CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202402279349301200
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T07:33:47-05:00	ReturnTs
Tax Period End	2023-09-30	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	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020315693	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Catholic Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CATH	BusinessNameControlTxt
Phone	6036683545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Pamela J Martel	PersonNm
Person Title	Vice President & CFO	PersonTitleTxt
Phone	6036683545	PhoneNum
Signature	2024-08-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Connor Smart	PreparerPersonNm
PTIN	P02285543	PTIN
Phone	2078792100	PhoneNum
Preparation	2024-08-01	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Alexander Walker Jr Es	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$595,192,642	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.catholicmedicalcenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	3154	TotalEmployeeCnt
Total Volunteers	195	TotalVolunteersCnt
Total Gross UBI	$9,577	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,297	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,031,537	PYContributionsGrantsAmt
CY Contributions Grants	$6,465,378	CYContributionsGrantsAmt
PY Program Service Revenue	$512,489,949	PYProgramServiceRevenueAmt
CY Program Service Revenue	$526,651,677	CYProgramServiceRevenueAmt
PY Investment Income	$5,768,090	PYInvestmentIncomeAmt
CY Investment Income	$6,382,797	CYInvestmentIncomeAmt
PY Other Revenue	-$51,325	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$543,238,251	PYTotalRevenueAmt
CY Total Revenue	$539,499,852	CYTotalRevenueAmt
PY Grants And Similar Paid	$746,180	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$763,948	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$212,104,374	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$229,532,448	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$98,025	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$5,850	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$591,498	CYTotalFundraisingExpenseAmt
PY Other Expenses	$293,292,576	PYOtherExpensesAmt
CY Other Expenses	$300,671,692	CYOtherExpensesAmt
PY Total Expenses	$506,241,155	PYTotalExpensesAmt
CY Total Expenses	$530,973,938	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,997,096	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,525,914	CYRevenuesLessExpensesAmt
Total Assets BOY	$430,455,986	TotalAssetsBOYAmt
Total Assets EOY	$433,176,137	TotalAssetsEOYAmt
Total Liabilities BOY	$319,696,442	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$339,205,852	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$110,759,544	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$93,970,285	NetAssetsOrFundBalancesEOYAmt
Mission	The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$468,554,502	ExpenseAmt
Grant	$763,948	GrantAmt
Revenue	$526,651,677	RevenueAmt
Desc	Medical and surgical services provided to 12,168 inpatients and 186,652 outpatients during the year.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	Various other services. Please see Schedule H.Catholic Medical Center (CMC), as an agency of the Roman Catholic Church, shall provide health care in a manner consistent with the ethical and religious directives for Catholic health care services as interpreted by the Roman Catholic Bishop of Manchester. CMC shall employ the highest quality health care professionals and the most appropriate technology to deliver an array of services either directly or through strategic alliances with compatible health care providers. With dignity and compassion, CMC shall treat the body, mind, and spirit of all who seek or provide care and comfort. Additional details provided in Schedule H.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$468,554,502	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
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	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	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	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	Yes (1)	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	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	243	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3154	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
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	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	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pamela J Martel VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036683545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alexander Walker Jr Esq
President & CEO	42.80	1.10	Yes (X)	Yes (X)	$705,005	$0	$397,339
Carolyn Claussen MD
Director (end 12/2022)	0.90	40.20	Yes (X)		$0	$252,296	$11,658
Louis I Fink MD
Director (end 7/2023)	1.50	40.40	Yes (X)		$0	$688,177	$19,799
Patricia Furey MD
Director; Medical Staff President	1.20	40.60	Yes (X)		$0	$505,822	$52,436
Robert Capodilupo MD
Interim Trustee/Exec Med Dir NEHI	0.40	40.40	Yes (X)	Yes (X)	$0	$686,462	$45,682
Matthew Albuquerque
Director	2.00	0.60	Yes (X)		$0	$0	$0
Re Msg Anthony Frontiero
Director (end 4/2023)	0.50	0.20	Yes (X)		$0	$0	$0
William Furlong
Director	0.70	0.40	Yes (X)		$0	$0	$0
Robert Gossett
Director	2.20	0.40	Yes (X)		$0	$0	$0
Roger Jean
Director	1.10	0.40	Yes (X)		$0	$0	$0
Derek McDonald
Director/Bishop's Delegate	2.20	0.40	Yes (X)		$0	$0	$0
Kristy Merrill
Director	0.90	0.40	Yes (X)		$0	$0	$0
John J Munoz MD
Director	1.10	0.40	Yes (X)		$0	$0	$0
Grace Tung
Director	1.80	0.20	Yes (X)		$0	$0	$0
Timothy Riley
Chair	2.40	0.40	Yes (X)	Yes (X)	$0	$0	$0
John G Cronin Esq
Chair (end 6/2023)	1.30	0.00	Yes (X)	Yes (X)	$0	$0	$0
Marie McKay CPA
Treasurer	1.30	0.90	Yes (X)	Yes (X)	$0	$0	$0
Pamela Diamantis
Vice Chair	2.40	0.40	Yes (X)	Yes (X)	$0	$0	$0
Matthew Kfoury
Secretary	2.00	0.60	Yes (X)	Yes (X)	$0	$0	$0
Edward Dudley III
Executive VP & CFO (end 2/2023)	40.00	0.10		Yes (X)	$548,250	$0	$278,328
Ronald Doncaster
Chief Operating Officer	40.00	0.00		Yes (X)	$383,001	$0	$27,040
Pamela Martel
Executive VP & CFO	40.20	0.20		Yes (X)	$179,495	$0	$18,897
Keith Stahl MD FACP
Associate Chief Medical Officer	40.70	0.00			$414,535	$0	$35,355	Yes (X)
Andrew Watt MD
VP/Chief Medical Information Officer	40.70	0.00			$406,181	$0	$35,764	Yes (X)
Sarah Doherty RN
Nurse	40.00	0.00			$395,872	$0	$40,729	Yes (X)
Carolanne O'Sullivan
Senior VP, Provider Network	40.00	0.00			$383,023	$0	$62,443	Yes (X)
Michael J Gilbert MD
Chief Medical Officer	40.30	0.00			$556,392	$0	$54,703	Yes (X)
Joseph Pepe MD
Former President & CEO (end 6/2021)	0.50	0.00			$733,333	$0	$1,338		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,705,087	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,132,757	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,081,511	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	376	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
Dartmouth Hitchcock Clinic
1 Medical Center Drive	Lebanon	NH	03756	Medical services	$27,877,789
Medical Solutions LLC
PO Box 850737	Minneapolis	MN	55485	Healthcare staffing solutions	$17,911,386
Accountable Healthcare Staffing
PO Box 732800	Dallas	TX	75373	Healthcare staffing solutions	$9,903,926
Anesthesia Care Group PC
PO Box 9514	Manchester	NH	03101	Medical services	$5,310,176
Lavallee Brensinger Architects
155 Dow Street	Manchester	NH	03102	Construction	$3,907,210

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	97	CntrctRcvdGreaterThan100KCnt
Government Grants	$127,611	GovernmentGrantsAmt
All Other Contributions	$6,337,767	AllOtherContributionsAmt
Noncash Contributions	$60,104	NoncashContributionsAmt
Total Contributions	$6,465,378	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services	621400	$499,140,050	$499,140,050
Disproportionate Share Funding	621400	$23,598,275	$23,598,275
Cafeteria and dining	722210	$1,705,730	$1,705,730
Lab clients	621500	$1,680,801	$1,680,801
Program-related rents	532000	$526,821	$526,821

Field	Value	IRS element (for citing)
Total Program Service Revenue	$526,651,677	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,343,842	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,577	UnrelatedBusinessRevenueAmt
Exclusion	$5,334,265	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$56,731,745	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$55,691,772	SecuritiesAmt
Other	$1,018	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,039,973	SecuritiesAmt
Other	-$1,018	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,038,955	TotalRevenueColumnAmt
Exclusion	$1,038,955	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,499,852	TotalRevenueColumnAmt
Related Or Exempt Func Income	$526,651,677	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,577	UnrelatedBusinessRevenueAmt
Exclusion	$6,373,220	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$636,957	TotalAmt
Program Services	$636,957	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$126,991	TotalAmt
Program Services	$126,991	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,537,355	TotalAmt
Program Services	$2,134,184	ProgramServicesAmt
Management And General	$403,171	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$186,286,193	TotalAmt
Program Services	$156,337,244	ProgramServicesAmt
Management And General	$29,533,880	ManagementAndGeneralAmt
Fundraising	$415,069	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,120,753	TotalAmt
Program Services	$4,295,329	ProgramServicesAmt
Management And General	$811,437	ManagementAndGeneralAmt
Fundraising	$13,987	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,173,590	TotalAmt
Program Services	$18,650,331	ProgramServicesAmt
Management And General	$3,523,259	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,414,557	TotalAmt
Program Services	$11,259,678	ProgramServicesAmt
Management And General	$2,127,081	ManagementAndGeneralAmt
Fundraising	$27,798	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,730,107	TotalAmt
Management And General	$1,730,107	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$200,964	TotalAmt
Management And General	$200,964	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$56,375	TotalAmt
Management And General	$56,375	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$5,850	TotalAmt
Fundraising	$5,850	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$98,423	TotalAmt
Management And General	$98,423	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,938,695	TotalAmt
Program Services	$12,820,918	ProgramServicesAmt
Management And General	$3,113,177	ManagementAndGeneralAmt
Fundraising	$4,600	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,259,090	TotalAmt
Program Services	$1,817,713	ProgramServicesAmt
Management And General	$441,377	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,454,214	TotalAmt
Program Services	$8,395,082	ProgramServicesAmt
Management And General	$2,038,495	ManagementAndGeneralAmt
Fundraising	$20,637	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,455,966	TotalAmt
Program Services	$8,413,097	ProgramServicesAmt
Management And General	$2,042,869	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,959,169	TotalAmt
Program Services	$15,253,962	ProgramServicesAmt
Management And General	$3,703,968	ManagementAndGeneralAmt
Fundraising	$1,239	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$407,941	TotalAmt
Program Services	$327,054	ProgramServicesAmt
Management And General	$79,415	ManagementAndGeneralAmt
Fundraising	$1,472	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$528,701	TotalAmt
Program Services	$421,793	ProgramServicesAmt
Management And General	$102,420	ManagementAndGeneralAmt
Fundraising	$4,488	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,287,755	TotalAmt
Program Services	$5,197,385	ProgramServicesAmt
Management And General	$1,090,370	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,714,405	TotalAmt
Program Services	$7,535,377	ProgramServicesAmt
Management And General	$5,179,028	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,551,448	TotalAmt
Program Services	$2,857,572	ProgramServicesAmt
Management And General	$693,876	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$115,627,513	$114,252,120	$1,375,393
Physician fees	$59,066,076	$57,347,729	$1,718,347
NH Medicaid Tax	$23,814,464	$23,814,464
Provision for bad debt	$15,059,671	$15,059,671

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,460,715	TotalAmt
Program Services	$1,599,851	ProgramServicesAmt
Management And General	$1,764,506	ManagementAndGeneralAmt
Fundraising	$96,358	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$530,973,938	TotalAmt
Program Services	$468,554,502	ProgramServicesAmt
Management And General	$61,827,938	ManagementAndGeneralAmt
Fundraising	$591,498	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$40,542,506	BOYAmt
EOY	$14,751,807	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,450,608	BOYAmt
EOY	$42,986,455	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,415,178	BOYAmt
EOY	$1,934,922	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,093,394	BOYAmt
EOY	$71,163,372	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,816,582	BOYAmt
EOY	$3,798,671	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,084,202	BOYAmt
EOY	$10,365,009	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$326,203,684	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$202,636,695	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$125,421,215	BOYAmt
EOY	$123,566,989	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$126,370,271	BOYAmt
EOY	$108,467,959	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,179,211	BOYAmt
EOY	$9,019,377	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$37,137,559	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,082,819	BOYAmt
EOY	$9,984,017	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$430,455,986	BOYAmt
EOY	$433,176,137	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$61,580,970	BOYAmt
EOY	$71,615,269	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,000,875	BOYAmt
EOY	$911,915	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$105,077,275	BOYAmt
EOY	$102,108,794	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$53,531,174	BOYAmt
EOY	$52,898,255	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$98,506,148	BOYAmt
EOY	$111,671,619	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$319,696,442	BOYAmt
EOY	$339,205,852	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,934,391	BOYAmt
EOY	$79,600,950	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,825,153	BOYAmt
EOY	$14,369,335	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$110,759,544	BOYAmt
EOY	$93,970,285	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$430,455,986	BOYAmt
EOY	$433,176,137	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,525,914	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$12,385,337	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$37,700,510	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$40,914	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$56,375	OtherActivitiesAmt
Total Lobbying Expenditures	$97,289	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	Catholic Medical Center (CMC) is a member of the New Hampshire Hospital Association (NHHA) and the American Hospital Association (AHA). A portion of the dues paid to these organizations in the fiscal year ending September 30, 2023 was available for lobbying expenditures on behalf of CMC and the other member-organizations in furtherance of their exempt purposes. The portion of the dues paid that constituted lobbying was as follows: NHHA: $27,752 AHA: $13,162 Also in this fiscal year, the Hospital paid the Diocese of Manchester for lobbying services, which included providing information regarding public policy pending before the legislature. The Diocese participated in the administrative rule-making process with respect to rules concerning the certificate of needs board. They also provided general communication with elected officials. CMC paid the Diocese $56,375 for these services.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,825,153	BeginningYearBalanceAmt
Contributions	-$13,837,018	ContributionsAmt
Investment Earnings Or Losses	$323,922	InvestmentEarningsOrLossesAmt
Other Expenditures	$942,722	OtherExpendituresAmt
End Year Balance	$14,369,335	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,567,921	BeginningYearBalanceAmt
Contributions	$1,713,209	ContributionsAmt
Investment Earnings Or Losses	-$2,239,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,216,345	OtherExpendituresAmt
End Year Balance	$28,825,153	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,995,958	BeginningYearBalanceAmt
Contributions	$2,854,022	ContributionsAmt
Investment Earnings Or Losses	$1,834,839	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,116,898	OtherExpendituresAmt
End Year Balance	$30,567,921	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,244,891	BeginningYearBalanceAmt
Contributions	$16,173,712	ContributionsAmt
Investment Earnings Or Losses	$203,284	InvestmentEarningsOrLossesAmt
Other Expenditures	$625,929	OtherExpendituresAmt
End Year Balance	$26,995,958	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,426,818	BeginningYearBalanceAmt
Contributions	$1,536,316	ContributionsAmt
Investment Earnings Or Losses	-$63,353	InvestmentEarningsOrLossesAmt
Other Expenditures	$654,890	OtherExpendituresAmt
End Year Balance	$11,244,891	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.60440	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.39560	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,944,290	OtherCostOrOtherBasisAmt
Book Value	$12,944,290	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,840,449	OtherCostOrOtherBasisAmt
Depreciation	$59,179,817	DepreciationAmt
Book Value	$55,660,632	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,022,518	OtherCostOrOtherBasisAmt
Depreciation	$8,516,657	DepreciationAmt
Book Value	$1,505,861	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,297,712	OtherCostOrOtherBasisAmt
Depreciation	$128,219,602	DepreciationAmt
Book Value	$38,078,110	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,098,715	OtherCostOrOtherBasisAmt
Depreciation	$6,720,619	DepreciationAmt
Book Value	$15,378,096	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$123,566,989	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Accrued pension & other liabilities	$69,588,180
Dues to affiliates	$548,118
Capital lease liabilities	$3,309,784
Operating lease liabilities	$38,225,537

Field	Value	IRS element (for citing)
Total Liability	$111,671,619	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$562,727,550	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$12,385,337	NetUnrealizedGainsInvstAmt
Other Revenue	$24,308,926	OtherRevenueAmt
Revenue Not Reported	$36,694,263	RevenueNotReportedAmt
Revenue Subtotal	$526,033,287	RevenueSubtotalAmt
Investment Expenses Not Incld	$98,423	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$13,368,142	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$13,466,565	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$539,499,852	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$517,512,429	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$517,512,429	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$98,423	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$13,363,086	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,461,509	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$530,973,938	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	Proceeds from the Organization's endowment funds are used in operations. Included in the year ending September 30, 2023 endowment contributions are $15,032,182 in returned donor-restricted contributions that were previously included within the Hospital's endowment assets. Accordingly, the net-adjustment for contributions within the September 30, 2023 endowment balance is a negative figure.
Part X, Line 2:	The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Medical Center's tax positions and concluded the Medical Center 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 the financial statements.
Part XI, Line 2d - Other Adjustments:	Pension related changes net of periodic costs 23,934,901. Changes in FMV of perpetual trust 374,025.
Part XI, Line 4b - Other Adjustments:	Provision for bad debts 12,757,401. Donations to others included in audited revenues 605,685. Change in FMV of interest rate swap agreement 5,056.
Part XII, Line 4b - Other Adjustments:	Provision for bad debts net against revenues 12,757,401. Donations to others included in audited revenues 605,685.

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
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
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)
Total Community Benefit Expns	$5,802,267	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,802,267	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,068,366	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,100,006	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,968,360	NetCommunityBenefitExpnsAmt
Total Expense	0.05030	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,870,633	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,100,006	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,770,627	NetCommunityBenefitExpnsAmt
Total Expense	0.06150	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	477	PersonsServedCnt
Total Community Benefit Expns	$1,876,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,778	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,800,761	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,230,581	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,230,581	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,954,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,884,899	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,069,372	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,964	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$488	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,476	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$608,636	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$598,769	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	477	PersonsServedCnt
Total Community Benefit Expns	$12,676,991	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,971,032	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,705,959	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	477	PersonsServedCnt
Total Community Benefit Expns	$86,547,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,071,038	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$39,476,586	NetCommunityBenefitExpnsAmt
Total Expense	0.07650	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$5,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$52,312	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,312	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$31,505	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$31,505	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$89,537	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,537	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,694,544	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$97,736,107	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$147,172,424	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$49,436,317	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	Catholic Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03102	ZIPCd

Field	Value	IRS element (for citing)
State License	00646	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Catholic Medical Center	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	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	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
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	see Part V, Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	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	300.000000000000	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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
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
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Catholic Medical Center	Part V, Section B, Line 5: A variety of different secondary data sources were accessed. They included but were not limited to the Centers for Disease Control and Prevention (CDC), New Hampshire Department of Health and Human Services (NHDHHS), Youth Behavioral Risk Factor Surveillance Survey, City of Manchester, Census data, and local town data. Representatives from CMC, Elliot Health System (EHS), Manchester Health Department, and Dartmouth Health interviewed key leaders from towns in our service area to ascertain the key health related issues that they were facing and dealing with in their local communities. The towns that were included in the interview process were Auburn, Bedford, Candia, Hooksett, Goffstown, Deerfield, and New Boston. Though the overall needs were similar the priority of them varies between the towns. Overall, the common themes were substance use, the availability of behavioral health services, transportation (especially in the elderly populations and the more rural areas of New Boston and Deerfield), self-care and management of chronic disease, and access to health care for the low income populations and communities. Communications on community needs were collected via discussions with local leaders in the health care field. These leaders consisted of individuals from: Catholic Medical Center, Dartmouth Health, Public Health Department - City of Manchester, NH, Elliot Health System, and Community Health & Mission.
Catholic Medical Center	Part V, Section B, Line 6a: Elliot Health System in Manchester, NH.
Catholic Medical Center	Part V, Section B, Line 6b: Manchester Health Department, Dartmouth Health, and Elliot Health System.
Catholic Medical Center	Part V, Section B, Line 7d: The Catholic Medical Center "Healthy Living News", the Medical Center's community newsletter, provides a summary report of the community benefits that the Medical Center provides. The Healthy Living News is distributed to our primary and secondary service areas, approximately 120,000 people.
Catholic Medical Center	Part V, Section B, Line 11: Catholic Medical Center has addressed the needs identified in the June 30, 2022 CHNA through the implementation of programs and services throughout the Manchester health service area (HSA). Mental illness and violence are often intrinsically intertwined. CMC has increased services within our Behavioral Health Department and developed the Opioid Use/Misuse Resource. This is an online tool available to all CMC staff to create consistency of care in the treatment and recovery of this public health epidemic. Health Care for the Homeless (HCH) of CMC provides behavioral health services and substance abuse counseling to the homeless throughout the Manchester HSA. CMC has improved the mental health assessment tool in Primary Care, a key component in the early identification and treatment of mental illness. The Doorway of Greater Manchester: In May 2020, CMC, assumed leadership of The Doorway Program of Greater Manchester. The NH Doorway system was launched in January 2019 with funding from the State Opioid Response grant from the U.S. Department of Health and Human Services' Substance Abuse and Mental Health Services Administration (SAMHSA) and is designed to be an access point for those seeking services for substance use disorder (SUD). A 2018 study from SAMHSA found that 20.3 million people aged 12 or older, or 7.4% of this population had a SUD. SUD continues to be an area of concern identified in the Greater Manchester Community Health Needs Assessment. Of those with an addiction-related condition, only 11% received treatment. By operating the Doorway, CMC is committed to assisting those with SUD by connecting them with clinical treatment and wrap-around services to break the cycle of addiction. Wilson Street Integrated Health: Continuing its mission of caring for the region's most vulnerable neighbors, CMC opened Wilson Street Integrated Health (WSIH), located within the Manchester Recovery and Treatment Center (MRTC). Wilson Street Integrated Health is a service of the Health Care for the Homeless Program of Manchester, a collaboration between CMC and the City of Manchester Health Department. The new practice offers primary care, social work, counseling and medication assisted treatment to our most vulnerable patients, as well as providing our patients with easy access to our MRTC partners: Hope for New Hampshire Recovery, The Willows Substance Use Treatment Center, and the Mental Health Center of Greater Manchester's Mobile Crisis Response Team. Ambulatory care, chronic disease, including asthma and aging issues have all been addressed through various means. Catholic Medical Center's Primary Care has implemented The Patient-Centered Medical Home (PCMH) Model, a proactive approach to preventative medicine through the introduction of care coordinators to the primary care practices. All care managers work with the practices' most high risk patients (asthma, diabetes, COPD, etc) to ensure they understand their medications and follow-up care. The PCMH Model encourages patients to become involved and educated in their personal care plan. CMC offers free health screenings, chronic disease, and self-management classes to the community. These programs provide the opportunity for early detection of chronic disease; referral based follow-up care and education on adopting healthy lifestyle behaviors, communicating with the healthcare team, problem solving, and goal setting. To aid with aging issues, CMC's Parish Nurse program provides nurse consultations, education, referrals, and screenings at Parishes throughout the Greater Manchester Area.In order to address the barriers to access of health care services related to poverty (lack of insurance, cost, transportation and education on accessing care, and lack of medical home) CMC provides comprehensive care to Manchester's underserved and refugee populations. Health Care for the Homeless provides primary medicine and behavioral health care to over 1,700 homeless patients. CMC's Certified Application Counselors (CAC) provide outreach and enrollment services to the communities' uninsured. CACs provide information on a full range of qualified health plan (QHP) options and assist individuals in applying for coverage through a QHP in the ACA's Marketplace Exchange. CMC provides shuttle support at no cost to patients with offsite appointments such as primary care, outpatient PT, and other services that are not available at the Hospital. CMC assists patients through the Medication Assistance program to obtain medications they would otherwise not be able to afford and has developed a prescription delivery program with Rite Aid Pharmacy to assist patients with filling their medications upon discharge.CMC's Poisson Dental Facility has expanded access to oral health services to patients of the Pregnancy Care Center and Manchester Community Health Center (MCHC). The Poisson Dental Facility provides access to exams and treatment planning for women from the Pregnancy Care Center and access to oral health care during the first post-partum year until their treatment plan has been completed. CMC's Poisson Dental facility provides oral health services to not-for-profit agencies in our community including Mental Health Center of Greater Manchester, Moore Center Services, Manchester Health Department, and Health Care for the Homeless (HCH). The majority of HCH patients often arrive with very poor oral health. In an effort to meet the growing need for oral health services, CMC's Poisson Dental expanded services to include school-based dental care for children in need attending Manchester elementary, middle, and high schools. This school-based program is made possible through collaboration with the City of Manchester Health Department and Easter Seals NH. CMC's Fertility Education provides teens at local schools and parishes educational opportunities such as The Cradle Within, Ideal Dating, Sexual Risk Behavior, and Conflict Resolution. The goal is to equip adolescents with the tools to identify healthy relationships and the benefits of choosing sexual risk avoidance behaviors. The Pregnancy Care Center provides supportive prenatal care to all women, including teens, regardless of their ability to pay. Their mission is to improve pregnancy outcomes by serving those most in need and unable to access services in a traditional prenatal setting. The Pregnancy Care Center expanded services, adding Centering Group Prenatal Care; this program is a multifaceted model of group care that integrates the three major components of care: health assessment, education, and support. Visits promote greater patient engagement, personal empowerment, and community-building. Veteran's Support: In June of 2018, Easter Seals and Catholic Medical Center launched a pilot program to provide Easter Seals' Military & Veteran Services (MVS) care coordination services onsite to veterans, service members, and their immediate family members (including CMC staff members). Easter Seals MVS provides care coordination services to veterans of all eras, regardless of branch, active duty status, length of service, or discharge status. Among other things, Easter Seals MVS can help patients (and staff members who are veterans) to determine eligibility for and connect to military and civilian benefits and resources, stabilize housing, and find employment support. This program has been transitioned to the Manchester V.A.Breast & Cervical Cancer Screening: Regular screenings and follow-up care can help prevent or more effectively treat breast and cervical cancers. The Let No Woman Be Overlooked Breast and Cervical Cancer Program allows women throughout New Hampshire who do not have access to essential, basic, preventive care access free screenings.(Explanation is continued later in Part V, Facility Information)
Catholic Medical Center	Part V, Section B, Line 16j: Signs are posted throughout the hospital facility and physician practices that list the financial programs available and contact information for assistance.
Part V, Line 7a & 7b:	Hospital's Website URL for Community Health Needs Assessment: https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/AboutUs/Manchester-Community-Health-Needs-Assessment-2022.pdf
Part V, Line 10a:	Hospital's Website URL for Community Health Implementation Plan:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/CareTreatment/CommHealthOutr/CMC_Community_Health_Implementation_Strategy_2022.pdf
Schedule H, Part V, Section B, Line 16a-16c:	The financial assistance policy, application, and plain language summary are available on the Hospital's website, at:https://www.catholicmedicalcenter.org/patients-visitors/financial-assistanceThe full policy is available at the following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/Financial_Assistance_Policy_ENGmar23.pdfThe application for financial assistance is available at the following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/FinancialAssistance_CoverLetter_Application_may2019v2.pdfThe financial assistance plain language summary is available at the following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/FAP_Plain_Language_May2021_English.pdfThe list of services eligible for financial assistance is available at teh following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/Listing_of_CMC_Services_English_Apr-21final.pdf

Field	Value	IRS element (for citing)
Facility	44	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - New England Heart Institute
100 McGregor Street	Manchester	NH	03102	Heart and Vascular services
2 - Hospital Medicine
100 McGregor Street	Manchester	NH	03102	Hospital Medicine
3 - Cardiothoracic Surgical Associates
100 McGregor Street	Manchester	NH	03102	Cardiothoracic Surgery
4 - Women's Wellness & Fertility Center
88 McGregor Street Suite 201	Manchester	NH	03102	Women's Health
5 - Surgical Care Group
87 McGregor Street Suite 3100	Manchester	NH	03102	Surgical Care
6 - Bedford Center Int Med & Pediatric
188 Route 101	Bedford	NH	03110	Internal Medicine and Pediatrics
7 - Outpatient Rehabilitation
188 Route 101	Bedford	NH	03110	Outpatient Rehabilitation
8 - Family Physicians of Manchester
57 Webster Street Suite 110	Manchester	NH	03104	Family Medicine
9 - Goffstown Family Practice
17A Tatro Drive Suite 201	Goffstown	NH	03045	Family Medicine
10 - Granite State Internal Medicine
188 Route 101	Bedford	NH	03110	Internal Medicine
11 - Hooksett Internal Medicine
11 Kimball Drive Unit 132	Hooksett	NH	03103	Internal Medicine
12 - New England Heart Institute
1 Highlander Way	Manchester	NH	03103	Heart and Vascular services
13 - Lakeview Internal Medicine
27 Londonderry Turnpike	Hooksett	NH	03106	Internal Medicine
14 - Outpatient Rehabilitation
27 Londonderry Turnpike	Hooksett	NH	03106	Outpatient Rehabilitation
15 - Queen City Medical Associates
775 South Main Street	Manchester	NH	03102	Internal Medicine
16 - Willowbend Family Practice
5 Washington Place Suite 1A	Bedford	NH	03110	Family Medicine
17 - Urgent Care at Bedford Medical Park
5 Washington Place Suite 1B	Bedford	NH	03110	Urgent Care
18 - New England Heart Institute
59 Page Hill Road	Berlin	NH	03570	Heart and Vascular services
19 - Vein and Vascular Specialists
59 Page Hill Road	Berlin	NH	03570	Vascular Surgery services
20 - Comprehensive Neurological Care
59 Page Hill Road	Berlin	NH	03570	TeleNeurology services
21 - New England Heart Institute
452 Old Street Road Suite 107	Peterborough	NH	03458	Heart and Vascular services
22 - Vein and Vascular Specialists
452 Old Street Road	Peterborough	NH	03458	Vascular Surgery services
23 - Hospital Medicine Services
452 Old Street Road	Peterborough	NH	03458	Hospitalists
24 - New England Heart Institute
173 Middle Street	Lancaster	NH	03584	Heart and Vascular services
25 - Vein and Vascular Specialists
173 Middle Street	Lancaster	NH	03584	Vascular Surgery services
26 - Comprehensive Neurological Care CMC
1 Highlander Way	Manchester	NH	03103	Neurology services
27 - Outpatient Rehabilitation
769 South Main Street Suite 201	Manchester	NH	03102	Outpatient Rehabilitation
28 - New England Heart Institute
181 Corliss Lane	Colebrook	NH	03576	Heart and Vascular services
29 - Hospital Medicine services
181 Corliss Lane	Colebrook	NH	03576	Hospitalists
30 - Cholesterol Management Center
195 McGregor Street Suite 312	Manchester	NH	03102	Cholesterol Management services
31 - New England Heart Institute
6 Tsienneto Road Suite 301	Derry	NH	03038	Heart and Vascular services
32 - Vein and Vascular Specialists
160 South River Road Suite 100	Bedford	NH	03110	Vascular Surgery services
33 - New England Heart Institute
3 Alumni Drive Suite 101	Exeter	NH	03833	Heart and Vascular services
34 - New England Heart Institute
240 S Main Street Suite K	Wolfeboro	NH	03894	Heart and Vascular services
35 - Vein and Vascular Specialists
240 S Main Street	Wolfeboro	NH	03894	Vascular Surgery services
36 - New England Heart Institute-Nashua
166 Kinsley Street Suite 301	Nashua	NH	03060	Heart and Vascular services
37 - New Hampshire Gastroenterology
11 Washington Place	Bedford	NH	03110	Gastroenterology services
38 - New Hampshire Gastroenterology
454 Old Street Road Suite 208	Peterborough	NH	03458	Gastroenterology services
39 - New England Heart Institute
1 Parkland Drive	Derry	NH	03038	Heart and Vascular services
40 - Vein and Vascular Specialists
172 Kinsley Street	Nashua	NH	03060	Vascular Surgery services
41 - New England Heart Institute
16 Hospital Road	Plymouth	NH	03264	Heart and Vascular services
42 - Vein and Vascular Specialists
103 Boulder Point Road 2 FL	Plymouth	NH	03264	Vascular Surgery services
43 - North End Internal Medicine
1750 Elm Street Suite 201A	Manchester	NH	03101	Internal Medicine
44 - New England Heart Institute
15 US Route 302 Suite 1	Glenn	NH	03838	Vascular Surgery services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 15,059,671.
Part II, Community Building Activities:	Catholic Medical Center participates in a wide range of community building activities, committees, boards, and partnerships to promote the health of the communities it serves, including USNH, Granite United Way, and New Hampshire Catholic Charities, among others. The Medical Center sponsors emergency service efforts through planning hours for emergency preparedness and bioterrorism preparedness safety management.COVID-19: During the unprecedented COVID-19 pandemic, CMC was an integral part of the community's response activities. Early on in the pandemic, CMC partnered with the City of Manchester at the City's first COVID testing center located at the NH State Armory. Shortly thereafter, CMC collaborated with the City of Manchester, NH National Guard, and other healthcare partners to stand up the Greater Manchester Alternative Care Site (GMACS), a 250-bed field hospital located at Southern New Hampshire University (SNHU). CMC's Incident Command Center held weekly calls with the City's Emergency Operations Center, ensuring constant communication and updated information sharing. Finally, CMC has provided clinical and non-clinical staff to support the State's fixed Covid Vaccine site at SNHU as well as super clinics held at the New Hampshire Motor Speedway.
Part III, Line 2:	Costing methodology ratio of cost to charge is used to arrive at cost of bad debt expense.
Part III, Line 3:	Patients deemed eligible for financial asssistance follow CMC's charity care policies. Therefore, no bad debt expense related to patients eligible under the Hospital's financial assistance policy is included as a community benefit.
Part III, Line 4:	See Footnote 2 on Page 11 of the attached audited financial statements.
Part III, Line 8:	The entire Medicare shortfall is reported in our Community Benefit Report to the State of New Hampshire. The Medicare shortfall represents costs incured by the Hospital for providing care to Medicare patients in the Hospital's service area that were not reimbursed by the federal government. The Hospital considers this amount to be a significant shortfall for providing healthcare-related services to these patients which ultimately benefits the community it serves.
Part III, Line 9b:	CMC is a charitable healthcare organization that treats patients for emergency or medically necessary care regardless of their financial status. CMC's Collections Policy and Procedures addresses the procedures for patients who choose not to make payment or work with CMC to make payment arrangements for their bill. The policy contains specific language that applies to those patients who may qualify for financial assistance. CMC will hold collection activities where the patient has submitted a completed financial assistance application. CMC makes reasonable efforts to determine whether an individual is eligible for financial assistance under our Financial Assistance Policy (FAP). In order to determine whether a patient is eligible for financial assistance, CMC provides written notice that indicates the availability of financial assistance, provides a plain-language summary of the FAP, and attempts to notify the individual orally about the FAP and how the patient may get assistance with the application process. CMC also publishes the policy on our website, at patient registration locations, and provides notice to the community.
Part VI, Line 2:	In collaboration with the city of Manchester and other health care and social service agencies, Catholic Medical Center participates in a community needs assessment as required by the New Hampshire Attorney General's Office Division of Charitable Trusts.Since hospitals are required to assess the needs of their community every three years, CMC has completed a 2023 (tax year 2022) Needs Assessment and approved by the board and made widely available to the public during the fiscal year covered by the Hospital's 2022 Form 990. The previous Needs Assessment was completed in fiscal year 2019 (tax year 2018) by CMC and the Elliot Hospital of the City of Manchester. Additional information is obtained on an ongoing basis to assist the Organization in evaluating progress towards meeting our goals and the identification of new areas of need. This information is collected through community surveys, focus groups and discussions with community leaders, program evaluations and communication with those in the community who interact with our vulnerable populations.
Part VI, Line 3:	Patients are notified of CMC's FAP via notices upon registration, discharge, postings to our website, in the hospital, and physician practices. Signage is posted throughout the Hospital and physician practices highlighting Catholic Medical Center's financial assistance. CMC also communicates the policy to the community via mailings and other postings in relevant local support organizations. CMC also contacts patients verbally to inform them of the programs available.
Part VI, Line 4:	Catholic Medical Center's primary service area consists of the following towns and cities: Allenstown, Auburn, Bedford, Goffstown, Hooksett, Manchester, and New Boston. Our secondary service area is made up of Amherst, Concord, Derry, Litchfield, Londonderry, Merrimack, Milford, Nashua, Peterborough, Raymond, Salem and Weare.
Part VI, Line 5:	Catholic Medical Center is involved in numerous community initiatives to improve the health outcomes of our community, including, but not limited to the following: DSRIP 1115 Waiver, N4H a federally funded program with the state of New Hampshire to transform care by integrating primary and behavioral health care to improve health outcomes; a collaboration with The Manchester Health Department, Easter Seals, and Catholic Medical Center to provide school-based dental care to school-aged children in need, including the following programs: 500 Cities initiative with CMC's Parish Nurse Program and Manchester Health Department to offer assessments and services to high risk populations located within neighborhoods; primary care, specialty care and care coordination the homeless population via the HRSA grant; Medication Assistance Program offering free or reduced cost medication through the pharmaceutical companies and other low cost resources; and emergency bioterrorism preparedness safety management.
Part VI, Line 6:	Catholic Medical Center operates as part of CMC Healthcare System. Under the System, CMC offers a range of healthcare services to the community. The System includes CMC as a licensed, 330 bed full-service, acute care hospital, physician practices, general care surgical capabilities, and advanced care for cardiac needs. Catholic Medical Center offers full medical-surgical care with more than 25 subspecialties, comprehensive orthopedic care, inpatient and outpatient rehabilitation services, a 24-hour emergency department, outpatient behavioral health services, and diagnostic imaging. In addition, Catholic Medical Center has the Special Care Nursery which is a state-of-the-art neonatal facility designed to meet the distinct needs of our babies and their families. Catholic Medical Center is also home to the nationally recognized New England Heart and Vascular Institute (NEHVI), which provides a full-range of cardiac services, and is a pioneer in offering innovative surgical procedures. The Institute is also a national center for advanced clinical trials and cardiovascular rehabilitation and wellness education to help patients recover in a multi-step program of exercise, education, risk factor management, and the development of healthy lifestyles. The System also participates in two joint ventures, Bedford Ambulatory Surgical Center and Alliance Urgent Care Services, through its wholly-owned entity, and Alliance Ambulatory Services through the Granite Health Network.CMC has a deeply rooted history of providing care to those most in need through the Community Health and Mission department. CMC reaches beyond the walls of the hospital and into the community, assisting underserved individuals with health information and access to care. Community Health and Mission provides a wide variety of education, clinical services and resources for those in our primary and secondary markets. It is the home of the Pregnancy Care Center, the Poisson Dental Facility, the Health Care for the Homeless program, and the Parish Nurse program. We provide medication assistance, breast and cervical cancer screenings, and health screenings.
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	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Foundation for Healthy Communities
125 Airport Road	Concord	NH	03301	020275078	501(c)(3)	$605,685	$0	NH Hospital Association, NH Medicaid Expansion, Drug and Alcohol Abuse Prevention Initiatives
Amoskeag Health (formerly Manchester Community Health Center)
145 Hollis Street	Manchester	NH	03101	020458174	501(c)(3)	$0	$31,272	Funding and equipment for health care services and initiatives	Book value	Medical equipment and supplies

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Caring for Co-workers program to provide general assistance to individuals in need.	63	$54,443
Dr. Pepe Fund - financial assistance to employees who wish to improve their performance, proficiency, and education in the medical field.	40	$47,912
Organizational Workforce Development Program - financial assistance for individuals pursuing education and training in the field of nurising.	9	$20,886
Hermsdorf Scholarships - financial assistance for the training of worthy and needy students who are employees of CMC.	9	$3,750

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The Hospital will only makes donations to 501(c)(3) public charities or governmental municipalities. The Hospital may award grants to individuals living in the United States if the recipient-individuals are employees of the Catholic Medical Center system, and if the recipient-individuals meet certain merit and financial-need eligibility requirements. Grants to individuals are awarded in the form of scholarships to pursue higher education and skills in the healthcare field while also working for the Hospital.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
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	Yes (1)	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 (14 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
Alexander Walker Jr Esq
President & CEO	$627,831	$0	$0	$0	$77,174	$0	$292,846	$0	$104,493	$0	$1,102,344	$0	$0	$0
Edward Dudley III
Executive VP & CFO (end 2/2023)	$494,403	$0	$338	$0	$53,509	$0	$222,434	$0	$55,894	$0	$826,578	$0	$0	$0
Joseph Pepe MD
Former President & CEO (end 6/2021)	$0	$0	$0	$0	$733,333	$0	$0	$0	$1,338	$0	$734,671	$0	$0	$0
Robert Capodilupo MD
Interim Trustee/Exec Med Dir NEHI	$0	$550,015	$0	$136,447	$0	$0	$0	$15,250	$0	$30,432	$0	$732,144	$0	$0
Louis I Fink MD
Director (end 7/2023)	$0	$543,154	$0	$145,023	$0	$0	$0	$15,250	$0	$4,549	$0	$707,976	$0	$0
Michael J Gilbert MD
Chief Medical Officer	$547,460	$0	$0	$0	$8,932	$0	$9,150	$0	$45,553	$0	$611,095	$0	$0	$0
Patricia Furey MD
Director; Medical Staff President	$0	$466,939	$0	$38,883	$0	$0	$0	$12,200	$0	$40,236	$0	$558,258	$0	$0
Keith Stahl MD FACP
Associate Chief Medical Officer	$409,633	$0	$0	$0	$4,902	$0	$15,250	$0	$20,105	$0	$449,890	$0	$0	$0
Carolanne O'Sullivan
Senior VP, Provider Network	$362,774	$0	$0	$0	$20,249	$0	$15,250	$0	$47,193	$0	$445,466	$0	$0	$0
Andrew Watt MD
VP/Chief Medical Information Officer	$400,621	$0	$0	$0	$5,560	$0	$1,290	$0	$34,474	$0	$441,945	$0	$0	$0
Sarah Doherty RN
Nurse	$287,227	$0	$108,425	$0	$220	$0	$4,698	$0	$36,031	$0	$436,601	$0	$0	$0
Ronald Doncaster
Chief Operating Officer	$366,919	$0	$0	$0	$16,082	$0	$4,385	$0	$22,655	$0	$410,041	$0	$0	$0
Carolyn Claussen MD
Director (end 12/2022)	$0	$232,669	$0	$19,627	$0	$0	$0	$11,648	$0	$10	$0	$263,954	$0	$0
Pamela Martel
Executive VP & CFO	$178,567	$0	$0	$0	$928	$0	$7,491	$0	$11,406	$0	$198,392	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Catholic Medical Center provides certain fringe benefits that have gross-up calculations to cover taxes for a select few officers and/or highly compensated employees. In no case did this amount exceed $15,000 during the year for any one individual.
Part I, Lines 4a-b	Schedule J, Page 1, Line 4a, severance payments: Dr. Joseph Pepe, who previously served as the Organization's President and CEO, retired in June, 2021. As part of his retirement, Dr. Pepe became entitled to severance compensation as per his employment agreement. Dr. Pepe received severance compensation of $733,333 during calendar year 2022, after his formal retirement in June, 2021. This severance was included in his 2022 Form W-2 wages, and is also included in the amount of compensation reported on this Schedule J, Part II, Column B(iii). Schedule J, Page 1, Line 4b, supplemental non-qualified retirement plans: The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The amounts listed represent calendar year 2022 contributions for many years of service, and are included in the total deferred compensation reported on this Schedule J, Part II, Column C. - Edward Dudley, III: $211,145 - Alexander Walker, Jr., Esq.: $280,646
Part I, Line 7	A portion of compensation is at-risk and variable, and payment depends on the quality of job performance.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
New Hampshire Health And Education Facilities Authority
A	020279866	644614x79	2012-12-19	$38,249,382	See Part VI	0	0	0
New Hampshire Health And Education Facilities Authority
B	020279866		2015-09-03	$32,720,000	See Part VI	0	0	0
New Hampshire Health And Education Facilities Authority
C	020279866	64461XBT1	2017-09-21	$65,363,417	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$25,474,382	$38,249,517	$34,643,460	$597,089	$3,008,968	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$7,115,000	$32,779,646	$28,696,341	$257,332	$3,825,973	2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	$4,248,417	$66,661,885		$785,623	$66,661,885	2021	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 06/19/2014 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 09/03/2020 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 06/30/2020
Schedule K, Part I, Line A(f):	Refinance of Series 2002A Bonds Refinance of Series 2002B Bank Placement Refinance of Series 2012 Capital Note Routine Capital Improvements
Schedule K, Part I, Line B(f):	Advance & Current refunding of Series 2006 Bonds, and Construction
Schedule K, Part I, Line C(f):	To finance various construction projects.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Robert Capodilupo MD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Interim Trustee, Vice President	RelationshipDescriptionTxt
Transaction	$30,629	TransactionAmt
Transaction	Robert Capodilupo, MD, served as the Hospital's Vice President and as an Interim Trustee during the period covered by this Form 990. Dr. Capodilupo's was also employed by the Hospital for part of this tax year. During the 2022 calendar year, Dr. Capodilupo's spouse received compensation of $30,629, as reported to her on her 2022 Form W-2. The payments made to Dr. Capodilupo's spouse were deemed to be reasonable and appropriate given the level and quality of services performed.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$696	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Value per book	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$590	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Value per book	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$55,827	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Gift date FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$2,036	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Value per book	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Flowers	2	$535	Value per book
Yes (X)	Child toys	1	$250	Value per book
Yes (X)	Electronics	2	$170	Value per book

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 32b:	FormAndLineReferenceDesc
Explanation	The Organization uses brokerage and investment management services to process and sell donations of stock, bonds, and other gifts of investments and financial securities.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 4	During the period covered by this Form 990, the Hospital's Board made effective the following significant changes to its amended and restated bylaws: 1.) The number of corporate officers of the Hospital shall include one President and CEO and two or more Vice Presidents; the previous version of the bylaws only required at least one Vice President. 2.) The responsibilities of the Hospital's President and CEO have been amended to read as follows: (a) The President and CEO must remain in compliance with all applicable federal and state laws and in accordance with CMC policies and procedures regarding the health and safety of its patients; (b) The President and CEO must ensure proper licensing by the appropriate state or local authority responsible for licensing hospitals or other healthcare organizations, as applicable; (c) The President and CEO is subject to evaluation criteria that includes aspects of individual character, competence, training, experience, and judgment is established for the selection of individuals working for the organization, director or under contract, and/or appointed through the formal Medical Staff appointment process; (d) The President and CEO is responsible for ensuring that all personnel working for CMC are properly licensed or otherwise meet all applicable federal, state, and local laws; (e) The President and CEO is charged with signing or countersigning all certificates, contracts, and other instruments of CMC, or processes for establishing designees, as authorized by the Board of Trustees; and (f) All such other duties as from time to time may be assigned to him or her by the Board of Trustees. (g) Reporting: the President and CEO shall meet with and advise the Board of Trustees, the Executive Committee, and all other committees. He or she shall be responsible for the systematic preservation of all minutes and records of the CMC.
Form 990, Part VI, Section A, line 6	The members of Catholic Medical Center are CMC Healthcare System and GraniteOne Health.
Form 990, Part VI, Section A, line 7a	Directors of CMC are appointed by the members.
Form 990, Part VI, Section A, line 7b	The members have reserved powers over CMC but do not approve each separate action taken by the CMC board.
Form 990, Part VI, Section B, line 11b	Form 990 is prepared by an independent public accounting firm. Upon completion, a draft of the Form 990 is sent to the Organization, where the Executive Director of Finance and Assistant Controller perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from Board, the Form 990 is filed with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c	Officers and directors are required to complete a conflict of interest questionnaire annually.
Form 990, Part VI, Section B, line 15	CMC utilizes a compensation committee of the board of directors to set compensation levels and determine bonus potential for its senior leadership team. The committee is assisted by an independent consultant who surveys like-sized and performing institutions to benchmark relevant salary scales for each position. The consultant's findings are presented to the compensation committee who considers that external data with actual performance against a list of pre-established goals per senior leaders to set prospective compensation levels and bonus values. Bonus amounts are determined by how well an executive achieves a pre-defined set of goals. These goals, in general, are tied to the achievement of a specific task or project. Some goals are attached to achieve overall financial performance and mission performance, not solely revenue generation.
Form 990, Part VI, Section C, line 19	CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, line 9:	Pension related changes net of periodic costs 23,934,901. Change in fair market value of perpetual trust 374,025. Change in fair market value of interest rate swap -5,056. Net assets released for operations -566,198. Return of donor-restricted contributions -15,032,182. Net transfers to affiliates -46,406,000.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Alliance Ambulatory Services
100 McGregor Street	Manchester	NH	03102	020519436	Ambulatory Surgical Center	NH	501(c)(3)	Line 10	CMC Healthcare System	0
Alliance Health Services
100 McGregor Street	Manchester	NH	03102	611508839	Practices	NH	501(c)(3)	Line 10	CMC Healthcare System	0
Alliance Resources
100 McGregor Street	Manchester	NH	03102	020398138	Real Estate	NH	501(c)(3)	Line 12b, II	CMC Healthcare System	0
CMC Healthcare System
100 McGregor Street	Manchester	NH	03102	010568516	Parent	NH	501(c)(3)	Line 12b, II		0	N/A
CMC Physician Practice Associates
100 McGregor Street	Manchester	NH	03102	020460245	Practices	NH	501(c)(3)	Line 10	CMC Healthcare System	0
GraniteOne Health
100 McGregor Street	Manchester	NH	03102	814663563	Supporting Organization	NH	501(c)(3)	Line 12a, I		0	N/A
Huggins Hospital
240 South Main Street	Wolfeboro	NH	03894	030223332	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health	0
Monadnock Community Hospital
452 Old Street Road	Peterborough	NH	03458	020222157	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health	0
St Peter's Home
100 McGregor Street	Manchester	NH	03102	020222228	Day Care Services	NH	501(c)(3)	Line 10	CMC Healthcare System	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Bedford Ambulatory Surgical Center LLC
11 Washington Place	Bedford	NH	03110	020519727	Surgical Center	NH	N/A	0	0
Alliance Urgent Care Services
100 McGregor Street	Manchester	NH	03102	831238167	Health Care Services	NH	N/A	0	0
NH Value Care ACO LLC
100 McGregor Street	Manchester	NH	03102	832029076	Health Care Services	NH	N/A	0	0

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
Alliance Enterprises
100 McGregor Street	Manchester	NH	03102	020386795	Real Estate	NH	N/A	C	Yes (1)
Doctors' Medical Association Inc
100 Mcgregor Street	Manchester	NH	03102	020340690	Medical Office Building	NH	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	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	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd