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CONCORD HOSPITAL- FRANKLIN: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CONCORD HOSPITAL- FRANKLIN (EIN 85-1433123)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-06-30
IRS object ID
202541819349300964
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 ReturnHeader

FieldValueIRS element (for citing)
Return2025-06-30T11:21:55-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN851433123EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital - FranklinBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONCBusinessNameControlTxt
Phone6032284677PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonScott SloanePersonNm
Person TitleSenior VP, CFO, & TreasurerPersonTitleTxt
Phone6032284677PhoneNum
Signature2025-06-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnor SmartPreparerPersonNm
PTINP02285543PTIN
Phone2078792100PhoneNum
Preparation2025-06-11PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert P SteigmeyerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,969,987GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.concordhospital.org/locations/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionHospitalActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee179TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$5,060TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$54,648PYContributionsGrantsAmt
CY Contributions Grants$2,344CYContributionsGrantsAmt
PY Program Service Revenue$37,782,596PYProgramServiceRevenueAmt
CY Program Service Revenue$39,950,544CYProgramServiceRevenueAmt
PY Investment Income$15,127PYInvestmentIncomeAmt
CY Investment Income$17,099CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$37,852,371PYTotalRevenueAmt
CY Total Revenue$39,969,987CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,782,769PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,826,893CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$45,089CYTotalFundraisingExpenseAmt
PY Other Expenses$13,840,158PYOtherExpensesAmt
CY Other Expenses$11,883,751CYOtherExpensesAmt
PY Total Expenses$28,622,927PYTotalExpensesAmt
CY Total Expenses$26,710,644CYTotalExpensesAmt
PY Revenues Less Expenses$9,229,444PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,259,343CYRevenuesLessExpensesAmt
Total Assets BOY$30,909,813TotalAssetsBOYAmt
Total Assets EOY$43,045,897TotalAssetsEOYAmt
Total Liabilities BOY$6,185,443TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,014,518TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,724,370NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,031,379NetAssetsOrFundBalancesEOYAmt
MissionCH-Franklin is a charitable organization which exists to meet the health needs of individuals within the communities it serves.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$22,522,180ExpenseAmt
Grant$0GrantAmt
Revenue$39,945,484RevenueAmt
DescVarious hospital services; see Schedule H. In FYE 2024, Concord Hospital - Franklin ("CH-F") invested over $1.6 million in community benefit programs, services, and other expenses. The largest areas of support were charitable care services 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$22,522,180TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee179EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Scott Sloane Senior VP CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032277000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1250 Pleasant StreetAddressLine1Txt
CityConcordCityNm
State AbbreviationNHStateAbbreviationCd
ZIP033017539ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Robert Steigmeyer
President & CEO, Member Ex-Officio1.0062.00Yes (X)Yes (X)$0$1,585,081$316,861
Lucy Karl Esq
Trustee1.006.00Yes (X)$0$0$0
Robert Segal
Trustee1.007.00Yes (X)$0$0$0
Manisha Patel DDS
Chair1.007.00Yes (X)Yes (X)$0$0$0
Charles Fanaras
Vice Chair1.007.00Yes (X)Yes (X)$0$0$0
Lucy Hodder Esq
Secretary1.006.00Yes (X)Yes (X)$0$0$0
William Chapman Esq
Secretary (end 1/2024)1.006.00Yes (X)Yes (X)$0$0$0
Scott Sloane
Senior VP, CFO, & Treasurer1.0062.00Yes (X)$0$693,400$154,062
Matthew Gibb MD
Chief Clinical Officer1.0051.00$0$871,082$126,234Yes (X)
Mary Bakken
System Chief Operating Officer1.0051.00$0$702,300$145,242Yes (X)
Kevin McCarthy
Chief Administrative Officer1.0051.00$0$474,591$104,369Yes (X)
Te-ana Harris MD
Physician50.000.00$0$273,965$34,148Yes (X)
Ana Silvia Hernandez Aviles MD
Physician50.000.00$0$204,558$42,016Yes (X)
Jo-Ann Lopez Valles MD
Physician50.000.00$0$190,230$45,091Yes (X)
Melissa Hanrahan MD
Physician50.000.00$0$262,937$51,201Yes (X)
Mary Abigail Dacuycuy MD
Physician50.000.00$0$191,121$54,306Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,449,265TotReportableCompRltdOrgAmt
Total Other Compensation$1,073,530TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medefis Consolidated
PO Box 5068New YorkNY10087Healthcare solutions$574,633
Core Medical Group
PO Box 306478NashvilleTN37230Staffing and recruiting$293,886
Health Carousel LLC
PO Box 714216CincinnatiOH45271Staffing and recruiting$281,243
R & D Paving Inc
PO Box 175FranklinNH03235Paving and maintenance$238,884
Virtual Neurology LLC
PO Box 60159Fort MeyersFL33906Online medical services$113,150
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$2,344RelatedOrganizationsAmt
Total Contributions$2,344TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient services621400$36,528,697$36,523,637$5,060
Disproportionate share funding621400$3,369,266$3,369,266
Pharmacies456110$52,581$52,581
FieldValueIRS element (for citing)
Total Program Service Revenue$39,950,544TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,099TotalRevenueColumnAmt
Exclusion$17,099ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,969,987TotalRevenueColumnAmt
Related Or Exempt Func Income$39,945,484RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,060UnrelatedBusinessRevenueAmt
Exclusion$17,099ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,551,604TotalAmt
Program Services$9,671,366ProgramServicesAmt
Management And General$1,862,149ManagementAndGeneralAmt
Fundraising$18,089FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$212,364TotalAmt
Program Services$177,795ProgramServicesAmt
Management And General$34,238ManagementAndGeneralAmt
Fundraising$331FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,241,332TotalAmt
Program Services$1,876,482ProgramServicesAmt
Management And General$361,352ManagementAndGeneralAmt
Fundraising$3,498FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$821,593TotalAmt
Program Services$687,852ProgramServicesAmt
Management And General$132,459ManagementAndGeneralAmt
Fundraising$1,282FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$40,684TotalAmt
Management And General$40,684ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,996TotalAmt
Management And General$9,996ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$555TotalAmt
Management And General$555ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,855,345TotalAmt
Program Services$2,957,257ProgramServicesAmt
Management And General$884,461ManagementAndGeneralAmt
Fundraising$13,627FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$78TotalAmt
Program Services$66ProgramServicesAmt
Management And General$12ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$272,114TotalAmt
Program Services$231,464ProgramServicesAmt
Management And General$40,337ManagementAndGeneralAmt
Fundraising$313FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,077TotalAmt
Program Services$34,090ProgramServicesAmt
Management And General$5,941ManagementAndGeneralAmt
Fundraising$46FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$701,645TotalAmt
Program Services$596,824ProgramServicesAmt
Management And General$104,013ManagementAndGeneralAmt
Fundraising$808FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,667TotalAmt
Program Services$11,625ProgramServicesAmt
Management And General$2,026ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,086TotalAmt
Program Services$3,475ProgramServicesAmt
Management And General$606ManagementAndGeneralAmt
Fundraising$5FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$487,329TotalAmt
Program Services$326,947ProgramServicesAmt
Management And General$155,219ManagementAndGeneralAmt
Fundraising$5,163FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$364,539TotalAmt
Program Services$310,079ProgramServicesAmt
Management And General$54,040ManagementAndGeneralAmt
Fundraising$420FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Provision for bad debts$1,895,787$1,895,787
Drugs/medical supplies$1,676,524$1,426,063$250,461
NH MET$1,650,000$1,650,000
Repairs/maintenance$664,795$489,332$174,210$1,253

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$206,530TotalAmt
Program Services$175,676ProgramServicesAmt
Management And General$30,616ManagementAndGeneralAmt
Fundraising$238FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,710,644TotalAmt
Program Services$22,522,180ProgramServicesAmt
Management And General$4,143,375ManagementAndGeneralAmt
Fundraising$45,089FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$38,575BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,131,490BOYAmt
EOY$2,641,935EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$303,063BOYAmt
EOY$273,464EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$186,869BOYAmt
EOY$277,546EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,661,131LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,012,227LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,621,477BOYAmt
EOY$3,648,904EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$305,008BOYAmt
EOY$367,995EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,323,331BOYAmt
EOY$35,836,053EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,909,813BOYAmt
EOY$43,045,897EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$681,258BOYAmt
EOY$695,960EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,504,185BOYAmt
EOY$4,318,558EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,185,443BOYAmt
EOY$5,014,518EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,419,362BOYAmt
EOY$37,663,384EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$305,008BOYAmt
EOY$367,995EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,724,370BOYAmt
EOY$38,031,379EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,909,813BOYAmt
EOY$43,045,897EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,259,343ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$47,515NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$151OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$9,757GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$9,757TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationConcord Hospital - Franklin ("CH-F") 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 CH-F 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 $3,920 and $5,837, respectively.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$305,007BeginningYearBalanceAmt
Investment Earnings Or Losses$63,543InvestmentEarningsOrLossesAmt
Administrative Expenses$555AdministrativeExpensesAmt
End Year Balance$367,995EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$293,132BeginningYearBalanceAmt
Investment Earnings Or Losses$85,359InvestmentEarningsOrLossesAmt
Other Expenditures$72,899OtherExpendituresAmt
Administrative Expenses$585AdministrativeExpensesAmt
End Year Balance$305,007EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$348,539BeginningYearBalanceAmt
Investment Earnings Or Losses-$54,708InvestmentEarningsOrLossesAmt
Administrative Expenses$699AdministrativeExpensesAmt
End Year Balance$293,132EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$348,539ContributionsAmt
End Year Balance$348,539EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.91330PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08670TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,000OtherCostOrOtherBasisAmt
Book Value$280,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,230,349OtherCostOrOtherBasisAmt
Depreciation$1,240,793DepreciationAmt
Book Value$1,989,556BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$248,102OtherCostOrOtherBasisAmt
Depreciation$26,921DepreciationAmt
Book Value$221,181BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,584,124OtherCostOrOtherBasisAmt
Depreciation$744,513DepreciationAmt
Book Value$839,611BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$318,556OtherCostOrOtherBasisAmt
Book Value$318,556BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,648,904TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDue from affiliatesDesc
Book Value$35,836,053BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$35,836,053TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescThird-party payor settlementsDesc
Amt$4,318,558Amt
FieldValueIRS element (for citing)
Total Liability$4,318,558TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:On May 1, 2021, Concord Hospital, Inc., the sole member of Concord Hospital - Franklin, acquired certain assets of LRGHealthcare, which included the hospitals that became Concord Hospital - Laconia and Concord Hospital - Franklin, and their ambulatory sites. As part of this acquisition, Concord Hospital, Inc. also acquired LRGHealthcare's existing endowments, which were subsequently divided and allocated to the two new hospital-entities. The majority of the funds received by Concord Hospital - Franklin as part of the acquisition of LRGHealthcare are restricted for the use of providing discounted and/or free medical care. Concord Hospital - Franklin's Board also has the ability to designate and set aside unrestricted endowment funds to be used for general hospital and healthcare operations as the Board sees fit and for the furtherance of Concord Hospital - Franklin's mission.
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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served271PersonsServedCnt
Total Community Benefit Expns$347,694TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$347,694NetCommunityBenefitExpnsAmt
Total Expense0.01400TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,522,543TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,522,543DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served271PersonsServedCnt
Total Community Benefit Expns$5,870,237TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,522,543DirectOffsettingRevenueAmt
Net Community Benefit Expns$347,694NetCommunityBenefitExpnsAmt
Total Expense0.01400TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served237PersonsServedCnt
Total Community Benefit Expns$99,362TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,362NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served31PersonsServedCnt
Total Community Benefit Expns$5,787TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,787NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served21448PersonsServedCnt
Total Community Benefit Expns$4,458,325TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,251,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,207,104NetCommunityBenefitExpnsAmt
Total Expense0.04860TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served21716PersonsServedCnt
Total Community Benefit Expns$4,563,474TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,251,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,312,253NetCommunityBenefitExpnsAmt
Total Expense0.05280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served21987PersonsServedCnt
Total Community Benefit Expns$10,433,711TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,773,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,659,947NetCommunityBenefitExpnsAmt
Total Expense0.06680TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,650TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,650NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,650TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,650NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$419,381BadDebtExpenseAmt
Bad Debt Expense Attributable$44,874BadDebtExpenseAttributableAmt
Reimbursed By Medicare$17,649,675ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$11,985,576CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$5,664,099MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital - FranklinBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Aiken AvenueAddressLine1Txt
CityFranklinCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03235ZIPCd
FieldValueIRS element (for citing)
Website AddressSee Part VIWebsiteAddressTxt
State License04499StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Concord Hospital - FranklinBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Section COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Concord Hospital - FranklinPart V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord Hospital - FranklinPart 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 - FranklinPart 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 - FranklinPart V, Section B, Line 7d: The Hospital's 2023 Health Needs Assessments is on the Hospital's website at:https://www.concordhospital.org/about-us/charitable-achievements-and-health-needs-assessment/The website also provides instructions on how to obtain a printed copy.
Concord Hospital - FranklinPart 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/3f3a0605-d401-4917-bd43-981b10c92f56/2023CommunityBenefitsPlanReportFranklin.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 - FranklinPart 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 and Concord Hospital - Laconia websites.
Concord Hospital - FranklinPart V, Section B, Line 20e: Concord Hospital-Franklin follows Concord Hospital, Inc.'s financial, billing, and collection policies. Concord Hospital, Inc. 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, Inc. 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, Inc. has a generous financial assistance program. Individuals who cannot afford to pay for their medical care are encouraged to apply for financial assistance. Financial assistance is available to individuals who are uninsured and for those individuals who have insurance, but cannot afford their out-of-pocket costs such as co-payments, co-insurance, and deductibles.In addition to the efforts taken as indicated in Schedule H, Part V, Lines 20a through 20c, the Hospital also takes additional measures to ensure that patients eligible for financial assistance do not have an Extraordinary Collection Action (ECA) levied against them. Each month, the 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 the Hospital has made at least one attempt to orally notify the individual about the financial assistance policy.
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
Schedule H, Part V, Section B, Line 7a-10: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
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CH-F Primary Care
15 Aiken AvenueFranklinNH032351259Outpatient services
2 - CH-F Recovery Clinic
15 Aiken AvenueFranklinNH032351259Rehabilitation services
3 - CH-F Podiatry
15 Aiken AvenueFranklinNH032351259Outpatient services (closed)

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 subsidization.
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 $ 1,895,787.
Part II, Community Building Activities:In 2023, Concord Hospital-Franklin's Community Building Activities focused emergency preparedness. Concord Hospital-Franklin continued to support community building activities through organizational and employee involvement with Granite United Way, Lakes Region Community Services, Winnipesaukee Public Health Network and recycling/environmental service programs. Concord Hospital-Franklin works 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 Hospital 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 Hospital does not pursuecollection 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 anapplication 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:Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitallyneeded by our community. The Medicare cost report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.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 6 were determined using the cost to charge ratio methodology.Concord Hospital - Franklin qualifies for Medicare reimbursements as a critical access facility. This classification entitles Concord Hospital - Franklin to a slightly higher Medicare reimbursement rate, and therefore may occasionally result in Concord Hospital - Franklin recognizing revenue from Medicare in excess of direct allowable costs.
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.
Schedule H, Part V, Section A, Hospital Website:The Concord Hospital-Franklin website can be found online at the following address:https://www.concordhospital.org/locations/profile/concord-hospital-franklin/
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:Concord Hospital - Franklin follows the financial assistance procedures and policies of its parent, Concord Hospital, Inc. (the Hospital).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.The Hospital also actively meets with all people who indicate that they do not have insurance or will have difficulty paying their obligations to inform and work with them to understand what local programs are available to them, including how they can benefit from the Hospital's Financial Assistance program.
Part VI, Line 4:Concord Hospital-Franklin serves the Twin Rivers region surrounding Franklin, NH. In FY-2021, more than 75 percent of the inpatient and Emergency Department discharges from Concord Hospital-Franklin were for patients living in the five towns that have a combined population of approximately 25,000. The remainder of patients originated from bordering towns. Communities served include small but growing populations and include low-income, uninsured adults and children. Compared to New Hampshire overall, the service area population has proportionally more senior (about 22 percent over 65 compared to about 18 percent in NH overall). The proportion of adults over age 65 varies significantly across the towns within the region; ranging from 14 percent in Northfield residents to about 37 percent in Hebron. The service area has a similar proportion of children and youth compared to the state (16.7 percent under 18 compared to 19 percent in NH overall) ranging from about 6 percent of Hebron residents to approximately 23 percent in Andover.Additionally, the region overall has a higher proportion of family households with children that are headed by single parents (32.9 percent compared to 28 percent for NH) and individuals with a disability (17.8 percent compared to 12.7 percent for NH). The 2023 Concord and Lakes Region Community Health Needs Assessment also found that 9.9% of the population in the Three Rivers region lived at or below 100% of the Poverty Level. 8.1 percent of the population is uninsured and 16.6 percent of the population enrolled in Medicaid. Medically Underserved Areas and Populations (MUA/Ps) are designated by the Health Resources and Services Administration based on an "Index of Medical Underservice." The low income population of the Franklin Service Area (rural areas of Belknap, Grafton, and Merrimack counties) was identified as a primary care MUP.
Part VI, Line 5:Concord Hospital - Franklin develops programs and services to address community health needs and invests in initiatives that align with the Hospital's charitable mission. A reasonable amount of Concord Hospital - Franklin'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 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.Availability of mental health services and substance misuse programs (prevention, treatment and recovery) remains a high priority identified by all needs assessment survey modalities. The Hospital's substance use programs and inpatient Designated Receiving Facility, and Laconia's Dental Clinic to ensure access to substance use services, mental health and dental care for our region's most vulnerable residents, which address identified community health needs.These achievements are at the heart of the organization's community benefit activity. Beyond that, there is a focus on programs and services that benefit every resident and support that far reaching goal of a healthier community.
Part VI, Line 6:Concord Hospital - Franklin is a part of the Concord Hospital System. 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 StatesNH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Robert Steigmeyer
President & CEO, Member Ex-Officio$0$898,727$0$434,592$0$251,762$0$275,511$0$41,350$0$1,901,942$0$187,779
Matthew Gibb MD
Chief Clinical Officer$0$659,310$0$194,853$0$16,919$0$95,586$0$30,648$0$997,316$0$0
Mary Bakken
System Chief Operating Officer$0$518,398$0$157,752$0$26,150$0$106,744$0$38,498$0$847,542$0$0
Scott Sloane
Senior VP, CFO, & Treasurer$0$507,270$0$158,321$0$27,809$0$118,893$0$35,169$0$847,462$0$0
Kevin McCarthy
Chief Administrative Officer$0$351,087$0$93,230$0$30,274$0$74,210$0$30,159$0$578,960$0$0
Melissa Hanrahan MD
Physician$0$179,348$0$81,385$0$2,204$0$15,909$0$35,292$0$314,138$0$0
Te-ana Harris MD
Physician$0$248,178$0$23,068$0$2,719$0$9,267$0$24,881$0$308,113$0$0
Ana Silvia Hernandez Aviles MD
Physician$0$201,871$0$497$0$2,190$0$8,447$0$33,569$0$246,574$0$0
Mary Abigail Dacuycuy MD
Physician$0$146,816$0$42,460$0$1,845$0$12,078$0$42,228$0$245,427$0$0
Jo-Ann Lopez Valles MD
Physician$0$187,597$0$500$0$2,133$0$11,646$0$33,445$0$235,321$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The compensation for the Organization's CEO was established by a related organization, Concord Hospital, Inc. That organization established the CEO's compensation by using a compensation committee, independent compensation consultant, and a compensation study. The compensation was also approved by the Hospital's compensation committee.
Part I, Line 4bRobert 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Page 1, Box J:The full address to reach the Concord Hospital-Franklin website is as follows: https://www.concordhospital.org/locations/profile/ concord-hospital-franklin/
Form 990, Part V, Lines 1-2; and Part VII, Section B:Concord Hospital - Franklin ("CH-F") is part of the Concord Hospital Health System. All officers, employees, executives, physicians, contractors and/or other labor providers who offer services to CH-F are legally and technically employed and compensated by either Concord Hospital, Inc., the Organization's sole member. CH-F does not file its own payroll reporting forms, including Forms W-2, 1099-MISC, or 1099-NEC. However, CH-F does have dedicated employees and contractors that are paid through Concord Hospital, Inc., with Concord Hospital, Inc. acting as a common paymaster for CH-F. Therefore, and in accordance with IRS Instructions, the Organization has listed its share of the System's total employees on this Form 990, Part V, Line 2, even though such individuals' Forms W-2 were technically filed by Concord Hospital, Inc. As the common paymaster for CH-F, Concord Hospital, Inc. ensured that all required federal employment tax returns for all System employees were timely and compliantly filed, and so Part V, Line 2b has been answered "yes." This also applies to CH-F's top-five highest paid employees and top-five highest paid independent contractors; these individuals and service providers, while compensated for services performed in their capacity as Concord Hospital Health System employees rendered on behalf of and for CH-F, are technically paid by and receive payroll reporting forms from Concord Hospital, Inc. In accordance with IRS Instructions and to maintain transparency, such persons and contractors have been disclosed as CH-F's top-five highest paid employees and independent contractors, though such persons and entities are technically paid by related organizations.
Form 990, Part VI, Section A, line 6Concord Hospital, Inc. is the sole member of the Organization.
Form 990, Part VI, Section A, line 7aThe Organization's Board of Trustees shall consist of the members of the Executive Committee of the Organization's sole member, Concord Hospital, Inc., as well as the Chief Administrative Officer and CEO, ex officio, without vote.
Form 990, Part VI, Section A, line 7bThe sole Member of the Organization, Concord Hospital, Inc., may initiate and implement any proposal or take action with respect to any of the following, and if any proposal with respect to any of the following is otherwise initiated, it shall not become effective unless approved by the Member. (a) Approval of any merger, consolidation, reorganization, liquidation or dissolution of the Corporation or any subsidiary or affiliate entity; (b) Entering into any change of control transaction or sale of substantially all of the assets of the Corporation; (c) Approval of any amendment or restatement of the Articles of Agreement or the Bylaws of the Corporation; (d) Approval of the annual operating and capital budgets of the Corporation, including the consolidated or combined budgets of the Corporation that include subsidiary organizations of the Corporation; (e) Approval of long-term or material agreements of the Corporation or any subsidiary organization including, but not limited to, debt or equity financings, capitalized leases and installment contracts, that are not contemplated in an approved budget; (f) Approval of any indebtedness or increase of indebtedness for borrowed money, secured or unsecured, of the Corporation or any subsidiary or affiliate in excess of the amount approved in the annual budget; (g) Establishment of undergraduate or graduate medical education programs by the Corporation or any subsidiary or affiliate with medical schools; (h) Contracting with an unrelated third party for all or substantially all of the management of the assets or operations of the Corporation or any subsidiary or affiliate entity; (i) Approval of strategic plans of the Corporation or any subsidiary or affiliate entity; (j) Establishment of third party relationships which have significant financial or strategic implications; (k) Appointment or removal of the Chief Administrative Officer of the Corporation (the Chief Administrative Officer), as recommended by the Members President and Chief Executive Officer (the CEO); and (l) Renewal of employment, and decisions regarding compensation and other material terms of employment, of the Chief Administrative Officer, as recommended by the Members CEO.
Form 990, Part VI, Section B, line 11bThe 990 is reviewed in detail with the Audit Committee of the Concord Hospital, Inc.'s 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 12cEach Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15Any determination for compensation or benefits paid to the organization's officers or key employees is performed by Concord Hospital, Inc., the sole member of the filing Organization, and its Board of Trustees and committees thereof. The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital, Inc. 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 19Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted 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 VII, Section A, Column E:The compensation reported for Robert P. Steigmeyer and Scott Sloane was paid by Concord Hospital, Inc. for their services as full-time executives. In total, they worked an average of 63 hours per week for all entities in the Concord Hospital health care system, of which an average of 1 hour per week was dedicated to Concord Hospital - Franklin. Concord Hospital - Franklin (CH-F) is also listing on its Form 990, Part VII, Matthew Gibb, who serves as the Organization's Chief Clinical Officer, and Mary Bakken, who serves as the Organization's System Chief Operating Officer. Matthew Gibb and Mary Bakken are both employed and compensated by Concord Hospital Inc. (CH), the sole parent of CH-F. While directly paid by CH, their services are also considered essential to the operations of CH-F. Accordingly, they have been disclosed on this Form 990 as Key Employees of CH-F.
Form 990, Part IX, line 11gAdmin and maintenance services: Program service expenses 2,553,896. Management and general expenses 775,513. Fundraising expenses 13,627. Total expenses 3,343,036. IT services: Program service expenses 108,949. Management and general expenses 108,948. Fundraising expenses 0. Total expenses 217,897. Medical professionals: Program service expenses 294,412. Management and general expenses 0. Fundraising expenses 0. Total expenses 294,412.
Form 990, Part XI, line 9:Transfers from affiliates 151.
Form 990, Part XII, Line 2c:Concord Hospital - Franklin (CH-F) is included in the Concord Hospital, Inc. and Subsidiaries Audited Consolidated Financial Statements. Concord Hospital, Inc. is the sole member of CH-F. CH-F's Board in conjunction with Concord Hospital's chief financial executives review the CH-F's financial statements monthly, and its Finance Committee receives monthly financial statements which are reviewed bi-monthly within Finance Committee meetings. Concord Hospital also has an audit committee of its Board, which reviews the annual audit process and the selection of the independent accountant for the entire Concord Hospital-System. The same independent firm of accountants performed the audit for the Concord Hospital-System's fiscal years ending 9/30/2023 and 9/30/2024.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Concord Hospital
250 Pleasant StreetConcordNH03301222594672HospitalNH501(c)(3)Line 3Capital Region Health Care Corporation0
Capital Region Health Care Corporation
250 Pleasant StreetConcordNH03301020222123Promote comprehensive health service systemNH501(c)(3)Line 12a, I0N/A
Capital Region Health Ventures Corp
250 Pleasant StreetConcordNH03301020438264Provide medical care to communityNH501(c)(3)Line 12b, IIConcord Hospital0
Capital Region Health Care Development Corporation
250 Pleasant StreetConcordNH03301020429749Support Concord Hospital & other affiliatesNH501(c)(2)Concord Hospital0
Concord Regional Visiting Nurse Association Inc
PO Box 1797ConcordNH033021797020222122Home health care & hospice servicesNH501(c)(3)Line 100N/A
Riverbend Community Mental Health Inc
3-5 North State StreetConcordNH033022032020264383Multi-service teamNH501(c)(3)Line 70N/A
Concord Hospital Trust
250 Pleasant StreetConcordNH03301260378710FundraisingNH501(c)(3)Line 12a, IConcord Hospital0
Concord Hospital - Laconia
250 Pleasant StreetConcordNH03301851443782HospitalNH501(c)(3)Line 3Concord Hospital0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Concord Imaging Center LLC
2 1/2 Beacon StreetConcordNH03301020436605Provide radiology services to communityNHN/A00
Capital Orthopedic Surgery Center
250 Pleasant StreetConcordNH03301020522860Provide medical care to communityNHN/A00
Concord Endoscopy Center LLC
60 Commerical StreetConcordNH03301201184756Provide medical care to communityNHN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Capital Region Health Services Corporation
250 Pleasant StreetConcordNH03301020428631Medical servicesNHN/AC0
Capital Region Primary Care Corporation
250 Pleasant StreetConcordNH03301020495275InactiveNHN/AC0
Lakes Region Medical Office Building
250 Pleasant StreetConcordNH03301020409867Rental properties and condominiumsNHN/AC0
Hillside Medical Park Condo Association
250 Pleasant StreetConcordNH03301863920257Rental properties and condominiumsNHN/AC0
CH Memorial West Condominium Association
250 Pleasant StreetConcordNH03301372006095Rental properties and condominiumsNHN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd