Lrghealthcare

“William Bald is a shareholder and president of Melcher & Prescott Insurance, an insurance brokerage firm based out of Laconia, NH. While no business transactions existed in the fiscal year covered by this return, it is possible that other trustees of LRGHealthcare, Hospital employees, or the Hospital itself may conduct business with Melcher & Prescott Insurance from time to time.”

“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. For the September 30, 2019 Form 990, each member of the board is then provided with a copy of the return shortly after 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 2018 compensation reported for Dr. Ephrem, Dr. Aldridge, 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.”

“Contracted professionals and purchased services: Program service expenses 12,406,629. Management and general expenses 13,493,648. Fundraising expenses 14,419. Total expenses 25,914,696. Repairs, maintenance, and janitorial fees: Program service expenses 263,953. Management and general expenses 1,055,812. Fundraising expenses 0. Total expenses 1,319,765. Equipment rentals, servicing, and support: Program service expenses 159,488. Management and general expenses 637,952. Fundraising expenses 0. Total expenses 797,440. Administrative and office support contracts: Program service expenses 0. Management and general expenses 201,473. Fundraising expenses 0. Total expenses 201,473. Recruitment service fees: Program service expenses 604,282. Management and general expenses 0. Fundraising expenses 0. Total expenses 604,282.”

“Adjustment to pension liability -9,828,737. Investment in affiliate -1,706,879.”

“The audit process has not changed from the prior year.”