Civic Intelligence

Lrghealthcare

990 • Fiscal year 2017 • EIN 02-0222150

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 10, 2018

80 Highland StreetLaconia, NH 03246-3298

(603) 524-3211

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

86th percentile

0.86x

Higher debt load relative to assets than 86% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

64th percentile

0.73x

Higher debt load relative to revenue than 64% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

35th percentile

0.4%

Higher net margin than 35% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

57th percentile

$551,131

Higher top officer pay than 57% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

51st percentile

6.3%

Faster asset growth than 51% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

32nd percentile

0.3%

Faster revenue growth than 32% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

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

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300M$200M$100M$0-$100M-$200MAssets 2010: $211,748,584Liabilities 2010: $173,328,329Net Assets 2010: $38,420,2552010Assets 2011: $210,535,466Liabilities 2011: $177,731,272Net Assets 2011: $32,804,1942011Assets 2012: $216,365,683Liabilities 2012: $178,973,397Net Assets 2012: $37,392,2862012Assets 2013: $225,131,995Liabilities 2013: $170,762,273Net Assets 2013: $54,369,7222013Assets 2014: $227,122,744Liabilities 2014: $170,610,007Net Assets 2014: $56,512,7372014Assets 2015: $180,736,133Liabilities 2015: $161,285,993Net Assets 2015: $19,450,1402015Assets 2016: $183,584,883Liabilities 2016: $165,421,577Net Assets 2016: $18,163,3062016Assets 2017: $195,103,878Liabilities 2017: $168,282,695Net Assets 2017: $26,821,1832017Assets 2018: $180,020,165Liabilities 2018: $166,392,190Net Assets 2018: $13,627,9752018Assets 2019: $158,002,918Liabilities 2019: $175,554,511Net Assets 2019: -$17,551,5932019Assets 2020: $149,103,564Liabilities 2020: $185,754,943Net Assets 2020: -$36,651,3792020Assets 2021: $26,026,667Liabilities 2021: $149,108,051Net Assets 2021: -$123,081,3842021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023Assets 2024: $0Liabilities 2024: $0Net Assets 2024: $02024

Highlighted filing

2017

Assets$195,103,878
Liabilities$168,282,695
Net Assets$26,821,183

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $203,014,4652010Expenses 2011: $207,048,2402011Revenue 2012: $220,048,803Expenses 2012: $218,682,033Net Income 2012: $1,366,7702012Revenue 2013: $232,765,309Expenses 2013: $228,875,151Net Income 2013: $3,890,1582013Revenue 2014: $225,141,751Expenses 2014: $223,760,078Net Income 2014: $1,381,6732014Revenue 2015: $203,690,286Expenses 2015: $233,996,795Net Income 2015: -$30,306,5092015Revenue 2016: $231,162,486Expenses 2016: $233,051,604Net Income 2016: -$1,889,1182016Revenue 2017: $231,823,960Expenses 2017: $230,894,293Net Income 2017: $929,6672017Revenue 2018: $228,051,486Expenses 2018: $240,808,544Net Income 2018: -$12,757,0582018Revenue 2019: $217,685,389Expenses 2019: $237,347,241Net Income 2019: -$19,661,8522019Revenue 2020: $184,765,489Expenses 2020: $201,223,449Net Income 2020: -$16,457,9602020Revenue 2021: $25,977,845Expenses 2021: $120,271,815Net Income 2021: -$94,293,9702021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $0Expenses 2024: $0Net Income 2024: $02024

Highlighted filing

2017

Revenue$231,823,960
Expenses$230,894,293
Net Income$929,667
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 10, 2018
Return Version
2016v3.0
Gross Receipts
$232,561,924
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Glenn Fusonie MDPast President, Medical StaffFT$497,127$54,004$551,131
John Vignati MDPhysicianFT$501,495$37,826$539,321
David Mattice MDPhysicianFT$458,301$55,873$514,174
Vercin Ephrem MDVice President, Medical StaffFT$402,139$52,770$454,909
Sandra Maruszak MDPhysicianFT$405,202$23,338$428,540
Frederick Jones MDPhysicianFT$404,994$23,465$428,459
Samuel Brown MDPhysicianFT$369,697$28,902$398,599
Paul Racicot MDPresident, Medical StaffFT$288,066$39,665$327,731
Henry Lipman FACHECFO (until Jan 2017)FT$268,830$33,377$302,207
Kevin DonovanPresident & CEOFT$251,181$14,451$265,632
Seth WarrenFormer President & CEOFT$199,669$9,131$208,800

Board Members and Trustees

NameTitle
Scott SullivanTrustee/Chair
Robert Evans MDTrustee/Vice Chair
Gil SchohanTrustee
James ClementsTrustee
K Mark PrimeauTrustee
Nancy LeRoyTrustee
Russell ThibeaultTrustee
Scott ClarenbachTrustee
Stuart TrachyTrustee
David PalfreyTrustee (part year)
Elizabeth MerryTrustee (part year)
James AbergTrustee (part year)
Cynthia BaronTrustee/Treasurer & Secretary
Wayne BennettCFO (begin Feb 2017)

Highest Paid Contractors

ContractorServicesLocationCompensation
Laconia Clinic PCHealth ServicesPO Box 637, Laconia, NH 03246$15,613,797
Orthopedic Professional AssociatesHealth Services14 Maple Street Suite 200, Gilford, NH 03249$5,526,716
Lakes Region Anesthesiology PAProfessional Services34 Robertson Drive, Gilford, NH 03249-6624$5,142,953
ENT Associates of NH PAHealth Services85 Spring Street, Laconia, NH 03246$3,879,000
Central NH ER Associates PAEmergency Room Coverage6 Picket Fence Road, Meredith, NH 03253$1,794,662
Revenue and Support

Revenue Composition

Contributions and Grants
$1,334,812
Program Service Revenue
$229,433,509
Investment Income
$1,012,558
Other Revenue
$43,081
All Other Contributions
$1,168,888
Change in Net Assets
$929,667

Audited Revenue Reconciliation

Revenue per Audited Statements
$231,823,960
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$10,816,312
Total Revenue per Audited Statements
$242,640,272
Total Revenue per Form 990
$231,823,960
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Health First Family Care Center IncFranklin, NH501(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
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$70,316
Fundraising Direct Expenses$54,530
Gaming Gross Income$1,925
Gaming Direct Expenses$963
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet 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
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Mark K PrimeauTrustee of LRGHealthcare and President & CEO of Bank of NHLRGHealthcare 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 MDLRGH Board Member has family members who are employeesLRGHealthcare 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 ThibeaultTrustee of LRGHealthcare and Director of Bank of NHLRGHealthcare 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 ClarenbachTrustee of LRGHealthcare and Trustee of Franklin Savings BankLRGHealthcare 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 TrachyTrustee of LRGHealthcare and Trustee of Franklin Savings BankLRGHealthcare 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-

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$133,009--
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Estimated Third-Party Payor Settlements$15,075,369
Accrued Workers Comp Liabilities$5,769,360
Accrued Pension/Retirement Costs$40,586
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

LRGHealthcare has 850 members who are also considered stakeholders who are eligible to vote.

Form 990, Part VI, Section A, line 7A

The members, also known as stakeholders, may elect one or more board members of the governing body at the annual meeting.

Form 990, Part VI, Section A, line 7B

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.

Form 990, Part VI, Section B, line 11B

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.

Form 990, Part VI, Section B, line 12C

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.

Form 990, Part VI, Section B, line 15

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.

Form 990, Part VI, Section C, line 19

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.

Form 990, Part VII, Section A, Line 1A:

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.

Filing and Contact Details

Filer

Filer Name
LRGHealthcare
EIN
02-0222150
Phone
6035243211
Address
80 Highland Street, Laconia, NH 03246-3298

Signing Officer

Name
Henry Lipman
Title
Chief Financial Officer
Phone
6035243211
Signed
2018-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin Donovan
Formed
1893
Legal Domicile
Nh
Voting Board Members
14
Independent Board Members
10
Employees
1,798
Volunteers
225

Preparer

Firm
Baker Newman & Noyes LLC
Address
650 ELM STREET SUITE 302, MANCHESTER, NH 03101
Preparer
Nicholas E Porto
Phone
8002447444
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

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.

Form 990, Part XI, line 9:

Adjustment to Pension Liability 6,250,431. Investment in Affiliate 1,111,345.

Form 990, Part XII, Line 2C:

The audit process has not changed from the prior year.

Financial Statement Notes

Part V, Line 4:

To further the Hospitals' mission.

Part X, Line 2:

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.

Part XI, Line 2D - Other Adjustments:

Revenue of Subsidiary 3,962,447. Occupancy Costs for Rentals 237,000. Adjustment to Pension Liability 6,250,431.

Part XII, Line 2D - Other Adjustments:

Occupancy Costs for Rentals 237,000. Expenses in Subsidiary 2,756,258.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1Orthopedic Professional Associates
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2Lakes Region Anesthesiology PA
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3ENT Associates of NH PA
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4Central NH ER Associates PA
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IRS990/Desc0LRGHealthcare (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/Form990PartVIISectionAGrp/PersonNm0James Aberg
IRS990/Form990PartVIISectionAGrp/PersonNm1Scott Clarenbach
IRS990/Form990PartVIISectionAGrp/PersonNm2James Clements
IRS990/Form990PartVIISectionAGrp/PersonNm3Vercin Ephrem MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Glenn Fusonie MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Nancy LeRoy
IRS990/Form990PartVIISectionAGrp/PersonNm6Elizabeth Merry
IRS990/Form990PartVIISectionAGrp/PersonNm7David Palfrey
IRS990/Form990PartVIISectionAGrp/PersonNm8K Mark Primeau
IRS990/Form990PartVIISectionAGrp/PersonNm9Paul Racicot MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Gil Schohan
IRS990/Form990PartVIISectionAGrp/PersonNm11Russell Thibeault
IRS990/Form990PartVIISectionAGrp/PersonNm12Stuart Trachy
IRS990/Form990PartVIISectionAGrp/PersonNm13Scott Sullivan
IRS990/Form990PartVIISectionAGrp/PersonNm14Robert Evans MD
IRS990/Form990PartVIISectionAGrp/PersonNm15Cynthia Baron
IRS990/Form990PartVIISectionAGrp/PersonNm16Kevin Donovan
IRS990/Form990PartVIISectionAGrp/PersonNm17Wayne Bennett
IRS990/Form990PartVIISectionAGrp/PersonNm18Henry Lipman FACHE
IRS990/Form990PartVIISectionAGrp/PersonNm19Samuel Brown MD
IRS990/Form990PartVIISectionAGrp/PersonNm20Frederick Jones MD
IRS990/Form990PartVIISectionAGrp/PersonNm21Sandra Maruszak MD
IRS990/Form990PartVIISectionAGrp/PersonNm22David Mattice MD
IRS990/Form990PartVIISectionAGrp/PersonNm23John Vignati MD
IRS990/Form990PartVIISectionAGrp/PersonNm24Seth Warren
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2023Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.00$0.00$0.00
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$26.0$149$123$26.0$120$94.3
2020Detailed filing. Detailed filing data is available for this year.$149$186$36.7$185$201$16.5
2019Detailed filing. Detailed filing data is available for this year.$158$176$17.6$218$237$19.7
2018Detailed filing. Detailed filing data is available for this year.$180$166$13.6$228$241$12.8
2017Detailed filing. Detailed filing data is available for this year.$195$168$26.8$232$231$0.93
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$184$165$18.2$231$233$1.89
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$181$161$19.5$204$234$30.3
2014Detailed filing. Detailed filing data is available for this year.$227$171$56.5$225$224$1.38
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$225$171$54.4$233$229$3.89
2012Summary only. Only limited summary data is available for this year.$216$179$37.4$220$219$1.37
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$211$178$32.8$207
2010XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$212$173$38.4$203