Civic Intelligence

Lrghealthcare

990 • Fiscal year 2020 • EIN 02-0222150

Oct 01, 2019 to Sep 30, 2020 • Filed on Aug 02, 2021

co Nixon Peabody 900 Elm StreetManchester, NH 03101

(617) 345-1170

Siviq Scores

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

Liabilities / Assets

97th percentile

1.25x

Higher debt load relative to assets than 97% of similar nonprofits.

2020 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2020

Liabilities / Revenue

70th percentile

1.01x

Higher debt load relative to revenue than 70% of similar nonprofits.

2020 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2020

Net Margin

17th percentile

-8.9%

Higher net margin than 17% of similar nonprofits.

2020 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2020

Top Officer Pay

59th percentile

$555,056

Higher top officer pay than 59% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2020 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2020

Asset Growth

9th percentile

-5.6%

Faster asset growth than 9% of similar nonprofits.

2020 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2019 to 2020

Revenue Growth

18th percentile

-15%

Faster revenue growth than 18% of similar nonprofits.

2020 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2019 to 2020

Assets

Down

$149,103,564

Down $8,899,354 (-5.6%) from 2019

Net Assets

Down

-$36,651,379

Down $19,099,786 (-109%) from 2019

Liabilities

Up

$185,754,943

Up $10,200,432 (+5.8%) from 2019

Revenue

Down

$184,765,489

Down $32,919,900 (-15%) from 2019

Expenses

Down

$201,223,449

Down $36,123,792 (-15%) from 2019

Net Income

Up

-$16,457,960

Up $3,203,892 (+16%) from 2019

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

2020

Assets$149,103,564
Liabilities$185,754,943
Net Assets-$36,651,379

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

2020

Revenue$184,765,489
Expenses$201,223,449
Net Income-$16,457,960
Jump To
Filing Snapshot
Filing Period
Oct 1, 2019 to Sep 30, 2020
Signed
Aug 2, 2021
Return Version
2019v5.2
Gross Receipts
$185,203,464
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$94,082,177$89,329,246▼ $4,752,931
Savings and Temporary Cash Investments$20,914,227$18,303,871▼ $2,610,356
Accounts Receivable$14,505,290$7,122,678▼ $7,382,612
Cash and Non-Interest-Bearing Accounts$1,532$6,862,946▲ $6,861,414
Inventories for Sale or Use$4,285,813$3,757,261▼ $528,552
Investments in Publicly Traded Securities$1,321,421$3,567,953▲ $2,246,532
Prepaid Expenses and Deferred Charges$2,767,736$3,386,466▲ $618,730
Investments Other Securities$1,977,556$1,510,150▼ $467,406
Total Assets$158,002,918$149,103,564▼ $8,899,354
Other Assets Total$18,147,166$15,262,993▼ $2,884,173
Liabilities
Mortgage Notes Payable Secured by Investment Property$111,429,593$116,504,888▲ $5,075,295
Other Liabilities$32,902,972$36,290,962▲ $3,387,990
Accounts Payable and Accrued Expenses$31,221,946$32,959,093▲ $1,737,147
Total Liabilities$175,554,511$185,754,943▲ $10,200,432
Net Assets / Fund Balance
Net Assets With Donor Restrictions$9,024,656$3,091,413▼ $5,933,243
Net Assets Without Donor Restrictions$-26,576,249$-39,742,792▼ $13,166,543
Total Net Assets Fund Balance$-17,551,593$-36,651,379▼ $19,099,786
Total Liabilities and Net Assets / Fund Balance$158,002,918$149,103,564▼ $8,899,354

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$37,935,645$104,241,396$142,177,041
Buildings$49,457,224$44,318,376$93,775,600
Land$1,816,626-$1,816,626
Other Land Buildings$119,751-$119,751
Other Assets Org$8,365,360--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$14,340,731$1,293,806-$7,227,049$8,407,488
2018$12,948,112$1,934,356-$541,737$14,340,731
2017$11,176,845$3,012,987-$1,241,720$12,948,112
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Samual AldridgeVP of Medical Staff (end 12/2019)FT$513,244$41,812$555,056
Kevin DonovanPresident & CEOFT$419,951$133,975$553,926
David Mattice MDPhysicianFT$448,270$47,912$496,182
Raza ShariffPhysicianFT$421,378$41,750$463,128
Samuel Brown MDPhysicianFT$367,511$44,250$411,761
Frederick Jones MDChief Medical OfficerFT$342,001$63,449$405,450
Joanie PeterPhysicianFT$365,173$25,223$390,396
Tristan Wihbey MDPhysicianFT$375,890$11,738$387,628
Wayne BennettCFOFT$328,042$36,054$364,096
Vercin Ephrem MDPresident of the Medical StaffFT$277,275$51,383$328,658
Paul Racicot MDPast President of the Medical staffFT$259,478$24,709$284,187
Steve MillerRestructuring Officer/Interim CFOFT$277,436-$277,436

Board Members and Trustees

NameTitle
Scott SullivanTrustee, immediate past Chair
Cynthia BaronTrustee/Chair
William BaldTrustee/Vice Chair
Jason Mangiardi MDVice President of the Medical Staff
James ClementsTrustee
K Mark PrimeauTrustee
Nancy LeRoyTrustee
Russell ThibeaultTrustee
Scott ClarenbachTrustee
Stuart TrachyTrustee
Golda SchohanTrustee/Secretary & Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Asquam Community Health CollaborativeIT services80 Highland Street, Laconia, NH 03246$10,214,734
Laconia Clinic PCHealth servicesPO Box 637, Laconia, NH 03246$8,129,000
Orthopedic Professional AssociatesHealth services14 Maple Street Suite 200, Gilford, NH 03249$6,859,985
Lakes Region Anesthesiology PAProfessional services34 Robertson Drive, Gilford, NH 03249-6624$4,954,142
ENT Associates of NH PAHealth services85 Spring Street, Laconia, NH 03246$3,829,000
Revenue and Support

Revenue Composition

Contributions and Grants
$17,680,071
Program Service Revenue
$167,078,867
Investment Income
$-23,608
Other Revenue
$30,159
All Other Contributions
$1,664,275
Change in Net Assets
$-16,457,960

Audited Revenue Reconciliation

Revenue per Audited Statements
$175,274,730
Revenue Not Reported on Financial Statements
$9,490,759
Revenue Not Reported on Form 990
$2,979,423
Other Revenue Adjustments
$9,490,759
Total Revenue per Audited Statements
$178,254,153
Total Revenue per Form 990
$184,765,489
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$104,744,129
Other Expenses$96,474,520
Total Fundraising Expense$163,845
Grants and Similar Amounts Paid$4,800
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$70,390,153$13,408,522$125,887$83,924,562
Fees for Services Other$9,693,479$14,541,546$12,124$24,247,149
Depreciation Depletion$55,644$12,170,592-$12,226,236
Other Employee Benefits$5,100,242$5,577,892$16,041$10,694,175
Occupancy$2,197,541$2,853,116-$5,050,657
Payroll Taxes$3,982,136$991,429$7,472$4,981,037
Other Expenses$4,091,528$842,780-$4,934,308
Interest-$4,759,917-$4,759,917
Insurance$2,799,661$642,263-$3,441,924
Fees for Services Management-$2,908,493-$2,908,493
Information Technology$1,073,605$1,599,715-$2,673,320
Pension Plan Contributions$1,265,254$1,387,728-$2,652,982
Current Officers, Directors, Trustees, and Key Employees$2,004,704$486,669-$2,491,373
Fees for Services Legal-$1,383,644-$1,383,644
Office Expenses$623,048$731,094$2,306$1,356,448
Conferences and Meetings$222,714$245,408-$468,122
Advertising$35,016$172,285$15$207,316
Fees for Services Accounting-$198,032-$198,032
Travel$52,412$50,651-$103,063
Grants to Domestic Orgs$4,800--$4,800
Total Functional Expenses$136,107,828$64,951,776$163,845$201,223,449

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$201,223,449
Total Expenses per Audited Statements$195,707,062
Expenses per Audited Statements$192,951,348
Expenses Not Reported on Financial Statements$8,272,101
Other Expense Adjustments$8,272,101
Expenses Not Reported on Form 990$2,755,714
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
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
Russell ThibeaultTrustee of LRGHealthcare and Director of Bank of NHLRGHealthcare maintains multiple cash accounts with Bank of New Hampshire. Transactions in fiscal year ended 9/30/2020 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 9/30/2020. Mr. Thibeault has been classified as an independent Trustee.No$139,510
Robert Evans MDFormer LRGH Board Member has family members who are employeesLRGHealthcare employed two individuals who are related to Dr. Robert Evans, who served as a board member of the Hospital until June of 2019. Dr. Evans' daughter and son-in-law were both employees of the Hospital during this fiscal year, and are each 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 2019 salary and benefits of $46,917. Dr. Evans' son-in-law, who was employed by the Hospital as an occupational therapist, received 2019 salary and benefits of $92,593. 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-
Scott ClarenbachTrustee of LRGHealthcare and Trustee of Franklin Savings BankLRGHealthcare maintains a lockbox account with Franklin Savings Bank. Transactions in fiscal year ended 9/30/2020 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 9/30/2020. 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 9/30/2020 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 9/30/2020. Mr. Trachy has been classified as an independent trustee.No-
William BaldTrustee of LRGHealthcare and Shareholder of Melcher & PrescottWilliam 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. As no transactions with Melcher & Prescott and the Hospital existed during the year, Mr. Bald has been classified as an independent trustee.No-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued pension and retirement costs$15,740,248
Estimated third-party payor settlements$11,307,346
Accrued workers compensation and other liabilities$9,243,368
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 35% controlled entity
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
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
Yes

Governance Explanations

Form 990, Part VI, Section A, line 2

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.

Form 990, Part VI, Section A, line 3

Steve Miller, who served as the Hospital's Interim CFO and Chief Restructuring Officer during the tax year, was a contract employee through QHR from October 1, 2019, through May 31, 2020; On June 1, 2020, Steve Miller became a temporary employee of the Hospital. QHR is a hospital consulting and management firm and is unrelated to the LRGHealthcare. Compensation in the amount of $277,436 was paid to QHR by LRGHealthcare for Mr. Miller's services. In accordance with IRS instructions, these fees have been reported as compensation on Form 990, Part VII-A and further disclosed in Schedule O for Form 990, Part VI, Line 3.

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 Wind Down Board, with the assistance of Craig Jalbert, a consultant, will oversee the process for reviewing and eventually filing the Form 990 once its preparation is complete.

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 2019 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.

Filing and Contact Details

Filer

Filer Name
LRGHealthcare
EIN
02-0222150
Phone
6173451170
Address
co Nixon Peabody 900 Elm Street, Manchester, NH 03101

Signing Officer

Name
Cynthia P Baron
Title
Chair of Wind Down Committee
Phone
6173451170
Signed
2021-08-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Cynthia P Baron
Formed
1893
Legal Domicile
Nh
Voting Board Members
14
Independent Board Members
10
Employees
1,677
Volunteers
84

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 professionals and purchased services: Program service expenses 9,193,910. Management and general expenses 12,833,967. Fundraising expenses 12,124. Total expenses 22,040,001. Repairs, maintenance, and janitorial fees: Program service expenses 212,970. Management and general expenses 851,881. Fundraising expenses 0. Total expenses 1,064,851. Equipment rentals, servicing, and support: Program service expenses 174,414. Management and general expenses 697,658. Fundraising expenses 0. Total expenses 872,072. Administrative and office support contracts: Program service expenses 0. Management and general expenses 158,040. Fundraising expenses 0. Total expenses 158,040. Recruitment service fees: Program service expenses 112,185. Management and general expenses 0. Fundraising expenses 0. Total expenses 112,185.

Form 990, Part XI, line 9:

Adjustment to pension liability -1,218,658. Investment in affiliate -1,431,089.

Form 990, Part XII, Line 2C:

LRGHealthcare filed a petition for reorganization under Chapter 11 of the Bankruptcy Code on October 19, 2020. Additionally, on October 19, 2020, the LRGHealthcare entered into an asset purchase agreement with Concord Hospital, Inc. to acquire certain assets of Lakes Region General Hospital and Franklin Regional Hospital. As a result of these transactions, LRGHealthcare implemented a new Wind Down Board of Trustees, to faciliate LRGHealthcare's transition into the Concord Hospital System. The Wind Down Board, with the assistance of Craig Jalbert, a consultant with the firm Verdolina & Lowey, P.C., will exercise oversight, selection, and review of LRGHealthcare's audit process.

Form 990, Significant Change in Future Operations

LRGHealthcare and Subsidiary's consolidated financial statements have been prepared under the assumption that they will continue as a going concern. In an effort to achieve liquidity that would be sufficient to meet all of their commitments, LRGHealthcare and Subsidiary has undertaken a number of actions, including cost cutting and other initiatives. However, management believes that even after taking these actions, the Hospitals will not have sufficient liquidity to satisfy all of their future financial obligations, comply with their debt covenants, and execute their business plan. As a result, LRGHealthcare filed a petition for reorganization under Chapter 11 of the Bankruptcy Code on October 19, 2020. The risks and uncertainties surrounding the Chapter 11 case, the events of default under the Hospitals' credit agreements, and the other conditions impacting LRGHealthcare and Subsidiary's activities raise substantial doubt as to their ability to continue as a going concern. Although Management believes that the reorganization of LRGHealthcare through Chapter 11 will position the Hospitals for sustainable growth opportunities, the Chapter 11 filing caused an event of default under the Credit Agreements, which is stayed during the pendency of the bankruptcy proceeding. Further, there are several risks and uncertainties associated with the Hospitals' bankruptcy, including, among others: (a) the Hospitals' pre-packaged plan of reorganization may never be confirmed or become effective, (b) the Bankruptcy Court may grant or deny motions in a manner that is adverse to the Hospitals and their subsidiary, and (c) the Hospitals' Chapter 11 case may be converted into a Chapter 7 liquidation. On October 19, 2020, the Hospitals entered into an asset purchase agreement (the Agreement) with Concord Hospital, Inc. (the Buyer) to acquire certain assets of Lakes Region General Hospital and Franklin Regional Hospital. Upon execution of the Agreement, the Hospitals filed a voluntary case under Chapter 11 of the United States bankruptcy code. As a result, the Agreement is subject to bankruptcy proceedings, including a formal bid process and auction (that was completed in December 2020) as well as subsequent regulatory approvals. On October 19, 2020 (the Petition Date), the Hospitals filed the Chapter 11 case in the U.S. Bankruptcy Court for the District of New Hampshire (the Bankruptcy Court). The Hospitals will continue to operate their business as a "debtor in possession" under the jurisdiction of the Bankruptcy Court and in accordance with the applicable provisions of the Bankruptcy Code and the orders of the Bankruptcy Court. The Chapter 11 case is being jointly administered under the caption In re LRGHealthcare, Debtor, Case No. 20-10892 (MAF). A Sale-Procedures Order was entered on November 2, 2020. Pursuant to the Sale-Procedures Order, the Sale Hearing was held and concluded before the Court on December 21, 2020 at 10:00 a.m. (EST). On December 24, 2020, the court entered the Order (I) Approving the Sale of Substantially All of The Debtor's Estate Free and Clear of All Interests, (II) Approving the Assumption and Assignment of Certain Executory Contracts and Unexpired Leases, and (III) Granting Related Relief. LRGHealthcare cannot predict the ultimate outcome of the Chapter 11 case.

Financial Statement Notes

Part V, Line 4:

To further the Hospitals' mission.

Part X, Line 2:

The Hospitals, with the exception of Hillside, an organization that is related to LRGHealthcare taxable as a partnership, 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, 2020 and 2019.

Part XI, Line 2D - Other Adjustments:

Revenue of subsidiary 2,700,072. Occupancy costs for rentals 271,430.

Part XI, Line 4B - Other Adjustments:

Adjustment to pension liability 1,218,658. Provision for bad debts net against revenues 8,272,101.

Part XII, Line 2D - Other Adjustments:

Expenses in subsidiary 2,484,284. Occupancy costs for rentals 271,430.

Part XII, Line 4B - Other Adjustments:

Provision for bad debts net against revenues 8,272,101.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2Orthopedic Professional Associates
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3Lakes Region Anesthesiology PA
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4ENT Associates of NH 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 3,721 during fiscal year ending September 30, 2020. 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 231 during fiscal year ending September 30, 2020. 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 245,964 in fiscal year ending September 30, 2020. 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/PersonNm0Samual Aldridge
IRS990/Form990PartVIISectionAGrp/PersonNm1Kevin Donovan
IRS990/Form990PartVIISectionAGrp/PersonNm2David Mattice MD
IRS990/Form990PartVIISectionAGrp/PersonNm3Raza Shariff
IRS990/Form990PartVIISectionAGrp/PersonNm4Samuel Brown MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Frederick Jones MD
IRS990/Form990PartVIISectionAGrp/PersonNm6Joanie Peter
IRS990/Form990PartVIISectionAGrp/PersonNm7Tristan Wihbey MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Wayne Bennett
IRS990/Form990PartVIISectionAGrp/PersonNm9Vercin Ephrem MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Paul Racicot MD
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IRS990/Form990PartVIISectionAGrp/PersonNm12Scott Clarenbach
IRS990/Form990PartVIISectionAGrp/PersonNm13James Clements
IRS990/Form990PartVIISectionAGrp/PersonNm14Nancy LeRoy
IRS990/Form990PartVIISectionAGrp/PersonNm15Jason Mangiardi MD
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IRS990/Form990PartVIISectionAGrp/PersonNm20Cynthia Baron
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IRS990/Form990PartVIISectionAGrp/TitleTxt0VP of Medical Staff (end 12/2019)
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IRS990/LandBldgEquipCostOrOtherBssAmt0237889018
IRS990/LegalDomicileStateCd0NH
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt0166545
IRS990/LessRentalExpensesGrp/RealAmt0271430
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd01
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0LRGHealthcare's mission is to provide quality, compassionate care and to strengthen the well-being of our community.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt0111429593
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt0116504888
IRS990/NetAssetsOrFundBalancesBOYAmt0-17551593
IRS990/NetAssetsOrFundBalancesEOYAmt0-36651379
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0-166545
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-166545
IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt08259
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt030159
IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt021900
IRS990/NetUnrelatedBusTxblIncmAmt028885
IRS990/NetUnrlzdGainsLossesInvstAmt07921
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-26576249
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-39742792
IRS990/NondeductibleContributionsInd00

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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
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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