2025-06-30T11:21:55-05:00 2024-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-10-01 222594672 Concord Hospital Inc CONC 6032284677 250 Pleasant Street Concord NH 03301 Scott Sloane Senior VP, CFO, & Treasurer 6032284677 2025-06-11 1 0 Connor Smart P02285543 2078792100 2025-06-11 2023 2025-03-06 01:10:19Z Robert P Steigmeyer 250 Pleasant Street Concord NH 03301 799935957 0 X www.concordhospital.org X 1944 NH Hospital 17 9 5420 213 3059374 0 13395483 7932551 594400395 675297135 14575014 26338540 1108502 1028314 623479394 710596540 0 0 0 0 353334567 393281497 0 0 1152519 242540052 268545901 595874619 661827398 27604775 48769142 819519638 969779290 371113098 388400006 448406540 581379284 Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves. 0 0 550925796 0 673089510 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. 550925796 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0 1 1 1 1 1 0 1 322 0 1 5420 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 17 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NH X X Scott Sloane Senior VP CFO 6032277000 250 Pleasant Street Concord NH 033017539 Christopher Allen MD Trustee (end 1/2024) 1.00 50.00 X 381844 0 71594 Robert Steigmeyer President & CEO, Member Ex-Officio 56.00 7.00 X X 1585081 0 316861 Joseph Meyer MD Trustee 1.00 50.00 X 64359 0 0 Ari Salis MD Trustee 1.00 0.00 X 25000 0 0 Frederick Briccetti MD Trustee 1.00 1.00 X 0 0 0 Philip Emma Trustee 1.00 0.00 X 0 0 0 Jeanie Forrester Trustee 1.00 0.00 X 0 0 0 Lucy Karl Esq Trustee 1.00 6.00 X 0 0 0 Linda Lorden Trustee 1.00 1.00 X 0 0 0 Matthew Nadeau Trustee 1.00 0.00 X 0 0 0 Peter Noordsij MD Trustee 1.00 1.00 X 0 0 0 Katherine Saunders Trustee 1.00 0.00 X 0 0 0 Robert Segal Trustee 1.00 7.00 X 0 0 0 Jeffrey Towle Trustee (end 1/2024) 1.00 1.00 X 0 0 0 Don Welford Trustee 1.00 2.00 X 0 0 0 David Weiss Trustee 1.00 0.00 X 0 0 0 Manisha Patel DDS Chair 1.00 7.00 X X 0 0 0 Charles Fanaras Vice Chair 1.00 7.00 X X 0 0 0 Lucy Hodder Esq Secretary 1.00 6.00 X X 0 0 0 William Chapman Esq Secretary (end 1/2024) 1.00 6.00 X X 0 0 0 Scott Sloane Senior VP, CFO, & Treasurer 56.00 7.00 X 693400 0 154062 Mary Bakken System Chief Operating Officer 50.00 2.00 X 702300 0 145242 Matthew Gibb MD Chief Clinical Officer 50.00 2.00 X 871082 0 126234 Louis Russo MD Physician 50.00 0.00 X 799976 0 53704 Nicola Francalancia MD Physician 50.00 0.00 X 798313 0 54719 Shahab Moossavi MD Physician 50.00 0.00 X 656843 0 73165 Patrick Magnus MD Physician 50.00 0.00 X 586349 0 72881 Burr Loew MD Physician 50.00 0.00 X 592726 0 66601 7757273 0 1135063 876 0 1 0 Medefis Consolidated PO Box 5068 New York NY 10087 Professional services 8940478 Anesthesia Associates PA 1 Pillsbury Street Concord NH 03301 Healthcare services 7378333 Concord Orthopaedics PA 264 Pleasant Street Concord NH 03301 Healthcare services 6349723 Riverbend Community Mntl Hlth Inst PO Box 3032 Concord NH 03302 Healthcare services 4086536 Core Medical Group PO Box 306478 Nashville TN 37230 Professional services 2216383 65 5506013 2426538 7932551 Net Patient Services 621400 636252150 636252150 Disproportionate Share Funding 621400 20175004 20175004 Other Operating Revenue 621400 12519476 11010959 1508517 Food Services 722210 4087271 2359849 1727422 Child Care Center 624410 1149060 1149060 1114174 1114174 675297135 14801908 -176565 14978473 811720 0 811720 811720 811720 100335714 260364 88872696 186750 11463018 73614 11536632 11536632 452565 279971 172594 172594 Concord ACO 621400 44000 44000 44000 710596540 673089510 3059374 26515105 5112059 4279965 824093 8001 313085533 262125041 50470213 490279 10583898 8861021 1706360 16517 50050613 41903245 8069257 78111 14449394 12097284 2329559 22551 2186466 2186466 1264046 1264046 378729 378729 32000 32000 980154 980154 47910196 35506471 12403725 305145 259559 45235 351 5945609 5057378 881387 6844 1364798 1160907 202320 1571 13145791 11181905 1948754 15132 877689 746569 130110 1010 1605975 1366054 238072 1849 4361277 2926328 1388595 46354 22087295 14818260 7035039 233996 5762211 4901378 854200 6633 Drugs/medical supplies 97680923 83088097 14592826 0 NH MET 26276888 26276888 Provision for bad debts 25936620 25936620 Repairs/maintenance 6160677 5240316 913269 7092 4283412 3160510 906674 216228 661827398 550925796 109749083 1152519 73114907 41039465 46393988 88627492 66000334 67069264 3047602 3870752 8285264 9887288 483222621 334863697 154130970 148358924 212415062 306980608 179735441 193189425 33853425 36947704 42542645 73808368 819519638 969779290 89675451 118962842 151668672 137872198 0 49346 129768975 131515620 371113098 388400006 X 448406540 581379284 448406540 581379284 819519638 969779290 X 48769142 57636105 26567497 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 47325 0 0 1 48000 95325 0 Part II-B, Line 1: 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. 365389780 33544182 76617439 659090 667527 474224784 318715202 2456902 46093356 1240084 635596 365389780 340570220 -21147003 708015 318715202 275536256 65833936 799972 340570220 264211724 11916474 591942 275536256 1.00000 0.00000 0.00000 0 1 1 18996 18996 215438341 124847319 90591022 5116450 4263096 853354 256843501 205753282 51090219 5805333 5805333 148358924 Alternative investments 193189425 F 193189425 Intercompany receivables 16118880 Other assets and receivables 4597454 Pension funds net surplus 53092034 73808368 Accrued pension and other long-term liabilities 23600042 Estimated third-party settlements 4676119 Reserve for insurance deductibles 5 Operating lease liabilities 37201163 Due to affiliates 66038291 131515620 X 763575021 57636105 22918745 80554850 683020171 980154 26596215 27576369 710596540 634251029 0 634251029 980154 26596215 27576369 661827398 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. Central America and the Caribbean - Cayman Islands 0 0 Investments - FMV as of 9/30/2024 None 40040000 0 0 0 0 0 0 40040000 0 40040000 1 0 1 1 1 0 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. 1 1 1 X 225.000000000000 1 X 500.000000000000 1 1 1 0 1 1 7 4110 3233201 97978 3135223 0.00490 73236375 41938439 31297936 0.04920 7 4110 76469576 42036417 34433159 0.05410 8 643227 1624670 224825 1399845 0.00220 7 7910 8586147 6288282 2297865 0.00360 21 313387 79679906 34683196 44996710 0.07080 1 51 297629 297629 0.00050 4 487236 112939 374297 0.00060 41 964575 90675588 41309242 49366346 0.07770 48 968685 167145164 83345659 83799505 0.13180 279876 279876 0.00040 279876 279876 0.00040 1 6896591 737935 233144155 305623642 -72479487 X 1 1 1 1 Concord Hospital 250 Pleasant Street Concord NH 03301 01098 X X X X Concord Hospital 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X See Part V, Section C X See Part V, Section C X X 1 23 1 See Part V, Section C 0 1 X 225.000000000000 500.000000000000 X X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X X 1 X 0 0 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 60 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) 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 X X X X 0 1 0 0 0 0 0 1 0 Robert Steigmeyer President & CEO, Member Ex-Officio 898727 0 434592 0 251762 0 275511 0 41350 0 1901942 0 187779 0 Matthew Gibb MD Chief Clinical Officer 659310 0 194853 0 16919 0 95586 0 30648 0 997316 0 0 0 Louis Russo MD Physician 712768 0 53890 0 33318 0 34505 0 19199 0 853680 0 0 0 Nicola Francalancia MD Physician 736272 0 53890 0 8151 0 36010 0 18709 0 853032 0 0 0 Mary Bakken System Chief Operating Officer 518398 0 157752 0 26150 0 106744 0 38498 0 847542 0 0 0 Scott Sloane Senior VP, CFO, & Treasurer 507270 0 158321 0 27809 0 118893 0 35169 0 847462 0 0 0 Shahab Moossavi MD Physician 601202 0 28371 0 27270 0 32321 0 40844 0 730008 0 0 0 Burr Loew MD Physician 530001 0 35455 0 27270 0 27295 0 39306 0 659327 0 0 0 Patrick Magnus MD Physician 532578 0 26510 0 27261 0 33424 0 39457 0 659230 0 0 0 Christopher Allen MD Trustee (end 1/2024) 294345 0 84606 0 2893 0 36753 0 34841 0 453438 0 0 0 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. A NH Health & Education Facilities Authority 020279866 2017-12-01 62004272 Construction of Parking Garage and Building and Equipment Acquisition 0 0 0 B NH Health & Education Facilities Authority 020279866 2020-03-17 12520000 Advance Refund Series 2011 NHHEFA Revenue Bonds 0 0 0 C NH Health & Education Facilities Authority 020279866 2021-07-14 51498124 Refund Series 2013B NHHEFA Revenue Bonds, facility improvement & equipment. 0 0 0 D NH Health & Education Facilities Authority 020279866 2020-03-17 36582000 Advance Refund Series 2013A NHHEFA Revenue Bonds 0 0 0 A 2196756 62004272 670083 2020 0 0 1 1 B 4896000 12520000 65206 1 0 1 1 C 7587502 51498124 32137953 717985 12607328 2023 0 0 1 1 D 1915000 36582000 190955 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed 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 Charles Fanaras Trustee/Officer Lease repayment agreement X 54223 49346 0 1 0 49346 Frederick Briccetti MD Trustee 364653 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 39426 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 554600 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 138206 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 154213 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 129560 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 296829 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 Form 990, Schedule L, Part II, Loans with Interested Persons 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. 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. Concord Hospital ACO LLC 250 Pleasant Street Concord NH 03301 870880602 Operation of an accountable care organization NH 40000 0 Concord Hospital Inc 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 Concord Hospital 1 Capital Region Health Care Development Corporation 250 Pleasant Street Concord NH 03301 020429749 Support Concord Hospital & other affiliates NH 501(c)(2) Concord Hospital 1 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 Concord Hospital 1 Concord Hospital - Franklin 250 Pleasant Street Concord NH 03301 851433123 Hospital NH 501(c)(3) Line 3 Concord Hospital 1 Concord Hospital - Laconia 250 Pleasant Street Concord NH 03301 851443782 Hospital NH 501(c)(3) Line 3 Concord Hospital 1 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 Capital Region Health Services Corporation 250 Pleasant Street Concord NH 03301 020428631 Medical services NH Concord Hospital C 357018 3566943 1.00000 0 Capital Region Primary Care Corporation 250 Pleasant Street Concord NH 03301 020495275 Inactive NH Concord Hospital C 1.00000 1 Lakes Region Medical Office Building 250 Pleasant Street Concord NH 03301 020409867 Rental properties and condominiums NH N/A C 0 Hillside Medical Park Condo Association 250 Pleasant Street Concord NH 03301 863920257 Rental properties and condominiums NH N/A C 0 CH Memorial West Condominium Association 250 Pleasant Street Concord NH 03301 372006095 Rental properties and condominiums NH Concord Hospital C 154335 1106016 1.00000 0 1 0 1 1 1 0 0 0 0 1 1 0 0 0 1 0 1 1 1 Capital Region Healthcare Development Corp A 842941 Actual per books Concord Hospital Trust B 4904152 Actual per books Capital Region Healthcare Development Corp J 2390940 Actual per books CH Memorial West Condominium Association N 352591 Actual per books Capital Region Healthcare Development Corp O 663140 Actual per books Capital Region Healthcare Ventures Corp O 47124 Actual per books Concord Hospital - Franklin O 9210776 Actual per books Concord Hospital - Laconia O 74897327 Actual per books Concord Hospital Trust O 876657 Actual per books Capital Region Healthcare Development Corp Q 2240298 Actual per books Capital Region Healthcare Ventures Corp Q 679818 Actual per books CH Memorial West Condominium Association Q 1020091 Actual per books Concord Hospital - Franklin Q 12542537 Actual per books Concord Hospital - Laconia Q 55200142 Actual per books Concord Hospital Trust Q 179815 Actual per books Capital Region Healthcare Development Corp R 82881 Actual per books Concord Hospital Laconia R 2200 Actual per books 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.