LRGHealthcare: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: LRGHealthcare (EIN 02-0222150)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201142279349303704
Schema version: 2009v1.4
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 J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T15:12:43-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	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	EXECUTIVE VP/CFO	Title
Phone	6035243211	Phone
Date Signed	2011-08-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	HENRY D LIPMAN	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	196681140	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	23	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	20	NbrIndependentVotingMembers
Total Nbr Employees	1741	TotalNbrEmployees
Total Nbr Volunteers	266	TotalNbrVolunteers
Total Gross UBI	15120	TotalGrossUBI
Net Unrelated Business Txbl Income	14120	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	646285	ContributionsGrantsPriorYear
Contributions Grants Current Year	2194918	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	186107422	ProgramServiceRevenuePriorYear
Program Service Revenue CY	196526579	ProgramServiceRevenueCY
Investment Income Prior Year	831462	InvestmentIncomePriorYear
Investment Income Current Year	475629	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2618793	OtherRevenuePriorYear
Other Revenue Current Year	-8885910	OtherRevenueCurrentYear
Total Revenue Prior Year	190203962	TotalRevenuePriorYear
Total Revenue Current Year	190311216	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	90466042	SalariesEtcPriorYear
Salaries Etc Current Year	87326321	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	324573	TotalFundrsngExpCurrentYear
Other Expense Prior Year	99046831	OtherExpensePriorYear
Other Expenses Current Year	115688144	OtherExpensesCurrentYear
Total Expenses Prior Year	189512873	TotalExpensesPriorYear
Total Expenses Current Year	203014465	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	691089	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-12703249	RevenuesLessExpensesCY
Total Assets BOY	147377575	TotalAssetsBOY
Total Assets EOY	211748584	TotalAssetsEOY
Total Liabilities BOY	111709544	TotalLiabilitiesBOY
Total Liabilities EOY	173328329	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	35668031	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	38420255	NetAssetsOrFundBalancesEOY
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	177356035	Expense
Revenue	187608946	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 LACONA, 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 5,216. 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 929. 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 36 OTHER SITES WHERE IT OPERATES OUTPATIENT AND AMBULATORY SERVICES. THE OUPATIENT REGISTRATIONS WERE 163,868. 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. ASC IS UNDERGOING AN EXPANSION FROM ONE OEPRATING ROOM TO THREE, THE CONSTRUCTION OF WHICH IS EXPECTED TO BE COMPLETED IN DECEMBER, 2010. 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 MEREDITH CLINIC CONSIST OF 6,000 GROSS SQUARE FEET ON TWO FLOORS, COMPRISED OF EXAMINATION ROOMS AND SHARED PROVIDER OFFICES ON THE MAIN LEVEL FLOOR AND A BLOOD LABORATORY, OCCUPATIONAL/PHYSICIAL THERAPY AREAS ON THE LOWER LEVEL FLOOR. THE INSTITUTION PLANS TO CONSTRUCT A 14,000 SQUARE FOOT REPLACEMENT FACILITY TO ACCOMMODATE CURRENT AND FUTURE GROWTH. THE FACILITY 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 2010, THE INSTITUTION PROVIDED $20,241,192 (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 REHABLIITATION, 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 INVOLVEDIN 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	177356035	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
Grants To Organizations	0	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	0	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	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	82	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1741	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
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	23	NbrVotingGoverningBodyMembers
Number Independent Voting Members	20	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
Other Website	X	OtherWebsite
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

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
THOMAS A CLAIRMONT
PRESIDENT/CEO/TREASURER	40.00	X	X	455647	0	31437
PAUL RACICOT MD
TRUSTEE	1.00	X		0	0	0
JUDIE REEVER
BOD CHAIRMAN	1.00	X	X	0	0	0
STUART TRACHY
BOD VICE CHAIRMAN	1.00	X	X	0	0	0
PETER RUSSELL
BOD SECRETARY	1.00	X	X	0	0	0
SCOTT CLARENBACH
TRUSTEE PART YEAR	1.00	X		0	0	0
CYNTHIA BARON
TRUSTEE	1.00	X		0	0	0
JAMES DIRUBBO
TRUSTEE PART YEAR	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		304778	0	27412
VERCIN EPHREM PHYSICIAN
EX OFFICIO TRUSTEE	40.00	X		292643	0	28182
HENRY D LIPMAN
EXEC VP/CFO	40.00		X	234147	0	35532
PETER WALKLEY
CHIEF OF STAFF	40.00			232590	0	30327	X
SAMUEL ALDRIDGE
PHYSICIAN	40.00			318543	0	13783		X
JOHN VIGNATI
PHYSICIAN	40.00			307431	0	28904		X
ELIZA DEERY
PHYSICIAN	40.00			307740	0	27867		X
MICHELE J GAIER RUSH
SLEEP LAB MD	40.00			466449	0	11449		X
KASRA DJALAYER
PHYSICIAN	40.00			306972	0	15035		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3226940	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	249928	TotalOtherCompensation
Number Individuals GT100 K	89	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	16170912
CENTRAL NH ER ASSOC PA
174 PHILBROOK RD	SANBORNTON	NH	03269	EMERGENCY ROOM COVERAGE	5618331
NH IMAGING SERVICES
ONE PILLSBURY ST STE 200	CONCORD	NH	03301	MEDICAL IMAGING SERVICES	1697368
ORTHOPEDIC PROFESSIONAL ASSOC
14 MAPLE ST STE 100	GILFORD	NH	03249	HEALTH SERVICES	1366367
LR ANESTHESIOLOGY PA
87 SPRING STREET	LACONIA	NH	03246	PROFESSIONAL SERVICES	993750

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	38	NumberOfContractorsGT100K
Fundraising Events	107150	FundraisingEvents
Government Grants	218730	GovernmentGrants
All Other Contributions	1869038	AllOtherContributions
Total Contributions	2194918	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES	900099	194072648	194072648
OTHER SERVICES	900099	1155468	1155468
ANESTHESIA	900099	743106	743106
CAFETERIA	900099	555357	555357

Field	Value	IRS element (for citing)
Total Program Service Revenue	196526579	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	476486	TotalRevenueColumn
Exclusion	$476,486	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	7640	TotalRevenueColumn
Exclusion	$7,640	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	206287	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	181609	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	24678	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	24678	TotalRevenueColumn
Unrelated Business Revenue	15120	UnrelatedBusinessRevenue
Exclusion	$9,558	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	6000000	Securities
Other	132711	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	5868821	Securities
Other	272387	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	131179	Securities
Other	-139676	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-8497	TotalRevenueColumn
Exclusion	-$8,497	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	54152	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	107150	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	47107	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	7045	TotalRevenueColumn
Exclusion	$7,045	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER MISC	900099	1116887	1116887
P/Y SETTLEMENTS	900099	1002980	1002980
LOSS ON TERMIN SWAPS	900099	-11037500	-11037500

Field	Value	IRS element (for citing)
Total Other Revenue	-8917633	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	190311216	TotalRevenueColumn
Related Or Exempt Function Income	187608946	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	15120	UnrelatedBusinessRevenue
Exclusion	$492,232	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2117463	Total
Program Services	991382	ProgramServices
Management And General	1126081	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	71391482	Total
Program Services	60940101	ProgramServices
Management And General	10211520	ManagementAndGeneral
Fundraising	239861	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1433077	Total
Program Services	1227405	ProgramServices
Management And General	205672	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	7059082	Total
Program Services	6027814	ProgramServices
Management And General	1010060	ManagementAndGeneral
Fundraising	21208	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5325217	Total
Program Services	4546574	ProgramServices
Management And General	761853	ManagementAndGeneral
Fundraising	16790	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	399071	Total
Management And General	399071	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	100481	Total
Management And General	100481	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	106724	Total
Management And General	106724	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	364448	Total
Program Services	364448	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3069962	Total
Program Services	2629367	ProgramServices
Management And General	440595	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3761722	Total
Program Services	3221848	ProgramServices
Management And General	539874	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4307602	Total
Program Services	3688004	ProgramServices
Management And General	617986	ManagementAndGeneral
Fundraising	1612	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	51420	Total
Program Services	44040	ProgramServices
Management And General	7380	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	619198	Total
Program Services	530332	ProgramServices
Management And General	88866	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4572307	Total
Program Services	3916100	ProgramServices
Management And General	656207	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7782422	Total
Program Services	6665506	ProgramServices
Management And General	1116916	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1669740	Total
Program Services	1430103	ProgramServices
Management And General	239637	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PURCHASED SERVICES	32357473	27707194	4642798	7481
PROVISION FOR BAD DEBTS	13911028	13911028
PHARMARCY SUPPLIES	12189640	12189640
SUPPLIES	11687430	10004608	1676436	6386
NH MEDICAID ENHANCEMENT	9050987	9050987

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9686489	Total
Program Services	8269554	ProgramServices
Management And General	1385700	ManagementAndGeneral
Fundraising	31235	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	203014465	Total
Program Services	177356035	ProgramServices
Management And General	25333857	ManagementAndGeneral
Fundraising	324573	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21369110	BOY
EOY	1049539	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	25364105	BOY
EOY	27115557	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2779483	BOY
EOY	4246663	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2751017	BOY
EOY	3604070	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	167605073	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	93231557	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	55713747	BOY
EOY	74373516	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	21602748	BOY
EOY	17103274	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	489173	BOY
EOY	119663	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17308192	BOY
EOY	84136302	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	147377575	BOY
EOY	211748584	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	19029870	BOY
EOY	18911961	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	71515000	BOY
EOY	143520000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3806935	BOY
EOY	7420016	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2500000	BOY
EOY	2500000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	14857739	BOY
EOY	976352	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	111709544	BOY
EOY	173328329	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31200659	BOY
EOY	32512309	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2219809	BOY
EOY	3708209	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2247563	BOY
EOY	2199737	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	35668031	BOY
EOY	38420255	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	147377575	BOY
EOY	211748584	EOY

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Amt Of4955 Tax	0	AmtOf4955Tax
Amt Of4955 Tax On Managers	0	AmtOf4955TaxOnManagers

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	106724	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	106724	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	202907741	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	203014465	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 Minus3	18338	CurrentYearMinus3
Current Year Minus1	159154	CurrentYearMinus1
Current Year	106724	CurrentYear
Total	284216	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	10993203	BeginningOfYearBalance
Contributions	1840639	Contributions
Investment Earnings Or Losses	132307	InvestmentEarningsOrLosses
Other Expenditures	954611	OtherExpenditures
End Of Year Balance	12011538	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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	0.50810	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.18310	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.30880	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	1570671	OtherCostOrOtherBasis
Book Value	1570671	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47524736	OtherCostOrOtherBasis
Depreciation	30226427	Depreciation
Book Value	17298309	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	93368179	OtherCostOrOtherBasis
Depreciation	61072811	Depreciation
Book Value	32295368	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25141487	OtherCostOrOtherBasis
Depreciation	1932319	Depreciation
Book Value	23209168	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	74373516	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
BOND PROCEEDS FUNDS AND INVESTMENTS	76627994
UNAMORTIZED BOND ISSUANCE COSTS & CSV LIFE INS	5739970
WORKERS COMP FUNDS AND INVESTMENTS	1768338

Field	Value	IRS element (for citing)
Total Book Value Other Assets	84136302	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	ACCRUED WORKERS COMP LIABILITIES	Description
Amount	$976,352	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	976352	TotalOfAmounts
Total Revenue	190311216	TotalRevenue
Total Expenses	203014465	TotalExpenses
Excess Or Deficit For Year	-12703249	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1115499	NetUnrealizedGLOnInvestments
Other	$14,339,974	OtherAmount
Total Adjustments	15455473	TotalAdjustments
Excess Or Deficit Per FS	2752224	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	194170255	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1115499	NetUnrealizedGainsInvestments
Other Revenues	2743540	OtherRevenues
Revenue Not Rptd F990	3859039	RevenueNotRptdF990
Revenue Subtotal	190311216	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	190311216	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	205278442	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2263977	OtherExpensesIncluded
Expenses Not Rptd F990	2263977	ExpensesNotRptdF990
Expenses Subtotal	203014465	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	203014465	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	To further the Hospital's mission.
Part XI, Line 8 - Other Adjustments:		ADJUSTMENT TO PENSION LIABILITY $738,464/INTEREST RATE SWAPS $12,656,615 SALE OF INTEREST IN SUBSIDIARY/ELIMINATE CASH INVESTMENT $944,895
Part XII, Line 2d - Other Adjustments:		NET REVENUE OF SUBSIDIARY $2,561,931 RENTAL EXPENSES NETTED AGAINST RENTAL INCOME $181,609
Part XIII, Line 2d - Other Adjustments:		OCCUPANCY COSTS FOR RENTALS $181,609 EXPENSES IN SUBSIDIARY $2,082,368

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	RED DRESS GALA EVENT	NameOfEvent1
Gross Receipts Event1	81227	GrossReceiptsEvent1
Charitable Contributions Event1	51870	CharitableContributionsEvent1
Gross Revenue Event1	29357	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	15850	RentFacilityCostsEvent1
Other Direct Expenses Event1	6472	OtherDirectExpensesEvent1
Name Of Event2	HEALTHLINK GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	80075	GrossReceiptsEvent2
Charitable Contributions Event2	55280	CharitableContributionsEvent2
Gross Revenue Event2	24795	GrossRevenueEvent2
Cash Prizes Event2	2637	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	19436	RentFacilityCostsEvent2
Other Direct Expenses Event2	2712	OtherDirectExpensesEvent2
Gross Receipts Total	161302	GrossReceiptsTotal
Charitable Contributions Total	107150	CharitableContributionsTotal
Gross Revenue Total Events	54152	GrossRevenueTotalEvents
Cash Prizes Total Events	2637	CashPrizesTotalEvents
Rent Facility Costs Total Events	35286	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	9184	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	47107	DirectExpenseSummaryEvents
Net Income Summary	7045	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	185.000000000000	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	500.000000000000	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	3713	PersonsServed
Total Community Benefit Expense	6695144	TotalCommunityBenefitExpense
Net Community Benefit Expense	6695144	NetCommunityBenefitExpense
Percent Of Total Expense	0.03540	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	7345	PersonsServed
Total Community Benefit Expense	7377524	TotalCommunityBenefitExpense
Net Community Benefit Expense	7377524	NetCommunityBenefitExpense
Percent Of Total Expense	0.03900	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	11058	PersonsServed
Total Community Benefit Expense	14072668	TotalCommunityBenefitExpense
Net Community Benefit Expense	14072668	NetCommunityBenefitExpense
Percent Of Total Expense	0.07440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	77	NumberOfActivitiesOrPrograms
Persons Served	8158	PersonsServed
Total Community Benefit Expense	982983	TotalCommunityBenefitExpense
Net Community Benefit Expense	982983	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	291	PersonsServed
Total Community Benefit Expense	378093	TotalCommunityBenefitExpense
Net Community Benefit Expense	378093	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	82480	PersonsServed
Total Community Benefit Expense	4569149	TotalCommunityBenefitExpense
Net Community Benefit Expense	4569149	NetCommunityBenefitExpense
Percent Of Total Expense	0.02420	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	20	NumberOfActivitiesOrPrograms
Persons Served	82480	PersonsServed
Total Community Benefit Expense	149932	TotalCommunityBenefitExpense
Net Community Benefit Expense	149932	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	104	NumberOfActivitiesOrPrograms
Persons Served	173409	PersonsServed
Total Community Benefit Expense	6080157	TotalCommunityBenefitExpense
Net Community Benefit Expense	6080157	NetCommunityBenefitExpense
Percent Of Total Expense	0.03220	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	106	NumberOfActivitiesOrPrograms
Persons Served	184467	PersonsServed
Total Community Benefit Expense	20152825	TotalCommunityBenefitExpense
Net Community Benefit Expense	20152825	NetCommunityBenefitExpense
Percent Of Total Expense	0.10660	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	82480	PersonsServed
Total Community Building Expense	63079	TotalCommunityBuildingExpense
Net Community Building Expense	63079	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	82480	PersonsServed
Total Community Building Expense	24688	TotalCommunityBuildingExpense
Net Community Building Expense	24688	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	600	TotalCommunityBuildingExpense
Net Community Building Expense	600	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	164962	PersonsServed
Total Community Building Expense	88367	TotalCommunityBuildingExpense
Net Community Building Expense	88367	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,112,680	BadDebtExpenseAmount
Amount Attributable To	3056340	AmountAttributableTo
Amount Reimbursed By Medicare	54721669	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	60877581	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6155912	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

Form990 Schedule H Part V Form990ScheduleHPartV (26 entries)

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
80 HIGHLAND STREET	LACONIA	NH	03246	X	X	X	HOSPITAL
FRANKLIN REGIONAL HOSPITAL
15 AIKEN AVENUE	FRANKLIN	NH	03235	X	X	X	HOSPITAL	X
LACONIA CLINIC
724 N MAIN STREET	LACONIA	NH	03246				OUTPATIENT PHYSICIAN CLINIC
BELKNAP FAMILY HEALTH CENTER
14 MILL STREET	BELMONT	NH	03220				PHYSICIAN PRACTICE
NEW HAMPTON FAMILY HEALTH
5 ACADEMY DRIVE	NEW HAMPTON	NH	03256				PHYSICIAN PRACTICE
LAKES REGION FAMILY PRACTICE
85 SPRING STREET	LACONIA	NH	03246				PHYSICIAN PRACTICE
HILLSIDE MEDICAL PARK
14 MAPLE STREET	GILFORD	NH	03249				ASC, REHAB, SLEEP CENTER
INTERLAKES OTPT
238 DANIEL WEBSTER HIGHWAY	MEREDITH	NH	03253				PT, OT, LAB
COMMUNITY WELLNESS CENTER
22 STRAFFORD STREET	LACONIA	NH	03246				WELLNESS CENTER
WINNIPESAUKEE WELLNESS CENTER
78 WHITTIER HIGHWAY UNIT4	MOULTONBORO	NH	03254				WELLNESS CENTER
LACONIA CLINIC TILTON OFFICE
630 W MAINS ST STE 200	TILTON	NH	03276				PHYSICIAN PRACTICE
MOULTONBORO FAMILY HEALTH
60 WHITTIER HIGHWAY UNIT 12	MOULTONBORO	NH	03254				MIDWIFERY
BELKNAP FAMILY HEALTH CENTER MEREDITH
238 DANIEL WEBSTER HIGHWAY	MEREDITH	NH	03253				PHYSICIAN PRACTICE
NEWFOUND FAMILY PRACTICE
2 SCHOOL STREET	BRISTOL	NH	03222				PHYSICIAN PRACTICE
WESTSIDE HEATLHCARE
125 SOUTH MAIN STREET	WEST FRANKLIN	NH	03235				PHYSICIAN PRACTICE
CARING FOR WOMEN
734 NORTH MAIN STREET	LACONIA	NH	03246				WOMEN'S HEALTH CENTER
DENTAL RESOURCE CENTER
29 ELLIOT STREET	LACONIA	NH	03246				DENTAL CENTER
HILLSIDE FAMILY MEDICINE
14 MAPLE STREET	GILFORD	NH	03249				PHYSICIAN PRACTICE
LACONIA CLINIC ENDOCRINOLOGY
724 NORTH MAIN STREET	LACONIA	NH	03246				DIABETES/ENDOCRINOLOGY
HOLISTIC HEALTH CENTER
14 MAPLE STREET	GILFORD	NH	03249				HOLISTIC HEALTH
FRH INTERNAL MEDICINE
15 AIKEN AVENUE	FRANKLIN	NH	03235				INTERNAL MEDICINE
LAKES REGION PEDIATRICS
85 SPRING STREET	LACONIA	NH	03246				PEDIATRICS
PULMONARY AND CRITICAL MEDICINE
85 SPRING STREET	LACONIA	NH	03246				PULMONARY/CRITICAL CARE
LAKES REGION VASCULAR & ENDOVASCULAR
85 SPRING STREET	LACONIA	NH	03246				VASCULAR SURGEONS
CARING FOR WOMEN
96 HIGH STREET	LACONIA	NH	03246				WOMEN'S HEALTH CENTER
CARING FOR WOMEN
15 AIKEN AVENUE	FRANKLIN	NH	03235				WOMEN'S HEALTH CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	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% - 30%); 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. ________________________________________	IncomeBasedCriteria
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: Subsidized Health Services - $4,569,149LRGHealthcare provides a number of health services because they meet an essential community need, even though we realize a loss on them each year.Access to primary care services is one of the biggest challenges facing this, and other New Hampshire communities. LRGHealthcare subsidizes a number of practices to ensure ongoing access to our region not just in the communities where our hospitals operate, but throughout our service areas. Last year, we subsidized primary care practices in the amount of $2,325,031. In addition, $220,000 supported the operation of HealthFirst Family Care Center, a rural health clinic with locations in both Laconia and Franklin. HealthFirst alone saw 3,488 patients last year, nearly one third of whom had no insurance. Without these subsidies, many of these practices would not be able to sustain their operations.LRGHealthcare also provides access to a wide range of specialty services, providing our community with a much broader spectrum of specialty care than one would typically find in a rural healthcare system. In 1997, we founded our Dental Resource Center to ensure that dental care was accessible to those without dental insurance or the means to pay out-of-pocket for the care they needed. Today, that practice treats a patient mix of the uninsured and insured, in order to maintain viability. But even with the existence of the highly successful practice, access to dental care was still identified as a top concern by our community in the last assessment, so our work in this area continues. Last year, we invested $240,633 in the dental health of our community through the Center. In addition, we also subsidized a number of specialty physician services to ensure specialty access in our community, including vascular and orthopedic surgery, oncology, urology, general surgery, and anesthesia, at a total cost of $1,552,036.Chronic disease management programs have also 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'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, even though substance abuse was identified among the top three priority needs in our community assessment. Last year our Chemical Dependency Program counseled 504 patients either by phone or in person, and 66 individuals were admitted to the intensive, 18-week, outpatient program. Additionally, our Chemical Dependency Program now provides evaluation for the DOT and companies that provide safety sensitive jobs. Last year we invested $95,949 in Chemical Dependency services for our community.Breast cancer has long been one of the top causes of cancer death in our region, and LRGHealthcare has been aggressive in our efforts to fight this disease. In addition to providing a full-time Breast Health Educator, reduced-rate screening mammograms in the month of October, and participating in the State's Breast and Cervical Cancer Program (BCCP), this year we added a Mammography Bridge program. This 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 10, Mammography Bridge served 98 patients, and the BCCP program served 240 patients at our site. Last year, LRGHealthcare invested more than $22,500 in our Breast Health programs.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 primary job responsibility of both our CEO and our Vice President of Provider Relations, who continually seek primary care and needed specialty providers for our communities. In executives time alone, in FY 2010 LRGHealthcare expended more than $113,000 on these efforts.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: 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 $3,056,340 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 $1,312,201 in FY 2010.	PercentOfTotalExpenseExpln
Bad Debt Footnote	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, CLINIC 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 $13,911,028.	BadDebtFootnote
Shortfall As Community Benefit	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.	ShortfallAsCommunityBenefit
Debt Collection Policy	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. DETERMINATIONS 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.	DebtCollectionPolicy
Needs Assessment	Part VI, Line 2: For more than 100 years, LRGHealthcare, including Lakes Region General Hospital and Franklin Regional Hospital, has been caring for the healthcare needs of our community. We are guided by our mission to make healthcare available, affordable, and accessible to all, regardless of ability to pay.According to the New Hampshire Behavioral Risk Factor Surveillance System, in 2007-2008, significantly fewer adults in LRGHealthcare's service area had health insurance coverage than other areas in the state: While 89% of adults in the State of New Hampshire reported having health coverage, only 77.3% of adults in the LRGH service area, and 79.6% of adults in the FRH service area reported having any health coverage. The majority of LRGHealthcare's Community Benefit is 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. While our Critical Access Designation at our FRH campus does help to offset this, we have a disproportionately high percentage of Medicaid patients throughout our service area, which creates significant financial challenges due to the shortfall in Medicaid reimbursement	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: HEALTHCARE FINANCIAL COUNSELING AND ASSISTANCELRGHealthcare's mission is to make quality healthcare available, affordable, and accessible to all, regardless of 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!	PatientEducationAssistance
Community Information	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.	CommunityInformation
Community Building Activities	Part VI, Line 5: Community Building Activities - $88,367LRGHealthcare works in partnership with a number of local organizations and initiatives to strengthen and develop our community. In addition to our financial contributions, senior executives and Board members are active participants in a number of economic development initiatives, including the Belknap County Economic Development Council and the Choose Franklin community building initiative.LRGHealthcare has been a key member of community safety and support systems enhancement efforts over the past year. We participate in Emergency Preparedness efforts in both Belknap and Merrimack Counties, and actively work with the Lakes Region Partnership for Public Health and Caring Communities Network of the Twin Rivers to address public health initiatives, including injury prevention and obesity prevention, in our community. Our contributions in this area totaled $63,079 in FY 10.We have undertaken a number of initiatives to lessen our environmental footprint through transitioning to environmentally-friendly sterilization materials, expanding our recycling program, and providing a sharps disposal program. We spent $24,688 on environmental improvements last year. Our environmental specialist is also an active participant in the City of Laconia Recycling Committee.For several years we have supported community leadership development through our participation in the Leadership Lakes Region program, which trains 20 future community leaders each year. We have not only sent several employees through each class to assist in their training and engagement in the community (with two in the program last year), but we also provide support for one program day each year at a cost of $600.	CommunityBuildingActivities
Other Information	Part VI, Line 6: Community Health Services $976,997LRGHealthcare 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.We have an active Community Health Education Department, which offered 73 programs and special events and 107 car seat inspections last year, reaching 4,501 people. Our Programs are designed to address identified community needs, including chronic disease prevention and care, obesity (including childhood obesity), and community safety and injury prevention. Program categories include Asthma, Cancer Care, CPR/First Aid, Childbirth and Parent Education, Diabetes, Fitness, General Wellness, Injury Prevention, Nutrition and Weight Management, Seniors, Smoking Cessation, and Women's Health. Two of our staff members acquired special training to offer a Chronic Disease Management program, to empower those living with chronic diseases to achieve better health through lifestyle choices. Last year we also greatly increased our child and maternal health offerings, sending staff out into the community through a number of programs to reach young mothers. In addition to our traditional childbirth education and breastfeeding support programs, we worked with the local Boys & Girls Club to provide childbirth and parenting classes especially for teens.In 2010, both the Laconia and Franklin regions received Healthy Eating, Active Living grants from the Foundation for Healthy Communities. LRGHealthcare has been a vital community partner in these efforts, and staff members have been instrumental in the implementation of grant efforts focused on obesity prevention and reduction. Last year, the Mayor's Drug & Alcohol Task Force was formed, and in September, received a $650,000 Federal Drug-Free Communities grant, which runs over a five year period. LRGHealthcare is also pleased to partner and support this community collaboration.LRGHealthcare funds Ambulance Services for the City of Laconia. Last year we expended $309,457 to fund positions for five paramedics and the EMS liaison to the Laconia Fire Department, who also provides training to EMS providers across the region. We maintain four ambulances, and have one fully staffed ambulance available at all times, with a second available as backup. Last year we responded to 2,182 calls. In addition, the Regional Early Activation Care Team (REACT) program, a new collaboration with local EMS workers and area hospitals, created an integrated system for evaluating heart attack victims in the field, and transporting them directly to the facility that best meets their needs; whether that's a local hospital ER, or a facility with emergency cardiac catheterization capabilities. LRGHealthcare funded training for all EMS personnel, expending $9,835 on advanced cardiac monitoring training to support REACT this year.Healthcare Support Services are vital to our mission of ensuring that healthcare is available, affordable, and accessible to all in our community. Our largest contribution in this area is our HealthLink Program, which is our community's "front door" to health information and services. This program also ensures that those without insurance have access to the primary and specialty services they need. Last year we enrolled 3,713 people in the HealthLink program, and assisted nearly 500 walk-in customers per month. We expended $245,558 on enrollment staff, and another $101,959 on community care management through this program. LRGHealthcare also still 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 338 Veterans and their families. Operating under the umbrella of HealthLink, we supported this program at a cost of $27,900 last year. Our Medication Connection program ($24,919) helps patients in need access pharmaceutical company programs offering free or reduced-cost medications that those patients otherwise could not afford. During FY 2010, the Medication Connection served 400 clients. As the economic climate continued to decline, the number of referrals to the program greatly increased, and during FY 10 prescriptions ordered totaled 4,400. These prescriptions were valued at $1.8 million.In 2010, LRGHealthcare began participating in the New Hampshire Colorectal Screening Program. Through this program, a number of patients who met financial guidelines were able to receive free screening colonoscopies. While clinical services were grant funded, several of our staff members spent extensive time on both provider and community education, enrollment, and management of this program. Health Professions Education $378,093LRGHealthcare is committed to helping build the healthcare workforce of tomorrow not only for our organization, but for our society. 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 participate in a number of programs to provide opportunities for students interested or engaged in healthcare careers.LRGHealthcare provides 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; 215 students participated in clinical activities at LRGHealthcare last year. 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 39 participated in informational interviews or observations, to assist them in their career decision-making processes. LRGHealthcare invested $53,359 to make these opportunities available.We also provide funding for educational programs in a number of health professions. Our TuitionLink Program, which provides funding to those enrolled in healthcare education career programs in exchange for a commitment of employment, served 5 area students this past year at a cost of $46,698. Last year, we also partnered with Lakes Region Community College's Nursing program at a cost of $226,125. In 2010, we welcomed eight third-year osteopathic medical students from the University of New England, who completed multiple rotations in our hospitals and practices. While we were reimbursed for some program costs, we expended an additional $51,911.The city of Laconia is Federally-designated as a Medically Underserved community; and Belknap County is designated as a Physician Scarcity Area. LRGHealthcare works hard to combat these challenges. Physician recruitment is a primary job responsibility of both our CEO and our Vice President of Provider Relations.Looking ForwardDespite difficult financial times, LRGHealthcare has always been, and will continue to be, committed to our community benefit activities. Over the next year, added emphasis will be placed on the following programs:In 2010, LRGHealthcare, in partnership with local insurance broker Melcher & Prescott, launched the GPS Program. The goal of the program is to keep health coverage affordable in our community. GPS offers local businesses the opportunity to save money on their healthcare costs and offers their employees the opportunity to save on their co-pays and deductibles for care received at LRGHealthcare facilities and through our providers. In order to provide this program, which helps keep provision of health benefits affordable for local businesses, and ensures convenient access to quality, affordable care for community members, LRGHealthcare is passing along savings associated with the collection of these deductibles and co pays to the patient by securing payment at the time of service. We anticipate a growing investment in this program in 2011. LRGHealthcare has begun working with regional EMS departments to help support them in their education and re-certification, cost recovery and compliance, clinical CQI, and central purchasing efforts. With rising costs, communities throughout our service area are finding it increasingly difficult to maintain strong EMS programs. By leveraging group purchasing opportunities, providing other business operations assistance, and offering the expertise and support of personnel within LRGHealthcare's system, we are helping to maintain a vibrant emergency service throughout our service area.	OtherInformation
Reports Filed With States	NH	ReportsFiledWithStates

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
453385	0	0	0	2262	0	13289	0	18148	0	487084	0	0	0
GLENN FUSONIE PHYSICIAN
304778	0	0	0	0	0	8681	0	18731	0	332190	0	0	0
VERCIN EPHREM PHYSICIAN
292643	0	0	0	0	0	8453	0	19729	0	320825	0	0	0
HENRY D LIPMAN
233012	0	0	0	1135	0	11838	0	23694	0	269679	0	0	0
PETER WALKLEY
232590	0	0	0	0	0	10694	0	19633	0	262917	0	0	0
SAMUEL ALDRIDGE
318543	0	0	0	0	0	11586	0	2197	0	332326	0	0	0
JOHN VIGNATI
307431	0	0	0	0	0	11271	0	17633	0	336335	0	0	0
ELIZA DEERY
241034	0	66706	0	0	0	11247	0	16620	0	335607	0	0	0
MICHELE J GAIER RUSH
281060	0	185389	0	0	0	8849	0	2600	0	477898	0	0	0
KASRA DJALAYER
240081	0	66891	0	0	0	8396	0	6639	0	322007	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 4a

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 $531.

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	2010-12-09	DateIssued
Issue Price	143520000	IssuePrice
Description Of Purpose	CAPITAL PROJECTS AND REFINANCING	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	146869869	TotalProceeds
Amount In Reserve Fund	11785000	AmountInReserveFund
Amount Unspent	57280488	AmountUnspent
Issuance Costs From Proceeds	2713902	IssuanceCostsFromProceeds
Capital Expenditures	17610205	CapitalExpenditures
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	1	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 (3 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 THE CHAIRMAN OF THE BOARD OF DIRECTORS.	0
MELISSA ROWLEY-LIPMAN
EMPLOYED RESPIRATORY THERAPIST DEPT LRGH	24847	WAGES PAID BY LRGHEALTHCARE. SHE IS THE WIFE OF THE EXECUTIVE VICE-PRESIDENT/CFO.	0
CAROL WALKLEY
EMPLOYED CARDIAC REHAB DEPT LRGH	36032	WAGES PAID BY LRGHEALTHCARE. SHE IS THE WIFE OF THE CHIEF OF STAFF.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 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 THE ORGANIZATION'S TAX ACCOUNTANTS. 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.
Form 990, Part VI, Section B, line 12c	A COPY OF LRGHEALTCARE'S CONFLICT OF INTEREST POLICY IS DISTRIBUTED ANNUALLY TO ALL OFFICERS, TRUSTEES, MEDICAL STAFF OFFICERS AND COMMITTEE MEMEBERS, 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 15	THE CEO'S COMPENSATION AND BENEFITS ARE REVIEWED, ADJUSTED AND VOTED UPON BY THE FULL BOARD ANNUALLY. THE BOARD OF TRUSTEES USES COMPARATIVE DATA PROVIDED BY A CONSULTANT WHO SURVEYS COMPENSATION FOR HEALTHCARE EXECUTIVES IN THE NEW HAMPSHIRE AND BROADER NEW ENGLAND AREA. SURVEY DATA FROM 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 DISUSSIONS 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 C, line 19	LRGHEALTHCARE FILES AUDITED FINANCIAL STATEMENTS ANNUALLY WITH THE NEW HAMPSHIRE ATTORNEY GENERAL'S CHARITABLE TRUST UNIT. CURRENT COPIES OF THE BYLAWS, CONFLICT OF INTEREST POLICY AND FORM 990 ARE ON FILE WITH THE CHARITABLE TRUST UNIT.
	THE AUDIT COMMITTEE HAS OVERSIGHT OF THE ANNUAL AUDIT AND SELECTS THE INDEPENDENT ACCOUNTANT. THERE HAVE BEEN NO CHANGES THIS YEAR.
SCHEDULE R PART V LINE 2	THE ACCRUAL METHOD OF ACCOUNTING WAS USED TO REPORT THE HILLSIDE ASC, LLC RELATED TRANSACTION AMOUNTS AT FAIR MARKET VALUE.	HILLSIDE ASC, LLC RELATED TRANSACTIONS
SCHEDULE H PART VI 6	Last year, LRGHealthcare began participating in the New Hampshire Colorectal Screening Program. Through this program, a number of patients who met financial guidelines were able to receive free screening colonoscopies. While clinical services were grant funded, several of our staff members spent extensive time on both provider and community education, enrollment, and management of this program. Given the prevalence of colorectal cancer in our community, we look forward to expanding our involvement in, and promotion of, this program to help more people access screening services. LRGHealthcare is in the process of building a 98,000 square-foot addition at our LRGH campus. This addition, projected to be completed in late 2011, will expand our ICU and eldercare capacity to help meeting the growing needs of our aging population; and will provide the space to enable us to transition to single-patient room care facility-wide. Single patient rooms will enhance privacy, quality, comfort, and enable us to better meet today's infection control standards for our community. In 2011, LRGHealthcare will be rolling out a newly revamped Speaker's Bureau, offering local civic groups and businesses speakers to address a broad range of healthcare topics. These programs will be made available free-of-charge for not-for-profit groups. This coming year, we anticipate a growing involvement in both the Healthy Eating, Active Living grants from the Foundation for Healthy Communities; and the Federal Drug-Free Communities grant received by the Franklin Mayor's Drug & Alcohol Task Force. LRGHealthcare is an instrumental partner in implementing programs in support of these efforts in both the Lakes and Three Rivers regions. In January, 2011, LRGHealthcare consolidated our Laconia-based pediatric services in order to provide expanded access to care for families in our service area. This consolidation will increase appointment availability, lowering emergency department utilization for children in our community.	CONTINUATION
FORM 990, PART VIII, LINE 11 (C)	THE LOSS ON TERMINATED SWAPS WAS $11,037,500 WHICH WAS PAID OFF BEFORE OUR HUD BOND DEBT REFINANCING OF $143,520,000. THE LOSS OCCURED BECAUSE OF CHANGING MARKET CONDITIONS AND ACCUMULATED FROM THE 2006 BOND DEBT FINANCING AS UNREALIZED SWAP LOSSES UNTIL IT WAS PAID OFF.	LOSS ON TERMINATED SWAPS
FROM 990, PAGE 8, PART VII, SECTION B	THROUGH A PROFESSIONAL SERVICES ARRANGEMENT LACONIA CLINIC IS A MAJOR PRODUCER OF REVENUE. LRGHEALTHCARE HAS NO OWNERSHIP OR BOARD MEMEBERSHIP IN LACONIA CLINIC PROFESSIONAL CORPORATION OR LACONIA CLINIC PROPERTIES, INC. LACONIA CLINIC HAS A SEPERATE FEDERAL TAX ID NUMBER FOR REPORTING PURPOSES.	LACONIA CLINIC

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	391361	ShareOfTotalIncome
Share Of EOY Assets	879644	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner

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
HILLSIDE ASC LLC
D	500000
HILLSIDE ASC LLC
J	111280
HILLSIDE ASC LLC
N	615706
HILLSIDE ASC LLC
P	436749