CONCORD HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CONCORD HOSPITAL INC (EIN 22-2594672)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-06
- IRS object ID
- 201322189349301217
- Schema version
- 2011v1.5
- 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) |
|---|---|---|
| Timestamp | 2013-08-06T13:03:45-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222594672 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CONC | NameControl |
| Phone | 6032284677 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Bruce R Burns | Name |
| Title | Treasurer/SR VP Finance/CFO | Title |
| Phone | 6032284677 | Phone |
| Date Signed | 2013-07-26 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Timothy R Hepburn CPA | Name |
| PTIN | P00182393 | PTIN |
| Phone | 2078792100 | Phone |
| Date Prepared | 2013-07-26 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael B Green | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 510398234 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.concordhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3599 | TotalNbrEmployees |
| Total Nbr Volunteers | 416 | TotalNbrVolunteers |
| Total Gross UBI | 2300760 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -749658 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2685572 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8808854 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 395532591 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 404107047 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11582680 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4245128 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4879474 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5147459 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 414680317 | TotalRevenuePriorYear |
| Total Revenue Current Year | 422308488 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 276562 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 104300 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 205162383 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 215096348 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 182843532 | OtherExpensePriorYear |
| Other Expenses Current Year | 184041017 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 388282477 | TotalExpensesPriorYear |
| Total Expenses Current Year | 399241665 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 26397840 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 23066823 | RevenuesLessExpensesCY |
| Total Assets BOY | 397005467 | TotalAssetsBOY |
| Total Assets EOY | 425659886 | TotalAssetsEOY |
| Total Liabilities BOY | 237414229 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 242968183 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 159591238 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 182691703 | NetAssetsOrFundBalancesEOY |
| Mission Description | Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 338016482 | Expense |
| Grants | 104300 | Grants |
| Revenue | 406953746 | Revenue |
| Description | Various hospital services; see Schedule HIn 2012, Concord Hospital invested more than $54 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. | Description |
| Total Program Service Expense | 338016482 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 259 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3599 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Sloane VP Finance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6032277000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 Pleasant Street | AddressLine1 |
| City | Concord | City |
| State | NH | State |
| ZIP Code | 033017539 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| D Thomas Akey MD | |||||||
| Chair | 40.00 | X | X | 291274 | 0 | 58299 | |
| Muriel D Schadee CPA | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Bruce R Burns | |||||||
| Treasurer | 60.00 | X | 411860 | 0 | 78735 | ||
| Mary Boucher | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Sol Asmar | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jill K Blackmer Esq | |||||||
| Trustee (part year) | 1.00 | X | 0 | 0 | 0 | ||
| Philip Boulter MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| C Thomas Brown | |||||||
| Trustee | 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 | ||
| Michael B Green | |||||||
| President & CEO | 60.00 | X | X | 757318 | 0 | 171880 | |
| Christian Hallowell MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Stephen Imgrund MD | |||||||
| Medical Staff President (part year) | 40.00 | X | 255413 | 0 | 46460 | ||
| Gary S Jones MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jeffrey S Kipperman CPA | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Rachel M Rowe | |||||||
| Trustee | 40.00 | X | 92237 | 0 | 27780 | ||
| David Ruedig | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| David A Stevenson MD | |||||||
| Trustee | 40.00 | X | 236194 | 0 | 43689 | ||
| Hon Michael Sullivan | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Greg Thesing MD | |||||||
| Medical Staff President (part year) | 40.00 | X | 191513 | 0 | 44625 | ||
| Jeffrey K Towle | |||||||
| Trustee (part year) | 1.00 | X | 0 | 0 | 0 | ||
| Claudia Walker | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Diane E Wood Allen RN | |||||||
| Trustee | 40.00 | X | 228891 | 0 | 71394 | ||
| Gerald Sardella MD | |||||||
| Physician | 40.00 | 505556 | 0 | 43306 | X | ||
| David Green MD | |||||||
| Chief Medical Officer | 40.00 | 443313 | 0 | 70828 | X | ||
| Joseph M Conley | |||||||
| COO | 40.00 | 419260 | 0 | 83103 | X | ||
| Paul Snyder MD | |||||||
| Physician | 40.00 | 401808 | 0 | 67741 | X | ||
| Veronica Triaca MD | |||||||
| Physician | 40.00 | 414235 | 0 | 43442 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4648872 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 851282 | TotalOtherCompensation |
| Number Individuals GT100 K | 252 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Concord Emergency Medical Assoc | |||||
| 540 Lafayette Road | Hampton | NH | 03842 | Physician services | 9391896 |
| Dartmouth Hitchcock Clinic | |||||
| PO Box 810 | Hanover | NH | 03755 | Physician services | 5220711 |
| Elliot Hospital | |||||
| 1070 Holt Avenue Suite 2100 | Manchester | NH | 03109 | Healthcare services | 2740544 |
| Riverbend Community Mental Health | |||||
| 5 Market Lane | Concord | NH | 03301 | Physician & psych services | 2050724 |
| Concord Imaging Center | |||||
| One Pillsbury Street | Concord | NH | 03301 | Radiology services | 1423317 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
| Related Organizations | 8792395 | RelatedOrganizations |
| All Other Contributions | 16459 | AllOtherContributions |
| Total Contributions | 8808854 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient service | 900099 | 391562201 | 391562201 | |
| Other operating | 900099 | 8520161 | 7424132 | 1096029 |
| ARRA-HI-TECH | 900099 | 4024685 | 4024685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 404107047 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 714555 | TotalRevenueColumn |
| Exclusion | $714,555 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 397331 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 397331 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 397331 | TotalRevenueColumn |
| Related Or Exempt Function Income | 397331 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 91620319 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 87918375 | Securities |
| Other | 171371 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3701944 | Securities |
| Other | -171371 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3530573 | TotalRevenueColumn |
| Exclusion | $3,530,573 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Food services | 722210 | 3568734 | 2364003 | 1204731 |
| Child care center | 624410 | 857765 | 857765 | |
| Answering service | 541900 | 323629 | 323629 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4750128 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 422308488 | TotalRevenueColumn |
| Related Or Exempt Function Income | 406953746 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2300760 | UnrelatedBusinessRevenue |
| Exclusion | $4,245,128 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104300 | Total |
| Program Services | 104300 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2155230 | Total |
| Program Services | 793392 | ProgramServices |
| Management And General | 1361838 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169366851 | Total |
| Program Services | 140394934 | ProgramServices |
| Management And General | 28971917 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8643452 | Total |
| Program Services | 7099704 | ProgramServices |
| Management And General | 1543748 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23166486 | Total |
| Program Services | 19028877 | ProgramServices |
| Management And General | 4137609 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11764329 | Total |
| Program Services | 9663182 | ProgramServices |
| Management And General | 2101147 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540977 | Total |
| Program Services | 140949 | ProgramServices |
| Management And General | 400028 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268174 | Total |
| Management And General | 268174 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101650 | Total |
| Management And General | 101650 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48000 | Total |
| Management And General | 48000 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 684984 | Total |
| Management And General | 684984 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29986073 | Total |
| Program Services | 27557692 | ProgramServices |
| Management And General | 2428381 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 363161 | Total |
| Program Services | 115380 | ProgramServices |
| Management And General | 247781 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50530439 | Total |
| Program Services | 47821876 | ProgramServices |
| Management And General | 2708563 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6292869 | Total |
| Program Services | 3890799 | ProgramServices |
| Management And General | 2402070 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11414720 | Total |
| Program Services | 8161303 | ProgramServices |
| Management And General | 3253417 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 455446 | Total |
| Program Services | 348242 | ProgramServices |
| Management And General | 107204 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 681054 | Total |
| Program Services | 564177 | ProgramServices |
| Management And General | 116877 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4861113 | Total |
| Program Services | 3305557 | ProgramServices |
| Management And General | 1555556 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22951536 | Total |
| Program Services | 15607044 | ProgramServices |
| Management And General | 7344492 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2518603 | Total |
| Program Services | 2518603 | ProgramServices |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Bad Debt Expense | 27561877 | 27561877 | |
| Medicaid Enhancement Ta | 16174879 | 16174879 | |
| Repairs/Maintenance | 3465570 | 2731185 | 734385 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5139892 | Total |
| Program Services | 4432530 | ProgramServices |
| Management And General | 707362 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 399241665 | Total |
| Program Services | 338016482 | ProgramServices |
| Management And General | 61225183 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10686440 | BOY |
| EOY | 34522619 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20367895 | BOY |
| EOY | 14382274 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41863115 | BOY |
| EOY | 40757735 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 772929 | BOY |
| EOY | 682217 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4001515 | BOY |
| EOY | 4197335 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 331060818 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 191781348 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138984309 | BOY |
| EOY | 139279470 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 96521676 | BOY |
| EOY | 117807390 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59744000 | BOY |
| EOY | 49966941 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24063588 | BOY |
| EOY | 24063905 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397005467 | BOY |
| EOY | 425659886 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42946055 | BOY |
| EOY | 44400946 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117196810 | BOY |
| EOY | 107232938 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77271364 | BOY |
| EOY | 91334299 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 237414229 | BOY |
| EOY | 242968183 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158553844 | BOY |
| EOY | 181560990 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162463 | BOY |
| EOY | 247590 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 874931 | BOY |
| EOY | 883123 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159591238 | BOY |
| EOY | 182691703 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 397005467 | BOY |
| EOY | 425659886 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 23066823 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 33642 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $75,928 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 75928 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Concord Hospital was a member of the NH Hospital Association and the American Hospital Association in the fiscal year ended 9/30/12. A portion of the dues paid to these organizations is 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 $26,946 (NHHA) and $8,982 (AHA). Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $40,000 in the year ended 9/30/12. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 139047220 | BeginningOfYearBalance |
| Contributions | 3169850 | Contributions |
| Investment Earnings Or Losses | 18200869 | InvestmentEarningsOrLosses |
| Other Expenditures | 726095 | OtherExpenditures |
| End Of Year Balance | 159691844 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 135685338 | BeginningOfYearBalance |
| Contributions | 8067297 | Contributions |
| Investment Earnings Or Losses | -4399718 | InvestmentEarningsOrLosses |
| Other Expenditures | 305697 | OtherExpenditures |
| End Of Year Balance | 139047220 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 108562857 | BeginningOfYearBalance |
| Contributions | 17123371 | Contributions |
| Investment Earnings Or Losses | 10185474 | InvestmentEarningsOrLosses |
| Other Expenditures | 186364 | OtherExpenditures |
| End Of Year Balance | 135685338 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 100022624 | BeginningOfYearBalance |
| Contributions | 2482944 | Contributions |
| Investment Earnings Or Losses | 6568016 | InvestmentEarningsOrLosses |
| Other Expenditures | 510727 | OtherExpenditures |
| End Of Year Balance | 108562857 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.99370 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00540 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00090 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18996 | OtherCostOrOtherBasis |
| Book Value | 18996 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127126573 | OtherCostOrOtherBasis |
| Depreciation | 56819597 | Depreciation |
| Book Value | 70306976 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 189916943 | OtherCostOrOtherBasis |
| Depreciation | 134961751 | Depreciation |
| Book Value | 54955192 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13998306 | OtherCostOrOtherBasis |
| Book Value | 13998306 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 139279470 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Alternative Investments | Description |
| Book Value | 49966941 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 49966941 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Bond Issuance Costs | 2353154 |
| Intercompany Receivables | 19191358 |
| Other | 2519393 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 24063905 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated 3rd Party Settlements | $11,341,550 |
| Accrued Pension & Other Long-Term Liabilities | $79,992,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 91334299 | TotalOfAmounts |
| Total Revenue | 422308488 | TotalRevenue |
| Total Expenses | 399241665 | TotalExpenses |
| Excess Or Deficit For Year | 23066823 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 15402935 | NetUnrealizedGLOnInvestments |
| Other | -$15,369,293 | OtherAmount |
| Total Adjustments | 33642 | TotalAdjustments |
| Excess Or Deficit Per FS | 23100465 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 394780253 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 15402935 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 15402935 | RevenueNotRptdF990 |
| Revenue Subtotal | 379377318 | RevenueSubtotal |
| Other Revenues Not Included | 42931170 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 42931170 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 422308488 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 371679788 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 371679788 | ExpensesSubtotal |
| Other Expenses Not Included | 27561877 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 27561877 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 399241665 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The verbatim paragraph pertaining to FIN 48 in the consolidated audited financial statements for Concord Hospital, Inc. and subsidiaries ("The System") is as follows: "The Hospital, CRHCDC, CRHVC, CRPGC (through a portion of fiscal 2011 as described above), 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 2009." |
| Part XI, Line 8 - Other Adjustments: | Pension Actuarial Loss -15,369,293. | |
| Part XII, Line 4b - Other Adjustments: | Pension Actuarial Loss 15,369,293. Bad Debt Expense 27,561,877. | |
| Part XIII, Line 4b - Other Adjustments: | Bad Debt Expense 27,561,877. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | Investments - FMV as of 9/30/12 | TypeOfActivitiesConducted |
| Specific Services Provided | None | SpecificServicesProvided |
| Total Expenditures | 40097060 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 40097060 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 40097060 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 1 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 1 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 225.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 500.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 8720 | PersonsServed |
| Total Community Benefit Expense | 14531584 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14531584 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03910 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27142348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10521148 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16621200 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04470 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 8720 | PersonsServed |
| Total Community Benefit Expense | 41673932 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10521148 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31152784 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08380 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 263374 | PersonsServed |
| Total Community Benefit Expense | 3072739 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 875235 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2197504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 5212 | PersonsServed |
| Total Community Benefit Expense | 8652150 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5078800 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3573350 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 38385 | PersonsServed |
| Total Community Benefit Expense | 70794166 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 54583204 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16210962 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04360 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 32 | PersonsServed |
| Total Community Benefit Expense | 98256 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2244 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 96012 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 1002864 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1002864 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 38 | NumberOfActivitiesOrPrograms |
| Persons Served | 307003 | PersonsServed |
| Total Community Benefit Expense | 83620175 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 60539483 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23080692 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06210 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 44 | NumberOfActivitiesOrPrograms |
| Persons Served | 315723 | PersonsServed |
| Total Community Benefit Expense | 125294107 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 71060631 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 54233476 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14590 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 364800 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 364800 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 364800 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 364800 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $10,641,641 | BadDebtExpenseAmount |
| Amount Attributable To | 3054401 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 113802166 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 148497696 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -34695530 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital | BusinessNameLine1 |
Address Address
| 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) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 08 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 225.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 500.000000000000 | FPGDiscountPercent |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital Urgent Care | BusinessNameLine1 |
Address Address
| 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 Type | Walk-in urgent care | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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 $ 27561877. | ||
| Part II: In the absence of a public/private partnership and a significant emergency preparedness incident, Concord Hospital's community building investment was reduced in 2011. However, the organization continued its emergency preparedness initiatives, including drills. | ||
| Part III, Line 4: Accounts Receivable The allowance for doubtful accounts is provided based on an analysis by management of the collectibility 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 $34,695,530 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 who 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 V, Section B, Line 3: See the narrative for Schedule H, Part VI, line 2 below. | Concord Hospital | |
| Part V, Section B, Line 5c: 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 21: 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. | Concord Hospital | |
| 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 Hospital's next assessment will be conducted 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 paying 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 23 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 23 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 $34,695,530 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 Hospital's care. | ||
| NH | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Riverbend Community Mental Health | |||||||
| PO Box 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | 20000 | Health Buddy System: To provide the use of the telehealth device (Health Buddy) as a way to support Riverbend patients with SMI to improve their ability to self-manage their physical and health symptoms. The FHC, Riverbend and the Dartmouth Psychiatric Resource Center (PRC) propose piloting the use of the Health Buddy technology with FHC patients to assess the impact on patients who are not linked to mental health center services. |
| Riverbend Community Mental Health | |||||||
| PO Box 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | 20000 | Intern Program: The objective of the services is to provide low-cost mental health services to adult clients in the Hillsboro area. Having the Ph.D. intern available on-site at the Family Health Center improves access to care for a needy population of patients. |
| Riverbend Community Mental Health | |||||||
| PO Box 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | 15000 | REACH Training: Trains and supports child providers to use evidenced-based methods of psychopharacology with their patients. The program aims to help medical providers safely and competently provide needed psychiatric mediciations for children, thereby expanding the capacity of child psychiatric practice in the community. |
| Riverbend Community Mental Health | |||||||
| PO Box 2032 | Concord | NH | 03301 | 020264383 | 501(c)(3) | 11300 | Child Parent Psychotherapy (CPP): Specialized treatment is offered only through the Dartmouth Dept. of Psychiatry and their partnership with the National Child Traumatic Stress Network. |
| Concord Regional Visiting Nurse Association | |||||||
| PO Box 1797 | Concord | NH | 03301 | 020222122 | 501(c)(3) | 7500 | Baby's First Homecoming: This program supports mothers at home following discharge and enables detection of problems with mother or baby early on. |
| Child and Family Services Healthy Families Home Visiting Program | |||||||
| 464 Chestnut Street PO Box 448 | Manchester | NH | 03105 | 020222164 | 501(c)(3) | 15300 | 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 7 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| D Thomas Akey MD | |||||||||||||
| 281274 | 0 | 10000 | 0 | 0 | 0 | 38319 | 0 | 19980 | 0 | 349573 | 0 | 0 | 0 |
| Bruce R Burns | |||||||||||||
| 323966 | 0 | 87894 | 0 | 0 | 0 | 64371 | 0 | 14364 | 0 | 490595 | 0 | 0 | 0 |
| Michael B Green | |||||||||||||
| 554942 | 0 | 200000 | 0 | 2376 | 0 | 156160 | 0 | 15720 | 0 | 929198 | 0 | 0 | 0 |
| Stephen Imgrund MD | |||||||||||||
| 245413 | 0 | 10000 | 0 | 0 | 0 | 37587 | 0 | 8873 | 0 | 301873 | 0 | 0 | 0 |
| David A Stevenson MD | |||||||||||||
| 209546 | 0 | 26648 | 0 | 0 | 0 | 25221 | 0 | 18468 | 0 | 279883 | 0 | 0 | 0 |
| Greg Thesing MD | |||||||||||||
| 162978 | 0 | 28535 | 0 | 0 | 0 | 26589 | 0 | 18036 | 0 | 236138 | 0 | 0 | 0 |
| Diane E Wood Allen RN | |||||||||||||
| 193109 | 0 | 35782 | 0 | 0 | 0 | 57966 | 0 | 13428 | 0 | 300285 | 0 | 0 | 0 |
| Gerald Sardella MD | |||||||||||||
| 495556 | 0 | 10000 | 0 | 0 | 0 | 22582 | 0 | 20724 | 0 | 548862 | 0 | 0 | 0 |
| David Green MD | |||||||||||||
| 370931 | 0 | 72382 | 0 | 0 | 0 | 53368 | 0 | 17460 | 0 | 514141 | 0 | 0 | 0 |
| Joseph M Conley | |||||||||||||
| 331239 | 0 | 88021 | 0 | 0 | 0 | 64827 | 0 | 18276 | 0 | 502363 | 0 | 0 | 0 |
| Paul Snyder MD | |||||||||||||
| 379282 | 0 | 22526 | 0 | 0 | 0 | 52081 | 0 | 15660 | 0 | 469549 | 0 | 0 | 0 |
| Veronica Triaca MD | |||||||||||||
| 391709 | 0 | 22526 | 0 | 0 | 0 | 38018 | 0 | 5424 | 0 | 457677 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4b | Part I, Line 4b: 457f Plan --------- Michael B. Green 88,000 |
| 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 K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| NH Health & Education Facilities Authority | |||||||
| 020279866 | 64461TBVS | 2004-08-25 | 45418290 | Facility Improvements | 0 | 0 | 0 |
| NH Health & Education Facilities Authority | |||||||
| 020279866 | 644614VY2 | 2008-04-23 | 15102683 | Capital Projects | 0 | 0 | 0 |
| NH Health & Education Facilities Authority | |||||||
| 020279866 | 644614K65 | 2011-03-01 | 50095322 | Facility Improvements/Renovations | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired |
|---|---|---|---|---|---|---|---|
| 45418290 | 1550456 | 2009 | 0 | 0 | 1 | 1 | |
| 15102683 | 99879 | 2008 | 0 | 0 | 1 | 1 | |
| 50095322 | 544891 | 2012 | 1 | 0 | 1 | 1 | 27995000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied |
|---|---|---|---|---|---|---|---|
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | 0 | ||
| (no name) | |||||||
| 0 | 0 | 0 | 0 | 0 | 0 | ||
| Naxis Funding Corp | |||||||
| 0 | 0 | 0 | 1 | 0 | 0 | 1.800000000000 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 and Chief Financial 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 and CFO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO and CFO 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 and CFO, 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 and CFO. | |
| Form 990, Part VI, Section C, line 19 | Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted on the Hospital's web site, www.concordhospital.org. In addition to this, the hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction. | |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 15,402,935. Pension Actuarial Loss -15,369,293. Total to Form 990, Part XI, Line 5: 33,642. | Changes in Net Assets or Fund Balances: |
| 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 9/30/11 and 9/30/12. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CAPITAL REGION HEALTH CARE CORPORATION | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020222123 | Promote comprehensive health service system | NH | 501(c)(3) | 11 Type I | N/A | 0 |
| CAPITAL REGION HEALTH PHYSICIANS GROUP CORP | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020481705 | Provide medical care to community - INACTIVE: activity now part of Hospital | NH | 501(c)(3) | 9 | N/A | 0 |
| CAPITAL REGION HEALTH VENTURES CORP | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020438264 | Provide medical care to community | NH | 501(c)(3) | 11 Type II | N/A | 0 |
| CAPITAL REGION HEALTH CARE DEVELOPMENT CORPORATION | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020429749 | Support Concord Hospital & other affiliates | NH | 501(c)(2) | N/A | 0 | |
| CONCORD REGIONAL VISITING NURSE ASSOCIATION INC | ||||||||||
| PO Box 1797 | Concord | NH | 033021797 | 020222122 | Home health care & hospice services | NH | 501(c)(3) | 9 | N/A | 0 |
| Riverbend Community Mental Health Inc | ||||||||||
| 3-5 North State Street | Concord | NH | 033022032 | 020264383 | Multi-service team | NH | 501(c)(3) | 7 | N/A | 0 |
| CHDHC Inc | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020519680 | Provide health services to Concord community | NH | 501(c)(3) | 3 | N/A | 0 |
| Concord Hospital Trust | ||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 260378710 | Fundraising | NH | 501(c)(3) | 11 Type I | N/A | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|
| CAPITAL REGION HEALTH SERVICES CORPORATION | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020428631 | Medical services | NH | N/A | C | |
| CAPITAL REGION PRIMARY CARE CORPORATION | |||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020495275 | Inactive | NH | N/A | C | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (15 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| 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 | 142961 | Actual per books |
| CHDHC | ||
| B | 224622 | Actual per books |
| Capital Region Health Care Ventures Corp | ||
| C | 6613564 | Actual per books |
| Capital Region Health Care Services Corp | ||
| C | 267367 | Actual per books |
| Capital Region Health Care Development Corp | ||
| J | 2644001 | Actual per books |
| Capital Region Health Care Development Corp | ||
| N | 510791 | Actual per books |
| Capital Region Health Care Ventures Corp | ||
| N | 1029485 | Actual per books |
| CHDHC | ||
| N | 12184 | Actual per books |
| Concord Hospital Trust | ||
| N | 458531 | Actual per books |
| Capital Region Health Care Development Corp | ||
| P | 293366 | Actual per books |
| Capital Region Health Care Ventures Corp | ||
| P | 611055 | Actual per books |
| CHDHC | ||
| P | 181596 | Actual per books |
| Concord Hospital Trust | ||
| P | 273359 | Actual per books |
Comments