LRGHealthcare: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: LRGHealthcare (EIN 02-0222150)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201202289349300735
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T12:21:33-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER NEWMAN & NOYES LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	650 ELM STREET SUITE 302	AddressLine1
City	MANCHESTER	City
State	NH	State
ZIP Code	03101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222150	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LRGHEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LRGH	NameControl
Phone	6035243211	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	80 HIGHLAND STREET	AddressLine1
City	LACONIA	City
State	NH	State
ZIP Code	032463298	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	HENRY D LIPMAN	Name
Title	SVP FINSTAT & EXT RELATIONS	Title
Phone	6035272802	Phone
Date Signed	2012-08-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	TIMOTHY R HEPBURN CPA	Name
Phone	8002447444	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS A CLAIRMONT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	80 HIGHLAND STREET	AddressLine1
City	LACONIA	City
State	NH	State
ZIP Code	032463298	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	222154306	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.LRGH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1893	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	PROVIDE ACCESSIBLE, QUALITY, COMPASSIONATE CARE AND STRENGTHEN THE WELL-BEING OF OUR COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	22	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	1686	TotalNbrEmployees
Total Nbr Volunteers	246	TotalNbrVolunteers
Total Gross UBI	16560	TotalGrossUBI
Net Unrelated Business Txbl Income	15560	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2194918	ContributionsGrantsPriorYear
Contributions Grants Current Year	2020537	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	196526579	ProgramServiceRevenuePriorYear
Program Service Revenue CY	200432187	ProgramServiceRevenueCY
Investment Income Prior Year	475629	InvestmentIncomePriorYear
Investment Income Current Year	849217	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-8885910	OtherRevenuePriorYear
Other Revenue Current Year	4442962	OtherRevenueCurrentYear
Total Revenue Prior Year	190311216	TotalRevenuePriorYear
Total Revenue Current Year	207744903	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	219660	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	87326321	SalariesEtcPriorYear
Salaries Etc Current Year	89526915	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	336308	TotalFundrsngExpCurrentYear
Other Expense Prior Year	115688144	OtherExpensePriorYear
Other Expenses Current Year	117301665	OtherExpensesCurrentYear
Total Expenses Prior Year	203014465	TotalExpensesPriorYear
Total Expenses Current Year	207048240	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-12703249	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	696663	RevenuesLessExpensesCY
Total Assets BOY	211748584	TotalAssetsBOY
Total Assets EOY	210535466	TotalAssetsEOY
Total Liabilities BOY	173328329	TotalLiabilitiesBOY
Total Liabilities EOY	177731272	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	38420255	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	32804194	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	LRGHEALTHCARE'S MISSION IS TO SERVE THE LAKES REGION, FRANKLIN, AND SURROUNDING COMMUNITIES BY PROMOTING PHYSICAL, MENTAL, EMOTIONAL, SOCIAL, ENVIRONMENTAL, AND SPIRITUAL HEALTH AND PROVIDING ACCESS TO THE FULLEST RANGE OF QUALITY, MODERN AND EFFICIENT HEALTH CARE SERVICES PRACTICAL FOR THE ORGANIZATION, REGARDLESS OF RACE, SEX, RELIGION, PRIMARY LANGUAGE, DISABILITY OR HANDICAP, NATIONAL ORIGIN, OR ABILITY TO PAY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	181264665	Expense
Grants	219660	Grants
Revenue	204848732	Revenue
Description	LRGHEALTHCARE(THE INSTITUTION) IS A NEW HAMPSHIRE NON 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 AND COLLECTIVELY WITH LRGH, THE HOSPITALS). LRGH WAS FOUNDED IN 1893 AND WAS ORIGINALLY KNOWN AS THE COTTAGE HOSPITAL. IN 1908, COMMUNITY NEED FOR THE HOSPITAL HAD OUTGROWN ITS LOCATION SO A NEW FACILITY WAS OPENED AT THE PRESENT SITE ON HIGHLAND STREET. THE FACILITY WAS RENAMED LACONIA HOSPITAL AND MAINTAINED SUCH NAME UNTIL 1966 WHEN THE NAME OF THE HOSPITAL CHANGED TO LAKES REGION GENERAL HOSPITAL. 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 WAS FOUNDED IN 1909 AS A NOT-FOR-PROFIT CHARITABLE CORPORATION BY THE FRANKLIN LADIES HOSPITAL AID SOCIETY, WITH THE STATED CHARITABLE PURPOSE OF PROVIDING ACUTE HEALTHCARE SERVICES TO RESIDENTS OF THE CITY OF FRANKLIN AND SURROUNDING COMMUNITIES. IN 1909, THE FRANKLIN LADIES HOSPITAL AID SOCIETY PURCHASED A MANSION KNOWN AS THE AIKEN HOMESTEAD WHICH OPENED ITS DOORS AS THE SITE OF THE FIRST FRANKLIN HOSPITAL ON JANUARY 1, 1910. FROM THAT TIME TO THE PRESENT, THE FRANKLIN HOSPITAL GREW INTO FRH WITH A FOCUS OF SERVING THE GREATER FRANKLIN, NEW HAMPSHIRE COMMUNITY. FRH, DESIGNATED AS A CRITICAL ACCESS HOSPITAL UNDER MEDICARE, IS A 25 BED COMMUNITY HOSPITAL. ON JULY 1, 2002, LRGH MERGED WITH FRH TO BECOME LRGHEALTHCARE. 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 INPATENT CARE. TOTAL ACUTE INPATIENT ADMISSIONS WERE 4,911. 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 WHICH 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 836. THE INSTITUTION PROVIDES A COMPREHENSIVE ARRAY OF OUTPATIENT SERVICES WHICH INCLUDE: AMBULATORY SURGERY, EMERGENCY MEDICINE, ONCOLOGY SERVICES, GENERAL HEALTH SCREENINGS, CARDIAC AND PULMONARY REHABILITATION PROGRAMS, LABORATORY SERVICES, PATIENT EDUCATION, NUTRITION COUNSELING, RADIOLOGY SERVICES, CARDIOPULMONARY SERVICES, REHABILITATION SERVICES AND PATIENT/FAMILY SERVICES. THE INSTITUTION MAINTAINS AND OPERATES EMERGENCY DEPARTMENTS AT THE HOSPITALS SERVING THE PUBLIC AROUND THE CLOCK, 365 DAYS A YEAR WITH SPECIALTY TRAINED PHYSICIANS, NURSES AND STAFF. BOTH EMERGENCY DEPARTMENTS ARE EQUIPPED WITH STATE OF THE ART DIAGNOSTIC EQUIPMENT AND OFFER GROUND AND AIR TRANSFER CAPABLIITY TO TERTIARY CARE FACILITIES. LRGH IS A STATE DESIGNATED LEVEL 3 TRAUMA CENTER. IN ADDITION TO ITS TWO HOSPITAL FACILITIES, THE INSTITUTION HAS OVER 24 OTHER SITES WHERE IT OPERATES OUTPATIENT AND AMBULATORY SERVICES. THE OUPATIENT REGISTRATIONS WERE 185,358. HERE IS A SUMMARY OF THE MOST SIGNIFICANT FACILITIES: THE LACONIA CLINIC (THE CLINIC) IS A 25-PHYSICIAN PROVIDER-BASED DEPARTMENT (UNDER MEDICARE) OF LRGH. THE CLINIC AND LRGH OPERATING AGREEMENTS BENEFIT THE COMMUNITY BY PRESERVING AN 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, XRAY AND PHYSICAL THERAPY. THE CLINIC IS LESS THAN ONE MILE FROM THE MAIN LACONIA CAMPUS. LRGHEALTHCARE AMBULATORY SURGICAL CENTER (ASC) AT HILLSIDE MEDICAL PARK (WHICH IS APPROXIMATELY, 1.4 MILES FROM THE LRGH CAMPUS) IS OWNED AND OPERATED BY LRGH. ASC PROVIDES AN ALTERNATE LOCATION FOR PATIENTS REQUIRING ONE-DAY ORTHOPEDIC SURGERIES (SUCH AS HAND, WRIST, KNEE AND SHOULDER SURGERIES), 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 THE INSTITUTION OWNS APPROXIMATELY 29,000 SQUARE FEET OF SPACE WHERE IT OPERATES ITS SLEEP LAB, OUTPATIENT REHABILITATION FOR THE LACONIA REGION, AN OCCUPATIONAL HEALTH PROGRAM AND A PRIMARY CARE PHYSICIAN PRACTICE. LRHEALTHCARE INTERLAKES MEDICAL CENTER CONSISTS OF 14,000 GROSS SQUARE FEET AND IS COMPRISED OF PHYSICIAN PRACTICE EXAMINATION ROOMS AND SHARED PROVIDER OFFICES, A CLINICAL LABORATORY, REHABILITATION SERVICES AND MEDICAL IMAGING. THE FACILITY LOCATED IN MEREDITH IS APPROXIMATELY 10 MILES FROM THE LRGH CAMPUS. IN FULFILLING ITS MISSION AS A NOT-FOR-PROFIT COMMUNITY HEALTHCARE SYSTEM, THE INSTITUTION PROVIDES A SUBSTANTIAL LEVEL OF COMMUNTIY BENEFITS AND CHARITY CARE. THE RESPONSIBILITY FOR THESE PROGRAMS AND SERVICES IS SHARED THROUGHOUT THE ORGANIZATION ON BOTH CAMPUSES. THE INSTITUTION'S GOAL IS TO MAKE QUALITY HEALTHCARE AVAILABLE, ACCESSIBLE, AND AFFORDABLE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. LARGELY AS A RESULT OF THE INSTITUTION'S STRONG EMPHASIS ON COMMUNITY BENEFIT ACTIVITIES, IT RECEIVED THE BUSINESS OF THE DECADE AWARD FOR HEALTH CARE FROM BUSINESS NEW HAMPSHIRE MAGAZINE. IN 2011, THE INSTITUTION PROVIDED $30,134,577 (VALUED AT COST) IN COMMUNITY BENEFIT PROGRAMS AND SERVICES TO ADDRESS LOCAL HEALTHCARE NEEDS. THE INSTITUTION PROVIDES THESE SERVICES TO ACHIEVE THE FOLLOWING GOALS: HEALTHCARE ACCESS TO THE UNINSURED AND UNDERINSURED. FREE OR REDUCED FEE SERVICES ARE PROVIDED TO COMMUNITY MEMBERS WHO ARE UNINSURED OR UNDERINSURED AND LACK THE MEANS TO PAY FOR MEDICAL CARE. THESE SERVICES INCLUDE INPATIENT, EMERGENCY AND DIAGNOSTIC CARE AT THE HOSPITALS AND ARE ADMINISTERED THROUGH THE FOLLOWING PROGRAMS: COMMUNITY/CHARITABLE CARE, HEALTHLINK, HEALTHY BEGINNINGS, CHEMICAL DEPENDENCY PROGRAM AND AMBULANCE SERVICE. DENTAL CARE: THE INSTITUTION PROVIDES DENTAL SERVICES FOR UNINSURED OR UNDERINSURED COMMUNITY MEMBERS WHO ARE IN NEED OF DENTAL CARE THROUGH THE DENTAL RESOURCE CENTER. COMMUNITY HEALTH AND OUTREACH: THE INSTITUTION PROVIDES SEVERAL COMMUNITY HEALTH AND WELLNESS PROGRAMS INCLUDING CARDIAC AND PULMONARY REHABILITATION, A DIABETES MANAGEMENT PROGRAM, COMMUNITY CARE MANAGEMENT, MEDICATION CONNECTION PROGRAM AND A BREAST HEALTH PROGRAM. THE INSTITUTION ALSO PROMOTES COMMUNITY HEALTH THROUGH NUTRITION AND FITNESS PROGRAMS IN CONJUNCTION WITH COMMUNITY VOLUNTEER SERVICES. IN ADDITION, THE INSTITUTION HAS FORMED MANY COMMUNITY PARTNERSHIPS THAT ARE INVOLVED IN SUPPORTING THE HEALTH OF THE COMMUNITY AT LARGE IN BOTH THE LAKE WINNIPESAUKEE AND THREE RIVERS REGIONS. DURING 2005 THE INSTITUTION PARTNERED WITH COMMUNITY HEALTH AND HOSPICE, GENESIS BEHAVIORAL HEALTH, THE AMERICAN RED CROSS (LAKES REGION CHAPTER), LAKES REGION COMMUNITY SERVICES COUNCIL, AND THE BELKNAP-MERRIMACK COMMUNITY PARTNERSHIP FOR PUBLIC HEALTH. THE MISSION OF THE LAKES REGION PARTNERSHIP FOR PUBLIC HEALTH IS TO IMPROVE THE HEALTH AND WELL BEING OF THE LAKES REGION THROUGH INTERORGANIZATIONAL COLLABORATION AND COMMUNITY AND PUBLIC HEALTH IMPROVEMENT ACTIVITIES. THE INSTITUTION IS ALSO A MEMBER OF THE CARING COMMUNITY NETWORK OF THE THREE RIVERS.	Description
Total Program Service Expense	181264665	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	95	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1686	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	22	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS A CLAIRMONT PRESIDENT	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6035272801	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	80 HIGHLAND STREET	AddressLine1
City	LACONIA	City
State	NH	State
ZIP Code	03246	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
THOMAS A CLAIRMONT
PRESIDENT/CEO/TREASURER	40.00	X	X	452368	0	35579
PETER WALKLEY -CHIEF OF STAFF
EX OFFICIO TRUSTEE	40.00	X		232192	0	33323
PAUL RACICOT MD
TRUSTEE	1.00	X		0	0	0
JUDIE REEVER
TRUSTEE	1.00	X		0	0	0
STUART TRACHY
BOD CHAIRMAN	1.00	X	X	0	0	0
PETER RUSSELL
BOD VICE CHAIR	1.00	X	X	0	0	0
SCOTT CLARENBACH
BOD SECRETARY	1.00	X	X	0	0	0
CYNTHIA BARON
TRUSTEE	1.00	X		0	0	0
BJ ECKARDT
TRUSTEE	1.00	X		0	0	0
ROBERT EVANS MD
TRUSTEE	1.00	X		0	0	0
DONALD FLANDERS
TRUSTEE	1.00	X		0	0	0
WILLIAM GRIMM
TRUSTEE	1.00	X		0	0	0
ALIDA MILLHAM
TRUSTEE	1.00	X		0	0	0
DAVID PALFREY
TRUSTEE	1.00	X		0	0	0
PEG PLUMER
TRUSTEE	1.00	X		0	0	0
JAMES ABERG
TRUSTEE	1.00	X		0	0	0
GIL SCHOHAN
TRUSTEE	1.00	X		0	0	0
NANCY LEROY
TRUSTEE PART YEAR	1.00	X		0	0	0
K MARK PRIMEAU
TRUSTEE PART YEAR	1.00	X		0	0	0
SCOTT SULLIVAN
TRUSTEE	1.00	X		0	0	0
MIKE SEYMOUR
TRUSTEE	1.00	X		0	0	0
GLENN FUSONIE PHYSICIAN
EX OFFICIO TRUSTEE	40.00	X		311931	0	39125
VERCIN EPHREM PHYSICIAN
EX OFFICIO TRUSTEE	40.00	X		314008	0	38954
HENRY D LIPMAN
EXEC VP/CFO	40.00		X	235711	0	45182
DAVID COLEMAN
PHYSICIAN	40.00			309634	0	20899	X
JOHN VIGNATI
PHYSICIAN	40.00			315647	0	41632	X
ELIZA DEERY
PHYSICIAN	40.00			289760	0	41807	X
MICHELE J GAIER RUSH
SLEEP LAB MD	40.00			327095	0	12948	X
CAROLYN DRAKE
PHYSICIAN	40.00			271240	0	40600	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3059586	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	350049	TotalOtherCompensation
Number Individuals GT100 K	88	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
LACONIA CLINIC
724 MAIN STREET	LACONIA	NH	03246	HEALTH SERVICES	12210898
CENTRAL NH ER ASSOC PA
174 PHILBROOK RD	SANBORNTON	NH	03269	EMERGENCY ROOM COVERAGE	5500670
ORTHOPEDIC PROFESSIONAL ASSOC
14 MAPLE ST STE 100	GILFORD	NH	03249	HEALTH SERVICES	2143301
NH IMAGING SERVICES
ONE PILLSBURY ST STE 200	CONCORD	NH	03301	MEDICAL IMAGING SERVICES	1549791
LR ANESTHESIOLOGY PA
87 SPRING STREET	LACONIA	NH	03246	PROFESSIONAL SERVICES	1368669

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	38	NumberOfContractorsGT100K
Fundraising Events	114300	FundraisingEvents
Government Grants	190239	GovernmentGrants
All Other Contributions	1715998	AllOtherContributions
Total Contributions	2020537	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES	900099	189049726	189049726
DISPROPORTIONATE SHARE	900099	9751772	9751772
OTHER SERVICES	900099	1039269	1039269
CAFETERIA	900099	591420	591420

Field	Value	IRS element (for citing)
Total Program Service Revenue	200432187	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	681147	TotalRevenueColumn
Exclusion	$681,147	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	219358	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	192658	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	26700	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	26700	TotalRevenueColumn
Unrelated Business Revenue	16560	UnrelatedBusinessRevenue
Exclusion	$10,140	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	14340399	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	14155439	Securities
Other	16890	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	184960	Securities
Other	-16890	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	168070	TotalRevenueColumn
Exclusion	$168,070	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	44133	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	114300	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	44416	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-283	TotalRevenueColumn
Exclusion	-$283	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER MISC	900099	4227316	4227316
SALE OF INTEREST IN SU	900099	189229	189229

Field	Value	IRS element (for citing)
Total Other Revenue	4416545	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	207744903	TotalRevenueColumn
Related Or Exempt Function Income	204848732	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	16560	UnrelatedBusinessRevenue
Exclusion	$859,074	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	219660	Total
Program Services	219660	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1616876	Total
Program Services	859064	ProgramServices
Management And General	757812	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	73918154	Total
Program Services	63263910	ProgramServices
Management And General	10422037	ManagementAndGeneral
Fundraising	232207	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1487990	Total
Program Services	1277531	ProgramServices
Management And General	210459	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7302122	Total
Program Services	6253442	ProgramServices
Management And General	1030186	ManagementAndGeneral
Fundraising	18494	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5201773	Total
Program Services	4451734	ProgramServices
Management And General	733375	ManagementAndGeneral
Fundraising	16664	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	194161	Total
Management And General	194161	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	114480	Total
Management And General	114480	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	45993	Total
Management And General	45993	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	276714	Total
Program Services	276714	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6527839	Total
Program Services	5600999	ProgramServices
Management And General	922704	ManagementAndGeneral
Fundraising	4136	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3639898	Total
Program Services	3125076	ProgramServices
Management And General	514822	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4898621	Total
Program Services	4204436	ProgramServices
Management And General	692635	ManagementAndGeneral
Fundraising	1550	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	57110	Total
Program Services	49032	ProgramServices
Management And General	8078	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	606452	Total
Program Services	520676	ProgramServices
Management And General	85776	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5664925	Total
Program Services	4863686	ProgramServices
Management And General	801239	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8093551	Total
Program Services	6948810	ProgramServices
Management And General	1144741	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1838539	Total
Program Services	1578499	ProgramServices
Management And General	260040	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PURCHASED SERVICES	37910840	32512154	5392208	6478
PROVISION FOR BAD DEBTS	12901762	12901762
PHARMARCY SUPPLIES	12458019	12458019
SUPPLIES	10594695	9096196	1498499
NH MEDICAID ENHANCEMENT	7051743	7051743

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4426323	Total
Program Services	3751522	ProgramServices
Management And General	618022	ManagementAndGeneral
Fundraising	56779	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	207048240	Total
Program Services	181264665	ProgramServices
Management And General	25447267	ManagementAndGeneral
Fundraising	336308	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1049539	BOY
EOY	3063245	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	924874	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	27115557	BOY
EOY	30541469	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4246663	BOY
EOY	4514508	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3604070	BOY
EOY	2425511	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	199893289	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	100964223	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	74373516	BOY
EOY	98929066	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	17103274	BOY
EOY	12713292	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	119663	BOY
EOY	64932	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	84136302	BOY
EOY	57358569	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	211748584	BOY
EOY	210535466	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18911961	BOY
EOY	23169269	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	143520000	BOY
EOY	143520000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	7420016	BOY
EOY	4388834	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2500000	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	976352	BOY
EOY	6653169	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	173328329	BOY
EOY	177731272	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	32512309	BOY
EOY	25672511	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3708209	BOY
EOY	4931946	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2199737	BOY
EOY	2199737	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	38420255	BOY
EOY	32804194	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	211748584	BOY
EOY	210535466	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	696663	ReconcilationRevenueExpenses
Reconcilation Other Changes	-6312724	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	45993	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	45993	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	207002247	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	207048240	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus2	159154	CurrentYearMinus2
Current Year Minus1	106724	CurrentYearMinus1
Current Year	45993	CurrentYear
Total	311871	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12011538	BeginningOfYearBalance
Contributions	1664340	Contributions
Investment Earnings Or Losses	129685	InvestmentEarningsOrLosses
Other Expenditures	912670	OtherExpenditures
End Of Year Balance	12892893	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10993203	BeginningOfYearBalance
Contributions	1840639	Contributions
Investment Earnings Or Losses	132307	InvestmentEarningsOrLosses
Other Expenditures	954611	OtherExpenditures
End Of Year Balance	12011538	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	12741965	BeginningOfYearBalance
Contributions	353584	Contributions
Investment Earnings Or Losses	-460992	InvestmentEarningsOrLosses
Other Expenditures	1641354	OtherExpenditures
End Of Year Balance	10993203	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.44690	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.17060	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.38250	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1816626	OtherCostOrOtherBasis
Book Value	1816626	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48230898	OtherCostOrOtherBasis
Depreciation	30686719	Depreciation
Book Value	17544179	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3166719	OtherCostOrOtherBasis
Depreciation	2093238	Depreciation
Book Value	1073481	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	97695330	OtherCostOrOtherBasis
Depreciation	68184266	Depreciation
Book Value	29511064	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48983716	OtherCostOrOtherBasis
Book Value	48983716	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	98929066	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
BOND PROCEEDS FUNDS AND INVESTMENTS	49823052
UNAMORTIZED BOND ISSUANCE COSTS & CSV LIFE INS	5721983
WORKERS COMP FUNDS AND INVESTMENTS	1813534

Field	Value	IRS element (for citing)
Total Book Value Other Assets	57358569	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED WORKERS COMP LIABILITIES	$1,144,900
ACCRUED PENSION COSTS	$5,508,269

Field	Value	IRS element (for citing)
Total Of Amounts	6653169	TotalOfAmounts
Total Revenue	207744903	TotalRevenue
Total Expenses	207048240	TotalExpenses
Excess Or Deficit For Year	696663	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-25542	NetUnrealizedGLOnInvestments
Other	-$6,287,182	OtherAmount
Total Adjustments	-6312724	TotalAdjustments
Excess Or Deficit Per FS	-5616061	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	211857315	TotRevenueEtcAuditedFinclStmt
Other Revenues	4301641	OtherRevenues
Revenue Not Rptd F990	4301641	RevenueNotRptdF990
Revenue Subtotal	207555674	RevenueSubtotal
Other Revenues Not Included	189229	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	189229	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	207744903	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	210208579	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	3160339	OtherExpensesIncluded
Expenses Not Rptd F990	3160339	ExpensesNotRptdF990
Expenses Subtotal	207048240	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	207048240	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TO FURTHER THE HOSPITALS' MISSION.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	INCOME TAXES - 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. WITH FEW EXCEPTIONS, THE HOSPITALS ARE NO LONGER SUBJECT TO TAX EXAMINATION BY THE U.S. FEDERAL OR STATE TAX AUTHORITIES FOR YEARS BEFORE 2008. 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, 2011, 2010 AND 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		ADJUSTMENT TO PENSION LIABILITY $(7,328,262) HILLSIDE NET ASSETS $1,041,080
PART XII, LINE 2D - OTHER ADJUSTMENTS:		NET REVENUE OF SUBSIDIARY $4,108,983 RENTAL EXPENSES NETTED AGAINST RENTAL INCOME $192,658
PART XII, LINE 4B - OTHER ADJUSTMENTS:		SALE OF INTEREST IN SUBSIDIARY IN CHANGE IN NET ASSETS IN F/S
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		OCCUPANCY COSTS FOR RENTALS $192,658 EXPENSES IN SUBSIDIARY $2,967,681

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	RED DRESS GALA EVENT	NameOfEvent1
Gross Receipts Event1	87971	GrossReceiptsEvent1
Charitable Contributions Event1	62200	CharitableContributionsEvent1
Gross Revenue Event1	25771	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	15503	RentFacilityCostsEvent1
Other Direct Expenses Event1	8665	OtherDirectExpensesEvent1
Name Of Event2	HEALTHLINK GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	70462	GrossReceiptsEvent2
Charitable Contributions Event2	52100	CharitableContributionsEvent2
Gross Revenue Event2	18362	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	920	NonCashPrizesEvent2
Rent Facility Costs Event2	14763	RentFacilityCostsEvent2
Other Direct Expenses Event2	4565	OtherDirectExpensesEvent2
Gross Receipts Total	158433	GrossReceiptsTotal
Charitable Contributions Total	114300	CharitableContributionsTotal
Gross Revenue Total Events	44133	GrossRevenueTotalEvents
Non Cash Prizes Total Events	920	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	30266	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	13230	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	44416	DirectExpenseSummaryEvents
Net Income Summary	-283	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	225.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	325.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	26397	PersonsServed
Total Community Benefit Expense	8545037	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	8545037	NetCommunityBenefitExpense
Percent Of Total Expense	0.04400	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	23326	PersonsServed
Total Community Benefit Expense	22793889	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14384106	DirectOffsettingRevenue
Net Community Benefit Expense	8409783	NetCommunityBenefitExpense
Percent Of Total Expense	0.04330	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	49723	PersonsServed
Total Community Benefit Expense	31338926	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14384106	DirectOffsettingRevenue
Net Community Benefit Expense	16954820	NetCommunityBenefitExpense
Percent Of Total Expense	0.08730	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Persons Served	11315	PersonsServed
Total Community Benefit Expense	819296	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23479	DirectOffsettingRevenue
Net Community Benefit Expense	795817	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	501	PersonsServed
Total Community Benefit Expense	425697	TotalCommunityBenefitExpense
Direct Offsetting Revenue	88833	DirectOffsettingRevenue
Net Community Benefit Expense	336864	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	249343	PersonsServed
Total Community Benefit Expense	36846518	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25120448	DirectOffsettingRevenue
Net Community Benefit Expense	11726070	NetCommunityBenefitExpense
Percent Of Total Expense	0.06040	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	37	NumberOfActivitiesOrPrograms
Persons Served	99590	PersonsServed
Total Community Benefit Expense	57669	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	57669	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	76	NumberOfActivitiesOrPrograms
Persons Served	360749	PersonsServed
Total Community Benefit Expense	38149180	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25232760	DirectOffsettingRevenue
Net Community Benefit Expense	12916420	NetCommunityBenefitExpense
Percent Of Total Expense	0.06650	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	78	NumberOfActivitiesOrPrograms
Persons Served	410472	PersonsServed
Total Community Benefit Expense	69488106	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39616866	DirectOffsettingRevenue
Net Community Benefit Expense	29871240	NetCommunityBenefitExpense
Percent Of Total Expense	0.15380	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	99590	PersonsServed
Total Community Building Expense	125780	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	125780	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	99590	PersonsServed
Total Community Building Expense	23773	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	23773	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	2	PersonsServed
Total Community Building Expense	784	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	784	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	99590	PersonsServed
Total Community Building Expense	113000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	113000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	19	NumberOfActivitiesOrPrograms
Persons Served	298772	PersonsServed
Total Community Building Expense	263337	TotalCommunityBuildingExpense
Net Community Building Expense	263337	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,517,474	BadDebtExpenseAmount
Amount Attributable To	2853024	AmountAttributableTo
Amount Reimbursed By Medicare	53756196	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	66570217	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-12814021	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther	Critical Access HospitalCriticalAccessHospital
LAKES REGION GENERAL HOSPITAL
1	80 HIGHLAND STREET	LACONIA	NH	03246	X	X	X	HOSPITAL
FRANKLIN REGIONAL HOSPITAL
2	15 AIKEN AVENUE	FRANKLIN	NH	03235	X	X	X	HOSPITAL	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	All Needs AddressedAllNeedsAddressed	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
LAKES REGION GENERAL HOSPITAL
1	1	X	X	X	X	X	X	X	08	1	0	1	X	X	X	X	X	X	0	1	1	225.000000000000	1	325.000000000000	1	X	X	X	1	1	X	X	X	X	X	X	X	1	X	X	X	1	X	X	X	X	X	X	1	X	0	0
FRANKLIN REGIONAL HOSPITAL
2	1	X	X	X	X	X	X	X	07	1	0	1	X	X	X	X	X	X	0	1	1	225.000000000000	1	325.000000000000	1	X	X	X	1	1	X	X	X	X	X	X	X	1	X	X	X	1	X	X	X	X	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	24	NumberOfOtherFacilities

Other Facilities OtherFacilities (24 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
LACONIA CLINIC
724 N MAIN STREET	LACONIA	NH	03246	OUPATIENT PHYSICIAN CLINIC, ASC
HILLSIDE MEDICAL PARK
14 MAPLE STREET	GILFORD	NH	03249	ASC, REHAB, SLEEP CENTER
LAKES REGION VASCULAR & ENDOVASCULAR
85 SPRING STREET	LACONIA	NH	03246	VASCULAR SURGEONS
CARING FOR WOMEN
734 NORTH MAIN STREET	LACONIA	NH	03246	WOMEN'S HEALTH CENTER
WESTSIDE HEALTHCARE
125 SOUTH MAIN STREET	WEST FRANKLIN	NH	03235	FAMILY PRACTICE
PULMONARY AND CRITICAL MEDICINE
85 SPRING STREET	LACONIA	NH	03246	PULMONARY/CRITICAL CARE
BELKNAP FAMILY HEALTH CENTER - BELMONT
14 MILL STREET	BELMONT	NH	03220	FAMILY PRACTICE
BELKNAP FAMILY HEALTH CENTER - MEREDITH
238 DANIEL WEBSTER HIGHWAY	MEREDITH	NH	03253	FAMILY PRACTICE
INTERLAKES MEDICAL CENTER
238 DANIEL WEBSTER HIGHWAY	MEREDITH	NH	03253	CLINICAL LAB, REHAB SERVICES, MEDICAL IMAGING
LAKES REGION FAMILY PRACTICE
85 SPRING STREET	LACONIA	NH	03246	FAMILY PRACTICE
DENTAL RESOURCE CENTER
29 ELLIOT STREET	LACONIA	NH	03246	DENTAL CENTER
HILLSIDE FAMILY MEDICINE
14 MAPLE STREET	GILFORD	NH	03249	FAMILY PRACTICE
NEWFOUND FAMILY PRACTICE
2 SCHOOL STREET	BRISTOL	NH	03222	FAMILY PRACTICE
LACONIA CLINIC TILTON OFFICE
630 W MAIN STREET STE 200	TILTON	NH	03276	FAMILY PRACTICE
MOULTONBORO FAMILY HEALTH
60 WHITTIER HIGHWAY UNIT 12	MOULTONBORO	NH	03254	FAMILY PRACTICE
LACONIA CLINIC ENDOCRINOLOGY
724 N MAIN STREET	LACONIA	NH	03246	DIABETES/ENDOCRINE
NEW HAMPTON FAMILY HEALTH
5 ACADEMY DRIVE	NEW HAMPTON	NH	03256	FAMILY PRACTICE
HOLISTIC HEALTH CENTER
14 MAPLE STREET	GILFORD	NH	03249	HOLISTIC HEALTH
FRH INTERNAL MEDICINE
15 AIKEN AVENUE	FRANKLIN	NH	03235	INTERNAL MEDICINE
FRANKLIN SURGICAL SPECIALISTS
15 AIKEN AVENUE	FRANKLIN	NH	03235	GENERAL SURGEONS
CARING FOR WOMEN
15 AIKEN AVENUE	FRANKLIN	NH	03235	WOMEN'S HEALTH CENTER
ANDOVER FAMILY PRACTICE
8 LAWRENCE STREET	ANDOVER	NH	03216	FAMILY PRACTICE
COMMUNITY WELLNESS CENTER
22 STRAFFORD STREET	LACONIA	NH	03246	WELLNESS CENTER
WINNIPESAUKEE WELLNESS CENTER
78 WHITTIER HIGHWAY UNIT 4	MOULTONBORO	NH	03254	WELLNESS CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: HEALTHLINKHEALTHLINK IS OUR COMMUNITY'S FRONT DOOR TO HEALTHCARE INFORMATION AND RESOURCES FOR EVERYONE. IT IS AN INFORMATION AND REFERRAL SYSTEM THAT PROVIDES HEALTHCARE FINANCIAL COUNSELING AND ACCESS TO MEDICAL, DENTAL, AND WELLNESS SERVICES FOR THOSE IN FINANCIAL NEED.HEALTHLINK IS A PARTNERSHIP BETWEEN LRGHEALTHCARE, LOCAL PHYSICIANS AND MEDICAL PROVIDERS, AND AREA SERVICE AGENCIES. SINCE OUR CREATION IN 1993, WE HAVE HELPED TO CONNECT MORE THAN 20,600 PEOPLE IN THE LAKES AND THREE RIVERS REGIONS TO THE SERVICES THEY NEED, BOTH LOCALLY AND THROUGH PROGRAMS SUCH AS MEDICAID, MEDICARE, HEALTHY KIDS, AND SERVICES AVAILABLE TO VETERANS THROUGH THE VETERAN'S ADMINISTRATION. IN ADDITION TO THE INFORMATION AND REFERRAL SERVICES THAT ARE AVAILABLE FREE-OF-CHARGE TO EVERYONE IN THE COMMUNITY, HEALTHLINK ALSO HAS THREE MEMBERSHIP PROGRAMS FOR WHICH LOCAL RESIDENTS MAY APPLY.HEALTHLINK ACCESSTHE HEALTHLINK ACCESS PROGRAM IS A PROGRAM DESIGNED TO PROVIDE PEOPLE WHO ARE UNINSURED WITH ACCESS TO THE HEALTHCARE SERVICES THEY NEED. IF A PERSON QUALIFIES, HE OR SHE WILL BE GIVEN A CO-PAY RESPONSIBILITY OR A SET DISCOUNT BASED UPON A SLIDING FEE SCALE, AND WILL THEN HAVE ACCESS TO PROVIDERS AND SERVICES IN THE HEALTHLINK NETWORK.ELIGIBILITY: ELIGIBILITY IS BASED ON SEVERAL FACTORS. APPLICANTS MUST MEET INCOME REQUIREMENTS BASED ON THE FEDERAL POVERTY GUIDELINES. LOCAL RESIDENCY IS REQUIRED. IN GENERAL, THEY CANNOT HAVE ACCESS TO HEALTH INSURANCE, THOUGH CONSIDERATION MAY BE GIVEN BASED ON INCOME LEVEL IN SOME CASES IN WHICH INSURANCE IS AVAILABLE BUT UNAFFORDABLE. ASSETS, INCLUDING SAVINGS, PROPERTY, INVESTMENTS, AND VEHICLES WILL ALSO BE CONSIDERED IN DETERMINING ELIGIBILITY. HEALTHLINK ASSISTANCETHE HEALTHLINK ASSISTANCE PROGRAM IS DESIGNED FOR PEOPLE WHO MAY HAVE ACCESS TO INSURANCE, BUT STILL MEET HEALTHLINK FINANCIAL GUIDELINES AND FACE FINANCIAL HARDSHIP IN PAYING FOR THEIR HEALTHCARE COSTS. MEMBERS MAY HAVE DIFFICULTY MEETING A HIGH DEDUCTIBLE OR COVERING CO-PAYMENTS OR OTHER COSTS REQUIRED BY THEIR PLAN. THEY OFTEN NEED ONE-TIME OR SHORT-TERM ASSISTANCE MEETING A HEALTHCARE FINANCIAL OBLIGATION RATHER THAN NEEDING LONG-TERM FINANCIAL ASSISTANCE. HEALTHLINK ASSISTANCE WILL PROVIDE SHORT-TERM SUPPLEMENTAL SUPPORT TO AN EXISTING INSURANCE PLAN; OR SHORT-TERM SUPPORT PAYING A PARTICULAR HEALTHCARE COST. THIS PROGRAM WAS FORMERLY KNOWN AS COMMUNITY CARE.ELIGIBILITY: ELIGIBILITY IS BASED ON SEVERAL FACTORS. APPLICANTS MUST MEET INCOME REQUIREMENTS BASED ON THE FEDERAL POVERTY GUIDELINES. ASSETS, INCLUDING SAVINGS, PROPERTY, INVESTMENTS, AND VEHICLES WILL ALSO BE CONSIDERED IN DETERMINING ELIGIBILITY. APPLICANTS MAY HAVE AN INSURANCE PLAN, BUT MUST HAVE DEMONSTRATED DIFFICULTY PAYING THEIR COPAYS, DEDUCTIBLES, OR OTHER HEALTHCARE COSTS. HEALTHLINK CATASTROPHICTHE HEALTHLINK CATASTROPHIC PROGRAM IS AVAILABLE NOT ONLY TO HEALTHLINK ACCESS OR ASSISTANCE MEMBERS, BUT TO ANYONE MEETING FINANCIAL GUIDELINES WHO INCURS AN OUT-OF-POCKET EXPENSE OF $10,000 OR MORE FOR A SINGLE MEDICALLY-NECESSARY HOSPITAL STAY OR OUTPATIENT TREATMENT. COSTS INCURRED OVER TIME DO NOT QUALIFY AS PART OF THIS $10,000 MINIMUM UNLESS THEY ARE ALL THE RESULT OF A SINGLE INJURY OR HEALTH EPISODE. ONCE A PATIENT QUALIFIES FOR HEALTHLINK CATASTROPHIC, AND DISCOUNT ELIGIBILITY IS DETERMINED (RANGING FROM 20% - 40%), THAT DISCOUNT WILL APPLY FOR ANY ADDITIONAL COSTS INCURRED DURING THE SIX MONTHS AFTER APPROVAL.ELIGIBILITY: HEALTHLINK CATASTROPHIC ELIGIBILITY IS BASED SOLELY ON GROSS INCOME. THE FEDERAL POVERTY LEVEL GUIDELINES WILL BE USED TO DETERMINE ELIGIBILITY AND THE PERCENTAGE OF DISCOUNT PROVIDED. OUR STAFF WILL DETERMINE WHETHER COSTS RESULTED FROM A SINGLE, QUALIFYING HOSPITALIZATION OR COURSE OF TREATMENT. VETLINKTHE VETLINK PROGRAM IS A LRGHEALTHCARE PROGRAM THAT ASSISTS ALL VETERANS AND FAMILIES OF VETERANS WITH THEIR QUESTIONS AND CONCERNS ABOUT THEIR HEALTHCARE. THE VA SYSTEM IS COMPLICATED, AND VETLINK CAN HELP VETERANS NAVIGATE THE SYSTEM TO ACCESS THE BENEFITS AND SERVICES THAT THEY DESERVE. SINCE ITS CREATION, VETLINK HAS HELPED MORE THAN 800 VETERANS ACCESS THE HEALTHCARE SERVICES THEY NEED.ELIGIBILITY: ALL VETERANS WHO HAVE EARNED AN HONORABLE DISCHARGE FROM MILITARY SERVICE ARE ELIGIBLE. ________________________________________THE MEDICATION CONNECTIONTHE MEDICATION CONNECTION PROGRAM HELPS QUALIFIED PATIENTS ACCESS REDUCED-RATE PRESCRIPTIONS OFFERED THROUGH PHARMACEUTICAL COMPANY PROGRAMS. WHILE THESE PROGRAMS ARE AVAILABLE TO THE GENERAL PUBLIC, THEY OFTEN INVOLVE A CUMBERSOME APPLICATION PROCESS, WHICH CAN BE CONFUSING FOR PATIENTS TO COMPLETE ON THEIR OWN. THE MEDICATION CONNECTION PROGRAM IS HERE TO HELP MAKE SURE PATIENTS DON'T HAVE TO CHOOSE BETWEEN PRESCRIPTION MEDICATIONS AND OTHER NECESSITIES OF LIFE.ELIGIBILITY: THE MEDICATION CONNECTION PROGRAM IS AVAILABLE TO THOSE WHO CANNOT AFFORD TO PAY FOR THEIR PRESCRIPTION MEDICATIONS, AND WHO HAVE NO OTHER SOURCE FOR ASSISTANCE WITH MEDICATIONS. MANY HAVE TOO MUCH INCOME TO QUALIFY FOR STATE AID, BUT NOT ENOUGH TO PURCHASE A SUPPLEMENTAL PRESCRIPTION PLAN. DEPENDING ON THE MEDICATION NEEDED, DIFFERENT PHARMACEUTICAL COMPANIES HAVE INDIVIDUAL GUIDELINES FOR ELIGIBILITY. NOT ALL MEDICATIONS ARE AVAILABLE THROUGH THIS PROGRAM; PARTICIPATION BY PHARMACEUTICAL COMPANIES IS VOLUNTARY. ________________________________________
PART I, LINE 7: CHARITY CARE - RATIO OF COST TO CHARGE USING W/S 1 AND W/S 3.UNREIMBURSED MEDICAID - COST TO CHARGE RATIO USING THE AS FILED COST REPORT.COMMUNITY HEALTH - ACTUAL COSTS.HEALTH PROFESSIONS EDUCATION - ACTUAL COSTS.SUBSIDIZED HEALTH SERVICES - EXPENSES IN EXCESS OF NET REVENUES EXCLUDING CHARITY CARE INCLUDED IN LINE 1.CONTRIBUTIONS TO COMMUNITY GROUPS - ACTUAL COSTS INCLUDING VOLUNTEER TIME OF EMPLOYEES DURING WORK HOURS.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES - $11,839,070 LRGHEALTHCARE PROVIDES A NUMBER OF HEALTH SERVICES BECAUSE THEY MEET AN ESSENTIAL COMMUNITY NEED, EVEN THOUGH WE REALIZE A LOSS ON THEM EACH YEAR. THESE SERVICES SPECIFICALLY ADDRESS THE NEED FOR PRIMARY CARE AND SPECIALTY SERVICES, WHICH WERE IDENTIFIED AS TOP PRIORITIES IN THE 2011 COMMUNITY NEEDS ASSESSMENT.ACCESS TO PRIMARY CARE SERVICES ($8,015,541) IS ONE OF THE BIGGEST CHALLENGES FACING THIS, AND OTHER NEW HAMPSHIRE COMMUNITIES. LRGHEALTHCARE SUBSIDIZES PRIMARY CARE PRACTICES TO ENSURE ONGOING ACCESS-NOT JUST IN THE COMMUNITIES WHERE OUR HOSPITALS OPERATE, BUT THROUGHOUT OUR SERVICE AREAS. WITHOUT THESE SUBSIDIES, MANY OF THESE PRACTICES WOULD NOT BE ABLE TO SUSTAIN THEIR OPERATIONS.INCLUDED IN THE ABOVE TOTAL IS $220,000 GIVEN TO HELP SUPPORT THE OPERATION OF HEALTHFIRST FAMILY CARE CENTER, A RURAL HEALTH PRIMARY CARE CLINIC WITH LOCATIONS IN BOTH LACONIA AND FRANKLIN. HEALTHFIRST ALONE SAW 3,586 PATIENTS LAST YEAR, NEARLY ONE THIRD OF WHOM HAD NO INSURANCE. ACCESS TO SPECIALTY AND DENTAL SERVICES ($3,120,968): THE 2011 COMMUNITY NEEDS ASSESSMENT IDENTIFIED ACCESS TO SPECIALTY CARE AND ACCESS TO DENTAL CARE IN THE TOP 10 MOST IMPORTANT HEALTH ISSUES. LRGHEALTHCARE PROVIDES SUBSIDIES TO BOTH SPECIALTY SERVICES AND THE DENTAL RESOURCE CENTER TO ENSURE ACCESS TO A BROAD SPECTRUM OF SERVICES WITHIN OUR RURAL HEALTHCARE SYSTEM.CHRONIC DISEASE MANAGEMENT ($190,900) PROGRAMS HAVE BEEN PROVEN TO NOT ONLY PROVIDE BETTER HEALTH OUTCOMES AND QUALITY OF LIFE FOR THOSE SUFFERING FROM CHRONIC DISEASES, BUT ALSO TO BE FISCALLY WISE INVESTMENTS. LRGHEALTHCARE OFFERS MANY SERVICES AND SUPPORTS FOR THOSE LIVING WITH CHRONIC DISEASE INCLUDING CARDIAC AND PULMONARY REHABILITATION PROGRAMS, DIABETES EDUCATION PROGRAMS, CHRONIC DISEASE SELF MANAGEMENT CLASSES AND THE NATHAN BRODY CHEMICAL DEPENDENCY PROGRAM.OUR ENDOCRINE SERVICES DEPARTMENT PROVIDES A WIDE VARIETY OF DIABETES MANAGEMENT PROGRAMS. LAST YEAR THE CERTIFIED DIABETES EDUCATORS PROVIDED EDUCATION FOR 1030 CLIENTS AND 3,259 CLIENTS WERE SERVED IN THE DIABETIC FOOT CLINIC. LRGHEALTHCARE'S OUTPATIENT CHEMICAL DEPENDENCY PROGRAM MEETS A CRITICAL NEED IN THE STATE AND THE REGION, AS THERE IS A SHORTAGE OF SUCH PROGRAMS TO ASSIST THOSE WITH ADDICTION ISSUES. IN THE RECENT COMMUNITY NEEDS ASSESSMENT, ALCOHOL AND DRUG ABUSE CAME FORWARD AS THE THIRD MOST IMPORTANT HEALTH ISSUE FACING OUR COMMUNITY. SUBSTANCE ABUSE EMERGED AS ONE OF THE TOP THREE KEY CONCERNS DISCUSSED IN THE COMMUNITY LEADER FOCUS GROUPS AS WELL.LAST YEAR, THE NATHAN BRODY CHEMICAL DEPENDENCY PROGRAM COUNSELED 456 PATIENTS EITHER BY PHONE OR IN PERSON AND 55 INDIVIDUALS WERE ADMITTED TO THE INTENSIVE, 18-WEEK, OUTPATIENT PROGRAM. ADDITIONALLY, OUR CHEMICAL DEPENDENCY PROGRAM NOW PROVIDES DOT EVALUATION FOR COMPANIES THAT PROVIDE SAFETY SENSITIVE JOBS.ACCESS TO EMERGENCY RESPONSE SERVICES ($398,661): LRGHEALTHCARE PARTNERS EMERGENCY AMBULANCE SERVICES WITH THE CITY OF LACONIA. LAST YEAR ALONE THE AMBULANCE SERVICES RESPONDED TO 2,178 CALLS. REGIONALLY, LRGHEALTHCARE IS ALSO VERY ACTIVELY PARTNERING WITH EMS PROGRAMS ON EDUCATION AND TRAINING, COST RECOVERY AND COMPLIANCE, CLINICAL CQI AND CENTRAL PURCHASING PROGRAMS. AN ON-LINE RECERTIFICATION TRAINING PROGRAM IS BEING DEVELOPED FOR EMT PROVIDERS. THIS RECERTIFICATION PROGRAM WILL ALLOW DEPARTMENTS TO MEET THEIR ANNUAL STATE AND NATIONAL RECERTIFICATION REQUIREMENTS IN A MORE COST-EFFECTIVE WAY, WHILE MAINTAINING A STANDARD OF HIGH QUALITY TRAINING. COLLABORATING ON THESE INITIATIVES HELPS TO MAINTAIN STRONG, EMS PROGRAMS IN OUR COMMUNITIES. WORKFORCE DEVELOPMENT ($113,000): THE CITIES OF LACONIA AND FRANKLIN ARE FEDERALLY-DESIGNATED AS MEDICALLY UNDERSERVED COMMUNITIES; AND BELKNAP COUNTY IS DESIGNATED AS A PHYSICIAN SCARCITY AREA FOR PRIMARY CARE. LRGHEALTHCARE WORKS HARD TO COMBAT THESE CHALLENGES. PHYSICIAN RECRUITMENT IS A CRITICAL TO MEETING THE NEED FOR ACCESS TO PRIMARY, SPECIALTY AND DENTAL CARE IN OUR COMMUNITIES.
PART I, L7 COL(F): IT IS A WELL-ESTABLISHED STANDARD THAT 50 PERCENT OF BAD DEBT CAN BE CONSIDERED COMMUNITY BENEFIT, SINCE IT IS ESTIMATED THAT AT LEAST HALF OF BAD DEBT REPRESENTS INDIVIDUALS WHO WERE UNWILLING OR UNABLE TO PROVIDE THE INFORMATION NECESSARY TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. IN ACCORDANCE WITH DHHS REPORTING STANDARDS, LRGHEALTHCARE REPORTED $2,853,024 IN UNCOLLECTABLE DEBT LAST YEAR. IN ADDITION, THROUGH OUR PATIENT ADVANTAGE PROGRAM, WE LEVELED THE PLAYING FIELD BY GIVING ALL PATIENTS AT LEAST A MEDIAN DISCOUNT. THROUGH THAT PROGRAM, WE PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF $2,395,698 IN FY 2011.
PART II: COMMUNITY BUILDING ACTIVITIES- $150,337SUPPORT SYSTEM ENHANCEMENT ($9,078): LRGHEALTHCARE HAS BEEN A KEY MEMBER OF COMMUNITY SAFETY AND SUPPORT SYSTEMS ENHANCEMENT EFFORTS OVER THE PAST YEAR. WE SUPPORT EMERGENCY PREPAREDNESS AND DISEASE SURVEILLANCE EFFORTS IN BOTH BELKNAP AND MERRIMACK COUNTIES.ENVIRONMENTAL IMPROVEMENT ($23,773): WE HAVE UNDERTAKEN A NUMBER OF INITIATIVES TO LESSEN OUR ENVIRONMENTAL FOOTPRINT THROUGH TRANSITIONING TO ENVIRONMENTALLY-FRIENDLY STERILIZATION MATERIALS, EXPANDING OUR RECYCLING PROGRAM, CONTINUING OUR MERCURY WASTE REDUCTION AND PROVIDING A SHARPS DISPOSAL PROGRAM. OUR ENVIRONMENTAL SPECIALIST IS AN ACTIVE PARTICIPANT IN THE CITY OF LACONIA RECYCLING COMMITTEE.COALITION BUILDING ($117,486): LRGHEALTHCARE WORKS IN PARTNERSHIP WITH A NUMBER OF LOCAL ORGANIZATIONS AND INITIATIVES TO STRENGTHEN THE PUBLIC HEALTH, SAFETY AND ECONOMIC ENVIRONMENT OF OUR COMMUNITY. SENIOR EXECUTIVES AND STAFF ARE ACTIVE PARTICIPANTS IN MANY ECONOMIC DEVELOPMENT INITIATIVES, INCLUDING THE BELKNAP COUNTY ECONOMIC DEVELOPMENT COUNCIL, THE CHAMBER OF COMMERCE AND "CHOOSE FRANKLIN" AS WELL AS PUBLIC HEALTH AND SAFETY INITIATIVES INCLUDING WORK WITH THE LAKES REGION PARTNERSHIP FOR PUBLIC HEALTH, THE CARING COMMUNITY NETWORK OF THE TWIN RIVERS, SPAULDING YOUTH CENTER, ROTARY AND LEADERSHIP LAKES REGION TO NAME A FEW. OUR PUBLIC HEALTH WORK WITH COMMUNITY PARTNERS ADDRESSES SUBSTANCE ABUSE, INJURY PREVENTION, LEAD POISONING PREVENTION, PHYSICAL ACTIVITY AND NUTRITION.
PART III, LINE 4: BAD DEBT EXPENSE IS THE YEAR'S CHARGE FOR ACTUAL OR EXPECTED DOUBTFUL ACCOUNTS RESULTING FROM THE EXTENSION OF CREDIT.WE VALUED BAD DEBTS AT COST USING A COST TO CHARGE RATIO W/S 3.WE BELIEVE BASED ON HOSPITAL ASSOCIATION INFORMATION IN NEW HAMPSHIRE, THE SERVICE AREAS OF OUR HOSPITALS AND PRACTICES, AND THE ECONOMY DURING THIS TIME PERIOD, THAT 50% OF OUR BAD DEBTS IS A REASONABLE ESTIMATE THAT WOULD HAVE BEEN CONSIDERED COMMUNITY BENEFIT (CHARITY CARE).PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IV, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF THE PERCENTAGE IN THIS COLUMN IS $12,901,762.
PART III, LINE 8: FOR LRGHEALTHCARE MEDICARE PAYMENT LEVELS ARE SO SIGNIFICANTLY BELOW THE ACTUAL COST TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES, THAT THE CONTINUANCE OF OPEN ACCESS AND THE SCOPE OF SERVICES AVAILABLE TO MEDICARE BENEFICIARIES IN LIGHT OF THE SHORTFALL IS JUDGED AS A NOTEWORTHY DISCLOSURE OF THE BENEFIT TO THE COMMUNITY.THE COSTING METHODOLOGY USED WAS THE MEDICARE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT.
PART III, LINE 9B: LRGHEALTHCARE DEVELOPED AND ADMINISTERS THE HEALTHLINK, A CHARITABLE/FINANCIAL ASSISTANCE PROGRAM. HEALTHLINK IS PROVIDED TO PATIENTS WHO ARE UNABLE TO PAY FOR THE COSTS OF THEIR CARE, AND FOR WHICH THERE IS NO OTHER SOURCE OF FUNDING AVAILABLE. DETERMINATION OF FINANCIAL ASSISTANCE IS MADE PROSPECTIVELY FOR A ONE-YEAR PERIOD FOR HEALTHLINK ASSISTANCE AND HEALTHLINK ACCESS. THE EVALUTION PROCESS IS CONDUCTED IN A MANNER SUFFICIENT TO IDENTIFY THE PATIENT'S INABLIITY TO PAY AND APPLIED UNIFORMLY TO ALL PERSONS REGARDLESS OF RACE, COLOR, NATURAL ORIGIN, RELIGION, SEX, AGE (FOR PERSONS BEYOND THE AGE OF MAJORITY), PHYSICAL CHALLENGE OR INABLIITY TO PAY.
PART V, SECTION B, LINE 3: THE 2008 COMMUNITY NEEDS ASSESSMENT SURVEY WAS CONDUCTED COLLABORATIVELY WITH THE FOLLOWING 8 COMMUNITY PARTNER AGENCIES, BELKNAP COUNTY CITIZENS COUNCIL ON CHILDREN AND FAMILIES, COMMUNITY ACTION PROGRAM BELKNAP-MERRIMACK COUNTIES, COMMUNITY HEALTH AND HOSPICE, GENESIS BEHAVIORAL HEALTH, LAKES REGION COMMUNITY SERVICES, LAKES REGION PARTNERSHIP FOR PUBLIC HEALTH, LAKES REGION UNITED WAY AND TAYLOR COMMUNITY. SURVEYS WERE MAILED TO A RANDOM SAMPLE OF RESIDENTS, WERE DISTRIBUTED TO TOWN HALLS AND LIBRARIES AND WERE AVAILABLE ON ALL THE PARTIES' WEBSITES. FOCUS GROUPS WERE ALSO CONDUCTED WITH SENIOR CITIZENS, PUBLIC SCHOOL TEACHERS AND ADMINISTRATORS, STAFF AT THE LOCAL MENTAL HEALTH CENTER AND A GROUP OF REPRESENTATIVES FROM THE FAITH COMMUNITY.	LAKES REGION GENERAL HOSPITAL
PART V, SECTION B, LINE 3: THE 2007 COMMUNITY NEEDS ASSESSMENT SURVEY WAS CONDUCTED COLLABORATIVELY WITH THE CARING COMMUNITY NETWORK OF THE TWIN RIVERS. THE PARTNERS CONSISTED OF FRANKLIN VNA, MERRIMACK BELKNAP COUNTY COMMUNITY ACTION PROGRAM, LRGHEALTHCARE D/B/A FRANKLIN REGIONAL HOSPITAL, HEALTHFIRST FAMILY CARE CENTER AND CASEY FAMILY SERVICES. SURVEYS WERE MAILED TO A RANDOM SAMPLE OF RESIDENTS, WERE DISTRIBUTED TO TOWN HALLS AND LIBRARIES AND WERE AVAILABLE ON ALL THE PARTNER'S WEBSITES. FOCUS GROUPS WERE ALSO CONDUCTED AT SEVERAL LOCATIONS THROUGHOUT THE SERVICE AREA.	FRANKLIN REGIONAL HOSPITAL
PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ALL NEEDS IDENTIFIED IN THE SURVEY, AS THE SURVEY WAS BROAD AND ASSESSED SOCIAL, CULTURAL, PHYSICAL INFRASTRUCTURE AS WELL AS HEALTH NEEDS IN OUR COMMUNITY. HOWEVER, THE HOSPITAL'S STRATEGIC INITIATIVES ADDRESS, IN CONJUNCTION WITH COMMUNITY PARTNERS, THE TOP PRIORITY HEALTH NEEDS IDENTIFIED IN THE SURVEY.	LAKES REGION GENERAL HOSPITAL
PART V, SECTION B, LINE 7: THE HOSPITAL DID NOT ADDRESS ALL NEEDS IDENTIFIED IN THE SURVEY, AS THE SURVEY WAS BROAD AND ASSESSED SOCIAL, CULTURAL, PHYSICAL INFRASTRUCTURE AS WELL AS HEALTH NEEDS IN OUR COMMUNITY. HOWEVER, THE HOSPITAL'S STRATEGIC INITIATIVES ADDRESS, IN CONJUNCTION WITH COMMUNITY PARTNERS, THE TOP PRIORITY HEALTH NEEDS IDENTIFIED IN THE SURVEY.	FRANKLIN REGIONAL HOSPITAL
PART V, SECTION B, LINE 11H: HEALTHLINK CATASTROPHIC PROGRAM - LAKES REGION GENERAL HOSPITAL PATIENTS INCURRING CATASTROPHIC COSTS ASSOCIATED WITH AN ILLNESS OR INJURY MAY QUALIFY TO OBTAIN A DISCOUNT BASED UPON THEIR INCOME LEVEL. CATASTROPHIC FOR THE PURPOSES OF THIS PROGRAM IS ANY PATIENT WHO INCURS A $10,000 OR GREATER OUT-OF-POCKET EXPENSE FOR A MEDICALLY NECESSARY HOSPITAL OUTPATIENT SINGLE ENCOUNTER OR A CONTINUOUS HOSPITAL INPATIENT STAY. THIS MAY APPLY TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. ELIGIBILITY WILL BE DETERMINED SOLELY ON GROSS INCOME. THE FEDERAL POVERTY LEVEL GUIDELINES WILL BE USED TO DETERMINE THE PERCENTAGE OF DISCOUNT BASED ON GROSS INCOME AND FAMILY SIZE. ELIGIBILITY WILL BE FOR A PERIOD OF 6 MONTHS FROM THE DATE OF THE APPLICATION AND WILL APPLY TO ANY COSTS INCURRED FOR THAT 6-MONTH PERIOD THAT MEET THE DEFINITION OF CATASTROPHIC. NEW PROOF OF INCOME MUST BE FILED AFTER THIS 6-MONTH PERIOD. PEOPLE WHOSE INCOME FALLS BETWEEN 300%-400% OF THE FEDERAL POVERTY LEVEL WILL BE ELIGIBLE FOR A 40% DISCOUNT. THOSE WITH INCOME GREATER THAN 400% BUT LESS THAN 500% WILL BE ELIGIBLE FOR A 25% DISCOUNT. WHEN INCOME EXCEEDS 500% PATIENTS WILL BE OFFERED THE CURRENT PATIENT ADVANTAGE PROGRAM DISCOUNT OF 20%. WHEN OUT-OF-THE-POCKET EXPENSES ARE BETWEEN $10,000 AND $20,000, THE GUIDELINE ALLOWED FOR RESOLVING THE BALANCE ON THEIR ACCOUNT IS 60 DAYS FROM THE DATE OF THEIR FIRST STATEMENT. WHEN OUT-OF-THE-POCKET EXPENSES ARE GREATER THAN $20,000, THE GUIDELINE IS 90 DAYS FOR RESOLVING THE BALANCE ON THEIR ACCOUNT FROM THE DATE OF THEIR FIRST STATEMENT.	LAKES REGION GENERAL HOSPITAL
PART V, SECTION B, LINE 11H: HEALTHLINK CATASTROPHIC PROGRAM - FRANKLIN REGIONAL HOSPITAL PATIENTS INCURRING CATASTROPHIC COSTS ASSOCIATED WITH AN ILLNESS OR INJURY MAY QUALIFY TO OBTAIN A DISCOUNT BASED UPON THEIR INCOME LEVEL. CATASTROPHIC FOR THE PURPOSES OF THIS PROGRAM IS ANY PERESON WHO INCURS A $10,000 OR GREATER OUT-OF-POCKET EXPENSE FOR A MEDICALLY NECESSARY HOSPITAL OUTPATIENT SINGLE ENCOUNTER OR A CONTINUOUS HOSPITAL INPATIENT STAY. THIS MAY APPLY TO PATIENTS WHO ARE UNINSURED OR UNDERINSURED. ELIGIBILITY WILL BE DETERMINED SOLELY ON GROSS INCOME. THE FEDERAL POVERTY LEVEL GUIDELINES WILL BE USED TO DETERMINE THE PERCENTAGE OF DISCOUNT BASED ON GROSS INCOME AND FAMILY SIZE. ELIGIBILITY WILL BE FOR A PERIOD OF 6 MONTHS FROM THE DATE OF THE APPLICATION AND WILL APPLY TO ANY COSTS INCURRED FOR THAT 6-MONTH PERIOD THAT MEET THE DEFINITION OF CATASTROPHIC. NEW PROOF OF INCOME MUST BE FILED AFTER THIS 6-MONTH PERIOD. PEOPLE WHOSE INCOME FALLS BETWEEN 300%-400% OF THE FEDERAL POVERTY LEVEL WILL BE ELIGIBLE FOR A 40% DISCOUNT. THOSE WITH INCOME GREATER THAN 400% BUT LESS THAN 500% WILL BE ELIGIBLE FOR A 25% DISCOUNT. WHEN INCOME EXCEEDS 500% PATIENTS WILL BE OFFERED THE CURRENT PATIENT ADVANTAGE PROGRAM DISCOUNT OF 20%. WHEN OUT-OF-THE-POCKET EXPENSES ARE BETWEEN $10,000 AND $20,000, THE GUIDELINE ALLOWED FOR RESOLVING THE BALANCE ON THEIR ACCOUNT IS 60 DAYS FROM THE DATE OF THEIR FIRST STATEMENT. WHEN OUT-OF-THE-POCKET EXPENSES ARE GREATER THAN $20,000, THE GUIDELINE IS 90 DAYS FOR RESOLVING THE BALANCE ON THEIR ACCOUNT FROM THE DATE OF THEIR FIRST STATEMENT.	FRANKLIN REGIONAL HOSPITAL
PART V, SECTION B, LINE 13G: RADIO ANNOUNCEMENTS AND MEETINGS WITH COMMUNITY NON-PROFIT PARTNERS	LAKES REGION GENERAL HOSPITAL
PART V, SECTION B, LINE 13G: RADIO ANNOUCEMENTS AND MEETINGS WITH COMMUNITY NON-PROFIT PARTNERS	FRANKLIN REGIONAL HOSPITAL
PART VI, LINE 2: LRGHEALTHCARE, COMPOSED OF LAKES REGION GENERAL HOSPITAL (LRGH) AND FRANKLIN REGIONAL HOSPITAL (FRH), IS A HEALTHCARE CHARITABLE TRUST. WE ARE DRIVEN BY HEALTHCARE NEEDS OF THE COMMUNITIES WE SERVE, AND FOR MORE THAN 100 YEARS, WE HAVE BEEN GUIDED BY OUR MISSION TO PROVIDE QUALITY, COMPASSIONATE CARE AND TO STRENGTHEN THE WELL-BEING OF OUR COMMUNITY.WE CARRY OUT OUR MISSION IN A VARIETY OF WAYS, AND WE TAKE SERIOUSLY OUR RESPONSIBILITY TO THE COMMUNITIES WE SERVE. WE PROVIDE THE COMMUNITY WITH HEALTHCARE SERVICES 24 HOURS A DAY, SEVEN DAYS A WEEK, AND INVEST IN PREVENTIVE CARE AND HEALTH SCREENING SERVICES, EDUCATION AND TRAINING FOR HEALTH PROFESSION STUDENTS, AS WELL AS PROVIDE EMERGENCY RESPONSE SYSTEMS TO HELP ASSURE THE HEALTH AND SAFETY OF THOSE WE SERVE. THE 2011 COMMUNITY NEEDS ASSESSMENT INFORMS US THAT ACCESS TO PRIMARY CARE IS THE MOST IMPORTANT HEALTH ISSUE IN OUR COMMUNITY. LRGHEALTHCARE'S COMMITMENT TO ACCESS IS DEMONSTRATED BY OUR SUPPORT OF PRIMARY AND SPECIALTY CARE SERVICES AND BY THE ACCESS WE PROVIDE TO OUR MOST VULNERABLE POPULATIONS THROUGH OUR HEALTHLINK PROGRAM WHICH SERVED 897 MORE PEOPLE IN 2011 THAN IN FY 2010. THE LAST SEVERAL YEARS OF ECONOMIC DOWNTURN HAVE AFFECTED EVERYONE IN OUR COMMUNITY, AND ACCORDING TO THE UNITED STATES ECONOMIC RESEARCH SERVICES, THE POVERTY LEVEL OF LRGHEALTHCARE'S SERVICE AREA IS 9.5%, WHILE THE OVERALL POVERTY LEVEL FOR THE STATE OF NEW HAMPSHIRE IS 8.6%. THESE FACTORS CONTRIBUTE TO THE LARGEST PORTION OF THE LRGHEALTHCARE COMMUNITY BENEFIT BEING COMPOSED OF THE PROVISION OF CHARITABLE CARE FOR THE UNINSURED OR PATIENTS WHO CANNOT AFFORD CARE; AS WELL AS THE UNREIMBURSED COSTS FOR CARING FOR PATIENTS WITH MEDICAID COVERAGE. DESPITE THESE CHALLENGES, WE ARE COMMITTED TO ENSURING OUR HEALTHCARE SYSTEM IS HERE TODAY AND INTO THE FUTURE. LRGHEALTHCARE'S TOTAL COMMUNITY BENEFIT FOR FY 2011 IS $30,134,577.
PART VI, LINE 3: HEALTHCARE FINANCIAL COUNSELING AND ASSISTANCELRGHEALTHCARE'S MISSION IS TO SERVE THE LAKES REGION, FRANKLIN, AND SURROUNDING COMMUNITIES BY PROMOTING PHYSICAL, MENTAL, EMOTIONAL, SOCIAL ENVIRONMENT, AND SPIRITUAL HEALTH AND PROVIDING ACCESS TO THE FULLEST RANGE OF QUALITY, MODERN AND EFFICIENT HEALTH CARE SERVICES PRACTICAL FOR THE ORGANIZATION, REGARDLESS OF RACE, SEX, RELIGION, PRIMARY LANGUAGE, DISABILITY OR HANDICAP, NATIONAL ORIGIN, OR ABILITY TO PAY. IN THE SPIRIT OF OUR MISSION, WE OFFER A NUMBER OF DIFFERENT FINANCIAL ASSISTANCE AND REFERRAL PROGRAMS TO MEET THE FULL RANGE OF NEED IN OUR COMMUNITY. WE ALSO PARTICIPATE IN STATEWIDE EFFORTS TO KEEP QUALITY HEALTHCARE ACCESSIBLE FOR ALL.WHETHER YOU ARE INSURED OR UNINSURED, IN NEED OF EXTENSIVE MEDICAL SERVICES OR JUST A CHECK-UP FROM TIME TO TIME, EVERYONE DESERVES TO HAVE ACCESS TO HEALTHCARE. OUR PROGRAMS ENSURE THAT COST WILL NOT BE A BARRIER TO ANYONE IN OUR COMMUNITY ACCESSING THE HEALTHCARE SERVICES THEY NEED.IF COST IS PREVENTING YOU FROM GETTING HEALTHCARE SERVICES YOU NEED, OR YOU FEEL YOU NEED HEALTHCARE FINANCIAL ASSISTANCE, PLEASE CALL HEALTHLINK AT (603) 527-7171 TODAY. EVEN IF YOU DO NOT FEEL YOU QUALIFY FOR ANY OF OUR PROGRAMS, PLEASE BE SURE TO CALL US FOR AN APPLICATION. THERE ARE MANY FACTORS TAKEN INTO CONSIDERATION WHEN DETERMINING ELIGIBILITY. IN ADDITION, WE MAY BE ABLE TO CONNECT YOU WITH OTHER FEDERAL, STATE, OR COMMUNITY RESOURCES FOR WHICH YOU MAY QUALIFY.WE ARE HERE TO HELP!
PART VI, LINE 4: LRGHEALTHCARE SERVES THE TWIN RIVERS AREA AROUND FRANKLIN, NH AND THE LAKES REGION AREA AROUND LACONIA, NH. OUR COMMUNITIES INCLUDE SMALL BUT GROWING POPULATIONS AND INCLUDE LOW-INCOME, UNINSURED ADULTS AND CHILDREN SUPPORTED BY THE HOSPITAL'S HEALTHLINK PROGRAM.
PART VI, LINE 6: COMMUNITY HEALTH SERVICES - $772,901LRGHEALTHCARE PROVIDES A VARIETY OF SERVICES DESIGNED TO HELP OUR COMMUNITY ACCESS HEALTHCARE SERVICES, AS WELL AS PROVIDE EDUCATION TO HELP COMMUNITY MEMBERS LIVE HEALTHIER LIVES. COMMUNITY HEALTH EDUCATION ($298,988): THE COMMUNITY EDUCATION DEPARTMENT PARTICIPATED IN 184 PREVENTIVE HEALTH AND SAFETY PROGRAMS AND SPECIAL EVENTS IN THE LAST FISCAL YEAR, REACHING OVER 4,100 PEOPLE. OUR PROGRAMS ARE DESIGNED TO ADDRESS IDENTIFIED COMMUNITY NEEDS, INCLUDING, BUT NOT LIMITED TO CHRONIC DISEASE PREVENTION AND CARE, TOBACCO CESSATION, OBESITY, HEALTHCARE FOR SENIORS, CPR TRAINING, ALCOHOL AND DRUG ABUSE PREVENTION AND COMMUNITY SAFETY AND INJURY PREVENTION INITIATIVES. LRGHEALTHCARE IS COMMITTED TO THE HEALTH OF OUR NEXT GENERATION. OUR PRENATAL EDUCATION INCLUDES TRADITIONAL CHILDBIRTH EDUCATION CLASSES; SPECIALIZED CLASSES FOR TEEN MOTHERS (IN PARTNERSHIP WITH THE LAKES REGION BOYS AND GIRLS CLUB); AS WELL AS A SPECIALIZED CHILDBIRTH EDUCATION COURSE FOR RECENTLY RESETTLED BHUTANESE FAMILIES. OUR CLASSES ALSO OFFER OPPORTUNITIES FOR NEW PARENTS TO PARTICIPATE IN INFANT CPR CLASSES AND CAR SEAT SAFETY INSPECTIONS. IN 2011, BOTH THE LACONIA AND FRANKLIN REGIONS CONTINUED TO PARTICIPATE IN HEALTHY EATING, ACTIVE LIVING (HEAL) GRANTS FROM THE FOUNDATION FOR HEALTHY COMMUNITIES. THE EVIDENCE IS STRONG THAT PROVIDING EDUCATION ABOUT AND OPPORTUNITIES FOR HEALTHY EATING AND PHYSICAL ACTIVITY IS ESPECIALLY IMPORTANT IN COMMUNITIES IN THE LAKES REGION. THE PERCENT OF LOW INCOME PRE-SCHOOL CHILDREN IN THE LAKES REGION WHO ARE OVERWEIGHT OR OBESE IS SIGNIFICANTLY HIGHER THAN THE NH STATE AVERAGE. ADDITIONALLY, OBESITY AND WEIGHT RELATED HEALTH CONCERNS WERE IDENTIFIED AS THE SECOND MOST OFTEN RANKED HEALTH ISSUE IN OUR 2011 COMMUNITY NEEDS ASSESSMENT. LRGHEALTHCARE HAS BEEN A VITAL PARTNER IN HEAL ACTIVITIES IN THE LAKES AND THREE RIVERS REGIONS. EXAMPLES OF THE COMMUNITY WORK ON HEALTHY EATING AND ACTIVE LIVING INCLUDE WORK WITH SCHOOL WELLNESS COMMITTEES, AFTER SCHOOL PROGRAMMING AND COMMUNITY ENVIRONMENTAL CHANGES. IN THE THREE RIVERS REGION, WE WORKED WITH OTHER HEAL PARTNERS ON THE ODELL PARK CENTENNIAL PROJECT TO IMPROVE THE PARK. THE PROJECT INCLUDED ADDING NEW PLAYGROUND EQUIPMENT AND HALF MILE WALKING TRAIL, EQUIPPED WITH FITNESS STATIONS. ALL OF THESE EFFORTS SUPPORT THE CONCEPT OF MAKING THE "HEALTHY CHOICE THE EASY CHOICE," WHICH IS A KEY PRINCIPLE IN EFFORTS TO IMPROVE OUR COMMUNITY'S HEALTH. CONCERNS ABOUT ALCOHOL AND DRUG ABUSE IN OUR COMMUNITIES CLEARLY CAME FORWARD AS A TOP CONCERN IN BOTH OUR COMMUNITY LEADERS FOCUS GROUP AND IN THE 2011 COMMUNITY NEEDS ASSESSMENT. IN FRANKLIN, WE ARE COLLABORATING WITH THE FRANKLIN MAYOR'S DRUG & ALCOHOL TASK FORCE, WHICH RECEIVED A 5 YEAR $650,000 FEDERAL DRUG-FREE COMMUNITIES GRANT. LRGHEALTHCARE IS ABLE TO SUPPORT THIS COMMUNITY COLLABORATION BY FACILITATING EDUCATIONAL SESSIONS FOR PARENTS AND SENIORS ON THE DANGERS OF PRESCRIPTION DRUG ABUSE, WORK WITH LOCAL YOUTH TO FIGHT PEER PRESSURED DRUG USE AND SERVE AS A BRIDGE TO OUR MEDICAL COMMUNITY. COMMUNITY BASED CLINICAL SERVICES ($18,000): BREAST CANCER HAS LONG BEEN ONE OF THE TOP CAUSES OF CANCER DEATH IN OUR REGION. CONCERN ABOUT CANCER, PREVENTION AND TREATMENT WAS IDENTIFIED IN THE TOP 10 IMPORTANT HEALTH ISSUES IN THE 2011 COMMUNITY NEEDS ASSESSMENT. LRGHEALTHCARE HAS BEEN AGGRESSIVE IN OUR EFFORTS TO FIGHT THIS DISEASE, OFFERING REDUCED-RATE SCREENING MAMMOGRAMS IN THE MONTH OF OCTOBER, AND PARTICIPATING IN THE STATE'S BREAST AND CERVICAL CANCER PROGRAM (BCCP). WE ALSO OFFERED THE MAMMOGRAPHY BRIDGE PROGRAM. THE PROGRAM PROVIDES VERY LOW COST SCREENING MAMMOGRAMS TO WOMEN WHO DO NOT QUALIFY FOR EITHER MEDICAID OR THE BCCP, BUT HAVE FINANCIAL BARRIERS TO RECEIVING SCREENING MAMMOGRAMS. IN FY'11, MAMMOGRAPHY BRIDGE AND BCCP PROGRAM SERVED 364 PATIENTS IN OUR SERVICE AREAS. HEALTHCARE SUPPORT SERVICES ($455,913): HEALTHCARE SUPPORT SERVICES ARE VITAL TO OUR MISSION OF PROVIDING QUALITY, COMPASSIONATE CARE AND TO STRENGTHENING THE WELL-BEING OF OUR COMMUNITY. BEING ABLE TO ACCESS CARE AND THE COORDINATION OF CARE WERE KEY THEMES THAT EMERGED FROM THE LAKES REGION AND FRANKLIN REGION COMMUNITY LEADER FOCUS GROUPS. UNINSURED ADULTS IN THE LAKES REGION MAKE UP 12.2% OF THE ADULT POPULATION COMPARED TO THE STATE AVERAGE OF 10.1%. THIS INFORMATION SUPPORTS OUR COMMITMENT TO OUR HEALTHLINK, VETLINK AND CARE COORDINATION PROGRAMS.OUR HEALTHLINK PROGRAM IS A RESOURCE AND REFERRAL PROGRAM THAT PROVIDES FINANCIAL COUNSELING AND SUPPORT. LAST YEAR, WE ENROLLED 4,610 PEOPLE (897 MORE THAN FY'10) IN THE HEALTHLINK PROGRAM. LRGHEALTHCARE ALSO ACTIVELY PARTICIPATES IN THE NEW HAMPSHIRE HEALTHY KIDS PROGRAM. OUR VETLINK PROGRAM IS A UNIQUE PROGRAM TO HELP VETERANS NAVIGATE THE VA SYSTEM, AND ACCESS THE BENEFITS AND SERVICES TO WHICH THEY ARE ENTITLED. LAST YEAR, VETLINK SERVED MORE THAN 300 VETERANS AND THEIR FAMILIES. OUR MEDICATION CONNECTION PROGRAM HELPS PATIENTS IN NEED ACCESS PHARMACEUTICAL COMPANY PROGRAMS OFFERING FREE OR REDUCED-COST MEDICATIONS THAT THOSE PATIENTS OTHERWISE COULD NOT AFFORD. DURING FY'11, THE MEDICATION CONNECTION SERVED 401 CLIENTS. AS THE ECONOMIC CLIMATE CONTINUED TO DECLINE, THE NUMBER OF REFERRALS TO THE PROGRAM GREATLY INCREASED, AND DURING FY'11 PRESCRIPTIONS ORDERED TOTALED 3,977. THESE PRESCRIPTIONS WERE VALUED AT $1.9 MILLION.LRGHEALTHCARE IS IN THE SECOND YEAR OF PARTICIPATION IN THE NEW HAMPSHIRE COLORECTAL SCREENING PROGRAM. THROUGH THIS PROGRAM, 75 PATIENTS WHO MET FINANCIAL GUIDELINES WERE ABLE TO RECEIVE FREE SCREENING COLONOSCOPIES. HEALTH PROFESSIONS EDUCATION ($336,863):LRGHEALTHCARE IS COMMITTED TO HELPING BUILD THE HEALTHCARE WORKFORCE OF TOMORROW. AS THE LARGEST EMPLOYER IN THE REGION, WE ALSO TAKE SERIOUSLY OUR RESPONSIBILITY TO HELP ENSURE THAT LOCAL WORKERS CAN ACCESS THE EDUCATION THEY NEED TO EARN LIVABLE WAGES IN HEALTHCARE FIELDS. TO THESE ENDS, WE PROVIDE OPPORTUNITIES FOR STUDENTS WHO WISH TO ENGAGE IN OR FURTHER DEVELOP THEIR HEALTH CARE CAREERS.IN AUGUST 2010, WE WELCOMED OUR SECOND CLASS OF SEVEN, THIRD-YEAR OSTEOPATHIC MEDICAL STUDENTS FROM THE UNIVERSITY OF NEW ENGLAND, WHO COMPLETED MULTIPLE ROTATIONS IN OUR HOSPITALS AND PRACTICES. LRGHEALTHCARE PROVIDED 55 HOURS OF ADVANCED CARDIAC LIFE SUPPORT (ACLS) AND PEDIATRIC ADVANCED LIFE SUPPORT (PALS) TRAINING HOURS, AS WELL AS CONTINUING EDUCATION AND REFRESHER COURSES FOR EMERGENCY RESPONDERS. MORE THAN 250 FIRST RESPONDERS, PARAMEDICS, PHYSICIANS AND NURSES PARTICIPATED IN THESE VALUABLE TRAINING PROGRAMS.WE ALSO PROVIDE CLINICAL SETTINGS FOR UNDERGRADUATE TRAINING IN A NUMBER OF FIELDS-NURSING, MEDICAL IMAGING, PHARMACY, PHYSICAL THERAPY, EMERGENCY MEDICAL SERVICES, SOCIAL WORK, MEDICAL ASSISTING AND PHLEBOTOMY. THIS REQUIRES EXTENSIVE STAFF COORDINATION TIME; 190 STUDENTS PARTICIPATED IN CLINICAL ACTIVITIES AT LRGHEALTHCARE LAST YEAR. LRGHEALTHCARE SUPPORTS LAKES REGION COMMUNITY COLLEGE'S NURSING PROGRAM WITH A UNIQUE, EDUCATIONAL GRANT OF $154,718 HELPING TO BUILD THE HEALTHCARE WORKFORCE FOR OUR COMMUNITY AND THE STATE. WE ALSO CONTINUED TO PROVIDE OUR POPULAR CARING STUDENT INTERNS (CSI) PROGRAM, WHICH ALLOWS TEENS TO EXPLORE HEALTHCARE CAREERS. LAST YEAR, 24 STUDENTS PARTICIPATED IN CSI, AND ANOTHER 37 PARTICIPATED IN INFORMATIONAL INTERVIEWS OR OBSERVATIONS, TO ASSIST THEM IN THEIR CAREER DECISION-MAKING PROCESS.
NH	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH FIRST FAMILY CARE CENTER INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	841 CENTRAL STREET	AddressLine1
City	FRANKLIN	City
State	NH	State
ZIP Code	03235	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	020492976	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	219660	AmountOfCashGrant
Method Of Valuation	BOOK	MethodOfValuation
Purpose Of Grant	TO SUPPORT HEALTH FIRST FAMILY CARE CENTER, INC. IN ITS MISSION TO PROVIDE CHARITY CARE TO THE LAKES REGION AND TWIN RIVERS COMMUNITIES.	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: LRGHEALTHCARE MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS AWARDED TO ORGANIZATIONS IN DETAILED EXCEL FILES AND MONITORS THE AMOUNT OF EXPENDITURES USING THE EXCEL WORKSHEETS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS A CLAIRMONT
450196	0	0	0	2172	0	13293	0	22286	0	487947	0	0	0
PETER WALKLEY -CHIEF OF STAFF
232192	0	0	0	0	0	10637	0	22686	0	265515	0	0	0
GLENN FUSONIE PHYSICIAN
311931	0	0	0	0	0	8655	0	30470	0	351056	0	0	0
VERCIN EPHREM PHYSICIAN
314008	0	0	0	0	0	8484	0	30470	0	352962	0	0	0
HENRY D LIPMAN
234576	0	0	0	1135	0	11713	0	33469	0	280893	0	0	0
DAVID COLEMAN
309634	0	0	0	0	0	10577	0	10322	0	330533	0	0	0
JOHN VIGNATI
315647	0	0	0	0	0	11162	0	30470	0	357279	0	0	0
ELIZA DEERY
268402	0	21358	0	0	0	11144	0	30663	0	331567	0	0	0
MICHELE J GAIER RUSH
280095	0	47000	0	0	0	8781	0	4167	0	340043	0	0	0
CAROLYN DRAKE
206989	0	64251	0	0	0	8622	0	31978	0	311840	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

LRGHEALTHCARE HAS A SPLIT DOLLAR LIFE INSURANCE ARRANGEMENT WITH HENRY LIPMAN, EXECUTIVE VICE-PRESIDENT/CFO. THE EMPLOYER'S SHARE OF THE POLICY PREMIUMS PAID IS RECOVERED EITHER UPON TERMINATION OF THE POLICY OR AT THE DEATH OF THE PARTICIPANT. NOTE THE SPLIT-DOLLAR ARRANGEMENT IS PART OF AN EMPLOYEE BENEFIT AND NOT A DIRECT EXTENSION OF CREDIT. ALSO, THE REPORTABLE COMPENSATION OF HENRY LIPMAN INCLUDES THE ANNUAL VALUE OF THE LIFE INSURANCE AND AMOUNTED TO $1,135.

PART I, LINE 7

PHYSICIAN/MIDLEVEL SALARIES ARE ESTABLISHED ANNUALLY USING THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) SALARY SURVEY DATA WITH A SETTLEMENT EACH YEAR BASED ON THE RELATIVE VALUE UNITS (RVU'S) PROVIDED DURING THE YEAR AS IS PREVALENT THROUGH OUT THE HEALTH CARE INDUSTRY.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NHHEFA REVENUE BONDS SERIES 2009 THRU HUD	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	020279866	IssuerEIN
CUSIP Number	644614ZM4	CUSIPNumber
Date Issued	2009-12-09	DateIssued
Issue Price	143520000	IssuePrice
Description Of Purpose	CAPITAL PROJECTS AND REFINANCING	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	146869869	TotalProceeds
Amount In Reserve Fund	11785000	AmountInReserveFund
Issuance Costs From Proceeds	2713902	IssuanceCostsFromProceeds
Capital Expenditures	48932163	CapitalExpenditures
Amount Unspent	25958530	AmountUnspent
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
NICOLE ARSENAULT
EMPLOYED MEDICAL RECORDS DEPT LRGH	31343	WAGES PAID BY LRGHEALTHCARE. SHE IS THE GRANDDAUGHTER IN LAW OF A TRUSTEE.	0
MELISSA ROWLEY-LIPMAN
EMPLOYED RESPIRATORY THERAPIST DEPT LRGH	17170	WAGES PAID BY LRGHEALTHCARE. SHE IS THE WIFE OF THE SVP FINANCIAL STRATEGY & EXTERNAL RELATIONS.	0
CAROL WALKLEY
EMPLOYED CARDIAC REHAB DEPT LRGH	37818	WAGES PAID BY LRGHEALTHCARE. SHE IS THE WIFE OF THE CHIEF OF STAFF.	0
GRANITE SHIELD INSURANCE EXCHANGE
CURRENT OFFICER SERVES BOTH ORGANIZATIONS	876463	IN DECEMBER 2010, LRGHEALTHCARE MADE AN INITIAL CAPITAL CONTRIBUTION TO GRANITE SHIELD INSURANCE EXCHANGE (GSIE) OF $211,000 BRINGING LRGHEALTHCARE'S OWNERSHIP INTEREST IN GSIE TO APPROXIMATELY 7%. PREMIUMS PAID DURING FISCAL YEAR 9/30/11 AMOUNTED TO $665,463. GSIE WILL NOT FILE A TAX RETURN UNTIL THE YEAR ENDING DECEMBER 31, 2011.	1
(no name)
			0
(no name)
			0
ROBERT EVANS MD
BOARD MEMBER RECEIVES PAYMENTS INDIRECTLY FOR PROFESSIONAL SERVICES	3919986	DR EVANS IS AN OWNER OF LAKES REGION ANESTHESIA, WHICH RECEIVED PAYMENTS TOTALING $3,919,986 RELATING TO PROFESSIONAL SERVICES PROVIDED IN ACCORDANCE WITH AN ANESTHESIA SERVICES AGREEMENT IN THE FISCAL YEAR ENDED 9/30/11. THE PAYMENTS WERE FOR ARM'S-LENGTH TRANSACTIONS AT FAIR MARKET RATES.	0
PAUL RACICOT MD
OWNERSHIP INTEREST IN VENDOR PROVIDING SERVICES TO LRGHEALTHCARE	5440960	DR RACICOT IS AN OWNER OF CENTRAL NH ER ASSOCIATES, INC. IN THE FISCAL YEAR ENDED 9/30/11, CENTRAL NH ER ASSOCIATES, INC. WAS PAID $5,440,960 TO PROVIDE SERVICES TO BOTH HOSPITALS' EMERGENCY DEPARTMENTS. THIS AMOUNT IS GROSS AND DOES NOT TAKE INTO CONSIDERATION ANY EXPENSES INCURRED BY CENTRAL NH ER ASSOCIATES IN PROVIDING THESE SERVICES.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 AN ANNUAL MEETING.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS ALSO KNOWN AS STAKEHOLDERS APPROVE BYLAWS AND ARTICLES OF INCORPORATION CHANGES.
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT OF THE FORM 990 IS INITIALLY REVIEWED IN DETAIL BY KEY FINANCE EMPLOYEES AND THERE AFTER THE ORGANIZATION'S TAX ACCOUNTANTS ARE ASKED FOR THEIR GENERAL REVIEW AND COMMENTS. THEN EACH MEMBER OF THE BOARD IS PROVIDED WITH A DRAFT COPY OF THE FORM 990 IN ADVANCE OF THE MEETING. THEREAFTER, THE FINAL COPY IS PRESENTED TO THE FULL BOARD PRIOR TO FILING WITH THE IRS.
	A COPY OF LRGHEALTCARE'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, TRUSTEES, MEDICAL STAFF OFFICERS AND COMMITTEE MEMBERS, AND 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 12C
	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 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. THE CEO USES DATA PROVIDED FROM HUMAN RESOURCES 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 B, LINE 15
	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.	FORM 990, PART VI, SECTION C, LINE 19
REPORTABLE COMPENSATION FROM THE ORGANIZATION	THE 2011 COMPENSATION REPORTED FOR DR. WALKLEY, DR. FUSONIE, AND DR. EPHREM WAS PAID BY LAKES REGION GENERAL HOSPITAL FOR THEIR SERVICES AS THE CHIEF OF STAFF AND AS PHYSICIANS RESPECTIVELY. DR. WALKLEY, DR. FUSONIE AND DR. EPHREM WERE NOT COMPENSATED FOR THEIR SERVICES AS TRUSTEES OF LRGHEALTHCARE.	FORM 990, PART VII, SECTION A, COLUMN D
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED LOSSES ON INVESTMENTS: -25,542. ADJUSTMENT TO PENSION LIABILITY $(7,328,262) -7,328,262. HILLSIDE NET ASSETS $1,041,080 1,041,080. TOTAL TO FORM 990, PART XI, LINE 5: -6,312,724.	FORM 990, PART XI, LINE 5:
AUDIT OVERSIGHT	LRGHEALTHCARE DID NOT CHANGE ITS OVERSIGHT OF THE AUDIT PROCESS THIS YEAR.	FORM 990, PART XII, LINE 2(C)
GOVERNING BODY AND MANAGEMENT	MARK K. PRIMEAU IS A TRUSTEE OF LRGHEALTHCARE AND PRESIDENT AND BOARD MEMBER OF LACONIA SAVINGS BANK. LRGHEALTHCARE MAINTAINS MULTIPLE CASH ACCOUNTS WITH LACONIA SAVINGS BANK. TRANSACTIONS IN FYE 9/30/11 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 LACONIA SAVINGS BANK ARE AT FAIR MARKET VALUE FOR FYE 9/30/11. MR. PRIMEAU HAS BEEN CLASSIFIED AS AN INDEPENDENT TRUSTEE. MIKE SEYMOUR AND STUART TRACHY ARE TRUSTEES OF LRGHEALTHCARE. MR. SEYMOUR IS AN EXECUTIVE AND MR. TRACHY IS A TRUSTEE AT FRANKLIN SAVINGS BANK. LRGHEALTHCARE MAINTAINS A LOCKBOX ACCOUNT WITH FRANKLIN SAVINGS BANK. TRANSACTIONS IN FYE 9/30/11 WERE IN EXCESS OF $10,000. AN EXACT FIGURE CANNOT BE STATED DUE TO DAILY ACCOUNT ACTIVITY AND BALANCE CHANGES. THE ACCOUNT WAS ACTIVE PRIOR TO MR. SEYMOUR AND MR. TRACHY JOINING THE BOARD AND ALL TRANSACTIONS WITH FRANKLIN SAVINGS BANK ARE AT FAIR MARKET VALUE FOR FYE 9/30/11. MR. SEYMOUR AND MR. TRACHY HAVE BEEN CLASSIFIED AS INDEPENDENT TRUSTEES.	FORM 990, PART VI, LINE 1A AND LINE 1B

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HILLSIDE ASC LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	C/L LRGH 80 HIGHLAND STREET	AddressLine1
City	LACONIA	City
State	NH	State
ZIP Code	03246	ZIPCode

Field	Value	IRS element (for citing)
EIN	208146980	EIN
Primary Activity	AMBULATORY SURGICAL CENTER	PrimaryActivity
Legal Domicile State	NH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	1153788	ShareOfTotalIncome
Share Of EOY Assets	694138	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.70000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
HILLSIDE ASC LLC
D	0	PAID OFF 1/31/11
HILLSIDE ASC LLC
J	267072	AGREEMENT
HILLSIDE ASC LLC
N	775762	AGREEMENT
HILLSIDE ASC LLC
P	1924846	AGREEMENT