CONCORD HOSPITAL INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CONCORD HOSPITAL INC (EIN 22-2594672)
- Tax period
- 2023-10-01 to 2024-09-30
- Filed
- 2025-06-30
- IRS object ID
- 202541819349300929
- Schema version
- 2023v6.0
- 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 | 2025-06-30T11:21:55-05:00 | ReturnTs |
| Tax Period End | 2024-09-30 | 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 | 2023-10-01 | 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 | 2025-06-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2025-06-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | 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 | $799,935,957 | 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 | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 5420 | TotalEmployeeCnt |
| Total Volunteers | 213 | TotalVolunteersCnt |
| Total Gross UBI | $3,059,374 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,395,483 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,932,551 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $594,400,395 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $675,297,135 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,575,014 | PYInvestmentIncomeAmt |
| CY Investment Income | $26,338,540 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,108,502 | PYOtherRevenueAmt |
| CY Other Revenue | $1,028,314 | CYOtherRevenueAmt |
| PY Total Revenue | $623,479,394 | PYTotalRevenueAmt |
| CY Total Revenue | $710,596,540 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $353,334,567 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $393,281,497 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,152,519 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $242,540,052 | PYOtherExpensesAmt |
| CY Other Expenses | $268,545,901 | CYOtherExpensesAmt |
| PY Total Expenses | $595,874,619 | PYTotalExpensesAmt |
| CY Total Expenses | $661,827,398 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $27,604,775 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $48,769,142 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $819,519,638 | TotalAssetsBOYAmt |
| Total Assets EOY | $969,779,290 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $371,113,098 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $388,400,006 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $448,406,540 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $581,379,284 | 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 | $550,925,796 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $673,089,510 | RevenueAmt |
| Desc | Various hospital services; see Schedule H.In FYE 2024, Concord Hospital invested over $83 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 | $550,925,796 | 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 | Yes (1) | 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 | Yes (1) | 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 | 322 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5420 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Christopher Allen MD | |||||||||
| Trustee (end 1/2024) | 1.00 | 50.00 | Yes (X) | $381,844 | $0 | $71,594 | |||
| Robert Steigmeyer | |||||||||
| President & CEO, Member Ex-Officio | 56.00 | 7.00 | Yes (X) | $1,585,081 | $0 | $316,861 | Yes (X) | ||
| Joseph Meyer MD | |||||||||
| Trustee | 1.00 | 50.00 | Yes (X) | $64,359 | $0 | $0 | |||
| Ari Salis MD | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $25,000 | $0 | $0 | |||
| Frederick Briccetti MD | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Philip Emma | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeanie Forrester | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lucy Karl Esq | |||||||||
| Trustee | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Linda Lorden | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Matthew Nadeau | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Peter Noordsij MD | |||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Katherine Saunders | |||||||||
| 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 (end 1/2024) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Don Welford | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| David Weiss | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Manisha Patel DDS | |||||||||
| Chair | 1.00 | 7.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Charles Fanaras | |||||||||
| Vice Chair | 1.00 | 7.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Lucy Hodder Esq | |||||||||
| Secretary | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| William Chapman Esq | |||||||||
| Secretary (end 1/2024) | 1.00 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Scott Sloane | |||||||||
| Senior VP, CFO, & Treasurer | 56.00 | 7.00 | $693,400 | $0 | $154,062 | Yes (X) | |||
| Mary Bakken | |||||||||
| System Chief Operating Officer | 50.00 | 2.00 | $702,300 | $0 | $145,242 | Yes (X) | |||
| Matthew Gibb MD | |||||||||
| Chief Clinical Officer | 50.00 | 2.00 | $871,082 | $0 | $126,234 | Yes (X) | |||
| Louis Russo MD | |||||||||
| Physician | 50.00 | 0.00 | $799,976 | $0 | $53,704 | Yes (X) | |||
| Nicola Francalancia MD | |||||||||
| Physician | 50.00 | 0.00 | $798,313 | $0 | $54,719 | Yes (X) | |||
| Shahab Moossavi MD | |||||||||
| Physician | 50.00 | 0.00 | $656,843 | $0 | $73,165 | Yes (X) | |||
| Patrick Magnus MD | |||||||||
| Physician | 50.00 | 0.00 | $586,349 | $0 | $72,881 | Yes (X) | |||
| Burr Loew MD | |||||||||
| Physician | 50.00 | 0.00 | $592,726 | $0 | $66,601 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,757,273 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,135,063 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 876 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 | $8,940,478 |
| Anesthesia Associates PA | |||||
| 1 Pillsbury Street | Concord | NH | 03301 | Healthcare services | $7,378,333 |
| Concord Orthopaedics PA | |||||
| 264 Pleasant Street | Concord | NH | 03301 | Healthcare services | $6,349,723 |
| Riverbend Community Mntl Hlth Inst | |||||
| PO Box 3032 | Concord | NH | 03302 | Healthcare services | $4,086,536 |
| Core Medical Group | |||||
| PO Box 306478 | Nashville | TN | 37230 | Professional services | $2,216,383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,506,013 | RelatedOrganizationsAmt |
| Government Grants | $2,426,538 | GovernmentGrantsAmt |
| Total Contributions | $7,932,551 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Services | 621400 | $636,252,150 | $636,252,150 | |
| Disproportionate Share Funding | 621400 | $20,175,004 | $20,175,004 | |
| Other Operating Revenue | 621400 | $12,519,476 | $11,010,959 | $1,508,517 |
| Food Services | 722210 | $4,087,271 | $2,359,849 | $1,727,422 |
| Child Care Center | 624410 | $1,149,060 | $1,149,060 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,114,174 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,114,174 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $675,297,135 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,801,908 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$176,565 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,978,473 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $811,720 | 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 | $811,720 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $811,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $811,720 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $100,335,714 | SecuritiesAmt |
| Other | $260,364 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $88,872,696 | SecuritiesAmt |
| Other | $186,750 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,463,018 | SecuritiesAmt |
| Other | $73,614 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,536,632 | TotalRevenueColumnAmt |
| Exclusion | $11,536,632 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $452,565 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $279,971 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $172,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $172,594 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Concord ACO | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $44,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $44,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $710,596,540 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $673,089,510 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,059,374 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,515,105 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,112,059 | TotalAmt |
| Program Services | $4,279,965 | ProgramServicesAmt |
| Management And General | $824,093 | ManagementAndGeneralAmt |
| Fundraising | $8,001 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,085,533 | TotalAmt |
| Program Services | $262,125,041 | ProgramServicesAmt |
| Management And General | $50,470,213 | ManagementAndGeneralAmt |
| Fundraising | $490,279 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,583,898 | TotalAmt |
| Program Services | $8,861,021 | ProgramServicesAmt |
| Management And General | $1,706,360 | ManagementAndGeneralAmt |
| Fundraising | $16,517 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,050,613 | TotalAmt |
| Program Services | $41,903,245 | ProgramServicesAmt |
| Management And General | $8,069,257 | ManagementAndGeneralAmt |
| Fundraising | $78,111 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,449,394 | TotalAmt |
| Program Services | $12,097,284 | ProgramServicesAmt |
| Management And General | $2,329,559 | ManagementAndGeneralAmt |
| Fundraising | $22,551 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,186,466 | TotalAmt |
| Management And General | $2,186,466 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,264,046 | TotalAmt |
| Management And General | $1,264,046 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,729 | TotalAmt |
| Management And General | $378,729 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,000 | TotalAmt |
| Program Services | $32,000 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,154 | TotalAmt |
| Management And General | $980,154 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,910,196 | TotalAmt |
| Program Services | $35,506,471 | ProgramServicesAmt |
| Management And General | $12,403,725 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,145 | TotalAmt |
| Program Services | $259,559 | ProgramServicesAmt |
| Management And General | $45,235 | ManagementAndGeneralAmt |
| Fundraising | $351 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,945,609 | TotalAmt |
| Program Services | $5,057,378 | ProgramServicesAmt |
| Management And General | $881,387 | ManagementAndGeneralAmt |
| Fundraising | $6,844 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,798 | TotalAmt |
| Program Services | $1,160,907 | ProgramServicesAmt |
| Management And General | $202,320 | ManagementAndGeneralAmt |
| Fundraising | $1,571 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,145,791 | TotalAmt |
| Program Services | $11,181,905 | ProgramServicesAmt |
| Management And General | $1,948,754 | ManagementAndGeneralAmt |
| Fundraising | $15,132 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $877,689 | TotalAmt |
| Program Services | $746,569 | ProgramServicesAmt |
| Management And General | $130,110 | ManagementAndGeneralAmt |
| Fundraising | $1,010 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,975 | TotalAmt |
| Program Services | $1,366,054 | ProgramServicesAmt |
| Management And General | $238,072 | ManagementAndGeneralAmt |
| Fundraising | $1,849 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,361,277 | TotalAmt |
| Program Services | $2,926,328 | ProgramServicesAmt |
| Management And General | $1,388,595 | ManagementAndGeneralAmt |
| Fundraising | $46,354 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,087,295 | TotalAmt |
| Program Services | $14,818,260 | ProgramServicesAmt |
| Management And General | $7,035,039 | ManagementAndGeneralAmt |
| Fundraising | $233,996 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,762,211 | TotalAmt |
| Program Services | $4,901,378 | ProgramServicesAmt |
| Management And General | $854,200 | ManagementAndGeneralAmt |
| Fundraising | $6,633 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Drugs/medical supplies | $97,680,923 | $83,088,097 | $14,592,826 | $0 |
| NH MET | $26,276,888 | $26,276,888 | ||
| Provision for bad debts | $25,936,620 | $25,936,620 | ||
| Repairs/maintenance | $6,160,677 | $5,240,316 | $913,269 | $7,092 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,283,412 | TotalAmt |
| Program Services | $3,160,510 | ProgramServicesAmt |
| Management And General | $906,674 | ManagementAndGeneralAmt |
| Fundraising | $216,228 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,827,398 | TotalAmt |
| Program Services | $550,925,796 | ProgramServicesAmt |
| Management And General | $109,749,083 | ManagementAndGeneralAmt |
| Fundraising | $1,152,519 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,114,907 | BOYAmt |
| EOY | $41,039,465 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,393,988 | BOYAmt |
| EOY | $88,627,492 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,000,334 | BOYAmt |
| EOY | $67,069,264 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,047,602 | BOYAmt |
| EOY | $3,870,752 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,285,264 | BOYAmt |
| EOY | $9,887,288 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $483,222,621 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $334,863,697 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,130,970 | BOYAmt |
| EOY | $148,358,924 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $212,415,062 | BOYAmt |
| EOY | $306,980,608 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,735,441 | BOYAmt |
| EOY | $193,189,425 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,853,425 | BOYAmt |
| EOY | $36,947,704 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,542,645 | BOYAmt |
| EOY | $73,808,368 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $819,519,638 | BOYAmt |
| EOY | $969,779,290 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,675,451 | BOYAmt |
| EOY | $118,962,842 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,668,672 | BOYAmt |
| EOY | $137,872,198 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $49,346 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,768,975 | BOYAmt |
| EOY | $131,515,620 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,113,098 | BOYAmt |
| EOY | $388,400,006 | 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 | $448,406,540 | BOYAmt |
| EOY | $581,379,284 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,406,540 | BOYAmt |
| EOY | $581,379,284 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $819,519,638 | BOYAmt |
| EOY | $969,779,290 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $48,769,142 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $57,636,105 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $26,567,497 | 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 | $47,325 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $48,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $95,325 | 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 9/30/2024. 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 $14,486 and $32,839, 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 | $365,389,780 | BeginningYearBalanceAmt |
| Contributions | $33,544,182 | ContributionsAmt |
| Investment Earnings Or Losses | $76,617,439 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $659,090 | OtherExpendituresAmt |
| Administrative Expenses | $667,527 | AdministrativeExpensesAmt |
| End Year Balance | $474,224,784 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $318,715,202 | BeginningYearBalanceAmt |
| Contributions | $2,456,902 | ContributionsAmt |
| Investment Earnings Or Losses | $46,093,356 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,240,084 | OtherExpendituresAmt |
| Administrative Expenses | $635,596 | AdministrativeExpensesAmt |
| End Year Balance | $365,389,780 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| 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 |
| 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 | $215,438,341 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,847,319 | DepreciationAmt |
| Book Value | $90,591,022 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,116,450 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,263,096 | DepreciationAmt |
| Book Value | $853,354 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $256,843,501 | OtherCostOrOtherBasisAmt |
| Depreciation | $205,753,282 | DepreciationAmt |
| Book Value | $51,090,219 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,805,333 | OtherCostOrOtherBasisAmt |
| Book Value | $5,805,333 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $148,358,924 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Alternative investments | Desc |
| Book Value | $193,189,425 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $193,189,425 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Intercompany receivables | $16,118,880 |
| Other assets and receivables | $4,597,454 |
| Pension funds net surplus | $53,092,034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $73,808,368 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued pension and other long-term liabilities | $23,600,042 |
| Estimated third-party settlements | $4,676,119 |
| Reserve for insurance deductibles | $5 |
| Operating lease liabilities | $37,201,163 |
| Due to affiliates | $66,038,291 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $131,515,620 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $763,575,021 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $57,636,105 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $22,918,745 | OtherRevenueAmt |
| Revenue Not Reported | $80,554,850 | RevenueNotReportedAmt |
| Revenue Subtotal | $683,020,171 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $980,154 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $26,596,215 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $27,576,369 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $710,596,540 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $634,251,029 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $634,251,029 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $980,154 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $26,596,215 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $27,576,369 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $661,827,398 | 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. During the period covered by this Form 990, Concord Hospital determined that certain board designated endowment funds had not previously been included in the total pool of accounts reported on the Hospital's Form 990, Schedule D, Part V. Determing that such accounts should be properly designated as "endowment funds," Concord Hospital has reported the value of these funds as "Contributions" on this Form 990, Schedule D, Part V, Line 1b, in the amount of $6,346,097. This adjustment records the designated accounts within Concord Hospital's consolidated board designated endowment funds as reported on the Form 990, Schedule D, Part V. |
| 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. CH-ACO was 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, CHIG, CH-ACO, CEC and CRHSC 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 gains 5,122,413. Pension actuarial gains 17,796,332. |
| Part XI, Line 4b - Other Adjustments: | Provision for bad debts 25,936,620. Board designated spending 659,595. |
| Part XII, Line 4b - Other Adjustments: | Provision for bad debts 25,936,620. Board designated spending 659,595. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - Cayman Islands | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments - FMV as of 9/30/2024 | TypeOfActivitiesConductedTxt |
| Specific Services Provided | None | SpecificServicesProvidedTxt |
| Region Total Expenditures | $40,040,000 | RegionTotalExpendituresAmt |
| 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 | $40,040,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $40,040,000 | 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 1: | The Organization considers its share of all direct and indirect transfers to foreign corporate entities on an annual basis. The Organization prepares and files Form 926 to disclose its share of qualifying transfers in excess of $100,000 in aggregate for each applicable foreign corporation in accordance with IRS regulations and instructions. |
| 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. |
| Part IV, Line 5: | The Organization considers its share of all direct and indirect transfers to foreign partnership entities on an annual basis. The Organization prepares and files Form 8865 to disclose its share of qualifying transfers in excess of $100,000 in aggregate for each applicable foreign partnership in accordance with IRS regulations and instructions. |
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 | 4110 | PersonsServedCnt |
| Total Community Benefit Expns | $3,233,201 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $97,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,135,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $73,236,375 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,938,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,297,936 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 4110 | PersonsServedCnt |
| Total Community Benefit Expns | $76,469,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,036,417 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,433,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 643227 | PersonsServedCnt |
| Total Community Benefit Expns | $1,624,670 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $224,825 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,399,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 7910 | PersonsServedCnt |
| Total Community Benefit Expns | $8,586,147 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,288,282 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,297,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 21 | ActivitiesOrProgramsCnt |
| Persons Served | 313387 | PersonsServedCnt |
| Total Community Benefit Expns | $79,679,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,683,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,996,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07080 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 51 | PersonsServedCnt |
| Total Community Benefit Expns | $297,629 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $297,629 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $487,236 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $112,939 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $374,297 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 41 | ActivitiesOrProgramsCnt |
| Persons Served | 964575 | PersonsServedCnt |
| Total Community Benefit Expns | $90,675,588 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,309,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,366,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07770 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 48 | ActivitiesOrProgramsCnt |
| Persons Served | 968685 | PersonsServedCnt |
| Total Community Benefit Expns | $167,145,164 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $83,345,659 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $83,799,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $279,876 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $279,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $279,876 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $279,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,896,591 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $737,935 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $233,144,155 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $305,623,642 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$72,479,487 | 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 | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | 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 (9 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 6a: The most recent CHNA was conducted with the other hospitals within the Concord Hospital System, which includes Concord Hospital, Inc., Concord Hospital - Franklin, and Concord Hospital - Laconia. |
| Concord Hospital | Part V, Section B, Line 6b: The Hospital's most recently published CHNA was prepared by New Hampshire Community Health Institute/JSI. The Community Health Institute/JSI was founded in 1978 and the New Hampshire office is located in Bow, NH. The Community Health Institute/JSI serves clients globally as a resource that collaborates with government agencies, the private sector, and local nonprofit and civil society organizations to identify and implement solutions to public health and health care challenges. In New Hampshire, the New Hampshire Community Health Institute/JSI supports hospitals and other non-profit organizations to conduct Community Health Needs Assessments and develop Implementation Strategies to address significant health needs. Additionally, for this community health needs assessment, Concord Hospital received input from a Community Collaborative of representatives from local organizations. These local organizations include Community Action Program Belknap-Merrimack Counties, Foundation for Healthy Communities, Granite United Way - Capital Area Public Health Network, Granite VNA, HealthFirst, Lakes Region Mental Health Center, NH Department of Health and Human Services, Partnership for Public Health, and Riverbend Community Mental Health. |
| Concord Hospital | Part V, Section B, Line 7d: The Hospital's 2023 Health Needs Assessments is on the Hospital's website at:https://www.concordhospital.org/app/files/public/10459c81-bd2d-4180-894e-9b0e476c5133/2023ConcordLakesRegionCommunityHealthNeedsAssessment.pdfThe website also provides instructions on how to obtain a printed copy. |
| Concord Hospital | Part V, Section B, Line 11: The fiscal year beginning October 1, 2022, Form NHCT-31, Community Benefits Plan Report, can be found at the Hospital facility's website:https://www.concordhospital.org/app/files/public/c0e3eb75-bd0e-4930-a0cc-18bd42a28eeb/2024CommunityBenefitsPlanReportConcord.pdfThe 2024-2026 Concord Hospital Community Health Improvement 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 Improvement Plan is on the Hospital's website at:https://www.concordhospital.org/app/files/public/7284ad7a-196f-4379-856a-ba20ed2b2b96/2024-26CHCHIP.pdf |
| 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 anExtraordinary 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 manager 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 manager 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 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: | All Charitable Achievements and Health Needs Assessment documents for the Concord Hospital System can be found on the Concord Hospital website at the following address:https://www.concordhospital.org/about-us/charitable-achievements-and-health-needs-assessment/The 2022 Concord and Lakes Region Community Health Needs Assessment, published in September 2023, is available online at:https://www.concordhospital.org/app/files/public/10459c81-bd2d-4180-894e-9b0e476c5133/2023ConcordLakesRegionCommunityHealthNeedsAssessment.pdfThe 2024-2026 Concord Hospital Community Health Improvement Plan is available online at:https://www.concordhospital.org/app/files/public/7284ad7a-196f-4379-856a-ba20ed2b2b96/2024-26CHCHIP.pdfThe Concord Hospital Form NHCT-31, Community Benefits Plan Report, for the year beginning October 1, 2023, is available online at:https://www.concordhospital.org/app/files/public/c0e3eb75-bd0e-4930-a0cc-18bd42a28eeb/2024CommunityBenefitsPlanReportConcord.pdf |
| Schedule H, Part V, Section B, Line 16a-c: | The Hospital's Financial Assistance Policy, Application, and Plain Language Summary are all available online through the following website:https://www.concordhospital.org/patients-visitors/billing-insurance-financial-assistance/financial-assistance-plain-language-summary/Specifically, the complete Financial Assistance Policy is available at the following website:https://www.concordhospital.org/app/files/public/2d417ffa-2ff1-4b62-bc42-0e382158c9ad/Financial-Assistance-Policy.pdfThe Concord Hospital Plain Language Summary and the Financial Assistance Application are both available online within the same document on the following website:https://www.concordhospital.org/app/files/public/eab7d7b2-fdc7-471c-b1f3-dbd157ca5231/Plain%20Language%20Summary%20of%20Financial%20Assistance%20Policy.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 60 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (60 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Capital Orthopaedic Srgry Ctr-Concord | ||||
| 116 Langley Parkway Unit LG-1 | Concord | NH | 03301 | Outpatient Surgery |
| 2 - Concord Imaging Center | ||||
| 248 Pleasant Street Suite 102 | Concord | NH | 03301 | Imaging Services |
| 3 - Concord Hospital Cardiac Associates | ||||
| 246 Pleasant Street Ground 1 | Concord | NH | 03301 | Outpatient Physician 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 Hospital Urologic Institute | ||||
| 246 Pleasant St Floor 1 | Concord | NH | 03301 | Urology Services |
| 7 - Capital Orthopaedic Srgry Ctr-Derry | ||||
| 14 Tsienneto Road Suite 100 | Derry | NH | 03838 | Outpatient Surgery |
| 8 - Concord Endoscopy Center | ||||
| 60 Commercial Street Suite 201 | Concord | NH | 03301 | Outpatient Endoscopy Services |
| 9 - CH Internal Medicine | ||||
| 246 Pleasant St Floor 2 | Concord | NH | 03301 | Outpatient Physician Services |
| 10 - Concord Family Medicine | ||||
| 18 Foundry Street Suite 201 | Concord | NH | 03301 | Outpatient Physician Services |
| 11 - Concord Surgical Associates | ||||
| 246 Pleasant Street Suite 205 | Concord | NH | 03301 | Outpatient Physician Services |
| 12 - Concord PulmonaryCrit Care Medicine | ||||
| 246 Pleasant Street Ground 1 | Concord | NH | 03301 | Outpatient Physician Services |
| 13 - Concord Hospital Neurology | ||||
| 246 Pleasant St Ground Floor | Concord | NH | 03301 | Outpatient Physician Services |
| 14 - Center for Sports Med & Ortho Rehab | ||||
| 264 Pleasant Street | Concord | NH | 03301 | Rehabilitation Services |
| 15 - Concord Hospital Family Health Center | ||||
| 250 Pleasant Street | Concord | NH | 03301 | Outpatient Physician Services |
| 16 - Concord Hospital Urgent Care | ||||
| 60 Commercial Street Suite 102 | Concord | NH | 03301 | Walk-in Urgent Care |
| 17 - Family Tree Health Care - Hopkinton | ||||
| 19 Farrington Corner Road | Hopkinton | NH | 03229 | Outpatient Physician Services |
| 18 - Penacook Family Physicians | ||||
| 4 Crescent Street | Penacook | NH | 03303 | Outpatient Physician Services |
| 19 - Concord Eye Center | ||||
| 248 Pleasant St Suite 1600 | Concord | NH | 03301 | Outpatient Surgery |
| 20 - Concord Dermatology | ||||
| 248 Pleasant St Suite 2800 | Concord | NH | 03301 | Outpatient Physician Services |
| 21 - GI-Associates-Concord Gastroenterology | ||||
| 60 Commercial Street Suite 404 | Concord | NH | 03301 | Outpatient Physician Services |
| 22 - Concord Hospital Vascular Surgery | ||||
| 246 Pleasant St Ground Floor | Concord | NH | 03301 | Outpatient Physician Services |
| 23 - Epsom Family Medicine | ||||
| 1990 Dover Road Suite 201 | Epsom | NH | 03234 | Outpatient Physician Services |
| 24 - Concord Hospital Sleep Center | ||||
| 18 Foundry Street Suite 103 | Concord | NH | 03301 | Outpatient Sleep Services |
| 25 - Granite Ledges | ||||
| 151 Langley Parkway | Concord | NH | 03301 | Genesis Healthcare Facility |
| 26 - Concord Hosp Cardiothoracic Surgery | ||||
| 246 Pleasant St Ground Floor | Concord | NH | 03301 | Outpatient Physician Services |
| 27 - Family Physicians of Pembroke | ||||
| 121 Pembroke Street | Pembroke | NH | 03275 | Outpatient Physician Services |
| 28 - Rehab Serv CH Med Off-Horseshoe Pnd | ||||
| 60 Commercial Street Suite 403 | Concord | NH | 03301 | Rehabilitation Services |
| 29 - Family Tree Health Care - Warner | ||||
| 2 East Main Street Unit 2 | Warner | NH | 03278 | Outpatient Physician Services |
| 30 - Concord Endocrinology | ||||
| 18 Foundry Street Suite 102 | Concord | NH | 03301 | Outpatient Physician Services |
| 31 - Concord Hosp Fam Hlth Ctr-Hillsboro | ||||
| 15 Antrim Road | Hillsboro | NH | 03244 | Outpatient Physician Services |
| 32 - Concord Plastic Surgery | ||||
| 248 Pleasant Street Suite 2800 | Concord | NH | 03301 | Outpatient Physician Services |
| 33 - Concord Otolaryngology | ||||
| 60 Commercial St Suite 401 | Concord | NH | 03301 | Outpatient Physician Services |
| 34 - CH Primary Care - New London | ||||
| 255 Newport Road | New London | NH | 03257 | Primary Care Services |
| 35 - Lab-Memorial Medical Office Building | ||||
| 246 Pleasant Street Suite 102 | Concord | NH | 03301 | Outpatient Laboratory Services |
| 36 - Concord Hosp Fam Hlth Ctr Behav Hlth | ||||
| 250 Pleasant Street Yeaple Building | Concord | NH | 03301 | Outpatient Counseling Services |
| 37 - Lab CH Medical Off at Horseshoe Pond | ||||
| 60 Commercial Street | Concord | NH | 03301 | Outpatient Laboratory Services |
| 38 - Capital Region Palliative Care & Hosp | ||||
| 246 Pleasant Street Suite 206 | Concord | NH | 03301 | Outpatient Physician Services |
| 39 - Breast Care Center | ||||
| 248 Pleasant Street Suite 206 | Concord | NH | 03301 | Imaging & Counseling Services |
| 40 - Rehab Services CH Med Office-North | ||||
| 18 Foundry Street Suite 101 | Concord | NH | 03301 | Rehabilitation Services |
| 41 - Occupational Health | ||||
| 248 Pleasant St Suite 202 | Concord | NH | 03301 | Outpatient Physician Services |
| 42 - Rehabilitation Services - Hillsboro | ||||
| 15 Antrim Road | Hillsboro | NH | 03244 | Rehabilitation Services |
| 43 - Concord Hosp Urologic Care-Plymouth | ||||
| 103 Boulder Point Road | Plymouth | NH | 03264 | Urology Services |
| 44 - Rehabilitation Services - Warner | ||||
| 2 East Main Street | Warner | NH | 03278 | Rehabilitation Services |
| 45 - Anti-Coagulation Clinic Internal Med | ||||
| 246 Pleasant Street Floor 2 | Concord | NH | 03301 | Outpatient Physician Services |
| 46 - CH Family Hlth Ctr Dental Clinic | ||||
| 250 Pleasant Street Yeaple Building | Concord | NH | 03301 | Dental Services |
| 47 - Concord Hosp Urologic Care-New London | ||||
| 255 Newport Road | New London | NH | 03257 | Urology Services |
| 48 - Anti-Coag Clinic Concord Fam Med | ||||
| 18 Foundry Street Suite 201 | Concord | NH | 03301 | Outpatient Physician Services |
| 49 - Rehabilitation Services-New London | ||||
| 255 Newport Road | New London | NH | 03257 | Rehabilitation Services |
| 50 - Rehab Services CH Medical Office-East | ||||
| 1990 Dover Road Suite 201 | Epsom | NH | 03234 | Rehabilitation Services |
| 51 - Lab Penacook Family Physicians | ||||
| 4 Crescent Street Suite 1B | Penacook | NH | 03303 | Outpatient Laboratory Services |
| 52 - Lab Family Tree Warner | ||||
| 2 East Main Street | Warner | NH | 03278 | Outpatient Laboratory Services |
| 53 - Concord Hosp Urologic Care-Wolfeboro | ||||
| 240 South Main Street | Wolfeboro | NH | 03894 | Urology Services |
| 54 - International Travel Clinic | ||||
| 246 Pleasant Street Suite 103 | Concord | NH | 03301 | Outpatient Physician Services |
| 55 - Concord Hospital Record Center | ||||
| 10 Ferry Street | Concord | NH | 03301 | Outpatient Services |
| 56 - CH Vascular Surgery - Laconia | ||||
| 85 Spring Street Suite 401 | Laconia | NH | 03242 | Physician Services (closed) |
| 57 - Lab Heritage Heights | ||||
| 149 East Side Drive | Concord | NH | 03301 | Laboratory Services (closed) |
| 58 - CH Otolaryngology - Laconia | ||||
| 85 Spring Street Suite 2A1 | Laconia | NH | 03246 | Physician Services (closed) |
| 59 - Concord Hosp Cardiac Assoc-Laconia | ||||
| 85 Spring Street Suite 2A1 | Laconia | NH | 03246 | Physician Services (closed) |
| 60 - Concord Ambulatory Surgery Center | ||||
| 60 Commercial Street | Concord | NH | 03301 | Outpatient surgery (closed) |
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 $ 25,936,620. |
| Part II, Community Building Activities: | In 2024, Concord Hospital's Community Building Activities continued to focus on 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 $72,509,488 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. In 2023, Concord Hospital conducted a system-wide health needs assessment to include Concord Hospital - Concord, Concord Hospital - Laconia and Concord Hospital - Franklin. The results and the corresponding 2024-2026 Community Health Improvement Plan have been approved by the Board and are available on the Concord Hospital website at: https://www.concordhospital.org/app/files/public/10459c81-bd2d-4180-894e-9b0e476c5133/2023ConcordLakesRegionCommunityHealthNeedsAssessment.pdf |
| 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 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 29 communities to which it has close geographic proximity and significant market share. According to the U.S. Census Bureau (American Community Survey, 2012-2016), the 29 communities that comprise the Hospital's PSA represent a total population of 137,884 and cover approximately 910 square miles, which is the largest hospital service area in the State. 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 of the Concord Hospital health system's primary service area in 2021 was 249,846 according to the United States Census Bureau (American Community Survey, 2021) or about 18 percent of the total population of New Hampshire. The service area population has increased by approximately 3.5 percent or about 8,400 people over the last 3 years. NH's population grew by about 2 percent over the same time frame. Compared to New Hampshire overall, the service area population has proportionally more seniors, about 20 percent are age 65+ compared to about 18 percent in NH overall. The percent of residents within the primary service area living below the federal poverty level mirrors NH's at about 7 percent of households. In the primary service area, the percent of family households with children headed by a single parent is 29.4 percent compared to NH at 28.0 percent. The population the primary service area with a disability is 14.5 percent compared to 12.7 percent in NH across all age groups, with the greatest percent disabled in the 65+ age group at 31.5 percent compared to NH overall at 29.8 percent.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. Data from the US Census Bureau (2021 American Community Survey) for the primary service area noted 6.0 percent of the population is uninsured, 21.6 percent have Medicare coverage, and 14.5 percent of the population is 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: | 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 $72,509,488 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. - Concord Hospital ACO (CH-ACO) is a single member limited liability company that engages in providing medical services to Medicare beneficiaries as accountable care organizations. CH-ACO has a perpetual life and is subject to termination in certain events. CH-ACO had minimal activity during fiscal years 2024 and 2023.- 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 being recorded within the accompanying consolidated financial statements. - Concord Hospital Insurance Group, LLC (CHIG) is a Vermont domiciled single parent captive entity and operates in a manner and conducts activities similar to GSIE, as described above. CHIG began operations in late 2022. GSIE entered into a loss portfolio transfer agreement with CHIG in September 2022, whereas GSIE would transfer all of its existing and future claims to CHIG, with the exception of acts prior to CRHC. This transfer was completed prior to September 30, 2023.- 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 and is subject to termination in certain events. At September 30, 2023, CRHVC held a majority interest and control of CEC. As further discussed below, during 2024, the System acquired the remaining noncontrolling interest in CEC, increasing its ownership to 100%.- Capital Region Healthcare Services Corporation (CRHSC) is a for-profit provider of health care services, including an eye surgery center and assisted living facility. CRHSC became a subsidiary of the Hospital effective October 1, 2022.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 | 0 | 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 (10 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 Steigmeyer | ||||||||||||||
| President & CEO, Member Ex-Officio | $898,727 | $0 | $434,592 | $0 | $251,762 | $0 | $275,511 | $0 | $41,350 | $0 | $1,901,942 | $0 | $187,779 | $0 |
| Matthew Gibb MD | ||||||||||||||
| Chief Clinical Officer | $659,310 | $0 | $194,853 | $0 | $16,919 | $0 | $95,586 | $0 | $30,648 | $0 | $997,316 | $0 | $0 | $0 |
| Louis Russo MD | ||||||||||||||
| Physician | $712,768 | $0 | $53,890 | $0 | $33,318 | $0 | $34,505 | $0 | $19,199 | $0 | $853,680 | $0 | $0 | $0 |
| Nicola Francalancia MD | ||||||||||||||
| Physician | $736,272 | $0 | $53,890 | $0 | $8,151 | $0 | $36,010 | $0 | $18,709 | $0 | $853,032 | $0 | $0 | $0 |
| Mary Bakken | ||||||||||||||
| System Chief Operating Officer | $518,398 | $0 | $157,752 | $0 | $26,150 | $0 | $106,744 | $0 | $38,498 | $0 | $847,542 | $0 | $0 | $0 |
| Scott Sloane | ||||||||||||||
| Senior VP, CFO, & Treasurer | $507,270 | $0 | $158,321 | $0 | $27,809 | $0 | $118,893 | $0 | $35,169 | $0 | $847,462 | $0 | $0 | $0 |
| Shahab Moossavi MD | ||||||||||||||
| Physician | $601,202 | $0 | $28,371 | $0 | $27,270 | $0 | $32,321 | $0 | $40,844 | $0 | $730,008 | $0 | $0 | $0 |
| Burr Loew MD | ||||||||||||||
| Physician | $530,001 | $0 | $35,455 | $0 | $27,270 | $0 | $27,295 | $0 | $39,306 | $0 | $659,327 | $0 | $0 | $0 |
| Patrick Magnus MD | ||||||||||||||
| Physician | $532,578 | $0 | $26,510 | $0 | $27,261 | $0 | $33,424 | $0 | $39,457 | $0 | $659,230 | $0 | $0 | $0 |
| Christopher Allen MD | ||||||||||||||
| Trustee (end 1/2024) | $294,345 | $0 | $84,606 | $0 | $2,893 | $0 | $36,753 | $0 | $34,841 | $0 | $453,438 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | 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, 2024 (tax year 2023) includes amounts previously set aside as deferred under Mr. Steigmeyer's 457(f) plan more than three years ago, and have therefore become 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 2023 Form W-2 taxable wages are $187,779 of vested 457(f) deferrals, which represent amounts previously reported on Schedule J, Part II, Column C, as deferred compensation for the fiscal year ending September 30, 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, 2022, 2023, and 2024, Mr. Steigmeyer received total plan contributions (including interest and investment credits) of $221,218, $231,021, and $247,552, 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 $184,993 contribution to his 457(f) plan, plus $46,088 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, 2022, 2023, and 2024, total contributions to the SERP, including interest and investment earnings credits, for Scott Sloane were $43,139, $48,021, and $76,659, respectively; contributions for Matthew Gibb were $53,536, $59,576, and $94,968, respectively; and contributions for Mary Bakken were $23,333, $44,441, and $72,323, 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 these individuals' deferred compensation amounts on this Schedule J, Part II, Column C, including contributions to their 457(f) plans and earnings, are as follows: - Scott Sloane: contributions, $42,732; interest credit, $5,290. - Matthew Gibb: contributions, $52,703; interest credit, $6,873. - Mary Bakken: contributions, $42,668; interest credit, $1,773. 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 | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,196,756 | $62,004,272 | $670,083 | 2020 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $4,896,000 | $12,520,000 | $65,206 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| C | $7,587,502 | $51,498,124 | $717,985 | 2023 | 0 | 0 | Yes (1) | Yes (1) | $32,137,953 | $12,607,328 |
| D | $1,915,000 | $36,582,000 | $190,955 | Yes (1) | 0 | 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 | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 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: 01/13/2025 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 07/31/2024 | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Charles Fanaras | PersonNm |
| Relationship With Org | Trustee/Officer | RelationshipWithOrgTxt |
| Loan Purpose | Lease repayment agreement | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $54,223 | OriginalPrincipalAmt |
| Balance Due | $49,346 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | 0 | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $49,346 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Frederick Briccetti MD | |||
| Trustee | $364,653 | 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. In turn, Concord Hospital compensates NHOH for medical directorship and research support, as well as for certain medical services to aid in its regular operations. During this tax year, NHOH paid Concord Hospital $350,303 for facility rentals, and Concord Hospital paid NHOH $14,350 for medical service fees. | 0 |
| Scott Sloane | |||
| Daughter of Officer | $39,426 | Scott Sloane serves Concord Hospital as the Organization's Treasurer and is an Officer on the Hospital's Board of Directors. Scott Sloane's daughter is employed by the Hospital. Her calendar year 2023 compensation, as based on her 2023 Form W-2 filings, was $39,426, 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/Officer Family Members | $554,600 | Lucy Hodder serves on the Hospital's Board of Directors. Lucy Hodder's husband is employed by the Hospital. His calendar year 2023 compensation, as based on his 2023 Form W-2 filing, was $554,600, 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 | |||
| Trustee Family Members | $138,206 | Dr. Joseph Meyer serves on the Board of Concord Hospital. Joseph Meyer's wife and daughter are also employed by the Hospital. Their calendar year 2023 compensation, as based on their respective 2023 Form W-2 filings, were $22,291 and $115,915, which are commensurate with the salary and benefits of similar persons in their respective positions with their experience at the Hospital. | 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; 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 | |
| Donald Welford | |||
| Trustee | $154,213 | Donald Welford serves as a Trustee on the Board of Concord Hospital. Mr. Welford was also a Senior Vice President of Stewart's Ambulance Service (Mr. Welford retired from the Service in January 2024). During this tax year, Concord Hospital paid Stewart's Ambulance Service $154,213 for medical transportation services. This arrangement was subject to disclose to and approval by the Concord Hospital Board, and the amount paid was deemed reasonable and appropriate for the services provided. | 0 |
| William Chapman Esq | |||
| Trustee and Officer | $129,560 | William Chapman, Esq. served on the Concord Hospital, Inc. Board as a voting trustee and the Board Secretary until January, 2024. Mr. Chapman is also a shareholder and director with the firm Orr & Reno, PA. Orr & Reno, PA provided legal services to Concord Hospital, Inc. during the period covered by this Form 990. In return for such services, Concord Hospital, Inc. paid Orr & Reno, PA $129,560. This arrangement was subject to disclose to and approval by the Concord Hospital Board, and the amount paid was deemed reasonable and appropriate for the services provided. | 0 |
| Ari Salis MD | |||
| Trustee | $296,829 | Ari Salis served on the Concord Hospital, Inc. Board during this tax year. Ari Salis is also a partner in the Firm XPA, which was contracted by Concord Hospital, Inc. to provide radiology services on behalf of the Hospital. Concord Hospital, Inc. paid XPA $296,829 for these services. This arrangement was subject to disclose to and approval by the Concord Hospital Board, and the amount paid was deemed reasonable and appropriate for the services provided. | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule L, Part II, Loans with Interested Persons | FormAndLineReferenceDesc |
| Explanation | Charles Fanaras served on Concord Hospital, Inc.'s board during the period covered by this tax return. Charles Fanaras is also the President and owner of Prescription Center Pharmacies and the CEO and owner of Northeast Pharmacy Services. The Prescription Center previously held a lease agreement with Concord Hospital for the use of office and pharmacy spaces in the Hospital's Memorial Medical Building. This lease agreement terminated during Concord Hospital's fiscal year ending 2023. The Prescription Center and Concord Hospital entered into a repayment agreement for rent amounts due through Concord Hospital's Fiscal Year 2027, with an interest rate considered to be commensurate with going fair market rates. Amounts paid on this repayment agreement during Concord Hospital's fiscal year ending 2024 were $4,877, and the remaining balance of the agreement as of the end of the tax year was $49,346. The amounts charged for the lease have been arranged at a reasonable fair market rate relative to the value of the space made available. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 5,122,413. Pension actuarial gains 17,796,332. Net transfers from affiliates 5,288,215. Noncontrolling interest distributions 57,000. Net assets attributed to controlled organizations -1,696,463. |
| 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 receives the financial statements monthly, and reviews the financial statements at each meeting, bi-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 9/30/2023 and 9/30/2024. |
| 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, 2024, the Hospital also recognized grants through the State of New Hampshire for Federal Emergency Management Agency (FEMA), as well as grants through the State of New Hampshire DHHS. 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 function. 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
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital ACO LLC | 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) |
|---|---|---|
| EIN | 870880602 | EIN |
| Primary Activities | Operation of an accountable care organization | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Total Income | $40,000 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Concord Hospital Inc | BusinessNameLine1Txt |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Capital Region Health Services Corporation | |||||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020428631 | Medical services | NH | Concord Hospital | C | $357,018 | $3,566,943 | 1.00000 | 0 | |
| Capital Region Primary Care Corporation | |||||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020495275 | Inactive | NH | Concord Hospital | C | 1.00000 | Yes (1) | |||
| Lakes Region Medical Office Building | |||||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 020409867 | Rental properties and condominiums | NH | C | 0 | N/A | ||||
| Hillside Medical Park Condo Association | |||||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 863920257 | Rental properties and condominiums | NH | C | 0 | N/A | ||||
| CH Memorial West Condominium Association | |||||||||||||
| 250 Pleasant Street | Concord | NH | 03301 | 372006095 | Rental properties and condominiums | NH | Concord Hospital | C | $154,335 | $1,106,016 | 1.00000 | 0 | |
| 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Capital Region Healthcare Development Corp | ||
| A | $842,941 | Actual per books |
| Concord Hospital Trust | ||
| B | $4,904,152 | Actual per books |
| Capital Region Healthcare Development Corp | ||
| J | $2,390,940 | Actual per books |
| CH Memorial West Condominium Association | ||
| N | $352,591 | Actual per books |
| Capital Region Healthcare Development Corp | ||
| O | $663,140 | Actual per books |
| Capital Region Healthcare Ventures Corp | ||
| O | $47,124 | Actual per books |
| Concord Hospital - Franklin | ||
| O | $9,210,776 | Actual per books |
| Concord Hospital - Laconia | ||
| O | $74,897,327 | Actual per books |
| Concord Hospital Trust | ||
| O | $876,657 | Actual per books |
| Capital Region Healthcare Development Corp | ||
| Q | $2,240,298 | Actual per books |
| Capital Region Healthcare Ventures Corp | ||
| Q | $679,818 | Actual per books |
| CH Memorial West Condominium Association | ||
| Q | $1,020,091 | Actual per books |
| Concord Hospital - Franklin | ||
| Q | $12,542,537 | Actual per books |
| Concord Hospital - Laconia | ||
| Q | $55,200,142 | Actual per books |
| Concord Hospital Trust | ||
| Q | $179,815 | Actual per books |
| Capital Region Healthcare Development Corp | ||
| R | $82,881 | Actual per books |
| Concord Hospital Laconia | ||
| R | $2,200 | 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 $842,941 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 payments 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. Effective beginning in March 2022, all officers, employees, executives, physicians, contractors and/or other labor providers are technically employees of Concord Hospital. Additionally, beginning in March 2022, all vendors of Concord Hospital-Laconia and Concord Hospital-Franklin are paid by Concord Hospital, and the organization incurring the expense reimburses Concord Hospital, as applicable. |