CONCORD HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-06-22
IRS object ID: 202041749349300814
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-22T10:25:31-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Baker Newman & Noyes	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 507	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222594672	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CONC	BusinessNameControlTxt
Phone	6032284677	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Scott Sloane	PersonNm
Person Title	Senior VP, CFO, & Treasurer	PersonTitleTxt
Phone	6032284677	PhoneNum
Signature	2020-06-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	2078792100	PhoneNum
Preparation	2020-06-02	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-02	IPDt
IP Tm	12:04:55	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BC8AE4E166BFDF24A7972DDCC457CE4FCF4C8ABA	AtSubmissionCreationDeviceId
At Submission Filing Device Id	82E1BC1B10DC50A6477F14E190E1DC816259D1F0	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Robert P Steigmeyer	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$616,520,956	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.concordhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1944	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Hospital	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4093	TotalEmployeeCnt
Total Volunteers	284	TotalVolunteersCnt
Total Gross UBI	$2,464,690	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,654,766	PYContributionsGrantsAmt
CY Contributions Grants	$4,140,490	CYContributionsGrantsAmt
PY Program Service Revenue	$517,361,113	PYProgramServiceRevenueAmt
CY Program Service Revenue	$537,005,328	CYProgramServiceRevenueAmt
PY Investment Income	$14,710,104	PYInvestmentIncomeAmt
CY Investment Income	-$2,353,291	CYInvestmentIncomeAmt
PY Other Revenue	$520,610	PYOtherRevenueAmt
CY Other Revenue	$333,542	CYOtherRevenueAmt
PY Total Revenue	$537,246,593	PYTotalRevenueAmt
CY Total Revenue	$539,126,069	CYTotalRevenueAmt
PY Grants And Similar Paid	$80,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$283,748,271	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$309,051,282	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$432,770	CYTotalFundraisingExpenseAmt
PY Other Expenses	$231,888,478	PYOtherExpensesAmt
CY Other Expenses	$222,927,545	CYOtherExpensesAmt
PY Total Expenses	$515,716,749	PYTotalExpensesAmt
CY Total Expenses	$531,978,827	CYTotalExpensesAmt
PY Revenues Less Expenses	$21,529,844	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,147,242	CYRevenuesLessExpensesAmt
Total Assets BOY	$636,262,707	TotalAssetsBOYAmt
Total Assets EOY	$620,279,215	TotalAssetsEOYAmt
Total Liabilities BOY	$289,400,733	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$306,755,875	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$346,861,974	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$313,523,340	NetAssetsOrFundBalancesEOYAmt
Mission	Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$442,512,202	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$534,903,202	RevenueAmt
Desc	Various hospital services; see Schedule HIn FYE 2019, Concord Hospital invested more than $82 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	$442,512,202	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	321	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4093	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Scott Sloane Senior VP CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6032277000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	033017539	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Valerie Acres Esq
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Philip Boulter MD
Trustee (end 1/19)	1.00	3.00	Yes (X)	$0	$0	$0
Frederick Briccetti MD
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Michelle Chicoine
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Peter Cook
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Rosemary M Heard
Trustee (eff. 1/19)	1.00	0.00	Yes (X)	$0	$0	$0
Lucy Karl Esq
Trustee (eff. 1/19)	1.00	0.00	Yes (X)	$0	$0	$0
Peter Noordsij MD
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Manisha Patel DDS
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Muriel Schadee CPA
Trustee	1.00	3.00	Yes (X)	$0	$0	$0
Robert Segal
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Lon Setnik MD
Trustee	50.00	0.00	Yes (X)	$74,062	$0	$725
David Stevenson MD
Trustee	50.00	1.00	Yes (X)	$228,532	$0	$67,457
Jeffrey Towle
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Sol Asmar
Chair	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
David Ruedig
Chair (end, 1/19)/Trustee	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
Philip Emma
Vice Chair (eff 1/19)	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
William Chapman Esq
Secretary	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
Robert P Steigmeyer
President & CEO	56.00	4.00	Yes (X)	$1,023,633	$0	$228,446	Yes (X)
Scott Sloane
Treasurer	56.00	4.00		$389,135	$0	$91,264	Yes (X)
Pamela Puleo
Executive Director	40.00	1.00		$256,345	$0	$101,364	Yes (X)
David Green MD
Senior VP/Chief Medical Officer (end 6.19)	50.00	0.00		$545,876	$0	$94,437		Yes (X)
Timothy P Jones
Senior VP/Chief Operating	50.00	0.00		$499,645	$0	$68,922		Yes (X)
Gerald Sardella MD
Physician (end 4/19)	50.00	0.00		$707,087	$0	$66,393			Yes (X)
Shahab Moossavi MD
Physician	50.00	0.00		$544,541	$0	$62,413			Yes (X)
Adam Chodosh MD
Physician	50.00	0.00		$537,318	$0	$68,148			Yes (X)
Wayne Carlisle Stadelmann MD
Physician	50.00	0.00		$520,081	$0	$80,275			Yes (X)
Michael Ferguson MD
Physician	50.00	0.00		$497,663	$0	$41,935			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,823,918	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$971,779	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	581	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Harvey Construction Corp
10 Harvey Road	Bedford	NH	03110	Construction Services	$4,916,304
Elliot Hospital
1070 Holt Avenue Suite 2100	Manchester	NH	03109	Healthcare services	$3,898,925
Anesthesia Associates PA
1 Pillsbury Street Suite 202	Concord	NH	03301	Healthcare services	$3,244,696
Elevating Informatics
511 Prairie Lake Drive	Fern Park	FL	32730	Professional Services	$2,495,564
Lavallee Brensinger LLC
155 Dow Street Suite 400	Manchester	NH	03101	Professional Services	$2,062,595

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,140,490	RelatedOrganizationsAmt
Total Contributions	$4,140,490	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service	621400	$507,275,950	$507,275,950
Disproportionate Share Funding	621400	$19,215,103	$19,215,103
Other Operating Revenue	621400	$6,165,463	$4,955,716	$1,209,747
Food Services	722210	$4,128,167	$2,902,246	$1,225,921
Answering Service	541900	$100,870	$100,870

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$119,775	TotalRevenueColumnAmt
Related Or Exempt Func Income	$119,775	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$537,005,328	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,413,755	TotalRevenueColumnAmt
Unrelated Business Revenue	$29,022	UnrelatedBusinessRevenueAmt
Exclusion	$6,384,733	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$333,542	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$333,542	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,542	TotalRevenueColumnAmt
Related Or Exempt Func Income	$333,542	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$68,596,946	SecuritiesAmt
Other	$30,895	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$77,329,185	SecuritiesAmt
Other	$65,702	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$8,732,239	SecuritiesAmt
Other	-$34,807	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$8,767,046	TotalRevenueColumnAmt
Exclusion	-$8,767,046	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,126,069	TotalRevenueColumnAmt
Related Or Exempt Func Income	$534,903,202	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,464,690	UnrelatedBusinessRevenueAmt
Exclusion	-$2,382,313	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,312,133	TotalAmt
Program Services	$2,755,433	ProgramServicesAmt
Management And General	$556,700	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$245,154,636	TotalAmt
Program Services	$203,949,378	ProgramServicesAmt
Management And General	$41,205,258	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,893,119	TotalAmt
Program Services	$8,230,278	ProgramServicesAmt
Management And General	$1,662,841	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,580,388	TotalAmt
Program Services	$31,263,856	ProgramServicesAmt
Management And General	$6,316,532	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,111,006	TotalAmt
Program Services	$10,907,301	ProgramServicesAmt
Management And General	$2,203,705	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,605,646	TotalAmt
Management And General	$1,605,646	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$435,469	TotalAmt
Management And General	$435,469	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$327,250	TotalAmt
Management And General	$327,250	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$44,000	TotalAmt
Program Services	$44,000	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$799,232	TotalAmt
Management And General	$799,232	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,320,862	TotalAmt
Program Services	$17,136,149	ProgramServicesAmt
Management And General	$3,184,713	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$253,217	TotalAmt
Program Services	$217,259	ProgramServicesAmt
Management And General	$35,590	ManagementAndGeneralAmt
Fundraising	$368	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,485,704	TotalAmt
Program Services	$4,386,588	ProgramServicesAmt
Management And General	$3,083,755	ManagementAndGeneralAmt
Fundraising	$15,361	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$12,416,551	TotalAmt
Program Services	$9,386,294	ProgramServicesAmt
Management And General	$2,983,730	ManagementAndGeneralAmt
Fundraising	$46,527	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,645,865	TotalAmt
Program Services	$12,436,792	ProgramServicesAmt
Management And General	$2,184,906	ManagementAndGeneralAmt
Fundraising	$24,167	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$937,493	TotalAmt
Program Services	$804,364	ProgramServicesAmt
Management And General	$131,768	ManagementAndGeneralAmt
Fundraising	$1,361	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$849,877	TotalAmt
Program Services	$729,190	ProgramServicesAmt
Management And General	$119,453	ManagementAndGeneralAmt
Fundraising	$1,234	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,676,939	TotalAmt
Program Services	$3,138,068	ProgramServicesAmt
Management And General	$1,489,421	ManagementAndGeneralAmt
Fundraising	$49,450	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,649,614	TotalAmt
Program Services	$16,459,100	ProgramServicesAmt
Management And General	$7,930,408	ManagementAndGeneralAmt
Fundraising	$260,106	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,308,433	TotalAmt
Program Services	$5,412,605	ProgramServicesAmt
Management And General	$886,671	ManagementAndGeneralAmt
Fundraising	$9,157	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical/Surgical Suppli	$70,915,768	$60,845,388	$10,070,380
Bad Debt Expense	$23,740,364	$23,740,364
Medicaid Enhancement Ta	$22,441,769	$22,441,769
Repairs/Maintenance	$4,689,871	$3,520,758	$1,150,987	$18,126

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,383,621	TotalAmt
Program Services	$4,707,268	ProgramServicesAmt
Management And General	$669,440	ManagementAndGeneralAmt
Fundraising	$6,913	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$531,978,827	TotalAmt
Program Services	$442,512,202	ProgramServicesAmt
Management And General	$89,033,855	ManagementAndGeneralAmt
Fundraising	$432,770	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,554,078	BOYAmt
EOY	$10,295,916	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,553,332	BOYAmt
EOY	$23,227,665	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,847,777	BOYAmt
EOY	$67,891,509	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,978,868	BOYAmt
EOY	$2,295,949	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,931,830	BOYAmt
EOY	$6,334,189	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$443,325,074	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$271,934,040	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$157,627,161	BOYAmt
EOY	$171,391,034	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$164,564,006	BOYAmt
EOY	$153,877,789	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$172,825,770	BOYAmt
EOY	$153,431,957	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,191,481	BOYAmt
EOY	$9,824,258	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,188,404	BOYAmt
EOY	$21,708,949	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$636,262,707	BOYAmt
EOY	$620,279,215	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$68,196,146	BOYAmt
EOY	$69,370,178	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$137,523,672	BOYAmt
EOY	$128,097,738	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,680,915	BOYAmt
EOY	$109,287,959	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$289,400,733	BOYAmt
EOY	$306,755,875	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$346,861,974	BOYAmt
EOY	$313,523,340	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$346,861,974	BOYAmt
EOY	$313,523,340	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$636,262,707	BOYAmt
EOY	$620,279,215	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,147,242	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,661,705	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$45,147,581	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$36,419	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$44,000	OtherActivitiesAmt
Total Lobbying Expenditures	$80,419	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Concord Hospital was a member of the American Hospital Association & the New Hampshire Hospital Association in the fiscal year ended 9/30/19. 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 $9,556 and $26,863, respectively. Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $44,000 in the year ended 9/30/19.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$232,130,222	BeginningYearBalanceAmt
Contributions	$1,940,394	ContributionsAmt
Investment Earnings Or Losses	$6,298,683	InvestmentEarningsOrLossesAmt
Other Expenditures	$477,119	OtherExpendituresAmt
End Year Balance	$239,892,180	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$243,015,224	BeginningYearBalanceAmt
Contributions	$1,036,824	ContributionsAmt
Investment Earnings Or Losses	-$9,845,448	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,076,378	OtherExpendituresAmt
End Year Balance	$232,130,222	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$159,920,592	OtherCostOrOtherBasisAmt
Depreciation	$92,874,829	DepreciationAmt
Book Value	$67,045,763	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,801,754	OtherCostOrOtherBasisAmt
Depreciation	$2,874,186	DepreciationAmt
Book Value	$1,927,568	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$239,849,263	OtherCostOrOtherBasisAmt
Depreciation	$176,185,025	DepreciationAmt
Book Value	$63,664,238	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,734,469	OtherCostOrOtherBasisAmt
Book Value	$38,734,469	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$171,391,034	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative investments	Desc
Book Value	$153,431,957	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$153,431,957	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Estimated 3rd party settlements	$34,569,480
Accrued pension & other long-term liabilities	$74,718,479

Field	Value	IRS element (for citing)
Total Liability	$109,287,959	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$497,220,231	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$4,661,705	NetUnrealizedGainsInvstAmt
Other Revenue	-$42,521,542	OtherRevenueAmt
Revenue Not Reported	-$37,859,837	RevenueNotReportedAmt
Revenue Subtotal	$535,080,068	RevenueSubtotalAmt
Investment Expenses Not Incld	$799,232	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,246,769	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,046,001	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$539,126,069	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$530,558,865	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$530,558,865	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$799,232	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$620,730	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,419,962	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$531,978,827	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, CH/DHC 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. 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:	Pension actuarial gain/(loss) -49,984,108. Equity transfers from affiliates 7,462,566.
Part XI, Line 4b - Other Adjustments:	Board designated spending 620,730. Net periodic pension cost 2,626,039.
Part XII, Line 4b - Other Adjustments:	Board designated spending 620,730.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments - FMV as of 9/30/19	TypeOfActivitiesConductedTxt
Specific Services Provided	None	SpecificServicesProvidedTxt
Region Total Expenditures	$69,922,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$69,922,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$69,922,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	5525	PersonsServedCnt
Total Community Benefit Expns	$4,696,155	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,696,155	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,287,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,604,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,683,439	NetCommunityBenefitExpnsAmt
Total Expense	0.05840	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	5525	PersonsServedCnt
Total Community Benefit Expns	$55,983,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,604,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,379,594	NetCommunityBenefitExpnsAmt
Total Expense	0.06760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	562683	PersonsServedCnt
Total Community Benefit Expns	$2,743,530	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$553,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,190,308	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	9096	PersonsServedCnt
Total Community Benefit Expns	$10,547,126	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,672,893	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,874,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	443086	PersonsServedCnt
Total Community Benefit Expns	$90,982,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,552,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,430,578	NetCommunityBenefitExpnsAmt
Total Expense	0.08350	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	37	PersonsServedCnt
Total Community Benefit Expns	$83,688	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,688	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$638,233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$638,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	1014902	PersonsServedCnt
Total Community Benefit Expns	$104,995,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,778,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,217,040	NetCommunityBenefitExpnsAmt
Total Expense	0.09500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	53	ActivitiesOrProgramsCnt
Persons Served	1020427	PersonsServedCnt
Total Community Benefit Expns	$160,978,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$78,382,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,596,634	NetCommunityBenefitExpnsAmt
Total Expense	0.16260	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,455	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,455	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,455	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,017,715	BadDebtExpenseAmt
Bad Debt Expense Attributable	$857,895	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$172,929,798	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$241,973,838	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$69,044,040	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Field	Value	IRS element (for citing)
State License	01098	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Strategy Attached	Yes (1)	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Concord Hospital	Part V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord Hospital	Part V, Section B, Line 7d: The Community Benefits Report (2019 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 Hospital	Part V, Section B, Line 11: See attached 2016-2018 Community Benefits Action Plan, as well as the recently issued 2019-2021 Community Benefits Action Plan, to see how Concord Hospital is addressing the significant needs identified in its most recently conducted CHNA covered by this tax filing.
Concord Hospital	Part V, Section B, Line 16j: The Hospital includes information about charitable care services in many publications that go to the community. In addition, we collaborate with many community organizations that support vulnerable populations, including low-income individuals and families; our financial assistance program is well understood by those agencies who often refer people to the program. The Hospital's Financial Assistance Policy is available online in English, and is able to be translated to other languages on the Concord Hospital website.
Concord Hospital	Part 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 20c, 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 supervisor 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/

Field	Value	IRS element (for citing)
Facility	64	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (64 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Concord Imaging Center
248 Pleasant Street Suite 102	Concord	NH	03301	Imaging Services
2 - Concord Hospital Cardiac Associates
246 Pleasant Street Suite 103	Concord	NH	03301	Outpatient Physician Services
3 - Concord Endoscopy Center
60 Commercial Street Suite 201	Concord	NH	03301	Outpatient Endoscopy Services
4 - Concord Imaging Center
60 Commercial Street Suite 101	Concord	NH	03301	Imaging Services
5 - Concord Obstetrics and Gynecology
189 North Main Street	Concord	NH	03301	Outpatient Physician Services
6 - Concord Surgical Associates
246 Pleasant Street Suite 205	Concord	NH	03301	Outpatient Physician Services
7 - Capital Orthopaedic Srgry Ctr-Derry
14 Tsienneto Road Suite 100	Derry	NH	03836	Outpatient Surgery
8 - Concord Hospital Family Health Center
250 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
9 - Concord Pulmonary Medicine
248 Pleasant Street Suite G100	Concord	NH	03301	Outpatient Physician Services
10 - Center for Sports Med & Ortho Rehab
264 Pleasant Street	Concord	NH	03301	Rehabilitation Services
11 - Rehabilitation Services at Warner
2 East Main Street	Warner	NH	03278	Rehabilitation Services
12 - Rehab ServicesFam Health Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Rehabilitation Services
13 - Concord Family Medicine
18 Foundry Street Suite 201	Concord	NH	03301	Outpatient Physician Services
14 - Internal Medicine
248 Pleasant Street Suite 2800	Concord	NH	03301	Outpatient Physician Services
15 - Concord Hospital Sleep Center
18 Foundry Street Suite 103	Concord	NH	03301	Outpatient Sleep Services
16 - Concord Plastic Surgery
246 Pleasant Street Suite 210	Concord	NH	03301	Outpatient Physician Services
17 - Concord Hospital Urgent Care
60 Commercial Street Suite 102	Concord	NH	03301	Walk-in Urgent Care
18 - Concord Hospital Cardiac Ass-Laconia
85 Spring Street Suite 2A1	Laconia	NH	03246	Outpatient Physician Services
19 - Penacook Family Physicians
4 Crescent Street	Peacook	NH	03303	Outpatient Physician Services
20 - Neurology Associates
248 Pleasant Street Suite G200	Concord	NH	03301	Outpatient Physician Services
21 - Neurology Associates
248 Pleasant Street Suite 202	Concord	NH	03301	Outpatient Physician Services
22 - Family Tree Healthcare Hopkinton
19 Farrington Corner Road	Hopkinton	NH	03229	Outpatient Physician Services
23 - Family Care Of Concord
248 Pleasant Street Suite 2600	Concord	NH	03301	Outpatient Physician Services
24 - Pleasant Street Family Medicine
280 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
25 - Epsom Family Medicine
1990 Dover Road Suite 2A	Epsom	NH	03234	Outpatient Physician Services
26 - Rehab Serv CH Med Off-Horseshoe Pnd
60 Commercial Street Suite 403	Concord	NH	03301	Rehabilitation Services
27 - Rehab Services CH Med Office-North
18 Foundry Street Suite 101	Concord	NH	03301	Rehabilitation Services
28 - CardiacThoracic Surgery
246 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
29 - Family Physicians of Pembroke
121 Pembroke Street	Pembroke	NH	03275	Outpatient Physician Services
30 - Concord Hosp Fam Hlth Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Outpatient Physician Services
31 - Rehab Services CH Medical Office-East
1990 Dover Road Suite 2B	Epsom	NH	03234	Rehabilitation Services
32 - International Travel Clinic
246 Pleasant Street Suite 104	Concord	NH	03301	Outpatient Physician Services
33 - Internal Medicine at Horseshoe Pond
60 Commercial Street Suite 401	Concord	NH	03301	Outpatient Physician Services
34 - Family Tree Healthcare Warner
2 East Main Street	Warner	NH	03278	Outpatient Physician Services
35 - Rehabilitation Services at Pembroke
121 Pembroke Street	Pembroke	NH	03275	Rehabilitation Services
36 - Lab-Memorial Medical Office Building
246 Pleasant Street Suite 102	Concord	NH	03301	Outpatient Laboratory Services
37 - Concord Hosp Fam Hlth Ctr Behav Hlth
250 Pleasant Street Yeaple Building	Concord	NH	03301	Outpatient Counseling Services
38 - Capital Region Palliative Care & Hosp
246 Pleasant Street Suite 206	Concord	NH	03301	Outpatient Physician Services
39 - Anti-Coagulation Clinic Internal Med
248 Pleasant Street Suite 2800	Concord	NH	03301	Outpatient Physician Services
40 - Center for Health Promotion
49 South Main Street	Concord	NH	03301	Health Promotion Services
41 - Lab CH Medical Off at Horseshoe Pond
60 Commercial Street	Concord	NH	03301	Outpatient Laboratory Services
42 - Concord Hosp Fam Hlth Ctr Dental Clinic
250 Pleasant Street Yeaple Building	Concord	NH	03301	Dental Services
43 - Lab CH Medical Offices-East
1990 Dover Road Suite 1A	Epsom	NH	03234	Outpatient Laboratory Services
44 - Concord Family Medicine Havenwood
149 East Side Drive	Concord	NH	03301	Outpatient Physician Services
45 - Breast Care Center
248 Pleasant Street Suite 206	Concord	NH	03301	Imaging & Counseling Services
46 - Radiology Srv Fam Hlth Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Radiology Services
47 - Family Health Center Lab
250 Pleasant Street Yeaple Building	Concord	NH	03301	Outpatient Laboratory Services
48 - Lab Penacook Family Physicians
4 Crescent Street Suite 1B	Penacook	NH	03303	Outpatient Laboratory Services
49 - Lab Heights
149 East Side Drive	Concord	NH	03301	Outpatient Laboratory Services
50 - Lab Family Tree Warner
2 East Main Street	Warner	NH	03278	Outpatient Laboratory Services
51 - Lab Family Physicians of Pembroke
121 Pembroke Street	Pembroke	NH	03275	Outpatient Laboratory Services
52 - Anti-Coag Clinic Concord Fam Med
18 Foundry Street Suite 201	Concord	NH	03301	Outpatient Physician Services
53 - Concord Dermatology
248 Pleasant St Suite 103	Concord	NH	03301	Outpatient Physician Services
54 - Concord Endocrinology
18 Foundry Street Suite 102	Concord	NH	03301	Outpatient Physician Services
55 - Family Tree Health Care - Concord
194 Pleasant Street Suite 7	Concord	NH	03301	Outpatient Physician Services
56 - Concord Hospital Record Center
10 Ferry Street	Concord	NH	03301	Outpatient Services
57 - Center For Urologic Care - New London
273 County Road	New London	NH	03257	Urology Services
58 - Center For Urologic Care - Plymouth
103 Boulder Point Road	Plymouth	NH	03264	Urology Services
59 - Center For Urologic Care - Wolfeboro
240 South Main Street	Wolfeboro	NH	03894	Urology Services
60 - Concord Otolaryngology
194 Pleasant St Suites 12	Concord	NH	03301	Outpatient Physician Services
61 - Cardiac Associates
15 Aiken St	Franklin	NH	03235	Outpatient Physician Services
62 - Cardiac Associates
246 Pleasant St Suite 105	Concord	NH	03301	Outpatient Physician Services
63 - Pelvic Medicine Program
246 Pleasant St Suite 106	Concord	NH	03301	Outpatient Physician Services
64 - Occupational Health
60 Commercial St Suite 302	Concord	NH	03301	Outpatient Physician Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and those who may be faced with chronic health conditions. Many of these activities also ensure access to needed health services, which might otherwise not be available without subsidized or special support.
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 $ 23,740,364.
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 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 $69,044,040 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 $69,044,040 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 States	NH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Stevenson MD
Trustee	$222,445	$0	$5,000	$0	$1,087	$0	$43,817	$0	$23,640	$0	$295,989	$0	$0	$0
Robert P Steigmeyer
President & CEO	$640,785	$0	$260,000	$0	$122,848	$0	$205,750	$0	$22,696	$0	$1,252,079	$0	$121,300	$0
Scott Sloane
Treasurer	$299,984	$0	$88,350	$0	$801	$0	$68,995	$0	$22,269	$0	$480,399	$0	$0	$0
Pamela Puleo
Executive Director	$204,460	$0	$50,275	$0	$1,610	$0	$79,235	$0	$22,129	$0	$357,709	$0	$0	$0
David Green MD
Senior VP/Chief Medical Officer (end	$429,295	$0	$111,196	$0	$5,385	$0	$73,621	$0	$20,816	$0	$640,313	$0	$0	$0
Timothy P Jones
Senior VP/Chief Operating	$389,746	$0	$108,351	$0	$1,548	$0	$46,698	$0	$22,224	$0	$568,567	$0	$0	$0
Gerald Sardella MD
Physician (end 4/19)	$616,927	$0	$87,838	$0	$2,322	$0	$40,387	$0	$26,006	$0	$773,480	$0	$0	$0
Shahab Moossavi MD
Physician	$508,781	$0	$35,260	$0	$500	$0	$40,612	$0	$21,801	$0	$606,954	$0	$0	$0
Adam Chodosh MD
Physician	$502,547	$0	$34,010	$0	$761	$0	$41,692	$0	$26,456	$0	$605,466	$0	$0	$0
Wayne Carlisle Stadelmann MD
Physician	$394,026	$0	$125,080	$0	$975	$0	$54,361	$0	$25,914	$0	$600,356	$0	$0	$0
Michael Ferguson MD
Physician	$462,540	$0	$33,010	$0	$2,113	$0	$23,192	$0	$18,743	$0	$539,598	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Lines 4a-b

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, 2019 (tax year 2018) was the second year where amounts previously set aside as deferred under his 457(f) plan had vested. Accordingly, $121,300 was included in Mr. Steigmeyer's 2018 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, 2016, and September 30, 2017. 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, and 2019 of $115,000, $120,000, $125,000, $130,000, and $140,000, 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 $130,000 contribution to his 457(f) plan plus $31,647 of earnings. Effective in April of 2019 and during the fiscal year covered by this return, 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. 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 yearend 2018. Dr. Sardella's total severance payments of $321,915.60 will reported in his 2019 Form W-2 as part of his Box 5 taxable wages.

Part I, Line 7

Incentive Pay: The primary purpose of the incentive pay is to recognize the quality of the performance of the CEO, CFO, COO, and CMO during the preceding fiscal year. The amount of the incentive pay bonus is based on performance relative to strategic goals and measurable objectives. When the executive's performance excels, the incentive pay should reflect the accomplishment and allow for the sum of base salary and incentive pay to reach as high as the 75th percentile of peer institutions.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A	020279866	644614K65	2011-03-01	$50,095,322	Facility Improvements/Renovations	0	0	0
NH Health & Education Facilities Authority
B	020279866	644614Z85	2013-02-01	$48,631,000	Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds	0	0	0
NH Health & Education Facilities Authority
C	020279866		2013-04-01	$32,421,000	Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds	0	0	0
NH Health & Education Facilities Authority
D	020279866		2017-12-01	$62,004,272	New Construction and Renovations	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt
A	$50,095,322	$544,891	2012	Yes (1)	0	Yes (1)	Yes (1)
B	$48,631,000	$561,439	2014	Yes (1)	0	Yes (1)	Yes (1)
C	$32,421,264	$64,503	2013	0	Yes (1)	Yes (1)	Yes (1)	$31,800,000
D	$62,004,272	$670,083	2020	0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Naxis Funding Corp
A	0	0	0	Yes (1)	0	0	Yes (1)	1.800000000000	0	0	Yes (1)
(no name)
B	0	0	0	Yes (1)	0	0	0			0	Yes (1)
(no name)
C	0	0	0	Yes (1)	0	0	0			0	Yes (1)
(no name)
D	0	0	0	Yes (1)	0	0	0			0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer 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: 11/30/2018	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Frederick Briccetti MD
Trustee	$318,864	Dr. Frederick Briccetti is a trustee on Concord Hospital's board of directors. 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 2019 fiscal year, respectively, were $294,864 and $24,000.	0
Cynthia King MD
Spouse of Lon Setnik, MD	$180,000	Cynthia Gale King, MD, is the spouse of Lon Setnik, MD. Dr. Setnik is a trustee on the board of directors for Concord Hospital, and Dr. King is employed by Concord Hospital as a physician serving in the Concord Hospital Family Health Center. Dr. King's 2018 calendar year compensation was approximately $180,000, which is considered the fair market value of a person's salary in her position and with her experience.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Capital 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 7a	The 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 7b	The 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 11b	The 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 12c	Each Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15	The 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 19	Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted on the Hospital's web site, www.concordhospital.org. 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 -49,984,108. Equity transfer from affiliates 7,462,566. Net periodic pension cost -2,626,039.
Form 990, Part XII, Line 2c	There was no change in the process for oversight of the audit and compilation 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 9/30/18 and 9/30/19.
Form 990, Part VII:	Dr. David A. Stevenson and Dr. Lon Setnik 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. All contribution revenue that enters the Concord Hospital system is first received by the Trust and is then granted to the Hospital. 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

Field	Value	IRS element (for citing)
Business Name Line1	NH Cares ACO LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Field	Value	IRS element (for citing)
EIN	999999999	EIN
Primary Activities	To provide medical services to Medicare beneficiaries.	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Total Income	$32,000	TotalIncomeAmt
End Of Year Assets	$32,000	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital Inc	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Capital Region Health Care Corporation
250 Pleasant Street	Concord	NH	03301	020222123	Promote comprehensive health service system	NH	501(c)(3)	Line 12a, I	N/A	0
Capital Region Health Ventures Corp
250 Pleasant Street	Concord	NH	03301	020438264	Provide medical care to community	NH	501(c)(3)	Line 12b, II		Yes (1)	Concord Hospital
Capital Region Health Care Development Corporation
250 Pleasant Street	Concord	NH	03301	020429749	Support Concord Hospital & other affiliates	NH	501(c)(2)			Yes (1)	Concord Hospital
Concord Regional Visiting Nurse Association Inc
PO Box 1797	Concord	NH	033021797	020222122	Home health care & hospice services	NH	501(c)(3)	Line 10		0	Capital Region Health Care Corp
Riverbend Community Mental Health Inc
3-5 North State Street	Concord	NH	033022032	020264383	Multi-service team	NH	501(c)(3)	Line 7	N/A	0
Concord Hospital Trust
250 Pleasant Street	Concord	NH	03301	260378710	Fundraising	NH	501(c)(3)	Line 12a, I		Yes (1)	Concord Hospital

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Concord Imaging Center LLC
2 1/2 Beacon Street	Concord	NH	03301	020436605	Provide radiology services to community	NH	N/A
Capital Orthopedic Surgery Center
250 Pleasant Street	Concord	NH	03301	020522860	Provide medical care to community	NH	N/A
Concord Endoscopy Center LLC
60 Commerical Street	Concord	NH	03301	201184756	Provide medical care to community	NH	N/A
Concord Elliot ACO LLC
1 Elliot Way	Manchester	NH	03103	454803675	Accountable Care Org	NH		Elliot Hospital of the City of Manchester	Related	0	Yes (1)	0.16670

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct
Capital Region Health Services Corporation
250 Pleasant Street	Concord	NH	03301	020428631	Medical services	NH	N/A	C	0
Capital Region Primary Care Corporation
250 Pleasant Street	Concord	NH	03301	020495275	Inactive	NH		C	Yes (1)	Concord Hospital	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A	$1,441,708	Actual per books
Capital Region Health Care Ventures Corp
C	$7,176,000	Actual per books
Capital Region Health Care Development Corp
J	$3,161,045	Actual per books
Capital Region Health Care Development Corp
O	$545,016	Actual per books
Capital Region Health Care Ventures Corp
O	$249,515	Actual per books
Concord Hospital Trust
O	$705,626	Actual per books
Capital Region Health Care Development Corp
Q	$274,490	Actual per books
Capital Region Health Care Ventures Corp
Q	$1,679,387	Actual per books
Concord Hospital Trust
Q	$1,120,193	Actual per books

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 $1,441,708 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.