2016-08-15T12:38:24-05:00 2015-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2014-10-01 222594672 Concord Hospital Inc CONC 6032284677 250 Pleasant Street Concord NH 03301 Bruce R Burns Treasurer/SR VP Finance/CFO 6032284677 2016-08-12 Nicholas E Porto P01310283 2078792100 2016-08-12 2014 2016-09-27 15:27:22Z Robert P Steigmeyer 250 Pleasant Street Concord NH 03301 474695330 0 X www.concordhospital.org X 1944 NH Hospital 18 14 3773 414 2375558 -620049 4154294 4253898 433090639 427186497 11241158 12809880 328192 324507 448814283 444574782 129942 204539 0 0 232851261 243678433 0 0 0 185332137 173330906 418313340 417213878 30500943 27360904 514290018 490430685 252687438 258381331 261602580 232049354 Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves. 0 0 349615496 204539 425142706 Various 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. 349615496 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 255 0 1 3773 1 1 1 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NH X X Scott Sloane VP Finance 6032277000 250 Pleasant Street Concord NH 033017539 Valerie Acres Esq Trustee 1.00 1.00 X 0 0 0 D Thomas Akey MD Trustee 40.00 4.10 X 297163 0 67867 Diane E Wood Allen RN Trustee 40.00 0.00 X 253770 0 60622 Sol Asmar Trustee 1.00 1.00 X 0 0 0 C Thomas Brown Trustee (Part Year) 1.00 1.00 X 0 0 0 Frederick Briccetti MD Trustee 1.00 0.00 X 0 0 0 William L Chapman Esq Trustee 1.00 0.00 X 0 0 0 Michelle Chicoine Trustee 1.00 0.00 X 0 0 0 Douglas Ewing MD Medical Staff President 1.00 0.00 X 0 0 0 Christian Hallowell MD Trustee 1.00 1.00 X 0 0 0 Muriel D Schadee CPA Trustee 1.00 4.10 X 0 0 0 Robert Segal Trustee 1.00 0.00 X 0 0 0 Jeffrey S Kipperman CPA Trustee (Part Year) 1.00 1.00 X 0 0 0 David A Stevenson MD Trustee 40.00 1.00 X 169235 0 44703 Jeffrey K Towle Trustee 1.00 1.00 X 0 0 0 Claudia Walker Trustee 1.00 1.00 X 0 0 0 Philip Boulter MD Chair 1.00 5.10 X X 0 0 0 David Ruedig Vice Chair 1.00 4.10 X X 0 0 0 Mary Boucher Secretary 1.00 1.00 X X 0 0 0 Robert P Steigmeyer President & CEO 55.00 5.10 X X 706718 0 114286 Bruce R Burns Treasurer 55.00 5.10 X 471940 0 61447 David Green MD Chief Medical Officer 50.00 0.00 X 488060 0 64855 Gerald Sardella MD Physician 50.00 0.00 X 526943 0 41631 Joe Conley COO 50.00 0.00 X 486082 0 65443 Wayne K Carlisle Stadelmann MD Physician 50.00 0.00 X 429130 0 41187 Robert Mitchell MD Physician 50.00 0.00 X 395462 0 37344 4224503 0 599385 337 0 1 0 Concord Emergency Medical Assoc 540 Lafayette Road Hampton NH 03842 Physician services 9230436 Dartmouth Hitchcock Clinic PO Box 810 Hanover NH 03755 Physician services 3493292 Elliot Hospital 1070 Holt Avenue Suite 2100 Manchester NH 03109 Healthcare services 1546654 Angelica PO Box 535122 Atlanta GA 303535122 Laundry Services 1305161 Concord Imaging Center LLC 2 Pilsbury Street Concord NH 03301 Imaging Services 1292278 30 4253898 4253898 Net Patient Service 621400 409257620 409257620 Other Operating Revenue 621400 8110493 7016309 1094184 Food Services 722210 3890572 2616458 1274114 Disproportionate Share Funding 621400 3497023 3497023 ARRA-HI-TECH 621400 1258416 1258416 1172373 1172373 427186497 499292 7260 492032 324507 0 324507 324507 324507 42190251 240885 29983129 137419 12207122 103466 12310588 12310588 444574782 425142706 2375558 12802620 204539 204539 2247750 816652 1431098 189924226 159017579 30906647 10315889 8687644 1628245 28290869 23528824 4762045 12899699 10710069 2189630 1523644 64990 1458654 262601 262601 128949 128949 78822 78822 828193 828193 22595473 18384760 4210713 255322 90257 165065 9637158 7145057 2492101 7974640 4600885 3373755 12725589 10589414 2136175 569937 397475 172462 807180 529754 277426 3793965 2655775 1138190 22897012 16027908 6869104 4724689 4724689 Medical/Surgical Suppli 45989054 45989054 Bad Debt Expense 16409968 16409968 Medicaid Enhancement Ta 12800000 12800000 Repairs/Maintenance 4151298 3342788 808510 5177412 2897415 2279997 417213878 349615496 67598382 0 16303646 10919185 12389628 7394804 44817144 51848555 1390132 1341543 4963008 5195325 386915815 252852844 135440140 134062971 159948559 150784684 97240635 96120460 2205079 1067497 972802 40729629 29585277 514290018 490430685 47836724 59015443 111626605 103354858 93224109 96011030 252687438 258381331 X 260367886 232049354 338685 0 896009 0 261602580 232049354 514290018 490430685 X 27360904 -22501788 -34412342 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 30822 0 0 1 48000 78822 0 Part II-B, Line 1: Concord 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. 243015224 1036824 -9845448 2076378 232130222 210537884 19493511 13878348 894519 243015224 159691844 28914868 22620824 689652 210537884 139047220 3169850 18200869 726095 159691844 135685338 8067297 -4399718 305697 139047220 1.00000 0.00000 0.00000 0 1 1 18996 18996 148331702 77090558 71241144 2793747 238564 2555183 223452121 175523722 47928399 12319249 12319249 134062971 Alternative Investments 96120460 F 96120460 Intercompany Receivables 19322333 Other Assets 1652218 Other Receivables 8610726 29585277 Estimated 3rd Party Settlements 14323053 Accrued Pension & Other Long-Term Liabilities 81687977 96011030 X 387612680 -22501788 -22501788 410114468 828193 33632121 34460314 444574782 415931212 0 415931212 828193 454473 1282666 417213878 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. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments - FMV as of 9/30/15 None 51191120 0 0 0 0 0 0 51191120 0 51191120 0 0 1 1 0 0 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. 1 1 1 X 225.000000000000 1 X 500.000000000000 1 1 1 0 1 1 6 6492 6131654 6131654 0.01530 47853379 14774590 33078789 0.08250 6 6492 53985033 14774590 39210443 0.09780 10 418821 2828949 732332 2096617 0.00520 6 3947 10257741 5989025 4268716 0.01070 17 64798 75975203 45879143 30096060 0.07510 1 28 93673 93673 0.00020 5 1029637 1029637 0.00260 39 487594 90185203 52600500 37584703 0.09380 45 494086 144170236 67375090 76795146 0.19160 44302 44302 0.00010 44302 44302 0.00010 1 5854504 1229907 126155186 180637621 -54482435 X 1 1 1 1 Concord Hospital 250 Pleasant Street Concord NH 03301 01098 X X X X Concord Hospital 1 0 0 1 X X X X X X X 12 1 0 0 1 X See Part VI, Section C X X 1 13 0 1 0 1 X 225.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X See Part VI, Section C X X X X X 1 X 0 X X X X 1 X 0 0 Concord Hospital Part V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2. Concord Hospital Part V, Section B, Line 7d: The Community 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 Hospital Part 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 Hospital Part 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 16 Financial Assistance Policy Website Availability Concord Hospital Part V, Section B, line 16b website: See Part VI, Section C 1 Concord Hospital Urgent Care 60 Commercial Street Concord NH 03301 Walk-in urgent care 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 States NH 1 Riverbend Community Mental Health PO Box 2032 Concord NH 03301 020264383 501(c)(3) 140420 For 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 2032 Concord NH 03301 020264383 501(c)(3) 64119 Funding 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). 1 Part I, Line 2: The 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. X X X X X 0 1 0 0 0 0 0 1 0 D Thomas Akey MD Trustee 285794 0 9500 0 1869 0 47515 0 20352 0 365030 0 0 0 Diane E Wood Allen RN Trustee 216518 0 35874 0 1378 0 46800 0 13822 0 314392 0 0 0 David A Stevenson MD Trustee 157675 0 11083 0 477 0 24915 0 19788 0 213938 0 0 0 Robert P Steigmeyer President & CEO 568170 0 137813 0 735 0 96250 0 18036 0 821004 0 0 0 Bruce R Burns Treasurer 369039 0 100525 0 2376 0 47515 0 13932 0 533387 0 0 0 David Green MD Chief Medical Officer 374076 0 111374 0 2610 0 47515 0 17340 0 552915 0 0 0 Gerald Sardella MD Physician 515722 0 10000 0 1221 0 19815 0 21816 0 568574 0 0 0 Joe Conley COO 382363 0 101006 0 2713 0 47515 0 17928 0 551525 0 0 0 Wayne K Carlisle Stadelmann MD Physician 377250 0 51036 0 844 0 19815 0 21372 0 470317 0 0 0 Robert Mitchell MD Physician 384657 0 10449 0 356 0 15852 0 21492 0 432806 0 0 0 Part I, Line 4b Robert 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 7 Incentive 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. A NH Health & Education Facilities Authority 020279866 644614K65 2011-03-01 50095322 Facility Improvements/Renovations 0 0 0 B NH Health & Education Facilities Authority 020279866 644614Z85 2013-02-01 48631000 Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds 0 0 0 C NH Health & Education Facilities Authority 020279866 2013-04-01 32421000 Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds 0 0 0 A 50095322 544891 2012 1 0 1 1 B 48631000 561439 2014 1 0 1 1 C 31800000 32421264 64503 2013 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 1 Naxis Funding Corp 1.800000000000 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer 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 Form 990, Part VI, Section A, line 6 Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital. Form 990, Part VI, Section A, line 7a The Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member. Form 990, Part VI, Section A, line 7b The affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member. Form 990, Part VI, Section B, line 11 The 990 is reviewed in detail with the Audit Committee of the Board of Trustees. All board members receive a copy of the 990 to review prior to filing the report. Form 990, Part VI, Section B, line 12c Each Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction. Form 990, Part VI, Section B, line 15 The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer, Chief Financial Officer, and Chief Medical Officer as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, CFO, and CMO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO, CFO, and CMO and shall set their compensation as the Board deems appropriate. Although the Hospital continues to value the role of Capital Region Health Care Corporation ("CRHC") and the Hospital's participation in that organization, the Board acknowledges that it is not the responsibility of the Board to evaluate or set the compensation of the Chief Executive Officer of CRHC. Neither is it the role of the Board of Trustees of CRHC to evaluate, or set the compensation of, the Hospital's CEO. Accordingly, CRHC's Board of Trustees is not involved in evaluating or setting the compensation of the Hospital's CEO. The Board acknowledges that the Hospital's CEO may also serve as the Chief Executive Officer of CRHC and that the Hospital may charge CRHC for these services. The Board may consider the comments of the Board of Trustees of CRHC, as outlined herein, when deemed relevant in evaluating the performance of the Hospital's CEO. The Board directs that the Compensation Committee and the Board itself, in their respective undertakings of recommending and setting the compensation of the Hospital's CEO, COO, CFO, and CMO, avoid conflicts of interest and be guided by the "rebuttable presumption of reasonableness" regulations under the so-called "Excess Benefit Transaction" provisions of the Internal Revenue Code ("IRC"). The Board authorizes the Compensation Committee to use such financial and advisory (e.g., legal counsel, consultant) resources as it reasonably deems appropriate to fulfill its duties in evaluating the CEO's performance and in making its recommendations to the Board regarding compensation for the CEO, COO, CFO, and CMO. Form 990, Part VI, Section C, line 19 Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted on the Hospital's web site, www.concordhospital.org. In addition to this, the Hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction. Form 990, Part XI, line 9: Pension Actuarial Loss -33,177,648. Equity Transfer to Affiliate -1,234,694. Form 990, Part XII, Line 2c There was no change in the process for oversight of the audit and compilation of financial statements for the fiscal year. The Board has a finance committee, which reviews the financial statements monthly. There is also an audit committee of the Board, which reviews the annual audit process and the selection of the independent accountant. The same independent firm of accountants performed the audit for the fiscal years ending 9/30/14 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. Capital Region Health Care Corporation 250 Pleasant Street Concord NH 03301 020222123 Promote comprehensive health service system NH 501(c)(3) Line 11a, I N/A 0 Capital Region Health Physicians Group 250 Pleasant Street Concord NH 03301 020481705 Inactive NH 501(c)(3) Line 9 Concord Hospital 1 Capital Region Health Ventures Corp 250 Pleasant Street Concord NH 03301 020438264 Provide medical care to community NH 501(c)(3) Line 11b, II Concord Hospital 1 Capital Region Health Care Development Corporation 250 Pleasant Street Concord NH 03301 020429749 Support Concord Hospital & other affiliates NH 501(c)(2) Concord Hospital 1 Concord Regional Visiting Nurse Association Inc PO Box 1797 Concord NH 033021797 020222122 Home health care & hospice services NH 501(c)(3) Line 9 Capital Region Health Care Corp 0 Riverbend Community Mental Health Inc 3-5 North State Street Concord NH 033022032 020264383 Multi-service team NH 501(c)(3) Line 7 N/A 0 CHDHC Inc 250 Pleasant Street Concord NH 03301 020519680 Provide health services to Concord community NH 501(c)(3) Line 9 Concord Hospital 1 Concord Hospital Trust 250 Pleasant Street Concord NH 03301 260378710 Fundraising NH 501(c)(3) Line 11a, I Concord Hospital 1 Concord Imaging Center LLC 2 1/2 Beacon Street Concord NH 03301 020436605 Provide radiology services to community NH N/A Capital Orthopedic Surgery Center 250 Pleasant Street Concord NH 03301 020522860 Provide medical care to community NH N/A Concord Ambulatory Surgery Center LLC 60 Commerical Street Concord NH 03301 201184704 Provide medical care to community NH N/A Concord Endoscopy Center LLC 60 Commerical Street Concord NH 03301 201184756 Provide medical care to community NH N/A Capital Region Health Services Corporation 250 Pleasant Street Concord NH 03301 020428631 Medical services NH N/A C 0 Capital Region Primary Care Corporation 250 Pleasant Street Concord NH 03301 020495275 Inactive NH Concord Hospital C 1.00000 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 Capital Region Health Care Development Corp A 1441707 Actual per books Capital Region Health Care Corp A 100530 Actual per books Capital Region Health Care Corp B 185155 Actual per books CHDHC B 55717 Actual per books Capital Region Health Care Ventures Corp C 6103603 Actual per books Capital Region Health Care Services Corp C 449445 Actual per books Capital Region Health Care Development Corp K 2945698 Actual per books Capital Region Health Care Development Corp O 538474 Actual per books Capital Region Health Care Ventures Corp O 886876 Actual per books CHDHC O 40323 Actual per books Concord Hospital Trust O 698237 Actual per books Capital Region Health Care Development Corp Q 335211 Actual per books Capital Region Health Care Ventures Corp Q 556577 Actual per books CHDHC Q 15394 Actual per books Concord Hospital Trust Q 875135 Actual per books Concord Hospital Trust B 1234694 Actual per books Schedule R, Part III: In accordance with IRS instructions, the partnerships listed in Part III are being reported due to their control relationship with Capital Region Health Ventures Corp and the Hospital's control relationship with Capital Region Health Ventures Corp. 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.