CONCORD HOSPITAL - LACONIA: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CONCORD HOSPITAL - LACONIA (EIN 85-1443782)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-07-26
- IRS object ID
- 202332079349300918
- Schema version
- 2021v4.2
- 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 H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-07-26T09:54:37-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 851443782 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital - Laconia | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONC | BusinessNameControlTxt |
| Phone | 6032284677 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033017559 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Sloane | PersonNm |
| Person Title | Senior VP, CFO, & Treasurer | PersonTitleTxt |
| Phone | 6032284677 | PhoneNum |
| Signature | 2023-07-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Scott | PersonFirstNm |
| Person Last | Sloane | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2023-07-05 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert P Steigmeyer | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033017559 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $143,628,883 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://concordhospital-laconia.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 1296 | TotalEmployeeCnt |
| Total Volunteers | 26 | TotalVolunteersCnt |
| Total Gross UBI | $21,900 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $20,900 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $323,359 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,298,980 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $52,789,567 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $141,094,010 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,825 | PYInvestmentIncomeAmt |
| CY Investment Income | $156,528 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,131 | PYOtherRevenueAmt |
| CY Other Revenue | $79,365 | CYOtherRevenueAmt |
| PY Total Revenue | $53,154,882 | PYTotalRevenueAmt |
| CY Total Revenue | $143,628,883 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $250 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,195,845 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $94,578,601 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $278,967 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,500,929 | PYOtherExpensesAmt |
| CY Other Expenses | $59,448,545 | CYOtherExpensesAmt |
| PY Total Expenses | $60,696,774 | PYTotalExpensesAmt |
| CY Total Expenses | $154,027,396 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,541,892 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,398,513 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,420,745 | TotalAssetsBOYAmt |
| Total Assets EOY | $62,507,843 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,069,700 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,511,070 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,351,045 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,996,773 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CH-Laconia is a charitable organization which exists to meet the health needs of individuals within the communities it serves. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $129,564,604 | ExpenseAmt |
| Grant | $250 | GrantAmt |
| Revenue | $141,094,010 | RevenueAmt |
| Desc | Various hospital services; see Schedule H.In FYE 2022, CH-L invested nearly $20 million in community benefit programs, services, and other expenses. The largest areas of support were charitable care services and subsidized programs and services. Our investment enhances the Hospital's ability to provide quality patient care, respond to identified community health needs and address the Hospital's charitable mission overall. | Desc |
| Total Program Service Expenses | $129,564,604 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 92 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1296 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Sloane Senior VP CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032277000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1Txt |
| City | Concord | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 033017539 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert Steigmeyer | |||||||||
| President & CEO; Ex-Officio | 1.00 | 62.00 | Yes (X) | Yes (X) | $0 | $1,415,834 | $270,620 | ||
| Sol Asmar | |||||||||
| Trustee | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Segal | |||||||||
| Trustee | 1.00 | 7.00 | Yes (X) | $0 | $0 | $0 | |||
| Philip Emma | |||||||||
| Chair | 1.00 | 7.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Manisha Patel DDS | |||||||||
| Vice Chair | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| William Chapman Esq | |||||||||
| Secretary | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Scott Sloane | |||||||||
| Treasurer | 1.00 | 62.00 | Yes (X) | $0 | $620,216 | $138,222 | |||
| Matthew Gibb | |||||||||
| Chief Clinical Officer | 1.00 | 51.00 | $0 | $857,617 | $109,187 | Yes (X) | |||
| Kevin Donovan CAO | |||||||||
| Chief Administrative Off. (end 3/22) | 29.00 | 13.00 | $0 | $276,524 | $12,725 | Yes (X) | |||
| Vercin Ephrem MD | |||||||||
| President Medical Staff | 29.00 | 13.00 | $248,306 | $0 | $22,178 | Yes (X) | |||
| Tajammul Shafique MD | |||||||||
| Physician | 50.00 | 0.00 | $402,908 | $0 | $20,258 | Yes (X) | |||
| Raza M Shariff MD | |||||||||
| Physician | 50.00 | 0.00 | $393,960 | $0 | $22,510 | Yes (X) | |||
| Christopher Weinmann MD | |||||||||
| Physician | 50.00 | 0.00 | $355,544 | $0 | $20,789 | Yes (X) | |||
| Fredderic Fernholz MD | |||||||||
| Physician | 50.00 | 0.00 | $277,298 | $0 | $17,701 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,678,016 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,170,191 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $634,190 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CMG CIT Acquisition LLC | |||||
| 655 South Willow Street Suite 128 | Manchester | NH | 03103 | Health care staffing | $2,126,089 |
| EM Staff LLC | |||||
| 36 Coventry Road | Concord | NH | 03301 | Health care staffing | $153,906 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,083,227 | RelatedOrganizationsAmt |
| Government Grants | $215,753 | GovernmentGrantsAmt |
| Total Contributions | $2,298,980 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient services | 621400 | $131,709,876 | $131,709,876 |
| Disproportionate share funding | 621400 | $7,950,000 | $7,950,000 |
| Hospital auxiliary services | 621400 | $684,258 | $684,258 |
| Food services | 722210 | $389,860 | $389,860 |
| Pharmacies | 446110 | $360,016 | $360,016 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $141,094,010 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,328 | TotalRevenueColumnAmt |
| Exclusion | $148,328 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,465 | RealAmt |
| Personal | $21,900 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,465 | RealAmt |
| Personal | $21,900 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,365 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $21,900 | UnrelatedBusinessRevenueAmt |
| Exclusion | $57,465 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,200 | TotalRevenueColumnAmt |
| Exclusion | $8,200 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,628,883 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $141,094,010 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $21,900 | UnrelatedBusinessRevenueAmt |
| Exclusion | $213,993 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250 | TotalAmt |
| Program Services | $250 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,357,287 | TotalAmt |
| Program Services | $64,292,168 | ProgramServicesAmt |
| Management And General | $11,948,833 | ManagementAndGeneralAmt |
| Fundraising | $116,286 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,569,376 | TotalAmt |
| Program Services | $1,321,370 | ProgramServicesAmt |
| Management And General | $245,610 | ManagementAndGeneralAmt |
| Fundraising | $2,396 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,760,003 | TotalAmt |
| Program Services | $9,901,585 | ProgramServicesAmt |
| Management And General | $1,840,465 | ManagementAndGeneralAmt |
| Fundraising | $17,953 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,891,935 | TotalAmt |
| Program Services | $4,118,869 | ProgramServicesAmt |
| Management And General | $765,598 | ManagementAndGeneralAmt |
| Fundraising | $7,468 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Management And General | $20,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,768 | TotalAmt |
| Management And General | $28,768 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Management And General | $50,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,117 | TotalAmt |
| Management And General | $4,117 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,571,167 | TotalAmt |
| Program Services | $13,592,021 | ProgramServicesAmt |
| Management And General | $3,899,488 | ManagementAndGeneralAmt |
| Fundraising | $79,658 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,850 | TotalAmt |
| Program Services | $2,456 | ProgramServicesAmt |
| Management And General | $391 | ManagementAndGeneralAmt |
| Fundraising | $3 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,768,586 | TotalAmt |
| Program Services | $1,524,013 | ProgramServicesAmt |
| Management And General | $242,541 | ManagementAndGeneralAmt |
| Fundraising | $2,032 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $492,919 | TotalAmt |
| Program Services | $424,755 | ProgramServicesAmt |
| Management And General | $67,598 | ManagementAndGeneralAmt |
| Fundraising | $566 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,115,226 | TotalAmt |
| Program Services | $4,407,856 | ProgramServicesAmt |
| Management And General | $701,493 | ManagementAndGeneralAmt |
| Fundraising | $5,877 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,624 | TotalAmt |
| Program Services | $172,881 | ProgramServicesAmt |
| Management And General | $27,513 | ManagementAndGeneralAmt |
| Fundraising | $230 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,680 | TotalAmt |
| Program Services | $47,118 | ProgramServicesAmt |
| Management And General | $7,499 | ManagementAndGeneralAmt |
| Fundraising | $63 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,683 | TotalAmt |
| Program Services | $1,129 | ProgramServicesAmt |
| Management And General | $536 | ManagementAndGeneralAmt |
| Fundraising | $18 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,202,982 | TotalAmt |
| Program Services | $2,148,818 | ProgramServicesAmt |
| Management And General | $1,020,202 | ManagementAndGeneralAmt |
| Fundraising | $33,962 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,656,928 | TotalAmt |
| Program Services | $1,427,796 | ProgramServicesAmt |
| Management And General | $227,228 | ManagementAndGeneralAmt |
| Fundraising | $1,904 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Drugs/medical supplies | $14,428,516 | $12,433,238 | $1,995,278 | |
| NH MET | $5,763,619 | $5,763,619 | ||
| Provision for bad debts | $5,422,254 | $5,422,254 | ||
| Repairs/maintenance | $2,763,296 | $1,786,582 | $967,197 | $9,517 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,330 | TotalAmt |
| Program Services | $775,826 | ProgramServicesAmt |
| Management And General | $123,470 | ManagementAndGeneralAmt |
| Fundraising | $1,034 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,027,396 | TotalAmt |
| Program Services | $129,564,604 | ProgramServicesAmt |
| Management And General | $24,183,825 | ManagementAndGeneralAmt |
| Fundraising | $278,967 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,721 | BOYAmt |
| EOY | $8,134 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,093,380 | BOYAmt |
| EOY | $16,556,957 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,090,718 | BOYAmt |
| EOY | $23,073,753 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,446,512 | BOYAmt |
| EOY | $1,175,574 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,841,177 | BOYAmt |
| EOY | $1,795,163 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,204,998 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,592,111 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,727,074 | BOYAmt |
| EOY | $17,612,887 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,285,234 | BOYAmt |
| EOY | $2,260,375 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,733,333 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,189,596 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,420,745 | BOYAmt |
| EOY | $62,507,843 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,592,627 | BOYAmt |
| EOY | $6,814,671 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,920 | BOYAmt |
| EOY | $1,513,596 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,377,153 | BOYAmt |
| EOY | $16,182,803 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,069,700 | BOYAmt |
| EOY | $24,511,070 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,794,037 | BOYAmt |
| EOY | $35,716,397 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,557,008 | BOYAmt |
| EOY | $2,280,376 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,351,045 | BOYAmt |
| EOY | $37,996,773 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,420,745 | BOYAmt |
| EOY | $62,507,843 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$10,398,513 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$309,929 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $14,354,170 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $14,055 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $14,055 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Concord Hospital - Laconia was a member of the American Hospital Association in the fiscal year ended 9/30/2022. A portion of the dues paid to the Association was likely available for lobbying expenditures on behalf of Concord Hospital - Laconia and the other member organizations in furtherance of their exempt purposes. For the tax period covered by this Schedule C, Concord Hospital - Laconia estimates that, of $53,097 in total dues paid to the Association, approximately $14,055 (26.47%) may have been available for lobbying purposes and expenditures. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,967,767 | BeginningYearBalanceAmt |
| Contributions | $589,241 | ContributionsAmt |
| Investment Earnings Or Losses | -$236,590 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $35,925 | OtherExpendituresAmt |
| Administrative Expenses | $4,117 | AdministrativeExpensesAmt |
| End Year Balance | $2,280,376 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $1,967,767 | ContributionsAmt |
| End Year Balance | $1,967,767 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.86840 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.13160 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $699,774 | OtherCostOrOtherBasisAmt |
| Book Value | $699,774 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,170,782 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,237,903 | DepreciationAmt |
| Book Value | $7,932,879 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,872,574 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,354,208 | DepreciationAmt |
| Book Value | $4,518,366 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,461,868 | OtherCostOrOtherBasisAmt |
| Book Value | $4,461,868 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,612,887 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliates | $7,614,382 |
| Pension and Retirement Obligations | $4,635,648 |
| Third Party Settlements and Medicare Liabilities | $3,932,773 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,182,803 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | On May 1, 2021, Concord Hospital, Inc., the sole member of Concord Hospital - Laconia, acquired certain assets of LRGHealthcare, which included the hospitals that became Concord Hospital - Laconia and Concord Hospital - Franklin, and their ambulatory sites. As part of this acquisition, Concord Hospital, Inc. also acquired LRGHealthcare's existing endowments, which were subsequently divided and allocated to the two new hospital-entities. The majority of the funds received by Concord Hospital - Laconia as part of the acquisition of LRGHealthcare are restricted for the use of providing discounted and/or free medical care. Concord Hospital - Laconia's Board also has the ability to designate and set aside unrestricted endowment funds to be used for general hospital and healthcare operations as the Board sees fit and for the furtherance of Concord Hospital - Laconia's mission. |
| Part X, Line 2: | The Hospital, CH-Laconia, CH-Franklin, CRHCDC, CRHVC, and the Trust 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. NHC New Hampshire Cares ACO is organized as a single member limited liability company and has elected to be treated as a disregarded entity for federal and state income tax reporting purposes. Accordingly, all income or losses and applicable tax credits are reported on the member's income tax returns, with the exception of taxes due to the State of New Hampshire. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying consolidated financial statements. GSIE, NHC, CH-ACO and CEC account for income taxes in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes. FASB ASC 740 is an asset and liability method, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the tax and financial reporting basis of certain assets and liabilities. Resulting income tax expense and the temporary differences between the tax and financial reporting basis are not material. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 837 | PersonsServedCnt |
| Total Community Benefit Expns | $374,164 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $374,164 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,921,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,428,771 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,492,504 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 837 | PersonsServedCnt |
| Total Community Benefit Expns | $21,295,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,428,771 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,866,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03950 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 1929 | PersonsServedCnt |
| Total Community Benefit Expns | $267,189 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $267,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 36 | PersonsServedCnt |
| Total Community Benefit Expns | $292,202 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $143,658 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $148,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1105 | PersonsServedCnt |
| Total Community Benefit Expns | $22,882,334 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,566,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,315,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08960 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $357,393 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $357,393 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00240 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 3070 | PersonsServedCnt |
| Total Community Benefit Expns | $23,799,118 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,710,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,088,949 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 3907 | PersonsServedCnt |
| Total Community Benefit Expns | $45,094,557 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,138,940 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,955,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13430 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,923 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,923 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,923 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,966,652 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $210,432 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $59,682,247 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $74,461,909 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,779,662 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital - Laconia | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 Highland Street | AddressLine1Txt |
| City | Laconia | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03246 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://concordhospital-laconia.org/ | WebsiteAddressTxt |
| State License | 04500 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital - Laconia | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Concord Hospital - Laconia | Part V, Section B, Line 2: On May 1, 2021, Concord Hospital, Inc. acquired certain assets of LRGHealthcare, which included the hospitals that became Concord Hospital - Laconia and Concord Hospital - Franklin, and their ambulatory sites, expanding Concord Hospital, Inc.'s primary service area north of Concord, New Hampshire, into Belknap, Carroll and Grafton Counties. See page 19 of the attached audited financial statements for further information on this acquisition.Concord Hospital - Laconia (CH-Laconia) is a not-for-profit corporation formed to operate a licensed hospital providing inpatient, outpatient, emergency care and physician services for residents within its geographic region of Laconia, New Hampshire. The CH-Laconia facility includes 137 acute care beds and was designated a Rural Referral Center in 1986, and a Sole Community Hospital in 2009. Admitting physicians are primarily practitioners in the local area. CH-Laconia is wholly-owned and controlled by Concord Hospital, Inc.IRC Section 501(r) states that a licensed Hospital Facility is to conduct and publish a Community Health Needs Assessment (CHNA) by the last day of its second taxable year beginning after the date on which the hospital facility was acquired. Accordingly, CH-Laconia is not in violation of 501(r) by not having a CHNA published by the time of this filing. CH-Laconia will complete and file its first CHNA in conjunction with Concord Hospital in 2023. |
| Concord Hospital - Laconia | Part V, Section B, Line 16j: The Hospital includes information about charitable care services in many publications that go to the community. In addition, we collaborate with many community organizations that support vulnerable populations, including low-income individuals and families; our financial assistance program is well understood by those agencies who often refer people to the program. The Hospital's Financial Assistance Policy is available online in English, and is able to be translated to other languages on the Concord Hospital, Inc. and Concord Hospital - Laconia websites. |
| Concord Hospital - Laconia | Part V, Section B, Line 20e: Concord Hospital-Laconia follows Concord Hospital, Inc.'s financial, billing, and collection policies. Concord Hospital, Inc. is a charitable organization which exists to meet the health needs of individuals within the community it serves. It is the established policy of Concord Hospital, Inc. to provide services on the sole basis of the medical necessity of such services as determined by the medical staff without reference to race, color, ethnicity, national origin, sexual orientation, marital status, religion, age, gender, disability, or inability to pay for such services. As such, patients requiring urgent or emergent services shall not be denied those services based on ability to pay. Concord Hospital, Inc. has a generous financial assistance program. Individuals who cannot afford to pay for their medical care are encouraged to apply for financial assistance. Financial assistance is available to individuals who are uninsured and for those individuals who have insurance, but cannot afford their out-of-pocket costs such as co-payments, co-insurance, and deductibles.In addition to the efforts taken as indicated in Schedule H, Part V, Lines 20a through 20c, the Hospital also takes additional measures to ensure that patients eligible for financial assistance do not have an Extraordinary Collection Action (ECA) levied against them. Each month, the Hospital reviews accounts prelisted for bad debt for potential referral to a collection attorney. Concurrent to referring the account(s) to the collection attorney, the manager of customer service or designee will provide the financial assistance supervisor a copy of the list of individuals and accounts to be referred. The financial assistance supervisor or designee will attempt to orally notify each responsible party of the availability of financial assistance and the application process. The financial assistance supervisor or designee will record in account notes the date and outcome of the call.Concurrent to referring the account(s) to a collection attorney, the supervisor of customer service or designee will send a written notice to the responsible party. This notice will include the following information:- Statement that account(s) are being placed with collection attorney- Statement of the ECA(s) that may be initiated- Deadline that the ECA(s) may be initiated, which will be no sooner than 120 days passed the mailing date of the first statement or 30 days passed the mailing date of the initiation notice, whichever is later - Statement that financial assistance is available and where to find the financial assistance policy and applicationThe supervisor of customer service or designee will record in account notes the date the notice was mailed. He or she will also send a copy of the notice to be scanned to the patient's account(s).Prior to engaging in any legal or collection action, the collection attorney must receive written approval from the supervisor of customer service, manager of customer service, or director of patient financial services. These individuals may only authorize legal action if all of the following conditions are met:- The collection attorney has no reason to believe the responsible party is unable to pay the debt.- AND at least 120 days have passed since the mailing date of the first statement- AND at least 30 days have passed since the mailing date of the initiation notice- AND account notes indicate that the Hospital has made at least one attempt to orally notify the individual about the financial assistance policy. |
| Schedule H, Part V, Section B, Line 16a-c: | The Hospital's Financial Assistance Policy, Application, and Plain Language Summary can be found online at:Financial Assistance Policy:https://www.concordhospital.org/app/files/public/2d417ffa-2ff1-4b62-bc42-0e382158c9ad/Financial-Assistance-Policy.pdf Financial Assistance Application: https://www.concordhospital.org/app/files/public/f3479f85-0e7e-4118-9180-93170a02643c/Financial-Assistance-Application.pdf Plain Language Summary:https://www.concordhospital.org/app/files/public/eab7d7b2-fdc7-471c-b1f3-dbd157ca5231/Plain%20Language%20Summary%20of%20Financial%20Assistance%20Policy.pdfYou can also visit the Concord-Hospital Laconia's Patient Financial Services page at the URL below, and select the link to the Financial Assistance Policy, Financial Assistance Application, or the Plain Language Summary on the right. https://concordhospital-laconia.org/patient-financial-services/ |
| Schedule H, Part I, Line 6a-6b: | The Community Benefits Report (2022 Charitable Achievements) for Concord Hospital - Laconia is available on Concord Hospital's website at the following address:https://www.concordhospital.org/about-us/charitable-achievements-and-health-needs-assessment/The report is also available on the State of New Hampshire's Department of Justice, Office of the Attorney General, Charitable Trusts Unit website.The Charitable Achievements Inventory and Valuation report is included in the Concord Hospital-Laconia and Concord Hospital-Franklin combined Annual Report. The Report is available on Concord Hospitals' websites, which community members were made aware of via newspaper ads and direct mail pieces sent to homes. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 25 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CH Primary Care - Meredith | ||||
| 238 Daniel Webster Highway | Meredith | NH | 032535803 | Outpatient services |
| 2 - CH Primary Care - Belmont | ||||
| 8 Corporate Drive | Belmont | NH | 032203103 | Outpatient services |
| 3 - CH Pediatrics - Belmont | ||||
| 8 Corporate Drive | Belmont | NH | 032203103 | Pediatrics |
| 4 - CH Obstetrics and Gynecology - Laconia | ||||
| 734N Main Street | Laconia | NH | 032462777 | Outpatient services |
| 5 - CH Primary Care - Gilford | ||||
| 14 Maple Street | Gilford | NH | 032496578 | Outpatient services |
| 6 - CH Internal Medicine - 85 Spring St | ||||
| 85 Spring Street | Laconia | NH | 032463113 | Outpatient services |
| 7 - CH Wound Healing - Laconia | ||||
| 85 Spring Street | Laconia | NH | 032463113 | Outpatient services |
| 8 - CH Primary Care - Laconia | ||||
| 85 Spring Street | Laconia | NH | 032463113 | Outpatient services |
| 9 - CH General Surgery - Gilford | ||||
| 25 Country Club Road Unit 702 | Gilford | NH | 032496932 | Surgical services |
| 10 - CH Recovery Clinic - Gilford | ||||
| 14 Maple Street | Gilford | NH | 032496580 | Recovery services |
| 11 - CH OccupationalEE Health - Lacocia | ||||
| 14 Maple Street Suite 120 | Gilford | NH | 032496578 | Outpatient services |
| 12 - CH Pulmonary and Critical Care Medicine | ||||
| 85 Spring Street | Laconia | NH | 032463113 | Outpatient services |
| 13 - CH Sleep Center - Gilford | ||||
| 14 Maple Street 200 | Gilford | NH | 032496580 | Outpatient services |
| 14 - CH Weight Institute of NH - Laconia | ||||
| 85 Spring Street Suite 502 | Laconia | NH | 032463113 | Outpatient services |
| 15 - CH Endocrinology - Laconia | ||||
| 724N Main Street | Laconia | NH | 032462742 | Outpatient services |
| 16 - CH General Surgery - Laconia | ||||
| 724N Main Street | Laconia | NH | 032462742 | Surgical services |
| 17 - CH Internal Medicine - 724 N Main St | ||||
| 724N Main Street | Laconia | NH | 032462742 | Outpatient services |
| 18 - CH Neurology - Laconia | ||||
| 724N Main Street | Laconia | NH | 032462742 | Outpatient services |
| 19 - CH Podiatry - Laconia | ||||
| 724N Main Street | Laconia | NH | 032462742 | Outpatient services |
| 20 - CH Rheumatology - Laconia | ||||
| 724N Main Street | Laconia | NH | 032462742 | Outpatient services |
| 21 - CH Urologic Institute - Laconia | ||||
| 724N Main Street | Laconia | NH | 032462742 | Urology services |
| 22 - CH Urologic Institute - Wolfeboro | ||||
| 240 South Main Street | Wolfeboro | NH | 038941632 | Urology services |
| 23 - CH Dental Center - Laconia | ||||
| 29 Elliot Street | Laconia | NH | 032463235 | Outpatient services |
| 24 - CH Orthopedics - Laconia | ||||
| 80 Highland Street | Laconia | NH | 032463246 | Outpatient services |
| 25 - CH Pharmacy Center - Laconia | ||||
| 724N Main Street | Laconia | NH | 03246 | Pharmacy (closed) |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and those who may be faced with chronic health conditions. Many of these activities also ensure access to needed health services, which might otherwise not be available without subsidization. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,422,254. |
| Part II, Community Building Activities: | In 2022, Concord Hospital-Laconia's Community Building Activities focused on responding to the pandemic and emergency preparedness. Concord Hospital-Laconia continued to support community building activities through organizational and employee involvement with Granite United Way, Lakes Region Community Services, Winnipesaukee Public Health Network and recycling/environmental service programs. Concord Hospital-Laconia works with community partners to stay abreast on the status of current health concerns. |
| Part III, Line 2: | The amount reported on Part III, Line 2 was derived by applying the cost to charge ratio against the amount of bad debt expense reported on Form 990, Part IX, Line 25, and Column (A). Accounts Receivable: The allowance for doubtful accounts is provided based on an analysis by management of the collectability of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for doubtful accounts. Accounts are charged against the allowance for doubtful accounts when deemed uncollectible. Charity Care: The Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Hospital does not pursue collection of amounts determined to qualify as charity care, they are not reported as community benefit. The amount on Line 3 is calculated by determining the revenue for all patients that have completed an application for financial assistance and only reporting the amount for those that did not complete the financial assistance process for any number of reasons and were then transferred to bad debt. |
| Part III, Line 3: | See narrative for Part III, Line 2. |
| Part III, Line 4: | See page 12 of the attached audited financial statements. |
| Part III, Line 8: | The Medicare shortfall of $14,779,662 represents the costs of unreimbursed services. In addition, many of the subsidized health services reported on line 7g include some revenue and expenses from services to Medicare patients, Medicare allowable costs on line 6 were determined using the cost to charge ratio methodology. The Hospital has not included its Medicare shortfall as a community benefit in Part I. |
| Part III, Line 9b: | The Hospital has a Financial Assistance policy in addition to, and complementing, the bad debt collection policy. The policy describes the Hospital's program of financial assistance for medically necessary services to individuals and families who are uninsured, underinsured, or who experience a catastrophic healthcare event and do not quality for any other state or federal assistance programs. Patient education of eligibility for assistance is described below in the statement for Part VI, Line 3. |
| Part VI, Line 2: | Every three years, Concord Hospital conducts a comprehensive community health needs assessment, engaging numerous community organizations and health partners in the process, to identify far-reaching health needs faced by people in the communities served by Concord Hospital. Assessment methodologies address both quantitative and qualitative data and include stakeholder interviews, focus groups, community listening sessions, web survey, written surveys, and analysis of various data sets. Assessment results are shared with community members and serve as the basis to develop new or expanded services in response to need. The most recent assessment covered by this tax return was completed in the tax year of 2021. Both the 2021 Community Health Needs Assessment and the 2022-23 Concord Hospital Interim Community Health Action Plan are available on the Hospital's website at: https://www.concordhospital.org/about-us/charitable-achievements-and-health-needs-assessment/. In 2023, Concord Hospital is conducting a system-wide health needs assessment to include Concord Hospital - Concord, Concord Hospital - Laconia and Concord Hospital - Franklin. The results and the corresponding action plan will be presented in late 2023.IRC Section 501(r) states that a licensed Hospital Facility is only required to conduct and publish a Community Health Needs Assessment (CHNA) by the last day of its second taxable year beginning after the date on which the hospital facility was acquired. Accordingly, CH-Laconia is not in violation of 501(r) by not having a CHNA published by the time of this filing. CH-Laconia will complete and file its first CHNA in conjunction with Concord Hospital in 2023, as described above. |
| Part VI, Line 3: | Concord Hospital - Laconia follows the financial assistance procedures and policies of its parent, Concord Hospital, Inc. (the Hospital).The Hospital provides a financial assistance packet including an explanatory program cover sheet and application to all uninsured patients. The Hospital actively meets with all hospitalized patients who are uninsured as well as any patient insured patient who is having difficulty paying for balances after insurance has paid. The Hospital routinely provides information and education regarding other insurance coverage options as well as direct assistance in applying for Medicaid.The Hospital also actively meets with all people who indicate that they do not have insurance or will have difficulty paying their obligations to inform and work with them to understand what local programs are available to them, including how they can benefit from the Hospital's Financial Assistance program. |
| Part VI, Line 4: | Concord Hospital-Laconia serves the region surrounding Laconia, NH. The primary area focuses on 13 towns with a population of more than 64,000. More than 75 percent of the inpatient and Emergency Department discharges from Concord Hospital-Laconia are for patients living in the seven towns that have a combined population of approximately 39,000. The remainder of patients originated from bordering towns; a small percentage were non-NH residents. Communities served include small but growing populations and include low-income, uninsured adults and children. Compared to New Hampshire overall, the service area population has proportionally more senior (about 22 percent over 65 compared to about 18 percent in NH overall). The service area has a similar proportion of children and youth compared to the state (18 percent under 18 compared to 19 percent in NH overall) ranging from about 11.5 percent of Sandwich residents to approximately 23 percent in Ashland. Additionally, the region overall has a higher proportion of family households with children that are headed by single parents (33.9 percent compared to 28.3 percent for NH) and individuals with a disability (16.4 percent compared to 12.8 percent for NH). 8.9 percent of the population in the Lakes region lived at or below 100% of the Poverty Level. Based on 2020 data for Belknap County 6.6 percent of the population is uninsured and 14.7 percent of the population enrolled in Medicaid. Medically Underserved Areas and Populations (MUA/Ps) are designated by the Health Resources and Services Administration based on an "Index of Medical Underservice." The low income population of the Franklin Service Area (rural areas of Belknap, Grafton, and Merrimack counties) was identified as a primary care MUP. |
| Part VI, Line 5: | Concord Hospital - Laconia develops programs and services to address Community health needs and invests in initiatives that align with the Hospital's charitable mission. A reasonable amount of Concord Hospital - Laconia's community benefit investment remains in the area of charitable care to ensure that those without insurance or with limited insurance have access to needed medical care. The Hospital strives to address the needs of vulnerable populations, including our low-income neighbors and other vulnerable populations.Prior to Concord Hospital, Inc.'s acquisition of the hospital facility in Laconia, during the period September through December 2020, an assessment of community health needs in the Lakes Region of New Hampshire region was completed by a collaborative of four organizations serving the region including Central New Hampshire VNA & Hospice, HealthFirst Family Care Center, LRGHealthcare and the Partnership for Public Health. This assessment was called the 2020 Lakes Region Community Needs Assessment Survey.According to the 2020 Lakes Region Community Needs Assessment Survey, the percentage of adults in the region aged 18 and older who self-report that they do not have at least one person who they think of as a person doctor or health care providers is 9.3 percent, as compared to the state average of 12.5 percent. Because access to primary care is so critical, Concord Hospital - Laconia continues to subsidize primary care practices located throughout the towns and cities they serve. The Hospital also continues to provide support for the federally qualified health center system in the region, HealthFirst. Similarly, the FY 2020 Lakes Region Community Needs Assessment also revealed that the percentage of adults in the region that the combined Concord Hospital-Laconia and Concord Hospital-Franklin serves who report that they have visited a dentist, dental hygienist or dental clinic within the past year was 70.8 percent, compared to 72.0% for the state overall. Availability of mental health services and substance misuse programs (prevention, treatment and recovery) remains a high priority identified by all needs assessment survey modalities. The Hospital's Substance Use services, Emergency Behavioral Health services and Laconia Dental Clinic ensure access to substance use services, mental health and dental care for our region's most vulnerable residents, which address identified community health needs.These achievements are at the heart of the organization's community benefit activity. Beyond that, there is a focus on programs and services that benefit every resident and support that far reaching goal of a healthier community.While this Form 990, Schedule H refers to the Lakes Region Community Needs Assessment, IRC Section 501(r) states that a licensed Hospital Facility is only required to conduct and publish a Community Health Needs Assessment (CHNA) by the last day of its second taxable year beginning after the date on which the hospital facility was acquired. Accordingly, CH-Laconia is not in violation of 501(r) by not having a CHNA published by the time of this filing. CH-Laconia will complete and file its first CHNA in conjunction with Concord Hospital in 2023. |
| Part VI, Line 6: | Concord Hospital - Laconia is a part of the Concord Hospital System.Concord Hospital, Inc., (the Hospital) located in Concord, New Hampshire, is a not-for-profit acute care hospital. The Hospital provides inpatient, outpatient, emergency care and physician services for residents within its geographic region. Admitting physicians are primarily practitioners in the local area. Subsidiaries of Concord Hospital are as follows:- Capital Region Health Care Development Corporation (CRHCDC) is a not-for-profit real estate corporation that owns and operates medical office buildings and other properties.- Capital Region Health Ventures Corporation (CRHVC) is a not-for-profit corporation that engages in health care delivery partnerships and joint ventures. It operates ambulatory surgery and diagnostic facilities independently and in cooperation with other entities.- NH Cares ACO, LLC (NHC) is a single member limited liability company that engages in providing medical services to Medicare beneficiaries as an accountable care organization. NHC has a perpetual life and is subject to termination in certain events. During 2022, NHC was transferred to an unrelated entity for no consideration and the Hospital formed the Concord Hospital ACO, LLC (CH-ACO), which operates in a manner consistent with NHC and had minimal activity during fiscal year 2022.- Concord Hospital - Laconia (CH-Laconia) is a not-for-profit corporation formed to operate a licensed hospital providing inpatient, outpatient, emergency care and physician services for residents within its geographic region of Laconia, New Hampshire. The CH-Laconia facility includes 137 acute care beds and was designated a Rural Referral Center in 1986, and a Sole Community Hospital in 2009. Admitting physicians are primarily practitioners in the local area. CH-Laconia is controlled by Concord Hospital.- Concord Hospital - Franklin (CH-Franklin) is a not-for-profit corporation formed to operate a licensed hospital providing inpatient, outpatient, emergency care and physician services for residents within its geographic region of Franklin, New Hampshire. The CH-Franklin facility was designated a Critical Access Hospital effective July 1, 2004, and includes 25 acute care beds. CH-Franklin also operates a 10 bed designated psychiatric receiving facility. Admitting physicians are primarily practitioners in the local area. CH-Franklin is controlled by Concord Hospital.- Granite Shield Insurance Exchange and Subsidiaries (GSIE) was formed on December 20, 2010, in the State of Vermont as an industrial insured reciprocal insurance entity and unincorporated association. GSIE commenced underwriting activities on January 1, 2011. GSIE was formed to provide healthcare professional liability, general liability and medical stop loss insurance to its subscribers through GSI Services, LLC (GSI), the attorney-in-fact. GSI was formed in the State of Vermont as a limited liability company on December 14, 2010, and acts as an agent to enable the subscribers of GSIE to exchange insurance contracts. Through December 31, 2020, GSI was equally controlled by each of the subscribers of GSIE, all of which were health systems located in the State of New Hampshire, inclusive of the Hospital. Effective January 1, 2021, the Hospital became the sole voting member of GSIE, resulting in all activity of GSIE for the period January 1, 2021 to September 30, 2021 and for the fiscal year ended September 30, 2022 being recorded within the System's consolidated financial statements. - Concord Endoscopy Center, LLC (CEC) is a New Hampshire limited liability company that engages in providing gastrointestinal services, including the diagnosis and treatment of digestive and liver diseases. CEC has a perpetual life, is subject to termination in certain events.Concord Hospital, its subsidiaries and the Trust are collectively referred to as the System. |
| Part VI, Line 7, Reports Filed With States | NH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Steigmeyer | ||||||||||||||
| President & CEO; Ex-Officio | $0 | $821,539 | $0 | $411,600 | $0 | $182,695 | $0 | $234,142 | $0 | $36,478 | $0 | $1,686,454 | $0 | $161,647 |
| Matthew Gibb | ||||||||||||||
| Chief Clinical Officer | $0 | $590,446 | $0 | $236,006 | $0 | $31,165 | $0 | $79,702 | $0 | $29,485 | $0 | $966,804 | $0 | $0 |
| Scott Sloane | ||||||||||||||
| Treasurer | $0 | $430,138 | $0 | $169,246 | $0 | $20,832 | $0 | $100,994 | $0 | $37,228 | $0 | $758,438 | $0 | $0 |
| Tajammul Shafique MD | ||||||||||||||
| Physician | $386,228 | $0 | $15,385 | $0 | $1,295 | $0 | $0 | $0 | $20,258 | $0 | $423,166 | $0 | $0 | $0 |
| Raza M Shariff MD | ||||||||||||||
| Physician | $335,368 | $0 | $47,596 | $0 | $10,996 | $0 | $0 | $0 | $22,510 | $0 | $416,470 | $0 | $0 | $0 |
| Christopher Weinmann MD | ||||||||||||||
| Physician | $339,315 | $0 | $15,385 | $0 | $844 | $0 | $0 | $0 | $20,789 | $0 | $376,333 | $0 | $0 | $0 |
| Fredderic Fernholz MD | ||||||||||||||
| Physician | $258,942 | $0 | $15,865 | $0 | $2,491 | $0 | $0 | $0 | $17,701 | $0 | $294,999 | $0 | $0 | $0 |
| Kevin Donovan CAO | ||||||||||||||
| Chief Administrative Off. (end 3/22) | $0 | $276,046 | $0 | $0 | $0 | $478 | $0 | $0 | $0 | $12,725 | $0 | $289,249 | $0 | $0 |
| Vercin Ephrem MD | ||||||||||||||
| President Medical Staff | $205,956 | $0 | $42,185 | $0 | $165 | $0 | $0 | $0 | $22,178 | $0 | $270,484 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The compensation for the Organization's CEO was established by a related organization, Concord Hospital, Inc. That organization established the CEO's compensation by using a compensation committee, independent compensation consultant, and a compensation study. The compensation was also approved by the Hospital's compensation committee. |
| Part I, Lines 4a-b | Schedule J, Line 4a, severance payments: On May 1, 2021, Concord Hospital, Inc. acquired certain assets of LRGHealthcare (LRGH), which included the hospitals that became Concord Hospital - Laconia (CH-L) and Concord Hospital - Franklin (CH-F). Kevin Donovan was employed by and served on the Board of LRGH prior to the acquisition as the LRGH President & CEO, and continued to serve CH-L and CH-F in his employment (but not Trustee) capacities after the acquisition through March, 2022, at which time Mr. Donovan formally ended his position with the Concord Hospital System. After Mr. Donovan ended his term of service within the Concord Hospital System, he became entitled to and received severance payments. As the severance was not paid to Mr. Donovan until after March, 2022, none of his severance was included in his 2021 Form W-2 compensation, and therefore has not been included within the amounts reported as paid to Mr. Donovan on this Form 990, Part VII, or Schedule J, for the year ending September 30, 2022. Should Mr. Donovan be found to qualify as a Former Key Employee on the Organization's 2022 Form 990 for the year ending September 30, 2023, the severance payments as included in his 2022 Form W-2 wages will then be reported on that 2022 Form 990, Part VII, and on Schedule J as Other Compensation as disclosed in Part II, Column B(iii). Schedule J, Line 4b, supplemental non-qualified retirement plans: Robert P. Steigmeyer, President & CEO, participated in a 457(f) plan with Concord Hospital during the fiscal year. Under the terms of the plan, after a three-year vesting period a 457(f) amount is included in taxable W-2 wages for Mr. Steigmeyer. The calendar year ending within the Hospital's current reporting period ending September 30, 2022 (tax year 2021) was the fifth year where amounts previously set aside as deferred under his 457(f) plan had vested. Accordingly, $161,647 was included in Mr. Steigmeyer's 2021 W-2 taxable wage which was previously reported on Schedule J, Part II, Column C of the Hospital's Form 990 filing for fiscal years ending September 30, 2018, 2019, and 2020. In accordance with IRS instructions, this amount has been included in Schedule J, Part II, Column B(iii) and Column F. There have been additional contributions to Mr. Steigmeyer's 457(f) plan over previous tax years. Each contribution plus earnings will be reported in Mr. Steigmeyer's W-2 after a three-year vesting period. For fiscal years ended September 30, 2020, 2021, and 2022, Mr. Steigmeyer received plan contributions of $150,000, $156,800, and $177,820, respectively. Due to the timing between the Hospital's fiscal year filing period and the calendar year period by which compensation and benefits information is reported on this Schedule J, the amount included in Mr. Steigmeyer's deferred compensation amounts in Schedule J, Part II, Column C includes the $156,800 contribution to his 457(f) plan, plus $40,625 of earnings. During the year ending September 30, 2021, the Hospital established a Supplemental Executive Retirement Plan (SERP) for the Senior Vice Presidents of Concord Hospital. Under the terms of this SERP, the Hospital credits the Senior Executive's account at the end of each fiscal year, and the credit shall vest and become payable on the third anniversary of the date such Hospital credit is credited to the account, provided the Senior Executive remains continuously employed through the applicable vesting date. The three-year vesting period SERP amount will be included in taxable W-2 wages upon vesting and payment. For the fiscal years ended September 30, 2021 and 2022, contributions to the SERP for Scott Sloane were $26,462 and $41,088, respectively; and contributions for Matthew Gibb were $36,900 and $50,676, respectively. These contributions have been included in the amounts reported on this Schedule J, Part II, Column J. As none of the SERP contributions have yet satisfied the three-year vesting conditions as of the period covered by this tax return, none of the SERP contributions have yet been included in the W-2 wages for these Senior Executives. |
| Part I, Line 7 | Incentive Pay: The primary purpose of the incentive pay is to recognize the quality of the performance of the CEO, CFO, COO, and CMO during the preceding fiscal year. The amount of the incentive pay bonus is based on performance relative to strategic goals and measurable objectives. When the executive's performance excels, the incentive pay should reflect the accomplishment and allow for the sum of base salary and incentive pay to reach as high as the 75th percentile of peer institutions. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | During the period covered by this tax return, Concord Hospital - Laconia adopted amended bylaws and governing. The adopted bylaws effectuated the following: 1. The articles regarding the composition of the Board were revised so that the Board shall consist of the members of the Executive Committee of the Member. In addition, the CAO and the President of the Concord Hospital Laconia/Franklin Integrated Medical Staff shall attend meetings of the Board (without vote). 2. The articles regarding the Organization's annual were amended to stipulated that an annual audit of all books, vouchers and funds of the Corporation shall be made by an independent public accountant to be selected by the Audit & Compliance Committee of the Member. |
| Form 990, Part VI, Section A, line 6 | Concord Hospital, Inc. is the sole member of the Organization. |
| Form 990, Part VI, Section A, line 7a | The Organization's Board of Trustees shall consist of the members of the Executive Committee of the Organization's sole member, Concord Hospital, Inc., as well as the Chief Administrative Officer and CEO, ex officio, without vote. |
| Form 990, Part VI, Section A, line 7b | The sole Member of the Organization, Concord Hospital, Inc., may initiate and implement any proposal or take action with respect to any of the following, and if any proposal with respect to any of the following is otherwise initiated, it shall not become effective unless approved by the Member. (a) Approval of any merger, consolidation, reorganization, liquidation or dissolution of the Corporation or any subsidiary or affiliate entity; (b) Entering into any change of control transaction or sale of substantially all of the assets of the Corporation; (c) Approval of any amendment or restatement of the Articles of Agreement or the Bylaws of the Corporation; (d) Approval of the annual operating and capital budgets of the Corporation, including the consolidated or combined budgets of the Corporation that include subsidiary organizations of the Corporation; (e) Approval of long-term or material agreements of the Corporation or any subsidiary organization including, but not limited to, debt or equity financings, capitalized leases and installment contracts, that are not contemplated in an approved budget; (f) Approval of any indebtedness or increase of indebtedness for borrowed money, secured or unsecured, of the Corporation or any subsidiary or affiliate in excess of the amount approved in the annual budget; (g) Establishment of undergraduate or graduate medical education programs by the Corporation or any subsidiary or affiliate with medical schools; (h) Contracting with an unrelated third party for all or substantially all of the management of the assets or operations of the Corporation or any subsidiary or affiliate entity; (i) Approval of strategic plans of the Corporation or any subsidiary or affiliate entity; (j) Establishment of third party relationships which have significant financial or strategic implications; (k) Appointment or removal of the Chief Administrative Officer of the Corporation (the Chief Administrative Officer), as recommended by the Members President and Chief Executive Officer (the CEO); and (l) Renewal of employment, and decisions regarding compensation and other material terms of employment, of the Chief Administrative Officer, as recommended by the Members CEO. |
| Form 990, Part VI, Section B, line 11b | The 990 is reviewed in detail with the Audit Committee of the Concord Hospital, Inc.'s Board of Trustees. All board members receive a copy of the 990 to review prior to filing the report. |
| Form 990, Part VI, Section B, line 12c | Each Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction. |
| Form 990, Part VI, Section B, line 15 | Any determination for compensation or benefits paid to the organization's officers or key employees is performed by Concord Hospital, Inc., the sole member of the filing Organization, and its Board of Trustees and committees thereof. The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital, Inc. and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer (COO), Chief Financial Officer (CFO), and Chief Medical Officer (CMO) as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, CFO, and CMO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO, CFO, and CMO and shall set their compensation as the Board deems appropriate. Although the Hospital continues to value the role of Capital Region Health Care Corporation ("CRHC") and the Hospital's participation in that organization, the Board acknowledges that it is not the responsibility of the Board to evaluate or set the compensation of the Chief Executive Officer of CRHC. Neither is it the role of the Board of Trustees of CRHC to evaluate, or set the compensation of, the Hospital's CEO. Accordingly, CRHC's Board of Trustees is not involved in evaluating or setting the compensation of the Hospital's CEO. The Board acknowledges that the Hospital's CEO may also serve as the Chief Executive Officer of CRHC and that the Hospital may charge CRHC for these services. The Board may consider the comments of the Board of Trustees of CRHC, as outlined herein, when deemed relevant in evaluating the performance of the Hospital's CEO. The Board directs that the Compensation Committee and the Board itself, in their respective undertakings of recommending and setting the compensation of the Hospital's CEO, COO, CFO, and CMO, avoid conflicts of interest and be guided by the "rebuttable presumption of reasonableness" regulations under the so-called "Excess Benefit Transaction" provisions of the Internal Revenue Code ("IRC"). The Board authorizes the Compensation Committee to use such financial and advisory (e.g., legal counsel, consultant) resources as it reasonably deems appropriate to fulfill its duties in evaluating the CEO's performance and in making its recommendations to the Board regarding compensation for the CEO, COO, CFO, and CMO. |
| Form 990, Part VI, Section C, line 19 | Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted to the Electronic Municipal Market Access (EMMA) website. In addition to this, the Hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction. |
| Form 990, Part VII, Section A, Column E: | The compensation reported for Robert P. Steigmeyer and Scott Sloane was paid by Concord Hospital, Inc. for their services as full-time executives. In total, they worked an average of 63 hours per week for all entities in the Concord Hospital health care system, of which an average of 1 hour per week was dedicated to Concord Hospital - Laconia. |
| Form 990, Part VII, Key Employees: | Concord Hospital - Laconia (CH-L) is listing on its Form 990, Part VII Matthew Gibb, who serves as the Organization's Chief Clinical Officer. Matthew Gibb is employed and compensated by Concord Hospital Inc. (CH), the sole parent of CH-L. While directly paid by CH, Matthew Gibb's services are also considered essential to the operations of CH-L. Accordingly, Matthew Gibb has been disclosed on this Form 990 as a Key Employee of CH-L. Additionally, CH-L is also listing on its Form 990, Part VII Kevin Donovan, who served as the Chief Administrative Officer for Concord Hospital - Franklin, and CH-L. Kevin Donovan was employed and compensated by CH, the sole parent of CH-L. While directly paid by CH, Kevin Donovan's services were also considered essential to the operations of CH-L. Accordingly, Kevin Donovan has been disclosed on this Form 990 as a Key Employee of CH-L. |
| Form 990, Part IX, line 11g | Administrative and maintenance: Program service expenses 8,676,469. Management and general expenses 2,353,870. Fundraising expenses 79,658. Total expenses 11,109,997. IT support services: Program service expenses 2,870,434. Management and general expenses 1,545,618. Fundraising expenses 0. Total expenses 4,416,052. Professional medical services: Program service expenses 2,045,118. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,045,118. |
| Form 990, Part XI, line 9: | Net transfers from affiliates 20,918,424. Net periodic benefits adjustment 313,577. Increase in pension liabilities -5,144,498. Equity adjustment, interest in Granite State Insurance Exchange -1,733,333. |
| Form 990, Part XII, Line 2c: | Concord Hospital - Laconia (CH-L) is included in the Concord Hospital, Inc. and Subsidiaries Audited Consolidated Financial Statements. Concord Hospital, Inc. is the sole member of CH-L. CH-L's Board in conjunction with Concord Hospital, Inc.'s chief financial executives and its finance committee review CH-L's financial statements monthly. Concord Hospital, Inc. also has an audit committee of its Board, which reviews the annual audit process and the selection of the independent accountant for the entire Concord Hospital-System. The same independent firm of accountants performed the audit for the Concord Hospital-System's fiscal years ending 9/30/2021 and 9/30/2022. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Capital Region Health Care Corporation | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020222123 | Promote comprehensive health service system | NH | 501(c)(3) | Line 12a, I | N/A | 0 | |
| Capital Region Health Care Development Corporation | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020429749 | Provide medical care to community | NH | 501(c)(2) | 0 | Concord Hospital | ||
| Capital Region Health Ventures Corp | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020438264 | Support Concord Hospital and other affiliates | NH | 501(c)(3) | Line 12b, II | 0 | Concord Hospital | |
| Concord Hospital | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 222594672 | Hospital | NH | 501(c)(3) | Line 3 | 0 | Capital Region Health Care Corporation | |
| Concord Hospital - Franklin | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 851433123 | Hospital | NH | 501(c)(3) | Line 3 | 0 | Concord Hospital | |
| Concord Hospital Trust | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 260378710 | Fundraising | NH | 501(c)(3) | Line 12a, I | 0 | Concord Hospital | |
| Concord Regional Visiting Nurse Association Inc | |||||||||||
| PO Box 1797 | Concord | NH | 033021797 | 020222122 | Home health care & hospice services | NH | 501(c)(3) | Line 10 | N/A | 0 | |
| Riverbend Community Mental Health Inc | |||||||||||
| 3-5 North State Street | Concord | NH | 033022032 | 020264383 | Multi-service team | NH | 501(c)(3) | Line 7 | N/A | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Concord Imaging Center LLC | |||||||||
| 2 1/2 Beacon Street | Concord | NH | 03301 | 020436605 | Provide radiology services to community | NH | N/A | 0 | 0 |
| Capital Orthopedic Surgery Center | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020522860 | Provide medical care to community | NH | N/A | 0 | 0 |
| Concord Endoscopy Center LLC | |||||||||
| 60 Commerical Street | Concord | NH | 03301 | 201184756 | Provide medical care to community | NH | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Capital Region Health Services Corporation | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020428631 | Medical services | NH | N/A | C | 0 |
| Capital Region Primary Care Corporation | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020495275 | Inactive | NH | N/A | C | 0 |
| Lakes Region Medical Office Building | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020409867 | Rental properties and condominiums | NH | N/A | C | 0 |
| Hillside Medical Park Condo Association | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 863920257 | Rental properties and condominiums | NH | N/A | C | 0 |
| CH Memorial West Condominium Association | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 372006095 | Rental properties and condominiums | NH | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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