﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-06-03T11:36:06-05:00</Timestamp>
    <TaxPeriodEndDate>2010-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>BAKER NEWMAN &amp; NOYES LLC</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>BOX 507</AddressLine1>
        <City>PORTLAND</City>
        <State>ME</State>
        <ZIPCode>04112</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>222594672</EIN>
      <Name>
        <BusinessNameLine1>CONCORD HOSPITAL INC</BusinessNameLine1>
      </Name>
      <NameControl>CONC</NameControl>
      <Phone>6032277000</Phone>
      <USAddress>
        <AddressLine1>250 PLEASANT STREET</AddressLine1>
        <City>CONCORD</City>
        <State>NH</State>
        <ZIPCode>03301</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>BRUCE R BURNS</Name>
      <Title>TREASURER/SR VP FINANCE/CFO</Title>
      <Phone>6032277000</Phone>
      <DateSigned>2011-05-26</DateSigned>
    </Officer>
    <Preparer>
      <Phone>2078792100</Phone>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="11">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>MICHAEL B GREEN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>250 PLEASANT STREET</AddressLine1>
        <City>CONCORD</City>
        <State>NH</State>
        <ZIPCode>03301</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>475013686</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>www.concordhospital.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1944</YearFormation>
      <StateLegalDomicile>NH</StateLegalDomicile>
      <ActivityOrMissionDescription>HOSPITAL</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>21</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>16</NbrIndependentVotingMembers>
      <TotalNbrEmployees>3632</TotalNbrEmployees>
      <TotalNbrVolunteers>447</TotalNbrVolunteers>
      <TotalGrossUBI>2096452</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>-530962</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>3196681</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>5283082</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>341322007</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>346293115</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-6484724</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>6959457</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>11057892</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>10891966</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>349091856</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>369427620</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>423479</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>149261</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>190021218</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>196980410</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>151845404</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>153349899</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>342290101</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>350479570</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>6801755</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>18948050</RevenuesLessExpensesCY>
      <TotalAssetsBOY>360573809</TotalAssetsBOY>
      <TotalAssetsEOY>367447662</TotalAssetsEOY>
      <TotalLiabilitiesBOY>210548054</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>199013530</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>150025755</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>168434132</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>292515885</Expense>
      <Grants>149261</Grants>
      <Revenue>355088629</Revenue>
      <Description>VARIOUS 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>
      <TotalProgramServiceExpense>292515885</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">1</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc1040000001">1</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital referenceDocumentId="RetDoc1041500001">1</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="RetDoc1053100001">1</TaxExemptBonds>
      <InvestTaxExemptBonds>0</InvestTaxExemptBonds>
      <EscrowAccount>0</EscrowAccount>
      <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">0</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">1</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="RetDoc1043400001">0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">1</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>283</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>3632</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>1</UnrelatedBusinessIncome>
      <Form990-TFiled>1</Form990-TFiled>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <NbrVotingGoverningBodyMembers>21</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>16</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>NH</StatesWhereCopyOfReturnIsFiled>
      <OwnWebsite>X</OwnWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>SCOTT SLOANE VP FINANCE</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>6032277000</TelephoneNumber>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>HALLOWELL MD CHRISTIAN</NamePerson>
        <Title>CHAIR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>AKEY MD D THOMAS</NamePerson>
        <Title>VICE CHAIR/PHYSICIAN</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>273458</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>57251</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BURNS BRUCE R</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>394125</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>80116</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BOUCHER Mary</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ASMAR SOL</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BLACKMER ESQ JILL K</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BOULTER MD PHILIP</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BROWN C THOMAS</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Chicoine Michelle</NamePerson>
        <Title>TruSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>COOK JAMES D</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GREEN Michael B</NamePerson>
        <Title>PRESIDENT &amp; CEO</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>666366</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>178254</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>IMGRUND MDSTEPHEN</NamePerson>
        <Title>MEDICAL STAFF PRESIDENT</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>218759</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>49400</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JONES GARY S</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KIPPERMAN CPA JEFFREY S</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rowe Rachel M</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RUEDIG DAVID</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SCHADEE CPA MURIEL D</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVENSON MD DAVID A</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>46652</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17740</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SULLIVAN HON MICHAEL</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WALKER CLAUDIA</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WOOD ALLEN RN DIANE E</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>222365</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>71028</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ZELLERS ESQ JEFFREY J</NamePerson>
        <Title>TRUSTEE</Title>
        <AverageHoursPerWeek>2.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Sardella MD Gerald</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>468798</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44909</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TRIACA MD VERONICA</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>415696</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>45211</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>YAP MD RONALD</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>418648</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37782</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FABOZZI MD SCOTT</NamePerson>
        <Title>Physician</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>407023</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>60619</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Conley Joseph M</NamePerson>
        <Title>COO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>390909</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>84213</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>3922799</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>726523</TotalOtherCompensation>
      <NumberIndividualsGT100K>227</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CONCORD EMERGENCY MEDICAL ASSOC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>540 LAFAYATTE RD</AddressLine1>
            <City>HAMPTON</City>
            <State>NH</State>
            <ZIPCode>03842</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVICES</DescriptionOfServices>
        <Compensation>9013166</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>DARTMOUTH HITCHCOCK CLINIC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BoX 810</AddressLine1>
            <City>HANOVER</City>
            <State>NH</State>
            <ZIPCode>037550810</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVICES</DescriptionOfServices>
        <Compensation>3658953</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ELLIOT HOSPITAL</BusinessNameLine1>
          </NameBusiness>
        </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>2336253</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>RIVERBEND COMMUNITY MENTAL HEALTH</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5 MARKET LN</AddressLine1>
            <City>CONCORD</City>
            <State>NH</State>
            <ZIPCode>03301</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN &amp; PSYCH SERVICES</DescriptionOfServices>
        <Compensation>2182857</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CONCORD IMAGING CENTER</BusinessNameLine1>
          </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>1522862</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>37</NumberOfContractorsGT100K>
      <RelatedOrganizations>4387080</RelatedOrganizations>
      <GovernmentGrants>593970</GovernmentGrants>
      <AllOtherContributions>302032</AllOtherContributions>
      <TotalContributions>5283082</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>346293115</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>346293115</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>346293115</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>2225026</TotalRevenueColumn>
        <ExclusionAmount>2225026</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>324196</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>324196</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>324196</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>324196</RelatedOrExemptFunctionIncome>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>110320497</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>105586066</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>4734431</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>4734431</TotalRevenueColumn>
        <ExclusionAmount>4734431</ExclusionAmount>
      </NetGainOrLossInvestments>
      <OtherRevenueMisc>
        <Description>FOOD SERVICES</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>3252654</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2294286</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>958368</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CHILD CARE CENTER</Description>
        <BusinessCode>624410</BusinessCode>
        <TotalRevenueColumn>802294</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>802294</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>ANSWERING SERVICE</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>315457</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>315457</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>6197365</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5059281</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>1138084</UnrelatedBusinessRevenue>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>10567770</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>369427620</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>355088629</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>2096452</UnrelatedBusinessRevenue>
        <ExclusionAmount>6959457</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>149261</Total>
        <ProgramServices>149261</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>1932248</Total>
        <ProgramServices>773166</ProgramServices>
        <ManagementAndGeneral>1159082</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>154453412</Total>
        <ProgramServices>127505248</ProgramServices>
        <ManagementAndGeneral>26948164</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>7355431</Total>
        <ProgramServices>6026869</ProgramServices>
        <ManagementAndGeneral>1328562</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>22236567</Total>
        <ProgramServices>18220124</ProgramServices>
        <ManagementAndGeneral>4016443</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>11002752</Total>
        <ProgramServices>9015398</ProgramServices>
        <ManagementAndGeneral>1987354</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>433152</Total>
        <ProgramServices>73051</ProgramServices>
        <ManagementAndGeneral>360101</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>224981</Total>
        <ManagementAndGeneral>224981</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>107364</Total>
        <ManagementAndGeneral>107364</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>33397</Total>
        <ManagementAndGeneral>33397</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>587168</Total>
        <ManagementAndGeneral>587168</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>29504033</Total>
        <ProgramServices>27019650</ProgramServices>
        <ManagementAndGeneral>2484383</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>236485</Total>
        <ProgramServices>83565</ProgramServices>
        <ManagementAndGeneral>152920</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>47835772</Total>
        <ProgramServices>45481301</ProgramServices>
        <ManagementAndGeneral>2354471</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>5231238</Total>
        <ProgramServices>2396326</ProgramServices>
        <ManagementAndGeneral>2834912</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>10768041</Total>
        <ProgramServices>8687471</ProgramServices>
        <ManagementAndGeneral>2080570</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>411508</Total>
        <ProgramServices>297135</ProgramServices>
        <ManagementAndGeneral>114373</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>642102</Total>
        <ProgramServices>438129</ProgramServices>
        <ManagementAndGeneral>203973</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>5624218</Total>
        <ProgramServices>3824468</ProgramServices>
        <ManagementAndGeneral>1799750</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>22041922</Total>
        <ProgramServices>14988507</ProgramServices>
        <ManagementAndGeneral>7053415</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>2778257</Total>
        <ProgramServices>2778257</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>19730013</Total>
        <ProgramServices>19730013</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>4004077</Total>
        <ProgramServices>2566159</ProgramServices>
        <ManagementAndGeneral>1437918</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS/MAINTENANCE</Description>
        <Total>3156171</Total>
        <ProgramServices>2461787</ProgramServices>
        <ManagementAndGeneral>694384</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>350479570</Total>
        <ProgramServices>292515885</ProgramServices>
        <ManagementAndGeneral>57963685</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1900076</BOY>
        <EOY>8766546</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>25165614</BOY>
        <EOY>14357164</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>43492079</BOY>
        <EOY>36706507</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>459223</BOY>
        <EOY>518876</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>2870396</BOY>
        <EOY>3187280</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>306984576</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>169577524</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>146000210</BOY>
        <EOY>137407052</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>73941271</BOY>
        <EOY>71952823</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>37214000</BOY>
        <EOY>70564644</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>29530940</BOY>
        <EOY>23986770</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>360573809</BOY>
        <EOY>367447662</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>38544840</BOY>
        <EOY>36104525</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>113489921</BOY>
        <EOY>103555580</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>58513293</BOY>
        <EOY>59353425</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>210548054</BOY>
        <EOY>199013530</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>148969770</BOY>
        <EOY>167319828</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>200677</BOY>
        <EOY>248068</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>855308</BOY>
        <EOY>866236</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>150025755</BOY>
        <EOY>168434132</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>360573809</BOY>
        <EOY>367447662</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <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">
      <Volunteers>0</Volunteers>
      <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>33397</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>33397</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</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 $24,742 (NHHA) AND $8,655 (AHA). CONCORD HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>108562857</BeginningOfYearBalance>
        <Contributions>17123371</Contributions>
        <InvestmentEarningsOrLosses>10185474</InvestmentEarningsOrLosses>
        <OtherExpenditures>186364</OtherExpenditures>
        <EndOfYearBalance>135685338</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>100022624</BeginningOfYearBalance>
        <Contributions>2482944</Contributions>
        <InvestmentEarningsOrLosses>6568016</InvestmentEarningsOrLosses>
        <OtherExpenditures>510727</OtherExpenditures>
        <EndOfYearBalance>108562857</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <BoardDesignatedEOYBalance>0.99140</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.00620</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00240</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>18996</OtherCostOrOtherBasis>
        <BookValue>18996</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>125790506</OtherCostOrOtherBasis>
        <Depreciation>48345105</Depreciation>
        <BookValue>77445401</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>176628143</OtherCostOrOtherBasis>
        <Depreciation>121232419</Depreciation>
        <BookValue>55395724</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>4546931</OtherCostOrOtherBasis>
        <BookValue>4546931</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>137407052</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>TRUST FUNDS ADMINISTERED BY OTHERS</Description>
        <BookValue>9846919</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>ALTERNATIVE INVESTMENTS</Description>
        <BookValue>60717725</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>70564644</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>242857</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BOND ISSUANCE COSTS</Description>
        <BookValue>2678239</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INTERCOMPANY RECEIVABLES</Description>
        <BookValue>19837081</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER</Description>
        <BookValue>1228593</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>23986770</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>ESTIMATED 3RD PARTY SETTLEMENTS</Description>
        <Amount>3307690</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION &amp; OTHER LONG-TERM LIABILITIES</Description>
        <Amount>56045735</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>59353425</TotalOfAmounts>
      <TotalRevenue>369427620</TotalRevenue>
      <TotalExpenses>350479570</TotalExpenses>
      <ExcessOrDeficitForYear>18948050</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>4410154</NetUnrealizedGLOnInvestments>
      <OtherAmount>-4949827</OtherAmount>
      <TotalAdjustments>-539673</TotalAdjustments>
      <ExcessOrDeficitPerFS>18408377</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>373837774</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>4410154</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>4410154</RevenueNotRptdF990>
      <RevenueSubtotal>369427620</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>369427620</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>354565738</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>4673336</OtherExpensesIncluded>
      <ExpensesNotRptdF990>4673336</ExpensesNotRptdF990>
      <ExpensesSubtotal>349892402</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>587168</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>587168</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>350479570</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4:</Identifier>
        <ReturnReference>Description of Intended Use of Endowment Funds:</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>Part X:</Identifier>
        <ReturnReference>Description of Uncertain Tax Positions Under FIN 48:</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 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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>PENSION liability CHANGE: 3086989. REALIZED LOSS ON SWAP: 559675. TRANSFER TO AFFILIATE FOR CAPITAL REGION ASSESSMENT: 1026672.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <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>8264</PersonsServed>
        <TotalCommunityBenefitExpense>14321498</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14321498</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04090</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>28206000</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12043000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16163000</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04610</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>8264</PersonsServed>
        <TotalCommunityBenefitExpense>42527498</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12043000</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>30484498</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.08700</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>11</NumberOfActivitiesOrPrograms>
        <PersonsServed>181183</PersonsServed>
        <TotalCommunityBenefitExpense>2207539</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>451829</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1755710</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00500</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>5239</PersonsServed>
        <TotalCommunityBenefitExpense>9031702</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>3385252</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5646450</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01610</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>13</NumberOfActivitiesOrPrograms>
        <PersonsServed>42495</PersonsServed>
        <TotalCommunityBenefitExpense>60757033</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>45853889</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>14903144</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04250</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <Research>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>462553</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>93965</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>368588</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>7</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>995723</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>995723</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00280</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>38</NumberOfActivitiesOrPrograms>
        <PersonsServed>228917</PersonsServed>
        <TotalCommunityBenefitExpense>73454550</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>49784935</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>23669615</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06750</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>44</NumberOfActivitiesOrPrograms>
        <PersonsServed>237181</PersonsServed>
        <TotalCommunityBenefitExpense>115982048</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>61827935</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>54154113</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15450</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CommunitySupport>
        <TotalCommunityBuildingExpense>27397</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>27397</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CommunitySupport>
      <Total>
        <TotalCommunityBuildingExpense>27397</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>27397</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>8535204</BadDebtExpenseAmount>
      <AmountAttributableTo>1724913</AmountAttributableTo>
      <AmountReimbursedByMedicare>98503272</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>136893683</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-38390411</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <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>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>CONCORD HOSPITAL URGENT CARE</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>60 COMMERCIAL ST</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </Address>
        <ErOther>X</ErOther>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>Part 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>
        <BadDebtFootnote>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.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>Part 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>
        <DebtCollectionPolicy>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.</DebtCollectionPolicy>
        <NeedsAssessment>Part 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>
        <PatientEducationAssistance>Part 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>
        <CommunityInformation>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.</CommunityInformation>
        <CommunityBuildingActivities>Part 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>
        <OtherInformation>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.</OtherInformation>
      </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>47524</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>20000</AmountOfCashGrant>
        <PurposeOfGrant>PROVIDE DUALLY DIAGNOSED PATIENTS TO USE HEALTH BUDDY TO REDUCE PHYSICAL &amp; MENTAL HEALTH SYMPTOMS AND INCREASE COMPLIANCE WITH MEDICATIONS &amp; TREATMENT</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>15000</AmountOfCashGrant>
        <PurposeOfGrant>PROVIDE PERSON-FOCUSED AND FLEXIBLE SERVICES FOR INDIVIDUALS WITH DEMENTIA AND THEIR CAREGIVERS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CONCORD REGIONAL VISITING NURSES 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>30000</AmountOfCashGrant>
        <PurposeOfGrant>HELP STRUGGLING PARENTS LEARN TO NURTURE THEIR INFANTS AND CHILDREN</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>8700</AmountOfCashGrant>
        <PurposeOfGrant>TO FUND NUTRITION AND FITNESS MEMBERSHIPS FOR ADULTS WITH SEVERE 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>28037</AmountOfCashGrant>
        <PurposeOfGrant>PROVIDE GERIATRIC PSYCHIATRY SUPPORT TO CONCORD AREA PHYSICIANS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <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>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>1</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>AKEY MD D THOMAS</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>273458</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>34769</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>22482</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>330709</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>BURNS BRUCE R</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>311283</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>82842</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>59921</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20195</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>474241</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>GREEN Michael B</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>514044</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>150000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>2322</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>151358</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26896</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>844620</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>IMGRUND MDSTEPHEN</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>218759</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>30913</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>18487</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>268159</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>WOOD ALLEN RN DIANE E</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>191254</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>31111</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>53263</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>17765</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>293393</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Sardella MD Gerald</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>468798</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>20483</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24426</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>513707</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>TRIACA MD VERONICA</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>355424</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>60272</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>32089</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13122</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>460907</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>YAP MD RONALD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>358376</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>60272</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>17065</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20717</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>456430</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>FABOZZI MD SCOTT</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>346751</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>60272</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>38638</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21981</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>467642</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Conley Joseph M</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>308067</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>82842</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>59881</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24332</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>475122</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</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">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>NH HEALTH &amp; EDUCATION FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>020279866</IssuerEIN>
        <CUSIPNumber>64461TBVS</CUSIPNumber>
        <DateIssued>2004-08-25</DateIssued>
        <IssuePrice>45418290</IssuePrice>
        <DescriptionOfPurpose>FACILITY IMPROVEMENTS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>NH HEALTH &amp; EDUCATION FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>020279866</IssuerEIN>
        <CUSIPNumber>644614VY2</CUSIPNumber>
        <DateIssued>2008-04-23</DateIssued>
        <IssuePrice>15102683</IssuePrice>
        <DescriptionOfPurpose>CAPITAL PROJECTS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>45418290</TotalProceeds>
        <IssuanceCostsFromProceeds>1550456</IssuanceCostsFromProceeds>
        <CapitalExpenditures>43867834</CapitalExpenditures>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>15102683</TotalProceeds>
        <IssuanceCostsFromProceeds>99879</IssuanceCostsFromProceeds>
        <CapitalExpenditures>15002804</CapitalExpenditures>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>0</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>0</OwningBondFinancedProperty>
        <AnyLeaseArrangements>0</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>0</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>0</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>0</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>1</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>0</Form8038TFiled>
        <VariableRateIssue>0</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>0</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>0</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>0</GrossProceedsInvested>
        <ExceptionToRebate>0</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <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>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <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>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <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>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <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>FORM 990, PART XI, LINE 2C</Identifier>
        <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 9/30/09 AND 9/30/10.</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>
        <PublicCharityStatus>11 TYPE I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPITAL REGION HEALTH PHYSICIANS GROUP CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <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>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPITAL REGION HEALTH VENTURES CORP</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <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>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CAPITAL REGION HEALTH CARE DEVELOPMENT CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020429749</EIN>
        <PrimaryActivities>SUPPORT CONCORD HOSPITAL &amp; OTHER AFFILIATES</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(2)</ExemptCodeSection>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONCORD REGIONAL VISITING NURSE ASSOCIATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1797</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>033021797</ZIPCode>
        </AddressUS>
        <EIN>020222122</EIN>
        <PrimaryActivities>HOME HEALTH CARE &amp; HOSPICE SERVICES</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MONADNOCK COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>452 OLD STREET ROAD</AddressLine1>
          <City>PETERBOROUGH</City>
          <State>NH</State>
          <ZIPCode>034581263</ZIPCode>
        </AddressUS>
        <EIN>020222157</EIN>
        <PrimaryActivities>ACUTE CARE HOSPITAL</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>RIVERBEND COMMUNITY MENTAL HEALTH INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3-5 NORTH STATE STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>033022032</ZIPCode>
        </AddressUS>
        <EIN>020264383</EIN>
        <PrimaryActivities>MULTI-SERVICE TEAM</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHDHC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020519680</EIN>
        <PrimaryActivities>PROVIDE HEALTH SERVICES TO CONCORD COMMUNITY</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CONCORD HOSPITAL TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>260378710</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 TYPE I</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPITAL ORTHOPAEDIC SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>264 PLEASANT ST</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020522860</EIN>
        <PrimaryActivity>PROVIDE MEDICAL CARE TO COMMUNITY</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONCORD AMBULATORY SURGERY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>60 COMMERCIAL ST</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>201184704</EIN>
        <PrimaryActivity>PROVIDE MEDICAL CARE TO COMMUNITY</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONCORD ENDOSCOPY CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>60 COMMERCIAL ST</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>201184756</EIN>
        <PrimaryActivity>PROVIDE MEDICAL CARE TO COMMUNITY</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CONCORD IMAGING CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2 1/2 BEACON ST</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020436605</EIN>
        <PrimaryActivity>PROVIDE RADIOLOGY SERVICES TO COMMUNITY</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPITAL REGION HEALTH SERVICES CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020428631</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CAPITAL REGION PRIMARY CARE CORPORATION</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>250 PLEASANT STREET</AddressLine1>
          <City>CONCORD</City>
          <State>NH</State>
          <ZIPCode>03301</ZIPCode>
        </AddressUS>
        <EIN>020495275</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>A</TransactionType>
        <AmountInvolved>1089309</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>41180</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION PHYSICIAN GROUP CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>1481102</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHDHC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>4674997</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE VENTURES CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>6170012</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONCORD HOSPITAL TRUST</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>4387080</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE SERVICES CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>290523</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>2281108</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>348195</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE VENTURES CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>709887</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION PHYSICIAN GROUP CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>189255</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHDHC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>12472</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONCORD HOSPITAL TRUST</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>316380</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE DEVELOPMENT CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>2194288</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION HEALTHCARE VENTURES CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>1872056</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CAPITAL REGION PHYSICIAN GROUP CORP</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>710794</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CHDHC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>77452</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CONCORD HOSPITAL TRUST</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>245618</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>