CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201531339349300603
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T06:03:23-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| 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 | C/O Finance Dept 100 McGregor | AddressLine1 |
| Address Line2 | Street | AddressLine2 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 031023770 | ZIPCode |
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 | 2015-05-06 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2015-05-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | 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 | C/O Finance Dept 100 McGregor | AddressLine1 |
| Address Line2 | Street | AddressLine2 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 031023770 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $375,967,648 | 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 provide health, healing, and hope in a manner that offers innovative high quality services, compassion, and respect for the human dignity of every individual who seeks or needs our care as part of Christ's healing ministry through the Catholic Church. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 2348 | TotalEmployeeCnt |
| Total Volunteers | 324 | TotalVolunteersCnt |
| Total Gross UBI | $98,780 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $87,762 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,427,228 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,476,967 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $316,639,176 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $331,528,573 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,095,347 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,854,321 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$54,409 | PYOtherRevenueAmt |
| CY Other Revenue | -$37,406 | CYOtherRevenueAmt |
| PY Total Revenue | $322,107,342 | PYTotalRevenueAmt |
| CY Total Revenue | $342,822,455 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $31,110 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $51,168 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $126,333,759 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $134,125,100 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $359,591 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $166,290,503 | PYOtherExpensesAmt |
| CY Other Expenses | $176,420,928 | CYOtherExpensesAmt |
| PY Total Expenses | $292,655,372 | PYTotalExpensesAmt |
| CY Total Expenses | $310,597,196 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,451,970 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,225,259 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $289,197,996 | TotalAssetsBOYAmt |
| Total Assets EOY | $304,702,834 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $190,837,683 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $179,056,091 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $98,360,313 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $125,646,743 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The heart of Catholic Medical Center is to provide health, healing, and hope in a manner that offers innovative high quality services, compassion, and respect for the human dignity of every individual who seeks or needs our care as part of Christ's healing ministry through the Catholic Church. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $274,077,167 | ExpenseAmt |
| Grant | $51,168 | GrantAmt |
| Revenue | $326,744,616 | RevenueAmt |
| Desc | Medical & Surgical services provided to 10,204 inpatients and 364,896 outpatients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,350,620 | ExpenseAmt |
| Revenue | $4,783,957 | 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 | $278,427,787 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 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 | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 190 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2348 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | 0 | InvestmentInJointVentureInd |
| 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 031023770 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Adele Boufford Baker | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Gary Bouchard PhD | |||||||||
| Director (Part Year) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Guy D Chapdelaine | |||||||||
| Director (Part Year) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| William Clutterbuck MD | |||||||||
| Director | 1.00 | 43.00 | Yes (X) | $0 | $352,749 | $36,460 | |||
| Eleanor Wm Dahar Esq | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Raef Fahmy DPM | |||||||||
| Director | 40.00 | 3.00 | Yes (X) | $255,376 | $0 | $16,062 | |||
| Connor J Haugh MD FACC | |||||||||
| Director | 1.00 | 42.00 | Yes (X) | $0 | $602,513 | $38,011 | |||
| 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 | |||
| Neil Levesque | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Patrick A Mahon MD | |||||||||
| President Medical Staff | 1.00 | 42.00 | Yes (X) | $0 | $438,625 | $36,674 | |||
| Diane Murphy Quinlan Esq | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Msgr John P Quinn | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Keith A Stahl MD | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $295,743 | $37,938 | |||
| Fr Patrick Sullivan OSB RN | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard E Ashooh | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Graham | |||||||||
| Director | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Rick Botnick | |||||||||
| Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Maria C Mongan | |||||||||
| Vice Chair | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Suzanne Mellon PhD RN | |||||||||
| Vice Chair (Part Year) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John G Cronin Esq | |||||||||
| Secretary | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Margaret-Ann Moran Esq | |||||||||
| Secretary (Part Year) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Daryl J Cady CPA | |||||||||
| Treasurer | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Joseph Pepe MD | |||||||||
| President & CEO | 40.00 | 5.00 | Yes (X) | $615,990 | $0 | $114,075 | Yes (X) | ||
| Edward Dudley III | |||||||||
| Exec. VP & CFO | 40.00 | 4.00 | $432,406 | $0 | $92,784 | Yes (X) | |||
| Alexander Walker | |||||||||
| General Counsel | 40.00 | $410,613 | $0 | $104,250 | Yes (X) | ||||
| Brian Tew | |||||||||
| Chief Information Officer | 40.00 | $284,192 | $0 | $71,966 | Yes (X) | ||||
| Robert Duhaime | |||||||||
| Chief Nursing Officer | 40.00 | $269,196 | $0 | $36,363 | Yes (X) | ||||
| Carolanne O'Sullivan | |||||||||
| VP of Physician Practices | 40.00 | $243,016 | $0 | $16,231 | Yes (X) | ||||
| Lisa Roux Coggins | |||||||||
| VP of Surgical Services | 40.00 | $210,432 | $0 | $21,499 | Yes (X) | ||||
| Merryll Rosenfield | |||||||||
| VP of Human Resources | 40.00 | $206,939 | $0 | $21,146 | Yes (X) | ||||
| Alyson Pitman Giles | |||||||||
| Former Officer | 0.00 | $333,381 | $0 | $5,250 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,261,541 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,689,630 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $648,709 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 92 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Dartmouth Hitchcock Clinic | |||||
| One Medical Center Drive | Lebanon | NH | 03756 | Physician Services | $21,222,926 |
| Granite State Emergency Physicians | |||||
| 380 Lafayette Road | Hampton | NH | 03842 | Physician Services | $986,688 |
| CHG Companies Inc | |||||
| 6440 South Millrock Drive Suite 17 | Salt Lake City | UT | 84121 | Healthcare Staffing Services | $956,629 |
| Aramark Management Service | |||||
| 1101 Market Street | Philadelphia | PA | 19107 | Facilities Management | $676,499 |
| Quest Diagnostics | |||||
| 195 McGregor Street | Manchester | NH | 031023748 | Laboratory Services | $444,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $30,000 | FederatedCampaignsAmt |
| Fundraising | $182,943 | FundraisingAmt |
| Related Organizations | $220,500 | RelatedOrganizationsAmt |
| Government Grants | $3,290,163 | GovernmentGrantsAmt |
| All Other Contributions | $753,361 | AllOtherContributionsAmt |
| Noncash Contributions | $32,012 | NoncashContributionsAmt |
| Total Contributions | $4,476,967 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Rev. | 621400 | $323,608,207 | $323,608,207 |
| Disproportionate Share Funding | 621400 | $3,136,409 | $3,136,409 |
| Miscellaneous Rev. | 621400 | $2,907,460 | $2,907,460 |
| Cafeteria Income | 722210 | $1,471,154 | $1,471,154 |
| Rental Income | 532000 | $405,343 | $405,343 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $331,528,573 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,654,863 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $98,780 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,556,083 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $38,286,989 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $33,044,356 | SecuritiesAmt |
| Other | $43,175 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,242,633 | SecuritiesAmt |
| Other | -$43,175 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,199,458 | TotalRevenueColumnAmt |
| Exclusion | $5,199,458 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20,256 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $182,943 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $57,662 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$37,406 | TotalRevenueColumnAmt |
| Exclusion | -$37,406 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $342,822,455 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $331,528,573 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $98,780 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,718,135 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,168 | TotalAmt |
| Program Services | $51,168 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,380,189 | TotalAmt |
| Program Services | $1,983,119 | ProgramServicesAmt |
| Management And General | $397,070 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,554,886 | TotalAmt |
| Program Services | $86,947,768 | ProgramServicesAmt |
| Management And General | $17,409,141 | ManagementAndGeneralAmt |
| Fundraising | $197,977 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,631,871 | TotalAmt |
| Program Services | $4,688,152 | ProgramServicesAmt |
| Management And General | $938,687 | ManagementAndGeneralAmt |
| Fundraising | $5,032 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,912,045 | TotalAmt |
| Program Services | $11,591,195 | ProgramServicesAmt |
| Management And General | $2,320,850 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,646,109 | TotalAmt |
| Program Services | $6,358,480 | ProgramServicesAmt |
| Management And General | $1,273,129 | ManagementAndGeneralAmt |
| Fundraising | $14,500 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,592 | TotalAmt |
| Management And General | $547,592 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,535 | TotalAmt |
| Management And General | $156,535 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,796 | TotalAmt |
| Program Services | $52,320 | ProgramServicesAmt |
| Management And General | $10,476 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,394 | TotalAmt |
| Management And General | $173,394 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,257,853 | TotalAmt |
| Program Services | $6,047,076 | ProgramServicesAmt |
| Management And General | $1,210,777 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,422,060 | TotalAmt |
| Program Services | $1,184,828 | ProgramServicesAmt |
| Management And General | $237,232 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,044,270 | TotalAmt |
| Program Services | $6,609,940 | ProgramServicesAmt |
| Management And General | $1,323,477 | ManagementAndGeneralAmt |
| Fundraising | $110,853 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,445,033 | TotalAmt |
| Program Services | $2,870,322 | ProgramServicesAmt |
| Management And General | $574,711 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,603,694 | TotalAmt |
| Program Services | $6,324,935 | ProgramServicesAmt |
| Management And General | $1,266,412 | ManagementAndGeneralAmt |
| Fundraising | $12,347 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,876 | TotalAmt |
| Program Services | $127,373 | ProgramServicesAmt |
| Management And General | $25,503 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,914 | TotalAmt |
| Program Services | $104,075 | ProgramServicesAmt |
| Management And General | $20,839 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,306,829 | TotalAmt |
| Program Services | $2,755,174 | ProgramServicesAmt |
| Management And General | $551,655 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,308,342 | TotalAmt |
| Program Services | $8,588,673 | ProgramServicesAmt |
| Management And General | $1,719,669 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,932,778 | TotalAmt |
| Program Services | $1,610,346 | ProgramServicesAmt |
| Management And General | $322,432 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $58,987,052 | $58,987,052 |
| Physician Fees | $27,258,298 | $27,258,298 |
| Bad Debt Expense | $23,778,708 | $23,778,708 |
| Medicaid Enhancement Ta | $13,865,109 | $13,865,109 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,992,795 | TotalAmt |
| Program Services | $6,643,676 | ProgramServicesAmt |
| Management And General | $1,330,237 | ManagementAndGeneralAmt |
| Fundraising | $18,882 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,597,196 | TotalAmt |
| Program Services | $278,427,787 | ProgramServicesAmt |
| Management And General | $31,809,818 | ManagementAndGeneralAmt |
| Fundraising | $359,591 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,440,778 | BOYAmt |
| EOY | $49,502,444 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,759,649 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,183,203 | BOYAmt |
| EOY | $29,270,115 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,577 | BOYAmt |
| EOY | $72,648 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,867,994 | BOYAmt |
| EOY | $2,010,411 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,412,225 | BOYAmt |
| EOY | $4,071,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $224,293,607 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $151,316,215 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,344,096 | BOYAmt |
| EOY | $72,977,392 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,759,697 | BOYAmt |
| EOY | $137,974,300 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $892,253 | BOYAmt |
| EOY | $810,003 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,390,524 | BOYAmt |
| EOY | $8,014,049 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,197,996 | BOYAmt |
| EOY | $304,702,834 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,623,008 | BOYAmt |
| EOY | $38,939,829 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $638,256 | BOYAmt |
| EOY | $511,373 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,583,122 | BOYAmt |
| EOY | $65,085,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,047,835 | BOYAmt |
| EOY | $4,536,314 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,945,462 | BOYAmt |
| EOY | $69,983,575 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,837,683 | BOYAmt |
| EOY | $179,056,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,886,469 | BOYAmt |
| EOY | $116,956,183 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,861 | BOYAmt |
| EOY | $528,802 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,281,983 | BOYAmt |
| EOY | $8,161,758 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,360,313 | BOYAmt |
| EOY | $125,646,743 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,197,996 | BOYAmt |
| EOY | $304,702,834 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,225,259 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,037,246 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,976,075 | 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 | $32,650 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $30,146 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $62,796 | 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: $22,792 AHA: $9,858 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 $30,146 for these services. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,263,764 | BeginningYearBalanceAmt |
| Contributions | $51,208 | ContributionsAmt |
| Investment Earnings Or Losses | -$187,002 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $80,901 | OtherExpendituresAmt |
| End Year Balance | $7,047,069 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,624,284 | BeginningYearBalanceAmt |
| Contributions | $81,408 | ContributionsAmt |
| Investment Earnings Or Losses | $618,215 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $60,143 | OtherExpendituresAmt |
| End Year Balance | $7,263,764 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,155,849 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $468,435 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,624,284 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.93920 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.06080 | 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 | $75,728,729 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,602,627 | DepreciationAmt |
| Book Value | $41,126,102 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,751,225 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,654,302 | DepreciationAmt |
| Book Value | $1,096,923 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $133,644,756 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,204,744 | DepreciationAmt |
| Book Value | $23,440,012 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,144,207 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,854,542 | DepreciationAmt |
| Book Value | $6,289,665 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $72,977,392 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension & Other Liabilities | $68,664,176 |
| Due to Affiliates | $1,319,399 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $69,983,575 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $348,777,732 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $7,037,246 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $12,100 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $798,483 | OtherRevenueAmt |
| Revenue Not Reported | $7,847,829 | RevenueNotReportedAmt |
| Revenue Subtotal | $340,929,903 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $173,394 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,719,158 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,892,552 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $342,822,455 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $310,493,564 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $12,100 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $57,662 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $69,762 | ExpensesNotReportedAmt |
| Expenses Subtotal | $310,423,802 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $173,394 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $173,394 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $310,597,196 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Proceeds from the Organization's endowment funds are used in operations. |
| Part X, Line 2: | The System and all related entities, with the exception of Enterprises, are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income, and had taken no uncertain tax positions that require adjustment to the consolidated financial statements. With few exceptions, the System is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2011. |
| Part XI, Line 2d - Other Adjustments: | Change in Interest in Perpetual Trust 740,821. Event Expenses 57,662. |
| Part XI, Line 4b - Other Adjustments: | Pension-Related Charges Other than Net Periodic Cost 1,696,942. Assets Released for Operations 22,216. |
| Part XII, Line 2d - Other Adjustments: | Event Expenses 57,662. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala | NameOfEvent1Amt |
| Gross Receipts Event1 | $203,199 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $182,943 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $20,256 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $69 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $39,131 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $830 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $13,632 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $203,199 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $182,943 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $20,256 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $69 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $39,131 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $830 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,632 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $57,662 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$37,406 | 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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| 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 | $11,710,661 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,710,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04080 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,340,026 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,418,202 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,921,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08690 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $362,235 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $265,280 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,412,922 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,683,482 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,729,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 32829 | PersonsServedCnt |
| Total Community Benefit Expns | $1,926,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $144,477 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,782,009 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $781,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,686 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $756,853 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,779,573 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,682,840 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,096,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05260 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $128,881 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $431,751 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $431,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 32829 | PersonsServedCnt |
| Total Community Benefit Expns | $22,048,230 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,853,003 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,195,227 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 32829 | PersonsServedCnt |
| Total Community Benefit Expns | $69,461,152 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,536,485 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $54,924,667 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19130 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $228,066 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $192,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $228,066 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $192,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,252,506 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $93,510,708 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $110,159,023 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,648,315 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.catholicmedicalcenter.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Catholic Medical Center | Part V, Section B, Line 3: A variety of different secondary data sources were accessed. They included the Centers for Disease Control and Prevention (CDC), New Hampshire Department of Health and Human Services, NH HealthWRQS and the City of Manchester Department of Health.Also, during March, April and May of 2013, the hospitals conducted seven focus groups which included clergy, first responders, pregnant women, school nurses, Bhutanese refugees as well as two seniors groups. Due to concerns on the part of many participants, anonymity was guaranteed andtherefore they were not listed by name.A group discussion was conducted on March 25, 2013 with members of the Manchester Sustainable Access Project which included Jennifer Driscoll, Vice President, Planning & Business Development, Elliot Hospital; Raef Fahmy, DPM, Chief Medical Officer, Catholic Medical Center; Peter Janelle,President, Mental Health Center of Greater Manchester; Paul Mertzic, Executive Director of Operations, Physician Practice Association, Primary Care & Community Health Services, Catholic Medical Center; Steven Paris, MD, Medical Director, Dartmouth-Hitchcock Manchester; Tim Soucy, Public Health Director, Manchester Health Department; Anna Thomas, Deputy Public Health Director, Manchester Health Department.Other key informants included Ted Gatsas, Mayor, City of Manchester, NH and Chris Pappas, Member of The Executive Council of the State of New Hampshire & Manchester small business owner. |
| Catholic Medical Center | Part V, Section B, Line 4: Elliot Health System in Manchester, NH. |
| Catholic Medical Center | Part V, Section B, Line 5d: Our "Healthy Living News" flyers were distributed to our primary and secondary service areas (approximately 120,000 people). Flyers contained a summary report of the community benefit CMC provides. |
| Catholic Medical Center | Part V, Section B, Line 6i: Our implementation plan was approved by the Board of the Directors on 10/31/2013. Since then, we have begun our implementation strategies. |
| Catholic Medical Center | Part V, Section B, Line 14g: Signs are posted throughout the facility that list the financial programs available. |
| Catholic Medical Center | Part V, Section B, Line 18e: Signs are posted throughout the facility that list the financial programs available. Phrases appear on statements we send to patients and patients are notified during telephone conversations. |
| Catholic Medical Center | Part V, Section B, Line 20d: All patients are charged the same regardless of ability to pay. |
| Catholic Medical Center | Part V, Section B, Line 22: All patients are charged the same regardless of ability to pay. |
Supplemental Information Detail SupplementalInformationDetail (12 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 $ 23,778,708. |
| Part II, Community Building Activities: | The Medical Center sponsored the following partnerships and services to promote the health of the communities it serves:School Partnerships:Partnership with Manchester School SystemPartnership with VNA, education for classroom teachersPartnership with VNA, education for pre-school classroomsEmergency Services:Planning hours for emergency preparednessBioterrorism preparedness safety management |
| Schedule H, Part II: | 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 4: | There is no footnote in the audited financial statements describing bad debt expense. Costing methodology ratio of cost to charge is used to arrive at cost. |
| Part III, Line 8: | The entire Medicare shortfall is reported in our Community Benefit Report to the State of New Hampshire. It is reported under the "Financial Assistance Cost." |
| Part III, Line 9b: | All patients are treated the same according to our collection procedures. |
| 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. The previous Community Needs Assessment was titled, "Believe in a Healthy Community 2009". Since hospitals are required to assess the needs of their community every three years, the Elliot and CMC have undertaken this Needs Assessment for 2013. The two hospitals chose to use the 2009 Assessment as a basis for this current assessment. Doing so allowed them to look more specifically at medically related health needs since that is their primary purview. Hence this report is more targeted and focused in scope. 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: | Flyers are posted throughout the Hospital and physician practices highlighting Catholic Medical Center's uncompensated care program. Inpatients with no insurance are referred to our social service department for an evaluation to determine eligibility for federal, state and CMC's uncompensated program. The department works with them to facilitate the application process. Outpatients are referred to the uncompensated care office for such an evaluation and facilitation of the process if appropriate. |
| Part VI, Line 4: | Catholic Medical Center's primary service area consists of the following towns and cities: Auburn, Bedford, Candia, Deerfield, Goffstown, Hooksett, Londonderry, Manchester, and New Boston. Our secondary service area is made up of Allenstown, Amherst, Bow, Chester, Derry, Dunbarton, 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: Manchester Sustainable Access Project (MSAP), an initiative to improve healthcare access for the poor in our community; Manchester Oral Health Project, an initiative to improve the oral health of children; Catholic Medical Center School partnerships with elementary, middle, and high schools for health prevention education; partnering with the Organization for Refugee and Immigrant Success; providing a Fruit and Vegetable Assistance Program, an initiative to provide fresh produce weekly to our underserved patients; 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 Institute (NEHI), 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.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, West Side Neighborhood Health 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 (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | IRC SectionIRCSectionDesc | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt |
|---|---|---|---|---|---|---|---|---|---|
| Hooksett Fire Department | |||||||||
| 15 Legends Drive | Hooksett | NH | 03106 | Governmental | $13,693 | Book Value | Chest Compression Machine/AED | Medical Equipment for Fire Department | |
| Town of Peterborough | |||||||||
| 1 Grove Street | Peterborough | NH | 03458 | Governmental | General Support | $15,000 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
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, additional monitoring is not deemed necessary. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| William Clutterbuck MD | ||||||||||||||
| Director | $0 | $351,042 | $0 | $1,707 | $0 | $0 | $0 | $15,300 | $0 | $21,160 | $0 | $389,209 | $0 | $0 |
| Raef Fahmy DPM | ||||||||||||||
| Director | $250,016 | $0 | $0 | $0 | $5,360 | $0 | $14,712 | $0 | $1,350 | $0 | $271,438 | $0 | $0 | $0 |
| Connor J Haugh MD FACC | ||||||||||||||
| Director | $0 | $443,242 | $0 | $121,771 | $0 | $37,500 | $0 | $17,850 | $0 | $20,161 | $0 | $640,524 | $0 | $0 |
| Patrick A Mahon MD | ||||||||||||||
| President Medical Staff | $0 | $374,137 | $0 | $24,488 | $0 | $40,000 | $0 | $15,300 | $0 | $21,374 | $0 | $475,299 | $0 | $0 |
| Keith A Stahl MD | ||||||||||||||
| Director | $0 | $213,243 | $0 | $82,500 | $0 | $0 | $0 | $17,597 | $0 | $20,341 | $0 | $333,681 | $0 | $0 |
| Joseph Pepe MD | ||||||||||||||
| President & CEO | $450,939 | $0 | $115,704 | $0 | $49,347 | $0 | $94,306 | $0 | $19,769 | $0 | $730,065 | $0 | $0 | $0 |
| Edward Dudley III | ||||||||||||||
| Exec. VP & CFO | $307,182 | $0 | $61,805 | $0 | $63,419 | $0 | $61,613 | $0 | $31,171 | $0 | $525,190 | $0 | $0 | $0 |
| Alexander Walker | ||||||||||||||
| General Counsel | $297,064 | $0 | $60,000 | $0 | $53,549 | $0 | $56,336 | $0 | $47,914 | $0 | $514,863 | $0 | $0 | $0 |
| Brian Tew | ||||||||||||||
| Chief Information Officer | $222,329 | $0 | $27,191 | $0 | $34,672 | $0 | $40,401 | $0 | $31,565 | $0 | $356,158 | $0 | $0 | $0 |
| Robert Duhaime | ||||||||||||||
| Chief Nursing Officer | $236,850 | $0 | $27,319 | $0 | $5,027 | $0 | $17,459 | $0 | $18,904 | $0 | $305,559 | $0 | $0 | $0 |
| Carolanne O'Sullivan | ||||||||||||||
| VP of Physician Practices | $197,202 | $0 | $38,933 | $0 | $6,881 | $0 | $13,910 | $0 | $2,321 | $0 | $259,247 | $0 | $0 | $0 |
| Lisa Roux Coggins | ||||||||||||||
| VP of Surgical Services | $187,084 | $0 | $18,805 | $0 | $4,543 | $0 | $13,346 | $0 | $8,153 | $0 | $231,931 | $0 | $0 | $0 |
| Merryll Rosenfield | ||||||||||||||
| VP of Human Resources | $191,912 | $0 | $11,000 | $0 | $4,027 | $0 | $923 | $0 | $20,223 | $0 | $228,085 | $0 | $0 | $0 |
| Alyson Pitman Giles | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $333,381 | $0 | $0 | $0 | $5,250 | $0 | $338,631 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Catholic Medical Center provides certain fringe benefits that have gross-up calculations to cover taxes for a select few officers and/or highly compensated employees. In no case did this amount exceed $15,000 during the year for any one individual. |
| Part I, Lines 4a-b | 4A: The following individual received base compensation under a severance agreement from the Organization: Alyson Pitman Giles: $326,435 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: $76,456 Edward Dudley, III: $46,313 Brian Tew: $24,320 Alexander Walker: $41,036 |
| 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 (2 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 | 2006-05-10 | $32,910,000 | Construction & Defeasance Escrow | 0 | 0 | 0 |
| New Hampshire Health And Education Facilities Authority | ||||||||
| B | 020279866 | 644614x79 | 2012-12-19 | $35,275,000 | See Part VI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $32,910,000 | $3,134,013 | $10,216,000 | $517,960 | $20,559,500 | 2009 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $35,275,000 | $2,895,375 | $34,643,460 | $573,155 | $3,035,221 | 2013 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|
| MBIA | ||||||||
| A | Yes (1) | 0 | 0 | Yes (1) | 5.900000000000 | Yes (1) | Yes (1) | 0 |
| MBIA | ||||||||
| B | Yes (1) | 0 | 0 | Yes (1) | 5.241000000000 | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 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 III, Line 9, Part IV, Line 7, & Part V | Both bonds are carefully and consistently monitored for potential violations of federal tax requirements, but the procedures were not written as of the end of the fiscal year covered by this tax return. However, the Hospital is considering adopting formal policies that set forth the Hospital's methodology for ensuring post-issuance compliance with IRS requirements pertaining to tax-exempt debt and contain specific language regarding organizational responsibility, record retention, private business use, arbitrage rebate, and remedial action. Although formal policies are not in place in regards to the remediation of our bonds, the monitoring requirements of Section 148, and procedures to ensure that violations are timely identified and corrected, the Hospital has compliance checks in place that substantiate these requirements. Below is a list of all compliance checks that the Hospital has in place to monitor the outstanding bond issues: 1. Covenant calculations are performed for each quarter and reported to the bond issuer, New Hampshire Health and Education Facilities Authority 2. Covenant certificate is signed each quarter by the CFO and reported to the bond issuer, New Hampshire Health and Education Facilities Authority 3. Financial statements and statistical reports are sent to the bond issuer, New Hampshire Health and Education Facilities Authority, on a quarterly basis 4. Annual operating and capital budgets are reported to the bond issuer, New Hampshire Health and Education Facilities Authority 5. A No Event of Default certificate is signed by the CFO annually and reported to the bond issuer, New Hampshire Health and Education Facilities Authority 6. Annual audited financial statements are reported to the bond issuer, New Hampshire Health and Education Facilities Authority Each of these items that are reported to New Hampshire Health and Education Facilities Authority has a specific deadline for completion as outlined in the bond documents. |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,583 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Retail Value | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $7,900 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Retail Value | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,215 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Retail Value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Printed Mater | 1 | $7,500 | Retail Value |
| Yes (X) | Tickets - Var | 15 | $7,314 | Retail Value |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of CMC is CMC Healthcare System. |
| Form 990, Part VI, Section A, line 7a | Directors of CMC are appointed by the sole member. |
| Form 990, Part VI, Section A, line 7b | The sole member has reserved powers over CMC but does not approve each separate action taken by the CMC board. |
| Form 990, Part VI, Section B, line 11 | 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, 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 -11,122,616. Pension Related Changes Other than Net Periodic Cost -1,696,942. Assets Released for Operations -22,216. Change in Interest in Perpetual Trust 740,821. Net Asset Transfer From CMC Associates 124,878. |
| 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 464389318 | EIN |
| Primary Activities | Ancillary Health Services | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alliance Resources | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020398138 | Real Estate | NH | 501(C)(3) | Line 11b, II | CMC Healthcare System | 0 | |
| Alliance Health Services | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 611508839 | Practices | NH | 501(C)(3) | Line 11b, II | CMC Healthcare System | 0 | |
| CMC Healthcare System | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 010568516 | Parent | NH | 501(C)(3) | Line 11b, II | 0 | N/A | |
| CMC Associates | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020344786 | Gift Shop | NH | 501(C)(3) | Line 11b, II | Catholic Medical Center | Yes (1) | |
| CMC Physician Practice Associates | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020460245 | Practices | NH | 501(C)(3) | Line 11b, II | CMC Healthcare System | 0 | |
| St Peter's Home | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020222228 | Home | NH | 501(C)(3) | Line 9 | CMC Healthcare System | 0 | |
| Alliance Ambulatory Services | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020519436 | Ambulatory Surgical Center | NH | 501(C)(3) | Line 11b, II | CMC Healthcare System | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 | CMC Health System | C | $23,030 | $2,313,315 | 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 | 0 | 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 (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Catholic Medical Center Associates | ||
| C | $220,500 | Cash Transferred |
| Catholic Medical Center Associates | ||
| S | $124,878 | Assets Transferred |