CONCORD HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-06-03
IRS object ID
201111549349300216
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-06-03T11:36:06-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222594672EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONCORD HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONCNameControl
Phone6032277000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 PLEASANT STREETAddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE R BURNSName
TitleTREASURER/SR VP FINANCE/CFOTitle
Phone6032277000Phone
Date Signed2011-05-26DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL B GREENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1250 PLEASANT STREETAddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts475013686GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.concordhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1944YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionHOSPITALActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees3632TotalNbrEmployees
Total Nbr Volunteers447TotalNbrVolunteers
Total Gross UBI2096452TotalGrossUBI
Net Unrelated Business Txbl Income-530962NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3196681ContributionsGrantsPriorYear
Contributions Grants Current Year5283082ContributionsGrantsCurrentYear
Program Service Revenue Prior Year341322007ProgramServiceRevenuePriorYear
Program Service Revenue CY346293115ProgramServiceRevenueCY
Investment Income Prior Year-6484724InvestmentIncomePriorYear
Investment Income Current Year6959457InvestmentIncomeCurrentYear
Other Revenue Prior Year11057892OtherRevenuePriorYear
Other Revenue Current Year10891966OtherRevenueCurrentYear
Total Revenue Prior Year349091856TotalRevenuePriorYear
Total Revenue Current Year369427620TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year423479GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY149261GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year190021218SalariesEtcPriorYear
Salaries Etc Current Year196980410SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year151845404OtherExpensePriorYear
Other Expenses Current Year153349899OtherExpensesCurrentYear
Total Expenses Prior Year342290101TotalExpensesPriorYear
Total Expenses Current Year350479570TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6801755RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18948050RevenuesLessExpensesCY
Total Assets BOY360573809TotalAssetsBOY
Total Assets EOY367447662TotalAssetsEOY
Total Liabilities BOY210548054TotalLiabilitiesBOY
Total Liabilities EOY199013530TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY150025755NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY168434132NetAssetsOrFundBalancesEOY
Mission DescriptionConcord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense292515885Expense
Grants149261Grants
Revenue355088629Revenue
DescriptionVARIOUS HOSPITAL SERVICES; SEE SCHEDULE HIn 2010, Concord Hospital invested more than $38 million for community benefit programs and services. 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 Expense292515885TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096283NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3632NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SCOTT SLOANE VP FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6032277000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1250 PLEASANT STREETAddressLine1
CityCONCORDCity
StateNHState
ZIP Code03301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
HALLOWELL MD CHRISTIAN
CHAIR1.00XX000
AKEY MD D THOMAS
VICE CHAIR/PHYSICIAN40.00XX273458057251
BURNS BRUCE R
TREASURER60.00X394125080116
BOUCHER Mary
SECRETARY1.00XX000
ASMAR SOL
TRUSTEE1.00X000
BLACKMER ESQ JILL K
TRUSTEE1.00X000
BOULTER MD PHILIP
TRUSTEE1.00X000
BROWN C THOMAS
TRUSTEE1.00X000
Chicoine Michelle
TruSTEE1.00X000
COOK JAMES D
TRUSTEE1.00X000
GREEN Michael B
PRESIDENT & CEO60.00XX6663660178254
IMGRUND MDSTEPHEN
MEDICAL STAFF PRESIDENT40.00X218759049400
JONES GARY S
TRUSTEE1.00X000
KIPPERMAN CPA JEFFREY S
TRUSTEE1.00X000
Rowe Rachel M
TRUSTEE1.00X000
RUEDIG DAVID
TRUSTEE1.00X000
SCHADEE CPA MURIEL D
TRUSTEE1.00X000
STEVENSON MD DAVID A
TRUSTEE40.00X46652017740
SULLIVAN HON MICHAEL
TRUSTEE1.00X000
WALKER CLAUDIA
TRUSTEE1.00X000
WOOD ALLEN RN DIANE E
TRUSTEE40.00X222365071028
ZELLERS ESQ JEFFREY J
TRUSTEE2.00X000
Sardella MD Gerald
Physician40.00468798044909X
TRIACA MD VERONICA
Physician40.00415696045211X
YAP MD RONALD
Physician40.00418648037782X
FABOZZI MD SCOTT
Physician40.00407023060619X
Conley Joseph M
COO40.00390909084213X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3922799TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation726523TotalOtherCompensation
Number Individuals GT100 K227NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CONCORD EMERGENCY MEDICAL ASSOC
540 LAFAYATTE RDHAMPTONNH03842PHYSICIAN SERVICES9013166
DARTMOUTH HITCHCOCK CLINIC
PO BoX 810HANOVERNH037550810PHYSICIAN SERVICES3658953
ELLIOT HOSPITAL
1070 HOLT AVENUE SUITE 2100MANCHESTERNH03109HEALTHCARE SERVICES2336253
RIVERBEND COMMUNITY MENTAL HEALTH
5 MARKET LNCONCORDNH03301PHYSICIAN & PSYCH SERVICES2182857
CONCORD IMAGING CENTER
ONE PILLSBURY STREETCONCORDNH03301RADIOLOGY SERVICES1522862
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Related Organizations4387080RelatedOrganizations
Government Grants593970GovernmentGrants
All Other Contributions302032AllOtherContributions
Total Contributions5283082TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICEDescription
Business Code900099BusinessCode
Total Revenue Column346293115TotalRevenueColumn
Related Or Exempt Function Income346293115RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue346293115TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2225026TotalRevenueColumn
Exclusion$2,225,026ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real324196Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real324196Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column324196TotalRevenueColumn
Related Or Exempt Function Income324196RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities110320497Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities105586066Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4734431Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4734431TotalRevenueColumn
Exclusion$4,734,431ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
FOOD SERVICES72221032526542294286958368
CHILD CARE CENTER624410802294802294
ANSWERING SERVICE541900315457315457

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column6197365TotalRevenueColumn
Related Or Exempt Function Income5059281RelatedOrExemptFunctionIncome
Unrelated Business Revenue1138084UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue10567770TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column369427620TotalRevenueColumn
Related Or Exempt Function Income355088629RelatedOrExemptFunctionIncome
Unrelated Business Revenue2096452UnrelatedBusinessRevenue
Exclusion$6,959,457ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total149261Total
Program Services149261ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1932248Total
Program Services773166ProgramServices
Management And General1159082ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total154453412Total
Program Services127505248ProgramServices
Management And General26948164ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7355431Total
Program Services6026869ProgramServices
Management And General1328562ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22236567Total
Program Services18220124ProgramServices
Management And General4016443ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11002752Total
Program Services9015398ProgramServices
Management And General1987354ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total433152Total
Program Services73051ProgramServices
Management And General360101ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total224981Total
Management And General224981ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total107364Total
Management And General107364ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total33397Total
Management And General33397ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total587168Total
Management And General587168ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total29504033Total
Program Services27019650ProgramServices
Management And General2484383ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total236485Total
Program Services83565ProgramServices
Management And General152920ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47835772Total
Program Services45481301ProgramServices
Management And General2354471ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5231238Total
Program Services2396326ProgramServices
Management And General2834912ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10768041Total
Program Services8687471ProgramServices
Management And General2080570ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total411508Total
Program Services297135ProgramServices
Management And General114373ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total642102Total
Program Services438129ProgramServices
Management And General203973ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5624218Total
Program Services3824468ProgramServices
Management And General1799750ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22041922Total
Program Services14988507ProgramServices
Management And General7053415ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2778257Total
Program Services2778257ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT1973001319730013
OTHER EXPENSES400407725661591437918
REPAIRS/MAINTENANCE31561712461787694384

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total350479570Total
Program Services292515885ProgramServices
Management And General57963685ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1900076BOY
EOY8766546EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25165614BOY
EOY14357164EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY43492079BOY
EOY36706507EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY459223BOY
EOY518876EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2870396BOY
EOY3187280EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis306984576LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec169577524LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY146000210BOY
EOY137407052EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY73941271BOY
EOY71952823EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY37214000BOY
EOY70564644EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29530940BOY
EOY23986770EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY360573809BOY
EOY367447662EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY38544840BOY
EOY36104525EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY113489921BOY
EOY103555580EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY58513293BOY
EOY59353425EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY210548054BOY
EOY199013530EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY148969770BOY
EOY167319828EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY200677BOY
EOY248068EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY855308BOY
EOY866236EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY150025755BOY
EOY168434132EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY360573809BOY
EOY367447662EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$33,397OtherActivitiesAmount
Total Lobbying Expenditures IIB33397TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationCONCORD 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 $24,742 (NHHA) AND $8,655 (AHA). CONCORD HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance108562857BeginningOfYearBalance
Contributions17123371Contributions
Investment Earnings Or Losses10185474InvestmentEarningsOrLosses
Other Expenditures186364OtherExpenditures
End Of Year Balance135685338EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance100022624BeginningOfYearBalance
Contributions2482944Contributions
Investment Earnings Or Losses6568016InvestmentEarningsOrLosses
Other Expenditures510727OtherExpenditures
End Of Year Balance108562857EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.99140BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00620PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00240TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis18996OtherCostOrOtherBasis
Book Value18996BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis125790506OtherCostOrOtherBasis
Depreciation48345105Depreciation
Book Value77445401BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis176628143OtherCostOrOtherBasis
Depreciation121232419Depreciation
Book Value55395724BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4546931OtherCostOrOtherBasis
Book Value4546931BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings137407052TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
TRUST FUNDS ADMINISTERED BY OTHERS9846919F
ALTERNATIVE INVESTMENTS60717725F
FieldValueIRS element (for citing)
Total Of Book Value Securities70564644TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES242857
BOND ISSUANCE COSTS2678239
INTERCOMPANY RECEIVABLES19837081
OTHER1228593
FieldValueIRS element (for citing)
Total Book Value Other Assets23986770TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ESTIMATED 3RD PARTY SETTLEMENTS$3,307,690
ACCRUED PENSION & OTHER LONG-TERM LIABILITIES$56,045,735
FieldValueIRS element (for citing)
Total Of Amounts59353425TotalOfAmounts
Total Revenue369427620TotalRevenue
Total Expenses350479570TotalExpenses
Excess Or Deficit For Year18948050ExcessOrDeficitForYear
Net Unrealized GL On Investments4410154NetUnrealizedGLOnInvestments
Other-$4,949,827OtherAmount
Total Adjustments-539673TotalAdjustments
Excess Or Deficit Per FS18408377ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt373837774TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4410154NetUnrealizedGainsInvestments
Revenue Not Rptd F9904410154RevenueNotRptdF990
Revenue Subtotal369427620RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990369427620TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt354565738TotExpensesEtcAuditedFinclStmt
Other Expenses Included4673336OtherExpensesIncluded
Expenses Not Rptd F9904673336ExpensesNotRptdF990
Expenses Subtotal349892402ExpensesSubtotal
Investment Expenses Not Included2587168InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt587168ExpensesNotRptdOnFinStmt
Total Expenses Per Form990350479570TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X:Description of Uncertain Tax Positions Under FIN 48: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 System adopted FASB Interpretation No. 48 (FIN 48), Accounting for Uncertainty in Income Taxes - an Interpretation of FASB Statement No. 109, effective October 1, 2007. The System has evaluated its tax positions taken in accordance with FIN 48 and has determined that there is no impact on the System's current tax-exempt status, or financial position or results of operations for the years ended September 30, 2010 and 2009.
Part XI, Line 8 - Other Adjustments:REALIZED LOSS ON SWAP: -559675. CHANGE IN PENSION LIABILITY: -3086989. TRANSFER TO AFFILIATE FOR CAPITAL REGION ASSESSMENT: -1026672. ASSETS RELEASED FROM RESTRICTION USED FOR board designated projects: -276491.
Part XIII, Line 2d - Other Adjustments:PENSION liability CHANGE: 3086989. REALIZED LOSS ON SWAP: 559675. TRANSFER TO AFFILIATE FOR CAPITAL REGION ASSESSMENT: 1026672.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage225.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage500.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served8264PersonsServed
Total Community Benefit Expense14321498TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense14321498NetCommunityBenefitExpense
Percent Of Total Expense0.04090PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense28206000TotalCommunityBenefitExpense
Direct Offsetting Revenue12043000DirectOffsettingRevenue
Net Community Benefit Expense16163000NetCommunityBenefitExpense
Percent Of Total Expense0.04610PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served8264PersonsServed
Total Community Benefit Expense42527498TotalCommunityBenefitExpense
Direct Offsetting Revenue12043000DirectOffsettingRevenue
Net Community Benefit Expense30484498NetCommunityBenefitExpense
Percent Of Total Expense0.08700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs11NumberOfActivitiesOrPrograms
Persons Served181183PersonsServed
Total Community Benefit Expense2207539TotalCommunityBenefitExpense
Direct Offsetting Revenue451829DirectOffsettingRevenue
Net Community Benefit Expense1755710NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served5239PersonsServed
Total Community Benefit Expense9031702TotalCommunityBenefitExpense
Direct Offsetting Revenue3385252DirectOffsettingRevenue
Net Community Benefit Expense5646450NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs13NumberOfActivitiesOrPrograms
Persons Served42495PersonsServed
Total Community Benefit Expense60757033TotalCommunityBenefitExpense
Direct Offsetting Revenue45853889DirectOffsettingRevenue
Net Community Benefit Expense14903144NetCommunityBenefitExpense
Percent Of Total Expense0.04250PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense462553TotalCommunityBenefitExpense
Direct Offsetting Revenue93965DirectOffsettingRevenue
Net Community Benefit Expense368588NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs7NumberOfActivitiesOrPrograms
Total Community Benefit Expense995723TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense995723NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs38NumberOfActivitiesOrPrograms
Persons Served228917PersonsServed
Total Community Benefit Expense73454550TotalCommunityBenefitExpense
Direct Offsetting Revenue49784935DirectOffsettingRevenue
Net Community Benefit Expense23669615NetCommunityBenefitExpense
Percent Of Total Expense0.06750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs44NumberOfActivitiesOrPrograms
Persons Served237181PersonsServed
Total Community Benefit Expense115982048TotalCommunityBenefitExpense
Direct Offsetting Revenue61827935DirectOffsettingRevenue
Net Community Benefit Expense54154113NetCommunityBenefitExpense
Percent Of Total Expense0.15450PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense27397TotalCommunityBuildingExpense
Net Community Building Expense27397NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense27397TotalCommunityBuildingExpense
Net Community Building Expense27397NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,535,204BadDebtExpenseAmount
Amount Attributable To1724913AmountAttributableTo
Amount Reimbursed By Medicare98503272AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare136893683CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-38390411MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursEr OtherErOther
CONCORD HOSPITAL
250 PLEASANT STCONCORDNH03301XXXX
CONCORD HOSPITAL URGENT CARE
60 COMMERCIAL STCONCORDNH03301X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedPart I, Line 7: Subsidized Health Services represents those activities that assure access to specialty care and support for people with special medical needs and who may be faced with chronic health conditions.CostingMethodUsed
Bad Debt FootnotePart 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.BadDebtFootnote
Shortfall As Community BenefitPart III, Line 8: : The Medicare shortfall of $38,390,411 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.ShortfallAsCommunityBenefit
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: The Hospital regularly participates in comprehensive community health needs assessments to identify far-reaching health needs faced by people in the communities served by the Hospital. Assessment results are evaluated over time and serve as the basis to develop new or expanded plans to address services in response to need.NeedsAssessment
Patient Education AssistancePart VI, Line 3: The Hospital actively meets with each person who indicates they have no insurance or will have difficulty with 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.PatientEducationAssistance
Community InformationPart 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.CommunityInformation
Community Building ActivitiesPart VI, Line 5: Concord Hospital's most significant community building investment in 2010 was in the area of preparing for a potential H1N1 influx of patients due to the heightened alert on a Federal level. This included staffing up for new admissions and stocking supplies for anticipated outbreaks.CommunityBuildingActivities
Other InformationPart 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.OtherInformation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
RIVERBEND COMMUNITY MENTAL HEALTH
PO BOX 2032CONCORDNH03301020264383501(C)(3)47524PROVIDING PARENTING SUPPORT & EDUCATION FOR FAMILIES
RIVERBEND COMMUNITY MENTAL HEALTH
PO BOX 2032CONCORDNH03301020264383501(C)(3)20000PROVIDE DUALLY DIAGNOSED PATIENTS TO USE HEALTH BUDDY TO REDUCE PHYSICAL & MENTAL HEALTH SYMPTOMS AND INCREASE COMPLIANCE WITH MEDICATIONS & TREATMENT
RIVERBEND COMMUNITY MENTAL HEALTH - MEMORY WELLNESS CENTER
PO BOX 2032CONCORDNH03301020264383501(C)(3)15000PROVIDE PERSON-FOCUSED AND FLEXIBLE SERVICES FOR INDIVIDUALS WITH DEMENTIA AND THEIR CAREGIVERS
CONCORD REGIONAL VISITING NURSES ASSOCIATION
PO BOX 1797cONCORDNH03301020222122501(C)(3)30000HELP STRUGGLING PARENTS LEARN TO NURTURE THEIR INFANTS AND CHILDREN
RIVERBEND COMMUNITY MENTAL HEALTH
PO BOX 2032CONCORDNH03301020264383501(C)(3)8700TO FUND NUTRITION AND FITNESS MEMBERSHIPS FOR ADULTS WITH SEVERE MENTAL ILLNESS
RIVERBEND COMMUNITY MENTAL HEALTH
PO BOX 2032CONCORDNH03301020264383501(C)(3)28037PROVIDE GERIATRIC PSYCHIATRY SUPPORT TO CONCORD AREA PHYSICIANS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
AKEY MD D THOMAS
27345800000347690224820330709000
BURNS BRUCE R
311283082842000599210201950474241000
GREEN Michael B
51404401500000232201513580268960844620000
IMGRUND MDSTEPHEN
21875900000309130184870268159000
WOOD ALLEN RN DIANE E
191254031111000532630177650293393000
Sardella MD Gerald
46879800000204830244260513707000
TRIACA MD VERONICA
355424060272000320890131220460907000
YAP MD RONALD
358376060272000170650207170456430000
FABOZZI MD SCOTT
346751060272000386380219810467642000
Conley Joseph M
308067082842000598810243320475122000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4aPart I, Line 4b: 457F PLAN --------- GREEN, MICHAEL B. 88,000
Part I, Line 7Incentive 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
NH HEALTH & EDUCATION FACILITIES AUTHORITY
02027986664461TBVS2004-08-2545418290FACILITY IMPROVEMENTS00
NH HEALTH & EDUCATION FACILITIES AUTHORITY
020279866644614VY22008-04-2315102683CAPITAL PROJECTS00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
4541829015504564386783420090011
15102683998791500280420080011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11The 990 is reviewed in detail with the Audit Committee of the Board of Trustees. All board members receive a copy of the 990 to review at a board meeting, prior to filing the report.
Form 990, Part VI, Section B, line 12cEach Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer 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 19Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted on the Hospital's web site, www.concordhospital.org. In addition to this, the hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction.
FORM 990, PART XI, LINE 2CTHERE WAS NO CHANGE IN THE PROCESS FOR OVERSIGHT OF THE AUDIT AND COMPILATION OF FINANCIAL STATEMENTS FOR THE FISCAL YEAR. The Board has a Finance Committee, which reviews the financial statements monthly. There is also an Audit committee of the board, which reviews the annual audit process and the selection of the independent accountant. THE SAME INDEPENDENT FIRM OF ACCOUNTANTS PERFORMED THE AUDIT FOR THE FISCAL YEARS ENDING 9/30/09 AND 9/30/10.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
CAPITAL REGION HEALTH CARE CORPORATION
250 PLEASANT STREETCONCORDNH03301020222123PROMOTE COMPREHENSIVE HEALTH SERVICE SYSTEMNH501(C)(3)11 TYPE IN/A
CAPITAL REGION HEALTH PHYSICIANS GROUP CORP
250 PLEASANT STREETCONCORDNH03301020481705PROVIDE MEDICAL CARE TO COMMUNITYNH501(C)(3)9N/A
CAPITAL REGION HEALTH VENTURES CORP
250 PLEASANT STREETCONCORDNH03301020438264PROVIDE MEDICAL CARE TO COMMUNITYNH501(C)(3)11 TYPE IIN/A
CAPITAL REGION HEALTH CARE DEVELOPMENT CORPORATION
250 PLEASANT STREETCONCORDNH03301020429749SUPPORT CONCORD HOSPITAL & OTHER AFFILIATESNH501(C)(2)N/A
CONCORD REGIONAL VISITING NURSE ASSOCIATION INC
PO BOX 1797CONCORDNH033021797020222122HOME HEALTH CARE & HOSPICE SERVICESNH501(C)(3)9N/A
MONADNOCK COMMUNITY HOSPITAL INC
452 OLD STREET ROADPETERBOROUGHNH034581263020222157ACUTE CARE HOSPITALNH501(C)(3)3N/A
RIVERBEND COMMUNITY MENTAL HEALTH INC
3-5 NORTH STATE STREETCONCORDNH033022032020264383MULTI-SERVICE TEAMNH501(C)(3)7N/A
CHDHC INC
250 PLEASANT STREETCONCORDNH03301020519680PROVIDE HEALTH SERVICES TO CONCORD COMMUNITYNH501(C)(3)3N/A
CONCORD HOSPITAL TRUST
250 PLEASANT STREETCONCORDNH03301260378710FUNDRAISINGNH501(C)(3)11 TYPE IN/A

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
CAPITAL ORTHOPAEDIC SURGERY CENTER LLC
264 PLEASANT STCONCORDNH03301020522860PROVIDE MEDICAL CARE TO COMMUNITYNH00
CONCORD AMBULATORY SURGERY CENTER LLC
60 COMMERCIAL STCONCORDNH03301201184704PROVIDE MEDICAL CARE TO COMMUNITYNH00
CONCORD ENDOSCOPY CENTER LLC
60 COMMERCIAL STCONCORDNH03301201184756PROVIDE MEDICAL CARE TO COMMUNITYNH00
CONCORD IMAGING CENTER LLC
2 1/2 BEACON STCONCORDNH03301020436605PROVIDE RADIOLOGY SERVICES TO COMMUNITYNH00

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
CAPITAL REGION HEALTH SERVICES CORPORATION
250 PLEASANT STREETCONCORDNH03301020428631MEDICAL SERVICESNHN/AC
CAPITAL REGION PRIMARY CARE CORPORATION
250 PLEASANT STREETCONCORDNH03301020495275INACTIVENHN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CAPITAL REGION HEALTHCARE DEVELOPMENT CORP
A1089309
CAPITAL REGION HEALTHCARE CORP
B41180
CAPITAL REGION PHYSICIAN GROUP CORP
B1481102
CHDHC
B4674997
CAPITAL REGION HEALTHCARE VENTURES CORP
C6170012
CONCORD HOSPITAL TRUST
C4387080
CAPITAL REGION HEALTHCARE SERVICES CORP
C290523
CAPITAL REGION HEALTHCARE DEVELOPMENT CORP
J2281108
CAPITAL REGION HEALTHCARE DEVELOPMENT CORP
N348195
CAPITAL REGION HEALTHCARE VENTURES CORP
N709887
CAPITAL REGION PHYSICIAN GROUP CORP
N189255
CHDHC
N12472
CONCORD HOSPITAL TRUST
N316380
CAPITAL REGION HEALTHCARE DEVELOPMENT CORP
P2194288
CAPITAL REGION HEALTHCARE VENTURES CORP
P1872056
CAPITAL REGION PHYSICIAN GROUP CORP
P710794
CHDHC
P77452
CONCORD HOSPITAL TRUST
P245618

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