CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-15
IRS object ID: 202522279349303467
Schema version: 2023v6.0
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-15T14:56:07-05:00	ReturnTs
Tax Period End	2024-09-30	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	2023-10-01	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	Sidi Cuko	PersonNm
Person Title	Catholic Healthcare Trust Pres./CEO	PersonTitleTxt
Phone	6036683545	PhoneNum
Signature	2025-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Connor Smart	PreparerPersonNm
PTIN	P02285543	PTIN
Phone	2078792100	PhoneNum
Preparation	2025-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Sidi Cuko	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	$550,738,162	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://catholicmc.com/	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
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	3256	TotalEmployeeCnt
Total Volunteers	224	TotalVolunteersCnt
Total Gross UBI	$13,742	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$10,872	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$6,465,378	PYContributionsGrantsAmt
CY Contributions Grants	$6,724,730	CYContributionsGrantsAmt
PY Program Service Revenue	$526,651,677	PYProgramServiceRevenueAmt
CY Program Service Revenue	$510,509,439	CYProgramServiceRevenueAmt
PY Investment Income	$6,382,797	PYInvestmentIncomeAmt
CY Investment Income	$7,121,232	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	-$52,340	CYOtherRevenueAmt
PY Total Revenue	$539,499,852	PYTotalRevenueAmt
CY Total Revenue	$524,303,061	CYTotalRevenueAmt
PY Grants And Similar Paid	$763,948	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$335,557	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$229,532,448	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$223,765,453	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$5,850	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$19,600	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$410,971	CYTotalFundraisingExpenseAmt
PY Other Expenses	$300,671,692	PYOtherExpensesAmt
CY Other Expenses	$292,769,586	CYOtherExpensesAmt
PY Total Expenses	$530,973,938	PYTotalExpensesAmt
CY Total Expenses	$516,890,196	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,525,914	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,412,865	CYRevenuesLessExpensesAmt
Total Assets BOY	$433,176,137	TotalAssetsBOYAmt
Total Assets EOY	$389,369,786	TotalAssetsEOYAmt
Total Liabilities BOY	$339,205,852	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$327,817,376	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$93,970,285	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$61,552,410	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	Yes (1)	SignificantChangeInd
Expense	$454,395,168	ExpenseAmt
Grant	$335,557	GrantAmt
Revenue	$510,509,439	RevenueAmt
Desc	Medical and surgical services provided to 11,626 inpatients and 188,190 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	$454,395,168	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	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	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	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	Yes (1)	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	258	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3256	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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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 (23 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	40.90	0.90	Yes (X)	Yes (X)	$717,524	$0	$351,171
Patricia Furey MD
Director; Medical Staff President	0.80	40.80	Yes (X)		$0	$470,768	$53,510
Robert Capodilupo MD
Interim Trustee/Exec Med Dir NEHI	0.80	40.60	Yes (X)	Yes (X)	$0	$675,257	$53,048
William Furlong
Director	0.90	0.40	Yes (X)		$0	$0	$0
Robert Gossett
Director	0.80	0.60	Yes (X)		$0	$0	$0
Roger Jean
Director	0.90	0.40	Yes (X)		$0	$0	$0
Derek McDonald
Dir./Bishop's Delegate (end 11/2023)	0.10	0.00	Yes (X)		$0	$0	$0
Kristy Merrill
Director	0.70	0.40	Yes (X)		$0	$0	$0
John J Munoz MD
Director	0.90	0.40	Yes (X)		$0	$0	$0
Grace Tung
Director	0.90	0.30	Yes (X)		$0	$0	$0
Timothy Riley
Chair	0.70	0.40	Yes (X)	Yes (X)	$0	$0	$0
Marie McKay CPA
Treasurer	0.80	0.70	Yes (X)	Yes (X)	$0	$0	$0
Pamela Diamantis
Vice Chair	0.90	0.40	Yes (X)	Yes (X)	$0	$0	$0
Matthew Albuquerque
Director/Secretary (start 1/2024)	0.80	0.50	Yes (X)	Yes (X)	$0	$0	$0
Matthew Kfoury
Secretary (end 1/2024)	0.20	0.20	Yes (X)	Yes (X)	$0	$0	$0
Pamela Martel
Executive VP & CFO	40.20	0.20		Yes (X)	$345,190	$0	$19,006
Keith Larocque RN
Nurse	40.00	0.00			$314,999	$0	$46,454	Yes (X)
Andrew Watt MD
VP/Chief Medical Information Officer	40.00	0.00			$420,359	$0	$36,275	Yes (X)
Sarah Doherty RN
Nurse	40.00	0.00			$292,349	$0	$38,415	Yes (X)
Carolanne O'Sullivan
Senior VP, Provider Network	40.00	0.00			$499,649	$0	$52,950	Yes (X)
Michael Gilbert
Chief Medical Officer	40.20	0.00			$401,623	$0	$33,104	Yes (X)
Edward Dudley III
Former Executive VP & CFO	0.00	0.00			$159,007	$0	$132,010		Yes (X)
Ronald Doncaster
Former Chief Operating Officer	0.00	0.00			$112,379	$0	$493		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,263,079	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,146,025	TotReportableCompRltdOrgAmt
Total Other Compensation	$816,436	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	557	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	$25,094,657
Medical Solutions LLC
PO Box 850737	Minneapolis	MN	55485	Healthcare staffing solutions	$17,964,359
Anesthesia Care Group PC
PO Box 9514	Manchester	NH	03101	Medical services	$5,695,208
Harvey Construction Corp
10 Harvey Road	Bedford	NH	03110	Construction services	$3,300,981
Huron Consulting Group Inc
3005 Momentum Place	Chicago	IL	60689	Consulting services	$1,750,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	100	CntrctRcvdGreaterThan100KCnt
Fundraising	$169,120	FundraisingAmt
Government Grants	$263,507	GovernmentGrantsAmt
All Other Contributions	$6,292,103	AllOtherContributionsAmt
Total Contributions	$6,724,730	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services	621400	$483,660,137	$483,660,137
Disproportionate Share Funding	621400	$22,949,361	$22,949,361
Cafeteria and dining	722210	$1,711,980	$1,711,980
Lab clients	621500	$1,663,720	$1,663,720
Program-related rents	532000	$524,241	$524,241

Field	Value	IRS element (for citing)
Total Program Service Revenue	$510,509,439	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,487,853	TotalRevenueColumnAmt
Unrelated Business Revenue	$13,742	UnrelatedBusinessRevenueAmt
Exclusion	$5,474,111	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$27,968,239	SecuritiesAmt
Other	$12,691	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$26,347,551	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,620,688	SecuritiesAmt
Other	$12,691	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,633,379	TotalRevenueColumnAmt
Exclusion	$1,633,379	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$35,210	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$169,120	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$87,550	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$52,340	TotalRevenueColumnAmt
Exclusion	-$52,340	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$524,303,061	TotalRevenueColumnAmt
Related Or Exempt Func Income	$510,509,439	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$13,742	UnrelatedBusinessRevenueAmt
Exclusion	$7,055,150	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$209,851	TotalAmt
Program Services	$209,851	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$125,706	TotalAmt
Program Services	$125,706	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,545,763	TotalAmt
Program Services	$1,287,632	ProgramServicesAmt
Management And General	$258,131	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$178,561,924	TotalAmt
Program Services	$148,574,549	ProgramServicesAmt
Management And General	$29,784,612	ManagementAndGeneralAmt
Fundraising	$202,763	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,763,564	TotalAmt
Program Services	$4,795,636	ProgramServicesAmt
Management And General	$961,377	ManagementAndGeneralAmt
Fundraising	$6,551	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,533,937	TotalAmt
Program Services	$20,436,958	ProgramServicesAmt
Management And General	$4,096,979	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,360,265	TotalAmt
Program Services	$11,117,903	ProgramServicesAmt
Management And General	$2,228,796	ManagementAndGeneralAmt
Fundraising	$13,566	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$524,094	TotalAmt
Management And General	$524,094	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$181,195	TotalAmt
Management And General	$181,195	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$61,500	TotalAmt
Management And General	$61,500	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$19,600	TotalAmt
Fundraising	$19,600	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$53,559	TotalAmt
Management And General	$53,559	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,707,784	TotalAmt
Program Services	$10,354,792	ProgramServicesAmt
Management And General	$2,352,992	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,687,022	TotalAmt
Program Services	$1,374,651	ProgramServicesAmt
Management And General	$312,371	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,962,017	TotalAmt
Program Services	$8,035,711	ProgramServicesAmt
Management And General	$1,826,011	ManagementAndGeneralAmt
Fundraising	$100,295	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,199,968	TotalAmt
Program Services	$8,305,387	ProgramServicesAmt
Management And General	$1,887,291	ManagementAndGeneralAmt
Fundraising	$7,290	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,994,936	TotalAmt
Program Services	$15,469,156	ProgramServicesAmt
Management And General	$3,515,164	ManagementAndGeneralAmt
Fundraising	$10,616	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$357,565	TotalAmt
Program Services	$291,358	ProgramServicesAmt
Management And General	$66,207	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$479,866	TotalAmt
Program Services	$375,047	ProgramServicesAmt
Management And General	$85,225	ManagementAndGeneralAmt
Fundraising	$19,594	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,481,890	TotalAmt
Program Services	$6,198,888	ProgramServicesAmt
Management And General	$1,283,002	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,043,043	TotalAmt
Program Services	$7,961,733	ProgramServicesAmt
Management And General	$5,081,310	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,652,621	TotalAmt
Program Services	$2,976,296	ProgramServicesAmt
Management And General	$676,325	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$112,002,799	$110,388,921	$1,613,878
Physician fees	$53,712,733	$51,716,503	$1,996,230
NH Medicaid Tax	$24,489,553	$24,489,553
Provision for bad debt	$19,908,937	$19,908,937

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,268,504	TotalAmt
Management And General	$3,237,808	ManagementAndGeneralAmt
Fundraising	$30,696	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$516,890,196	TotalAmt
Program Services	$454,395,168	ProgramServicesAmt
Management And General	$62,084,057	ManagementAndGeneralAmt
Fundraising	$410,971	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,751,807	BOYAmt
EOY	$10,106,404	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,986,455	BOYAmt
EOY	$51,364,203	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,934,922	BOYAmt
EOY	$1,294,964	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,163,372	BOYAmt
EOY	$64,390,098	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,798,671	BOYAmt
EOY	$2,037,818	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,365,009	BOYAmt
EOY	$6,972,672	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$333,253,679	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$215,574,470	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$123,566,989	BOYAmt
EOY	$117,679,209	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$108,467,959	BOYAmt
EOY	$93,790,563	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,019,377	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,137,559	BOYAmt
EOY	$33,464,223	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,984,017	BOYAmt
EOY	$8,269,632	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$433,176,137	BOYAmt
EOY	$389,369,786	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$71,615,269	BOYAmt
EOY	$73,109,680	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$911,915	BOYAmt
EOY	$784,916	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$102,108,794	BOYAmt
EOY	$99,160,835	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$52,898,255	BOYAmt
EOY	$50,826,499	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,671,619	BOYAmt
EOY	$103,935,446	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$339,205,852	BOYAmt
EOY	$327,817,376	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	$79,600,950	BOYAmt
EOY	$47,298,082	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,369,335	BOYAmt
EOY	$14,254,328	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$93,970,285	BOYAmt
EOY	$61,552,410	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$433,176,137	BOYAmt
EOY	$389,369,786	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,412,865	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,421,252	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$42,251,992	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	$44,485	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$61,500	OtherActivitiesAmt
Total Lobbying Expenditures	$105,985	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, 2024 was available for lobbying expenditures on behalf of CMC in furtherance of its exempt purposes. The portion of the dues paid that constituted lobbying was as follows: - NHHA: $28,589 - AHA: $15,896 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, and it also provided general communication with elected officials on behalf of CMC and other affiliated entities. CMC estimates that it paid the Diocese approximately $5,125 per month, or about $61,500 on an annual basis, to assist with these services.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,369,335	BeginningYearBalanceAmt
Contributions	$1,590,552	ContributionsAmt
Investment Earnings Or Losses	$1,215,988	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,397,777	OtherExpendituresAmt
Administrative Expenses	$1,523,770	AdministrativeExpensesAmt
End Year Balance	$14,254,328	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.71789	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.28211	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	$119,443,881	OtherCostOrOtherBasisAmt
Depreciation	$62,534,214	DepreciationAmt
Book Value	$56,909,667	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,998,992	OtherCostOrOtherBasisAmt
Depreciation	$9,022,394	DepreciationAmt
Book Value	$976,598	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$170,257,783	OtherCostOrOtherBasisAmt
Depreciation	$136,776,859	DepreciationAmt
Book Value	$33,480,924	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,608,733	OtherCostOrOtherBasisAmt
Depreciation	$7,241,003	DepreciationAmt
Book Value	$13,367,730	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$117,679,209	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Accrued pension & other liabilities	$65,753,026
Dues to affiliates	$1,106,417
Capital lease liabilities	$2,388,228
Operating lease liabilities	$34,687,775

Field	Value	IRS element (for citing)
Total Liability	$103,935,446	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$514,971,053	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,421,252	NetUnrealizedGainsInvstAmt
Other Revenue	$5,556,561	OtherRevenueAmt
Revenue Not Reported	$7,977,813	RevenueNotReportedAmt
Revenue Subtotal	$506,993,240	RevenueSubtotalAmt
Investment Expenses Not Incld	$53,559	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$17,256,262	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$17,309,821	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$524,303,061	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$499,841,136	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$87,550	OtherExpensesIncludedAmt
Expenses Not Reported	$87,550	ExpensesNotReportedAmt
Expenses Subtotal	$499,753,586	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$53,559	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$17,083,051	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$17,136,610	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$516,890,196	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	Proceeds from the Organization's endowment funds are used in operations.
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 4,150,395. Changes in FMV of perpetual trust 1,318,616. Fundraising event expenses 87,550.
Part XI, Line 4b - Other Adjustments:	Provision for bad debts 16,904,472. Donations to others included in audited revenues 178,579. Change in FMV of interest rate swap agreement 173,211.
Part XII, Line 2d - Other Adjustments:	Fundraising event expenses 87,550.
Part XII, Line 4b - Other Adjustments:	Provision for bad debts net against revenues 16,904,472. Donations to others included in audited revenues 178,579.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Andrews Consulting	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	730 Pine Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03104	ZIPCd

Field	Value	IRS element (for citing)
Activity	Fundraising consultant	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$19,500	RetainedByContractorAmt
Net To Organization	$0	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$19,500	TotalRetainedByContractorsAmt
Licensed States	NH	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$187,120	GrossReceiptsEvent1Amt
Charitable Contri Event1	$169,120	CharitableContriEvent1Amt
Gross Revenue Event1	$18,000	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$103	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$23,576	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$24,278	FoodAndBeverageEvent1Amt
Entertainment Event1	$12,037	EntertainmentEvent1Amt
Other Direct Expenses Event1	$23,579	OtherDirectExpensesEvent1Amt
Event2	Wine Tasting	Event2Nm
Gross Receipts Event2	$17,210	GrossReceiptsEvent2Amt
Gross Revenue Event2	$17,210	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$698	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$3,279	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$204,330	GrossReceiptsTotalAmt
Charitable Contributions Tot	$169,120	CharitableContributionsTotAmt
Gross Revenue Total Events	$35,210	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$103	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$24,274	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$24,278	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$12,037	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$26,858	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$87,550	DirectExpenseSummaryEventsAmt
Net Income Summary	-$52,340	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule G, Part I, Professional Fundaiser:	FormAndLineReferenceDesc
Explanation	During the period covered by this Form 990, the Catholic Medical Center compensated Andrews Consulting $19,500 for fundraising consulting services. Andrews Consulting provides strategy, development, leadership, training, and other similar services. The Organization believes that these services materially improved Catholic Medical Center's ability to raise donations and support from the general public. However, due to the nature of these services, the Organization is unable to estimate the amount of contributions received during this year that are directly related to the work performed by Andrews Consulting. In addition to the $19,500 paid to Andrews Consulting, the Hospital also paid another third-party fundraiser $100 during this reporting period for similar services as provided by Andrews Consulting. The additional $100 is included in the total on this Form 990, Part IX, Line 11e, but is below the Schedule G, Part I reporting threshold and is therefore not included in the amounts shown on this supporting schedule.	ExplanationTxt

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	$7,062,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,062,500	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,207,687	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,084,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,123,193	NetCommunityBenefitExpnsAmt
Total Expense	0.04450	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,270,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,084,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,185,693	NetCommunityBenefitExpnsAmt
Total Expense	0.05870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,272,877	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,267,653	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,224,544	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,224,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,497,421	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,492,197	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,767,608	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,089,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,677,890	NetCommunityBenefitExpnsAmt
Total Expense	0.06380	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,587,879	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$89,586,689	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$133,328,414	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$43,741,725	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
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	0	StrategyPostedWebsiteInd
Strategy Attached	Yes (1)	StrategyAttachedInd
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 (8 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. The Hospital also keeps physical copies of the CHNA and its Implementation Plan in its archives and records to be provided to the public upon request. Lastly, the CHNA and CHIP are also attached with the Hospital's Form 990 tax filings.
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.
Schedule H, Part V, Section B, Line 16a-16c:	The financial assistance policy, as well other information related to the Hospital's charity discount programs and financial resources, are available online at:https://catholicmc.com/patient-financial/charity-policyThe financial assistance plain language summary is available at the following webpage:https://catholicmc.com/patient-financial/aboutA pricing transparency and patient payment estimator is available online at:https://catholicmc.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dotInformation regarding the Hospital's pricing estimates can be found online at:https://catholicmc.com/patient-financial/insurance-decision
Form 990, Schedule H, Part V, Section B, Lines 7 and 10:	On September 26, 2023, the Catholic Medical Center, and by association its affiliated entities within the CMC Health System, executed a letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all the assets of the Medical Center to HCA. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter.Upon the merger and affiliation with HCA, the Hospital's previous website was taken down, and with it the most recently published CHNA reports. As of the time of filing this Form 990, the Hospital is currently working towards uploading the most recent CHNA and Implementation Plan to a new website, to make such reports more widely available. However any such new websites may not be fully ready and updated by the Form 990 filing deadline. Additionally, the Hospital still has physical copies of the CHNA in its records and available to the public upon request.

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 $ 19,908,937.
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.
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.Lastly, through May 2024, the Hospital was a member of GraniteOne Health, a collection of hospital and healthcare entities that collaborated to provide health, care, and patient services throughout New Hampshire. As of May 2024, the Medical Center ended its relationship with GraniteOne Health.
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)	$178,579	$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 (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Caring for Co-workers program to provide general assistance to individuals in need.	53	$48,374
Dr. Pepe Fund - financial assistance to employees who wish to improve their performance, proficiency, and education in the medical field.	56	$56,032
Hermsdorf Scholarships - financial assistance for the training of worthy and needy students who are employees of CMC.	11	$21,300

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.	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 (11 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	$646,076	$0	$0	$0	$71,448	$0	$270,586	$0	$80,585	$0	$1,068,695	$0	$0	$0
Robert Capodilupo MD
Interim Trustee/Exec Med Dir NEHI	$0	$567,189	$0	$108,068	$0	$0	$0	$15,250	$0	$37,798	$0	$728,305	$0	$0
Carolanne O'Sullivan
Senior VP, Provider Network	$296,721	$0	$0	$0	$202,928	$0	$15,250	$0	$37,700	$0	$552,599	$0	$0	$0
Patricia Furey MD
Director; Medical Staff President	$0	$470,768	$0	$0	$0	$0	$0	$12,200	$0	$41,310	$0	$524,278	$0	$0
Andrew Watt MD
VP/Chief Medical Information Officer	$412,966	$0	$0	$0	$7,393	$0	$1,291	$0	$34,984	$0	$456,634	$0	$0	$0
Michael Gilbert
Chief Medical Officer	$396,824	$0	$0	$0	$4,799	$0	$9,150	$0	$23,954	$0	$434,727	$0	$0	$0
Pamela Martel
Executive VP & CFO	$343,946	$0	$0	$0	$1,244	$0	$4,068	$0	$14,938	$0	$364,196	$0	$0	$0
Keith Larocque RN
Nurse	$314,234	$0	$0	$0	$765	$0	$15,250	$0	$31,204	$0	$361,453	$0	$0	$0
Sarah Doherty RN
Nurse	$246,946	$0	$42,600	$0	$2,803	$0	$4,698	$0	$33,717	$0	$330,764	$0	$0	$0
Edward Dudley III
Former Executive VP & CFO	$154,615	$0	$0	$0	$4,392	$0	$120,092	$0	$11,918	$0	$291,017	$0	$0	$0
Ronald Doncaster
Former Chief Operating Officer	$107,862	$0	$0	$0	$4,517	$0	$0	$0	$493	$0	$112,872	$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	Form 990, Schedule J, Part I, Line 4a, Severance: Carolanne O'Sullivan served the Hospital as its Senior VP of Provider Networks during the period covering this Form 990 tax return, and has been listed accordingly as one of the Hospital's top five highest paid employees. During the 2023 calendar year, Carolanne O'Sullivan received severance payouts of $192,746. These payments were reported as income to Ms. O'Sullivan and included within her 2023 Form W-2 wages. In accordance with Form 990 Instructions, these severance payments have also been included in the total compensation reported for Ms. O'Sullivan on this Form 990 covering the year ending September 30, 2024, within her total compensation on this Form 990, Part VII, and within Other Income reported on this Schedule J, Part II, Column B(iii). Form 990, Schedule J, Part I, Line 4b, Non-Qualified Deferred Compensation: The following individuals take part in a section 457(f) forfeitable non-qualified deferred compensation plan. The amounts listed represent calendar year 2023 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: $108,804 - Alexander Walker, Jr., Esq.: $258,386
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	64461XBT1	2017-09-21	$65,363,417	See Part VI	0	0	0
New Hampshire Health And Education Facilities Authority
C	020279866		2023-04-01	$27,170,000	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	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$23,675,000	$38,249,520	$34,643,460	$597,092	$3,008,968	2013	Yes (1)	Yes (1)	Yes (1)
B		$66,661,885		$785,623	$65,876,262	2021	0	Yes (1)	Yes (1)
C		$27,170,000	$27,170,000			2023	Yes (1)	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	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	Yes (1)	Yes (1)	0	0	Yes (1)
B	Yes (1)				0	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)	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 (5 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: 06/09/2014 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 09/27/2023
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):	Finance various construction projects.
Schedule K, Part I, Line C(f):	Refinance of 2015AB Bonds, issued on September 3, 2015.
Schedule K, Part IV, Line (B)2:	The issuer has filed a Form 8038-T for the $61,115,000 New Hampshire Health and Education Facilities Authority, Revenue Bonds, Catholic Medical Center Issue, Series 2017. - Date the Fifth Year Rebate Computation was Performed: 09/21/2022; - Date the Last Interim Rebate Computation was Performed: 10/23/2024.

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	$20,890	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 2023 calendar year, Dr. Capodilupo's spouse received compensation of $20,890, as reported to her on her 2023 Form W-2. The payments made to Dr. Capodilupo's spouse were deemed to be reasonable and appropriate given the level of services performed and are comparable to non-interested individuals employed at similar positions.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	Net equity transfers to related organizations.	AssetsDistriOrExpnssPaidDesc
Distribution	2024-09-30	DistributionDt
Fair Market Value Of Asset	$49,187,000	FairMarketValueOfAssetAmt
Method Of FMV Determination	Value per book	MethodOfFMVDeterminationTxt
EIN	020460245	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CMC Physician Practice Associates	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)
IRC Section	501(c)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	0	DirectorOfSuccessor2Ind
Employee Of Successor2	0	EmployeeOfSuccessor2Ind
Owner Of Successor2	0	OwnerOfSuccessor2Ind
Receive Compensation2	0	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 2e:	Person(s) Involved: Please refer to this Form 990, Part VII, List of Officers and Directors, including the following persons: Alexander Walker, President & CEO; Patricia Furey, Medical Staff President; Robert Capodilupo, Trustee & Executive Medical Director; Pamela Martel, VP & CFO; Michael Gilbert, Director; and Donald Doncaster, COO.
Part II, Line 2e:	Explanation of Involvement: Catholic Medical Center ("CMC") is affiliated with and part of the Catholic Medical Center Health System, a group of related organizations dedicated to providing care, health, and patient services in and around Manchester, New Hampshire. During the year covered by this Form 990, CMC made significant transfers of its net assets to CMC Physician Practice Associates ("CMC PPA"), itself a related organization within the System. Due to the inter-related nature of the organizations within the System, many individuals serve as directors, officers, executives, or employees simultaneously between multiple entities. In any event where the named individuals served both CMC and CMC PPA, none of those individuals became entitled to any additional compensation or benefits because of these transfers and net asset dispositions. Furthermore, none of the listed individuals' roles or responsibilities materially changed due to the transfers with either respective entity.
Form 990, Schedule N, Part II, Significant Disposition of Net Assets:	During the period covered by this Form 990, Catholic Medical Center ("CMC") made significant transfers and dispositions of its net assets, as defined in the IRS Form 990 Instructions, to CMC Physician Practice Associates ("CMC PPA"). Both CMC and CMC PPA are affiliated with and part of the Catholic Medical Center Health System, a group of related organizations dedicated to providing care, health, and patient services in and around Manchester, New Hampshire. The transfers and dispositions of net assets related predominantly to movements of cash and cash equivalent assets, transferring investments, and adjustments for inter-company related transactions. Additionally, all such movements of net assets from CMC to CMC PPA were related to and in furtherance of the System's mission to provide care and health services to its community. The transfers from CMC to CMC PPA as reported on this Schedule N are also included within the Net Transfers (To)/From Affiliates of -$45,160,427 reported on this Form 990, Part XI, Line 9, Other Changes in Net Assets for this tax year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 3	On December 30, 2016, the Catholic Medical Center System became affiliated with Huggins Hospital (HH), a 25-bed critical access hospital in Wolfeboro, New Hampshire, and Monadnock Community Hospital (MCH), a 25-bed critical access hospital in Peterborough, New Hampshire, through the formation of a common parent, GraniteOne Health (GraniteOne). However, pursuant to the Affiliation Agreement that formed GraniteOne, the Medical Center, HH and MCH each had a right, after two years of participation in GraniteOne, to evaluate whether they would continue participation in the system. Upon review, each participant within GraniteOne concluded it was best to withdraw from GraniteOne and subsequently provided the required notice on October 28, 2022. On June 16, 2023, the parties submitted a Joint Notice to the Director of Charitable Trusts pursuant to New Hampshire RSA 7:19-b to the State of New Hampshire and received the Director of Charitable Trusts no action report on December 1, 2023, clearing the way for the parties to complete the disaffiliation. The parties' respective boards each approved changes to their governing documents to unwind the reserved powers and dissolve GraniteOne. On May 30, 2024, the parties filed amendments to their respective governing documents with the New Hampshire Secretary of State as well as the Statement of Dissolution of GraniteOne to complete the wind-down requirements of the GraniteOne system. In addition to its withdrawal from participation in GraniteOne, upon the termination of the proposed combination, the Medical Center engaged in an extensive process to identify a new strategic partner who could best meet the needs of the Medical Center. On September 26, 2023, the Medical Center executed a confidential and nonbinding letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all of the assets of the Medical Center to HCA. After due diligence and negotiation, an asset purchase agreement was executed by the Medical Center and certain affiliates of the System and HCA on June 21, 2024, and the required Joint Notice to the Director of Charitable Trusts pursuant to New Hampshire law, RSA 7:19-b was filed on June 28, 2024, beginning the State of New Hampshire's (State) 180 day review period of the proposed transaction. The review period expired on December 24, 2024. This deadline was subsequently amended to January 9, 2025, by mutual agreement of the parties. In addition to State regulatory approval, the asset purchase agreement had a number of other conditions to close including, but not limited to, approval by Holy See which was granted on December 6, 2024. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter. While the discussions to affiliate with HCA began during the 2023 tax year, during the period ending September 30, 2024, any financial reporting or activity related to affiliation with HCA will be included on Medical Center's 990 for period ending September 30, 2025, as the finalization of the agreement with HCA occurred between December 2024 and January 2025.
Form 990, Part VI, Section A, line 4	During the period covered by this Form 990 tax return, Catholic Medical Center ("CMC") adopted the following significant changes to its governing bylaws: 1. Effective March 2024, CMC is no longer part of the GraniteOne Health hospital system. Previously, GraniteOne Health and CMC Healhcare System were the sole members of CMC. Pursuant to CMC's adopted governing document amendments, CMC Healthcare System is now the sole member of CMC as of the end of this tax year. 2. The revised bylaws updated the powers and responsibilities that CMC Healthcare System, CMC's sole member, has over CMC's governance decisions and Board and officer composition. The powers and responsibilities vested in CMC Healthcare System are explained in greater detail in the narratives on this Schedule O in response to this Form 990, Part VI, Lines 7a and 7b. 3. CMC's bylaws mandate that a portion of the Board of Trustees shall be comprised of active members of the Medical Staff. The amended bylaws expand on the provisions and requirements by which Medical Staff Trustees are vetted, selected, and ultimately appointed. 4. The revised bylaws expand upon the powers and governance responsibilities held by the Board's Executive committee.
Form 990, Part VI, Section A, line 6	The sole member of the Catholic Medical Center shall be CMC Healthcare System.
Form 990, Part VI, Section A, line 7a	As put forth in Catholic Medical Center's ("CMC") current and effective bylaws as of the end of this Form 990 reporting period, CMC Healthcare System ("CMCHS"), as CMC's sole member, reserves certain powers and control over composition of CMC's governing body's composiion, including the following: 1. The appointment of each trustee to the CMC Board of Trustees; 2. The removal of any trustee from the CMC Board of Trustees; 3. While any Trustee may be removed, with or without cause, at any time, by a two-third (2/3) vote of those present at a duly called meeting of the Board of Trustees of CMC, such a vote is subject to the review and approval of CMCHS; 4. The CMC Board of Trustees' appointment or reappointment of the CMC President and Chief Executive Officer ("CEO"); 5. CMC's Board Chair shall be appointed by CMCHS, subject to approval by the Bishop; and 6. CMC's Board Vice Chair shall be appointed by CMCHS alone.
Form 990, Part VI, Section A, line 7b	As put forth in Catholic Medical Center's ("CMC") current and effective bylaws as of the end of this Form 990 reporting period, CMC Healthcare System ("CMCHS"), as CMC's sole member, reserves power and control over CMC's governance and operations, including the following: 1. Any repeal, alteration or amendment of the Articles of Agreement or Bylaws of CMC; 2. Any change in the philosophy, objectives or purposes of CMC or its ethical religious standards; 3. Any dissolution or liquidation of CMC; 4. Subject to canonical requirements, the authorization of debt incurred, assumed or guaranteed; the conveyance, sale, purchase, lease of, disposition, mortgage, lien or encumbrance of any real property assets; and/or the authorization of a capital investment in excess of $3,500,000; 5. Any merger with or consolidation of CMC into another entity, or the acquisition by CMC of substantially all of the assets of another entity or the sale or lease of substantially all of the assets of CMC to any person or entity; 6. Any creation of an affiliate or subsidiary organization, or any affiliation of CMC with any other entity for the purpose of the joint conduct of business or other programs, whether in the form or participation in a corporation (either through the holding of stock or membership), partnership, joint venture, co-tenancy or any other form of ownership or control; 7. Subject to canonical requirements, the adoption of the annual capital and operating budgets; and 8. Approval of any strategic plans or material non-clinical programming and marketing plans; including material modifications thereof.
Form 990, Part VI, Section B, line 11b	On September 26, 2023, the Catholic Medical Center, and by association its affiliated entities within the CMC Health System, executed a letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all the assets of the Medical Center to HCA. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter. Through this period, the Organization retained an independent public accounting firm to prepare its Form 990 tax return. As of the time of filing this Form 990, the Organization's Board of Directors, as it operated during the year ending September 30, 2024, has been fundamentally changed and largely disbanded due to the affiliation with HCA. However, upon its completion, a draft of the Form 990 was still sent to the standing finance personnel, advisors, and executives overseeing the wind-down and transition processes of the Medical Center into HCA, the majority of whom were intimately familiar with the Medical Center's financial and tax reporting obligations, to ensure the tax return was subject to proper oversight and review procedures prior to its filing. Additionally, the Form 990 was made available to the Board of the Catholic Healthcare Trust, the successor charitable entity of the Catholic Medical Center.
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 4,150,395. Change in fair market value of perpetual trust 1,318,616. Change in fair market value of interest rate swap -173,211. Net assets released for operations -863,595. Net transfers (to)/from affiliates -45,160,427. Write-off of restricted pledges receivable -1,523,770.
Form 990, Part XII, Line 2c:	On September 26, 2023, the Catholic Medical Center, and by association its affiliated entities within the CMC Health System, executed a letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all the assets of the Medical Center to HCA. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter. Through this period, the Organization retained an independent public accounting firm to perform an audit of its financial statements for the period ending September 30, 2024. As of the time of the audit's completion, the Organization's Board of Directors, as it operated during the year ending September 30, 2024, had been fundamentally changed and largely disbanded due to the affiliation with HCA. Additionally, the audit was issued in April 2025, at which point the merger of the Center into HCA was materially completed. However, the audit was still subject to the same general level of professional scrutiny and expertise as from before the affiliation agreement, and the audit was still conducted in coordination with the standing key finance personnel, advisors, and executives, including those overseeing the wind-down and transition processes of the Medical Center into HCA. The majority of these individuals were intimately familiar with the Medical Center's financial and tax reporting obligations, and all persons involved worked to ensure that the audit was subject to proper oversight and review procedures prior to the audit's finalization and issuance.

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 (end 524)	0
Monadnock Community Hospital
452 Old Street Road	Peterborough	NH	03458	020222157	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health (end 524)	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	Yes (1)	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	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd