A concealed door hinge has first and second leaf assemblies fittable into respective mortises in an edge of the door and in the door frame. The first leaf assembly has a body, mounting tabs at ends of the body and securable to the door frame or to an edge of the door, and an insert shiftable in the body in a first horizontal direction perpendicular to a face of the assembly. The body is also shiftable relative to the tabs in a second horizontal direction transverse to the horizontal direction and parallel to the face. A swivel mechanism is connected between the second leaf assembly and the insert of the assembly. Adjusters engaged between the insert, the body, and the tabs can relatively secure the insert and body in any of a plurality of positions offset relative to one another in the horizontal directions.