CONCORD HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-07-20
IRS object ID
202132019349300773
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-07-20T14:24:20-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222594672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONCBusinessNameControlTxt
Phone6032284677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonScott SloanePersonNm
Person TitleSenior VP, CFO, & TreasurerPersonTitleTxt
Phone6032284677PhoneNum
Signature2021-06-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
Preparation2021-06-10PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert P SteigmeyerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$631,289,206GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.concordhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionHospitalActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee4161TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$2,082,567TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,140,490PYContributionsGrantsAmt
CY Contributions Grants$34,343,347CYContributionsGrantsAmt
PY Program Service Revenue$537,005,328PYProgramServiceRevenueAmt
CY Program Service Revenue$508,086,018CYProgramServiceRevenueAmt
PY Investment Income-$2,353,291PYInvestmentIncomeAmt
CY Investment Income$13,966,988CYInvestmentIncomeAmt
PY Other Revenue$333,542PYOtherRevenueAmt
CY Other Revenue-$676,244CYOtherRevenueAmt
PY Total Revenue$539,126,069PYTotalRevenueAmt
CY Total Revenue$555,720,109CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$309,051,282PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$311,080,973CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$367,263CYTotalFundraisingExpenseAmt
PY Other Expenses$222,927,545PYOtherExpensesAmt
CY Other Expenses$228,416,199CYOtherExpensesAmt
PY Total Expenses$531,978,827PYTotalExpensesAmt
CY Total Expenses$539,497,172CYTotalExpensesAmt
PY Revenues Less Expenses$7,147,242PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,222,937CYRevenuesLessExpensesAmt
Total Assets BOY$620,279,215TotalAssetsBOYAmt
Total Assets EOY$697,377,820TotalAssetsEOYAmt
Total Liabilities BOY$306,755,875TotalLiabilitiesBOYAmt
Total Liabilities EOY$387,848,012TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$313,523,340NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$309,529,808NetAssetsOrFundBalancesEOYAmt
MissionConcord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$448,543,123ExpenseAmt
Grant$0GrantAmt
Revenue$506,599,625RevenueAmt
DescVarious hospital services; see Schedule HIn FYE 2020, Concord Hospital invested more than $84 million for community benefit programs, services, and other expenses. The largest areas of support were charitable care services, medical education 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$448,543,123TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document281IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4161EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott Sloane Senior VP CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032277000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP033017539ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Robert P Steigmeyer
President & CEO56.005.00Yes (X)Yes (X)$1,149,547$0$249,118
Shahab Moossavi MD
Physician50.000.00$583,128$0$68,975Yes (X)
Timothy P Jones
Senior VP/COO (end 6/2020)50.000.00$565,483$0$72,722Yes (X)
Adam Chodosh MD
Physician50.000.00$536,173$0$71,723Yes (X)
Scott Sloane
Treasurer56.004.00Yes (X)$498,728$0$94,773
Wayne Carlisle Stadelmann MD
Physician50.000.00$507,868$0$84,847Yes (X)
Gerald Sardella MD
Former Physician50.000.00$559,360$0$7,950Yes (X)
Michael Ferguson MD
Physician50.000.00$493,636$0$43,490Yes (X)
Alexandru Vaida MD
Physician50.000.00$501,539$0$19,839Yes (X)
David Green MD
Senior VP/Chief Medical Officer50.000.00$419,963$0$77,307Yes (X)
Lon Setnik MD
Trustee (end 1/2020)50.000.00Yes (X)$377,294$0$44,292
Pamela Puleo
Executive Director50.001.00Yes (X)$313,827$0$107,385
David Stevenson MD
Trustee50.001.00Yes (X)$259,314$0$72,628
Tanja Vanderlinde MD
Trustee (eff. 1/2020)50.000.00Yes (X)$261,901$0$25,920
Matthew Gibb
Chief Clinical Officer50.000.00$165,568$0$3,610Yes (X)
Valerie Acres Esq
Trustee (end 9/2020)1.001.00Yes (X)$0$0$0
Frederick Briccetti MD
Trustee1.000.00Yes (X)$0$0$0
Michelle Chicoine
Trustee (end 1/2020)1.000.00Yes (X)$0$0$0
Peter Cook
Trustee (end 1/2020)1.000.00Yes (X)$0$0$0
Rosemary M Heard
Trustee1.000.00Yes (X)$0$0$0
Lucy Karl Esq
Trustee1.000.00Yes (X)$0$0$0
Peter Noordsij MD
Trustee1.000.00Yes (X)$0$0$0
Manisha Patel DDS
Trustee1.001.00Yes (X)$0$0$0
Muriel Schadee CPA
Trustee1.004.00Yes (X)$0$0$0
David Ruedig
Trustee1.001.00Yes (X)$0$0$0
Robert Segal
Trustee1.002.00Yes (X)$0$0$0
Jeffrey Towle
Trustee1.002.00Yes (X)$0$0$0
Sol Asmar
Chair1.004.00Yes (X)Yes (X)$0$0$0
Philip Emma
Vice Chair1.002.00Yes (X)Yes (X)$0$0$0
William Chapman Esq
Secretary1.001.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,193,329TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,044,579TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K472IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Harvey Construction Corp
10 Harvey RoadBedfordNH03110Construction services$30,227,987
Anesthesia Associates PA
1 Pillsbury StreetConcordNH03301Healthcare services$3,852,056
Concord Orthopaedics PA
264 Pleasant StreetConcordNH03301Healthcare services$1,951,324
Medicus Emergency Room Service LL
22 Roulston RoadWindhamNH03087Healthcare services$1,297,501
Angelica-Worcester
PO Box 532268AtlantaGA30353Professional services$1,279,773
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$4,757,082RelatedOrganizationsAmt
Government Grants$29,586,265GovernmentGrantsAmt
Total Contributions$34,343,347TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service621400$480,196,009$480,196,009
Disproportionate Share Funding621400$18,201,760$18,201,760
Other Operating Revenue621400$6,321,926$5,203,390$1,118,536
Food Services722210$3,145,228$2,222,202$923,026
Answering Service541900$104,741$104,741

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,354TotalRevenueColumnAmt
Related Or Exempt Func Income$116,354RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$508,086,018TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,022,343TotalRevenueColumnAmt
Unrelated Business Revenue$41,005UnrelatedBusinessRevenueAmt
Exclusion$4,981,338ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$340,688RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$340,688RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,688TotalRevenueColumnAmt
Related Or Exempt Func Income$340,688RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$84,313,415SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$75,343,790SecuritiesAmt
Other$24,980OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,969,625SecuritiesAmt
Other-$24,980OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,944,645TotalRevenueColumnAmt
Exclusion$8,944,645ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$414,808GrossSalesOfInventoryAmt
Cost Of Goods Sold$200,327CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$214,481TotalRevenueColumnAmt
Related Or Exempt Func Income$214,481RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLoss on debt extinguishmentDesc
Business525990BusinessCd
Total Revenue Column-$1,231,413TotalRevenueColumnAmt
Exclusion-$1,231,413ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$1,231,413OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$555,720,109TotalRevenueColumnAmt
Related Or Exempt Func Income$506,599,625RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,082,567UnrelatedBusinessRevenueAmt
Exclusion$12,694,570ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,759,380TotalAmt
Program Services$3,943,929ProgramServicesAmt
Management And General$815,451ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$239,422,836TotalAmt
Program Services$198,401,085ProgramServicesAmt
Management And General$41,021,751ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,760,875TotalAmt
Program Services$9,745,851ProgramServicesAmt
Management And General$2,015,024ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$42,169,627TotalAmt
Program Services$34,944,586ProgramServicesAmt
Management And General$7,225,041ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,968,255TotalAmt
Program Services$10,746,367ProgramServicesAmt
Management And General$2,221,888ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,600,415TotalAmt
Management And General$1,600,415ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$239,387TotalAmt
Management And General$239,387ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$342,145TotalAmt
Management And General$342,145ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$48,000TotalAmt
Program Services$48,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$786,737TotalAmt
Management And General$786,737ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,301,931TotalAmt
Program Services$16,087,122ProgramServicesAmt
Management And General$5,214,809ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$180,795TotalAmt
Program Services$158,678ProgramServicesAmt
Management And General$21,979ManagementAndGeneralAmt
Fundraising$138FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,942,752TotalAmt
Program Services$5,644,249ProgramServicesAmt
Management And General$1,288,454ManagementAndGeneralAmt
Fundraising$10,049FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,191,789TotalAmt
Program Services$8,372,940ProgramServicesAmt
Management And General$4,774,970ManagementAndGeneralAmt
Fundraising$43,879FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,181,713TotalAmt
Program Services$12,124,244ProgramServicesAmt
Management And General$2,043,217ManagementAndGeneralAmt
Fundraising$14,252FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$694,664TotalAmt
Program Services$609,684ProgramServicesAmt
Management And General$84,448ManagementAndGeneralAmt
Fundraising$532FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$498,603TotalAmt
Program Services$437,607ProgramServicesAmt
Management And General$60,614ManagementAndGeneralAmt
Fundraising$382FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,576,237TotalAmt
Program Services$1,743,303ProgramServicesAmt
Management And General$806,129ManagementAndGeneralAmt
Fundraising$26,805FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,320,456TotalAmt
Program Services$15,667,938ProgramServicesAmt
Management And General$7,406,435ManagementAndGeneralAmt
Fundraising$246,083FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,420,969TotalAmt
Program Services$4,757,810ProgramServicesAmt
Management And General$659,011ManagementAndGeneralAmt
Fundraising$4,148FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Drugs/medical supplies$77,778,138$68,263,364$9,514,774
NH MET$26,602,052$26,602,052
Provision for bad debts$22,571,803$22,571,803
Repairs/maintenance$5,212,577$3,273,986$1,920,889$17,702

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,925,036TotalAmt
Program Services$4,398,525ProgramServicesAmt
Management And General$523,218ManagementAndGeneralAmt
Fundraising$3,293FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$539,497,172TotalAmt
Program Services$448,543,123ProgramServicesAmt
Management And General$90,586,786ManagementAndGeneralAmt
Fundraising$367,263FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,295,916BOYAmt
EOY$32,968,058EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,227,665BOYAmt
EOY$73,907,494EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$67,891,509BOYAmt
EOY$65,601,365EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,295,949BOYAmt
EOY$2,769,606EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,334,189BOYAmt
EOY$6,597,293EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$470,369,201LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$278,236,001LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$171,391,034BOYAmt
EOY$192,133,200EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$153,877,789BOYAmt
EOY$133,628,876EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$153,431,957BOYAmt
EOY$164,923,589EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$9,824,258BOYAmt
EOY$5,508,866EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$21,708,949BOYAmt
EOY$19,339,473EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$620,279,215BOYAmt
EOY$697,377,820EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$69,370,178BOYAmt
EOY$71,062,538EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$128,097,738BOYAmt
EOY$121,741,320EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$109,287,959BOYAmt
EOY$195,044,154EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$306,755,875BOYAmt
EOY$387,848,012EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$313,523,340BOYAmt
EOY$309,529,808EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$313,523,340BOYAmt
EOY$309,529,808EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$620,279,215BOYAmt
EOY$697,377,820EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,222,937ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,303,655NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$17,912,814OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$45,872GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$48,000OtherActivitiesAmt
Total Lobbying Expenditures$93,872TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationConcord Hospital was a member of the American Hospital Association & the New Hampshire Hospital Association in the fiscal year ended 9/30/20. A portion of the dues paid to these organizations were available for lobbying expenditures on behalf of Concord Hospital and the other member organizations in furtherance of their exempt purposes. The portion of the dues used for lobbying by the American Hospital Association and the New Hampshire Hospital Association were $10,098 and $35,774, respectively. Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $48,000 in the year ended 9/30/20.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$264,211,724BeginningYearBalanceAmt
Investment Earnings Or Losses$11,916,474InvestmentEarningsOrLossesAmt
Other Expenditures$591,942OtherExpendituresAmt
End Year Balance$275,536,256EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$277,852,367BeginningYearBalanceAmt
Investment Earnings Or Losses-$13,045,293InvestmentEarningsOrLossesAmt
Other Expenditures$595,350OtherExpendituresAmt
End Year Balance$264,211,724EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$272,756,311BeginningYearBalanceAmt
Investment Earnings Or Losses$5,743,785InvestmentEarningsOrLossesAmt
Other Expenditures$647,729OtherExpendituresAmt
End Year Balance$277,852,367EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$239,892,180BeginningYearBalanceAmt
Investment Earnings Or Losses$33,431,692InvestmentEarningsOrLossesAmt
Other Expenditures$567,561OtherExpendituresAmt
End Year Balance$272,756,311EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$232,130,222BeginningYearBalanceAmt
Contributions$1,940,394ContributionsAmt
Investment Earnings Or Losses$6,298,683InvestmentEarningsOrLossesAmt
Other Expenditures$477,119OtherExpendituresAmt
End Year Balance$239,892,180EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,996OtherCostOrOtherBasisAmt
Book Value$18,996BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$205,192,821OtherCostOrOtherBasisAmt
Depreciation$98,571,239DepreciationAmt
Book Value$106,621,582BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,782,249OtherCostOrOtherBasisAmt
Depreciation$3,189,522DepreciationAmt
Book Value$1,592,727BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$250,681,197OtherCostOrOtherBasisAmt
Depreciation$176,475,240DepreciationAmt
Book Value$74,205,957BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,693,938OtherCostOrOtherBasisAmt
Book Value$9,693,938BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$192,133,200TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative investmentsDesc
Book Value$164,923,589BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$164,923,589TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Accrued pension and other long-term liabilities$146,652,495
Estimated third-party settlements$48,391,659
FieldValueIRS element (for citing)
Total Liability$195,044,154TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$507,493,761TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,303,655NetUnrealizedGainsInvstAmt
Other Revenue$1,530,247OtherRevenueAmt
Revenue Not Reported-$773,408RevenueNotReportedAmt
Revenue Subtotal$508,267,169RevenueSubtotalAmt
Investment Expenses Not Incld$786,737InvestmentExpensesNotIncldAmt
Other Revenues Not Included$46,666,203OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$47,452,940RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$555,720,109TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$511,487,293TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$511,487,293ExpensesSubtotalAmt
Investment Expenses Not Incld2$786,737InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$27,223,142OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$28,009,879ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$539,497,172TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X, Line 2:The Hospital, 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 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.
Part XI, Line 2d - Other Adjustments:Equity transfers from affiliates 1,530,247.
Part XI, Line 4b - Other Adjustments:Provision for bad debts 26,602,052. Pension actuarial loss 16,511,585. Net periodic pension cost 2,931,476. Board designated spending 621,090.
Part XII, Line 4b - Other Adjustments:Provision for bad debts 26,602,052. Board designated spending 621,090.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Cayman Islands00Investments - FMV as of 9/30/2020None$69,822,000
Europe (Including Iceland & Greenland) - Ireland00Investments - FMV as of 9/30/2020None$4,981,000
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$74,803,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$74,803,000TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III Accounting Method:
Part IV, Line 3:This organization did not have an ownership of any foreign corporation that would be greater than the 10% ownership filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed.
Part IV, Line 4:The Organization meets the exception for tax-exempt organizations with respect to filing Form 8621. Form 8621 is not required to be filed for the Hospital.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served4843PersonsServedCnt
Total Community Benefit Expns$3,561,849TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,547DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,445,302NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,330,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,010,703DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,319,326NetCommunityBenefitExpnsAmt
Total Expense0.06110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served4843PersonsServedCnt
Total Community Benefit Expns$71,891,878TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,127,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,764,628NetCommunityBenefitExpnsAmt
Total Expense0.06780TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served480491PersonsServedCnt
Total Community Benefit Expns$1,975,513TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$393,654DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,581,859NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served5515PersonsServedCnt
Total Community Benefit Expns$9,697,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,393,692DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,303,857NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served368816PersonsServedCnt
Total Community Benefit Expns$81,705,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,838,800DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,867,197NetCommunityBenefitExpnsAmt
Total Expense0.08750TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served15PersonsServedCnt
Total Community Benefit Expns$81,037TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,022NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,069,169TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$240,048DirectOffsettingRevenueAmt
Net Community Benefit Expns$829,121NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served854837PersonsServedCnt
Total Community Benefit Expns$94,529,265TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,866,209DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,663,056NetCommunityBenefitExpnsAmt
Total Expense0.09690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs53ActivitiesOrProgramsCnt
Persons Served859680PersonsServedCnt
Total Community Benefit Expns$166,421,143TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,993,459DirectOffsettingRevenueAmt
Net Community Benefit Expns$84,427,684NetCommunityBenefitExpnsAmt
Total Expense0.16470TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,081,691TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,081,691DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,081,691TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,081,691DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,561,099BadDebtExpenseAmt
Bad Debt Expense Attributable$916,038BadDebtExpenseAttributableAmt
Reimbursed By Medicare$165,061,380ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$236,937,931CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$71,876,551MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
State License01098StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Concord HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Concord HospitalPart V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord HospitalPart V, Section B, Line 7d: The Community Benefits Report (2020 Charitable Achievements) was included in the Hospital's annual report that was mailed to nearly 24,000 households within the communities that the Hospital serves. It is also available on the State of New Hampshire's Department of Justice, Office of the Attorney General, Charitable Trusts Unit website and Concord Hospital's website. The Hospital's 2015 and 2018 Health Needs Assessments are on the Hospital's website with instructions on how to obtain a printed copy.
Concord HospitalPart V, Section B, Line 11: See attached 2016-2018 Community Benefits Action Plan, as well as the 2019-2021 Community Benefits Action Plan, which outlines how Concord Hospital is addressing the significant needs identified in its most recently conducted CHNA covered by this tax filing.
Concord HospitalPart 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 website.
Concord HospitalPart V, Section B, Line 20e: Concord Hospital 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 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 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 20d, the Hospital also takes additional measures to ensure that patients eligible for financial assistance do not have an Extraodinary Collection Action (ECA) levied against them. Each month, Concord 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 application The 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 CH has made at least one attempt to orally notify the individual about the financial assistance policy.
Schedule H, Part V, Section B, Line 7a & 10a:The CHNA is available at the Hospital facility's website:https://www.concordhospital.org/app/files/public/836/Capital-Region-Health-Needs-Assessment-2018.pdfImplementation Strategy (2016-2018):https://giveto.concordhospital.org/file/2016-2018-Community-Benefits-Action-Plan.pdfImplementation Strategy (2019-2021):https://www.concordhospital.org/app/files/public/838/Community-Benefits-Action-Plan-2019-2021.pdf
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/614/Financial-Assistance-Policy.pdf Financial Assistance Application: https://www.concordhospital.org/app/files/public/1036/Financial-Assistance-Application.pdf Plain Language Summary:https://www.concordhospital.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance/financial-assistance-policy-plain-language-summary/
FieldValueIRS element (for citing)
Facility68FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (68 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Concord Imaging Center
248 Pleasant Street Suite 102ConcordNH03301Imaging Services
2 - Concord Hospital Cardiac Associates
246 Pleasant Street Suite 103ConcordNH03301Outpatient Physician Services
3 - Concord Endoscopy Center
60 Commercial Street Suite 201ConcordNH03301Outpatient Endoscopy Services
4 - Concord Imaging Center
60 Commercial Street Suite 101ConcordNH03301Imaging Services
5 - Concord Obstetrics and Gynecology
246 Pleasant St Floor 1ConcordNH03301Outpatient Physician Services
6 - Concord Surgical Associates
246 Pleasant Street Suite 205ConcordNH03301Outpatient Physician Services
7 - Capital Orthopaedic Srgry Ctr-Derry
14 Tsienneto Road Suite 100DerryNH03838Outpatient Surgery
8 - Concord Hospital Family Health Center
250 Pleasant StreetConcordNH03301Outpatient Physician Services
9 - Concord PulmonaryCrit Care Medicine
246 Pleasant StreetConcordNH03301Outpatient Physician Services
10 - Center for Sports Med & Ortho Rehab
264 Pleasant StreetConcordNH03301Rehabilitation Services
11 - Rehabilitation Services - Warner
2 East Main StreetWarnerNH03278Rehabilitation Services
12 - Rehabilitation Services - Hillsboro
15 Antrim RoadHillsboroNH03244Rehabilitation Services
13 - Concord Family Medicine
18 Foundry Street Suite 201ConcordNH03301Outpatient Physician Services
14 - Concord Hospital Sleep Center
18 Foundry Street Suite 103ConcordNH03301Outpatient Sleep Services
15 - Concord Plastic Surgery
246 Pleasant Street Suite 210ConcordNH03301Outpatient Physician Services
16 - Concord Hospital Urgent Care
60 Commercial Street Suite 102ConcordNH03301Walk-in Urgent Care
17 - Concord Hosp Cardiac Assoc-Laconia
85 Spring Street Suite 2A1LaconiaNH03246Outpatient Physician Services
18 - Penacook Family Physicians
4 Crescent StreetPeacookNH03303Outpatient Physician Services
19 - Concord Hospital Neurology
246 Pleasant St Ground FloorConcordNH03301Outpatient Physician Services
20 - Family Tree Health Care - Hopkinton
19 Farrington Corner RoadHopkintonNH03229Outpatient Physician Services
21 - Family Care Of Concord
248 Pleasant Street Suite 2600ConcordNH03301Outpatient Physician Services
22 - Pleasant Street Family Medicine
280 Pleasant StreetConcordNH03301Outpatient Physician Services
23 - Epsom Family Medicine
1990 Dover Road Suite 201EpsomNH03234Outpatient Physician Services
24 - Rehab Serv CH Med Off-Horseshoe Pnd
60 Commercial Street Suite 403ConcordNH03301Rehabilitation Services
25 - Rehab Services CH Med Office-North
18 Foundry Street Suite 101ConcordNH03301Rehabilitation Services
26 - Concord Hosp Cardiothoracic Surgery
246 Pleasant St Ground FloorConcordNH03301Outpatient Physician Services
27 - Family Physicians of Pembroke
121 Pembroke StreetPembrokeNH03275Outpatient Physician Services
28 - Concord Hosp Fam Hlth Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Outpatient Physician Services
29 - Rehab Services CH Medical Office-East
1990 Dover Road Suite 201EpsomNH03234Rehabilitation Services
30 - International Travel Clinic
246 Pleasant Street Suite 104ConcordNH03301Outpatient Physician Services
31 - Internal Medicine at Horseshoe Pond
60 Commercial Street Suite 401ConcordNH03301Outpatient Physician Services
32 - Family Tree Health Care - Warner
2 East Main Street Unit 2WarnerNH03278Outpatient Physician Services
33 - Rehabilitation Services - Pembroke
121 Pembroke StreetPembrokeNH03275Rehabilitation Services
34 - Lab-Memorial Medical Office Building
246 Pleasant Street Suite 102ConcordNH03301Outpatient Laboratory Services
35 - Concord Hosp Fam Hlth Ctr Behav Hlth
250 Pleasant Street Yeaple BuildingConcordNH03301Outpatient Counseling Services
36 - Capital Region Palliative Care & Hosp
246 Pleasant Street Suite 206ConcordNH03301Outpatient Physician Services
37 - Anti-Coagulation Clinic Internal Med
248 Pleasant Street Suite 2800ConcordNH03301Outpatient Physician Services
38 - Center for Health Promotion
49 South Main StreetConcordNH03301Health Promotion Services
39 - Lab CH Medical Off at Horseshoe Pond
60 Commercial StreetConcordNH03301Outpatient Laboratory Services
40 - CH Family Hlth Ctr Dental Clinic
250 Pleasant Street Yeaple BuildingConcordNH03301Dental Services
41 - Lab CH Medical Offices-East
1990 Dover Road Suite 1AEpsomNH03234Outpatient Laboratory Services
42 - Concord Family Medicine Havenwood
149 East Side DriveConcordNH03301Outpatient Physician Services
43 - Breast Care Center
248 Pleasant Street Suite 206ConcordNH03301Imaging & Counseling Services
44 - Radiology Srv Fam Hlth Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Radiology Services
45 - Family Health Center Lab
250 Pleasant Street Yeaple BuildingConcordNH03301Outpatient Laboratory Services
46 - Lab Penacook Family Physicians
4 Crescent Street Suite 1BPenacookNH03303Outpatient Laboratory Services
47 - Lab Heritage Heights
149 East Side DriveConcordNH03301Outpatient Laboratory Services
48 - Lab Family Tree Warner
2 East Main StreetWarnerNH03278Outpatient Laboratory Services
49 - Lab Family Physicians of Pembroke
121 Pembroke StreetPembrokeNH03275Outpatient Laboratory Services
50 - Anti-Coag Clinic Concord Fam Med
18 Foundry Street Suite 201ConcordNH03301Outpatient Physician Services
51 - Concord Dermatology
248 Pleasant St Suite 103ConcordNH03301Outpatient Physician Services
52 - Concord Endocrinology
18 Foundry Street Suite 102ConcordNH03301Outpatient Physician Services
53 - Family Tree Health Care - Concord
194 Pleasant Street Suite 7ConcordNH03301Outpatient Physician Services
54 - Concord Hospital Record Center
10 Ferry StreetConcordNH03301Outpatient Services
55 - Concord Hosp Urologic Care-New London
273 County RoadNew LondonNH03257Urology Services
56 - Concord Hosp Urologic Care-Plymouth
103 Boulder Point RoadPlymouthNH03264Urology Services
57 - Concord Hosp Urologic Care-Wolfeboro
240 South Main StreetWolfeboroNH03894Urology Services
58 - Concord Otolaryngology
60 Commercial St Suite 401ConcordNH03301Outpatient Physician Services
59 - Pelvic Medicine Program
246 Pleasant St Suite 106ConcordNH03301Outpatient Physician Services
60 - Occupational Health
248 Pleasant St Suite 202ConcordNH03301Outpatient Physician Services
61 - CH Vascular Surgery - Laconia
85 Spring Street Suite 401LaconiaNH03242Outpatient Physician Services
62 - Concord Hospital Vascular Surgery
246 Pleasant St Ground FloorConcordNH03301Outpatient Physician Services
63 - Neighboring Emergency Health Clinic
248 Pleasant St Suite G100ConcordNH03301Outpatient Services
64 - Concord Hospital Urologic Institute
246 Pleasant St Floor 1ConcordNH03301Urology Services
65 - Capital Orthopaedic Srgry Ctr-Concord
116 Langley Parkway Unit LG-1ConcordNH03301Outpatient Surgery
66 - Concord Ambulatory Surgery Center
60 Commercial StreetConcordNH03301Outpatient Surgery
67 - Granite Ledges
151 Langley ParkwayConcordNH03301Genesis Healthcare Facility
68 - Concord Eye Center
248 Pleasant St Suite 1600ConcordNH03301Outpatient Surgery

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 subsidized or special support.Part I, Line 7, Column (d): The Direct Off-setting Revenue of $81,993,459 includes $4,415,512 of CARES Act funding received through the Department of Health and Human Services during the year ending September 30, 2020, which reduced the overall Net Community Benefit Expense provided by the Hospital. This CARES Act funding represents the portion of CARES Act funding which was attributable to lost revenues and/or additional costs related to the subsidized health services programs included in line 7(g).
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 $ 26,602,052.
Part II, Community Building Activities:The Hospital's Trauma Program continued its service area-wide educational initiative, "Stop the Bleed" to provide tourniquet kits for all school classrooms and also educate personnel on the proper use of tourniquets. The initiative is expected to provide 800 kits via a fundraising campaign to schools serving the Hospital's 28 communities in its service area.Part II, Line 3: The Direct Off-setting Revenues of $1,081,691 represents CARES Act funding received through the Department of Health and Human Services during the year ending September 30, 2020, which was utilized to offset certain Emergency Preparedness efforts by the Hospital.
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, 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 System 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 System 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 10 of the attached audited financial statements.
Part III, Line 8:The Medicare shortfall of $71,876,551 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 5 were determined using the Hospital's filed Medicare cost report, which determines cost via 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, the 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 the Hospital. Assessment methodologies address both quantitative and qualitative data and include stakeholder interviews, focus groups, community listening sessions, web survey, written surveys, telephone 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 2018. Both the 2018 Community Health Needs Assessment and the 2019-2021 Implementation Plan are more specifically addressed in the Hospital's 2018 Form 990, Schedule H and are available on the Hospital's website at: www.concordhospital.org/about-us/charitable-achievements/
Part VI, Line 3:The Hospital actively meets with all people who indicate that they do not have insurance or will have difficulty paving 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 defines its Primary Service Area as 28 communities to which it has close geographic proximity and significant market share. According to the State of New Hampshire's "Concord Healthcare Service Area Regional Health Profile, 2001," the 28 communities that comprise the Hospital's PSA represent, in terms of square miles, the largest hospital service area in the State. Together, these communities cover an area of nearly 900 square miles. The Hospital serves all the residents of these towns as well as many others from across the State of New Hampshire through its regional and statewide referral for specialty care, including orthopaedic, cardiology, oncology, and urological care.
Part VI, Line 5:Part I line 6A, Concord Hospital develops programs and services to address community health needs and invests annually in initiatives that align with the Hospital's charitable mission. A reasonable amount of Concord Hospital'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. The Hospital's Family Health Centers ensure access to primary, behavioral health, and dental care for our region's most vulnerable residents, which address identified community health needs. Those achievements are at the heart of our community benefit activity. Beyond that focus are programs and services that benefit every resident and support that far reaching goal of a healthier community. The Hospital continued its efforts toward promoting the health of the community by investing its surplus funds in new medical facilities to enhance patient care, by providing funding support to Capital Region Healthcare affiliates through the Community Services Fund for programs that address identified community needs and serve vulnerable populations, and by continuing to recruit new primary care physicians to enhance access in the community.Finally, per the IRS instructions to Schedule H, Part I, the Hospital has not included its $71,876,551 Medicare shortfall as a community benefit in Part I. However, we believe that this shortfall provides a tremendous benefit to the community in that it enables the Hospital to provide essential services to a vast number of patients who otherwise would not have access to the Hospital's care.
Part VI, Line 7, Reports Filed With StatesNH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert P Steigmeyer
President & CEO$731,995$0$280,000$0$137,552$0$226,422$0$22,696$0$1,398,665$0$136,004$0
Shahab Moossavi MD
Physician$560,367$0$22,221$0$540$0$42,493$0$26,482$0$652,103$0$0$0
Timothy P Jones
Senior VP/COO (end 6/2020)$447,380$0$115,727$0$2,376$0$48,507$0$24,215$0$638,205$0$0$0
Adam Chodosh MD
Physician$478,534$0$56,449$0$1,190$0$43,739$0$27,984$0$607,896$0$0$0
Scott Sloane
Treasurer$388,854$0$109,046$0$828$0$72,495$0$22,278$0$593,501$0$0$0
Wayne Carlisle Stadelmann MD
Physician$413,062$0$93,002$0$1,804$0$57,029$0$27,818$0$592,715$0$0$0
Gerald Sardella MD
Former Physician$226,105$0$10,625$0$322,630$0$0$0$7,950$0$567,310$0$0$0
Michael Ferguson MD
Physician$469,077$0$22,402$0$2,157$0$24,739$0$18,751$0$537,126$0$0$0
Alexandru Vaida MD
Physician$462,318$0$38,606$0$615$0$0$0$19,839$0$521,378$0$0$0
David Green MD
Senior VP/Chief Medical Officer$308,507$0$109,302$0$2,154$0$74,934$0$2,373$0$497,270$0$0$0
Lon Setnik MD
Trustee (end 1/2020)$330,965$0$46,036$0$293$0$40,335$0$3,957$0$421,586$0$0$0
Pamela Puleo
Executive Director$255,831$0$56,305$0$1,691$0$83,247$0$24,138$0$421,212$0$0$0
David Stevenson MD
Trustee$252,737$0$5,500$0$1,077$0$46,940$0$25,688$0$331,942$0$0$0
Tanja Vanderlinde MD
Trustee (eff. 1/2020)$238,469$0$22,472$0$960$0$0$0$25,920$0$287,821$0$0$0
Matthew Gibb
Chief Clinical Officer$138,822$0$26,198$0$548$0$0$0$3,610$0$169,178$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Lines 4a-bSchedule J, Line 4a, Severance Payments: Effective in June of 2020 and during the fiscal year covered by this return, Timothy Jones ceased employment with Concord Hospital. As per the terms of his separation agreement, he was paid his regular salary for 26 weeks. As these payments were made to him after the calendar year ending within the current fiscal year, these payments are not reflected in Schedule J, Part II which reports compensation and benefits based on calendar year end 2019. Timothy Jones's total severance payments of $251,973 and $215,977 will be reported in his 2020 and 2021 Form W-2, as applicable, as part of his Box 5 taxable wages. Additionally, effective in April of 2019, Dr. Gerald Sardella ceased employment with Concord Hospital. As per the terms of his separation agreement, he was paid his regular salary for six months and one week as severance. Payments made to him, including severance, during the calendar year ending 2019 are reflected in Schedule J, Part II which reports compensation and benefits based on calendar year-end 2019. Dr. Sardella's total severance payments of $321,915.60 were reported in his 2019 Form W-2 as part of his Box 5 taxable wages, and are included on this Schedule J, Part II, Column B(iii). As Dr. Sardella did not serve on the Board at any time during the fiscal year ending September 30, 2020, he has been indicated as "Former" on both Schedule J, Part II, and on Part VII of the 2019 Form 990. 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, 2020 (tax year 2019) was the third year where amounts previously set aside as deferred under his 457(f) plan had vested. Accordingly, $136,004 was included in Mr. Steigmeyer's 2019 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, 2017, and September 30, 2018. In accordance with IRS instructions, this amount has been included in Schedule J, Part II, Column B(iii) and Column F. There were additional contributions to Mr. Steigmeyer's 457(f) plan for fiscal years ended September 30, 2015, 2016, 2017, 2018, 2019, and 2020 of $115,000, $120,000, $125,000, $130,000, $140,000, and $150,000 respectively. Each contribution plus earnings will be reported in Mr. Steigmeyer's W-2 after a three-year vesting period. The amount included in Mr. Steigmeyer's deferred compensation amounts in Schedule J, Part II, Column C include the $140,000 contribution to his 457(f) plan plus $34,774 of earnings.
Part I, Line 7Incentive 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A020279866644614K652011-03-01$50,095,322Facility Improvements/RenovationsYes (1)00
NH Health & Education Facilities Authority
B020279866644614Z852013-02-01$48,631,000Facility Improvement Project & Advance Refund Series 2001 NHHEFA BondsYes (1)00
NH Health & Education Facilities Authority
C0202798662013-04-01$32,421,000Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds000
NH Health & Education Facilities Authority
D0202798662017-12-01$62,004,272New Construction and Renovations000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$11,780,000$50,095,322$544,8912012Yes (1)0Yes (1)Yes (1)
B$33,875,000$48,631,000$561,4392014Yes (1)0Yes (1)Yes (1)
C$32,421,264$64,50320130Yes (1)Yes (1)Yes (1)
D$62,004,272$670,0832020000Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Naxis Funding Corp
A000Yes (1)00Yes (1)1.80000000000000Yes (1)
(no name)
B000Yes (1)0000Yes (1)
(no name)
C000Yes (1)0000Yes (1)
(no name)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 02/28/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 02/06/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 04/25/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 11/30/2018ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Frederick Briccetti MD
Trustee$309,585Dr. Frederick Briccetti is a trustee on Concord Hospital's Board of Trustees. Dr. Briccetti is also a partner in New Hampshire Oncology Hematology (NHOH). NHOH pays Concord Hospital rent for access to the Hospital Cancer Center's space and equipment, as well as for certain medical services to aid in its regular operations. Total payments made from NHOH to Concord Hospital for use of the Cancer Center and to cover director fees in the 2020 fiscal year were $309,585.0
Lon Setnik MD
Spouse of Trustee$192,146The spouse of Board of Turstees Member, Lon Setnik, MD is employed as a physician of the Hospital. Dr. Setnik's wife's 2019 calendar year compensation was $192,146, which is commensurate with the salary and benefits of similar persons in her position and with her experience at the Hospital.0
Scott Sloane
Daughter of Officer$29,306Scott Sloane serves Concord Hospital as the Organization's Treasurer and is an Officer on the Hospital's Board of Directors. The daughter of Scott Sloane is employed by the Hospital. Her calendar year 2019 compensation, as based on her 2019 Form W-2 filings, was $29,306, an amount which is commensurate with the salary and benefits of similar persons in her position with her experience at the Hospital.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital.
Form 990, Part VI, Section A, line 7aThe Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member.
Form 990, Part VI, Section A, line 7bThe affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member.
Form 990, Part VI, Section B, line 11bThe 990 is reviewed in detail with the Audit Committee of the 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 12cEach 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 15The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital 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, Chief Financial Officer, and Chief Medical Officer 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 19Yes, 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 XI, line 9:Pension actuarial gain -16,511,585. Equity transfer from affiliates 1,530,247. Net periodic pension cost -2,931,476.
Form 990, Part XII, Line 2cThere was no change in the process for oversight of the audit of financial statements for the fiscal year. The Board has a finance committee, which reviews the financial statements monthly. There is also an audit committee of the Board, which reviews the annual audit process and the selection of the independent accountant. The same independent firm of accountants performed the audit for the fiscal years ending 9/30/19 and 9/30/20.
Form 990, Part VII:Dr. David A. Stevenson, Dr. Lon Setnik, and Dr. Tanja Vanderlinde are listed in Form 990, Part VII as voting members of the Hospital's governing body. They were also employed by the Hospital as full-time physicians and received compensation and benefits related to their services to the Hospital in their capacity as physicians. None of their compensation and benefits reflect remuneration in their capacities as board members of the Hospital. In accordance with IRS instructions, they have not been listed as independent board members in Form 990, Part VI, Line 1b.
Form 990, Part IX, Column D:Although the Hospital is reporting contribution income on Form 990, Part VIII, Line 1, predominantly all direct philanthropic activities and fundraising events are conducted and hosted by the Hospital's affiliate, Concord Hospital Trust. Historically, all contribution revenue that enters the Concord Hospital system is first received by the Trust and is then granted to the Hospital (for its year ending September 30, 2020, the Hospital also received direct grants from the United States Department of Health and Human Services). Concord Hospital Trust is responsible for the majority of the system's fundraising expenditures, as the generation and maintenance of grants for the Hospital is the Trust's primary fucntion. A portion of the expenses incurred directly by the Hospital, as well as some of the other Concord Hospital affiliated entities, also aid in general fundraising processes and operations. Therefore, a portion of the Hospital's annual expenses have been allocated to Form 990, Part IX, Column D.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1NH Cares ACO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
EIN830777970EIN
Primary ActivitiesTo provide medical services to Medicare beneficiaries.PrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Total Income$208,000TotalIncomeAmt
End Of Year Assets$35,000EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Capital Region Health Care Corporation
250 Pleasant StreetConcordNH03301020222123Promote comprehensive health service systemNH501(c)(3)Line 12a, IN/A0
Capital Region Health Ventures Corp
250 Pleasant StreetConcordNH03301020438264Provide medical care to communityNH501(c)(3)Line 12b, IIYes (1)Concord Hospital
Capital Region Health Care Development Corporation
250 Pleasant StreetConcordNH03301020429749Support Concord Hospital & other affiliatesNH501(c)(2)Yes (1)Concord Hospital
Concord Regional Visiting Nurse Association Inc
PO Box 1797ConcordNH033021797020222122Home health care & hospice servicesNH501(c)(3)Line 10N/A0
Riverbend Community Mental Health Inc
3-5 North State StreetConcordNH033022032020264383Multi-service teamNH501(c)(3)Line 7N/A0
Concord Hospital Trust
250 Pleasant StreetConcordNH03301260378710FundraisingNH501(c)(3)Line 12a, IYes (1)Concord Hospital
Concord Hospital - Franklin
250 Pleasant StreetConcordNH03301851433123Dormant During Tax YearNH501(c)(3)Line 3Yes (1)Concord Hospital
Concord Hospital - Laconia
250 Pleasant StreetConcordNH03301851443782Dormant During Tax YearNH501(c)(3)Line 3Yes (1)Concord Hospital

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Concord Imaging Center LLC
2 1/2 Beacon StreetConcordNH03301020436605Provide radiology services to communityNHN/A
Capital Orthopedic Surgery Center
250 Pleasant StreetConcordNH03301020522860Provide medical care to communityNHN/A
Concord Endoscopy Center LLC
60 Commerical StreetConcordNH03301201184756Provide medical care to communityNHN/A
Concord Elliot ACO LLC
1 Elliot WayManchesterNH03103454803675Accountable Care OrgNHElliot Hospital of the City of ManchesterRelated0Yes (1)0.16670

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtOwnershipOwnershipPct
Capital Region Health Services Corporation
250 Pleasant StreetConcordNH03301020428631Medical servicesNHN/AC0
Capital Region Primary Care Corporation
250 Pleasant StreetConcordNH03301020495275InactiveNHCYes (1)Concord Hospital1.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A$1,441,712Actual per books
Capital Region Health Care Ventures Corp
C$2,469,832Actual per books
Capital Region Health Care Development Corp
J$2,870,731Actual per books
Capital Region Health Care Development Corp
O$584,241Actual per books
Capital Region Health Care Ventures Corp
O$1,699,045Actual per books
Concord Hospital Trust
O$747,724Actual per books
Capital Region Health Care Development Corp
Q$1,586,593Actual per books
Capital Region Health Care Ventures Corp
Q$780,451Actual per books
Concord Hospital Trust
Q$977,894Actual per books

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule R, Part III:In accordance with IRS instructions, the partnerships listed in Part III are being reported due to their control relationship with Capital Region Health Ventures Corp and the Hospital's control relationship with Capital Region Health Ventures Corp.
Schedule R, Part V, Transaction Type A:On its Form 990, Schedule R, Part V, Line 1a and 2, Concord Hospital is reporting $1,441,712 for transaction type "A", receipt of interest, annuities, royalties, or rents from a controlled organization. Capital Region Health Care Development Corp, the controlled organization, does not have any unrelated business income (UBI) reportable on Form 990-T. Accordingly, the interest paymanets made by the controlled entity to the Hospital are not being used to offset taxable UBI of Capital Region Health Care Development Corp. Therefore, in accordance with 512(b)(13) these interest receipts do not need to be reported as UBI to the Hospital.

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