CONCORD HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-02
IRS object ID: 202312149349301876
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-02T18:28:09-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Baker Newman & Noyes	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 507	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222594672	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CONC	BusinessNameControlTxt
Phone	6032284677	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Scott Sloane	PersonNm
Person Title	Senior VP, CFO, & Treasurer	PersonTitleTxt
Phone	6032284677	PhoneNum
Signature	2023-07-05	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Scott	PersonFirstNm
Person Last	Sloane	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Connor Smart	PreparerPersonNm
PTIN	P02285543	PTIN
Phone	2078792100	PhoneNum
Preparation	2023-07-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Robert P Steigmeyer	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$709,278,286	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.concordhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1944	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Hospital	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4198	TotalEmployeeCnt
Total Volunteers	158	TotalVolunteersCnt
Total Gross UBI	$2,132,646	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,446,813	PYContributionsGrantsAmt
CY Contributions Grants	$17,605,010	CYContributionsGrantsAmt
PY Program Service Revenue	$589,259,049	PYProgramServiceRevenueAmt
CY Program Service Revenue	$603,933,061	CYProgramServiceRevenueAmt
PY Investment Income	$19,101,710	PYInvestmentIncomeAmt
CY Investment Income	$15,376,239	CYInvestmentIncomeAmt
PY Other Revenue	$6,001,945	PYOtherRevenueAmt
CY Other Revenue	$3,759,953	CYOtherRevenueAmt
PY Total Revenue	$622,809,517	PYTotalRevenueAmt
CY Total Revenue	$640,674,263	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,100	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$332,886,259	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$353,691,606	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,090,482	CYTotalFundraisingExpenseAmt
PY Other Expenses	$250,069,747	PYOtherExpensesAmt
CY Other Expenses	$252,195,308	CYOtherExpensesAmt
PY Total Expenses	$582,956,006	PYTotalExpensesAmt
CY Total Expenses	$605,888,014	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,853,511	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,786,249	CYRevenuesLessExpensesAmt
Total Assets BOY	$790,822,441	TotalAssetsBOYAmt
Total Assets EOY	$692,144,264	TotalAssetsEOYAmt
Total Liabilities BOY	$377,586,755	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$330,130,228	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$413,235,686	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$362,014,036	NetAssetsOrFundBalancesEOYAmt
Mission	Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$509,240,234	ExpenseAmt
Grant	$1,100	GrantAmt
Revenue	$605,587,654	RevenueAmt
Desc	Various hospital services; see Schedule HIn FYE 2022, Concord Hospital invested over $78 million in community benefit programs, services, and other expenses. The largest areas of support were charitable care services, medical education and subsidized programs and services. Our investment enhances the Hospital's ability to provide quality patient care, respond to identified community health needs and address the Hospital's charitable mission overall.	Desc
Total Program Service Expenses	$509,240,234	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	294	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4198	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Scott Sloane Senior VP CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6032277000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	033017539	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Robert P Steigmeyer
President & CEO, Member Ex	56.00	7.00	Yes (X)	Yes (X)	$1,415,834	$0	$270,620
Joseph Meyer MD
Trustee	51.00	0.00	Yes (X)		$240,456	$0	$88,872
Tanja Vanderlinde MD
Trustee (end 1/2022)	51.00	0.00	Yes (X)		$268,485	$0	$102,811
Christopher Allen MD
Trustee/CH Med. Staff Pres.(on 1/22)	51.00	0.00	Yes (X)		$352,104	$0	$62,223
Sol Asmar
Trustee	1.00	6.00	Yes (X)		$0	$0	$0
Frederick Briccetti MD
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Charles Fanaras
Trustee	1.00	2.00	Yes (X)		$0	$0	$0
Lucy Hodder Esq
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Lucy Karl Esq
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Linda Lorden
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Peter Noordsij MD
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Robert Segal
Trustee	1.00	7.00	Yes (X)		$0	$0	$0
Jeffrey Towle
Trustee	1.00	2.00	Yes (X)		$0	$0	$0
Don Welford
Trustee	1.00	1.00	Yes (X)		$0	$0	$0
Philip Emma
Chair	1.00	7.00	Yes (X)	Yes (X)	$0	$0	$0
Manisha Patel DDS
Vice Chair	1.00	6.00	Yes (X)	Yes (X)	$0	$0	$0
William Chapman Esq
Secretary	1.00	6.00	Yes (X)	Yes (X)	$0	$0	$0
Scott Sloane
Treasurer	56.00	7.00		Yes (X)	$620,216	$0	$138,222
Matthew Gibb
Chief Clinical Officer	50.00	2.00			$857,617	$0	$109,187	Yes (X)
Nicola Francalancia MD
Physician	50.00	0.00			$808,613	$0	$44,342		Yes (X)
Moosavi Shahab MD
Physician	50.00	0.00			$642,907	$0	$65,382		Yes (X)
Louis Russo MD
Physician	50.00	0.00			$795,916	$0	$12,970		Yes (X)
Christopher Fore MD
Physician	50.00	0.00			$578,966	$0	$57,615		Yes (X)
Samuel Aldridge MD
Physician	50.00	0.00			$564,927	$0	$63,637		Yes (X)
Timothy Jones
Former VP/COO (ended 6/2020)	0.00	0.00			$215,977	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,362,018	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,015,881	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	630	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medefis Consolidated
PO Box 5068	New York	NY	10087	Professional services	$8,958,649
Anesthesia Associates PA
1 Pillsbury Street	Concord	NH	03301	Healthcare services	$6,088,056
Concord Orthopaedics PA
264 Pleasant Street	Concord	NH	03301	Healthcare services	$3,048,556
Harvey Construction Corp
10 Harvey Road	Bedford	NH	03110	Construction services	$1,788,154
Engelberth Construction Inc
150 Water Tower Circle	Colchester	VT	05446	Construction services	$1,679,578

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	44	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,779,331	RelatedOrganizationsAmt
Government Grants	$10,825,679	GovernmentGrantsAmt
Total Contributions	$17,605,010	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Services	621400	$577,398,890	$577,398,890
Disproportionate Share Funding	621400	$19,500,000	$19,500,000
Food Services	722210	$3,188,698	$2,285,152	$903,546
Other Operating Revenue	621400	$2,013,620	$811,806	$1,201,814
Child Care Center	624410	$862,960	$862,960

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$968,893	TotalRevenueColumnAmt
Related Or Exempt Func Income	$968,893	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$603,933,061	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,195,263	TotalRevenueColumnAmt
Unrelated Business Revenue	$27,286	UnrelatedBusinessRevenueAmt
Exclusion	$7,167,977	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$545,119	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$545,119	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,119	TotalRevenueColumnAmt
Related Or Exempt Func Income	$545,119	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$65,202,447	SecuritiesAmt
Other	$11,361,980	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$57,291,115	SecuritiesAmt
Other	$11,092,336	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,911,332	SecuritiesAmt
Other	$269,644	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,180,976	TotalRevenueColumnAmt
Exclusion	$8,180,976	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$442,458	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$220,572	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221,886	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221,886	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NH-CARES ACO	621400	$2,917,731	$2,917,731
Concord ACO	621400	$75,217	$75,217

Field	Value	IRS element (for citing)
Other Revenue Total	$2,992,948	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$640,674,263	TotalRevenueColumnAmt
Related Or Exempt Func Income	$605,587,654	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,132,646	UnrelatedBusinessRevenueAmt
Exclusion	$15,348,953	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,100	TotalAmt
Program Services	$1,100	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,526,647	TotalAmt
Program Services	$3,811,381	ProgramServicesAmt
Management And General	$708,369	ManagementAndGeneralAmt
Fundraising	$6,897	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$281,853,225	TotalAmt
Program Services	$237,317,949	ProgramServicesAmt
Management And General	$44,106,035	ManagementAndGeneralAmt
Fundraising	$429,241	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,936,325	TotalAmt
Program Services	$11,733,986	ProgramServicesAmt
Management And General	$2,181,064	ManagementAndGeneralAmt
Fundraising	$21,275	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,504,829	TotalAmt
Program Services	$33,261,935	ProgramServicesAmt
Management And General	$6,182,587	ManagementAndGeneralAmt
Fundraising	$60,307	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,870,580	TotalAmt
Program Services	$11,678,631	ProgramServicesAmt
Management And General	$2,170,774	ManagementAndGeneralAmt
Fundraising	$21,175	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,070,239	TotalAmt
Management And General	$1,070,239	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$339,637	TotalAmt
Management And General	$339,637	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$368,604	TotalAmt
Management And General	$368,604	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$48,000	TotalAmt
Program Services	$48,000	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$882,510	TotalAmt
Management And General	$882,510	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,535,635	TotalAmt
Program Services	$28,970,832	ProgramServicesAmt
Management And General	$10,428,638	ManagementAndGeneralAmt
Fundraising	$136,165	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$167,759	TotalAmt
Program Services	$144,560	ProgramServicesAmt
Management And General	$23,006	ManagementAndGeneralAmt
Fundraising	$193	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,472,734	TotalAmt
Program Services	$4,715,925	ProgramServicesAmt
Management And General	$750,521	ManagementAndGeneralAmt
Fundraising	$6,288	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,195,020	TotalAmt
Program Services	$1,891,477	ProgramServicesAmt
Management And General	$301,021	ManagementAndGeneralAmt
Fundraising	$2,522	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,718,365	TotalAmt
Program Services	$11,821,291	ProgramServicesAmt
Management And General	$1,881,313	ManagementAndGeneralAmt
Fundraising	$15,761	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$700,460	TotalAmt
Program Services	$603,595	ProgramServicesAmt
Management And General	$96,060	ManagementAndGeneralAmt
Fundraising	$805	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,454,340	TotalAmt
Program Services	$1,253,223	ProgramServicesAmt
Management And General	$199,446	ManagementAndGeneralAmt
Fundraising	$1,671	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,565,625	TotalAmt
Program Services	$3,063,406	ProgramServicesAmt
Management And General	$1,454,244	ManagementAndGeneralAmt
Fundraising	$47,975	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,733,966	TotalAmt
Program Services	$15,922,652	ProgramServicesAmt
Management And General	$7,559,653	ManagementAndGeneralAmt
Fundraising	$251,661	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,809,728	TotalAmt
Program Services	$4,144,604	ProgramServicesAmt
Management And General	$659,598	ManagementAndGeneralAmt
Fundraising	$5,526	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Drugs/medical supplies	$94,008,571	$81,008,394	$13,000,177	$0
NH MET	$25,000,000	$25,000,000	$0	$0
Provision for bad debts	$23,887,990	$23,887,990	$0	$0
Repairs/maintenance	$5,760,097	$4,963,549	$789,930	$6,618

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,476,028	TotalAmt
Program Services	$3,995,754	ProgramServicesAmt
Management And General	$403,872	ManagementAndGeneralAmt
Fundraising	$76,402	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$605,888,014	TotalAmt
Program Services	$509,240,234	ProgramServicesAmt
Management And General	$95,557,298	ManagementAndGeneralAmt
Fundraising	$1,090,482	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,989,258	BOYAmt
EOY	$37,203,691	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$66,524,862	BOYAmt
EOY	$15,322,173	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,904,819	BOYAmt
EOY	$77,106,534	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,944,273	BOYAmt
EOY	$4,665,520	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,609,210	BOYAmt
EOY	$9,792,866	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$469,751,676	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$304,142,280	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$186,015,625	BOYAmt
EOY	$165,609,396	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$207,061,871	BOYAmt
EOY	$182,060,576	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$195,111,013	BOYAmt
EOY	$179,430,716	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,442,532	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,218,978	BOYAmt
EOY	$20,952,792	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$790,822,441	BOYAmt
EOY	$692,144,264	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,520,896	BOYAmt
EOY	$90,307,820	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$160,770,378	BOYAmt
EOY	$156,756,063	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$142,295,481	BOYAmt
EOY	$83,066,345	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$377,586,755	BOYAmt
EOY	$330,130,228	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$413,235,686	BOYAmt
EOY	$362,014,036	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$413,235,686	BOYAmt
EOY	$362,014,036	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$790,822,441	BOYAmt
EOY	$692,144,264	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,786,249	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$56,268,429	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$29,739,470	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$48,070	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$48,000	OtherActivitiesAmt
Total Lobbying Expenditures	$96,070	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Concord Hospital was a member of the American Hospital Association & the New Hampshire Hospital Association in the fiscal year ended 9/30/2022. A portion of the dues paid to these organizations were available for lobbying expenditures on behalf of Concord Hospital and the other member organizations in furtherance of their exempt purposes. The portion of the dues used for lobbying by the American Hospital Association and the New Hampshire Hospital Association were $11,634 and $36,436, respectively. Concord Hospital hired outside consultants to perform services to further Concord Hospital's mission and communications. Concord Hospital paid $48,000 to the firm Dennehy & Bouley LLC for such consulting services during the period covered by this tax return.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$340,570,220	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$21,147,003	InvestmentEarningsOrLossesAmt
Other Expenditures	$708,015	OtherExpendituresAmt
End Year Balance	$318,715,202	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$275,536,256	BeginningYearBalanceAmt
Investment Earnings Or Losses	$65,833,936	InvestmentEarningsOrLossesAmt
Other Expenditures	$799,972	OtherExpendituresAmt
End Year Balance	$340,570,220	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$264,211,724	BeginningYearBalanceAmt
Investment Earnings Or Losses	$11,916,474	InvestmentEarningsOrLossesAmt
Other Expenditures	$591,942	OtherExpendituresAmt
End Year Balance	$275,536,256	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$277,852,367	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$13,045,293	InvestmentEarningsOrLossesAmt
Other Expenditures	$595,350	OtherExpendituresAmt
End Year Balance	$264,211,724	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$272,756,311	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,743,785	InvestmentEarningsOrLossesAmt
Other Expenditures	$647,729	OtherExpendituresAmt
End Year Balance	$277,852,367	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,996	OtherCostOrOtherBasisAmt
Book Value	$18,996	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$212,793,480	OtherCostOrOtherBasisAmt
Depreciation	$112,473,632	DepreciationAmt
Book Value	$100,319,848	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,677,125	OtherCostOrOtherBasisAmt
Depreciation	$3,759,581	DepreciationAmt
Book Value	$917,544	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$245,039,138	OtherCostOrOtherBasisAmt
Depreciation	$187,909,067	DepreciationAmt
Book Value	$57,130,071	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,222,937	OtherCostOrOtherBasisAmt
Book Value	$7,222,937	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$165,609,396	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative investments	Desc
Book Value	$179,430,716	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$179,430,716	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Accrued pension and other long-term liabilities	$21,325,940
Estimated third-party settlements	$58,019,752
Reserve for insurance deductibles	$3,720,653

Field	Value	IRS element (for citing)
Total Liability	$83,066,345	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$535,669,036	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$56,268,429	NetUnrealizedGainsInvstAmt
Other Revenue	$1,007,080	OtherRevenueAmt
Revenue Not Reported	-$55,261,349	RevenueNotReportedAmt
Revenue Subtotal	$590,930,385	RevenueSubtotalAmt
Investment Expenses Not Incld	$882,510	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$48,861,368	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$49,743,878	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$640,674,263	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$580,497,514	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$580,497,514	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$882,510	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$24,507,990	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$25,390,500	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$605,888,014	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X, Line 2:	The Hospital, CH-Laconia, CH-Franklin, CRHCDC, CRHVC, and the Trust are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. NHC is organized as a single member limited liability company and has elected to be treated as a disregarded entity for federal and state income tax reporting purposes. Accordingly, all income or losses and applicable tax credits are reported on the member's income tax returns, with the exception of taxes due to the State of New Hampshire. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying consolidated financial statements. GSIE, NHC, CH-ACO and CEC account for income taxes in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes. FASB ASC 740 is an asset and liability method, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the tax and financial reporting basis of certain assets and liabilities. Resulting income tax expense and the temporary differences between the tax and financial reporting basis are not material.
Part XI, Line 2d - Other Adjustments:	Net periodic pension cost 1,007,080.
Part XI, Line 4b - Other Adjustments:	Equity transfers to affiliates 23,995,646. Provision for bad debts 23,887,990. Pension actuarial cost 357,732. Board designated spending 620,000.
Part XII, Line 4b - Other Adjustments:	Provision for bad debts 23,887,990. Board designated spending 620,000.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Cayman Islands	0	0	Investments - FMV as of 9/30/2022	None	$68,194,000
Europe (Including Iceland & Greenland) - Albania, Andorra, Austria, Belgium	0	0	Investments - FMV as of 9/30/2022	None	$7,008,000

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$75,202,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$75,202,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part III Accounting Method:
Part IV, Line 3:	This organization did not have an ownership of any foreign corporation that would be greater than the 10% ownership filing threshold. Accordingly, IRS Form(s) 5471 is not required to be filed.
Part IV, Line 4:	The Organization meets the exception for tax-exempt organizations with respect to filing Form 8621. Form 8621 is not required to be filed for the Hospital.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	3969	PersonsServedCnt
Total Community Benefit Expns	$2,878,826	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,878,826	NetCommunityBenefitExpnsAmt
Total Expense	0.00490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,699,082	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,197,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,501,408	NetCommunityBenefitExpnsAmt
Total Expense	0.05240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	3969	PersonsServedCnt
Total Community Benefit Expns	$80,577,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,197,674	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,380,234	NetCommunityBenefitExpnsAmt
Total Expense	0.05730	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	629345	PersonsServedCnt
Total Community Benefit Expns	$1,472,894	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$488,088	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$984,806	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	7877	PersonsServedCnt
Total Community Benefit Expns	$8,765,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,118,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,646,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	23	ActivitiesOrProgramsCnt
Persons Served	406331	PersonsServedCnt
Total Community Benefit Expns	$79,759,476	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,825,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,933,514	NetCommunityBenefitExpnsAmt
Total Expense	0.07030	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt
Total Community Benefit Expns	$130,839	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,839	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,044,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,950	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$941,501	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	45	ActivitiesOrProgramsCnt
Persons Served	1043588	PersonsServedCnt
Total Community Benefit Expns	$91,173,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,535,587	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,637,633	NetCommunityBenefitExpnsAmt
Total Expense	0.07660	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	52	ActivitiesOrProgramsCnt
Persons Served	1047557	PersonsServedCnt
Total Community Benefit Expns	$171,751,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$93,733,261	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,017,867	NetCommunityBenefitExpnsAmt
Total Expense	0.13390	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$605,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$216,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$389,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$605,216	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$216,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$389,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,882,130	BadDebtExpenseAmt
Bad Debt Expense Attributable	$736,388	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$208,905,032	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$272,688,919	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$63,783,887	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 Pleasant Street	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Field	Value	IRS element (for citing)
State License	01098	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Concord Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Concord Hospital	Part V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord Hospital	Part V, Section B, Line 6b: The Hospital's most recently published CHNA was prepared by Verite Healthcare Consulting LLC. Verite Healthcare Consulting, LLC (Verite) was founded in May 2006 and is located in Arlington, Virginia. The firm serves clients throughout the United States as a resource that helps hospitals conduct Community Health Needs Assessments and develop Implementation Strategies to address significant health needs. Verite has conducted more than 60 needs assessments for hospitals, health systems, and community partnerships nationally since 2012.Additionally, for this community health assessment, Concord Hospital received input from a Community Collaborative of representatives from local organizations. These local organizations include Allenstown School, Ascentria Care Alliance, Belknap/Merrimack CAP, City of Concord, Concord Coalition to End Homelessness, Concord Hospital Family Health Center , Concord School System, Foundation for Healthy Communities, GLSEN NH, Granite United Way, Granite VNA, Granite YMCA, Head Start/ Early Head Start, New Futures, NHTI, Overcomers Refugee Services, Penacook Community Center, Pittsfield HS, Riverbend Community Mental Health, St. Paul's Church, State of New Hampshire, Town of Hillsborough, Unite Us, and Waypoint.
Concord Hospital	Part V, Section B, Line 7d: The Community Benefits Report (2022 Charitable Achievements) was included in Concord Hospital's Annual Report that was mailed to 4,500 key stakeholders in our community and 25,000 postcards to the broader community that included a QR code and link to see a virtual copy of the annual report on our website. The Report's availability was also promoted through newspaper ads. It is also available on the State of New Hampshire's Department of Justice, Office of the Attorney General, Charitable Trusts Unit website. The Hospital's 2021 Health Needs Assessments is on the Hospital's website at:https://www.concordhospital.org/about-us/charitable-achievements-and-health-needs-assessment/ The website also provides instructions on how to obtain a printed copy.Additionally, the Community Health Action Plan is on the Hospital's website at:https://www.concordhospital.org/app/files/public/9f9c2626-17fa-431b-88b1-46bb6cae3da6/2023CommunityHealthActionPlan.pdf
Concord Hospital	Part V, Section B, Line 11: The FY 2023 Concord Hospital Interim Community Health Action Plan outlines how Concord Hospital is addressing the significant needs identified in its most recently conducted CHNA covered by this tax filing. The Community Health Action Plan is on the Hospital's website at:https://www.concordhospital.org/app/files/public/9f9c2626-17fa-431b-88b1-46bb6cae3da6/2023CommunityHealthActionPlan.pdfOn May 1, 2021, Concord Hospital, Inc. acquired certain assets of LRGHealthcare, which included the hospitals that became Concord Hospital-Laconia and Concord Hospital - Franklin, and their ambulatory sites, expanding Concord Hospital's primary service area north of Concord, New Hampshire, into Belknap, Carroll and Grafton Counties. Concord Hospital Health System is comprised of these three facilities located in Concord, Laconia and Franklin. The FY 2023 Action Plan is stated as interim since Concord Hospital is conducting a Community Health Needs Assessment as a system and across multiple regions in 2023, and will develop an updated system-wide Community Health Action Plan following completion of the 2023 CHNA.
Concord Hospital	Part V, Section B, Line 16j: The Hospital includes information about charitable care services in many publications that go to the community. In addition, we collaborate with many community organizations that support vulnerable populations, including low-income individuals and families; our financial assistance program is well understood by those agencies who often refer people to the program. The Hospital's Financial Assistance Policy is available online in English, and is able to be translated to other languages on the Concord Hospital website.
Concord Hospital	Part V, Section B, Line 20e: Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the community it serves. It is the established policy of Concord Hospital to provide services on the sole basis of the medical necessity of such services as determined by the medical staff without reference to race, color, ethnicity, national origin, sexual orientation, marital status, religion, age, gender, disability, or inability to pay for such services. As such, patients requiring urgent or emergent services shall not be denied those services based on ability to pay.Concord Hospital has a generous financial assistance program. Individuals who cannot afford to pay for their medical care are encouraged to apply for financial assistance. Financial assistance is available to individuals who are uninsured and for those individuals who have insurance, but cannot afford their out-of-pocket costs such as co-payments, co-insurance, and deductibles.In addition to the efforts taken as indicated in Schedule H, Part V, Lines 20a through 20c, the Hospital also takes additional measures to ensure that patients eligible for financial assistance do not have an Extraordinary Collection Action (ECA) levied against them. Each month, Concord Hospital reviews accounts prelisted for bad debt for potential referral to a collection attorney. Concurrent to referring the account(s) to the collection attorney, the manager of customer service or designee will provide the financial assistance supervisor a copy of the list of individuals and accounts to be referred. The financial assistance supervisor or designee will attempt to orally notify each responsible party of the availability of financial assistance and the application process. The financial assistance supervisor or designee will record in account notes the date and outcome of the call.Concurrent to referring the account(s) to a collection attorney, the supervisor of customer service or designee will send a written notice to the responsible party. This notice will include the following information:- Statement that account(s) are being placed with collection attorney- Statement of the ECA(s) that may be initiated- Deadline that the ECA(s) may be initiated, which will be no sooner than 120 days passed the mailing date of the first statement or 30 days passed the mailing date of the initiation notice, whichever is later- Statement that financial assistance is available and where to find the financial assistance policy and application The supervisor of customer service or designee will record in account notes the date the notice was mailed. He or she will also send a copy of the notice to be scanned to the patient's account(s).Prior to engaging in any legal or collection action, the collection attorney must receive written approval from the supervisor of customer service, manager of customer service, or director of patient financial services. These individuals may only authorize legal action if all of the following conditions are met: - The collection attorney has no reason to believe the responsible party is unable to pay the debt.- AND at least 120 days have passed since the mailing date of the first statement- AND at least 30 days have passed since the mailing date of the initiation notice- AND account notes indicate that CH has made at least one attempt to orally notify the individual about the financial assistance policy.
Schedule H, Part V, Section B, Line 7a & 10a:	The CHNA is available at the Hospital facility's website:https://www.concordhospital.org/app/files/public/3c557052-73bb-43af-a8b0-2dcf0e037949/2021CapitalRegionCommunityHealthNeedsAssessment.pdfThe fiscal year beginning October 1, 2021, Form NHCT-31, Community Benefits Plan Report, can be found at the Hospital facility's website:https://www.concordhospital.org/app/files/public/c737a0de-1553-45be-ba6b-d91dcb21ef18/2022CommunityBenefitsPlanReportConcord.pdfAs of the date of this return's filing, the Hospital's most recently published Community Health Action Plan may be found on the Hospital facility's website at:https://www.concordhospital.org/app/files/public/9f9c2626-17fa-431b-88b1-46bb6cae3da6/2023CommunityHealthActionPlan.pdf
Schedule H, Part V, Section B, Line 16a-c:	The Hospital's Financial Assistance Policy, Application, and Plain Language Summary can be found online at:Financial Assistance Policy:https://www.concordhospital.org/app/files/public/2d417ffa-2ff1-4b62-bc42-0e382158c9ad/Financial-Assistance-Policy.pdf Financial Assistance Application: https://www.concordhospital.org/app/files/public/f3479f85-0e7e-4118-9180-93170a02643c/Financial-Assistance-Application.pdf Plain Language Summary:https://www.concordhospital.org/app/files/public/eab7d7b2-fdc7-471c-b1f3-dbd157ca5231/Plain%20Language%20Summary%20of%20Financial%20Assistance%20Policy.pdfYou can also visit the Concord-Hospital's Patient Financial Services page at the URL below, and select the link to the Financial Assistance Policy, Financial Assistance Application, or the Plain Language Summary on the right. https://www.concordhospital.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance-plain-language-summary/

Field	Value	IRS element (for citing)
Facility	63	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (63 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Concord Imaging Center
248 Pleasant Street Suite 102	Concord	NH	03301	Imaging Services
2 - Concord Hospital Cardiac Associates
246 Pleasant Street Suite 103	Concord	NH	03301	Outpatient Physician Services
3 - Concord Endoscopy Center
60 Commercial Street Suite 201	Concord	NH	03301	Outpatient Endoscopy Services
4 - Concord Imaging Center
60 Commercial Street Suite 101	Concord	NH	03301	Imaging Services
5 - Concord Obstetrics and Gynecology
246 Pleasant St Floor 1	Concord	NH	03301	Outpatient Physician Services
6 - Concord Surgical Associates
246 Pleasant Street Suite 205	Concord	NH	03301	Outpatient Physician Services
7 - Capital Orthopaedic Srgry Ctr-Derry
14 Tsienneto Road Suite 100	Derry	NH	03838	Outpatient Surgery
8 - Concord Hospital Family Health Center
250 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
9 - Concord PulmonaryCrit Care Medicine
246 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
10 - Center for Sports Med & Ortho Rehab
264 Pleasant Street	Concord	NH	03301	Rehabilitation Services
11 - Rehabilitation Services - Warner
2 East Main Street	Warner	NH	03278	Rehabilitation Services
12 - Rehabilitation Services - Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Rehabilitation Services
13 - Concord Family Medicine
18 Foundry Street Suite 201	Concord	NH	03301	Outpatient Physician Services
14 - Concord Hospital Sleep Center
18 Foundry Street Suite 103	Concord	NH	03301	Outpatient Sleep Services
15 - Concord Plastic Surgery
246 Pleasant Street Suite 210	Concord	NH	03301	Outpatient Physician Services
16 - Concord Hospital Urgent Care
60 Commercial Street Suite 102	Concord	NH	03301	Walk-in Urgent Care
17 - Concord Hosp Cardiac Assoc-Laconia
85 Spring Street Suite 2A1	Laconia	NH	03246	Outpatient Physician Services
18 - Penacook Family Physicians
4 Crescent Street	Peacook	NH	03303	Outpatient Physician Services
19 - Concord Hospital Neurology
246 Pleasant St Ground Floor	Concord	NH	03301	Outpatient Physician Services
20 - Family Tree Health Care - Hopkinton
19 Farrington Corner Road	Hopkinton	NH	03229	Outpatient Physician Services
21 - Pleasant Street Family Medicine
280 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
22 - Epsom Family Medicine
1990 Dover Road Suite 201	Epsom	NH	03234	Outpatient Physician Services
23 - Rehab Serv CH Med Off-Horseshoe Pnd
60 Commercial Street Suite 403	Concord	NH	03301	Rehabilitation Services
24 - Rehab Services CH Med Office-North
18 Foundry Street Suite 101	Concord	NH	03301	Rehabilitation Services
25 - Concord Hosp Cardiothoracic Surgery
246 Pleasant St Ground Floor	Concord	NH	03301	Outpatient Physician Services
26 - Family Physicians of Pembroke
121 Pembroke Street	Pembroke	NH	03275	Outpatient Physician Services
27 - Concord Hosp Fam Hlth Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Outpatient Physician Services
28 - Rehab Services CH Medical Office-East
1990 Dover Road Suite 201	Epsom	NH	03234	Rehabilitation Services
29 - International Travel Clinic
246 Pleasant Street Suite 104	Concord	NH	03301	Outpatient Physician Services
30 - Internal Medicine at Horseshoe Pond
60 Commercial Street Suite 401	Concord	NH	03301	Outpatient Physician Services
31 - Family Tree Health Care - Warner
2 East Main Street Unit 2	Warner	NH	03278	Outpatient Physician Services
32 - Rehabilitation Services - Pembroke
121 Pembroke Street	Pembroke	NH	03275	Rehabilitation Services
33 - Lab-Memorial Medical Office Building
246 Pleasant Street Suite 102	Concord	NH	03301	Outpatient Laboratory Services
34 - Concord Hosp Fam Hlth Ctr Behav Hlth
250 Pleasant Street Yeaple Building	Concord	NH	03301	Outpatient Counseling Services
35 - Capital Region Palliative Care & Hosp
246 Pleasant Street Suite 206	Concord	NH	03301	Outpatient Physician Services
36 - Anti-Coagulation Clinic Internal Med
248 Pleasant Street Suite 2800	Concord	NH	03301	Outpatient Physician Services
37 - Lab CH Medical Off at Horseshoe Pond
60 Commercial Street	Concord	NH	03301	Outpatient Laboratory Services
38 - CH Family Hlth Ctr Dental Clinic
250 Pleasant Street Yeaple Building	Concord	NH	03301	Dental Services
39 - Lab CH Medical Offices-East
1990 Dover Road Suite 1A	Epsom	NH	03234	Outpatient Laboratory Services
40 - Breast Care Center
248 Pleasant Street Suite 206	Concord	NH	03301	Imaging & Counseling Services
41 - Family Health Center Lab
250 Pleasant Street Yeaple Building	Concord	NH	03301	Outpatient Laboratory Services
42 - Lab Penacook Family Physicians
4 Crescent Street Suite 1B	Penacook	NH	03303	Outpatient Laboratory Services
43 - Lab Heritage Heights
149 East Side Drive	Concord	NH	03301	Outpatient Laboratory Services
44 - Lab Family Tree Warner
2 East Main Street	Warner	NH	03278	Outpatient Laboratory Services
45 - Lab Family Physicians of Pembroke
121 Pembroke Street	Pembroke	NH	03275	Outpatient Laboratory Services
46 - Anti-Coag Clinic Concord Fam Med
18 Foundry Street Suite 201	Concord	NH	03301	Outpatient Physician Services
47 - Concord Dermatology
248 Pleasant St Suite 103	Concord	NH	03301	Outpatient Physician Services
48 - Concord Endocrinology
18 Foundry Street Suite 102	Concord	NH	03301	Outpatient Physician Services
49 - Concord Hospital Record Center
10 Ferry Street	Concord	NH	03301	Outpatient Services
50 - Concord Hosp Urologic Care-New London
273 County Road	New London	NH	03257	Urology Services
51 - Concord Hosp Urologic Care-Plymouth
103 Boulder Point Road	Plymouth	NH	03264	Urology Services
52 - Concord Hosp Urologic Care-Wolfeboro
240 South Main Street	Wolfeboro	NH	03894	Urology Services
53 - Concord Otolaryngology
60 Commercial St Suite 401	Concord	NH	03301	Outpatient Physician Services
54 - Occupational Health
248 Pleasant St Suite 202	Concord	NH	03301	Outpatient Physician Services
55 - CH Vascular Surgery - Laconia
85 Spring Street Suite 401	Laconia	NH	03242	Outpatient Physician Services
56 - Concord Hospital Vascular Surgery
246 Pleasant St Ground Floor	Concord	NH	03301	Outpatient Physician Services
57 - Neighboring Emergency Health Clinic
248 Pleasant St Suite G100	Concord	NH	03301	Outpatient Services
58 - Concord Hospital Urologic Institute
246 Pleasant St Floor 1	Concord	NH	03301	Urology Services
59 - Capital Orthopaedic Srgry Ctr-Concord
116 Langley Parkway Unit LG-1	Concord	NH	03301	Outpatient Surgery
60 - Concord Ambulatory Surgery Center
60 Commercial Street	Concord	NH	03301	Outpatient Surgery (closed)
61 - Granite Ledges
151 Langley Parkway	Concord	NH	03301	Genesis Healthcare Facility
62 - Concord Eye Center
248 Pleasant St Suite 1600	Concord	NH	03301	Outpatient Surgery
63 - Primary Care Practice New London
255 Newport Road	New London	NH	03257	Primary Care Services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and those who may be faced with chronic health conditions. Many of these activities also ensure access to needed health services, which might otherwise not be available without subsidized or special support.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 23,887,990.
Part II, Community Building Activities:	In 2022, Concord Hospital's Community Building Activities continued to focus on the pandemic and emergency preparedness. Concord Hospital continued to support community building activities through organizational and employee involvement with Capital Region Public Health Network and working with community partners to stay abreast on the status of current health concerns.
Part III, Line 2:	The amount reported on Part III, Line 2 was derived by applying the cost to charge ratio against the amount of bad debt expense reported on Form 990, Part IX, Line 25, and Column (A). Accounts Receivable: The allowance for doubtful accounts is provided based on an analysis by management of the collectability of outstanding balances. Management considers the age of outstanding balances and past collection efforts in determining the allowance for doubtful accounts. Accounts are charged against the allowance for doubtful accounts when deemed uncollectible. Charity Care: The System provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the System does not pursue collection of amounts determined to qualify as charity care, they are not reported as community benefit. The amount on Line 3 is calculated by determining the revenue for all patients that have completed an application for financial assistance and only reporting the amount for those that did not complete the financial assistance process for any number of reasons and were then transferred to bad debt.
Part III, Line 3:	See narrative for Part III, Line 2.
Part III, Line 4:	See page 12 of the attached audited financial statements.
Part III, Line 8:	The Medicare shortfall of $63,783,887 represents the costs of unreimbursed services. 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 cost to charge ratio methodology. The Hospital has not included its Medicare shortfall as a community benefit in Part I.
Part III, Line 9b:	The Hospital has a Financial Assistance policy in addition to, and complementing, the bad debt collection policy. The policy describes the Hospital's program of financial assistance for medically necessary services to individuals and families who are uninsured, underinsured, or who experience a catastrophic healthcare event and do not quality for any other state or federal assistance programs. Patient education of eligibility for assistance is described below in the statement for Part VI, Line 3.
Part VI, Line 2:	Every three years, the Hospital conducts a comprehensive community health needs assessment, engaging numerous community organizations and health partners in the process, to identify far-reaching health needs faced by people in the communities served by the Hospital. Assessment methodologies address both quantitative and qualitative data and include stakeholder interviews, focus groups, community listening sessions, web survey, written surveys, and analysis of various data sets. Assessment results are shared with community members and serve as the basis to develop new or expanded services in response to need. The most recent assessment covered by this tax return was completed in the tax year of 2021. Both the 2021 Community Health Needs Assessment and the 2022-23 Concord Hospital Interim Community Health Action Plan are available on the Hospital's website at: https://www.concordhospital.org/about-us/charitable-achievements-and-health-needs-assessment/.In 2023, the Hospital is conducting a system-wide health needs assessment to include Concord Hospital - Concord, Concord Hospital - Laconia and Concord Hospital - Franklin. The results and the corresponding action plan will be presented in late 2023.
Part VI, Line 3:	The Hospital provides a financial assistance packet including an explanatory program cover sheet and application to all uninsured patients. The Hospital actively meets with all hospitalized patients who are uninsured as well as any patient insured patient who is having difficulty paying for balances after insurance has paid. The Hospital routinely provides information and education regarding other insurance coverage options as well as direct assistance in applying for Medicaid.
Part VI, Line 4:	Concord defines its Primary Service Area as 30 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 30 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 orthopaedic, cardiology, oncology, and urological care.The total population in the Capital Region is expected to grow 2.0 percent from 2019 to 2024. The population 65 years of age and older is anticipated to grow more rapidly (by 17.3 percent, or 4,700 persons) during that time. In 2015-2019, approximately 6.5 percent of Capital Region residents lived in poverty - a smaller percentage than New Hampshire and U.S. averages (7.6 percent and 13.4 percent, respectively). Three towns in the Capital Region had poverty rates of more than 10 percent in the 2015-2019 period, Andover (ZIP Code 03216), Concord (ZIP Code 03301), and Pittsfield (ZIP Code 03263). Additionally, several areas are characterized as "rent burdened," defined as households spending more than 30 percent of income on housing, identified as a contributor to poor health outcomes. Based on 2020 data for Merrimack county 5.75 percent of the population is uninsured and 10.4 percent of the population enrolled in Medicaid. Medically Underserved Areas and Populations (MUA/Ps) are designated by the Health Resources and Services Administration based on an "Index of Medical Underservice." The low income population of the Franklin Service Area (rural areas of Belknap, Grafton, and Merrimack counties) was identified as a primary care MUP.
Part VI, Line 5:	Part I line 6A, Concord Hospital develops programs and services to address community health needs and invests annually in initiatives that align with the Hospital's charitable mission. A reasonable amount of Concord Hospital's community benefit investment remains 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 vulnerable residents, which address 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 part by providing funding support to Capital Region Healthcare affiliates through the Community Services Fund for programs that address identified community needs and serve vulnerable populations, and by continuing to recruit new primary care physicians to enhance access in the community.Finally, per the IRS instructions to Schedule H, Part I, the Hospital has not included its $63,783,888 Medicare shortfall as a community benefit in Part I. However, we believe that this shortfall provides a tremendous benefit to the community in that it enables the Hospital to provide essential services to a vast number of patients who otherwise would not have access to the Hospital's care.
Part VI, Line 6:	Concord Hospital, Inc., (the Hospital) located in Concord, New Hampshire, is a not-for-profit acute care hospital. The Hospital provides inpatient, outpatient, emergency care and physician services for residents within its geographic region. Admitting physicians are primarily practitioners in the local area. Subsidiaries of Concord Hospital are as follows:- Capital Region Health Care Development Corporation (CRHCDC) is a not-for-profit real estate corporation that owns and operates medical office buildings and other properties.- Capital Region Health Ventures Corporation (CRHVC) is a not-for-profit corporation that engages in health care delivery partnerships and joint ventures. It operates ambulatory surgery and diagnostic facilities independently and in cooperation with other entities.- NH Cares ACO, LLC (NHC) is a single member limited liability company that engages in providing medical services to Medicare beneficiaries as an accountable care organization. NHC has a perpetual life and is subject to termination in certain events. During 2022, NHC was transferred to an unrelated entity for no consideration and the Hospital formed the Concord Hospital ACO, LLC (CH-ACO), which operates in a manner consistent with NHC and had minimal activity during fiscal year 2022.- Concord Hospital - Laconia (CH-Laconia) is a not-for-profit corporation formed to operate a licensed hospital providing inpatient, outpatient, emergency care and physician services for residents within its geographic region of Laconia, New Hampshire. The CH-Laconia facility includes 137 acute care beds and was designated a Rural Referral Center in 1986, and a Sole Community Hospital in 2009. Admitting physicians are primarily practitioners in the local area. CH-Laconia is controlled by the Hospital.- Concord Hospital - Franklin (CH-Franklin) is a not-for-profit corporation formed to operate a licensed hospital providing inpatient, outpatient, emergency care and physician services for residents within its geographic region of Franklin, New Hampshire. The CH-Franklin facility was designated a Critical Access Hospital effective July 1, 2004, and includes 25 acute care beds. CH-Franklin also operates a 10 bed designated psychiatric receiving facility. Admitting physicians are primarily practitioners in the local area. CH-Franklin is controlled by the Hospital.- Granite Shield Insurance Exchange and Subsidiaries (GSIE) was formed on December 20, 2010, in the State of Vermont as an industrial insured reciprocal insurance entity and unincorporated association. GSIE commenced underwriting activities on January 1, 2011. GSIE was formed to provide healthcare professional liability, general liability and medical stop loss insurance to its subscribers through GSI Services, LLC (GSI), the attorney-in-fact. GSI was formed in the State of Vermont as a limited liability company on December 14, 2010, and acts as an agent to enable the subscribers of GSIE to exchange insurance contracts. Through December 31, 2020, GSI was equally controlled by each of the subscribers of GSIE, all of which were health systems located in the State of New Hampshire, inclusive of the Hospital. Effective January 1, 2021, the Hospital became the sole voting member of GSIE, resulting in all activity of GSIE for the period January 1, 2021 to September 30, 2021 and for the fiscal year ended September 30, 2022 being recorded within the System's consolidated financial statements. - Concord Endoscopy Center, LLC (CEC) is a New Hampshire limited liability company that engages in providing gastrointestinal services, including the diagnosis and treatment of digestive and liver diseases. CEC has a perpetual life, is subject to termination in certain events.The Hospital, its subsidiaries and the Trust are collectively referred to as the System.
Part VI, Line 7, Reports Filed With States	NH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert P Steigmeyer
President & CEO, Member Ex	$821,539	$0	$411,600	$0	$182,695	$0	$234,142	$0	$36,478	$0	$1,686,454	$0	$161,647	$0
Matthew Gibb
Chief Clinical Officer	$590,446	$0	$236,006	$0	$31,165	$0	$79,702	$0	$29,485	$0	$966,804	$0	$0	$0
Nicola Francalancia MD
Physician	$734,006	$0	$63,369	$0	$11,238	$0	$29,026	$0	$15,316	$0	$852,955	$0	$0	$0
Louis Russo MD
Physician	$700,896	$0	$68,124	$0	$26,896	$0	$0	$0	$12,970	$0	$808,886	$0	$0	$0
Scott Sloane
Treasurer	$430,138	$0	$169,246	$0	$20,832	$0	$100,994	$0	$37,228	$0	$758,438	$0	$0	$0
Moosavi Shahab MD
Physician	$558,796	$0	$59,421	$0	$24,690	$0	$26,419	$0	$38,963	$0	$708,289	$0	$0	$0
Christopher Fore MD
Physician	$386,384	$0	$168,652	$0	$23,930	$0	$24,062	$0	$33,553	$0	$636,581	$0	$0	$0
Samuel Aldridge MD
Physician	$486,135	$0	$51,407	$0	$27,385	$0	$28,746	$0	$34,891	$0	$628,564	$0	$0	$0
Christopher Allen MD
Trustee/CH Med. Staff Pres.(on 1/22)	$270,841	$0	$78,112	$0	$3,151	$0	$30,439	$0	$31,784	$0	$414,327	$0	$0	$0
Tanja Vanderlinde MD
Trustee (end 1/2022)	$212,530	$0	$52,464	$0	$3,491	$0	$64,944	$0	$37,867	$0	$371,296	$0	$0	$0
Joseph Meyer MD
Trustee	$219,759	$0	$0	$0	$20,697	$0	$60,686	$0	$28,186	$0	$329,328	$0	$0	$0
Timothy Jones
Former VP/COO (ended 6/2020)	$0	$0	$0	$0	$215,977	$0	$0	$0	$0	$0	$215,977	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Lines 4a-b

Schedule J, Line 4a, Severance Payments: Effective in June of 2020 and during a previous fiscal year, Timothy Jones ceased employment with Concord Hospital, Inc. As per the terms of his separation agreement, Mr. Jones was to be paid his regular salary for 26 weeks during a period starting in 2020 and ending in 2021. In accordance with IRS Instructions, these payments have been reflected in Schedule J, Part II, for both the 2020 and 2021 Forms 990. Timothy Jones's total severance payments of $251,973 and $215,977 were also reported in his 2020 and 2021 Form W-2, respectively, as part of his Box 5 taxable wages. As Timothy Jones did not serve the organization as an active or current Key Employee at any time during the period covered by this tax return, he has been designated as a Former Key Employee on this year's Form 990, Part VII, and Schedule J. Schedule J, Line 4b, Supplemental Non-Qualified Retirement Plans: Robert P. Steigmeyer, President & CEO, participated in a 457(f) plan with Concord Hospital, Inc. during the fiscal year covered by this tax return. Under the terms of the plan, amounts deferred and contributed to the plan are subject to a three-year vesting period. After satisfying this vesting period, 457(f) deferred amounts are to be included in Mr. Steigmeyer's taxable W-2 wages. The calendar year ending within the Hospital's current reporting period of September 30, 2022 (tax year 2021) was the fifth year where amounts previously set aside as deferred under Mr. Steigmeyer's 457(f) plan had vested. Accordingly, Mr. Steigmeyer is now recognizing in his W-2 taxable wages vested 457(f) plan deferrals. For the period covered by this tax return, included within Mr. Steigmeyer's 2021 Form W-2 taxable wages are $161,647 of vested 457(f) deferrals, which represent amounts previously reported on Schedule J, Part II, Column C, as deferred compensation for fiscal years ending September 30, 2018, 2019, and 2020. In accordance with IRS instructions, this vested and taxable amount has been included in Schedule J, Part II, Column B(iii) and Column F. Beginning with the September 30, 2015 tax year, there have been contributions to Mr. Steigmeyer's 457(f) plan. Each contribution, plus earnings, will be reported in Mr. Steigmeyer's W-2 after a three-year vesting period. For the fiscal years ended September 30, 2020, 2021, and 2022, Mr. Steigmeyer received plan contributions of $150,000, $156,800, and $177,820, respectively. Due to the timing between the Hospital's fiscal year filing period and the calendar year period by which compensation and benefits information is reported on Form 990, Schedule J, the amount included in Mr. Steigmeyer's deferred compensation amounts in this Schedule J, Part II, Column C, includes the $156,800 contribution to his 457(f) plan, plus $40,625 of earnings. During the year ending September 30, 2021, the Hospital established a Supplemental Executive Retirement Plan (SERP) for the Senior Vice Presidents of Concord Hospital. Under the terms of this SERP, the Hospital credits Senior Executives' accounts at the end of each fiscal year, and the credit shall vest and become payable on the third anniversary of the date such amounts are credited to the account, provided the Senior Executives remain continuously employed through the applicable vesting date. The three-year vesting period SERP amount will be included in taxable W-2 wages upon vesting and payment. For the fiscal years ended September 30, 2021 and 2022, contributions to the SERP for Scott Sloane were $26,462 and $41,088, respectively; and contributions for Matthew Gibb were $36,900 and $50,676, respectively. These contributions have been included in the amounts reported on this Schedule J, Part II, Column J. As none of the SERP contributions have yet satisfied the three-year vesting conditions as of the period covered by this tax return, none of the SERP contributions have yet been included in the W-2 wages for these Senior Executives.

Part I, Line 7

Incentive Pay: The primary purpose of the incentive pay is to recognize the quality of the performance of the CEO, CFO, COO, and CMO during the preceding fiscal year. The amount of the incentive pay bonus is based on performance relative to strategic goals and measurable objectives. When the executive's performance excels, the incentive pay should reflect the accomplishment and allow for the sum of base salary and incentive pay to reach as high as the 75th percentile of peer institutions.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A	020279866	2017-12-01	$62,004,272	Construction of Parking Garage and Building and Equipment Acquisition	0	0	0
NH Health & Education Facilities Authority
B	020279866	2020-03-17	$12,520,000	Advance Refund Series 2011 NHHEFA Revenue Bonds	0	0	0
NH Health & Education Facilities Authority
C	020279866	2021-07-14	$51,498,124	Refund Series 2013B NHHEFA Revenue Bonds, facility improvement & equipment.	0	0	0
NH Health & Education Facilities Authority
D	020279866	2020-03-17	$36,582,000	Advance Refund Series 2013A NHHEFA Revenue Bonds	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt
A	$62,004,272	$670,083	2020	0	0	Yes (1)
B	$12,520,000	$65,206		Yes (1)	Yes (1)	Yes (1)
C	$51,498,124	$717,985		0	0	Yes (1)	$32,137,953	$12,607,328
D	$36,582,000	$190,955		Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
D	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)
C	Yes (1)	0	Yes (1)
D	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 11/30/2018	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Frederick Briccetti MD
Trustee	$408,199	Dr. Frederick Briccetti is a trustee on Concord Hospital's Board of Trustees. Dr. Briccetti is also a partner in New Hampshire Oncology Hematology (NHOH). NHOH pays Concord Hospital rent for access to the Hospital Cancer Center's space and equipment, as well as for certain medical services to aid in its regular operations. Total payments made from NHOH to Concord Hospital for use of the Cancer Center and to cover director fees in the 2022 fiscal year were $408,199	0
Scott Sloane
Daughter of Officer	$35,169	Scott Sloane serves Concord Hospital as the Organization's Treasurer and is an Officer on the Hospital's Board of Directors. The daughter of Scott Sloane is employed by the Hospital. Her calendar year 2021 compensation, as based on her 2021 Form W-2 filings, was $35,169, an amount which is commensurate with the salary and benefits of similar persons in her position with her experience at the Hospital.	0
Lucy Hodder Esq
Trustee	$525,327	Lucy Hodder serves on the Hospital's Board of Directors. The husband of Lucy Hodder is employed by the Hospital. His calendar year 2021 compensation, as based on his 2021 Form W-2 filings, was $525,327, an amount which is commensurate with the salary and benefits of similar persons in his position with his experience at the Hospital.	0
Joseph Meyer MD
Family member of Trustee	$27,960	Dr. Joseph Meyer serves on the Board of Concord Hospital. Joseph Meyer's wife is also employed by the Hospital. Her calendar year 2021 compensation, as based on her 2021 Form W-2 filings, was $27,960, an amount which is commensurate with the salary and benefits of similar persons in her position with her experience at the Hospital.	0
Charles Fanaras
Trustee	$65,760	Charles Fanaras served on the Organization's board during the period covered by this tax return. Charles Fanaras is also the President and owner of The Prescription Center Pharmacies as well as the CEO and owner of Northeast Pharmacy Services. The Prescription Center paid Concord Hospital $65,760 for the lease of office and pharmacy spaces in the Hospital's Memorial Medical Building. The amount paid for the lease was considered to be a reasonable fair market rate for the space made available.	0
Linda Lorden
Trustee		Linda Lorden serves on the Concord Hospital Board of Trustees. Ms. Lorden is also the President of Merrimack County Savings Bank. Concord Hospital maintains an account with the Bank. Concord Hospital estimates that the volume and value of transactions processed through this account during the period covered by this tax return exceeded the threshold for disclosure on Schedule L, though Concord Hospital is unable to determine a precise figure at this time; Concord Hospital has offered this information on this Schedule L for transparency purposes. Concord Hospital considers its relationship with the Bank to be engaged in appropriately, in accordance with conflict of interest protocols, and as an arms' length transaction.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 4	During the year covered by this tax return, Concord Hospital, Inc. adopted amendments to its Bylaws. The following provides a summary of the changes made effective by the adopted amendments: 1.) The amended bylaws struck certain articles mandating conditions for the Annual Meeting, Special Meetings, and Notice of Meetings 2.) The amended bylaws revised the standards by which the Board is to be composed to the following: Effective October 1, 2021, at least four (4) of the Trustees will live or work in the regions served by Concord Hospital-Laconia and Concord Hospital-Franklin (excluding the ex officio Trustees). 3.) The amended bylaws struck the following from the responsibilities of the Treasurer position: The Treasurer shall give such bond for the faithful performance of the duties of the office as the Board may from time to time require. 4.) The amended bylaws updated the duties and responsibilities of the President & CEO to contain the following: - to serve as President and Chief Executive Officer ("CEO") of the Corporation's subsidiary entities; and - To serve as President and CEO of the Member, unless another individual serves in that role, as well as its subsidiaries, except with respect to Granite VNA and Riverbend Community Mental Health, Inc. 5.) The amended bylaws removed the following requirement for members of the Finance Committee: that the committee shall include at least one representative from the board of trustees of each of the Corporation's wholly-owned subsidiaries. 6.) The amended bylaws removed the following allowance for the Investment Committee: in extraordinary circumstances the chair, with the approval of the Chair of the Board of Trustees of Concord Hospital, if available, may act alone. 7.) The amended bylaws removed the following from the duties and responsibilities of the Compensation Committee: to recommend amendments to the Board for approval as the Compensation Committee deems appropriate. The committee charter and executive total compensation philosophy (and any amendments thereto) shall become effective when approved by the Board in accordance with these Bylaws. 8.) The Amended bylaws eliminated the previous Article 8, Conflict of Interest, and have replaced such articles with the following: - Article 8.1, Conflicts of Interest Policy: The Board shall adopt a Conflicts of Interest Policy for the Corporation, which shall be amended as necessary or appropriate from time to time. Each Trustee, officer, committee member and key employee shall complete an annual statement of financial interest which shall be reviewed by the Board. - Article 8.2, Specified Conflicts: Any Trustee, officer, committee member or key employee who or a member of whose immediate family proposes to enter into a pecuniary benefit transaction (as defined by RSA 7:19-a) with the Corporation shall have an affirmative obligation to disclose such interest or that of the family member and shall be prohibited from participating in the discussion on the subject or voting thereon. The Board shall authorize the Corporation to enter into such pecuniary benefit transactions only in accordance with the applicable provisions of RSA 7:19-a, as they may exist from time to time. The compensation for the President shall be authorized and approved in the manner described in Section 5.1 of these Bylaws. The compensation for any other disqualified person (as defined in the Internal Revenue Service Intermediate Sanctions regulations), such as an officer or trustee, shall be authorized and approved by the Compensation Committee in a manner that qualifies for the rebuttable presumption of reasonableness available under the Intermediate Sanctions regulations, but, to the extent such compensation may constitute a pecuniary benefit transaction (as defined by RSA 7:19-a), no such compensation shall be payable until also approved by the Board in a manner that satisfies RSA 7:19-a. 9.) The Amended bylaws added the following to sub-section to Article 12, Miscellaneous: - 1.3, Inspection: Every Trustee shall, upon written demand under oath stating the purpose thereof, have a right to examine, in person during the usual hours for business and for any proper purpose, the books and records of account, and records of the proceedings of the Board.
Form 990, Part VI, Section A, line 6	Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital.
Form 990, Part VI, Section A, line 7a	The Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member.
Form 990, Part VI, Section A, line 7b	The affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: - Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. - Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. - Any changes in the Hospital's non-profit status shall be subject to approval by the Member.
Form 990, Part VI, Section B, line 11b	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 prior to filing the report.
Form 990, Part VI, Section B, line 12c	Each Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15	The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer (COO), Chief Financial Officer (CFO), and Chief Medical Officer (CMO) as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, CFO, and CMO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO, CFO, and CMO and shall set their compensation as the Board deems appropriate. Although the Hospital continues to value the role of Capital Region Health Care Corporation ("CRHC") and the Hospital's participation in that organization, the Board acknowledges that it is not the responsibility of the Board to evaluate or set the compensation of the Chief Executive Officer of CRHC. Neither is it the role of the Board of Trustees of CRHC to evaluate, or set the compensation of, the Hospital's CEO. Accordingly, CRHC's Board of Trustees is not involved in evaluating or setting the compensation of the Hospital's CEO. The Board acknowledges that the Hospital's CEO may also serve as the Chief Executive Officer of CRHC and that the Hospital may charge CRHC for these services. The Board may consider the comments of the Board of Trustees of CRHC, as outlined herein, when deemed relevant in evaluating the performance of the Hospital's CEO. The Board directs that the Compensation Committee and the Board itself, in their respective undertakings of recommending and setting the compensation of the Hospital's CEO, COO, CFO, and CMO, avoid conflicts of interest and be guided by the "rebuttable presumption of reasonableness" regulations under the so-called "Excess Benefit Transaction" provisions of the Internal Revenue Code ("IRC"). The Board authorizes the Compensation Committee to use such financial and advisory (e.g., legal counsel, consultant) resources as it reasonably deems appropriate to fulfill its duties in evaluating the CEO's performance and in making its recommendations to the Board regarding compensation for the CEO, COO, CFO, and CMO.
Form 990, Part VI, Section C, line 19	Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted to the Electronic Municipal Market Access (EMMA) website. In addition to this, the Hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part XI, line 9:	Net periodic pension gain 1,007,080. Pension actuarial cost -357,732. Equity adjustment, net interest in GSIE -6,393,172. Net transfers to affiliates -23,995,646.
Form 990, Part XII, Line 2c:	There was no change in the process for oversight of the audit 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 9/30/2021 and 9/30/2022.
Form 990, Part IX, Column D:	Although the Hospital is reporting contribution income on Form 990, Part VIII, Line 1, predominantly all direct philanthropic activities and fundraising events are conducted and hosted by the Hospital's affiliate, Concord Hospital Trust. Historically, all contribution revenue that enters the Concord Hospital system is first received by the Trust and is then granted to the Hospital (for its year ending September 30, 2022, the Hospital also received direct grants through the State of New Hampshire for Federal Emergency Management Agency (FEMA), as well as funds from the CARES Act and American Rescue Plan, for funding related to COVID-19). Concord Hospital Trust is responsible for the majority of the system's fundraising expenditures, as the generation and maintenance of grants for the Hospital is the Trust's primary fucntion. A portion of the expenses incurred directly by the Hospital, as well as some of the other Concord Hospital affiliated entities, also aid in general fundraising processes and operations. Therefore, a portion of the Hospital's annual expenses have been allocated to Form 990, Part IX, Column D.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NH Cares ACO LLC
250 Pleasant Street	Concord	NH	03301	830777970	Interest dissolved in current year	NH	$2,917,731	$0	Concord Hospital Inc
Concord Hospital ACO LLC
250 Pleasant Street	Concord	NH	03301	870880602	Operation of an accountable care organization	NH	$75,217	-$3,258	Concord Hospital Inc

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Capital Region Health Care Corporation
250 Pleasant Street	Concord	NH	03301	020222123	Promote comprehensive health service system	NH	501(c)(3)	Line 12a, I	N/A	0
Capital Region Health Ventures Corp
250 Pleasant Street	Concord	NH	03301	020438264	Provide medical care to community	NH	501(c)(3)	Line 12b, II		Yes (1)	Concord Hospital
Capital Region Health Care Development Corporation
250 Pleasant Street	Concord	NH	03301	020429749	Support Concord Hospital & other affiliates	NH	501(c)(2)			Yes (1)	Concord Hospital
Concord Regional Visiting Nurse Association Inc
PO Box 1797	Concord	NH	033021797	020222122	Home health care & hospice services	NH	501(c)(3)	Line 10	N/A	0
Riverbend Community Mental Health Inc
3-5 North State Street	Concord	NH	033022032	020264383	Multi-service team	NH	501(c)(3)	Line 7	N/A	0
Concord Hospital Trust
250 Pleasant Street	Concord	NH	03301	260378710	Fundraising	NH	501(c)(3)	Line 12a, I		Yes (1)	Concord Hospital
Concord Hospital - Franklin
250 Pleasant Street	Concord	NH	03301	851433123	Hospital	NH	501(c)(3)	Line 3		Yes (1)	Concord Hospital
Concord Hospital - Laconia
250 Pleasant Street	Concord	NH	03301	851443782	Hospital	NH	501(c)(3)	Line 3		Yes (1)	Concord Hospital

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Concord Imaging Center LLC
2 1/2 Beacon Street	Concord	NH	03301	020436605	Provide radiology services to community	NH	N/A	0	0
Capital Orthopedic Surgery Center
250 Pleasant Street	Concord	NH	03301	020522860	Provide medical care to community	NH	N/A	0	0
Concord Endoscopy Center LLC
60 Commerical Street	Concord	NH	03301	201184756	Provide medical care to community	NH	N/A	0	0
OSC Condo LLC
250 Pleasant Street	Concord	NH	03301	872969559	Rental Property	NH	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct
Capital Region Health Services Corporation
250 Pleasant Street	Concord	NH	03301	020428631	Medical services	NH	N/A	C	0
Capital Region Primary Care Corporation
250 Pleasant Street	Concord	NH	03301	020495275	Inactive	NH		C	Yes (1)	Concord Hospital	1.00000
Lakes Region Medical Office Building
250 Pleasant Street	Concord	NH	03301	020409867	Rental properties and condominiums	NH	N/A	C	0
Hillside Medical Park Condo Association
250 Pleasant Street	Concord	NH	03301	863920257	Rental properties and condominiums	NH	N/A	C	0
CH Memorial West Condominium Association
250 Pleasant Street	Concord	NH	03301	372006095	Rental properties and condominiums	NH		C	0	Concord Hospital	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A	$885,971	Actual per books
Capital Region Healthcare Ventures Corp
C	$410,998	Actual per books
Capital Region Healthcare Development Corp
J	$2,066,326	Actual per books
Capital Region Healthcare Development Corp
O	$623,250	Actual per books
Capital Region Healthcare Ventures Corp
O	$871,933	Actual per books
Concord Hospital Trust
O	$819,417	Actual per books
Concord Hospital - Laconia
O	$29,591,000	Actual per books
Concord Hospital - Franklin
O	$4,854,000	Actual per books
Capital Region Healthcare Development Corp
Q	$157,565	Actual per books
Capital Region Healthcare Ventures Corp
Q	$1,022,034	Actual per books
Capital Region Health Care Development Corp
Q	$1,858,346	Actual per books
Concord Hospital - Laconia
Q	$35,110,000	Actual per books
Concord Hospital - Franklin
Q	$7,683,000	Actual per books

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule R, Part III:	In accordance with IRS instructions, the partnerships listed in Part III are being reported due to their control relationship with Capital Region Health Ventures Corp and the Hospital's control relationship with Capital Region Health Ventures Corp.
Schedule R, Part V, Transaction Type A:	On its Form 990, Schedule R, Part V, Line 1a and 2, Concord Hospital is reporting $885,971 for transaction type "A", receipt of interest, annuities, royalties, or rents from a controlled organization. Capital Region Health Care Development Corp, the controlled organization, does not have any unrelated business income (UBI) reportable on Form 990-T. Accordingly, the interest paymanets made by the controlled entity to the Hospital are not being used to offset taxable UBI of Capital Region Health Care Development Corp. Therefore, in accordance with 512(b)(13) these interest receipts do not need to be reported as UBI to the Hospital.
Schedule R, Part V, Sharing of Employees and Reimbursements:	Concord Hospital-Laconia and Concord Hospital-Franklin are part of the Concord Hospital Health System. All officers, employees, executives, physicians, contractors and/or other labor providers are technically employees of Concord Hospital. Additionally all vendors of Concord Hospital-Laconia and Concord Hospital-Franklin are also paid by either Concord Hospital-Laconia and/or Concord Hospital, and the organization incurring the expense reimburses Concord Hospital-Laconia and/or Concord Hospital-Franklin, as applicable.