrology. Traditional services include: medical, surgical and pediatric care, psychiatric services, skilled nursing care, intensive care, obstetrics/gynecology, clinical laboratory services, nutrition services, pharmacy services, radiology services (including CT, MRI, PET/CT and nuclear medicine), rehabilitation services (physical therapy, occupational therapy, and speech therapy), cardiopulmonary/respiratory services, patient education services, chaplaincy, and patient/family (social) services. LRGH also has established a physician hospitalist program and intensivists program to accept referrals in a more streamlined fashion and facilitate efficiencies in inpatient care. Total acute inpatient admissions were 4,943 during fiscal year ending September 30, 2017. The Institution maintains swing beds at both LRGH and FRH. Swing beds are acute care licensed beds that can be used as nursing home beds and provide the Hospitals with additional reimbursement for their senior or other long-term patients. Both LRGH and FRH are eligible to maintain swing beds. Total swing bed admissions were 429 during fiscal year ending September 30, 2017. LRGH is a state designated level 3 trauma center. In addition to its two hospital facilities, the Institution has over 25 other sites where it operates outpatient and ambulatory services. The outpatient registrations were 277,897 in fiscal year ending September 30, 2017. The most significant facilities include: the Laconia Clinic (the Clinic) is a 26-physician provider-based department (under Medicare) of LRGH located less than one mile from the main Laconia campus. The Clinic and LRGH operating agreements benefit the community by preserving and enhancing access to a broad range of benefits and medical services. Both entities believe that the concept has provided community benefits and efficiencies and also offered opportunities to more effectively advance quality healthcare, including outcomes. The major components of the Clinic in Laconia, NH consist of a two operating room ambulatory surgical center and ancillary services including laboratory, X-ray, and physical therapy. The LRGHealthcare Ambulatory Surgical Center (ASC) at Hillside Medical Park (which is approximately, 1.4 miles from the LRGH campus) is 65% owned and operated by LRGH. ASC provides an alternate location for patients requiring one-day orthopedic surgeries (such as hand, wrist, knee, and shoulder), ENT surgeries, as well as pain management services. The services offered by ASC are designed to complement the broader range of inpatient and outpatient surgical services available at LRGH. Also at the Hillside Medical Park location is approximately 29,000 square feet of space, |
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| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
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| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 125742 |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 241259 |
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| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 26873 |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 14528816 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 25331203 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
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| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 15 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 16 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 36004 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 28902 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | James Clements |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Vercin Ephrem MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Glenn Fusonie MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Nancy LeRoy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Elizabeth Merry |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | David Palfrey |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | K Mark Primeau |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Paul Racicot MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Gil Schohan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Russell Thibeault |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Stuart Trachy |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Scott Sullivan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Robert Evans MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Cynthia Baron |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Kevin Donovan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Wayne Bennett |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Henry Lipman FACHE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Samuel Brown MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Frederick Jones MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Sandra Maruszak MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | David Mattice MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | John Vignati MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | Seth Warren |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 369697 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 422994 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 501495 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 199669 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Vice President, Medical Staff |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Past President, Medical Staff |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee (part year) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Trustee (part year) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | President, Medical Staff |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee/Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Trustee/Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Trustee/Treasurer & Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CFO (begin Feb 2017) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CFO (until Jan 2017) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | Physician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | Former President & CEO |
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| IRS990/GamingGrossIncomeAmt | 0 | 1925 |
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| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 106 |
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| IRS990/InfoInScheduleOPartIXInd | 0 | X |
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| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2890941 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1902799 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4793740 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 549157 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 481549 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1030706 |
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| IRS990/InterestGrp/ProgramServicesAmt | 0 | 4562588 |
| IRS990/InterestGrp/TotalAmt | 0 | 5367751 |
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| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2234994 |
| IRS990/IRPDocumentCnt | 0 | 135 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 129211005 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 117119974 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 126344990 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 255555995 |
| IRS990/LegalDomicileStateCd | 0 | NH |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 445471 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 237000 |
| IRS990/LoanOutstandingInd | 0 | 1 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
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Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.