CONCORD HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CONCORD HOSPITAL INC (EIN 22-2594672)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-07-12
IRS object ID: 201911939349301111
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-07-12T12:28:06-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222594672	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Scott Sloane	PersonNm
Person Title	Senior VP, CFO, & Treasurer	PersonTitleTxt
Phone	6032284677	PhoneNum
Signature	2019-06-18	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	2078792100	PhoneNum
Preparation	2019-06-18	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-06-18	IPDt
IP Tm	13:56:58	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	3452BD8595D9AC820B41F271E29CE8BF50AD3EDC	AtSubmissionCreationDeviceId
At Submission Filing Device Id	86AD5A998A217BD7885303F5109AB5202568ED7D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$558,487,164	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.concordhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1944	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Hospital	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	3977	TotalEmployeeCnt
Total Volunteers	250	TotalVolunteersCnt
Total Gross UBI	$2,383,542	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$690,254	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,759,894	PYContributionsGrantsAmt
CY Contributions Grants	$4,654,766	CYContributionsGrantsAmt
PY Program Service Revenue	$490,926,175	PYProgramServiceRevenueAmt
CY Program Service Revenue	$517,361,113	CYProgramServiceRevenueAmt
PY Investment Income	$9,212,215	PYInvestmentIncomeAmt
CY Investment Income	$14,710,104	CYInvestmentIncomeAmt
PY Other Revenue	$360,563	PYOtherRevenueAmt
CY Other Revenue	$520,610	CYOtherRevenueAmt
PY Total Revenue	$505,258,847	PYTotalRevenueAmt
CY Total Revenue	$537,246,593	CYTotalRevenueAmt
PY Grants And Similar Paid	$294,700	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$80,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$275,652,996	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$283,748,271	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$201,355,745	PYOtherExpensesAmt
CY Other Expenses	$231,888,478	CYOtherExpensesAmt
PY Total Expenses	$477,303,441	PYTotalExpensesAmt
CY Total Expenses	$515,716,749	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,955,406	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$21,529,844	CYRevenuesLessExpensesAmt
Total Assets BOY	$562,669,503	TotalAssetsBOYAmt
Total Assets EOY	$636,262,707	TotalAssetsEOYAmt
Total Liabilities BOY	$242,554,355	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$289,400,733	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$320,115,148	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$346,861,974	NetAssetsOrFundBalancesEOYAmt
Mission	Concord Hospital is a charitable organization which exists to meet the health needs of individuals within the communities it serves.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$434,015,420	ExpenseAmt
Grant	$80,000	GrantAmt
Revenue	$515,514,386	RevenueAmt
Desc	Various hospital services; see Schedule HIn FYE 2018, Concord Hospital invested more than $76 million for community benefit programs, services, and other expenses. The largest areas of support were charitable care services, medical education and subsidized programs and services. Our investment enhances the Hospital's ability to provide quality patient care, respond to identified community health needs and address the Hospital's charitable mission overall.	Desc
Total Program Service Expenses	$434,015,420	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	360	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3977	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6032277000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Valerie Acres Esq
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Philip Boulter MD
Trustee	1.00	3.00	Yes (X)	$0	$0	$0
Frederick Briccetti MD
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Michelle Chicoine
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Peter Cook
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Philip Emma
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Peter Noordsij MD
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Manisha Patel DDS
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
Muriel Schadee CPA
Trustee	1.00	3.00	Yes (X)	$0	$0	$0
Robert Segal
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Lon Setnik MD
Trustee	1.00	0.00	Yes (X)	$0	$0	$0
David Stevenson MD
Trustee	50.00	1.00	Yes (X)	$211,563	$0	$60,208
Robert Thomson MD
Medical Staff President (end 1/18)	1.00	1.00	Yes (X)	$0	$0	$0
Jeffrey Towle
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
David Ruedig
Chair	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
Sol Asmar
Vice Chair	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
William Chapman Esq
Secretary	1.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
Robert P Steigmeyer
President & CEO	56.00	4.00	Yes (X)	$924,848	$0	$215,500	Yes (X)
Scott Sloane
Treasurer	56.00	4.00		$322,039	$0	$81,528	Yes (X)
David Green MD
Senior VP/Chief Medical Of	50.00	0.00		$522,197	$0	$90,361		Yes (X)
Timothy P Jones
Senior VP/Chief Operating	50.00	0.00		$492,225	$0	$56,841		Yes (X)
Gerald Sardella MD
Physician	50.00	0.00		$634,853	$0	$62,952			Yes (X)
Todd Burdette MD
Physician	50.00	0.00		$514,205	$0	$68,557			Yes (X)
Adam Chodosh MD
Physician	50.00	0.00		$537,673	$0	$64,895			Yes (X)
Shahab Moossavi MD
Physician	50.00	0.00		$505,734	$0	$51,292			Yes (X)
Michael Ferguson MD
Physician	50.00	0.00		$493,168	$0	$40,635			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,158,505	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$792,769	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	417	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Concord Emergency Medical Assoc
540 Lafayette Road	Hampton	NH	03842	Physician services	$10,040,952
Elliot Hospital
1070 Holt Avenue Suite 2100	Manchester	NH	03109	Healthcare services	$6,247,188
Anesthesia Associates PA
1 Pillsbury Street Suite 202	Concord	NH	03301	Healthcare services	$2,592,146
Elevating Informatics
511 Prairie Lake Drive	Fern Park	FL	32730	Professional Services	$2,466,657
Medefis Consolidated
PO Box 5068	New York	NY	10087	Professional Services	$1,898,339

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	24	CntrctRcvdGreaterThan100KCnt
Related Organizations	$4,654,766	RelatedOrganizationsAmt
Total Contributions	$4,654,766	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Net Patient Service	621400	$491,948,223	$491,948,223
Disproportionate Share Funding	621400	$14,327,206	$14,327,206
Other Operating Revenue	621400	$6,736,810	$5,508,660	$1,228,150
Food Services	722210	$4,109,509	$2,970,322	$1,139,187
ARRA-HI-TECH	621400	$125,155	$125,155

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,210	TotalRevenueColumnAmt
Related Or Exempt Func Income	$114,210	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$517,361,113	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,072,572	TotalRevenueColumnAmt
Unrelated Business Revenue	$16,205	UnrelatedBusinessRevenueAmt
Exclusion	$4,056,367	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$520,610	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$520,610	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$520,610	TotalRevenueColumnAmt
Related Or Exempt Func Income	$520,610	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$31,793,209	SecuritiesAmt
Other	$84,894	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$21,240,022	SecuritiesAmt
Other	$549	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$10,553,187	SecuritiesAmt
Other	$84,345	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,637,532	TotalRevenueColumnAmt
Exclusion	$10,637,532	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$537,246,593	TotalRevenueColumnAmt
Related Or Exempt Func Income	$515,514,386	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,383,542	UnrelatedBusinessRevenueAmt
Exclusion	$14,693,899	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$80,000	TotalAmt
Program Services	$80,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,977,310	TotalAmt
Program Services	$678,340	ProgramServicesAmt
Management And General	$2,298,970	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$229,519,706	TotalAmt
Program Services	$192,372,611	ProgramServicesAmt
Management And General	$37,147,095	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,304,790	TotalAmt
Program Services	$7,162,035	ProgramServicesAmt
Management And General	$1,142,755	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,928,798	TotalAmt
Program Services	$23,279,826	ProgramServicesAmt
Management And General	$4,648,972	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,017,667	TotalAmt
Program Services	$12,489,611	ProgramServicesAmt
Management And General	$2,528,056	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,314,023	TotalAmt
Program Services	$92,624	ProgramServicesAmt
Management And General	$1,221,399	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$587,302	TotalAmt
Management And General	$587,302	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,876	TotalAmt
Management And General	$56,876	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$87,203	TotalAmt
Management And General	$87,203	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$848,668	TotalAmt
Management And General	$848,668	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,040,208	TotalAmt
Program Services	$12,439,312	ProgramServicesAmt
Management And General	$4,600,896	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$243,807	TotalAmt
Program Services	$60,520	ProgramServicesAmt
Management And General	$183,287	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,739,108	TotalAmt
Program Services	$5,394,079	ProgramServicesAmt
Management And General	$2,345,029	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,177,988	TotalAmt
Program Services	$12,842,801	ProgramServicesAmt
Management And General	$5,335,187	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,334,697	TotalAmt
Program Services	$10,048,683	ProgramServicesAmt
Management And General	$4,286,014	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$372,000	TotalAmt
Program Services	$219,171	ProgramServicesAmt
Management And General	$152,829	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$791,002	TotalAmt
Program Services	$689,972	ProgramServicesAmt
Management And General	$101,030	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,872,730	TotalAmt
Program Services	$3,410,911	ProgramServicesAmt
Management And General	$1,461,819	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,082,596	TotalAmt
Program Services	$18,257,817	ProgramServicesAmt
Management And General	$7,824,779	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,685,489	TotalAmt
Program Services	$5,685,489	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical/Surgical Suppli	$71,463,029	$71,463,029
Bad Debt Expense	$29,321,616	$29,321,616
Medicaid Enhancement Ta	$20,975,018	$20,975,018
Repairs/Maintenance	$5,494,714	$3,773,889	$1,720,825

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,400,404	TotalAmt
Program Services	$3,278,066	ProgramServicesAmt
Management And General	$3,122,338	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$515,716,749	TotalAmt
Program Services	$434,015,420	ProgramServicesAmt
Management And General	$81,701,329	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,473,285	BOYAmt
EOY	$7,554,078	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,551,607	BOYAmt
EOY	$30,553,332	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$51,229,669	BOYAmt
EOY	$69,847,777	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,776,639	BOYAmt
EOY	$1,978,868	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,610,145	BOYAmt
EOY	$4,931,830	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$461,339,381	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$303,712,220	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$164,621,979	BOYAmt
EOY	$157,627,161	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$139,912,923	BOYAmt
EOY	$164,564,006	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$151,507,173	BOYAmt
EOY	$172,825,770	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$7,842,554	BOYAmt
EOY	$8,191,481	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$25,143,529	BOYAmt
EOY	$18,188,404	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$562,669,503	BOYAmt
EOY	$636,262,707	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,312,072	BOYAmt
EOY	$68,196,146	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$85,323,515	BOYAmt
EOY	$137,523,672	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,918,768	BOYAmt
EOY	$83,680,915	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$242,554,355	BOYAmt
EOY	$289,400,733	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$320,115,148	BOYAmt
EOY	$346,861,974	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$320,115,148	BOYAmt
EOY	$346,861,974	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$562,669,503	BOYAmt
EOY	$636,262,707	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$21,529,844	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,422,073	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,794,909	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$39,203	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$48,000	OtherActivitiesAmt
Total Lobbying Expenditures	$87,203	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Concord Hospital was a member of the American Hospital Association & New Hampshire Hospital Association in the fiscal year ended 9/30/18. 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 portions of dues used for lobbying by the American Hospital Association and New Hampshire Hospital Association were $9,196 and $30,007, respectively. Concord Hospital has hired an outside consultant to perform services to further Concord Hospital's mission. This consultant was paid $48,000 in the year ended 9/30/18.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$239,892,180	BeginningYearBalanceAmt
Investment Earnings Or Losses	$33,431,692	InvestmentEarningsOrLossesAmt
Other Expenditures	$567,561	OtherExpendituresAmt
End Year Balance	$272,756,311	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$232,130,222	BeginningYearBalanceAmt
Contributions	$1,940,394	ContributionsAmt
Investment Earnings Or Losses	$6,298,683	InvestmentEarningsOrLossesAmt
Other Expenditures	$477,119	OtherExpendituresAmt
End Year Balance	$239,892,180	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$243,015,224	BeginningYearBalanceAmt
Contributions	$1,036,824	ContributionsAmt
Investment Earnings Or Losses	-$9,845,448	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,076,378	OtherExpendituresAmt
End Year Balance	$232,130,222	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$210,537,884	BeginningYearBalanceAmt
Contributions	$19,493,511	ContributionsAmt
Investment Earnings Or Losses	$13,878,348	InvestmentEarningsOrLossesAmt
Other Expenditures	$894,519	OtherExpendituresAmt
End Year Balance	$243,015,224	EndYearBalanceAmt

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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$161,515,060	OtherCostOrOtherBasisAmt
Depreciation	$88,788,730	DepreciationAmt
Book Value	$72,726,330	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,903,336	OtherCostOrOtherBasisAmt
Depreciation	$2,816,209	DepreciationAmt
Book Value	$2,087,127	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$287,857,717	OtherCostOrOtherBasisAmt
Depreciation	$212,107,281	DepreciationAmt
Book Value	$75,750,436	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,044,272	OtherCostOrOtherBasisAmt
Book Value	$7,044,272	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$157,627,161	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative Investments	Desc
Book Value	$172,825,770	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$172,825,770	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Estimated 3rd Party Settlements	$35,378,442
Accrued Pension & Other Long-Term Liabilities	$48,302,473

Field	Value	IRS element (for citing)
Total Liability	$83,680,915	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$541,925,013	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,422,073	NetUnrealizedGainsInvstAmt
Other Revenue	$7,598,647	OtherRevenueAmt
Revenue Not Reported	$9,020,720	RevenueNotReportedAmt
Revenue Subtotal	$532,904,293	RevenueSubtotalAmt
Investment Expenses Not Incld	$850,415	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,491,885	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,342,300	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$537,246,593	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$514,254,829	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$514,254,829	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$850,415	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$611,505	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,461,920	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$515,716,749	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	The intended use of the endowment funds is to fund capital expenditures for medical equipment/provide healthcare prevention and services for the uninsured population in the service area.
Part X, Line 2:	The Hospital, CRHCDC, CRHVC, CH/DHC 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. 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.
Part XI, Line 2d - Other Adjustments:	Pension Actuarial Gain 7,598,647.
Part XI, Line 4b - Other Adjustments:	Board Designated Spending 611,505. Net Periodic Pension Cost 2,880,380.
Part XII, Line 4b - Other Adjustments:	Board Designated Spending 611,505.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments - FMV as of 9/30/18	TypeOfActivitiesConductedTxt
Specific Services Provided	None	SpecificServicesProvidedTxt
Region Total Expenditures	$60,869,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$60,869,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$60,869,000	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	4700	PersonsServedCnt
Total Community Benefit Expns	$4,527,355	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,527,355	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,782,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,219,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,563,584	NetCommunityBenefitExpnsAmt
Total Expense	0.05050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	4700	PersonsServedCnt
Total Community Benefit Expns	$44,310,075	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,219,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,090,939	NetCommunityBenefitExpnsAmt
Total Expense	0.05980	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	521038	PersonsServedCnt
Total Community Benefit Expns	$2,682,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$551,212	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,131,055	NetCommunityBenefitExpnsAmt
Total Expense	0.00440	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	7661	PersonsServedCnt
Total Community Benefit Expns	$11,055,734	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,459,354	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,596,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	24	ActivitiesOrProgramsCnt
Persons Served	324325	PersonsServedCnt
Total Community Benefit Expns	$90,012,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,416,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,595,484	NetCommunityBenefitExpnsAmt
Total Expense	0.08350	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	31	PersonsServedCnt
Total Community Benefit Expns	$91,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$91,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$605,222	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$605,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	46	ActivitiesOrProgramsCnt
Persons Served	853055	PersonsServedCnt
Total Community Benefit Expns	$104,447,067	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,427,537	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,019,530	NetCommunityBenefitExpnsAmt
Total Expense	0.09670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	55	ActivitiesOrProgramsCnt
Persons Served	857755	PersonsServedCnt
Total Community Benefit Expns	$148,757,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,646,673	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,110,469	NetCommunityBenefitExpnsAmt
Total Expense	0.15650	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,245,804	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,096,301	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$168,330,140	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$229,319,523	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$60,989,383	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Concord Hospital	Part V, Section B, Line 5: See the narrative for Schedule H, Part VI, line 2.
Concord Hospital	Part V, Section B, Line 7d: The Community Benefits Report (2018 Charitable Achievements) was included in the Hospital's annual report that was mailed to nearly 24,000 households within the communities that the Hospital serves. It is also available on the State of New Hampshire's Department of Justice, Office of the Attorney General, Charitable Trusts Unit website and Concord Hospital's website. The Hospital's 2015 and 2018 Community Health Needs Assessments are on the Hospital's website with instructions on how to obtain a printed copy.
Concord Hospital	Part V, Section B, Line 11: See attached 2016-2018 Community Benefits Action Plan to see how Concord Hospital is addressing the significant needs identified in its most recently conducted CHNA covered by this tax filing.The one need where the Hospital had limited involvement was in the area of food insecurity, although the Hospital did engage with local food banks to improve healthy choices available.
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 the underserved and low-income individuals and families; our financial assistance program is well understood by those agencies who often refer people to the program. Finally, our Financial Assistance staff reach out personally to the homeless through the monthly clinic at the homeless resource center to connect them to regular medical care. Currently, the Hospital's Financial Assistance Policy is only available online in English. However, for non-English speaking patients, interpreters are provided. The Hospital is currently working to launch a new website that will incorporate a widget that will allow the Financial Assistance Policy to be readily translated into non-English languages.
Schedule H, Part V, Section B, Line 7a & 10a:	The CHNA is available at the Hospital facility's website:https://www.concordhospital.org/app/files/public/1232/Capital-Region-Community-Health-Needs-Assessment-2015.pdf Implementation Strategy:https://giveto.concordhospital.org/file/2016-2018-Community-Benefits-Action-Plan.pdf
Schedule H, Part V, Section B, Line 16a-c:	The Hospital's Financial Assistance Policy, Application, and Plain Language Summary can be found online at:Financial Assistance Policy:https://www.concordhospital.org/app/files/public/1358/Financial-Assistance-Policy.pdf Financial Assistance Application: https://www.concordhospital.org/app/files/public/812/Financial-Assistance-Application-Form.pdf Plain Language Summary:https://www.concordhospital.org/patients-visitors/patient-financial-services/financial-assistance/financial-assistance-policy-plain-language-summary/

Field	Value	IRS element (for citing)
Facility	56	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (56 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Capital Orthopaedic Srgry Ctr-Concord
264 Pleasant Street	Concord	NH	03301	Outpatient Surgery
2 - Concord Imaging Center
248 Pleasant Street Suite 106	Concord	NH	03301	Imaging Services
3 - Concord Hospital Cardiac Associates
246 Pleasant Street Suite 103	Concord	NH	03301	Outpatient Physician Services
4 - Center for Urologic Care
246 Pleasant Street Suite G2	Concord	NH	03301	Outpatient Physician Services
5 - Concord Ambulatory Surgery Center
60 Commercial Street Suite 301	Concord	NH	03301	Outpatient Surgery
6 - Concord Endoscopy Center
60 Commercial Street	Concord	NH	03301	Outpatient Endoscopy Services
7 - Concord Imaging Center
60 Commercial Street Suite 101	Concord	NH	03301	Imaging Services
8 - Concord Obstetrics and Gynecology
189 North Main Street	Concord	NH	03301	Outpatient Physician Services
9 - Concord Surgical Associates
246 Pleasant Street Suite 205	Concord	NH	03301	Outpatient Physician Services
10 - Capital Orthopaedic Srgry Ctr-Derry
14 Tsienneto Road Suite 100	Derry	NH	03836	Outpatient Surgery
11 - Concord Hosp Family Health Center
250 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
12 - Concord Pulmonary Medicine
248 Pleasant Street Suite G100	Concord	NH	03301	Outpatient Physician Services
13 - Center for Sports Med & Ortho Rehab
264 Pleasant Street	Concord	NH	03301	Rehabilitation Services
14 - Rehabilitation Services at Warner
2 East Main Street	Warner	NH	03278	Rehabilitation Services
15 - Rehab Serv Fam Health Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Rehabilitation Services
16 - Concord Family Medicine
18 Foundry Street Suite 201	Concord	NH	03301	Outpatient Physician Services
17 - Internal Medicine
248 Pleasant Street Suite 2800	Concord	NH	03301	Outpatient Physician Services
18 - Concord Hospital Sleep Center
18 Foundry Street Suite 103	Concord	NH	03301	Outpatient Sleep Services
19 - Concord Plastic Surgery
246 Pleasant Street Suite 210	Concord	NH	03301	Outpatient Physician Services
20 - Concord Hospital Urgent Care
60 Commercial Street	Concord	NH	03301	Walk-in Urgent Care
21 - Concord Hospital Cardiac Ass-Laconia
85 Spring Street Suite 2A1	Laconia	NH	03246	Outpatient Physician Services
22 - Penacook Family Physicians
4 Crescent Street	Peacock	NH	03303	Outpatient Physician Services
23 - Neurology Associates
248 Pleasant Street Suite G200	Concord	NH	03301	Outpatient Physician Services
24 - Family Tree Healthcare Hopkinton
19 Farrington Corner Road	Hopkinton	NH	03229	Outpatient Physician Services
25 - Family Care Of Concord
248 Pleasant Street Suite 2600	Concord	NH	03301	Outpatient Physician Services
26 - Pleasant Street Family Medicine
280 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
27 - Epsom Family Medicine
1990 Dover Road	Epsom	NH	03234	Outpatient Physician Services
28 - Rehab Serv CH Med Off-Horseshoe Pnd
60 Commercial Street Suite 403	Concord	NH	03301	Rehabilitation Services
29 - Rehab Serv CH Med Off-North
18 Foundry Street Suite 101	Concord	NH	03301	Rehabilitation Services
30 - CardiacThoracic Surgery
246 Pleasant Street	Concord	NH	03301	Outpatient Physician Services
31 - Family Physicians of Pembroke
121 Pembroke Street	Pembroke	NH	03275	Outpatient Physician Services
32 - Concord Hosp Fam Hlth Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Outpatient Physician Services
33 - Rehab Serv CH Med Off-East
1990 Dover Road Suite 201	Epsom	NH	03234	Rehabilitation Services
34 - International Travel Clinic
246 Pleasant Street Suite 104	Concord	NH	03301	Outpatient Physician Services
35 - Internal Medicine at Horseshoe Pond
60 Commercial Street Suite 401	Concord	NH	03301	Outpatient Physician Services
36 - Concord Imaging Center
1990 Dover Road	Epsom	NH	03234	Imaging Services
37 - Family Tree Healthcare Warner
2 East Main Street	Warner	NH	03278	Outpatient Physician Services
38 - Rehabilitation Services at Pembroke
121 Pembroke Street	Pembroke	NH	03275	Rehabilitation Services
39 - Family Tree Healthcare Concord
81 Hall Street	Concord	NH	03301	Outpatient Physician Services
40 - Lab-Memorial Medical Office Building
246 Pleasant Street	Concord	NH	03301	Outpatient Laboratory Services
41 - Concord Hosp Fam Hlth Ctr Behav Hlth
250 Pleasant Street Yeaple Building	Concord	NH	03301	Outpatient Counseling Services
42 - Capital Region Palliative Care & Hospice
246 Pleasant Street Suite 206	Concord	NH	03301	Outpatient Physician Services
43 - Anti-Coag Clinic Internal Medicine
248 Pleasant Street Suite 2800	Concord	NH	03301	Outpatient Physician Services
44 - Center for Health Promotion
49 South Main Street	Concord	NH	03301	Health Promotion Services
45 - Lab CH Medical Off at Horseshoe Pond
60 Commercial Street	Concord	NH	03301	Outpatient Laboratory Services
46 - Concord Hosp Fam Hlth Ctr Dntl Clinic
250 Pleasant Street Yeaple Building	Concord	NH	03301	Dental Services
47 - Lab CH Medical Offices-East
1990 Dover Road	Epsom	NH	03234	Outpatient Laboratory Services
48 - Concord Family Medicine Havenwood
149 East Side Drive	Concord	NH	03301	Outpatient Physician Services
49 - Breast Care Center
248 Pleasant Street Suite 206	Concord	NH	03301	Imaging and Counseling service
50 - Radiology Srv Fam Hlth Ctr-Hillsboro
15 Antrim Road	Hillsboro	NH	03244	Radiology Services
51 - Family Health Center Lab
250 Pleasant Street Yeaple Building	Concord	NH	03301	Outpatient Laboratory Services
52 - Lab Penacook Family Physicians
4 Crescent Street	Penacook	NH	03303	Outpatient Laboratory Services
53 - Lab Heights
149 East Side Drive	Concord	NH	03301	Outpatient Laboratory Services
54 - Lab Family Tree Warner
2 East Main Street	Warner	NH	03278	Outpatient Laboratory Services
55 - Lab Family Physicians of Pembroke
121 Pembroke Street	Pembroke	NH	03275	Outpatient Laboratory Services
56 - Anti-Coag Clinic Concord Fam Med
18 Foundry Street Suite 201	Concord	NH	03301	Outpatient Physician Services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Subsidized Health Services represents those activities that assure access to medical care and support for people with special medical needs and those who may be faced with chronic health conditions. Many of these activities also ensure access to needed health services, which might otherwise not be available without subsidized or special support.
Part I, Ln 7 Col(f):	The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $29,321,616.
Part II, Community Building Activities:	The Hospital's Trauma Program launched a service area-wide educational initiative, "Stop the Bleed", to provide tourniquet kits for all school classrooms and also educate personnel on the proper use of tourniquets. The initiative, which will continue into 2019, is expected to provide 800 kits via a fundraising campaign to schools serving the Hospital's 28 communities in its service area.
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, 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 10 of the attached audited financial statements.
Part III, Line 8:	The Medicare shortfall of $60,989,383 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 Hospital's filed Medicare cost report, which determines cost via 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, telephone surveys and analysis of various data sets. Assessment results are shared with community members and serve as the basis to develop new or expanded services in response to need. The most recent assessment covered by this tax return was completed in the tax year of 2015. Shortly after the fiscal year covered by this return filing, the Hospital completed a new assessment in December 2018 and approved the 2019-2021 Implementation Plan which reflects the most recent identified priority health needs. Both the 2018 Community Health Needs Assessment and the 2019-2021 Implementation Plan will be more specifically addressed in the Hospital's 2018 Form 990, Schedule H and are available on the Hospital's website at: www.concordhospital.org/about-us/charitable-achievements/
Part VI, Line 3:	The Hospital actively meets with all people who indicate that they do not have insurance or will have difficulty paving 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 defines its Primary Service Area as 28 communities to which it has close geographic proximity and significant market share. According to the State of New Hampshire's "Concord Healthcare Service Area Regional Health Profile, 2001," the 28 communities that comprise the Hospital's PSA represent, in terms of square miles, the largest hospital service area in the State. Together, these communities cover an area of nearly 900 square miles. The Hospital serves all the residents of these towns as well as many others from across the State of New Hampshire through its regional and statewide referral for specialty care, including orthopaedic, cardiology, oncology, and urological care.
Part VI, Line 5:	Part I line 6A, Concord Hospital develops programs and services to address community health needs and invests annually in initiatives that align with the Hospital's charitable mission. A reasonable amount of Concord Hospital's community benefit investment remains in the area of charitable care to ensure that those without insurance or with limited insurance have access to needed medical care. The Hospital strives to address the needs of vulnerable populations, including our low-income neighbors and other vulnerable populations. The Hospital's Family Health Centers ensure access to primary, behavioral health, and dental care for our region's most vulnerable residents, which address identified community health needs. Those achievements are at the heart of our community benefit activity. Beyond that focus are programs and services that benefit every resident and support that far reaching goal of a healthier community. The Hospital continued its efforts toward promoting the health of the community by investing its surplus funds in new medical facilities to enhance patient care, by providing funding support to Capital Region Healthcare affiliates through the Community Services Fund for programs that address identified community needs and serve vulnerable populations, and by continuing to recruit new primary care physicians to enhance access in the community.Finally, per the IRS instructions to Schedule H, Part I, the Hospital has not included its $60,989,383 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 7, Reports Filed With States	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Riverbend Community Mental Health
PO Box 2032	Concord	NH	03301	020264383	501(c)(3)	$60,000	Support for: continuing education & training of staff, clinical staff at Concord Homeless Resource Center, and general operating support.
Concord Regional Visiting Nurse Association Inc
30 Pilsbury Street	Concord	NH	03301	020222122	501(c)(3)	$20,000	Purchase of two i-stat machines for diagnostic testing.

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The Hospital works with the Concord Hospital Trust to administer grants provided from funds available through the Community Services Funds. The Trust has an open application process for those entities that meet the grant requirements, and the Trust Board approves and recommends to the Hospital Board, all recommended granting actions. The Trust provides annual monitoring of compliance with expected spending requirements and gets updates as needed.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Stevenson MD
Trustee	$210,572	$0	$0	$0	$991	$0	$37,814	$0	$22,394	$0	$271,771	$0	$0	$0
Robert P Steigmeyer
President & CEO	$609,550	$0	$235,000	$0	$80,298	$0	$192,904	$0	$22,596	$0	$1,140,348	$0	$78,750	$0
Scott Sloane
Treasurer	$246,638	$0	$74,728	$0	$673	$0	$60,339	$0	$21,189	$0	$403,567	$0	$0	$0
David Green MD
Senior VP/Chief Medical Of	$410,578	$0	$108,600	$0	$3,019	$0	$70,296	$0	$20,065	$0	$612,558	$0	$0	$0
Timothy P Jones
Senior VP/Chief Operating	$384,856	$0	$105,821	$0	$1,548	$0	$35,623	$0	$21,218	$0	$549,066	$0	$0	$0
Gerald Sardella MD
Physician	$596,837	$0	$35,694	$0	$2,322	$0	$37,949	$0	$25,003	$0	$697,805	$0	$0	$0
Todd Burdette MD
Physician	$359,868	$0	$153,754	$0	$583	$0	$43,642	$0	$24,915	$0	$582,762	$0	$0	$0
Adam Chodosh MD
Physician	$504,102	$0	$32,815	$0	$756	$0	$39,669	$0	$25,226	$0	$602,568	$0	$0	$0
Shahab Moossavi MD
Physician	$470,101	$0	$35,145	$0	$488	$0	$38,640	$0	$12,652	$0	$557,026	$0	$0	$0
Michael Ferguson MD
Physician	$459,230	$0	$32,815	$0	$1,123	$0	$21,669	$0	$18,966	$0	$533,803	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 4b

Robert P. Steigmeyer, President & CEO, participated in a 457(f) plan with Concord Hospital during the fiscal year. Under the terms of the plan, after a three-year vesting period there will be a 457(f) amount included in taxable W-2 wages for Mr. Steigmeyer. The calendar year ending within the Hospital's current reporting period ending September 30, 2018 (tax year 2017) was the first year where amounts previously set aside as deferred under his 457(f) plan had vested. Accordingly, $78,750 was included in Mr. Steigmeyer's 2017 W-2 taxable wage which was previously reported on Schedule J, Part II, Column C of the Hospital's Form 990 filing for fiscal year ending September 30, 2015. In accordance with IRS instructions, this amount has been included in Schedule J, Part II, Column B(iii) and Column F. There were additional contributions to Mr. Steigmeyer's 457(f) plan for fiscal years ended September 30, 2015, 2016, 2017, and 2018 of $115,000, $120,000, $125,000, and $162,500 respectively. Each contribution plus earnings will be reported in Mr. Steigmeyer's W-2 after a three-year vesting period. The amount included in Mr. Steigmeyer's deferred compensation amounts in Schedule J, Part II, Column C include the $125,000 contribution to his 457(f) plan plus $26,044 of earnings.

Part I, Line 7

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A	020279866	644614K65	2011-03-01	$50,095,322	Facility Improvements/Renovations	0	0	0
NH Health & Education Facilities Authority
B	020279866	644614Z85	2013-02-01	$48,631,000	Facility Improvement Project & Advance Refund Series 2001 NHHEFA Bonds	0	0	0
NH Health & Education Facilities Authority
C	020279866		2013-04-01	$32,421,000	Advance Refund the Series 2004 NHHEFA Hospital Revenue Bonds	0	0	0
NH Health & Education Facilities Authority
D	020279866		2017-12-01	$62,004,272	New Construction and Renovations	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt
A	$50,095,322	$544,891	2012	Yes (1)	0	Yes (1)	Yes (1)
B	$48,631,000	$561,439	2014	Yes (1)	0	Yes (1)	Yes (1)
C	$32,421,264	$64,503	2013	0	Yes (1)	Yes (1)	Yes (1)	$31,800,000
D	$62,004,272	$670,083	2020	0	0	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Naxis Funding Corp
A	0	0	0	Yes (1)	0	0	Yes (1)	1.800000000000	0	0	Yes (1)
(no name)
B	0	0	0	Yes (1)	0	0	0			0	Yes (1)
(no name)
C	0	0	0	Yes (1)	0	0	0			0	Yes (1)
(no name)
D	0	0	0	Yes (1)	0	0	0			0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Date Rebate Computation Performed	FormAndLineReferenceDesc
Explanation	Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 02/28/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 02/06/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 04/25/2018 Issuer Name: NH Health & Education Facilities Authority Date the Rebate Computation was Performed: 11/30/2018	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Capital Region Health Care Corporation, a charitable corporation, acting through its board of trustees, is the sole Member of the Hospital.
Form 990, Part VI, Section A, line 7a	The Board of Trustees shall be composed of not less than fourteen nor more than nineteen persons excluding ex-officio Trustees, the number to be established and elected by the Member.
Form 990, Part VI, Section A, line 7b	The affairs of the Hospital shall be managed by the Trustees who shall have and may exercise all the powers of the Hospital except those reserved to the Member by law, the Articles of Agreement, or the Bylaws. In addition: -Any voluntary dissolution, merger or consolidation of the Hospital or the sale or transfer of all or substantially all of the Hospital's assets or the creation or acquisition of any subsidiary or affiliate corporation shall be subject to approval by the Member. -Any amendment of the Hospital's Bylaws or Articles of Agreement shall be subject to approval by the Member. -Any changes in the Hospital's non-profit status shall be subject to approval by the Member.
Form 990, Part VI, Section B, line 11b	The 990 is reviewed in detail with the Audit Committee of the Board of Trustees. All board members receive a copy of the 990 to review prior to filing the report.
Form 990, Part VI, Section B, line 12c	Each Trustee, officer and committee member, upon entering the duties of his/her office and annually thereafter, will be advised of this policy and shall sign a statement acknowledging his/her understanding of and agreement to this policy. Annual reviews will adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part VI, Section B, line 15	The evaluation of the performance of the Chief Executive Officer ("CEO") of Concord Hospital and its subsidiaries (collectively the "Hospital") is an important responsibility of the Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer, Chief Financial Officer, and Chief Medical Officer as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, 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 on the Hospital's web site, www.concordhospital.org. In addition to this, the Hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction.
Form 990, Part XI, line 9:	Pension Actuarial Loss 7,598,647. Equity Transfer to Affiliate -923,358. Net Periodic Pension Cost -2,880,380.
Form 990, Part XII, Line 2c	There was no change in the process for oversight of the audit and compilation of financial statements for the fiscal year. The Board has a finance committee, which reviews the financial statements monthly. There is also an audit committee of the Board, which reviews the annual audit process and the selection of the independent accountant. The same independent firm of accountants performed the audit for the fiscal years ending 9/30/17 and 9/30/18.
Form 990, Part VII:	Dr. David A. Stevenson is listed in Form 990, Part VII as a voting member of the Hospital's governing body. He was also employed by the Hospital as full-time physician and received compensation and benefits related to his services to the Hospital in his capacity as a physician. None of his compensation and benefits reflects remuneration in his capacity as a board member of the Hospital. In accordance with IRS instructions, he has not been listed as an independent board member in Form 990, Part VI, Line 1b.
Form 990, Part IX, Column D:	Although the Hospital is reporting contribution income on Form 990, Part VIII, Line 1 it is not reporting any fundraising expenses on Form 990, Part IX, Line 25, Column D. All philanthropic activity is conducted by the Hospital's affiliate, Concord Hospital Trust. All contribution revenue is first received by the Trust which is then granted to the Hospital. All fundraising expenses related to this solicitation of contribution revenue is reported on Concord Hospital Trust's Form 990, Part IX, Column D.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

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

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Concord Imaging Center LLC
2 1/2 Beacon Street	Concord	NH	03301	020436605	Provide radiology services to community	NH	N/A
Capital Orthopedic Surgery Center
250 Pleasant Street	Concord	NH	03301	020522860	Provide medical care to community	NH	N/A
Concord Endoscopy Center LLC
60 Commerical Street	Concord	NH	03301	201184756	Provide medical care to community	NH	N/A
Concord Elliot ACO LLC
1 Elliot Way	Manchester	NH	03103	454803675	Accountable Care Org	NH		Elliot Hospital of the City of Manchester	Related	0	Yes (1)	0.16670
Concord Ambulatory Surgery Center LLC
60 Commerical Street	Concord	NH	03301	201184704	Provide medical care to community	NH	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct
Capital Region Health Services Corporation
250 Pleasant Street	Concord	NH	03301	020428631	Medical services	NH	N/A	C	0
Capital Region Primary Care Corporation
250 Pleasant Street	Concord	NH	03301	020495275	Inactive	NH		C	Yes (1)	Concord Hospital	1.00000

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Capital Region Health Care Development Corp
A	$1,441,708	Actual per books
Capital Region Health Care Ventures Corp
C	$4,201,287	Actual per books
Capital Region Health Care Development Corp
J	$3,162,824	Actual per books
Capital Region Health Care Development Corp
O	$545,016	Actual per books
Capital Region Health Care Ventures Corp
O	$225,485	Actual per books
Concord Hospital Trust
O	$625,074	Actual per books
Capital Region Health Care Ventures Corp
Q	$898,118	Actual per books
Concord Hospital Trust
Q	$1,080,187	Actual per books

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule R, Part III:	FormAndLineReferenceDesc
Explanation	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. During the 2017 tax year, the hospital system invested in Granite Healthcare Asset Holding Company, LLC, a joint venture with several hospital facilities. The Hospital's investment in this entity does not otherwise meet the disclosure requirements for Schedule R, Part III. During the 2017 tax period, Concord Ambulatory Surgery Center, LLC became a single member LLC of Capital Region Health Ventures Corp.	ExplanationTxt