CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-21
IRS object ID: 201811419349300406
Schema version: 2016v3.0
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-21T08:20:03-05:00	ReturnTs
Tax Period End	2017-06-30	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	2016-07-01	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	Edward L Dudley III	PersonNm
Person Title	Exec. VP & CFO	PersonTitleTxt
Phone	6036683545	PhoneNum
Signature	2018-05-21	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	2078792100	PhoneNum
Preparation	2018-05-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Joseph Pepe MD	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	$480,206,446	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.catholicmedicalcenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2862	TotalEmployeeCnt
Total Volunteers	225	TotalVolunteersCnt
Total Gross UBI	$7,223	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,314	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,322,280	PYContributionsGrantsAmt
CY Contributions Grants	$3,391,031	CYContributionsGrantsAmt
PY Program Service Revenue	$395,326,782	PYProgramServiceRevenueAmt
CY Program Service Revenue	$426,993,978	CYProgramServiceRevenueAmt
PY Investment Income	$484,672	PYInvestmentIncomeAmt
CY Investment Income	$4,305,758	CYInvestmentIncomeAmt
PY Other Revenue	$1,444,922	PYOtherRevenueAmt
CY Other Revenue	-$9,417	CYOtherRevenueAmt
PY Total Revenue	$400,578,656	PYTotalRevenueAmt
CY Total Revenue	$434,681,350	CYTotalRevenueAmt
PY Grants And Similar Paid	$52,410	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$273,556	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$157,995,914	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$169,941,977	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$424,220	CYTotalFundraisingExpenseAmt
PY Other Expenses	$198,961,289	PYOtherExpensesAmt
CY Other Expenses	$208,421,072	CYOtherExpensesAmt
PY Total Expenses	$357,009,613	PYTotalExpensesAmt
CY Total Expenses	$378,636,605	CYTotalExpensesAmt
PY Revenues Less Expenses	$43,569,043	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$56,044,745	CYRevenuesLessExpensesAmt
Total Assets BOY	$323,864,484	TotalAssetsBOYAmt
Total Assets EOY	$362,532,601	TotalAssetsEOYAmt
Total Liabilities BOY	$245,633,902	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$248,359,899	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$78,230,582	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$114,172,702	NetAssetsOrFundBalancesEOYAmt
Mission	The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$327,790,027	ExpenseAmt
Grant	$273,556	GrantAmt
Revenue	$418,376,768	RevenueAmt
Desc	Medical & Surgical services provided to 12,315 inpatients and 431,301 outpatients.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$6,751,416	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,617,210	RevenueAmt
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	$334,541,443	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	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	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	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	0	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	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	248	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2862	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	Edward Dudley	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036683545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	c/o Finance Dept 100 McGregor	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Rick Botnick
Director	1.00	3.00	Yes (X)	$0	$0	$0
Robert A Catania MD
Director	1.00	43.00	Yes (X)	$0	$534,505	$42,719
Carolyn Claussen MD
Director	1.00	42.00	Yes (X)	$0	$110,246	$8,266
Jeannette Davila
Director (end 5/17)	1.00	2.00	Yes (X)	$0	$0	$0
Pamela Diamantis
Director	1.00	2.00	Yes (X)	$0	$0	$0
Harry E Dumay PhD
Director (end 5/17)	1.00	3.00	Yes (X)	$0	$0	$0
Louis I Fink MD
Director	1.00	42.00	Yes (X)	$0	$596,732	$25,402
Powen Hsu MD
Director	1.00	3.00	Yes (X)	$0	$0	$0
Susan Huard PhD
Director	1.00	2.00	Yes (X)	$0	$0	$0
Matthew Kfoury
Director	1.00	3.00	Yes (X)	$0	$0	$0
Paul S Moore Esq
Director	1.00	2.00	Yes (X)	$0	$0	$0
Diane Murphy Quinlan Esq
Director	1.00	3.00	Yes (X)	$0	$0	$0
Keith A Stahl MD
Director (end 1/17)	1.00	42.00	Yes (X)	$0	$321,447	$24,616
Fr Patrick Sullivan OSB RN
Director	1.00	3.00	Yes (X)	$0	$0	$0
John J Munoz MD
Pres. Medical Staff	1.00	42.00	Yes (X)	$0	$0	$0
Thomas J Kleeman MD
Pres. Medical Staff (end 4/17)	1.00	2.00	Yes (X)	$0	$0	$0
Maria C Mongan
Chair	1.00	4.00	Yes (X)	$0	$0	$0	Yes (X)
John G Cronin Esq
Vice Chair	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
Neil Levesque
Secretary	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
Donald St Germain
Treasurer	1.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Joseph Pepe MD
President & CEO	40.00	6.00	Yes (X)	$800,886	$0	$59,304	Yes (X)
Edward Dudley III
Exec. VP & CFO	40.00	6.00		$504,732	$0	$64,362	Yes (X)
Alexander Walker Esq
Exec. VP, Operations	40.00	0.00		$516,960	$0	$72,904	Yes (X)
William Goodman MD
Chief Medical Officer	40.00	0.00		$457,921	$0	$36,570	Yes (X)
Carolanne O'Sullivan
VP of Physician Practices	40.00	0.00		$326,868	$0	$27,373		Yes (X)
Robert Duhaime
Chief Nursing Officer	40.00	1.00		$280,393	$0	$41,811		Yes (X)
Merryll Rosenfield
VP of Human Resources	40.00	0.00		$252,699	$0	$40,403		Yes (X)
Lucille Mulla
VP Operations/Emergency Services	40.00	0.00		$222,200	$0	$21,456		Yes (X)
Thomas Della Flora
VP Chief Information Officer	40.00	0.00		$251,152	$0	$38,736		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,613,811	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,562,930	TotReportableCompRltdOrgAmt
Total Other Compensation	$503,922	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	135	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
One Medical Center Drive	Lebanon	NH	03756	Medical Services	$20,004,156
Integrity Healthcare Locums
PO Box 823424	Philadelphia	PA	191823424	Healthcare Staffing Services	$1,402,566
Granite State Emergency Physicians
380 Lafayette Road	Hampton	NH	03842	Physician Services	$973,780
CHG Companies Inc
PO Box 972651	Dallas	TX	753972651	Healthcare Staffing Services	$857,693
Eisenberg Vital & Ryze LLC
155 Dow Street	Manchester	NH	03101	Marketing Services	$810,530

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	56	CntrctRcvdGreaterThan100KCnt
Fundraising	$278,803	FundraisingAmt
Related Organizations	$12,500	RelatedOrganizationsAmt
Government Grants	$1,895,681	GovernmentGrantsAmt
All Other Contributions	$1,204,047	AllOtherContributionsAmt
Noncash Contributions	$32,672	NoncashContributionsAmt
Total Contributions	$3,391,031	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	621400	$404,876,783	$404,876,783
Disproportionate Share Funding	621400	$13,499,985	$13,499,985
Miscellaneous Rev.	621400	$4,725,011	$4,725,011
Cafeteria Income	722210	$1,780,040	$1,780,040
Lab Client Revenue	621500	$1,691,334	$1,691,334

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$420,825	TotalRevenueColumnAmt
Related Or Exempt Func Income	$420,825	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$426,993,978	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,033,229	TotalRevenueColumnAmt
Unrelated Business Revenue	$7,223	UnrelatedBusinessRevenueAmt
Exclusion	$2,026,006	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$47,476,480	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$45,203,951	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,272,529	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,272,529	TotalRevenueColumnAmt
Exclusion	$2,272,529	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$36,530	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$278,803	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$132,521	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$95,991	TotalRevenueColumnAmt
Exclusion	-$95,991	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$380,826	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$188,624	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$192,202	TotalRevenueColumnAmt
Exclusion	$192,202	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Loss on Debt Extinguishment	Desc
Business	900099	BusinessCd
Total Revenue Column	-$105,628	TotalRevenueColumnAmt
Exclusion	-$105,628	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	-$105,628	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$434,681,350	TotalRevenueColumnAmt
Related Or Exempt Func Income	$426,993,978	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,223	UnrelatedBusinessRevenueAmt
Exclusion	$4,289,118	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$273,556	TotalAmt
Program Services	$273,556	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,990,290	TotalAmt
Program Services	$2,436,607	ProgramServicesAmt
Management And General	$553,683	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,783,665	TotalAmt
Program Services	$108,012,699	ProgramServicesAmt
Management And General	$24,544,308	ManagementAndGeneralAmt
Fundraising	$226,658	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,615,844	TotalAmt
Program Services	$6,195,949	ProgramServicesAmt
Management And General	$1,407,939	ManagementAndGeneralAmt
Fundraising	$11,956	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,992,789	TotalAmt
Program Services	$13,846,398	ProgramServicesAmt
Management And General	$3,146,391	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,559,389	TotalAmt
Program Services	$7,775,772	ProgramServicesAmt
Management And General	$1,766,931	ManagementAndGeneralAmt
Fundraising	$16,686	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$743,676	TotalAmt
Management And General	$743,676	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$155,100	TotalAmt
Management And General	$155,100	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,910	TotalAmt
Program Services	$70,818	ProgramServicesAmt
Management And General	$16,092	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$142,523	TotalAmt
Management And General	$142,523	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,928,889	TotalAmt
Program Services	$7,275,612	ProgramServicesAmt
Management And General	$1,653,277	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,127,264	TotalAmt
Program Services	$1,733,379	ProgramServicesAmt
Management And General	$393,885	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,887,648	TotalAmt
Program Services	$8,749,160	ProgramServicesAmt
Management And General	$1,981,302	ManagementAndGeneralAmt
Fundraising	$157,186	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,582,307	TotalAmt
Program Services	$3,733,845	ProgramServicesAmt
Management And General	$848,462	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,670,594	TotalAmt
Program Services	$7,058,530	ProgramServicesAmt
Management And General	$1,603,948	ManagementAndGeneralAmt
Fundraising	$8,116	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$144,731	TotalAmt
Program Services	$117,933	ProgramServicesAmt
Management And General	$26,798	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$335,460	TotalAmt
Program Services	$271,317	ProgramServicesAmt
Management And General	$61,653	ManagementAndGeneralAmt
Fundraising	$2,490	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,678,968	TotalAmt
Program Services	$1,368,090	ProgramServicesAmt
Management And General	$310,878	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,158,889	TotalAmt
Program Services	$10,722,384	ProgramServicesAmt
Management And General	$2,436,505	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,565,014	TotalAmt
Program Services	$2,090,075	ProgramServicesAmt
Management And General	$474,939	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medical Supplies	$81,529,348	$81,529,348
Physician Fees	$31,250,614	$31,250,614
Medicaid Enhancement Ta	$18,142,007	$18,142,007
Bad Debt Expense	$15,714,668	$15,714,668

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,576,462	TotalAmt
Program Services	$6,172,682	ProgramServicesAmt
Management And General	$1,402,652	ManagementAndGeneralAmt
Fundraising	$1,128	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$378,636,605	TotalAmt
Program Services	$334,541,443	ProgramServicesAmt
Management And General	$43,670,942	ManagementAndGeneralAmt
Fundraising	$424,220	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$39,176,245	BOYAmt
EOY	$64,656,894	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,768,957	BOYAmt
EOY	$33,652,974	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,860,095	BOYAmt
EOY	$41,913,543	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$711,093	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,199,310	BOYAmt
EOY	$3,319,600	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,314,657	BOYAmt
EOY	$8,089,897	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$243,439,687	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$161,518,622	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$81,712,922	BOYAmt
EOY	$81,921,065	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$54,150,978	BOYAmt
EOY	$71,557,153	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$49,015,159	BOYAmt
EOY	$47,860,563	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,955,068	BOYAmt
EOY	$9,560,912	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$323,864,484	BOYAmt
EOY	$362,532,601	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,329,172	BOYAmt
EOY	$54,491,755	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$405,913	BOYAmt
EOY	$388,760	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,516,312	BOYAmt
EOY	$58,974,184	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,892,038	BOYAmt
EOY	$3,575,406	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,490,467	BOYAmt
EOY	$130,929,794	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,633,902	BOYAmt
EOY	$248,359,899	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$69,990,495	BOYAmt
EOY	$104,679,892	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$395,655	BOYAmt
EOY	$941,180	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,844,432	BOYAmt
EOY	$8,551,630	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,230,582	BOYAmt
EOY	$114,172,702	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$323,864,484	BOYAmt
EOY	$362,532,601	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$56,044,745	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,529,172	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$27,631,797	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$26,910	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$60,000	OtherActivitiesAmt
Total Lobbying Expenditures	$86,910	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 is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of CMC and the other organizations in furtherance of their exempt purposes. CMC does not directly perform any lobbying activities. Portion of dues paid that constitutes lobbying is as follows: NHHA: $17,346 AHA: $9,564 Devine, Millimet, & Branch, PA provided lobbying services which included providing information regarding public policy pending before the legislature. Devine, Millimet, & Branch, PA participated in the administrative rule-making process with respect to rules concerning the certificate of needs board. They also provided general communication with elected officials. CMC paid Devine, Milliment, & Branch $60,000 for these services.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,240,087	BeginningYearBalanceAmt
Contributions	$666,127	ContributionsAmt
Investment Earnings Or Losses	$783,730	InvestmentEarningsOrLossesAmt
Other Expenditures	$197,134	OtherExpendituresAmt
End Year Balance	$9,492,810	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,646,641	BeginningYearBalanceAmt
Contributions	$182,178	ContributionsAmt
Investment Earnings Or Losses	-$470,680	InvestmentEarningsOrLossesAmt
Other Expenditures	$118,052	OtherExpendituresAmt
End Year Balance	$8,240,087	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,690,560	BeginningYearBalanceAmt
Contributions	$94,278	ContributionsAmt
Investment Earnings Or Losses	$155,862	InvestmentEarningsOrLossesAmt
Other Expenditures	$294,059	OtherExpendituresAmt
End Year Balance	$8,646,641	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,473,844	BeginningYearBalanceAmt
Contributions	$500,599	ContributionsAmt
Investment Earnings Or Losses	$880,858	InvestmentEarningsOrLossesAmt
Other Expenditures	$164,741	OtherExpendituresAmt
End Year Balance	$8,690,560	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,047,069	BeginningYearBalanceAmt
Contributions	$72,536	ContributionsAmt
Investment Earnings Or Losses	$590,318	InvestmentEarningsOrLossesAmt
Other Expenditures	$236,079	OtherExpendituresAmt
End Year Balance	$7,473,844	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.90090	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.09920	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	$1,024,690	OtherCostOrOtherBasisAmt
Book Value	$1,024,690	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$83,554,418	OtherCostOrOtherBasisAmt
Depreciation	$40,645,131	DepreciationAmt
Book Value	$42,909,287	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,808,587	OtherCostOrOtherBasisAmt
Depreciation	$4,693,192	DepreciationAmt
Book Value	$2,115,395	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,631,883	OtherCostOrOtherBasisAmt
Depreciation	$109,986,260	DepreciationAmt
Book Value	$31,645,623	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,420,109	OtherCostOrOtherBasisAmt
Depreciation	$6,194,039	DepreciationAmt
Book Value	$4,226,070	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$81,921,065	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Affiliates	$1,412,287	F
Private Investment Funds	$46,448,276	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$47,860,563	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Accrued Pension & Other Liabilities	$129,679,854
Due to Affiliates	$1,249,940

Field	Value	IRS element (for citing)
Total Liability	$130,929,794	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 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:

Catholic Medical Center changed its fiscal year end from June 30 to September 30 in 2017, and received audited financial statements for the fifteen-month period beginning June 30, 2016 and ending September 30, 2017. Tax returns are being filed for both the twelve-month fiscal year ending June 30, 2017 and the three-month short year from July 1, 2017-September 30, 2017. Both filing periods are covered by the audited financial statements. 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 consolidated financial statements. CAHS is a for-profit organization and, in accordance with federal and state tax laws, files income tax returns, as applicable. There was no provision for income taxes for the fifteen-month period ended September 30, 2017 and this organization was dissolved in September 2017. There are no significant deferred tax assets or liabilities. CAHS has concluded there are no significant uncertain tax positions requiring disclosure and there is no material liability for unrecognized tax benefits. CAHS's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in income tax expense.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$1,466,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,466,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,466,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part IV, Lines 3 & 4:	FormAndLineReferenceDesc
Explanation	The Medical Center has an ownership interest in several foreign corporate holdings as well as being an indirect shareholder of several passive foreign investment companies (PFIC) by way of their ownership in various alternative investments. The Medical Center's interest in these foreign corporations did not surpass the filing threshold for Form 5471. Additionally, the Medical Center had no unrelated business income related to its PFIC interest and therefore is not required to file Form 8621.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$178,229	GrossReceiptsEvent1Amt
Charitable Contri Event1	$167,720	CharitableContriEvent1Amt
Gross Revenue Event1	$10,509	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$79	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$11,385	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$42,841	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,900	EntertainmentEvent1Amt
Other Direct Expenses Event1	$14,820	OtherDirectExpensesEvent1Amt
Event2	Golf Tournament	Event2Nm
Gross Receipts Event2	$89,350	GrossReceiptsEvent2Amt
Charitable Contri Event2	$63,329	CharitableContriEvent2Amt
Gross Revenue Event2	$26,021	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$23,940	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$408	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$11,197	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$47,754	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$47,754	CharitableContriOtherEventsAmt
Rent Fclty Costs Other Events	$500	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$22,787	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$2,664	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$315,333	GrossReceiptsTotalAmt
Charitable Contributions Tot	$278,803	CharitableContributionsTotAmt
Gross Revenue Total Events	$36,530	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$79	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$35,825	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$66,036	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,900	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$28,681	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$132,521	DirectExpenseSummaryEventsAmt
Net Income Summary	-$95,991	NetIncomeSummaryAmt

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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$4,908,902	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,908,902	NetCommunityBenefitExpnsAmt
Total Expense	0.01350	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,798,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,103,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,694,153	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,707,013	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,103,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,603,055	NetCommunityBenefitExpnsAmt
Total Expense	0.06780	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	23589	PersonsServedCnt
Total Community Benefit Expns	$4,545,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$143,494	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,402,115	NetCommunityBenefitExpnsAmt
Total Expense	0.01210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,418,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,050	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,416,081	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	263	PersonsServedCnt
Total Community Benefit Expns	$7,541,478	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,005,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,536,110	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$52,254	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$720	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	374	PersonsServedCnt
Total Community Benefit Expns	$569,054	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$569,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	24226	PersonsServedCnt
Total Community Benefit Expns	$14,126,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,151,632	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,974,894	NetCommunityBenefitExpnsAmt
Total Expense	0.03020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	42	ActivitiesOrProgramsCnt
Persons Served	24226	PersonsServedCnt
Total Community Benefit Expns	$73,833,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,255,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,577,949	NetCommunityBenefitExpnsAmt
Total Expense	0.09800	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$101,488	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,051	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,051	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,130	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$75,130	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,669	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,280	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$153,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,564,140	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$133,560,029	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$162,054,888	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$28,494,859	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	see Part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	see Part V, Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	see Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
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 and Elliot Health System (EHS) 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-Hitchcock Clinic, 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 7d: The Catholic Medical Center "Healthy Living News", the Medical Center's community newsletter, provides a summary report of the community benefits that the Medical Center provides. The Healthy Living News is distributed to our primary and secondary service areas, approximately 120,000 people.
Catholic Medical Center	Part V, Section B, Line 11: Catholic Medical Center has addressed the needs identified in the 2016 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. In collaboration with Governor Hassan's Senior Director of Substance Misuse and Behavioral Health and Boston University School of Medicine, CMC conducted the third annual "State-of-the art Management of the Opiate-dependent Patient, Pain Treatment and the Heroin Epidemic". The targeted audience for this conference included prescribers, nurses, allied health professionals, pharmacists and social service agencies. The program addressed many facets of substance abuse within our community, hospitals, and practices.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 has staffed the emergency department with a community health worker to improve primary care access for the homeless population, provide education on accessing care, and transportation support. CMC provides shuttle support to CMC Ancillary Services to those in need, at no cost. 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 and middle schools. This school-based program is made possible through collaboration with the City of Manchester Health Department and Easter Seals NH. Poisson Dental also provides onsite dentistry at Dartmouth Hitchcock Manchester by integrating these services within their pediatric practice. This allows for ease of access for the patients and direct communication amongst the providers of care.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. Catholic Medical Center has a long history of providing services to the community and currently has programs in place to meet every identified need in the most recent CHNA. In addition to the programs we currently offer, we will expand many of our services in response to the needs of the community that have not been addressed.
Catholic Medical Center	Part V, Section B, Line 16j: Signs are posted throughout the hospital facility and physician practices that list the financial programs available and contact information for assistance.
Part V, Line 7a & 7b:	Hospital's Website URL for Community Health Needs Assessment: www.catholicmedicalcenter.org/about-us/Community-Health-Needs-Assessment.aspx The CHNA can also be found at:www.elliothospital.org/website/downloads/QualitativeNeedsAssessment.pdf
Part V, Line 10a:	Hospital's Website URL for Community Health Needs Assessment:www.catholicmedicalcenter.org/about-us/Community-Health-Implementation-Plan.aspx
Schedule H, Part V, Section B, Line 16a-16c:	Financial Assistance Information Can Be Obtained At: www.catholicmedicalcenter.org/patients-and-visitors/financial-assistance/

Field	Value	IRS element (for citing)
Facility	61	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (61 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - New England Heart Institute
100 McGregor Street	Manchester	NH	03102	Cardiovascular Health
2 - Hospital Medicine
100 McGregor Street	Manchester	NH	03102	Hospital Medicine
3 - Cardiothoracic Surgical Associates
100 McGregor Street	Manchester	NH	03102	Cardiothoracic Surgical Associates
4 - Women's Wellness & Fertility Center
88 McGregor Street Suite 106	Manchester	NH	03102	Women's Health
5 - Behavioral Health
88 McGregor Street Suite 201	Manchester	NH	03102	Behavioral Health
6 - Surgical Care Group
87 McGregor Street Suite 3100	Manchester	NH	03102	Surgical Care
7 - Amoskeag Family Practice
1750 Elm Street Suite 201A	Manchester	NH	03101	Family Medicine
8 - Bedford Center Int Med & Pediatric
188 Route 101	Bedford	NH	03110	Internal Medicine and Pediatrics
9 - Outpatient Rehabilitation
188 Route 101	Bedford	NH	03110	Outpatient Rehabilitation
10 - Hooksett Internal Medicine
200 Alliance Way	Manchester	NH	03102	Primary Care services
11 - Family Physicians of Manchester
57 Webster Street Suite 110	Manchester	NH	03104	Family Medicine
12 - Goffstown Family Practice
17A Tatro Drive Suite 201	Goffstown	NH	03045	Family Medicine
13 - Granite State Internal Medicine
188 Route 101	Bedford	NH	03110	Internal Medicine
14 - Amoskeag Family Practice
400 Mast Road	Goffstown	NH	03045	Primary Care services
15 - Hooksett Internal Medicine
11 Kimball Drive Unit 132	Hooksett	NH	03103	Internal Medicine
16 - Highlander Way Internal Medicine
1 Highlander Way	Manchester	NH	03103	Internal Medicine
17 - Comprehensive Rheumatology at CMC
1 Highlander Way	Manchester	NH	03103	Comprehensive Rheumatology
18 - Lakeview Internal Medicine
27 Londonderry Turnpike	Hooksett	NH	03106	Internal Medicine
19 - Outpatient Rehabilitation
27 Londonderry Turnpike	Hooksett	NH	03106	Outpatient Rehabilitation
20 - Queen City Medical Associates
775 South Main Street	Manchester	NH	03102	Skilled Practitioners
21 - Willowbend Family Practice
5 Washington Place Suite 1A	Bedford	NH	03110	Family Medicine
22 - Webster Street Internal Medicine
57 Webster Street	Manchester	NH	03104	Internal Medicine
23 - Urgent Care at Bedford Medical Park
5 Washington Place Suite 1B	Bedford	NH	03110	Urgent Care
24 - Diagnostic Imaging
5 Washington Place Suite 1B	Bedford	NH	03110	Diagnostic Imaging
25 - New England Heart Institute
59 Page Hill Road	Berlin	NH	03570	Heart and Vascular services
26 - Surgical Care Group
59 Page Hill Road	Berlin	NH	03570	General Surgery services
27 - Comprehensive Neurological Care
59 Page Hill Road	Berlin	NH	03570	TeleNeurology services
28 - New England Heart Institute
452 Old Street Road	Peterborough	NH	03458	Heart and Vascular services
29 - Surgical Care Group
452 Old Street Road	Peterborough	NH	03458	General Surgery services
30 - Surgical Care Group
452 Old Street Road	Peterborough	NH	03458	Vascular Surgery services
31 - Comprehensive Rheumatology
452 Old Street Road	Peterborough	NH	03458	Rheumatology services
32 - Hospital Medicine services
452 Old Street Road	Peterborough	NH	03458	Hospitalists
33 - New England Heart Institute
173 Middle Street	Lancaster	NH	03584	Heart and Vascular services
34 - Surgical Care Group
173 Middle Street	Lancaster	NH	03584	General Surgery services
35 - Comprehensive Neurological Care CMC
769 South Main Street Suite 301	Manchester	NH	03102	Comprehensive Neurological Care
36 - Outpatient Rehabilitation
769 South Main Street Suite 201	Manchester	NH	03102	Outpatient Rehabilitation
37 - Diagnostic Imaging
25 South River Road	Bedford	NH	03110	Diagnostic Imaging
38 - New England Heart Institute
181 Corliss Lane	Colebrook	NH	03576	Heart and Vascular services
39 - Hospital Medicine services
181 Corliss Lane	Colebrook	NH	03576	Hospitalists
40 - Cholesterol Management Center
195 McGregor Street Suite 312	Manchester	NH	03102	Cholesterol Management services
41 - Cholesterol Management
6 Tsienneto Road	Derry	NH	03038	Cholesterol Management services
42 - New England Heart Institute
6 Tsienneto Road	Derry	NH	03038	Heart and Vascular services
43 - Surgical Care Group
6 Tsienneto Road	Derry	NH	03038	Vascular Surgery services
44 - New England Heart Institute
160 South River Road	Bedford	NH	03110	Heart and Vascular services
45 - Surgical Care Group
160 South River Road	Bedford	NH	03110	General Surgery services
46 - Vein and Vascular Specialists
160 South River Road	Bedford	NH	03110	Vein and Vascular Specialists
47 - New England Heart Institute
7 Holland Way	Exeter	NH	03833	Heart and Vascular services
48 - New England Heart Institute
240 S Main Street	Wolfeboro	NH	03894	Heart and Vascular services
49 - Surgical Care Group
240 S Main Street	Wolfeboro	NH	03894	General Surgery services
50 - New England Heart Institute
369 Hounsell Avenue 5	Gilford	NH	03249	Heart and Vascular services
51 - New England Heart Institute
101 Boulder Point Drive Suite 1	Plymouth	NH	03264	Heart and Vascular services
52 - Cholesterol Management
166 Kinsley Street Suite 301	Nashua	NH	03060	Cholesterol Management services
53 - New England Heart Institute-Nashua
166 Kinsley Street Suite 301	Nashua	NH	03060	NEHI Nashua
54 - Bedford Ambulatory Surgical Center
11 Washington Place 1	Bedford	NH	03110	Gastroenterology services
55 - Surgical Care Group
11 Washington Place 1	Bedford	NH	03110	General Surgery services
56 - New England Heart Institute
1 Parkland Drive	Derry	NH	03038	Heart and Vascular services
57 - New England Heart Institute
172 Kinsley Street	Nashua	NH	03060	Heart and Vascular services
58 - Surgical Care Group
172 Kinsley Street	Nashua	NH	03060	Vascular Surgery services
59 - New England Heart Institute
16 Hospital Road	Plymouth	NH	03264	Heart and Vascular services
60 - Surgical Care Group
16 Hospital Road	Plymouth	NH	03264	General Surgery services
61 - New England Heart Institute
31 Stiles Road	Salem	NH	03079	Heart and Vascular services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 15,714,668.
Part II, Community Building Activities:	The 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 City Year, Granite United Way, and New Hampshire 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 financial assistance 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 9 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 2016 Needs Assessment and approved by the board and made widely available to the public during the fiscal year covered by the Hospital's 2016 Form 990. The previous Needs Assessment was completed in fiscal year 2013 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, Candia, Deerfield, Dunbarton, Goffstown, Hooksett, Manchester, and New Boston. Our secondary service area is made up of Amherst, Bow, Chester, Derry, Londonderry, Merrimack, Raymond, 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. Services are provided at all Manchester elementary and middle schools along with one of the high schools; partnership with Dartmouth Hitchcock Clinic for the integration of dental care within a pediatric clinic setting, improving oral health and overall health and a partnership with Manchester Community Health Center to provide oral health exams hygiene and a referral to a dental home for children ages 1-5; 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; 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 a joint venture, Bedford Ambulatory Surgical Center, through its wholly-owned entity, Alliance Ambulatory Services, and Tuft's Health Freedom Plan through the Granite Health Network.CMC has a deeply rooted history of providing care to those most in need through the Community Health Services 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 Services 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, health screenings, and fertility education.
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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Foundation for Healthy Communities	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	125 Airport Road	AddressLine1Txt
City	Concord	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03301	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	020275078	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$219,672	CashGrantAmt
Purpose Of Grant	New Hampshire Health Protection Program for Medicaid Expansion	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The Hospital 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	0	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 (12 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
Robert A Catania MD
Director	$0	$534,505	$0	$0	$0	$0	$0	$18,550	$0	$24,169	$0	$577,224	$0	$0
Louis I Fink MD
Director	$0	$451,443	$0	$145,289	$0	$0	$0	$21,200	$0	$4,202	$0	$622,134	$0	$0
Keith A Stahl MD
Director (end 1/17)	$0	$320,787	$0	$0	$0	$660	$0	$21,200	$0	$3,416	$0	$346,063	$0	$0
Joseph Pepe MD
President & CEO	$565,413	$0	$184,246	$0	$51,227	$0	$21,200	$0	$38,104	$0	$860,190	$0	$0	$0
Edward Dudley III
Exec. VP & CFO	$358,414	$0	$102,383	$0	$43,935	$0	$15,900	$0	$48,462	$0	$569,094	$0	$0	$0
Alexander Walker Esq
Exec. VP, Operations	$349,826	$0	$104,707	$0	$62,427	$0	$15,900	$0	$57,004	$0	$589,864	$0	$0	$0
William Goodman MD
Chief Medical Officer	$395,492	$0	$0	$0	$62,429	$0	$13,255	$0	$23,315	$0	$494,491	$0	$0	$0
Carolanne O'Sullivan
VP of Physician Practices	$238,194	$0	$63,729	$0	$24,945	$0	$17,814	$0	$9,559	$0	$354,241	$0	$0	$0
Robert Duhaime
Chief Nursing Officer	$233,670	$0	$40,926	$0	$5,797	$0	$19,012	$0	$22,799	$0	$322,204	$0	$0	$0
Merryll Rosenfield
VP of Human Resources	$209,975	$0	$34,752	$0	$7,972	$0	$13,310	$0	$27,093	$0	$293,102	$0	$0	$0
Lucille Mulla
VP Operations/Emergency Services	$187,280	$0	$29,818	$0	$5,102	$0	$15,169	$0	$6,287	$0	$243,656	$0	$0	$0
Thomas Della Flora
VP Chief Information Officer	$212,665	$0	$38,487	$0	$0	$0	$12,087	$0	$26,649	$0	$289,888	$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, Line 4b	The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The following represents contributions for many years of service: Joseph Pepe: $244,989 Edward Dudley, III: $121,316 Alexander Walker: $110,346 The amounts above were paid during the fiscal year ending June 30, 2017. As IRS instructions require that Form 990, Part VII and Schedule J, Part II report compensation and benefits for the calendar year ending within the fiscal year, these amounts will be reflected on the organization's 2017 tax return filing.
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	64461TCV4	2006-05-24	$33,380,829	Construction & Defeasance Escrow	Yes (1)	0	0
New Hampshire Health And Education Facilities Authority
B	020279866	644614x79	2012-12-19	$38,249,382	See Part VI	0	0	0
New Hampshire Health And Education Facilities Authority
C	020279866		2015-09-03	$32,720,000	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,050,000	$29,860,000	$33,380,829	$517,960	$20,559,500	2009	0	Yes (1)	Yes (1)	Yes (1)
B	$7,825,000		$38,249,382	$573,155	$3,035,221	2013	Yes (1)	0	Yes (1)	Yes (1)
C	$650,000		$32,720,000	$257,332	$3,828,187	2016	Yes (1)	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	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0	0
C	0	Yes (1)	Yes (1)	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Line B(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 C(f):	Advance & Current refunding of Series 2006 Bonds, and Construction
Schedule K, Part IV, Line 5:	The 2006 series bonds were invested in a guaranteed investment contract during the fiscal year that expired on June 1, 2016.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,021	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Stock Exchange Price	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$22,262	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Per Books	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Gift Basket Items	5	$6,375	Per Books
Yes (X)	Various Tickets	22	$2,764	Per Books
Yes (X)	Desk	1	$250	Per Books

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 4	The following updates were made to the bylaws of the filing organization during the fiscal year: 1. The number of members was changed from one to two by adding GraniteOne Health. 2. A "Reserved Powers of the Members" section was added to the bylaws, which outlines the role of the members in governance. 3. The maximum number of trustees was changed from 21 to 18. 4. The duties of the secretary, an organization officer, were updated to include, "cause to be kept accurate records of all meetings of the board of trustees." 5. The duties of the treasurer, an organization officer, were updated to include general oversight of "the integrity of CMC's financial affairs, funds and securities," as well as "through a delegation of authority to the chief financial officer, will cause to be kept accurate books of account of all corporate transactions, and will generally oversee the creation of an annual report reflecting the financial condition of CMC and the result of its annual operation and such other reports as the board may request." 6. A section was added that clarifies board officers receive no compensation other than reimbursement for actual costs incurred in the carrying out of official CMC duties. 7. An article was added to the bylaws differentiating corporate officers, which include the president & CEO and vice presidents, from the board officers. 8. The section outlining the responsibilities of the president and CEO was amended to include meeting with and advising the board of trustees, the executive committee, and all other committees, as well as noting this position is responsible for "the systematic preservation of all minutes and records of the CMC." 9. The section regarding loans was updated to note that any loans contracted by CMC have to be approved by both members. 10. The article regarding conflicts of interest was updated to clarify that all trustees must sign an annual statement. 11. A section was added to the article regarding conflicts of interest that states, "transactions between former trustees or officers of CMC and CMC or its affiliated entities are prohibited for two (2) consecutive years after the end of the former trustee or officer's term, unless the board of trustees voluntarily go through the conflict of interest process set forth in Section I of this Article X and compliance with the standards of NHRSA 7: 19-a." 12. The article regarding amendment of the bylaws was updated to reflect that both members must approve any amendments.
Form 990, Part VI, Section A, line 6	The members of Catholic Medical Center are CMC Healthcare System and GraniteOne Health.
Form 990, Part VI, Section A, line 7a	Directors of CMC are appointed by the members.
Form 990, Part VI, Section A, line 7b	The members have reserved powers over CMC but do not approve each separate action taken by the CMC board.
Form 990, Part VI, Section B, line 11b	Form 990 is prepared by an independent tax accounting firm (Baker Newman Noyes). Upon completion, a draft of the Form 990 is sent to the Organization, where the CFO, Controller, and Director of Accounting perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from Board, the Form 990 is filed with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c	Officers and directors are required to complete a conflict of interest questionnaire annually.
Form 990, Part VI, Section B, line 15	CMC utilizes a compensation committee of the board of directors to set compensation levels and determine bonus potential for its senior leadership team. The committee is assisted by an independent consultant who surveys like-sized and performing institutions to benchmark relevant salary scales for each position. The consultant's findings are presented to the compensation committee who considers that external data with actual performance against a list of pre-established goals per senior leaders to set prospective compensation levels and bonus values. Bonus amounts are determined by how well an executive achieves a pre-defined set of goals. These goals, in general, are tied to the achievement of a specific task or project. Some goals are attached to achieve overall financial performance and mission performance, not solely revenue generation.
Form 990, Part VI, Section C, line 19	CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, line 9:	Net Transfer (to) from Affiliates -39,256,500. Pension Related Changes Other than Net Periodic Cost 10,607,844. Change in Interest in Perpetual Trust 503,347. Change in Fair Market Value of Interest Rate Swap 423,212. Net Assets Released Used in Operations 90,300.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CMC Ancillary Health Services LLC	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)
EIN	464389318	EIN
Primary Activities	Ancillary Health Services	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Total Income	$23,692	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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 Resources
100 McGregor Street	Manchester	NH	03102	020398138	Real Estate	NH	501(c)(3)	Line 12b, II	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
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
St Peter's Home
100 McGregor Street	Manchester	NH	03102	020222228	Day Care Services	NH	501(c)(3)	Line 10	CMC Healthcare System	0
Alliance Ambulatory Services
100 McGregor Street	Manchester	NH	03102	020519436	Ambulatory Surgical Center	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
Monadnock Community Hospital
452 Old Street Road	Peterborough	NH	03458	020222157	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health	0
Huggins Hospital
240 South Main Street	Wolfeboro	NH	03894	020223332	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
McGregor Street MOB LLC
100 McGregor Street	Manchester	NH	03102	134347316	Medical Office Building	NH	N/A
Bedford Ambulatory Surgical Center LLC
11 Washington Place	Bedford	NH	03110	020519727	Surgical Center	NH	N/A

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Alliance Enterprises
100 McGregor Street	Manchester	NH	03102	020386795	Real Estate	NH	Catholic Medical Center	C	$311,804	$2,358,406	1.00000	Yes (1)
Doctors' Medical Association Inc
100 Mcgregor Street	Manchester	NH	03102	020340690	Medical Office Building	NH		C				0	N/A

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	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	McGregor Street MOB LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	K	TransactionTypeTxt
Involved	$1,149,689	InvolvedAmt
Method Of Amount Determination	Actual Per Books	MethodOfAmountDeterminationTxt