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      <FormersListed>0</FormersListed>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CONCORD EMERGENCY MEDICAL ASSOC</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>540 LAFAYETTE ROAD</AddressLine1>
            <City>HAMPTON</City>
            <State>NH</State>
            <ZIPCode>03842</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVICES</DescriptionOfServices>
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      <ContractorCompensation>
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          <AddressUS>
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            <State>NH</State>
            <ZIPCode>03755</ZIPCode>
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      <ContractorCompensation>
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          </NameBusiness>
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          <AddressUS>
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            <City>CONCORD</City>
            <State>NH</State>
            <ZIPCode>03301</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN &amp; PSYCH SERVICES</DescriptionOfServices>
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      </ContractorCompensation>
      <ContractorCompensation>
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          <NameBusiness>
            <BusinessNameLine1>ELLIOT HOSPITAL</BusinessNameLine1>
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        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1070 HOLT AVENUE SUITE 2100</AddressLine1>
            <City>MANCHESTER</City>
            <State>NH</State>
            <ZIPCode>03109</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HEALTHCARE SERVICES</DescriptionOfServices>
        <Compensation>1472966</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
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          <NameBusiness>
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          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>ONE PILLSBURY STREET</AddressLine1>
            <City>CONCORD</City>
            <State>NH</State>
            <ZIPCode>03301</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>RADIOLOGY SERVICES</DescriptionOfServices>
        <Compensation>1453888</Compensation>
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      <TotalContributions>2685572</TotalContributions>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>20536667</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>597003</ExclusionAmount>
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        <Securities>122100962</Securities>
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        <ExclusionAmount>10985677</ExclusionAmount>
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      <OtherRevenueMisc>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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        <ProgramServices>276562</ProgramServices>
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        <ManagementAndGeneral>28623704</ManagementAndGeneral>
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      <PensionPlanContributions>
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      <OtherEmployeeBenefits>
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        <ManagementAndGeneral>4113530</ManagementAndGeneral>
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        <ProgramServices>9628536</ProgramServices>
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      <FeesForServicesManagement>
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        <ProgramServices>273179</ProgramServices>
        <ManagementAndGeneral>438629</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>183021</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>144382</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>27000</Total>
        <ManagementAndGeneral>27000</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>730784</ManagementAndGeneral>
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      <FeesForServicesOther>
        <Total>30596434</Total>
        <ProgramServices>28199013</ProgramServices>
        <ManagementAndGeneral>2397421</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>258668</Total>
        <ProgramServices>114379</ProgramServices>
        <ManagementAndGeneral>144289</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>48460731</Total>
        <ProgramServices>46206217</ProgramServices>
        <ManagementAndGeneral>2254514</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>5893304</Total>
        <ProgramServices>3148351</ProgramServices>
        <ManagementAndGeneral>2744953</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
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        <ProgramServices>9045823</ProgramServices>
        <ManagementAndGeneral>2431065</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>515951</Total>
        <ProgramServices>349979</ProgramServices>
        <ManagementAndGeneral>165972</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
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        <ProgramServices>556449</ProgramServices>
        <ManagementAndGeneral>219532</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>3665306</ProgramServices>
        <ManagementAndGeneral>1724850</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>21281062</Total>
        <ProgramServices>14471122</ProgramServices>
        <ManagementAndGeneral>6809940</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2665821</Total>
        <ProgramServices>2665821</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>23926682</Total>
        <ProgramServices>23926682</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAID ENHANCEMENT TA</Description>
        <Total>21541987</Total>
        <ProgramServices>21541987</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS/MAINTENANCE</Description>
        <Total>3249968</Total>
        <ProgramServices>2514381</ProgramServices>
        <ManagementAndGeneral>735587</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>5012904</Total>
        <ProgramServices>2596289</ProgramServices>
        <ManagementAndGeneral>2416615</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>388282477</Total>
        <ProgramServices>327238693</ProgramServices>
        <ManagementAndGeneral>61043784</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
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        <EOY>20367895</EOY>
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        <EOY>41863115</EOY>
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        <EOY>772929</EOY>
      </InventoriesForSaleOrUse>
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        <BOY>3187280</BOY>
        <EOY>4001515</EOY>
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      <LandBldgEquipmentAccumDeprec>182069957</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>138984309</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <EOY>96521676</EOY>
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        <EOY>59744000</EOY>
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        <BOY>23986770</BOY>
        <EOY>24063588</EOY>
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      <TotalAssets>
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      <OtherLiabilities>
        <BOY>59353425</BOY>
        <EOY>77271364</EOY>
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      <TotalLiabilities>
        <BOY>199013530</BOY>
        <EOY>237414229</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>167319828</BOY>
        <EOY>158553844</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>248068</BOY>
        <EOY>162463</EOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>866236</BOY>
        <EOY>874931</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>168434132</BOY>
        <EOY>159591238</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>367447662</BOY>
        <EOY>397005467</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>26397840</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-35240734</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>28308</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>28308</TotalLobbyingExpendituresIIB>
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      <Form990ScheduleCPartIV>
        <Identifier>Explanation of Other Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1i:</ReturnReference>
        <Explanation>Concord Hospital is a member of the NH Hospital Association and the American Hospital Association. 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 portion of dues used for lobbying were $20,291 (NHHA) and $8,017 (AHA). Concord Hospital does not directly perform any lobbying activities.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <Contributions>8067297</Contributions>
        <InvestmentEarningsOrLosses>-4399718</InvestmentEarningsOrLosses>
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      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
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        <BookValue>18996</BookValue>
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        <Depreciation>56852241</Depreciation>
        <BookValue>71565376</BookValue>
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      <Equipment>
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        <BookValue>62900858</BookValue>
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      <OtherLandBuildings>
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        <BookValue>4499079</BookValue>
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      <TotalOfBookValueLandBuildings>138984309</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>ALTERNATIVE INVESTMENTS</Description>
        <BookValue>59744000</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
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      <TotalOfBookValueSecurities>59744000</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>BOND ISSUANCE COSTS</Description>
        <BookValue>2564105</BookValue>
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      <OtherAssets>
        <Description>INTERCOMPANY RECEIVABLES</Description>
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      <OtherAssets>
        <Description>OTHER</Description>
        <BookValue>2057384</BookValue>
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      <OtherLiabilities>
        <Description>ESTIMATED 3RD PARTY SETTLEMENTS</Description>
        <Amount>8510816</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION &amp; OTHER LONG-TERM LIABILITIES</Description>
        <Amount>68760548</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>77271364</TotalOfAmounts>
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      <ExcessOrDeficitForYear>26397840</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-18087295</NetUnrealizedGLOnInvestments>
      <OtherAmount>-17153439</OtherAmount>
      <TotalAdjustments>-35240734</TotalAdjustments>
      <ExcessOrDeficitPerFS>-8842894</ExcessOrDeficitPerFS>
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      <RevenueNotRptdF990>0</RevenueNotRptdF990>
      <RevenueSubtotal>414680317</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
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      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>388282477</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
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        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X:</ReturnReference>
        <Explanation>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, 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 2008."</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Pension Actuarial Loss -16,395,699. Net transfer to affiliate -757,740.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
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        <FreeOtherPercentage>225.000000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <DiscountedOther>
        <Other>X</Other>
        <DiscountedOtherPercentage>500.000000000000</DiscountedOtherPercentage>
      </DiscountedOther>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>8410</PersonsServed>
        <TotalCommunityBenefitExpense>15648344</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>15648344</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04290</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>29129000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14109000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>15020000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04120</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>8410</PersonsServed>
        <TotalCommunityBenefitExpense>44777344</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>14109000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>30668344</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08410</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>11</NumberOfActivitiesOrPrograms>
        <PersonsServed>242543</PersonsServed>
        <TotalCommunityBenefitExpense>2669412</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>836633</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1832779</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00500</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>5650</PersonsServed>
        <TotalCommunityBenefitExpense>9080409</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>4598511</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4481898</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01230</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>12</NumberOfActivitiesOrPrograms>
        <PersonsServed>36012</PersonsServed>
        <TotalCommunityBenefitExpense>62639930</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>48828836</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>13811094</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03790</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <PersonsServed>48</PersonsServed>
        <TotalCommunityBenefitExpense>310181</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>79886</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>230295</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>7</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>1040271</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1040271</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00290</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>37</NumberOfActivitiesOrPrograms>
        <PersonsServed>284253</PersonsServed>
        <TotalCommunityBenefitExpense>75740203</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>54343866</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21396337</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05870</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>43</NumberOfActivitiesOrPrograms>
        <PersonsServed>292663</PersonsServed>
        <TotalCommunityBenefitExpense>120517547</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>68452866</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>52064681</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.14280</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>20900</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>20900</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <Total>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>20900</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>20900</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>10262646</BadDebtExpenseAmount>
      <AmountAttributableTo>2036825</AmountAttributableTo>
      <AmountReimbursedByMedicare>108808695</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>149486000</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-40677305</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>CONCORD HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>250 PLEASANT ST</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Concord Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>1</CHNAConducted>
        <CommunityDefinition>X</CommunityDefinition>
        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <NeedsAssessmentConducted>08</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <AdoptBudget>X</AdoptBudget>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>225.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>500.000000000000</FPGDiscountPercent>
        <ExplainsBasis>0</ExplainsBasis>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <PermitLawsuit>X</PermitLawsuit>
        <PermitLienOnResidence>X</PermitLienOnResidence>
        <CollectionActivities>1</CollectionActivities>
        <Lawsuit>X</Lawsuit>
        <LienOnResidence>X</LienOnResidence>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <AverageNegotiatedRates>X</AverageNegotiatedRates>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>1</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>1</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>Concord Hospital Urgent Care</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>60 Commercial Street</AddressLine1>
            <City>Concord</City>
            <State>NH</State>
            <ZIPCode>03301</ZIPCode>
          </Address>
          <FacilityType>Walk-in urgent care</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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 $ 23926682.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 8: : The Medicare shortfall of $40,677,305 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Concord Hospital</Identifier>
        <Explanation>Part V, Section B, Line 3: See the narrative for Schedule H, Part VI, line 2 below.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Concord Hospital</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Concord Hospital</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: 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 $40,677,305 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>NH</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>54478</AmountOfCashGrant>
        <PurposeOfGrant>Providing parenting support &amp; education for families</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>65000</AmountOfCashGrant>
        <PurposeOfGrant>To support a 0.5 FTE medical director and 2 APRNs. RCA medication services seek to serve CHMG's most challenging psychiatric patients, so that PCPs are supported in providing quality service</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health - Memory Wellness Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>Provide person-focused and flexible services for individuals with dementia and their caregivers</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Concord Regional Visiting Nurse Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 1797</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020222122</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>Help struggling parents learn to nurture their infants and children: trained home visitors mentor and guide parents</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>18782</AmountOfCashGrant>
        <PurposeOfGrant>To fund nutrition and fitness memberships for adults with severe and persistent mental illness</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>39180</AmountOfCashGrant>
        <PurposeOfGrant>Provide specialty geriatric psychiatry evaluation and treatment for Elders in the Concord area</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>20922</AmountOfCashGrant>
        <PurposeOfGrant>PhD intern program to provide low-cost mental health services to adults in the Hillsboro area</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Dame School</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>14 Canterbury Road</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020222164</EINOfRecipient>
        <IRCSection>Municipality</IRCSection>
        <AmountOfCashGrant>7000</AmountOfCashGrant>
        <PurposeOfGrant>Grandfamilies Group: offers parenting classes and support for grandparents who are parenting for the second time</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Child and Family Services Healthy Families Home Visiting Program</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>464 Chestnut Street PO Box 448</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03105</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020222164</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10200</AmountOfCashGrant>
        <PurposeOfGrant>Program to serve at-risk women under the age of 25 who are pregnant with their first their first child to develop their parenting skills and enhance maternal and child health</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Riverbend Community Mental Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 2032</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020264383</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Child parent psychotherapy: specialized treatment through the Dartmouth Dept. of Psychiatry and its partnership with the National Child Traumatic Stress Network</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>The Children's Place and Parent Education Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>27 Burns Avenue</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020338647</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>6000</AmountOfCashGrant>
        <PurposeOfGrant>Contribution to New Parents Support Group/Toddler Play Group, which offers a place in which families can come together in support of each other, serving to enhance the family unit, thus preventing child abuse and neglect</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Concord Regional Visiting Nurse Association</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO Box 1797</AddressLine1>
          <City>Concord</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EINOfRecipient>020222122</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>Contribution to Baby's First Homecoming, a program to support mothers at home following discharge, enabling early detection of problems with mother or baby</PurposeOfGrant>
      </RecipientTable>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: The Hospital works with the CH 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>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
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      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>AKEY MD D THOMAS</NamePerson>
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        <BonusFilingOrg>4500</BonusFilingOrg>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <NamePerson>GREEN MICHAEL B</NamePerson>
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        <NamePerson>SARDELLA MD GERALD</NamePerson>
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        <NamePerson>CONLEY JOSEPH M</NamePerson>
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        <NamePerson>TRIACA MD VERONICA</NamePerson>
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        <NamePerson>YAP MD RONALD</NamePerson>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>Part I, Line 4b: 457F PLAN --------- GREEN, MICHAEL B. 88,000</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>Incentive Pay: The primary purpose of the incentive pay is to recognize the quality of the CEO's performance 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 CEO'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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
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        <IssuerName>
          <BusinessNameLine1>NH HEALTH &amp; EDUCATION FACILITIES AUTHORITY</BusinessNameLine1>
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        <IssuerEIN>020279866</IssuerEIN>
        <CUSIPNumber>64461TBVS</CUSIPNumber>
        <DateIssued>2004-08-25</DateIssued>
        <IssuePrice>45418290</IssuePrice>
        <DescriptionOfPurpose>FACILITY IMPROVEMENTS</DescriptionOfPurpose>
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        <DescriptionOfPurpose>CAPITAL PROJECTS</DescriptionOfPurpose>
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        <CUSIPNumber>644614K65</CUSIPNumber>
        <DateIssued>2011-03-01</DateIssued>
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        <DescriptionOfPurpose>FACILITY IMPROVEMENTS/RENOVATIONS</DescriptionOfPurpose>
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        <TotalProceeds>45418290</TotalProceeds>
        <IssuanceCostsFromProceeds>1550456</IssuanceCostsFromProceeds>
        <CapitalExpenditures>43867834</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
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        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
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        <TotalProceeds>15102683</TotalProceeds>
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        <CapitalExpenditures>15002804</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
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        <AmountRetired>27995000</AmountRetired>
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        <CapitalExpenditures>10813949</CapitalExpenditures>
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        <FinalAllocationMade>0</FinalAllocationMade>
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        <NameOfGICProvider>
          <BusinessNameLine1>Naxis Funding Corp</BusinessNameLine1>
        </NameOfGICProvider>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized losses on investments: -18,087,295. Pension Actuarial Loss -16,395,699. Net transfer to affiliate -757,740. Total to Form 990, Part XI, Line 5: -35,240,734.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>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 9/30/10 and 9/30/11.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPITAL REGION HEALTH CARE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020222123</EIN>
        <PrimaryActivities>PROMOTE COMPREHENSIVE HEALTH SERVICE SYSTEM</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>CAPITAL REGION HEALTH PHYSICIANS GROUP CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020481705</EIN>
        <PrimaryActivities>PROVIDE MEDICAL CARE TO COMMUNITY</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPITAL REGION HEALTH VENTURES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020438264</EIN>
        <PrimaryActivities>PROVIDE MEDICAL CARE TO COMMUNITY</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPITAL REGION HEALTH CARE DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
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        <EIN>020429749</EIN>
        <PrimaryActivities>SUPPORT CONCORD HOSPITAL &amp; OTHER AFFILIATES</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONCORD REGIONAL VISITING NURSE ASSOCIATION INC</BusinessNameLine1>
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          <AddressLine1>PO BOX 1797</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>033021797</ZIPCode>
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        <EIN>020222122</EIN>
        <PrimaryActivities>HOME HEALTH CARE &amp; HOSPICE SERVICES</PrimaryActivities>
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          <BusinessNameLine1>RIVERBEND COMMUNITY MENTAL HEALTH INC</BusinessNameLine1>
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          <AddressLine1>3-5 NORTH STATE STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
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</Return>