2015-08-13T13:02:50-05:00 2014-09-30 010494526 BAKER NEWMAN & NOYES PO BOX 507 PORTLAND ME 04112 990 2013-10-01 222594672 Concord Hospital Inc CONC 6032284677 250 Pleasant Street Concord NH 03301 Bruce R Burns Treasurer/SR VP Finance/CFO 6032284677 2015-07-16 Nicholas E Porto P01310283 2078792100 2013 2016-02-25 16:41:14Z Robert P Steigmeyer 250 Pleasant Street Concord NH 03301 460454590 0 X www.concordhospital.org X 1944 NH Hospital 18 14 3697 414 2307880 -379292 5285630 4154294 417786860 433090639 1916890 11241158 -2805179 328192 422184201 448814283 178324 129942 0 0 224315755 232851261 0 0 0 183353284 185332137 407847363 418313340 14336838 30500943 489193005 514290018 244014609 252687438 245178396 261602580 Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves. 0 0 352785689 129942 431110951 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. 352785689 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 256 0 1 3697 1 1 1 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NH X X Scott Sloane VP Finance 6032277000 250 Pleasant Street Concord NH 033017539 X D Thomas Akey MD Trustee 40.00 4.10 X 300512 0 64177 Diane E Wood Allen RN Trustee 40.00 X 241870 0 74775 Sol Asmar Trustee 1.00 1.00 X 0 0 0 C Thomas Brown Trustee 1.00 1.00 X 0 0 0 William L Chapman Esq Trustee 1.00 X 0 0 0 Michelle Chicoine Trustee 1.00 X 0 0 0 Douglas Ewing MD Medical Staff President (eff. Jan 14) 1.00 X 0 0 0 Christian Hallowell MD Trustee 1.00 2.00 X 0 0 0 Gary S Jones MD Trustee (thru Jan 14) 1.00 X 0 0 0 Jeffrey S Kipperman CPA Trustee 1.00 1.00 X 0 0 0 David Ruedig Trustee 1.00 3.10 X 0 0 0 David A Stevenson MD Trustee 40.00 1.00 X 259491 0 45337 Hon Michael Sullivan Trustee 1.00 X 0 0 0 Greg Thesing MD Medical Staff President (thru Jan 14) 40.00 X 194673 0 45817 Jeffrey K Towle Trustee 1.00 1.00 X 0 0 0 Claudia Walker Trustee 1.00 1.00 X 0 0 0 Muriel D Schadee CPA Chair 1.00 5.10 X X 0 0 0 Philip Boulter MD Vice Chair 1.00 1.00 X X 0 0 0 Mary Boucher Secretary 1.00 1.00 X X 0 0 0 Robert P Steigmeyer President & CEO (eff. Jan. 14) 55.00 5.10 X X 0 0 0 Michael B Green President & CEO (ret. Dec. 13) 55.00 5.10 X X 1391778 0 85479 Bruce R Burns Treasurer 55.00 5.10 X 446841 0 81501 David Green MD Chief Medical Officer 40.00 X 479956 0 72916 Gerald Sardella MD Physician 40.00 X 516568 0 44915 Laki Rousou MD Physician 40.00 X 424143 0 16299 Joe Conley COO 40.00 X 465202 0 85235 Wayne K Stadelmann MD Physician 40.00 X 443874 0 40878 5164908 0 657329 324 0 1 0 Concord Emergency Medical Assoc 540 Lafayette Road Hampton NH 03842 Physician services 9282874 Dartmouth Hitchcock Clinic PO Box 810 Hanover NH 03755 Physician services 3383125 Riverbend Community Mental Health 5 Market Lane Concord NH 03301 Physician & psych services 2418683 Elliot Hospital 1070 Holt Avenue Suite 2100 Manchester NH 03109 Healthcare services 1667990 Angelica PO Box 535122 Atlanta GA 303535122 Laundry Services 1287250 33 4154294 4154294 Net Patient Service 621400 413138708 413138708 Other Operating Revenue 621400 7689501 6640173 1049328 Disproportionate Share Funding 621400 5098626 5098626 Food Services 722210 3769023 2510471 1258552 ARRA-HI-TECH 621400 2196323 2196323 1198458 1198458 433090639 413967 413967 328192 0 328192 328192 328192 22405798 61700 11633884 6423 10771914 55277 10827191 10827191 448814283 431110951 2307880 11241158 129942 129942 1965919 714257 1251662 182951090 151410926 31540164 9333146 7658610 1674536 26138320 21448631 4689689 12462786 10226736 2236050 1280447 272901 1007546 306788 306788 110000 110000 44000 44000 813682 813682 21014664 18166528 2848136 242486 81057 161429 52174446 49631296 2543150 7367907 4506208 2861699 12192329 10139754 2052575 437977 310501 127476 728029 506991 221038 3983966 2788776 1195190 23772073 16640451 7131622 3805709 3805709 Bad Debt Expense 31719233 31719233 Medicaid Enhancement Ta 16436988 16436988 Repairs/Maintenance 3728123 2927317 800806 5173290 3262877 1910413 418313340 352785689 65527651 0 26540723 16303646 2384481 12389628 44856394 44817144 1093304 1390132 4091901 4963008 366573774 231133634 139570122 135440140 164363003 159948559 69260589 97240635 1128922 1067497 35903566 40729629 489193005 514290018 45601554 47836724 119712465 111626605 78700590 93224109 244014609 252687438 X 243983845 260367886 306212 338685 888339 896009 245178396 261602580 489193005 514290018 X 30500943 2301534 -16378293 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 8984 0 0 1 44000 52984 0 Part II-B, Line 1: 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. 210537884 19493511 13878348 894519 243015224 159691844 28914868 22620824 689652 210537884 139047220 3169850 18200869 726095 159691844 135685338 8067297 -4399718 305697 139047220 108562857 17123371 10185474 186364 135685338 0.99510 0.00360 0.00130 0 1 1 18996 18996 144084961 70214740 73870221 212180326 160918894 51261432 10289491 10289491 135440140 Alternative Investments 97240635 F 97240635 Intercompany Receivables 18375329 Other Assets 1560409 Other Receivables 20793891 40729629 Estimated 3rd Party Settlements 15033274 Accrued Pension & Other Long-Term Liabilities 78190835 93224109 X 433498974 2301534 2301534 431197440 811287 16805556 17616843 448814283 417074790 0 417074790 811287 427263 1238550 418313340 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. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments - FMV as of 9/30/14 None 50274698 0 0 0 0 0 0 50274698 0 50274698 1 0 1 1 1 0 1 1 1 X 225.000000000000 1 X 500.000000000000 1 1 1 0 1 1 6 8494 16665736 16665736 0.04310 30239096 12739930 17499166 0.04530 6 8494 46904832 12739930 34164902 0.08840 11 175121 3519017 797893 2721124 0.00700 6 6513 9957756 6143724 3814032 0.00990 16 63979 69092281 41181260 27911021 0.07220 1 27 90806 1370 89436 0.00020 5 947528 947528 0.00250 39 245640 83607388 48124247 35483141 0.09180 45 254134 130512220 60864177 69648043 0.18020 53188 53188 0.00010 53188 53188 0.00010 1 11656530 2361930 120775675 172311302 -51535627 X 1 1 1 1 Concord Hospital 250 Pleasant Street Concord NH 03301 01098 X X X X Concord Hospital 1 1 X X X X X X X 12 1 0 1 X www.concordhospital.org/about/financial-s X X X X X X X 0 0 1 1 225.000000000000 1 500.000000000000 1 X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 1 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. 1 Concord Hospital Urgent Care 60 Commercial Street Concord NH 03301 Walk-in urgent care Part I, Line 7: Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and who may be faced with chronic health conditions. 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 1 Riverbend Community Mental Health PO Box 2032 Concord NH 03301 020264383 501(c)(3) 11000 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) 6000 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) 49542 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) 7000 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) 25000 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) 15000 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) 7000 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. 4 Part I, Line 2: The Hospital works with the Concord Hospital Trust to administer grants provided from funds available through the Community Services Funds. The Trust has an open application process for those entities that meet the grant requirements, and the Trust Board approves and recommends to the Hospital Board, all recommended granting actions. The Trust provides annual monitoring of compliance with expected spending requirements and gets updates as needed. X X X X X 0 1 0 0 0 0 0 1 0 D Thomas Akey MD Trustee 290012 0 10500 0 0 0 44773 0 19404 0 364689 0 0 0 Diane E Wood Allen RN Trustee 207280 0 34590 0 0 0 61671 0 13104 0 316645 0 0 0 David A Stevenson MD Trustee 231645 0 27846 0 0 0 27085 0 18252 0 304828 0 0 0 Greg Thesing MD Medical Staff President (thru Jan 14 165103 0 29570 0 0 0 27853 0 17964 0 240490 0 0 0 Michael B Green President & CEO (ret. Dec. 13) 799573 0 277165 0 315040 0 72279 0 13200 0 1477257 0 0 0 Bruce R Burns Treasurer 351666 0 95175 0 0 0 68301 0 13200 0 528342 0 0 0 David Green MD Chief Medical Officer 387911 0 92045 0 0 0 56248 0 16668 0 552872 0 0 0 Gerald Sardella MD Physician 505068 0 11500 0 0 0 24047 0 20868 0 561483 0 0 0 Laki Rousou MD Physician 414143 0 10000 0 0 0 0 0 16299 0 440442 0 0 0 Joe Conley COO 361202 0 104000 0 0 0 68255 0 16980 0 550437 0 0 0 Wayne K Stadelmann MD Physician 374257 0 69617 0 0 0 20670 0 20208 0 484752 0 0 0 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. A NH Health & Education Facilities Authority 020279866 644614K65 2011-03-01 50095322 Facility Improvements/Renovations 0 0 0 B NH Health & Education Facilities Authority 020279866 644614Z85 2013-02-01 48631000 Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds 0 0 0 C NH Health & Education Facilities Authority 020279866 2013-04-01 32421000 Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds 1 0 0 A 27995000 50095322 544891 2012 1 0 1 1 B 27675000 48631000 561439 1 0 0 1 C 31800000 32421264 64503 0 1 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 1 Naxis Funding Corp 1.800000000000 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 04/22/2013 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. Capital Region Health Care Corporation 250 Pleasant Street Concord NH 03301 020222123 Promote comprehensive health service system NH 501(c)(3) Line 11a, I N/A 0 Capital Region Health Physicians Group 250 Pleasant Street Concord NH 03301 020481705 Inactive NH 501(c)(3) Line 9 Concord Hospital 1 Capital Region Health Ventures Corp 250 Pleasant Street Concord NH 03301 020438264 Provide medical care to community NH 501(c)(3) Line 11b, II Concord Hospital 1 Capital Region Health Care Development Corporation 250 Pleasant Street Concord NH 03301 020429749 Support Concord Hospital & other affiliates NH 501(c)(2) Concord Hospital 1 Concord Regional Visiting Nurse Association Inc PO Box 1797 Concord NH 033021797 020222122 Home health care & hospice services NH 501(c)(3) Line 9 Capital Region Health Care Corp 0 Riverbend Community Mental Health Inc 3-5 North State Street Concord NH 033022032 020264383 Multi-service team NH 501(c)(3) Line 7 N/A 0 CHDHC Inc 250 Pleasant Street Concord NH 03301 020519680 Provide health services to Concord community NH 501(c)(3) Line 9 Concord Hospital 1 Concord Hospital Trust 250 Pleasant Street Concord NH 03301 260378710 Fundraising NH 501(c)(3) Line 11a, I Concord Hospital 1 Concord Imaging Center LLC 2 1/2 Beacon Street Concord NH 03301 020436605 Provide radiology services to community NH N/A Capital Orthopedic Surgery Center 250 Pleasant Street Concord NH 03301 020522860 Provide medical care to community NH N/A Concord Ambulatory Surgery Center LLC 60 Commerical Street Concord NH 03301 201184704 Provide medical care to community NH N/A Concord Endoscopy Center LLC 60 Commerical Street Concord NH 03301 201184756 Provide medical care to community NH N/A Capital Region Health Services Corporation 250 Pleasant Street Concord NH 03301 020428631 Medical services NH N/A C 0 Capital Region Primary Care Corporation 250 Pleasant Street Concord NH 03301 020495275 Inactive NH Concord Hospital C 1.00000 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 Capital Region Health Care Development Corp A 1441706 Actual per books Capital Region Health Care Corp A 100530 Actual per books Capital Region Health Care Corp B 165996 Actual per books CHDHC B 174705 Actual per books Capital Region Health Care Ventures Corp C 6359265 Actual per books Capital Region Health Care Services Corp C 437926 Actual per books Capital Region Health Care Development Corp K 2903387 Actual per books Capital Region Health Care Development Corp O 490719 Actual per books Capital Region Health Care Ventures Corp O 812372 Actual per books CHDHC O 42311 Actual per books Concord Hospital Trust O 560275 Actual per books Capital Region Health Care Development Corp Q 161313 Actual per books Capital Region Health Care Ventures Corp Q 683338 Actual per books CHDHC Q 132394 Actual per books Concord Hospital Trust Q 441555 Actual per books Schedule R, Part III: In accordance with IRS instructions, the partnerships listed in Part III are being reported due to their control relationship with Capital Region Health Ventures Corp and the Hospital's control relationship with Capital . Region Health Ventures Corp.