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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-13T13:02:50-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222594672 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CONC | BusinessNameControlTxt |
| Phone | 6032284677 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Bruce R Burns | PersonNm |
| Person Title | Treasurer/SR VP Finance/CFO | PersonTitleTxt |
| Phone | 6032284677 | PhoneNum |
| Signature | 2015-07-16 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert P Steigmeyer | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $460,454,590 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.concordhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3697 | TotalEmployeeCnt |
| Total Volunteers | 414 | TotalVolunteersCnt |
| Total Gross UBI | $2,307,880 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$379,292 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,285,630 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,154,294 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $417,786,860 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $433,090,639 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,916,890 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,241,158 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$2,805,179 | PYOtherRevenueAmt |
| CY Other Revenue | $328,192 | CYOtherRevenueAmt |
| PY Total Revenue | $422,184,201 | PYTotalRevenueAmt |
| CY Total Revenue | $448,814,283 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $178,324 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $129,942 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $224,315,755 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $232,851,261 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $183,353,284 | PYOtherExpensesAmt |
| CY Other Expenses | $185,332,137 | CYOtherExpensesAmt |
| PY Total Expenses | $407,847,363 | PYTotalExpensesAmt |
| CY Total Expenses | $418,313,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,336,838 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $30,500,943 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $489,193,005 | TotalAssetsBOYAmt |
| Total Assets EOY | $514,290,018 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $244,014,609 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $252,687,438 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $245,178,396 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $261,602,580 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $352,785,689 | ExpenseAmt |
| Grant | $129,942 | GrantAmt |
| Revenue | $431,110,951 | RevenueAmt |
| Desc | Various 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 | $352,785,689 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 256 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3697 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Sloane VP Finance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032277000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 033017539 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| D Thomas Akey MD | ||||||||
| Trustee | 40.00 | 4.10 | Yes (X) | $300,512 | $0 | $64,177 | ||
| Diane E Wood Allen RN | ||||||||
| Trustee | 40.00 | Yes (X) | $241,870 | $0 | $74,775 | |||
| Sol Asmar | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| C Thomas Brown | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| William L Chapman Esq | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Michelle Chicoine | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Douglas Ewing MD | ||||||||
| Medical Staff President (eff. Jan 14) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Christian Hallowell MD | ||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Gary S Jones MD | ||||||||
| Trustee (thru Jan 14) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeffrey S Kipperman CPA | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Ruedig | ||||||||
| Trustee | 1.00 | 3.10 | Yes (X) | $0 | $0 | $0 | ||
| David A Stevenson MD | ||||||||
| Trustee | 40.00 | 1.00 | Yes (X) | $259,491 | $0 | $45,337 | ||
| Hon Michael Sullivan | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Greg Thesing MD | ||||||||
| Medical Staff President (thru Jan 14) | 40.00 | Yes (X) | $194,673 | $0 | $45,817 | |||
| Jeffrey K Towle | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Claudia Walker | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Muriel D Schadee CPA | ||||||||
| Chair | 1.00 | 5.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Philip Boulter MD | ||||||||
| Vice Chair | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mary Boucher | ||||||||
| Secretary | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Robert P Steigmeyer | ||||||||
| President & CEO (eff. Jan. 14) | 55.00 | 5.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Michael B Green | ||||||||
| President & CEO (ret. Dec. 13) | 55.00 | 5.10 | Yes (X) | $1,391,778 | $0 | $85,479 | Yes (X) | |
| Bruce R Burns | ||||||||
| Treasurer | 55.00 | 5.10 | $446,841 | $0 | $81,501 | Yes (X) | ||
| David Green MD | ||||||||
| Chief Medical Officer | 40.00 | $479,956 | $0 | $72,916 | Yes (X) | |||
| Gerald Sardella MD | ||||||||
| Physician | 40.00 | $516,568 | $0 | $44,915 | Yes (X) | |||
| Laki Rousou MD | ||||||||
| Physician | 40.00 | $424,143 | $0 | $16,299 | Yes (X) | |||
| Joe Conley | ||||||||
| COO | 40.00 | $465,202 | $0 | $85,235 | Yes (X) | |||
| Wayne K Stadelmann MD | ||||||||
| Physician | 40.00 | $443,874 | $0 | $40,878 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,164,908 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $657,329 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 324 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Concord Emergency Medical Assoc | |||||
| 540 Lafayette Road | Hampton | NH | 03842 | Physician services | $9,282,874 |
| Dartmouth Hitchcock Clinic | |||||
| PO Box 810 | Hanover | NH | 03755 | Physician services | $3,383,125 |
| Riverbend Community Mental Health | |||||
| 5 Market Lane | Concord | NH | 03301 | Physician & psych services | $2,418,683 |
| Elliot Hospital | |||||
| 1070 Holt Avenue Suite 2100 | Manchester | NH | 03109 | Healthcare services | $1,667,990 |
| Angelica | |||||
| PO Box 535122 | Atlanta | GA | 303535122 | Laundry Services | $1,287,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,154,294 | RelatedOrganizationsAmt |
| Total Contributions | $4,154,294 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Service | 621400 | $413,138,708 | $413,138,708 | |
| Other Operating Revenue | 621400 | $7,689,501 | $6,640,173 | $1,049,328 |
| Disproportionate Share Funding | 621400 | $5,098,626 | $5,098,626 | |
| Food Services | 722210 | $3,769,023 | $2,510,471 | $1,258,552 |
| ARRA-HI-TECH | 621400 | $2,196,323 | $2,196,323 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,198,458 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,198,458 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $433,090,639 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $413,967 | TotalRevenueColumnAmt |
| Exclusion | $413,967 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $328,192 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $328,192 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $328,192 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $328,192 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,405,798 | SecuritiesAmt |
| Other | $61,700 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,633,884 | SecuritiesAmt |
| Other | $6,423 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,771,914 | SecuritiesAmt |
| Other | $55,277 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,827,191 | TotalRevenueColumnAmt |
| Exclusion | $10,827,191 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $448,814,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $431,110,951 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,307,880 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,241,158 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,942 | TotalAmt |
| Program Services | $129,942 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,965,919 | TotalAmt |
| Program Services | $714,257 | ProgramServicesAmt |
| Management And General | $1,251,662 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,951,090 | TotalAmt |
| Program Services | $151,410,926 | ProgramServicesAmt |
| Management And General | $31,540,164 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,333,146 | TotalAmt |
| Program Services | $7,658,610 | ProgramServicesAmt |
| Management And General | $1,674,536 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,138,320 | TotalAmt |
| Program Services | $21,448,631 | ProgramServicesAmt |
| Management And General | $4,689,689 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,462,786 | TotalAmt |
| Program Services | $10,226,736 | ProgramServicesAmt |
| Management And General | $2,236,050 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,280,447 | TotalAmt |
| Program Services | $272,901 | ProgramServicesAmt |
| Management And General | $1,007,546 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,788 | TotalAmt |
| Management And General | $306,788 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,000 | TotalAmt |
| Management And General | $110,000 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,000 | TotalAmt |
| Management And General | $44,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,682 | TotalAmt |
| Management And General | $813,682 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,014,664 | TotalAmt |
| Program Services | $18,166,528 | ProgramServicesAmt |
| Management And General | $2,848,136 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,486 | TotalAmt |
| Program Services | $81,057 | ProgramServicesAmt |
| Management And General | $161,429 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,174,446 | TotalAmt |
| Program Services | $49,631,296 | ProgramServicesAmt |
| Management And General | $2,543,150 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,367,907 | TotalAmt |
| Program Services | $4,506,208 | ProgramServicesAmt |
| Management And General | $2,861,699 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,192,329 | TotalAmt |
| Program Services | $10,139,754 | ProgramServicesAmt |
| Management And General | $2,052,575 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $437,977 | TotalAmt |
| Program Services | $310,501 | ProgramServicesAmt |
| Management And General | $127,476 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,029 | TotalAmt |
| Program Services | $506,991 | ProgramServicesAmt |
| Management And General | $221,038 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,983,966 | TotalAmt |
| Program Services | $2,788,776 | ProgramServicesAmt |
| Management And General | $1,195,190 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,772,073 | TotalAmt |
| Program Services | $16,640,451 | ProgramServicesAmt |
| Management And General | $7,131,622 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,805,709 | TotalAmt |
| Program Services | $3,805,709 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,173,290 | TotalAmt |
| Program Services | $3,262,877 | ProgramServicesAmt |
| Management And General | $1,910,413 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418,313,340 | TotalAmt |
| Program Services | $352,785,689 | ProgramServicesAmt |
| Management And General | $65,527,651 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,540,723 | BOYAmt |
| EOY | $16,303,646 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,384,481 | BOYAmt |
| EOY | $12,389,628 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,856,394 | BOYAmt |
| EOY | $44,817,144 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,093,304 | BOYAmt |
| EOY | $1,390,132 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,091,901 | BOYAmt |
| EOY | $4,963,008 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $366,573,774 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $231,133,634 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,570,122 | BOYAmt |
| EOY | $135,440,140 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,363,003 | BOYAmt |
| EOY | $159,948,559 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,260,589 | BOYAmt |
| EOY | $97,240,635 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,128,922 | BOYAmt |
| EOY | $1,067,497 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,903,566 | BOYAmt |
| EOY | $40,729,629 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,193,005 | BOYAmt |
| EOY | $514,290,018 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,601,554 | BOYAmt |
| EOY | $47,836,724 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,712,465 | BOYAmt |
| EOY | $111,626,605 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,700,590 | BOYAmt |
| EOY | $93,224,109 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,014,609 | BOYAmt |
| EOY | $252,687,438 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,983,845 | BOYAmt |
| EOY | $260,367,886 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,212 | BOYAmt |
| EOY | $338,685 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $888,339 | BOYAmt |
| EOY | $896,009 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $245,178,396 | BOYAmt |
| EOY | $261,602,580 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $489,193,005 | BOYAmt |
| EOY | $514,290,018 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $30,500,943 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,301,534 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$16,378,293 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $8,984 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $44,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $52,984 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Concord Hospital was a member of the American Hospital Association 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $210,537,884 | BeginningYearBalanceAmt |
| Contributions | $19,493,511 | ContributionsAmt |
| Investment Earnings Or Losses | $13,878,348 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $894,519 | OtherExpendituresAmt |
| End Year Balance | $243,015,224 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $159,691,844 | BeginningYearBalanceAmt |
| Contributions | $28,914,868 | ContributionsAmt |
| Investment Earnings Or Losses | $22,620,824 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $689,652 | OtherExpendituresAmt |
| End Year Balance | $210,537,884 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $139,047,220 | BeginningYearBalanceAmt |
| Contributions | $3,169,850 | ContributionsAmt |
| Investment Earnings Or Losses | $18,200,869 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $726,095 | OtherExpendituresAmt |
| End Year Balance | $159,691,844 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $135,685,338 | BeginningYearBalanceAmt |
| Contributions | $8,067,297 | ContributionsAmt |
| Investment Earnings Or Losses | -$4,399,718 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $305,697 | OtherExpendituresAmt |
| End Year Balance | $139,047,220 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,562,857 | BeginningYearBalanceAmt |
| Contributions | $17,123,371 | ContributionsAmt |
| Investment Earnings Or Losses | $10,185,474 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $186,364 | OtherExpendituresAmt |
| End Year Balance | $135,685,338 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.99510 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00360 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00130 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,996 | OtherCostOrOtherBasisAmt |
| Book Value | $18,996 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,084,961 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,214,740 | DepreciationAmt |
| Book Value | $73,870,221 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $212,180,326 | OtherCostOrOtherBasisAmt |
| Depreciation | $160,918,894 | DepreciationAmt |
| Book Value | $51,261,432 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,289,491 | OtherCostOrOtherBasisAmt |
| Book Value | $10,289,491 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $135,440,140 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Alternative Investments | Desc |
| Book Value | $97,240,635 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $97,240,635 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Intercompany Receivables | $18,375,329 |
| Other Assets | $1,560,409 |
| Other Receivables | $20,793,891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $40,729,629 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated 3rd Party Settlements | $15,033,274 |
| Accrued Pension & Other Long-Term Liabilities | $78,190,835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $93,224,109 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $433,498,974 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,301,534 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $2,301,534 | RevenueNotReportedAmt |
| Revenue Subtotal | $431,197,440 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $811,287 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $16,805,556 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $17,616,843 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $448,814,283 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $417,074,790 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $417,074,790 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $811,287 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $427,263 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,238,550 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $418,313,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area. |
| Part X, Line 2: | The Hospital, CRHCDC, CRHVC, CH/DHC and the Trust are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying consolidated financial statements. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments - FMV as of 9/30/14 | TypeOfActivitiesConductedTxt |
| Specific Services Provided | None | SpecificServicesProvidedTxt |
| Region Total Expenditures | $50,274,698 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $50,274,698 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $50,274,698 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 8494 | PersonsServedCnt |
| Total Community Benefit Expns | $16,665,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,665,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,239,096 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,739,930 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,499,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04530 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 8494 | PersonsServedCnt |
| Total Community Benefit Expns | $46,904,832 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,739,930 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,164,902 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 175121 | PersonsServedCnt |
| Total Community Benefit Expns | $3,519,017 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $797,893 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,721,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00700 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 6513 | PersonsServedCnt |
| Total Community Benefit Expns | $9,957,756 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,143,724 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,814,032 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 63979 | PersonsServedCnt |
| Total Community Benefit Expns | $69,092,281 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,181,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,911,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07220 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 27 | PersonsServedCnt |
| Total Community Benefit Expns | $90,806 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,370 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $947,528 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $947,528 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 39 | ActivitiesOrProgramsCnt |
| Persons Served | 245640 | PersonsServedCnt |
| Total Community Benefit Expns | $83,607,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,124,247 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,483,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 45 | ActivitiesOrProgramsCnt |
| Persons Served | 254134 | PersonsServedCnt |
| Total Community Benefit Expns | $130,512,220 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,864,177 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $69,648,043 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.18020 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,188 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,188 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,188 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,656,530 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,361,930 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $120,775,675 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $172,311,302 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$51,535,627 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 01098 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.concordhospital.org/about/financial-s | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Concord Hospital | Part V, Section B, Line 3: See the narrative for Schedule H, Part VI, line 2. |
| Concord Hospital | Part 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 Hospital | Part 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 Hospital | Part 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital Urgent Care | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 Commercial Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 03301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Walk-in urgent care | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and 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 States | NH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Riverbend Community Mental Health | |||||||
| PO Box 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | $11,000 | Program 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 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | $6,000 | Provide programs, services, and support to enhance child health care the health of families in our region. |
| Riverbend Community Mental Health | |||||||
| PO Box 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | $49,542 | Licensed 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 1797 | Concord | NH | 03301 | 020222122 | 501(c)(3) | $7,000 | Baby'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 1797 | Concord | NH | 03301 | 020222122 | 501(c)(3) | $25,000 | To 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 448 | Manchester | NH | 03105 | 020222164 | 501(c)(3) | $15,000 | Program 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 Avenue | Concord | NH | 03301 | 020338647 | 501(c)(3) | $7,000 | New 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | Michael 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 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. |
| 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NH Health & Education Facilities Authority | ||||||||
| A | 020279866 | 644614K65 | 2011-03-01 | $50,095,322 | Facility Improvements/Renovations | 0 | 0 | 0 |
| NH Health & Education Facilities Authority | ||||||||
| B | 020279866 | 644614Z85 | 2013-02-01 | $48,631,000 | Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds | 0 | 0 | 0 |
| NH Health & Education Facilities Authority | ||||||||
| C | 020279866 | 2013-04-01 | $32,421,000 | Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds | Yes (1) | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Bond DefeasedBondDefeasedAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $27,995,000 | $50,095,322 | $544,891 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $27,675,000 | $48,631,000 | $561,439 | Yes (1) | 0 | 0 | Yes (1) | ||
| C | $32,421,264 | $64,503 | 0 | Yes (1) | Yes (1) | Yes (1) | $31,800,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Naxis Funding Corp | |||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 1.800000000000 | 0 | 0 | Yes (1) |
| (no name) | |||||||||||
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
| (no name) | |||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 04/22/2013 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital. |
| Form 990, Part VI, Section A, line 7a | The Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member. |
| Form 990, Part VI, Section A, line 7b | The affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member. |
| Form 990, Part VI, Section B, line 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 at a board meeting, 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 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 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 9/30/13 and 9/30/14. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | Concord Hospital | |
| Capital Region Health Ventures Corp | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020438264 | Provide medical care to community | NH | 501(c)(3) | Line 11b, II | Yes (1) | Concord Hospital | |
| Capital Region Health Care Development Corporation | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020429749 | Support Concord Hospital & other affiliates | NH | 501(c)(2) | Yes (1) | Concord Hospital | ||
| Concord Regional Visiting Nurse Association Inc | |||||||||||
| PO Box 1797 | Concord | NH | 033021797 | 020222122 | Home health care & hospice services | NH | 501(c)(3) | Line 9 | 0 | Capital Region Health Care Corp | |
| Riverbend Community Mental Health Inc | |||||||||||
| 3-5 North State Street | Concord | NH | 033022032 | 020264383 | Multi-service team | NH | 501(c)(3) | Line 7 | N/A | 0 | |
| CHDHC Inc | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020519680 | Provide health services to Concord community | NH | 501(c)(3) | Line 9 | Yes (1) | Concord Hospital | |
| Concord Hospital Trust | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 260378710 | Fundraising | NH | 501(c)(3) | Line 11a, I | Yes (1) | Concord Hospital | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Capital Region Health Services Corporation | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020428631 | Medical services | NH | N/A | C | 0 | ||
| Capital Region Primary Care Corporation | |||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020495275 | Inactive | NH | C | Yes (1) | Concord Hospital | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Capital Region Health Care Development Corp | ||
| A | $1,441,706 | Actual per books |
| Capital Region Health Care Corp | ||
| A | $100,530 | Actual per books |
| Capital Region Health Care Corp | ||
| B | $165,996 | Actual per books |
| CHDHC | ||
| B | $174,705 | Actual per books |
| Capital Region Health Care Ventures Corp | ||
| C | $6,359,265 | Actual per books |
| Capital Region Health Care Services Corp | ||
| C | $437,926 | Actual per books |
| Capital Region Health Care Development Corp | ||
| K | $2,903,387 | Actual per books |
| Capital Region Health Care Development Corp | ||
| O | $490,719 | Actual per books |
| Capital Region Health Care Ventures Corp | ||
| O | $812,372 | Actual per books |
| CHDHC | ||
| O | $42,311 | Actual per books |
| Concord Hospital Trust | ||
| O | $560,275 | Actual per books |
| Capital Region Health Care Development Corp | ||
| Q | $161,313 | Actual per books |
| Capital Region Health Care Ventures Corp | ||
| Q | $683,338 | Actual per books |
| CHDHC | ||
| Q | $132,394 | Actual per books |
| Concord Hospital Trust | ||
| Q | $441,555 | Actual per books |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part III: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |