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Nonprofiteer
← CONCORD HOSPITAL- FRANKLIN

Form 990 for tax year 2024

Filed by CONCORD HOSPITAL- FRANKLIN.

Totals

Total revenue
$34,048,454
Total expenses
$31,068,052
Contributions and grants received
$7,248
Grants paid
$0
Program service revenue
$34,020,130
Investment income
$21,076
Other revenue
$0
Total assets, end of year
$45,524,250
Total liabilities, end of year
$5,505,109
Net assets or fund balances, end of year
$40,019,141
Program services expenses (Part IX)
$26,425,866
Management and general expenses
$4,589,037
Fundraising expenses
$53,149
Program service expenses (Part III)
$26,425,866

Program services were 85.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $7,233

  • 1f · All other contributions, gifts and grants

    $15

  • 2a · Program service revenue: Patient services

    total $31,061,208 · related or exempt $31,055,513 · unrelated business $5,695

  • 2b · Program service revenue: Disproportionate share funding

    total $2,905,736 · related or exempt $2,905,736

  • 2c · Program service revenue: Pharmacies

    total $53,186 · related or exempt $53,186

  • 3 · Investment income

    total $21,076 · excluded $21,076

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $14,961,342 · program services $12,540,947 · management and general $2,396,258 · fundraising $24,137

  • 8 · Pension plan contributions

    total $186,289 · program services $156,148 · management and general $29,839 · fundraising $302

  • 9 · Other employee benefits

    total $2,389,052 · program services $2,002,516 · management and general $382,669 · fundraising $3,867

  • 10 · Payroll taxes

    total $1,029,816 · program services $863,197 · management and general $164,952 · fundraising $1,667

  • 11b · Fees: legal

    total $3,115 · management and general $3,115

  • 11c · Fees: accounting

    total $9,996 · management and general $9,996

  • 11f · Fees: investment management

    total $412 · management and general $412

  • 11g · Fees: other

    total $4,155,057 · program services $3,316,816 · management and general $824,510 · fundraising $13,731

  • 13 · Office expenses

    total $259,462 · program services $229,721 · management and general $29,590 · fundraising $151

  • 14 · Information technology

    total $47,839 · program services $42,355 · management and general $5,456 · fundraising $28

  • 16 · Occupancy

    total $706,334 · program services $625,370 · management and general $80,553 · fundraising $411

  • 17 · Travel

    total $24,350 · program services $21,559 · management and general $2,777 · fundraising $14

  • 19 · Conferences, conventions and meetings

    total $1,913 · program services $1,694 · management and general $218 · fundraising $1

  • 22 · Depreciation, depletion and amortization

    total $572,426 · program services $384,035 · management and general $182,316 · fundraising $6,075

  • 23 · Insurance

    total $363,176 · program services $321,547 · management and general $41,418 · fundraising $211

  • 24a · Other expenses: Drugs/medical supplies

    total $2,115,998 · program services $1,873,452 · management and general $242,546

  • 24b · Other expenses: Provision for bad debts

    total $1,732,416 · program services $1,732,416

  • 24c · Other expenses: NH MET

    total $1,599,996 · program services $1,599,996 · management and general $0

  • 24d · Other expenses: Repairs/maintenance

    total $690,967 · program services $521,000 · management and general $167,540 · fundraising $2,427

  • 24e · All other expenses

    total $218,096 · program services $193,097 · management and general $24,872 · fundraising $127

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $536

  • 4 · Accounts receivable

    beginning of year $2,641,935 · end of year $2,642,200

  • 8 · Inventories for sale or use

    beginning of year $273,464 · end of year $344,152

  • 9 · Prepaid expenses and deferred charges

    beginning of year $277,546 · end of year $309,217

  • 10a · Land, buildings and equipment: cost or other basis

    $7,386,907

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,543,550

  • 10c · Land, buildings and equipment, net

    beginning of year $3,648,904 · end of year $4,843,357

  • 11 · Investments: publicly traded securities

    beginning of year $367,995 · end of year $378,021

  • 15 · Other assets

    beginning of year $35,836,053 · end of year $37,006,767

  • 17 · Accounts payable and accrued expenses

    beginning of year $695,960 · end of year $854,499

  • 25 · Other liabilities

    beginning of year $4,318,558 · end of year $4,650,610

  • 27 · Net assets without donor restrictions

    beginning of year $37,663,384 · end of year $39,641,120

  • 28 · Net assets with donor restrictions

    beginning of year $367,995 · end of year $378,021

Mission and programs · 2024

Mission

CH-Franklin is a charitable organization which exists to meet the health needs of individuals within the communities it serves.

Activities or mission (Part I)

Hospital

  • Various hospital services; see Schedule H. In FYE 2025, Concord Hospital - Franklin ("CH-F") invested over $2.1 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.

    Expenses $26,425,866 · Revenue $34,014,435

As filed on the 2024 return.

Listed in Part VII

  • Robert Steigmeyer

    President & CEO, Member Ex-Officio

    Total calculated
    $2,016,109
    From this org
    $0
    From related orgs
    $1,665,954
    Other
    $350,155
    Hours/week
    1 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $980,785 related
    Bonus
    $0 + $452,000 related
    Other
    $0 + $233,169 related
    Deferred
    $0 + $306,690 related
    Nontaxable benefits
    $0 + $43,465 related
    Filer's total
    $0 + $2,016,109 related
  • Lucy Karl Esq

    Trustee (end FY 2025)

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Manisha Patel DDS

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 7 related
  • Robert Segal

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 7 related
  • Charles Fanaras

    Chair

    Total calculated
    $0
    Hours/week
    1 + 7 related
  • Lucy Hodder Esq

    Vice Chair

    Total calculated
    $0
    Hours/week
    1 + 6 related
  • Don Welford

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 7 related
  • Scott Sloane

    Senior VP, CFO, & Treasurer

    Total calculated
    $1,039,048
    From this org
    $0
    From related orgs
    $843,934
    Other
    $195,114
    Hours/week
    1 + 62 related

    Schedule J breakdown matched by us

    Base
    $0 + $535,000 related
    Bonus
    $0 + $252,600 related
    Other
    $0 + $56,334 related
    Deferred
    $0 + $162,680 related
    Nontaxable benefits
    $0 + $32,434 related
    Filer's total
    $0 + $1,039,048 related
  • Mary Bakken

    System Chief Operating Officer

    Total calculated
    $879,445
    From this org
    $0
    From related orgs
    $731,335
    Other
    $148,110
    Hours/week
    1 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $537,252 related
    Bonus
    $0 + $162,418 related
    Other
    $0 + $31,665 related
    Deferred
    $0 + $109,262 related
    Nontaxable benefits
    $0 + $38,848 related
    Filer's total
    $0 + $879,445 related
  • Matthew Gibb MD

    Chief Clinical Officer

    Total calculated
    $1,115,174
    From this org
    $0
    From related orgs
    $940,287
    Other
    $174,887
    Hours/week
    1 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $685,666 related
    Bonus
    $0 + $200,618 related
    Other
    $0 + $54,003 related
    Deferred
    $0 + $142,763 related
    Nontaxable benefits
    $0 + $32,124 related
    Filer's total
    $0 + $1,115,174 related
  • Kevin McCarthy

    Chief Administrative Officer

    Total calculated
    $603,177
    From this org
    $0
    From related orgs
    $488,429
    Other
    $114,748
    Hours/week
    1 + 51 related

    Schedule J breakdown matched by us

    Base
    $0 + $371,552 related
    Bonus
    $0 + $85,508 related
    Other
    $0 + $31,369 related
    Deferred
    $0 + $90,487 related
    Nontaxable benefits
    $0 + $24,261 related
    Filer's total
    $0 + $603,177 related
  • Mellissa Hanrahan MD

    Physician

    Total calculated
    $347,001
    From this org
    $0
    From related orgs
    $287,146
    Other
    $59,855
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $238,714 related
    Bonus
    $0 + $45,302 related
    Other
    $0 + $3,130 related
    Deferred
    $0 + $20,020 related
    Nontaxable benefits
    $0 + $39,835 related
    Filer's total
    $0 + $347,001 related
  • Mary Abigail Cruz Dacuycuy MD

    Physician

    Total calculated
    $330,883
    From this org
    $0
    From related orgs
    $267,518
    Other
    $63,365
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $212,902 related
    Bonus
    $0 + $51,788 related
    Other
    $0 + $2,828 related
    Deferred
    $0 + $17,451 related
    Nontaxable benefits
    $0 + $45,914 related
    Filer's total
    $0 + $330,883 related
  • Te-ana Harris MD

    Physician

    Total calculated
    $300,241
    From this org
    $0
    From related orgs
    $265,235
    Other
    $35,006
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $235,004 related
    Bonus
    $0 + $27,456 related
    Other
    $0 + $2,775 related
    Deferred
    $0 + $9,445 related
    Nontaxable benefits
    $0 + $25,561 related
    Filer's total
    $0 + $300,241 related
  • Ana Silvia Hernandez Aviles MD

    Physician

    Total calculated
    $250,523
    From this org
    $0
    From related orgs
    $205,918
    Other
    $44,605
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $203,212 related
    Bonus
    $0 + $396 related
    Other
    $0 + $2,310 related
    Deferred
    $0 + $9,553 related
    Nontaxable benefits
    $0 + $35,052 related
    Filer's total
    $0 + $250,523 related
  • Jo-Ann Lopez-Valles MD

    Physician

    Total calculated
    $240,251
    From this org
    $0
    From related orgs
    $187,150
    Other
    $53,101
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $184,288 related
    Bonus
    $0 + $500 related
    Other
    $0 + $2,362 related
    Deferred
    $0 + $13,907 related
    Nontaxable benefits
    $0 + $39,194 related
    Filer's total
    $0 + $240,251 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
The 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, Lines 4a-b
Form 990, Schedule J, Line 4a, Severance Payments and Separation Agreements: Concord Hospital - Franklin is a related organization to Concord Hospital. Mary Bakken, who served the Concord Hospital System as its Chief Operating Officer in this Form 990 reporting period, has been deemed a Key Employee of both hospitals. Effective in September 2025 and during the fiscal year covered by this return, Mary Bakken ceased employment with Concord Hospital. As per the terms of her separation agreement, she is to be paid her regular salary for 52 weeks, her accrued 457(f) as well as her Senior Management Incentive for the Fiscal Year. As these payments are to be made to her after the calendar year ending within the current fiscal year, these payments are not reflected in Schedule J, Part II which reports compensation and benefits based on calendar year end 2024. Mary Bakken's total severance payments of $122,030 and $474,041 will be reported in her 2025 and 2026 Form W-2, as applicable, as part of her Box 5 taxable wages Form 990, Schedule J, Line 4b, Non-Qualified Deferred Compensation Plans: Concord Hospital - Franklin is a related organization to Concord Hospital. Accordingly, certain individuals who are reported on both hospitals' Form 990, Part VII and Schedule J, as Trustees, Officers, or Key Employees, participate in Concord Hospital's non-qualified deferred compensation plans. Robert P. Steigmeyer, President & CEO, and Scott Sloane, Treasurer and CFO, and Matthew Gibb, MD, Chief Clinical Officer, each 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 the participants' taxable W-2 wages. The calendar year ending within the Hospital's current reporting period of September 30, 2025 (tax year 2024) includes amounts previously set aside as deferred under these named individuals' 457(f) plan more than three years ago, and have therefore become vested. Accordingly, these individuals are now recognizing in their W-2 taxable wages vested 457(f) plan deferrals. For the period covered by this tax return, included within these individuals' 2024 Form W-2 taxable income, are vested 457(f) deferrals of the below-listed amounts, which represent amounts previously reported on Schedule J, Part II, Column C, as deferred compensation for the fiscal year ending September 30, 2021. In accordance with IRS instructions, this vested and taxable amount has been included in Schedule J, Part II, Column B(iii) and Column F. - Robert P. Steigmeyer: $197,425 - Scott Sloane: $26,462 - Matthew, MD: $36,900 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, 2023, 2024, and 2025, Mr. Steigmeyer received total plan contributions (including interest and investment credits) of $231,021, $247,552, and $269,284, 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 $192,330 contribution to his 457(f) plan, plus $55,221 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, 2023, 2024, and 2025, total contributions to the SERP, including interest and investment earnings credits, were as follows for the applicable participating executives: - Scott Sloane: $48,021, $76,659, and $86,249, respectively; - Matthew Gibb: $59,576, $94,968, and $101,528, respectively; and - Mary Bakken: $44,441, $72,323, and $80,410, 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, $66,661; interest credit, $9,998. - Matthew Gibb: contributions, $82,217; interest credit, $12,751. - Mary Bakken: contributions, $66,562; interest credit, $5,761.
Part I, Line 7
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. However, persons who qualify as officers, directors, trustees, key employees, or highest compensated employees of CH-F may receive non-fixed payments from the Concord Hospital System in return for services rendered on behalf of CH-F, as defined below: 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Concord Imaging Center LLC

    Provide radiology services to community · NH

  • Capital Orthopedic Surgery Center

    Provide medical care to community · NH

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Capital Region Health Services Corporation

    C · Medical services · NH

  • Capital Region Primary Care Corporation

    C · Inactive · NH

  • Lakes Region Medical Office Building

    C · Rental properties and condominiums · NH

  • Hillside Medical Park Condo Association

    C · Rental properties and condominiums · NH

  • CH Memorial West Condominium Association

    C · Rental properties and condominiums · NH

Provenance

Return type
form_990
Tax year
2024
Filed
20 July 2026
IRS schema version
2024v5.5
Source object
202642099349301039

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