FURP.ORG / PUBLIC DATA EXPLORER

CONCORD HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-13
IRS object ID
201502259349302465
Schema version
2013v4.0
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)
Return2015-08-13T13:02:50-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222594672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCONCBusinessNameControlTxt
Phone6032284677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBruce R BurnsPersonNm
Person TitleTreasurer/SR VP Finance/CFOPersonTitleTxt
Phone6032284677PhoneNum
Signature2015-07-16SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert P SteigmeyerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$460,454,590GrossReceiptsAmt
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 Employee3697TotalEmployeeCnt
Total Volunteers414TotalVolunteersCnt
Total Gross UBI$2,307,880TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$379,292NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,285,630PYContributionsGrantsAmt
CY Contributions Grants$4,154,294CYContributionsGrantsAmt
PY Program Service Revenue$417,786,860PYProgramServiceRevenueAmt
CY Program Service Revenue$433,090,639CYProgramServiceRevenueAmt
PY Investment Income$1,916,890PYInvestmentIncomeAmt
CY Investment Income$11,241,158CYInvestmentIncomeAmt
PY Other Revenue-$2,805,179PYOtherRevenueAmt
CY Other Revenue$328,192CYOtherRevenueAmt
PY Total Revenue$422,184,201PYTotalRevenueAmt
CY Total Revenue$448,814,283CYTotalRevenueAmt
PY Grants And Similar Paid$178,324PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$129,942CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$224,315,755PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$232,851,261CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$183,353,284PYOtherExpensesAmt
CY Other Expenses$185,332,137CYOtherExpensesAmt
PY Total Expenses$407,847,363PYTotalExpensesAmt
CY Total Expenses$418,313,340CYTotalExpensesAmt
PY Revenues Less Expenses$14,336,838PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,500,943CYRevenuesLessExpensesAmt
Total Assets BOY$489,193,005TotalAssetsBOYAmt
Total Assets EOY$514,290,018TotalAssetsEOYAmt
Total Liabilities BOY$244,014,609TotalLiabilitiesBOYAmt
Total Liabilities EOY$252,687,438TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$245,178,396NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$261,602,580NetAssetsOrFundBalancesEOYAmt
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$352,785,689ExpenseAmt
Grant$129,942GrantAmt
Revenue$431,110,951RevenueAmt
DescVarious hospital services; see Schedule HIn FYE 2014, Concord Hospital invested more than $69 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 mission overall.Desc
Total Program Service Expenses$352,785,689TotalProgramServiceExpensesAmt
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 Document256IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3697EmployeeCnt
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 FinanceBusinessNameLine1
FieldValueIRS element (for citing)
Phone6032277000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1
CityConcordCity
StateNHState
ZIP Code033017539ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
D Thomas Akey MD
Trustee40.004.10Yes (X)$300,512$0$64,177
Diane E Wood Allen RN
Trustee40.00Yes (X)$241,870$0$74,775
Sol Asmar
Trustee1.001.00Yes (X)$0$0$0
C Thomas Brown
Trustee1.001.00Yes (X)$0$0$0
William L Chapman Esq
Trustee1.00Yes (X)$0$0$0
Michelle Chicoine
Trustee1.00Yes (X)$0$0$0
Douglas Ewing MD
Medical Staff President (eff. Jan 14)1.00Yes (X)$0$0$0
Christian Hallowell MD
Trustee1.002.00Yes (X)$0$0$0
Gary S Jones MD
Trustee (thru Jan 14)1.00Yes (X)$0$0$0
Jeffrey S Kipperman CPA
Trustee1.001.00Yes (X)$0$0$0
David Ruedig
Trustee1.003.10Yes (X)$0$0$0
David A Stevenson MD
Trustee40.001.00Yes (X)$259,491$0$45,337
Hon Michael Sullivan
Trustee1.00Yes (X)$0$0$0
Greg Thesing MD
Medical Staff President (thru Jan 14)40.00Yes (X)$194,673$0$45,817
Jeffrey K Towle
Trustee1.001.00Yes (X)$0$0$0
Claudia Walker
Trustee1.001.00Yes (X)$0$0$0
Muriel D Schadee CPA
Chair1.005.10Yes (X)$0$0$0Yes (X)
Philip Boulter MD
Vice Chair1.001.00Yes (X)$0$0$0Yes (X)
Mary Boucher
Secretary1.001.00Yes (X)$0$0$0Yes (X)
Robert P Steigmeyer
President & CEO (eff. Jan. 14)55.005.10Yes (X)$0$0$0Yes (X)
Michael B Green
President & CEO (ret. Dec. 13)55.005.10Yes (X)$1,391,778$0$85,479Yes (X)
Bruce R Burns
Treasurer55.005.10$446,841$0$81,501Yes (X)
David Green MD
Chief Medical Officer40.00$479,956$0$72,916Yes (X)
Gerald Sardella MD
Physician40.00$516,568$0$44,915Yes (X)
Laki Rousou MD
Physician40.00$424,143$0$16,299Yes (X)
Joe Conley
COO40.00$465,202$0$85,235Yes (X)
Wayne K Stadelmann MD
Physician40.00$443,874$0$40,878Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,164,908TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$657,329TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K324IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Concord Emergency Medical Assoc
540 Lafayette RoadHamptonNH03842Physician services$9,282,874
Dartmouth Hitchcock Clinic
PO Box 810HanoverNH03755Physician services$3,383,125
Riverbend Community Mental Health
5 Market LaneConcordNH03301Physician & psych services$2,418,683
Elliot Hospital
1070 Holt Avenue Suite 2100ManchesterNH03109Healthcare services$1,667,990
Angelica
PO Box 535122AtlantaGA303535122Laundry Services$1,287,250
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K33CntrctRcvdGreaterThan100KCnt
Related Organizations$4,154,294RelatedOrganizationsAmt
Total Contributions$4,154,294TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service621400$413,138,708$413,138,708
Other Operating Revenue621400$7,689,501$6,640,173$1,049,328
Disproportionate Share Funding621400$5,098,626$5,098,626
Food Services722210$3,769,023$2,510,471$1,258,552
ARRA-HI-TECH621400$2,196,323$2,196,323

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,198,458TotalRevenueColumnAmt
Related Or Exempt Func Income$1,198,458RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$433,090,639TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$413,967TotalRevenueColumnAmt
Exclusion$413,967ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$328,192RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$328,192RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$328,192TotalRevenueColumnAmt
Related Or Exempt Func Income$328,192RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,405,798SecuritiesAmt
Other$61,700OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,633,884SecuritiesAmt
Other$6,423OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,771,914SecuritiesAmt
Other$55,277OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,827,191TotalRevenueColumnAmt
Exclusion$10,827,191ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$448,814,283TotalRevenueColumnAmt
Related Or Exempt Func Income$431,110,951RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,307,880UnrelatedBusinessRevenueAmt
Exclusion$11,241,158ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$129,942TotalAmt
Program Services$129,942ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,965,919TotalAmt
Program Services$714,257ProgramServicesAmt
Management And General$1,251,662ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$182,951,090TotalAmt
Program Services$151,410,926ProgramServicesAmt
Management And General$31,540,164ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,333,146TotalAmt
Program Services$7,658,610ProgramServicesAmt
Management And General$1,674,536ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,138,320TotalAmt
Program Services$21,448,631ProgramServicesAmt
Management And General$4,689,689ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,462,786TotalAmt
Program Services$10,226,736ProgramServicesAmt
Management And General$2,236,050ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,280,447TotalAmt
Program Services$272,901ProgramServicesAmt
Management And General$1,007,546ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$306,788TotalAmt
Management And General$306,788ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110,000TotalAmt
Management And General$110,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$44,000TotalAmt
Management And General$44,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$813,682TotalAmt
Management And General$813,682ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,014,664TotalAmt
Program Services$18,166,528ProgramServicesAmt
Management And General$2,848,136ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$242,486TotalAmt
Program Services$81,057ProgramServicesAmt
Management And General$161,429ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$52,174,446TotalAmt
Program Services$49,631,296ProgramServicesAmt
Management And General$2,543,150ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,367,907TotalAmt
Program Services$4,506,208ProgramServicesAmt
Management And General$2,861,699ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,192,329TotalAmt
Program Services$10,139,754ProgramServicesAmt
Management And General$2,052,575ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$437,977TotalAmt
Program Services$310,501ProgramServicesAmt
Management And General$127,476ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$728,029TotalAmt
Program Services$506,991ProgramServicesAmt
Management And General$221,038ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,983,966TotalAmt
Program Services$2,788,776ProgramServicesAmt
Management And General$1,195,190ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,772,073TotalAmt
Program Services$16,640,451ProgramServicesAmt
Management And General$7,131,622ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,805,709TotalAmt
Program Services$3,805,709ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt Expense$31,719,233$31,719,233
Medicaid Enhancement Ta$16,436,988$16,436,988
Repairs/Maintenance$3,728,123$2,927,317$800,806

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,173,290TotalAmt
Program Services$3,262,877ProgramServicesAmt
Management And General$1,910,413ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$418,313,340TotalAmt
Program Services$352,785,689ProgramServicesAmt
Management And General$65,527,651ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,540,723BOYAmt
EOY$16,303,646EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,384,481BOYAmt
EOY$12,389,628EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$44,856,394BOYAmt
EOY$44,817,144EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,093,304BOYAmt
EOY$1,390,132EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,091,901BOYAmt
EOY$4,963,008EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$366,573,774LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$231,133,634LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$139,570,122BOYAmt
EOY$135,440,140EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$164,363,003BOYAmt
EOY$159,948,559EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$69,260,589BOYAmt
EOY$97,240,635EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,128,922BOYAmt
EOY$1,067,497EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,903,566BOYAmt
EOY$40,729,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$489,193,005BOYAmt
EOY$514,290,018EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,601,554BOYAmt
EOY$47,836,724EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,712,465BOYAmt
EOY$111,626,605EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,700,590BOYAmt
EOY$93,224,109EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$244,014,609BOYAmt
EOY$252,687,438EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$243,983,845BOYAmt
EOY$260,367,886EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$306,212BOYAmt
EOY$338,685EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$888,339BOYAmt
EOY$896,009EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$245,178,396BOYAmt
EOY$261,602,580EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$489,193,005BOYAmt
EOY$514,290,018EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$30,500,943ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,301,534NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$16,378,293OtherChangesInNetAssetsAmt
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$8,984GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$44,000OtherActivitiesAmt
Total Lobbying Expenditures$52,984TotalLobbyingExpendituresAmt
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 in the fiscal year ended 9/30/14. 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 $8,984. Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $44,000 in the year ended 9/30/14.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$108,562,857BeginningYearBalanceAmt
Contributions$17,123,371ContributionsAmt
Investment Earnings Or Losses$10,185,474InvestmentEarningsOrLossesAmt
Other Expenditures$186,364OtherExpendituresAmt
End Year Balance$135,685,338EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99510BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00360PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00130TermEndowmentBalanceEOYPct
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$144,084,961OtherCostOrOtherBasisAmt
Depreciation$70,214,740DepreciationAmt
Book Value$73,870,221BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$212,180,326OtherCostOrOtherBasisAmt
Depreciation$160,918,894DepreciationAmt
Book Value$51,261,432BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,289,491OtherCostOrOtherBasisAmt
Book Value$10,289,491BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$135,440,140TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescAlternative InvestmentsDesc
Book Value$97,240,635BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$97,240,635TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Intercompany Receivables$18,375,329
Other Assets$1,560,409
Other Receivables$20,793,891
FieldValueIRS element (for citing)
Total Book Value Other Assets$40,729,629TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated 3rd Party Settlements$15,033,274
Accrued Pension & Other Long-Term Liabilities$78,190,835
FieldValueIRS element (for citing)
Total Liability$93,224,109TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$433,498,974TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,301,534NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,301,534RevenueNotReportedAmt
Revenue Subtotal$431,197,440RevenueSubtotalAmt
Investment Expenses Not Incld$811,287InvestmentExpensesNotIncldAmt
Other Revenues Not Included$16,805,556OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$17,616,843RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$448,814,283TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$417,074,790TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$417,074,790ExpensesSubtotalAmt
Investment Expenses Not Incld2$811,287InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$427,263OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,238,550ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$418,313,340TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X, Line 2:The Hospital, CRHCDC, CRHVC, 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 2011.
Part XI, Line 4b - Other Adjustments:Board Designated Spending 427,263. Pension Actuarial Loss 16,378,293.
Part XII, Line 4b - Other Adjustments:Board Designated Spending 427,263.
Schedule D, Part V:The prior year amount of administrative expenses was updated to reflect additional administrative costs that were inadvertently not included in this amount on the prior year return. By updating the prior year column of Line 1f for these additional expenses incurred in the prior year total endowment net assets will be correctly stated for beginning and end of the year.

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 9/30/14TypeOfActivitiesConductedTxt
Specific Services ProvidedNoneSpecificServicesProvidedTxt
Region Total Expenditures$50,274,698RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$50,274,698SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$50,274,698TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

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 Served8494PersonsServedCnt
Total Community Benefit Expns$16,665,736TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,665,736NetCommunityBenefitExpnsAmt
Total Expense0.04310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,239,096TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,739,930DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,499,166NetCommunityBenefitExpnsAmt
Total Expense0.04530TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served8494PersonsServedCnt
Total Community Benefit Expns$46,904,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,739,930DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,164,902NetCommunityBenefitExpnsAmt
Total Expense0.08840TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served175121PersonsServedCnt
Total Community Benefit Expns$3,519,017TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$797,893DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,721,124NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served6513PersonsServedCnt
Total Community Benefit Expns$9,957,756TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,143,724DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,814,032NetCommunityBenefitExpnsAmt
Total Expense0.00990TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served63979PersonsServedCnt
Total Community Benefit Expns$69,092,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,181,260DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,911,021NetCommunityBenefitExpnsAmt
Total Expense0.07220TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served27PersonsServedCnt
Total Community Benefit Expns$90,806TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,370DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,436NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Total Community Benefit Expns$947,528TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$947,528NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Persons Served245640PersonsServedCnt
Total Community Benefit Expns$83,607,388TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,124,247DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,483,141NetCommunityBenefitExpnsAmt
Total Expense0.09180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs45ActivitiesOrProgramsCnt
Persons Served254134PersonsServedCnt
Total Community Benefit Expns$130,512,220TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,864,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$69,648,043NetCommunityBenefitExpnsAmt
Total Expense0.18020TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,188TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,188NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,188TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,188NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$11,656,530BadDebtExpenseAmt
Bad Debt Expense Attributable$2,361,930BadDebtExpenseAttributableAmt
Reimbursed By Medicare$120,775,675ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$172,311,302CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$51,535,627MedicareSurplusOrShortfallAmt

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 HospitalBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode
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 HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
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 Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.concordhospital.org/about/financial-sOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
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 ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Concord HospitalPart V, Section B, Line 3: See the narrative for Schedule H, Part VI, line 2.
Concord HospitalPart V, Section B, Line 5d: The Community Health Needs Assessment was included in the Hospital's annual reports and mailed to residents of the communities that the Hospital serves. It is also available at the State of NH, DOJ web site.
Concord HospitalPart V, Section B, Line 7: Concord Hospital addressed all identified needs to some 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 22: State law requires the Hospital to bill third party liability claims (automobile insurance claims) at 100% of charges. The patient is responsible for paying the full amount and receiving payment from the insurance company.
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 CareBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 Commercial StreetAddressLine1
CityConcordCity
StateNHState
ZIP Code03301ZIPCode
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.
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 $ 31,719,233.
Part II, Community Building Activities:In fiscal 2014, 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:See explanation for Part III, Line 4.
Part III, Line 3:See explanation for Part III, Line 4.
Part III, Line 4: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 revenue.
Part III, Line 8:The Medicare shortfall of $51,535,627 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:The Hospital regularly leads 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 was completed in 2012.
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 needy 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 $51,535,627 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 (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Riverbend Community Mental Health
PO Box 2032ConcordNH03301020264383501(c)(3)$11,000Program developed in response to the resarch findings that diet and excerise are critical components of a health lifestyle and that people with severe and persistent mental illness (SPMI) have more difficulty adopting a health lifestyle. Objective is to move health behaviors that are very diffult to change toward improving the life expectancy for the chronically mentally ill clients of Riverbend.
Riverbend Community Mental Health
PO Box 2032ConcordNH03301020264383501(c)(3)$6,000Provide programs, services, and support to enhance child health care the health of families in our region.
Riverbend Community Mental Health
PO Box 2032ConcordNH03301020264383501(c)(3)$49,542Licensed Masters or Doctoral Level Clinician Program: Funding for a full-time, Riverbend-licensed, master's or doctoral-level clinician to work with mental health patients in the CH Emergency Department Yellow Pod to improve coordination of care and discharge planning for the complex and hard-to-place patients in the Yellow Pod.
Capital Regional Visiting Nurse Association
PO Box 1797ConcordNH03301020222122501(c)(3)$7,000Baby's First Homecoming: This program supports mothers at home following discharge and enables detection of problems with mother or baby early on.
Capital Regional Visiting Nurse Association
PO Box 1797ConcordNH03301020222122501(c)(3)$25,000To reduce prevetable re-hospitalizations, to improve patient safety and outcomes, and to increase patient ability to manage oral medication correctly.
Child and Family Services Healthy Families Home Visiting Program
464 Chestnut Street PO Box 448ManchesterNH03105020222164501(c)(3)$15,000Program in the Capital Region to serve at-risk women under the age of 25 who are pregnant with their first child and who would greatly benefit from this comprehensive approach to developing their parenting skills and enhancing maternal and child health.
The Children's Place and Parent Education Center
27 Burns AvenueConcordNH03301020338647501(c)(3)$7,000New Parents Support Group / Toddler Play Group: Offers a place in which families can come together in support of each other, striving to enhance the family unit and thus preventing child abuse and neglect.
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

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 (11 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$290,012$0$10,500$0$0$0$44,773$0$19,404$0$364,689$0$0$0
Diane E Wood Allen RN
Trustee$207,280$0$34,590$0$0$0$61,671$0$13,104$0$316,645$0$0$0
David A Stevenson MD
Trustee$231,645$0$27,846$0$0$0$27,085$0$18,252$0$304,828$0$0$0
Greg Thesing MD
Medical Staff President (thru Jan 14$165,103$0$29,570$0$0$0$27,853$0$17,964$0$240,490$0$0$0
Michael B Green
President & CEO (ret. Dec. 13)$799,573$0$277,165$0$315,040$0$72,279$0$13,200$0$1,477,257$0$0$0
Bruce R Burns
Treasurer$351,666$0$95,175$0$0$0$68,301$0$13,200$0$528,342$0$0$0
David Green MD
Chief Medical Officer$387,911$0$92,045$0$0$0$56,248$0$16,668$0$552,872$0$0$0
Gerald Sardella MD
Physician$505,068$0$11,500$0$0$0$24,047$0$20,868$0$561,483$0$0$0
Laki Rousou MD
Physician$414,143$0$10,000$0$0$0$0$0$16,299$0$440,442$0$0$0
Joe Conley
COO$361,202$0$104,000$0$0$0$68,255$0$16,980$0$550,437$0$0$0
Wayne K Stadelmann MD
Physician$374,257$0$69,617$0$0$0$20,670$0$20,208$0$484,752$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bMichael B. Green, Former President & CEO, participates in a 457(f) plan with Concord Hospital. The 457(f) amount included in W-2 wages for Mr. Green in 2013 as reported on Schedule J, Part II, Column B(iii) was $311,213. This amount comprised of interest and deferred compensation that was included in Schedule J, Part II, Column C. Current year contributions to his plan of $254,270 were included in Schedule J, Part II, Column C. The 457(f) amount included in 2013 W-2 wages (Column B(iii)) properly accounts for the elimination of substantial risk of forfeiture. The amount included in Column B(iii) reflects multiple years of service by Michael B. Green. The Hospital sponsors a split-dollar life insurance employee benefit program for the former President & CEO. Split-dollar life insurance is an arrangement in which the employee is the owner of the life insurance policy and the premiums are paid by both the employer and employee. Pursuant to The Hospital's split-dollar agreement, and the collateral assignment therein, the employer's share of the policy premiums paid is recovered either upon termination of the policy or at the death of the participant. Note that the split-dollar arrangement is part of an employee benefit program and economically not a direct extension of credit. Furthermore, the reportable compensation of the respective employees includes the annual value of the life insurance coverage. The economic benefit calculated for the calendar year, which represents the taxable value of the life insurance policy, was included in the former CEO's W-2. While the policy currently remains in force, no premiums were paid during fiscal year ended 9/30/14.
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 J, Part II:At the end of December, 2013, Hospital President and CEO, Michael B. Green formally retired and stepped down from his position with Concord. Robert P. Steigmeyer became President and CEO effective January 2014. Because IRS instructions require that compensation and benefit information be reported on Form 990, Part VII on a calendar year basis, no compensation and benefits are reported on this Form 990 for Mr. Steigmeyer. The Organization's 2014 Form 990 will reflect Mr. Steigmeyer's compensation information, accordingly, he has not been included as an independent board member on this return.

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 BondsYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$27,995,000$50,095,322$544,8912012Yes (1)0Yes (1)Yes (1)
B$27,675,000$48,631,000$561,439Yes (1)00Yes (1)
C$32,421,264$64,5030Yes (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)
B0Yes (1)000000Yes (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: 04/22/2013ExplanationTxt

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 at a board meeting, 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 VII:At the end of December, 2013, Hospital President and CEO, Michael B. Green formally retired and stepped down from his position with Concord. Robert P. Steigmeyer became President and CEO effective January 2014. Because IRS instructions require that compensation and benefit information be reported on Form 990, Part VII on a calendar year basis, no compensation and benefits are reported on this Form 990 for Mr. Steigmeyer. The Organization's 2014 Form 990 will reflect Mr. Steigmeyer's compensation information, accordingly, he has not been included as an independent board member on this return.
Form 990, Part XI, line 9:Pension Actuarial Loss -16,378,293.
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 9/30/13 and 9/30/14.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1OwnershipOwnershipPct
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 (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A$1,441,706Actual per books
Capital Region Health Care Corp
A$100,530Actual per books
Capital Region Health Care Corp
B$165,996Actual per books
CHDHC
B$174,705Actual per books
Capital Region Health Care Ventures Corp
C$6,359,265Actual per books
Capital Region Health Care Services Corp
C$437,926Actual per books
Capital Region Health Care Development Corp
K$2,903,387Actual per books
Capital Region Health Care Development Corp
O$490,719Actual per books
Capital Region Health Care Ventures Corp
O$812,372Actual per books
CHDHC
O$42,311Actual per books
Concord Hospital Trust
O$560,275Actual per books
Capital Region Health Care Development Corp
Q$161,313Actual per books
Capital Region Health Care Ventures Corp
Q$683,338Actual per books
CHDHC
Q$132,394Actual per books
Concord Hospital Trust
Q$441,555Actual 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.ExplanationTxt