FURP.ORG / PUBLIC DATA EXPLORER

CONCORD HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201632289349302098
Schema version
2014v6.0
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)
Return2016-08-15T12:38:24-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

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 Begin2014-10-01TaxPeriodBeginDt

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)
PersonBruce R BurnsPersonNm
Person TitleTreasurer/SR VP Finance/CFOPersonTitleTxt
Phone6032284677PhoneNum
Signature2016-08-12SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
Preparation2016-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$474,695,330GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3773TotalEmployeeCnt
Total Volunteers414TotalVolunteersCnt
Total Gross UBI$2,375,558TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$620,049NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,154,294PYContributionsGrantsAmt
CY Contributions Grants$4,253,898CYContributionsGrantsAmt
PY Program Service Revenue$433,090,639PYProgramServiceRevenueAmt
CY Program Service Revenue$427,186,497CYProgramServiceRevenueAmt
PY Investment Income$11,241,158PYInvestmentIncomeAmt
CY Investment Income$12,809,880CYInvestmentIncomeAmt
PY Other Revenue$328,192PYOtherRevenueAmt
CY Other Revenue$324,507CYOtherRevenueAmt
PY Total Revenue$448,814,283PYTotalRevenueAmt
CY Total Revenue$444,574,782CYTotalRevenueAmt
PY Grants And Similar Paid$129,942PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$204,539CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$232,851,261PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$243,678,433CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$185,332,137PYOtherExpensesAmt
CY Other Expenses$173,330,906CYOtherExpensesAmt
PY Total Expenses$418,313,340PYTotalExpensesAmt
CY Total Expenses$417,213,878CYTotalExpensesAmt
PY Revenues Less Expenses$30,500,943PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,360,904CYRevenuesLessExpensesAmt
Total Assets BOY$514,290,018TotalAssetsBOYAmt
Total Assets EOY$490,430,685TotalAssetsEOYAmt
Total Liabilities BOY$252,687,438TotalLiabilitiesBOYAmt
Total Liabilities EOY$258,381,331TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$261,602,580NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$232,049,354NetAssetsOrFundBalancesEOYAmt
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$349,615,496ExpenseAmt
Grant$204,539GrantAmt
Revenue$425,142,706RevenueAmt
DescVarious hospital services; see Schedule HIn FYE 2015, Concord Hospital invested more than $76 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$349,615,496TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
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 Document255IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3773EmployeeCnt
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott Sloane 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
Trustee40.004.10Yes (X)$297,163$0$67,867
Diane E Wood Allen RN
Trustee40.000.00Yes (X)$253,770$0$60,622
Sol Asmar
Trustee1.001.00Yes (X)$0$0$0
C Thomas Brown
Trustee (Part Year)1.001.00Yes (X)$0$0$0
Frederick Briccetti MD
Trustee1.000.00Yes (X)$0$0$0
William L Chapman Esq
Trustee1.000.00Yes (X)$0$0$0
Michelle Chicoine
Trustee1.000.00Yes (X)$0$0$0
Douglas Ewing MD
Medical Staff President1.000.00Yes (X)$0$0$0
Christian Hallowell MD
Trustee1.001.00Yes (X)$0$0$0
Muriel D Schadee CPA
Trustee1.004.10Yes (X)$0$0$0
Robert Segal
Trustee1.000.00Yes (X)$0$0$0
Jeffrey S Kipperman CPA
Trustee (Part Year)1.001.00Yes (X)$0$0$0
David A Stevenson MD
Trustee40.001.00Yes (X)$169,235$0$44,703
Jeffrey K Towle
Trustee1.001.00Yes (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)$706,718$0$114,286Yes (X)
Bruce R Burns
Treasurer55.005.10$471,940$0$61,447Yes (X)
David Green MD
Chief Medical Officer50.000.00$488,060$0$64,855Yes (X)
Gerald Sardella MD
Physician50.000.00$526,943$0$41,631Yes (X)
Joe Conley
COO50.000.00$486,082$0$65,443Yes (X)
Wayne K Carlisle Stadelmann MD
Physician50.000.00$429,130$0$41,187Yes (X)
Robert Mitchell MD
Physician50.000.00$395,462$0$37,344Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,224,503TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$599,385TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K337IndivRcvdGreaterThan100KCnt
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$9,230,436
Dartmouth Hitchcock Clinic
PO Box 810HanoverNH03755Physician services$3,493,292
Elliot Hospital
1070 Holt Avenue Suite 2100ManchesterNH03109Healthcare services$1,546,654
Angelica
PO Box 535122AtlantaGA303535122Laundry Services$1,305,161
Concord Imaging Center LLC
2 Pilsbury StreetConcordNH03301Imaging Services$1,292,278
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Related Organizations$4,253,898RelatedOrganizationsAmt
Total Contributions$4,253,898TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service621400$409,257,620$409,257,620
Other Operating Revenue621400$8,110,493$7,016,309$1,094,184
Food Services722210$3,890,572$2,616,458$1,274,114
Disproportionate Share Funding621400$3,497,023$3,497,023
ARRA-HI-TECH621400$1,258,416$1,258,416

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,172,373TotalRevenueColumnAmt
Related Or Exempt Func Income$1,172,373RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$427,186,497TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$499,292TotalRevenueColumnAmt
Unrelated Business Revenue$7,260UnrelatedBusinessRevenueAmt
Exclusion$492,032ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$324,507RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$324,507RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$324,507TotalRevenueColumnAmt
Related Or Exempt Func Income$324,507RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$42,190,251SecuritiesAmt
Other$240,885OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,983,129SecuritiesAmt
Other$137,419OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$12,207,122SecuritiesAmt
Other$103,466OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,310,588TotalRevenueColumnAmt
Exclusion$12,310,588ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$444,574,782TotalRevenueColumnAmt
Related Or Exempt Func Income$425,142,706RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,375,558UnrelatedBusinessRevenueAmt
Exclusion$12,802,620ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$204,539TotalAmt
Program Services$204,539ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,247,750TotalAmt
Program Services$816,652ProgramServicesAmt
Management And General$1,431,098ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$189,924,226TotalAmt
Program Services$159,017,579ProgramServicesAmt
Management And General$30,906,647ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,315,889TotalAmt
Program Services$8,687,644ProgramServicesAmt
Management And General$1,628,245ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,290,869TotalAmt
Program Services$23,528,824ProgramServicesAmt
Management And General$4,762,045ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,899,699TotalAmt
Program Services$10,710,069ProgramServicesAmt
Management And General$2,189,630ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,523,644TotalAmt
Program Services$64,990ProgramServicesAmt
Management And General$1,458,654ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$262,601TotalAmt
Management And General$262,601ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,949TotalAmt
Management And General$128,949ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$78,822TotalAmt
Management And General$78,822ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$828,193TotalAmt
Management And General$828,193ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,595,473TotalAmt
Program Services$18,384,760ProgramServicesAmt
Management And General$4,210,713ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$255,322TotalAmt
Program Services$90,257ProgramServicesAmt
Management And General$165,065ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,637,158TotalAmt
Program Services$7,145,057ProgramServicesAmt
Management And General$2,492,101ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,974,640TotalAmt
Program Services$4,600,885ProgramServicesAmt
Management And General$3,373,755ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,725,589TotalAmt
Program Services$10,589,414ProgramServicesAmt
Management And General$2,136,175ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$569,937TotalAmt
Program Services$397,475ProgramServicesAmt
Management And General$172,462ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$807,180TotalAmt
Program Services$529,754ProgramServicesAmt
Management And General$277,426ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,793,965TotalAmt
Program Services$2,655,775ProgramServicesAmt
Management And General$1,138,190ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,897,012TotalAmt
Program Services$16,027,908ProgramServicesAmt
Management And General$6,869,104ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,724,689TotalAmt
Program Services$4,724,689ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical/Surgical Suppli$45,989,054$45,989,054
Bad Debt Expense$16,409,968$16,409,968
Medicaid Enhancement Ta$12,800,000$12,800,000
Repairs/Maintenance$4,151,298$3,342,788$808,510

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,177,412TotalAmt
Program Services$2,897,415ProgramServicesAmt
Management And General$2,279,997ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$417,213,878TotalAmt
Program Services$349,615,496ProgramServicesAmt
Management And General$67,598,382ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$16,303,646BOYAmt
EOY$10,919,185EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,389,628BOYAmt
EOY$7,394,804EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$44,817,144BOYAmt
EOY$51,848,555EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,390,132BOYAmt
EOY$1,341,543EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,963,008BOYAmt
EOY$5,195,325EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$386,915,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$252,852,844LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$135,440,140BOYAmt
EOY$134,062,971EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$159,948,559BOYAmt
EOY$150,784,684EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$97,240,635BOYAmt
EOY$96,120,460EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$2,205,079EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,067,497BOYAmt
EOY$972,802EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,729,629BOYAmt
EOY$29,585,277EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$514,290,018BOYAmt
EOY$490,430,685EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$47,836,724BOYAmt
EOY$59,015,443EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,626,605BOYAmt
EOY$103,354,858EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,224,109BOYAmt
EOY$96,011,030EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$252,687,438BOYAmt
EOY$258,381,331EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$260,367,886BOYAmt
EOY$232,049,354EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$338,685BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$896,009BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$261,602,580BOYAmt
EOY$232,049,354EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$514,290,018BOYAmt
EOY$490,430,685EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$27,360,904ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$22,501,788NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$34,412,342OtherChangesInNetAssetsAmt
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$30,822GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$48,000OtherActivitiesAmt
Total Lobbying Expenditures$78,822TotalLobbyingExpendituresAmt
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 9/30/15. A portion of the dues paid to this organization was 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 were $30,822. 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 9/30/15.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$135,685,338BeginningYearBalanceAmt
Contributions$8,067,297ContributionsAmt
Investment Earnings Or Losses-$4,399,718InvestmentEarningsOrLossesAmt
Other Expenditures$305,697OtherExpendituresAmt
End Year Balance$139,047,220EndYearBalanceAmt
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$148,331,702OtherCostOrOtherBasisAmt
Depreciation$77,090,558DepreciationAmt
Book Value$71,241,144BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,793,747OtherCostOrOtherBasisAmt
Depreciation$238,564DepreciationAmt
Book Value$2,555,183BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$223,452,121OtherCostOrOtherBasisAmt
Depreciation$175,523,722DepreciationAmt
Book Value$47,928,399BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,319,249OtherCostOrOtherBasisAmt
Book Value$12,319,249BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$134,062,971TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative InvestmentsDesc
Book Value$96,120,460BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$96,120,460TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Intercompany Receivables$19,322,333
Other Assets$1,652,218
Other Receivables$8,610,726
FieldValueIRS element (for citing)
Total Book Value Other Assets$29,585,277TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated 3rd Party Settlements$14,323,053
Accrued Pension & Other Long-Term Liabilities$81,687,977
FieldValueIRS element (for citing)
Total Liability$96,011,030TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$387,612,680TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$22,501,788NetUnrealizedGainsInvstAmt
Revenue Not Reported-$22,501,788RevenueNotReportedAmt
Revenue Subtotal$410,114,468RevenueSubtotalAmt
Investment Expenses Not Incld$828,193InvestmentExpensesNotIncldAmt
Other Revenues Not Included$33,632,121OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$34,460,314RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$444,574,782TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$415,931,212TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$415,931,212ExpensesSubtotalAmt
Investment Expenses Not Incld2$828,193InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$454,473OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,282,666ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$417,213,878TotalExpensesPerForm990Amt

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. With few exceptions, the System is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2012.
Part XI, Line 4b - Other Adjustments:Board Designated Spending 454,473. Pension Actuarial Loss 33,177,648.
Part XII, Line 4b - Other Adjustments:Board Designated Spending 454,473.

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 9/30/15TypeOfActivitiesConductedTxt
Specific Services ProvidedNoneSpecificServicesProvidedTxt
Region Total Expenditures$51,191,120RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$51,191,120SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$51,191,120TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
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 Served6492PersonsServedCnt
Total Community Benefit Expns$6,131,654TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,131,654NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$47,853,379TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,774,590DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,078,789NetCommunityBenefitExpnsAmt
Total Expense0.08250TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served6492PersonsServedCnt
Total Community Benefit Expns$53,985,033TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,774,590DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,210,443NetCommunityBenefitExpnsAmt
Total Expense0.09780TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served418821PersonsServedCnt
Total Community Benefit Expns$2,828,949TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$732,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,096,617NetCommunityBenefitExpnsAmt
Total Expense0.00520TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served3947PersonsServedCnt
Total Community Benefit Expns$10,257,741TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,989,025DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,268,716NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs17ActivitiesOrProgramsCnt
Persons Served64798PersonsServedCnt
Total Community Benefit Expns$75,975,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,879,143DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,096,060NetCommunityBenefitExpnsAmt
Total Expense0.07510TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served28PersonsServedCnt
Total Community Benefit Expns$93,673TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$93,673NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,029,637TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,029,637NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Persons Served487594PersonsServedCnt
Total Community Benefit Expns$90,185,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$52,600,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,584,703NetCommunityBenefitExpnsAmt
Total Expense0.09380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served494086PersonsServedCnt
Total Community Benefit Expns$144,170,236TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,375,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,795,146NetCommunityBenefitExpnsAmt
Total Expense0.19160TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,302TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$44,302NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,302TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$44,302NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$5,854,504BadDebtExpenseAmt
Bad Debt Expense Attributable$1,229,907BadDebtExpenseAttributableAmt
Reimbursed By Medicare$126,155,186ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$180,637,621CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$54,482,435MedicareSurplusOrShortfallAmt

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
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
CHNA Conducted12CHNAConductedYr
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 VI, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
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 App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part VI, Section CFAPAppAvailableOnWebsiteURLTxt
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 (8 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 residents of the communities that the Hospital serves. It is also available on the State of New Hampshire's DOJ 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 has had a section on their website related to financial assistance for several years; however, this did not include our full Financial Assistance Policy Plain Language Summary. However, the Hospital did have a financial assistance policy and financial assistance application that was available to our patients. While the Hospital did not have a formal plain language summary, we believe that we made a reasonable and good faith effort to provide such a document because the back of each patient statement is a plain language summary of our policy. The Hospital is diligently reviewing all policies and compliance matters to ensure it will be in complete compliance with 501(r) as addressed with questions 16a, 16c, and 16f by 9/30/16 including posting the full policy, application, and plain language summary on the organization's website at http://www.concordhospital.org/patients-visitors/patient-financial-services/ This is consistent with the guidance that the final regulations under section 501(r) apply to a hospital facility's taxable years beginning after December 29, 2015.
Schedule H, Part V, Section B, Line 7a & 10a:The CHNA is available at the Hospital facility's website: http://www.concordhospital.org/app/files/public/820/Capital-Health-Needs-Assessment-2012.pdfImplementation Strategy:See Attached
Schedule H, Part V, Section B, Line 16b:The Hospital's Financial Assistance Policy Application:http://www.concordhospital.org/app/files/public/812/Financial-Assistance-Application-Form.pdf
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Concord Hospital Part V, Section B, line 16b website:See Part VI, Section C
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital Urgent CareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 Commercial StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
FacilityWalk-in urgent careFacilityTxt

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 $ 16,409,968.
Part II, Community Building Activities:In fiscal 2015, Concord Hospital continued its emergency preparedness initiatives by hosting a multi-agency active shooter exercise, and continuing to provide support to the local communities by funding LUCAS2 Chest Compression Devices to EMT departments.
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 $54,482,435 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.
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 2012. However, the Hospital has since conducted a new Community Health Needs Assessment in 2015 that will be reflected on the Hospital's 9/30/16 return filing.
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 25 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 25 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 significant amount of Concord Hospital's community benefit investment is 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 addresses 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 $54,482,435 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 Hospitals care.
Part VI, Line 7, Reports Filed With StatesNH

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Riverbend Community Mental Health
PO Box 2032ConcordNH03301020264383501(c)(3)$140,420For continued support of the Riverbend Psychiatric care manager position & for a pyschiatric advanced practice registered nurse ($119,000). Additional funding was also provided to partially support the tax and benefits associated with the care management program ($21,420).
Riverbend Community Mental Health
PO Box 2032ConcordNH03301020264383501(c)(3)$64,119Funding to support co-located consult services: integrated care pilot at Concord Family Medicine, and Integrated care pilot at Concord Hospital Center for Urologic Care - Pelvic Medicine Program ($54,338). Additional funding was also provided to partially support the tax and benefits associated with these programs ($9,781).
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$285,794$0$9,500$0$1,869$0$47,515$0$20,352$0$365,030$0$0$0
Diane E Wood Allen RN
Trustee$216,518$0$35,874$0$1,378$0$46,800$0$13,822$0$314,392$0$0$0
David A Stevenson MD
Trustee$157,675$0$11,083$0$477$0$24,915$0$19,788$0$213,938$0$0$0
Robert P Steigmeyer
President & CEO$568,170$0$137,813$0$735$0$96,250$0$18,036$0$821,004$0$0$0
Bruce R Burns
Treasurer$369,039$0$100,525$0$2,376$0$47,515$0$13,932$0$533,387$0$0$0
David Green MD
Chief Medical Officer$374,076$0$111,374$0$2,610$0$47,515$0$17,340$0$552,915$0$0$0
Gerald Sardella MD
Physician$515,722$0$10,000$0$1,221$0$19,815$0$21,816$0$568,574$0$0$0
Joe Conley
COO$382,363$0$101,006$0$2,713$0$47,515$0$17,928$0$551,525$0$0$0
Wayne K Carlisle Stadelmann MD
Physician$377,250$0$51,036$0$844$0$19,815$0$21,372$0$470,317$0$0$0
Robert Mitchell MD
Physician$384,657$0$10,449$0$356$0$15,852$0$21,492$0$432,806$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.
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)
C0Yes (1)000000Yes (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: 01/31/2016ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital.
Form 990, Part VI, Section A, line 7aThe Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member.
Form 990, Part VI, Section A, line 7bThe affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member.
Form 990, Part VI, Section B, line 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 -33,177,648. Equity Transfer to Affiliate -1,234,694.
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 9/30/14 and 9/30/15.
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 Org0RentalOfFacilitiesToOthOrgInd
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 Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A$1,441,707Actual per books
Capital Region Health Care Corp
A$100,530Actual per books
Capital Region Health Care Corp
B$185,155Actual per books
CHDHC
B$55,717Actual per books
Capital Region Health Care Ventures Corp
C$6,103,603Actual per books
Capital Region Health Care Services Corp
C$449,445Actual per books
Capital Region Health Care Development Corp
K$2,945,698Actual per books
Capital Region Health Care Development Corp
O$538,474Actual per books
Capital Region Health Care Ventures Corp
O$886,876Actual per books
CHDHC
O$40,323Actual per books
Concord Hospital Trust
O$698,237Actual per books
Capital Region Health Care Development Corp
Q$335,211Actual per books
Capital Region Health Care Ventures Corp
Q$556,577Actual per books
CHDHC
Q$15,394Actual per books
Concord Hospital Trust
Q$875,135Actual per books
Concord Hospital Trust
B$1,234,694Actual 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