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        <FormAndLineReferenceDesc>Schedule A, Part I, Line 12g:</FormAndLineReferenceDesc>
        <ExplanationTxt>Concord Hospital Trust serves as the philanthropic arm of Concord Hospital. Through its philanthropic fundraising activity, donations are contributed to the Trust and then granted to Concord Hospital for the purposes of supporting Concord Hospital's charitable purposes. A portion of the expenses incurred directly by Concord Hospital, as well as some of the other Concord Hospital affiliated entities, do aid in general fundraising processes and operations, but the majority of these responsibilities falls on the Trust. But for Concord Hospital Trust's efforts, Concord Hospital and its affiliated entities would otherwise need to carry out these activities. The amount of fundraising expenses as reported on the Trust's Form 990, Part IX, Line 24, Column D approximates the amount of nonmonetary support the Trust provides to Concord Hospital and its affiliated entities.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Section B, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>See narrative for Schedule A, Part IV, Section A, Line 1. While neither Concord Hospital - Laconia nor Concord Hospital - Franklin control the Trust, both Concord Hospital - Laconia and Concord Hospital - Franklin are 100% wholly-owned subsidiaries of Concord Hospital. Concord Hospital is also the sole member of the Trust. Additionally, Concord Hospital - Laconia, Concord Hospital - Franklin, Concord Hospital, and the Trust share many common Trustees, and the same executive officers. As 100% wholly-owned subsidiaries of Concord Hospital, and as hospital organizations serving communities in New Hampshire and New England, both Concord Hospital - Franklin and Concord Hospital - Laconia contribute and promote the exempt, charitable mission of Concord Hospital. Accordingly, while neither Concord Hospital - Franklin or Concord Hospital - Laconia control the Trust, they do share a common controlling entity with the Trust, and both of the new hospitals contribute to the furtherance of the charitable purpose and mission of the Trust's controlling organization. The vast majority of the Trust's grants are paid in support of Concord Hospital Inc., the Trust's sole member, or to support individuals who are employed and/or live and work in the communities served by Concord Hospital. In furtherance and support of Concord Hospital's exempt mission, the Trust also provides grants from time to time to other organizations other than its Supported Organization, albeit to a much lesser degree and in much smaller amounts. These donations are listed in detail on each annual Form 990, Schedule I. While these funds may not be provided directly to the Supported Organization, these funds do benefit and contribute to the wellbeing of Concord Hospital's service area, and serve to advance the goals and missions of the Hospital. According to Article IV of the Trust's Articles of Agreement, the Trust may make donations in such amounts as the trustees determine is appropriate for the public welfare or for the broader community, as long as such donations are for charitable, religious, educational, scientific, civil, or other similar purposes, and as long as the Trust remains exempt under Section 501(c)(3) of the Internal Revenue Code.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>On October 19, 2020, the Concord Hospital Inc. (CH), the sole member of Concord Hospital Trust, entered into an asset purchase agreement with LRGHealthcare to acquire certain assets and assume certain liabilities of Lakes Region General Hospital in Laconia, New Hampshire, and Franklin Regional Hospital in Franklin, New Hampshire. The Hospital's bid was accepted and approved by the State of New Hampshire during 2021. The transaction was completed effective May 1, 2021. As a result of this acquisition, two new Hospital organizations were formed - Concord Hospital - Laconia (CH-L) and Concord Hospital - Franklin (CH-F). Both of these new Hospitals are 100% wholly-owned subsidiaries of Concord Hospital, Inc. As wholly owned-subsidiaries of CH, it is possible that a portion of the Trust's fundraising efforts may ultimately benefit or support CH-F or CH-L. As of this tax return's filing, the Trust's bylaws and governing documents have not been amended to specifically list or name CH-L or CH-F as supported organizations of the Trust. However, both CH-L and CH-F are subject to the control and review of CH, both organizations share many of the same Trustees and Officers with CH and the Trust, both serve the same charitable class and work to advance similar charitable purposes as CH, the Trust's named supported organization. As CH-F and CH-L were acquired by CH for the purpose of providing and advancing healthcare services in New England and New Hampshire, supporting these two entities, while not specifically named in the Trust's governing documents, ultimately supports CH and its overall mission. Additionally, according to Article III of the Concord Hospital Trust's Articles of Agreement, the Trust was formed for the advancement of knowledge and the practice of care, treatment, healing, education, and research for the people of Central New Hampshire, and that the Trust was to be for the benefit of Concord Hospital Inc. and its affiliated organizations. As 100% wholly-owned subsidiaries of Concord Hospital, the two new Hospitals are reasonably considered affiliated organizations of Concord Hospital, and therefore support on behalf of these institutions is in keeping with the spirit and purpose of the Trust's Articles of Agreement.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The endowment funds of Concord Hospital Trust support a multitude of programs and services to meet the needs of our community members through Concord Hospital healthcare services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital, CH-Laconia, CH-Franklin, CRHCDC, CRHVC, and the Trust are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. CH-ACO was organized as a single member limited liability company and has elected to be treated as a disregarded entity for federal and state income tax reporting purposes. Accordingly, all income or losses and applicable tax credits are reported on the member's income tax returns, with the exception of taxes due to the State of New Hampshire. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying consolidated financial statements. GSIE, CHIG, CH-ACO, CEC and CRHSC account for income taxes in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740, Income Taxes. FASB ASC 740 is an asset and liability method, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of temporary differences between the tax and financial reporting basis of certain assets and liabilities. Resulting income tax expense and the temporary differences between the tax and financial reporting basis are not material.</ExplanationTxt>
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        <FoodAndBeverageEvent1Amt>23185</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>23249</OtherDirectExpensesEvent1Amt>
        <Event2Nm>Pedaling for Payson</Event2Nm>
        <GrossReceiptsEvent2Amt>144068</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>133319</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>10749</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>7000</CashPrizesEvent2Amt>
        <NonCashPrizesEvent2Amt>6488</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>1500</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>5847</FoodAndBeverageEvent2Amt>
        <EntertainmentEvent2Amt>200</EntertainmentEvent2Amt>
        <OtherDirectExpensesEvent2Amt>624</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>4</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>336336</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>266293</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>70043</GrossRevenueOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>34460</NonCashPrizesOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>32716</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>20743</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>3070</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>7736</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>803748</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>626829</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>176919</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>9480</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>63636</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>48160</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>49775</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>3270</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>31609</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>205930</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-29011</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
      <GamingInformationGrp>
        <GrossRevenueOtherGamingAmt>15310</GrossRevenueOtherGamingAmt>
        <OthDirectExpnssOtherGamingAmt>238</OthDirectExpnssOtherGamingAmt>
        <VolunteerLaborOtherGamingInd>0</VolunteerLaborOtherGamingInd>
        <VolunteerLaborOtherGamingPct>0.05000</VolunteerLaborOtherGamingPct>
        <GrossRevenueTotalGamingAmt>15310</GrossRevenueTotalGamingAmt>
        <OthDirectExpnssTotalGamingAmt>238</OthDirectExpnssTotalGamingAmt>
        <DirectExpenseSummaryGamingAmt>238</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>15072</NetGamingIncomeSummaryAmt>
      </GamingInformationGrp>
      <StatesWhereGamingConductedCd>NH</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <ExplanationIfNoTxt>See Part IV, Supplemental Information.</ExplanationIfNoTxt>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
      <MemberOfOtherEntityInd>0</MemberOfOtherEntityInd>
      <GamingOwnFacilityPct>0.30000</GamingOwnFacilityPct>
      <GamingOtherFacilityPct>0.70000</GamingOtherFacilityPct>
      <PersonsWithBooksName>
        <BusinessNameLine1Txt>The Organization (see Part IV supplemental information)</BusinessNameLine1Txt>
      </PersonsWithBooksName>
      <PersonsWithBooksUSAddress>
        <AddressLine1Txt>250 Pleasant Street</AddressLine1Txt>
        <CityNm>Concord</CityNm>
        <StateAbbreviationCd>NH</StateAbbreviationCd>
        <ZIPCd>03301</ZIPCd>
      </PersonsWithBooksUSAddress>
      <CntrctWith3rdPrtyForGameRevInd>0</CntrctWith3rdPrtyForGameRevInd>
      <GamingManagerBusinessName>
        <BusinessNameLine1Txt>The Organization (see Part IV Supplemental Information)</BusinessNameLine1Txt>
      </GamingManagerBusinessName>
      <GamingManagerCompensationAmt>0</GamingManagerCompensationAmt>
      <GamingManagerServicesProvTxt>See Part IV, Supplemental Information.</GamingManagerServicesProvTxt>
      <GamingManagerIsEmployeeInd>X</GamingManagerIsEmployeeInd>
      <CharitableDistributionRqrInd>0</CharitableDistributionRqrInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part III, Gaming Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>Concord Hospital Trust ("CHT") is a 501(c)(3) tax exempt public charity. CHT serves as the philanthropic arm of Concord Hospital, Concord Hospital-Franklin, and Concord Hospital-Laconia. As part of its fundraising efforts to support these hospitals, CHT hosts various fundraising events throughout the year. From time-to-time these fundraising events may include a raffle component, which, for transparency purposes, CHT has classified as gaming revenue on its Form 990, Part VIII, and on this Schedule G, Part III. While the total gross receipts from all raffles during the year exceeded $15,000, each individual raffle held, by itself, grossed much less than this $15,000 disclosure threshold, and were overall nominal to CHT's aggregate fundraising efforts. It was historically CHT's understanding that these activities did not constitute "gaming" for purposes of any requirement to secure charitable gambling licenses or registrations. However, CHT representatives still contacted the applicable municipal offices where such activities may occur to ensure that this position remained appropriate for each raffle conducted during the reporting period. When deemed necessary, CHT secured permits and registrations to conduct charitable raffles in full compliance with state and local gaming requirements. CHT does not itself maintain any employees or staff; any individuals who perform services for pay on behalf of CHT are in actuality employees of and compensated by Concord Hospital, Inc., one of the supported organizations of CHT. No single or specific person employed by Concord Hospital, Inc. is responsible for managing the books and records of CHT's charitable raffles, nor is any singular person designated as a "gaming manager". Persons who are employees of Concord Hospital, Inc. who assist CHT in managing its fundraising events and initiatives may from time-to-time assist with managing the raffles, but such duties and activities are incidental to their overall role and position of employment within the Concord Hospital System. If such persons are compensated by Concord Hospital, Inc., such compensation is in relation and in return for their services in their capacity as an employee; any portion of compensation related to managing gaming activity would be de minimis in total and administratively impractical and immaterial to measure. Lastly, CHT does not engage with any third parties to conduct gaming activities on its behalf.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Archways</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 Proscpect Street</AddressLine1Txt>
          <CityNm>Tilton</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03276</ZIPCd>
        </USAddress>
        <RecipientEIN>475522561</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concord Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 Pleasant Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>222594672</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5506013</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General support.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concord Hospital - Laconia</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 Pleasant Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>851443782</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>89379</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>General support.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concord Regional VNA (aka Granite VNA)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>30 Pilsbury Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>020222122</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>107500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health; virtual nursing visit program.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concord School District</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>38 Liberty Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>026000929</RecipientEIN>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Family Promise of Greater Concord Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>79 Clinton Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>611694332</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Riverbend Community Mental Health Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 2032</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03302</ZIPCd>
        </USAddress>
        <RecipientEIN>020264383</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15676</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Children's intervention programs.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Grapevine Family &amp; Community Resource Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 637</AddressLine1Txt>
          <CityNm>Antrim</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03440</ZIPCd>
        </USAddress>
        <RecipientEIN>020499088</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Waypoint</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>464 Chestnut Street</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03105</ZIPCd>
        </USAddress>
        <RecipientEIN>020222164</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Merrimack Valley Day Care Service</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>19 Fruit Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>026019236</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Healthy Beginnings grant for women, children, and family health.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Tuition scholarships</GrantTypeTxt>
        <RecipientCnt>19</RecipientCnt>
        <CashGrantAmt>50700</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Helping Hands Fund - assistance for employees in need</GrantTypeTxt>
        <RecipientCnt>110</RecipientCnt>
        <CashGrantAmt>112373</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The CH Trust works with Concord Hospital 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 receives updates as needed.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Steigmeyer</PersonNm>
        <TitleTxt>President &amp; CEO, Member Ex-Officio</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>898727</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>434592</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>251762</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>275511</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>41350</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1901942</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>187779</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Scott Sloane</PersonNm>
        <TitleTxt>Senior VP, CFO, &amp; Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>507270</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>158321</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>27809</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>118893</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>35169</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>847462</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alexandru Vaida MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>477060</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>26142</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5161</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>29723</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>45297</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>583383</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paul Racicot MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>258403</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4137</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>11346</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31646</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>305532</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Regina Martin</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>224671</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>12528</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>926</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>44429</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>15796</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>298350</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation for the Organization's CEO was established by a related organization, Concord Hospital. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Concord Hospital Trust is a related organization to Concord Hospital. Robert P. Steigmeyer, President &amp; CEO, participated in a 457(f) plan with Concord Hospital, Inc. during the fiscal year covered by this tax return. Under the terms of the plan, amounts deferred and contributed to the plan are subject to a three-year vesting period. After satisfying this vesting period, 457(f) deferred amounts are to be included in Mr. Steigmeyer's taxable W-2 wages. The calendar year ending within the Hospital's current reporting period of September 30, 2024 (tax year 2023) includes amounts previously set aside as deferred under Mr. Steigmeyer's 457(f) plan more than three years ago, and have therefore become vested. Accordingly, Mr. Steigmeyer is now recognizing in his W-2 taxable wages vested 457(f) plan deferrals. For the period covered by this tax return, included within Mr. Steigmeyer's 2023 Form W-2 taxable wages are $187,779 of vested 457(f) deferrals, which represent amounts previously reported on Schedule J, Part II, Column C, as deferred compensation for the fiscal year ending September 30, 2020. In accordance with IRS instructions, this vested and taxable amount has been included in Schedule J, Part II, Column B(iii) and Column F. Beginning with the September 30, 2015 tax year, there have been contributions to Mr. Steigmeyer's 457(f) plan. Each contribution, plus earnings, will be reported in Mr. Steigmeyer's W-2 after a three-year vesting period. For the fiscal years ended September 30, 2022, 2023, and 2024, Mr. Steigmeyer received total plan contributions (including interest and investment credits) of $221,218, $231,021, and $247,552, respectively. Due to the timing between the Hospital's fiscal year filing period and the calendar year period by which compensation and benefits information is reported on Form 990, Schedule J, the amount included in Mr. Steigmeyer's deferred compensation amounts in this Schedule J, Part II, Column C, includes the $184,993 contribution to his 457(f) plan, plus $46,088 of earnings. During the year ending September 30, 2021, the Hospital established a Supplemental Executive Retirement Plan (SERP) for the Senior Vice Presidents of Concord Hospital. Under the terms of this SERP, the Hospital credits Senior Executives' accounts at the end of each fiscal year, and the credit shall vest and become payable on the third anniversary of the date such amounts are credited to the account, provided the Senior Executives remain continuously employed through the applicable vesting date. The three-year vesting period SERP amount will be included in taxable W-2 wages upon vesting and payment. For the fiscal years ended September 30, 2022, 2023, and 2024, total contributions to the SERP, including interest and investment earnings credits, for Scott Sloane were $43,139, $48,021, and $76,659, respectively. 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 Scott Sloane's deferred compensation amounts on this Schedule J, Part II, Column C, including contributions to their 457(f) plans and earnings, are as follows: contributions, $42,732; interest credit, $5,290. As none of the SERP contributions have yet satisfied the three-year vesting conditions as of the period covered by this tax return, none of the SERP contributions have yet been included in the W-2 wages for this Senior Executives.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>5327</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Retail Value</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>14</ContributionCnt>
        <NoncashContributionsRptF990Amt>48763</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Gift Date FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>39</ContributionCnt>
        <NoncashContributionsRptF990Amt>36450</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Retail Value</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Supplies</Desc>
        <ContributionCnt>115</ContributionCnt>
        <NoncashContributionsRptF990Amt>44804</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Retail Value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Event prizes</Desc>
        <ContributionCnt>90</ContributionCnt>
        <NoncashContributionsRptF990Amt>22910</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Retail Value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 32b:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Trust has an account with UBS Financial Services to accept charitable contributions of stock. The agreement with UBS is that they will sell the stock upon receipt and provide the Trust with the proceeds. The valuation of the gift is in accordance with IRS standards, regardless of the net cash amount received following the sale. Donations of stock are sold as soon as administratively possible. Donations of non-cash contributions of tangible property are utilized through the Trust's fundraising operations, in support of the Concord Hospital System, and/or disposed of in an appropriate and responsible manner.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Concord Hospital, Inc., a charitable corporation, acting through its board of trustees, is the sole Member of the Trust.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees shall be composed of not less than five, nor more than seventeen persons, excluding ex-officio Trustees, the number to be established by the Member of the Trust, Concord Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The affairs of the Trust shall be managed by the Trustees who shall have and may exercise all the powers of the Trust 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 Trust, or the sale or transfer of all or substantially all of the Trust'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 Trust's Articles of Agreement shall be subject to approval by the Member - Any changes to the Trust's not-for-profit status shall be subject to approval by the Member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>All Board members receive a public disclosure copy of the Form 990 to review prior to filing the report.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Concord Hospital Board of Trustees (the "Board") and is vital in ensuring that the Hospital meets its mission. The Board has delegated the responsibility of initiating the process of conducting the CEO's performance evaluation and initiating the process of setting the CEO's compensation to the Board's Compensation Committee. The Compensation Committee also is charged with the responsibility of reviewing the appropriateness of the compensation of the Hospital's Chief Operating Officer (COO), Chief Financial Officer (CFO), and Chief Medical Officer (CMO) as proposed by the CEO. The Compensation Committee shall present its report of the CEO's annual performance to the Board for its further input and consideration. The Compensation Committee shall also make its recommendation to the Board concerning the CEO's compensation. Finally, the Compensation Committee shall make its recommendation to the Board concerning the compensation of the COO, CFO, and CMO. The Board shall review the recommendations of the Compensation Committee as to the compensation of the Hospital's CEO, COO, CFO, and CMO and shall set their compensation as the Board deems appropriate. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes, the organization makes all of this information available to the public. Audited financial statements and the most recent quarter ended financial statements are posted to the Electronic Municipal Market Access (EMMA) website. In addition to this, the Hospital sends its annual report, including a financial summary, to members of the community via the US Postal service. Governing documents and conflicts of interest filings adhere to state regulations that require public notice for any significant pecuniary transaction.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Column E</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation reported for Robert Steigmeyer and Scott Sloane was paid by Concord Hospital for their services as full-time executives. In total, they worked an average of 63 hours per week for all entities in the Concord Hospital health care system, of which an average of 1 hour per week was dedicated to Concord Hospital Trust. Additionally, Paul Racicot, Regina Martin, Suzanne Meyer, and Alexandru Vaida were paid by Concord Hospital for their services as employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Related organization payroll costs: Program service expenses 0. Management and general expenses 187,203. Fundraising expenses 807,642. Total expenses 994,845.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Net equity transfers to/(from) affiliates 1,124,534.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>There was no change in the process for oversight of the audit of financial statements for the fiscal year. The same independent firm of accountants performed the audit for the fiscal years ending 9/30/2023 and 9/30/2024.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>Concord</CityNm>
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          <CityNm>Concord</CityNm>
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          <AddressLine1Txt>250 Pleasant Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part III:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Venture Corp's brother/sister relationship with Concord Hospital Trust.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>