CONCORD HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201702269349302670
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-14T15:31:13-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222594672EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonScott W SloanePersonNm
Person TitleSenior VP, CFO, & TreasurerPersonTitleTxt
Phone6032284677PhoneNum
Signature2017-08-10SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
Preparation2017-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert P SteigmeyerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$559,569,503GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.concordhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionHospitalActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3886TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$2,311,426TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$676,172NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,253,898PYContributionsGrantsAmt
CY Contributions Grants$4,971,807CYContributionsGrantsAmt
PY Program Service Revenue$427,186,497PYProgramServiceRevenueAmt
CY Program Service Revenue$454,166,541CYProgramServiceRevenueAmt
PY Investment Income$12,809,880PYInvestmentIncomeAmt
CY Investment Income$27,684,561CYInvestmentIncomeAmt
PY Other Revenue$324,507PYOtherRevenueAmt
CY Other Revenue$374,717CYOtherRevenueAmt
PY Total Revenue$444,574,782PYTotalRevenueAmt
CY Total Revenue$487,197,626CYTotalRevenueAmt
PY Grants And Similar Paid$204,539PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$293,077CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$243,678,433PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$262,280,773CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$173,330,906PYOtherExpensesAmt
CY Other Expenses$186,380,833CYOtherExpensesAmt
PY Total Expenses$417,213,878PYTotalExpensesAmt
CY Total Expenses$448,954,683CYTotalExpensesAmt
PY Revenues Less Expenses$27,360,904PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,242,943CYRevenuesLessExpensesAmt
Total Assets BOY$490,430,685TotalAssetsBOYAmt
Total Assets EOY$519,420,194TotalAssetsEOYAmt
Total Liabilities BOY$258,381,331TotalLiabilitiesBOYAmt
Total Liabilities EOY$271,871,191TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$232,049,354NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$247,549,003NetAssetsOrFundBalancesEOYAmt
MissionConcord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$374,453,193ExpenseAmt
Grant$293,077GrantAmt
Revenue$452,237,725RevenueAmt
DescVarious hospital services; see Schedule HIn FYE 2016, Concord Hospital invested more than $72 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$374,453,193TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document270IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3886EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott Sloane VP FinanceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032277000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Valerie Acres Esq
Trustee1.001.00Yes (X)$0$0$0
D Thomas Akey MD
Trustee (thru 1/16)40.004.10Yes (X)$299,181$0$68,396
Diane E Wood Allen RN
Trustee (thru 7/16)40.000.00Yes (X)$258,007$0$62,347
Sol Asmar
Trustee1.001.00Yes (X)$0$0$0
Frederick Briccetti MD
Trustee1.000.00Yes (X)$0$0$0
William L Chapman Esq
Trustee1.001.00Yes (X)$0$0$0
Michelle Chicoine
Trustee1.000.00Yes (X)$0$0$0
Douglas Ewing MD
Med Staff President (thru 1/16)1.000.00Yes (X)$0$0$0
Christian Hallowell MD
Trustee (thru 1/16)1.001.00Yes (X)$0$0$0
Peter Noordsij MD
Trustee1.000.00Yes (X)$0$0$0
Muriel D Schadee CPA
Trustee1.004.10Yes (X)$0$0$0
Robert Segal
Trustee1.000.00Yes (X)$0$0$0
David A Stevenson MD
Trustee40.001.00Yes (X)$256,440$0$42,000
Jeffrey K Towle
Trustee1.001.00Yes (X)$0$0$0
Robert Thomson MD
Medical Staff President1.000.00Yes (X)$0$0$0
Claudia Walker
Trustee1.001.00Yes (X)$0$0$0
Philip Boulter MD
Chair1.005.10Yes (X)$0$0$0Yes (X)
David Ruedig
Vice Chair1.004.10Yes (X)$0$0$0Yes (X)
Mary Boucher
Secretary1.001.00Yes (X)$0$0$0Yes (X)
Robert P Steigmeyer
President & CEO55.005.10Yes (X)$805,372$0$151,032Yes (X)
Bruce R Burns
Treasurer55.005.10$476,061$0$61,982Yes (X)
David Green MD
Chief Medical Officer50.000.00$495,092$0$65,394Yes (X)
Gerald Sardella MD
Physician50.000.00$577,765$0$42,071Yes (X)
Joe Conley
COO50.000.00$422,616$0$66,466Yes (X)
George Pope MD
Physician50.000.00$470,310$0$41,910Yes (X)
Todd Burdette MD
Physician50.000.00$450,375$0$58,021Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,511,219TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$659,619TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K386IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Concord Emergency Medical Assoc
540 Lafayette RoadHamptonNH03842Physician services$9,669,836
Elliot Hospital
1070 Holt Avenue Suite 2100ManchesterNH03109Healthcare services$1,721,407
Angelica
PO Box 535122AtlantaGA303535122Laundry Services$1,317,208
ARUP Laboratories
PO Box 27964Salt Lake CityUT84127Laboratory Services$1,114,546
ROI Companies
85 Prescott Street Suite 402WorcesterMA01605Collection Services$1,029,867
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Related Organizations$4,971,807RelatedOrganizationsAmt
Total Contributions$4,971,807TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service621400$434,691,369$434,691,369
Disproportionate Share Funding621400$7,799,997$7,799,997
Other Operating Revenue621400$6,391,792$5,300,847$1,090,945
Food Services722210$3,963,260$2,750,672$1,212,588
Child Care Center624410$962,182$962,182

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$357,941TotalRevenueColumnAmt
Related Or Exempt Func Income$357,941RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$454,166,541TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,165,391TotalRevenueColumnAmt
Unrelated Business Revenue$7,893UnrelatedBusinessRevenueAmt
Exclusion$1,157,498ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$374,717RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$374,717RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,717TotalRevenueColumnAmt
Related Or Exempt Func Income$374,717RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$98,821,793SecuritiesAmt
Other$69,254OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$72,101,166SecuritiesAmt
Other$270,711OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$26,720,627SecuritiesAmt
Other-$201,457OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,519,170TotalRevenueColumnAmt
Exclusion$26,519,170ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$487,197,626TotalRevenueColumnAmt
Related Or Exempt Func Income$452,237,725RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,311,426UnrelatedBusinessRevenueAmt
Exclusion$27,676,668ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$293,077TotalAmt
Program Services$293,077ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,480,816TotalAmt
Program Services$901,330ProgramServicesAmt
Management And General$1,579,486ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$205,186,680TotalAmt
Program Services$171,198,623ProgramServicesAmt
Management And General$33,988,057ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,160,265TotalAmt
Program Services$10,199,979ProgramServicesAmt
Management And General$1,960,286ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,622,743TotalAmt
Program Services$23,721,030ProgramServicesAmt
Management And General$4,901,713ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,830,269TotalAmt
Program Services$11,442,535ProgramServicesAmt
Management And General$2,387,734ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,092,148TotalAmt
Program Services$137,510ProgramServicesAmt
Management And General$954,638ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$217,719TotalAmt
Management And General$217,719ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$132,950TotalAmt
Management And General$132,950ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$84,482TotalAmt
Management And General$84,482ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$797,652TotalAmt
Management And General$797,652ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,711,100TotalAmt
Program Services$16,687,437ProgramServicesAmt
Management And General$4,023,663ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$220,585TotalAmt
Program Services$76,024ProgramServicesAmt
Management And General$144,561ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,303,373TotalAmt
Program Services$7,829,907ProgramServicesAmt
Management And General$2,473,466ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,912,792TotalAmt
Program Services$4,168,964ProgramServicesAmt
Management And General$4,743,828ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,435,653TotalAmt
Program Services$10,197,084ProgramServicesAmt
Management And General$2,238,569ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$900,140TotalAmt
Program Services$441,034ProgramServicesAmt
Management And General$459,106ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$694,752TotalAmt
Program Services$493,196ProgramServicesAmt
Management And General$201,556ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,590,786TotalAmt
Program Services$2,513,550ProgramServicesAmt
Management And General$1,077,236ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,953,067TotalAmt
Program Services$16,067,147ProgramServicesAmt
Management And General$6,885,920ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,986,617TotalAmt
Program Services$5,986,617ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical/Surgical Suppli$50,755,693$50,755,693
Medicaid Enhancement Ta$19,679,075$19,679,075
Bad Debt Expense$17,588,543$17,588,543
Repairs/Maintenance$3,441,354$813,555$2,627,799

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,882,352TotalAmt
Program Services$3,261,283ProgramServicesAmt
Management And General$2,621,069ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$448,954,683TotalAmt
Program Services$374,453,193ProgramServicesAmt
Management And General$74,501,490ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,919,185BOYAmt
EOY$9,486,725EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,394,804BOYAmt
EOY$19,512,276EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,848,555BOYAmt
EOY$52,115,572EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,341,543BOYAmt
EOY$1,261,983EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,195,325BOYAmt
EOY$4,900,762EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$400,578,728LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$257,675,981LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$134,062,971BOYAmt
EOY$142,902,747EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$150,784,684BOYAmt
EOY$142,874,766EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$96,120,460BOYAmt
EOY$117,268,117EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,205,079BOYAmt
EOY$4,854,804EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$972,802BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,585,277BOYAmt
EOY$24,242,442EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$490,430,685BOYAmt
EOY$519,420,194EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$59,015,443BOYAmt
EOY$56,184,600EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$103,354,858BOYAmt
EOY$93,969,212EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,011,030BOYAmt
EOY$121,717,379EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$258,381,331BOYAmt
EOY$271,871,191EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$232,049,354BOYAmt
EOY$247,549,003EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$232,049,354BOYAmt
EOY$247,549,003EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$490,430,685BOYAmt
EOY$519,420,194EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,242,943ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,687,662NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$18,055,632OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$36,482GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$48,000OtherActivitiesAmt
Total Lobbying Expenditures$84,482TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationConcord Hospital was a member of the American Hospital Association & New Hampshire Hospital Association in the fiscal year ended 9/30/16. 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 portions of dues used for lobbying by the American Hospital Association and New Hampshire Hospital Association were $8,678 and $27,804, respectively. Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $48,000 in the year ended 9/30/16.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$210,537,884BeginningYearBalanceAmt
Contributions$19,493,511ContributionsAmt
Investment Earnings Or Losses$13,878,348InvestmentEarningsOrLossesAmt
Other Expenditures$894,519OtherExpendituresAmt
End Year Balance$243,015,224EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$159,691,844BeginningYearBalanceAmt
Contributions$28,914,868ContributionsAmt
Investment Earnings Or Losses$22,620,824InvestmentEarningsOrLossesAmt
Other Expenditures$689,652OtherExpendituresAmt
End Year Balance$210,537,884EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$139,047,220BeginningYearBalanceAmt
Contributions$3,169,850ContributionsAmt
Investment Earnings Or Losses$18,200,869InvestmentEarningsOrLossesAmt
Other Expenditures$726,095OtherExpendituresAmt
End Year Balance$159,691,844EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,497,100OtherCostOrOtherBasisAmt
Depreciation$74,319,909DepreciationAmt
Book Value$73,177,191BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,983,974OtherCostOrOtherBasisAmt
Depreciation$244,901DepreciationAmt
Book Value$3,739,073BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$233,384,668OtherCostOrOtherBasisAmt
Depreciation$183,111,171DepreciationAmt
Book Value$50,273,497BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,693,990OtherCostOrOtherBasisAmt
Book Value$15,693,990BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$142,902,747TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative InvestmentsDesc
Book Value$117,268,117BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$117,268,117TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated 3rd Party Settlements$22,459,062
Accrued Pension & Other Long-Term Liabilities$99,258,317
FieldValueIRS element (for citing)
Total Liability$121,717,379TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$456,433,621TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,687,662NetUnrealizedGainsInvstAmt
Revenue Not Reported-$4,687,662RevenueNotReportedAmt
Revenue Subtotal$461,121,283RevenueSubtotalAmt
Investment Expenses Not Incld$797,652InvestmentExpensesNotIncldAmt
Other Revenues Not Included$25,278,691OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$26,076,343RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$487,197,626TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$447,713,931TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$447,713,931ExpensesSubtotalAmt
Investment Expenses Not Incld2$797,652InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$443,100OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,240,752ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$448,954,683TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X, Line 2:The Hospital, CRHCDC, CRHVC, 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 4b - Other Adjustments:Board Designated Spending 443,100. Pension Actuarial Loss 24,835,591.
Part XII, Line 4b - Other Adjustments:Board Designated Spending 443,100.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestments - FMV as of 9/30/16TypeOfActivitiesConductedTxt
Specific Services ProvidedNoneSpecificServicesProvidedTxt
Region Total Expenditures$60,206,000RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$60,206,000SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$60,206,000TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served5266PersonsServedCnt
Total Community Benefit Expns$3,806,507TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,806,507NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,211,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,496,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,715,148NetCommunityBenefitExpnsAmt
Total Expense0.06190TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served5266PersonsServedCnt
Total Community Benefit Expns$56,018,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,496,758DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,521,655NetCommunityBenefitExpnsAmt
Total Expense0.07070TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served540809PersonsServedCnt
Total Community Benefit Expns$2,608,547TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$699,213DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,909,334NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served7311PersonsServedCnt
Total Community Benefit Expns$10,246,761TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,497,259DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,749,502NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served390379PersonsServedCnt
Total Community Benefit Expns$81,906,512TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,281,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,624,558NetCommunityBenefitExpnsAmt
Total Expense0.08260TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served23PersonsServedCnt
Total Community Benefit Expns$93,572TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93,572NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$699,949TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$699,949NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs46ActivitiesOrProgramsCnt
Persons Served938522PersonsServedCnt
Total Community Benefit Expns$95,555,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,478,426DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,076,915NetCommunityBenefitExpnsAmt
Total Expense0.09750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs52ActivitiesOrProgramsCnt
Persons Served943788PersonsServedCnt
Total Community Benefit Expns$151,573,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,975,184DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,598,570NetCommunityBenefitExpnsAmt
Total Expense0.16820TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,631TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,631NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,631TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,631NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,559,542BadDebtExpenseAmt
Bad Debt Expense Attributable$951,965BadDebtExpenseAttributableAmt
Reimbursed By Medicare$133,387,362ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$196,663,472CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$63,276,110MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord HospitalBusinessNameLine1Txt

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Concord HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Concord HospitalPart V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord HospitalPart V, Section B, Line 7d: The Community Benefit Report was included in the Hospital's annual report and mailed to nearly 7,500 residents of the communities that the Hospital serves. It is also available on the State of New Hampshire's DOJ website and also the Concord Hospital website.The Hospital's Community Health Needs Assessment was on the Hospital's website with instructions on how to obtain a printed copy.
Concord HospitalPart V, Section B, Line 11: See attached Implementation 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 addressed all identified needs to a significant extent. The one need where the Organization had limited involvement was in the area of medical transportation, primarily because there are numerous services in the community that already address the need more effectively.
Concord HospitalPart V, Section B, Line 16i: 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 the underserved and low income individuals and families; our financial assistance program is well understood by those agencies who often refer people to the program. Finally, our Financial Assistance staff reach out personally to the homeless through the monthly clinic at the homeless resource center to get them connected in as well as through the annual day of caring for the homeless.
Schedule H, Part V, Section B, Line 7a & 10a:The CHNA is available at the Hospital facility's website: http://www.concordhospital.org/about/community-benefits/Implementation Strategy:http://www.concordhospital.org/app/files/public/811/CBP-Plan.pdf
Schedule H, Part V, Section B, Line 16b:The Hospital's Financial Assistance Policy:http://www.concordhospital.org/patients-visitors/patient-financial-services/financial-assistance/The Hospital's Financial Assistance Policy Application:http://www.concordhospital.org/patients-visitors/patient-financial-services/financial-assistance/The Hospital's Plain Language Summary:http://www.concordhospital.org/patients-visitors/patient-financial-services/financial-assistance/financial-assistance-policy-plain-language-summary/
FieldValueIRS element (for citing)
Facility56FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Concord Hospital Urgent Care
60 Commercial StreetConcordNH03301Walk-in Urgent Care
2 - Capital Orthopaedic Srgry Ctr-Concord
264 Pleasant StreetConcordNH03301Outpatient Surgery
3 - Concord Hospital Cardiac Associates
246 Pleasant Street Suite 103ConcordNH03301Outpatient Physician Services
4 - Concord Ambulatory Surgery Center
60 Commercial Street Suite 301ConcordNH03301Outpatient Surgery
5 - Concord Imaging Center
248 Pleasant Street Suite 106ConcordNH03301Imaging Services
6 - Center for Urologic Care
246 Pleasant Street Suite G2ConcordNH03301Outpatient Physician Services
7 - Concord Endoscopy Center
60 Commercial StreetConcordNH03301Outpatient Endoscopy Services
8 - Concord Obstetrics and Gynecology
189 North Main StreetConcordNH03301Outpatient Physician Services
9 - Concord Surgical Associates
246 Pleasant Street Suite 205ConcordNH03301Outpatient Physician Services
10 - Concord Hospital Family Health Center
250 Pleasant StreetConcordNH03301Outpatient Physician Services
11 - Capital Orthopaedic Srgry Ctr-Concord
14 Tsienneto Road Suite 100DerryNH03836Outpatient Surgery
12 - Concord Pulmonary Medicine
248 Pleasant Street Suite G100ConcordNH03301Outpatient Physician Services
13 - Center for Sports Med & Ortho Rehab
264 Pleasant StreetConcordNH03301Rehabilitation Services
14 - Rehabilitation Services at Warner
2 East Main StreetWarnerNH03278Rehabilitation Services
15 - Concord Family Medicine
18 Foundry Street Suite 201ConcordNH03301Outpatient Physician Services
16 - Internal Medicine
248 Pleasant Street Suite 2800ConcordNH03301Outpatient Physician Services
17 - Concord Imaging Center
60 Commercial Street Suite 101ConcordNH03301Imaging Services
18 - Concord Plastic Surgery
246 Pleasant Street Suite 210ConcordNH03301Outpatient Physician Services
19 - Concord Hospital Sleep Center
18 Foundry Street Suite 103ConcordNH03301Outpatient Sleep Services
20 - Concord Hospital Cardiac Ass-Laconia
85 Spring Street Suite 2A1LaconiaNH03246Outpatient Physician Services
21 - Neurology Associates
248 Pleasant Street Suite G200ConcordNH03301Outpatient Physician Services
22 - Pleasant Street Family Medicine
280 Pleasant StreetConcordNH03301Outpatient Physician Services
23 - Family Tree Healthcare Hopkinton
19 Farrington Corner RoadHopkintonNH03229Outpatient Physician Services
24 - Penacook Family Physicians
4 Cresent StreetPeacockNH03303Outpatient Physician Services
25 - Family Physicians of Pembroke
121 Pembroke StreetPembrokeNH03275Outpatient Physician Services
26 - Epsom Family Medicine
1990 Dover RoadEpsomNH03234Outpatient Physician Services
27 - CardiacThoracic Surgery
246 Pleasant StreetConcordNH03301Outpatient Physician Services
28 - Rehab Services CH Med Office-North
18 Foundry Street Suite 101ConcordNH03301Rehabilitation Services
29 - Rehab Serv CH Med Off-Horseshoe Pnd
60 Commercial Street Suite 403ConcordNH03301Rehabilitation Services
30 - Family Care Of Concord
248 Pleasant Street Suite 2600ConcordNH03301Outpatient Physician Services
31 - Concord Hosp Fam Hlth Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Outpatient Physician Services
32 - Family Tree Healthcare Warner
2 East Main StreetWarnerNH03278Outpatient Physician Services
33 - Reha Services CH Medical Office-East
1990 Dover Road Suite 201EpsomNH03234Rehabilitation Services
34 - Rehabilitation Services at Pembroke
121 Pembroke StreetPembrokeNH03275Rehabilitation Services
35 - Internal Medicine at Horseshoe Pond
60 Commercial Street Suite 401ConcordNH03301Outpatient Physician Services
36 - International Travel Clinic
246 Pleasant Street Suite 104ConcordNH03301Outpatient Physician Services
37 - Concord Imaging Center
1990 Dover RoadEpsomNH03234Imaging Services
38 - Family Tree Healthcare Concord
81 Hall StreetConcordNH03301Outpatient Physician Services
39 - Lab-Memorial Medical Office Building
246 Pleasant StreetConcordNH03301Outpatient Laboratory Services
40 - Capital Region Palliative Care & Hospice
246 Pleasant Street Suite 206ConcordNH03301Outpatient Physician Services
41 - Concord Hosp Fam Hlth Ctr Behav Hlth
250 Pleasant Street Yeaple BuildingConcordNH03301Outpatient Counseling Services
42 - Concord Hosp Fam Hlth Ctr Behav Dental
250 Pleasant Street Yeaple BuildingConcordNH03301Dental Services
43 - Anti-Coagulation Clinic Internal Med
248 Pleasant Street Suite 2800ConcordNH03301Outpatient Physician Services
44 - Anti-Coag Clinic Concord Fam Med
18 Foundry Street Suite 201ConcordNH03301Outpatient Physician Services
45 - Center for Health Promotion
49 South Main StreetConcordNH03301Health Promotion Services
46 - Lab CH Medical Off at Horseshoe Pond
60 Commercial StreetConcordNH03301Outpatient Laboratory Services
47 - Lab CH Medical Offices-East
1990 Dover RoadEpsomNH03234Outpatient Laboratory Services
48 - Concord Family Medicine Havenwood
149 East Side DriveConcordNH03301Outpatient Physician Services
49 - Family Health Center Lab
250 Pleasant Street Yeaple BuildingConcordNH03301Outpatient Laboratory Services
50 - Radiology Srv Fam Hlth Ctr-Hillsboro
15 Antrim RoadHillsboroNH03244Radiology Services
51 - Rehab ServicesFam Health Ctr-Hilloro
15 Antrim RoadHillsboroNH03244Rehabilitation Services
52 - Breast Care Center
248 Pleasant Street Suite 206ConcordNH03301Imaging and Counseling service
53 - Lab Penacook Family Physicians
4 Cresent StreetPenacookNH03303Outpatient Laboratory Services
54 - Lab Heights
149 East Side DriveConcordNH03301Outpatient Laboratory Services
55 - Lab Family Tree Warner
2 East Main StreetWarnerNH03278Outpatient Laboratory Services
56 - Lab Family Physicians of Pembroke
121 Pembroke StreetPembrokeNH03275Outpatient Laboratory Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and 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 $ 17,588,543.
Part II, Community Building Activities:In fiscal year 2016, Concord Hospital continued its emergency preparedness initiatives by hosting a multi-agency emergency preparedness exercise with the measurement of program success being outside agency responders able to properly respond within the response parameters and the risk of damage, injury or fatality is mitigated to the best level possible.
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 $63,276,110 is funded through cost shifting to other payors. 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.In accorance with the regulations, the Hospital has not included its $63,276,110 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 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 facilitates a comprehensive community health needs assessments, 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 the communities 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 2015.
Part VI, Line 3:The Hospital actively meets with all people who indicate that they do not have insurance or will have difficulty paying their obligations, to inform and work with them to understand what local programs are available to them, including how they can benefit from the Hospital's Financial Assistance program.
Part VI, Line 4:Concord 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 orthopedic, 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 makes investments in initiatives that align with the Hospital's core 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 inpatient 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 Instructions to Schedule H, Part I, the Hospital has not included its $63,276,110 Medicare shortfall as-a community benefit in Part I. However, we believe that this shortfall provides a tremendous benefit to the community in that it enables the Hospital to provide essential services to a vast number of patients who otherwise would not have access to the Hospital's care.
Part VI, Line 7, Reports Filed With StatesNH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Riverbend Community Mental HealthBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2032AddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Recipient EIN020264383RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$293,077CashGrantAmt
Purpose Of GrantSupport to provide funding for: psychiatric care manager and psychiatric APRN, co-located care services at Concord Hospital Medical Group practices, and funds for discounts and scholarships to be awarded by RCMH for individuals in the Intensive Outpatient Therapy and Medication Assisted Therapy programs.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital works with the Concord Hospital Trust to administer grants provided from funds available through the Community Services Funds. The Trust has an open application process for those entities that meet the grant requirements, and the Trust Board approves and recommends to the Hospital Board, all recommended granting actions. The Trust provides annual monitoring of compliance with expected spending requirements and gets updates as needed.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
D Thomas Akey MD
Trustee (thru 1/16)$283,334$0$12,250$0$3,597$0$48,050$0$20,346$0$367,577$0$0$0
Diane E Wood Allen RN
Trustee (thru 7/16)$224,840$0$31,717$0$1,450$0$48,520$0$13,827$0$320,354$0$0$0
David A Stevenson MD
Trustee$232,802$0$23,114$0$524$0$22,206$0$19,794$0$298,440$0$0$0
Robert P Steigmeyer
President & CEO$573,294$0$231,250$0$828$0$133,000$0$18,032$0$956,404$0$0$0
Bruce R Burns
Treasurer$384,782$0$88,903$0$2,376$0$48,050$0$13,932$0$538,043$0$0$0
David Green MD
Chief Medical Officer$389,324$0$103,151$0$2,617$0$48,050$0$17,344$0$560,486$0$0$0
Gerald Sardella MD
Physician$559,733$0$16,790$0$1,242$0$20,254$0$21,817$0$619,836$0$0$0
Joe Conley
COO$326,778$0$93,647$0$2,191$0$48,543$0$17,923$0$489,082$0$0$0
George Pope MD
Physician$452,725$0$17,121$0$464$0$20,150$0$21,760$0$512,220$0$0$0
Todd Burdette MD
Physician$374,131$0$75,665$0$579$0$36,649$0$21,372$0$508,396$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bRobert P. Steigmeyer, President & CEO, participated in a 457(f) plan with Concord Hospital during the fiscal year. After a three-year vesting period which began in 2014, there will be a 457(f) amount included in taxable W-2 wages for Mr. Steigmeyer reported on Schedule J, Part II, Column B(iii). This future amount will be comprised of earnings and deferred compensation that is included in Schedule J, Part II, Column C. On October 29, 2014 $78,750 was approved to be credited into Mr. Steigmeyer's 457(f) plan account for fiscal year ended September 30, 2014. There were contributions to Mr. Steigmeyer's 457(f) plan for fiscal years ended September 30, 2015 and 2016 of $115,000 and $120,000, respectively.
Part I, Line 7Incentive Pay: The primary purpose of the incentive pay is to recognize the quality of the performance of the CEO, CFO, 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 (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A020279866644614K652011-03-01$50,095,322Facility Improvements/Renovations000
NH Health & Education Facilities Authority
B020279866644614Z852013-02-01$48,631,000Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds000
NH Health & Education Facilities Authority
C0202798662013-04-01$32,421,000Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$50,095,322$544,8912012Yes (1)0Yes (1)Yes (1)
B$48,631,000$561,4392014Yes (1)0Yes (1)Yes (1)
C$32,421,264$64,50320130Yes (1)Yes (1)Yes (1)$31,800,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 03/17/2016 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 01/31/2016 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 06/30/2016ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4The Hospital revised its bylaws for the following significant changes: A. The compensation of the Hospital's President, which was previously determined by the Board, is now subject to the following procedures: The compensation for the President shall be authorized and approved by the Compensation Committee in a manner that qualifies for the rebuttable presumption of reasonableness available under the Intermediate Sanctions regulations, but, to the extent such compensation may constitute a pecuniary benefit transaction (as defined by RSA 7:19-a and as referenced in Article 9), no such compensation shall be payable until also approved by the Board in a manner that satisfies RSA 7:19-a. B. The provisions in the bylaws outlining the duties of the Compensation Committee were revised to read as follows: 1.To annually review the performance of the President. 2.To annually review and approve the compensation (including changes in compensation) of the President (and other members of senior management as the Compensation Committee deems appropriate) in a manner that qualifies for the rebuttable presumption of reasonableness under the Intermediate Sanction regulations, provided that to the extent such compensation may constitute a pecuniary benefit transaction (as defined by RSA 7:19-a), no such compensation shall be payable until also approved by the Board in a manner that satisfies RSA 7:19-a. The Compensation Committee may, as necessary, select and establish compensation for a consultant to assist in this process. 3.To provide to the Board a full and fair disclosure of the material facts of any compensation arrangement that may constitute a pecuniary benefit transaction (as defined by RSA 7:19-a). 4.Review and reassess the adequacy of the committee charter and executive total compensation philosophy annually, and recommend amendments to the Board for approval as the Compensation Committee deems appropriate. The committee charter and executive total compensation philosophy (and any amendments thereto) shall become effective when approved by the Board in accordance with these Bylaws.
Form 990, Part VI, Section A, line 6Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital.
Form 990, Part VI, Section A, line 7aThe Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member.
Form 990, Part VI, Section A, line 7bThe affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member.
Form 990, Part VI, Section B, line 11The 990 is reviewed in detail with the Audit Committee of the Board of Trustees. All board members receive a copy of the 990 to review prior to filing the report.
Form 990, Part VI, Section B, line 12cEach Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer, Chief Financial Officer, and Chief Medical Officer as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, CFO, and CMO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO, CFO, and CMO and shall set their compensation as the Board deems appropriate. Although the Hospital continues to value the role of Capital Region Health Care Corporation ("CRHC") and the Hospital's participation in that organization, the Board acknowledges that it is not the responsibility of the Board to evaluate or set the compensation of the Chief Executive Officer of CRHC. Neither is it the role of the Board of Trustees of CRHC to evaluate, or set the compensation of, the Hospital's CEO. Accordingly, CRHC's Board of Trustees is not involved in evaluating or setting the compensation of the Hospital's CEO. The Board acknowledges that the Hospital's CEO may also serve as the Chief Executive Officer of CRHC and that the Hospital may charge CRHC for these services. The Board may consider the comments of the Board of Trustees of CRHC, as outlined herein, when deemed relevant in evaluating the performance of the Hospital's CEO. The Board directs that the Compensation Committee and the Board itself, in their respective undertakings of recommending and setting the compensation of the Hospital's CEO, COO, CFO, and CMO, avoid conflicts of interest and be guided by the "rebuttable presumption of reasonableness" regulations under the so-called "Excess Benefit Transaction" provisions of the Internal Revenue Code ("IRC"). The Board authorizes the Compensation Committee to use such financial and advisory (e.g., legal counsel, consultant) resources as it reasonably deems appropriate to fulfill its duties in evaluating the CEO's performance and in making its recommendations to the Board regarding compensation for the CEO, COO, CFO, and CMO.
Form 990, Part VI, Section C, line 19Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted 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 Loss -24,835,591. Equity Transfer from Affiliate 6,779,959.
Form 990, Part XII, Line 2cThere 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 9/30/15 and 9/30/16.
Form 990, Part VII:Dr. Thomas Akey, Diane E. Wood Allen, RN, and Dr. David A. Stevenson are all listed in Form 990, Part VII as voting members of the Hospital's governing body. Each was also employed by the Hospital as full-time physicians or other medical personnel and received compensation and benefits related to their services to the Hospital in their capacity as employees. None of the above listed individuals' compensation and benefits reflect remuneration in their capacity 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 it is not reporting any fundraising expenses on Form 990, Part IX, Line 25, Column D. All philanthropic activity is conducted by the Hospital's affiliate, Concord Hospital Trust. All contribution revenue is first received by the Trust which is then granted to the Hospital. All fundraising expenses related to this solicitation of contribution revenue is reported on Concord Hospital Trust's Form 990, Part IX, Column D.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Capital Region Health Care Corporation
250 Pleasant StreetConcordNH03301020222123Promote comprehensive health service systemNH501(c)(3)Line 11a, IN/A0
Capital Region Health Physicians Group
250 Pleasant StreetConcordNH03301020481705InactiveNH501(c)(3)Line 9Yes (1)Concord Hospital
Capital Region Health Ventures Corp
250 Pleasant StreetConcordNH03301020438264Provide medical care to communityNH501(c)(3)Line 11b, IIYes (1)Concord Hospital
Capital Region Health Care Development Corporation
250 Pleasant StreetConcordNH03301020429749Support Concord Hospital & other affiliatesNH501(c)(2)Yes (1)Concord Hospital
Concord Regional Visiting Nurse Association Inc
PO Box 1797ConcordNH033021797020222122Home health care & hospice servicesNH501(c)(3)Line 90Capital Region Health Care Corp
Riverbend Community Mental Health Inc
3-5 North State StreetConcordNH033022032020264383Multi-service teamNH501(c)(3)Line 7N/A0
CHDHC Inc
250 Pleasant StreetConcordNH03301020519680Provide health services to Concord communityNH501(c)(3)Line 9Yes (1)Concord Hospital
Concord Hospital Trust
250 Pleasant StreetConcordNH03301260378710FundraisingNH501(c)(3)Line 11a, IYes (1)Concord Hospital

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Concord Imaging Center LLC
2 1/2 Beacon StreetConcordNH03301020436605Provide radiology services to communityNHN/A
Capital Orthopedic Surgery Center
250 Pleasant StreetConcordNH03301020522860Provide medical care to communityNHN/A
Concord Ambulatory Surgery Center LLC
60 Commerical StreetConcordNH03301201184704Provide medical care to communityNHN/A
Concord Endoscopy Center LLC
60 Commerical StreetConcordNH03301201184756Provide medical care to communityNHN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A$1,441,707Actual per books
Capital Region Health Care Corp
J$100,530Actual per books
Capital Region Health Care Corp
B$236,364Actual per books
CHDHC
B$3,563Actual per books
Capital Region Health Care Ventures Corp
C$6,586,460Actual per books
Capital Region Health Care Services Corp
C$319,302Actual per books
Capital Region Health Care Development Corp
K$2,982,318Actual per books
Capital Region Health Care Development Corp
O$552,791Actual per books
Capital Region Health Care Ventures Corp
O$474,245Actual per books
Concord Hospital Trust
O$738,291Actual per books
Capital Region Health Care Development Corp
P$35,227Actual per books
Capital Region Health Care Ventures Corp
Q$336,853Actual per books
CHDHC
P$3,563Actual per books
Concord Hospital Trust
Q$244,486Actual per books

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part III:FormAndLineReferenceDesc
ExplanationIn 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. During the year, the hospital system invested in Granite Healthcare Asset Holding Company, LLC, a joint venture with several hospital facilities. The Hospital's investment in this entity does not otherwise meet the disclosure requirements for Schedule R, Part III.ExplanationTxt

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