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CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-07
IRS object ID
201321279349301212
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-07T12:16:27-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010494526EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020315693EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Catholic Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCATHNameControl
Phone6036683545Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O Finance Dept 100 McGregorAddressLine1
Address Line2StreetAddressLine2
CityManchesterCity
StateNHState
ZIP Code031023770ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEdward L Dudley IIIName
TitleSenior VP & CFOTitle
Phone6036683545Phone
Date Signed2013-05-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameNicholas E PortoName
PTINP01310283PTIN
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJoseph Pepe MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O Finance Dept 100 McGregorAddressLine1
Address Line2StreetAddressLine2
CityManchesterCity
StateNHState
ZIP Code031023770ZIPCode
FieldValueIRS element (for citing)
Gross Receipts330672703GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.catholicmedicalcenter.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionThe mission of Catholic Medical Center is to provide health, healing, and hope to all.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2342TotalNbrEmployees
Total Nbr Volunteers359TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year390704ContributionsGrantsPriorYear
Contributions Grants Current Year3781596ContributionsGrantsCurrentYear
Program Service Revenue Prior Year294570757ProgramServiceRevenuePriorYear
Program Service Revenue CY318036565ProgramServiceRevenueCY
Investment Income Prior Year3970821InvestmentIncomePriorYear
Investment Income Current Year2463731InvestmentIncomeCurrentYear
Other Revenue Prior Year16731668OtherRevenuePriorYear
Other Revenue Current Year-54409OtherRevenueCurrentYear
Total Revenue Prior Year315663950TotalRevenuePriorYear
Total Revenue Current Year324227483TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year136572632SalariesEtcPriorYear
Salaries Etc Current Year131177658SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year245107TotalFundrsngExpCurrentYear
Other Expense Prior Year164166429OtherExpensePriorYear
Other Expenses Current Year169864335OtherExpensesCurrentYear
Total Expenses Prior Year300739061TotalExpensesPriorYear
Total Expenses Current Year301041993TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14924889RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23185490RevenuesLessExpensesCY
Total Assets BOY258264870TotalAssetsBOY
Total Assets EOY279702554TotalAssetsEOY
Total Liabilities BOY157683085TotalLiabilitiesBOY
Total Liabilities EOY219082011TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY100581785NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY60620543NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe mission of Catholic Medical Center is to provide health, hope, and healing to all. We offer innovative, quality healthcare in a compassionate environment built on trust and respect. CMC is a Catholic acute care hospital whose purpose is to extend Christ's healing ministry to all who see its services. (Continuation from Page 2)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense252494188Expense
Revenue310406321Revenue
DescriptionMedical & Surgical services provided to 9,702 inpatients and 371,422 outpatients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6206679Expense
Revenue7630244Revenue
DescriptionVarious 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense258700867TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096193NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2342NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Edward DudleyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6036683545TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1C/O Finance Dept 100 McGregorAddressLine1
CityManchesterCity
StateNHState
ZIP Code031023770ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Adele Boufford Baker
Director1.00X000
Gary Bouchard PhD
Director1.00X000
Paul S Boynton
Director (Part Year)1.00X000
Daryl J Cady CPA
Director1.00X000
Stephen Camann
Director1.00X000
Guy D Chapdelaine
Director1.00X000
William Clutterbuck MD
Director1.00X034250633294
Eleanor Wm Dahar Esq
Director1.00X000
Jeff Eisenberg
Director (Part Year)1.00X000
Raef Fahmy DPM
Director40.00X11639202432
Connor J Haugh MD FACC
Director1.00X063060234137
Susan Huard PhD
Director1.00X000
Suzanna D Majewski
Director1.00X000
Anne M O'Connor MD
Director1.00X000
Msgr John P Quinn
Director1.00X000
Ronald J Rioux
Director (Part Year)1.00X000
Keith A Stahl MD
Director1.00X028704112440
Rev Gayle Whittemore
Director (Part Year)1.00X000
Joseph Graham
Chair1.00X000X
Suzanne K Mellon PhD RN
Vice Chair1.00X000X
Jerome Duval
Treasurer1.00X000X
Margaret-Ann Moran Esq
Secretary1.00X000X
Joseph Pepe MD
President & CEO40.00X346001019545X
Alyson Pitman Giles
President & CEO (Part Year)40.00X7985510348357X
Edward Dudley III
Senior VP & CFO40.00358208082328X
Allen Ericson
COO1.00408870043671X
Raymond Bonito
Exec. VP (Part Year)50.004282280137121X
Lisa Roux Coggins
VP, Surgical Services40.00201443012151X
Margo Compagna
VP, Human Resources40.00198315015273X
Robert Duhaime
Chief Nursing Exec.40.00249440030213X
Carolanne O'Sullivan
V/P, NEHI/Physician Practices40.00208036012799X
Brian Tew
CIO40.00248654029727X
Kevin Kilday
Former Officer0.0012480900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3686947TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1260149TotalReportableCompFrmRltdOrgs
Total Other Compensation813488TotalOtherCompensation
Number Individuals GT100 K84NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Dartmouth Hitchcock Clinic
One Medical Center DrLebanonNH03756Professional Services22983220
Granite State Emergency Physicians
380 Lafayette RdHamptonNH03842Professional Services690457
Aramark Management Services
24863 Network PlaceChicagoIL60673Professional Services657719
Benefit Strategies LLC
97 Elm StreetManchesterNH03101Professional Services593840
Quest Diagnostics
195 McGregor StreetManchesterNH03102Diagnostic Testing Services569336
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Federated Campaigns15000FederatedCampaigns
Fundraising Events179680FundraisingEvents
Related Organizations116500RelatedOrganizations
Government Grants2451817GovernmentGrants
All Other Contributions1018599AllOtherContributions
Total Contributions3781596TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.621400310406321310406321
Miscellaneous Rev.62140058267025826702
Cafeteria Income72221014143361414336
Rental Income532000389206389206
FieldValueIRS element (for citing)
Total Program Service Revenue318036565TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1359146TotalRevenueColumn
Exclusion$1,359,146ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7465626Securities
Other16150Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6201597Securities
Other175594Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1264029Securities
Other-159444Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1104585TotalRevenueColumn
Exclusion$1,104,585ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events13620GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events179680CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses68029FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-54409TotalRevenueColumn
Exclusion-$54,409ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column324227483TotalRevenueColumn
Related Or Exempt Function Income318036565RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,409,322ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3207761Total
Program Services2645216ProgramServices
Management And General562545ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total98437584Total
Program Services81063024ProgramServices
Management And General17239277ManagementAndGeneral
Fundraising135283Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5413605Total
Program Services4460426ProgramServices
Management And General948577ManagementAndGeneral
Fundraising4602Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16747821Total
Program Services13810755ProgramServices
Management And General2937066ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7370887Total
Program Services6070349ProgramServices
Management And General1290951ManagementAndGeneral
Fundraising9587Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total582362Total
Program Services480233ProgramServices
Management And General102129ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total232742Total
Program Services191926ProgramServices
Management And General40816ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total13984Total
Program Services11532ProgramServices
Management And General2452ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total255623Total
Management And General255623ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5717522Total
Program Services4714840ProgramServices
Management And General1002682ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1180337Total
Program Services932210ProgramServices
Management And General198249ManagementAndGeneral
Fundraising49878Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2166253Total
Program Services1782988ProgramServices
Management And General379179ManagementAndGeneral
Fundraising4086Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3404407Total
Program Services2807376ProgramServices
Management And General597031ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7632237Total
Program Services6293771ProgramServices
Management And General1338466ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total163068Total
Program Services134471ProgramServices
Management And General28597ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total44195Total
Program Services36445ProgramServices
Management And General7750ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2765357Total
Program Services2280396ProgramServices
Management And General484961ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10554860Total
Program Services8703854ProgramServices
Management And General1851006ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2136251Total
Program Services1761617ProgramServices
Management And General374634ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies56020757461963959824362
Bad Debt Expense2599019225990192
Physician Fees2072728620727286
Medicaid Enhancement Ta1524027015240270

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15036632Total
Program Services12365295ProgramServices
Management And General2629666ManagementAndGeneral
Fundraising41671Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total301041993Total
Program Services258700867ProgramServices
Management And General42096019ManagementAndGeneral
Fundraising245107Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY45078847BOY
EOY62005310EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8095887BOY
EOY7040423EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32302845BOY
EOY30745571EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY319476BOY
EOY218859EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1228166BOY
EOY1248598EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3402177BOY
EOY3469354EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis206725239LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec130791109LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY77686783BOY
EOY75934130EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY89258267BOY
EOY81698372EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY892422BOY
EOY17341937EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY258264870BOY
EOY279702554EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY31720126BOY
EOY35661222EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY744653BOY
EOY684482EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY70561567BOY
EOY67513065EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY248508BOY
EOY3672855EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY54408231BOY
EOY111550387EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY157683085BOY
EOY219082011EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY93318020BOY
EOY53573474EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY381533BOY
EOY353996EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6882232BOY
EOY6693073EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY100581785BOY
EOY60620543EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY258264870BOY
EOY279702554EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses23185490ReconcilationRevenueExpenses
Reconcilation Other Changes-63146732ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$30,748GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$13,984OtherActivitiesAmount
Total Lobbying Expenditures IIB44732TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationCatholic 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. 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7263764BeginningOfYearBalance
Contributions51208Contributions
Investment Earnings Or Losses-187002InvestmentEarningsOrLosses
Other Expenditures80901OtherExpenditures
End Of Year Balance7047069EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6624284BeginningOfYearBalance
Contributions81408Contributions
Investment Earnings Or Losses618215InvestmentEarningsOrLosses
Other Expenditures60143OtherExpenditures
End Of Year Balance7263764EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6155849BeginningOfYearBalance
Investment Earnings Or Losses468435InvestmentEarningsOrLosses
End Of Year Balance6624284EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7356078BeginningOfYearBalance
Contributions31900Contributions
Investment Earnings Or Losses-1232129InvestmentEarningsOrLosses
End Of Year Balance6155849EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.94980PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05020TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1024690OtherCostOrOtherBasis
Book Value1024690BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75380884OtherCostOrOtherBasis
Depreciation29586536Depreciation
Book Value45794348BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4394778OtherCostOrOtherBasis
Depreciation3205135Depreciation
Book Value1189643BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis118149210OtherCostOrOtherBasis
Depreciation96429820Depreciation
Book Value21719390BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7775677OtherCostOrOtherBasis
Depreciation1569618Depreciation
Book Value6206059BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings75934130TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Due From Affiliates443573
Insurance Recoveries16038200
Other Assets25278
Unamortized Debt Issuance Costs834886
FieldValueIRS element (for citing)
Total Book Value Other Assets17341937TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAccrued Pension & Other LiabilitiesDescription
Amount$111,550,387Amount
FieldValueIRS element (for citing)
Total Of Amounts111550387TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Proceeds from the Organization's endowment funds are used in operations.
Description of Uncertain Tax Positions Under FIN 48:Part X:The Medical Center, NEHIF and CMC Associates 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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GalaNameOfEvent1
Gross Receipts Event1193300GrossReceiptsEvent1
Charitable Contributions Event1179680CharitableContributionsEvent1
Gross Revenue Event113620GrossRevenueEvent1
Non Cash Prizes Event150NonCashPrizesEvent1
Rent Facility Costs Event12500RentFacilityCostsEvent1
Food And Beverage Event148620FoodAndBeverageEvent1
Entertainment Event111312EntertainmentEvent1
Other Direct Expenses Event15547OtherDirectExpensesEvent1
Gross Receipts Total193300GrossReceiptsTotal
Charitable Contributions Total179680CharitableContributionsTotal
Gross Revenue Total Events13620GrossRevenueTotalEvents
Non Cash Prizes Total Events50NonCashPrizesTotalEvents
Rent Facility Costs Total Events2500RentFacilityCostsTotalEvents
Food And Beverage Total Events48620FoodAndBeverageTotalEvents
Entertainment Total Events11312EntertainmentTotalEvents
Other Direct Expenses Total Events5547OtherDirectExpensesTotalEvents
Direct Expense Summary Events68029DirectExpenseSummaryEvents
Net Income Summary-54409NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served11647PersonsServed
Total Community Benefit Expense8928362TotalCommunityBenefitExpense
Net Community Benefit Expense8928362NetCommunityBenefitExpense
Percent Of Total Expense0.03250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served18665PersonsServed
Total Community Benefit Expense27991053TotalCommunityBenefitExpense
Net Community Benefit Expense27991053NetCommunityBenefitExpense
Percent Of Total Expense0.10180PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served64144PersonsServed
Total Community Benefit Expense29104504TotalCommunityBenefitExpense
Net Community Benefit Expense29104504NetCommunityBenefitExpense
Percent Of Total Expense0.10580PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served94456PersonsServed
Total Community Benefit Expense66023919TotalCommunityBenefitExpense
Net Community Benefit Expense66023919NetCommunityBenefitExpense
Percent Of Total Expense0.24010PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served229425PersonsServed
Total Community Benefit Expense2442986TotalCommunityBenefitExpense
Direct Offsetting Revenue68231DirectOffsettingRevenue
Net Community Benefit Expense2374755NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served2274PersonsServed
Total Community Benefit Expense671345TotalCommunityBenefitExpense
Net Community Benefit Expense671345NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served21393PersonsServed
Total Community Benefit Expense17989388TotalCommunityBenefitExpense
Direct Offsetting Revenue1495133DirectOffsettingRevenue
Net Community Benefit Expense16494255NetCommunityBenefitExpense
Percent Of Total Expense0.06000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served361PersonsServed
Total Community Benefit Expense102276TotalCommunityBenefitExpense
Direct Offsetting Revenue3000DirectOffsettingRevenue
Net Community Benefit Expense99276NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense616101TotalCommunityBenefitExpense
Net Community Benefit Expense616101NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served253453PersonsServed
Total Community Benefit Expense21822096TotalCommunityBenefitExpense
Direct Offsetting Revenue1566364DirectOffsettingRevenue
Net Community Benefit Expense20255732NetCommunityBenefitExpense
Percent Of Total Expense0.07360PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served347909PersonsServed
Total Community Benefit Expense87846015TotalCommunityBenefitExpense
Direct Offsetting Revenue1566364DirectOffsettingRevenue
Net Community Benefit Expense86279651NetCommunityBenefitExpense
Percent Of Total Expense0.31370PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served8014PersonsServed
Total Community Building Expense404707TotalCommunityBuildingExpense
Direct Offsetting Revenue127978DirectOffsettingRevenue
Net Community Building Expense276729NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served8014PersonsServed
Total Community Building Expense404707TotalCommunityBuildingExpense
Direct Offsetting Revenue127978DirectOffsettingRevenue
Net Community Building Expense276729NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$9,052,394BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare86117591AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare114991948CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-28874357MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Catholic Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 McGregor StreetAddressLine1
CityManchesterCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Catholic Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Needs Assessment Conducted09NeedsAssessmentConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, L7 Col(f): Bad debt expense of $25,990,192 has been removed from the denominator of the calculation in Schedule H, Part I, Line 7, column f.
Part II: 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
Part III, Line 4: There is no footnote in the audited financial statements describing bad debt expense. Costing methodology ratio of cost to charge 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 V, Section B, Line 13g: Signs are posted through the facility that list the financial programs available.Catholic Medical Center
Part V, Section B, Line 17e: Signs are posted through 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 19d: All patients are charged the same regardless of ability to pay.Catholic Medical Center
Part V, Section B, Line 21: All patients are charged the same regardless of ability to pay.Catholic Medical Center
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 every five years as required by the New Hampshire Attorney General's Office Division of Charitable Trusts. The most recent Community Needs Assessment was titled, "Believe in a Healthy Community 2009". Additional information is obtained on an ongoing basis to assist the Origination 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: Manchester Sustainable Access Project (MSAP), an initiative to improve healthcare access for the poor in our community is made up of all the major healthcare providers' senior leadership teams; Manchester Oral Health Project, an initiative to improve the oral health of children; Catholic Medical Center School partnerships with an elementary, middle, and high schools for health prevention education; State of NH in the promotion of healthy behaviors to improve educational outcomes (LAEP); Emergency bioterrorism prpearedness safety management, to name a few of our community initiatives.
Part VI, Line 6: Catholic Medical Center is a licensed 330 bed, full-service, acute care hospital located in Manchester, New Hampshire, the State's largest city. CMC is known for its advanced cardiac, general care surgical capabilities, and its comprehensive programs for high acuity patients. Serving the community for more than 100 years, CMC is dedicated to providing health, healing, and hope to all. CMC offers full medical and surgical care with more than 25 subspecialties, comprehensive orthopedic care, inpatient and outpatient rehabilitation services, a 24-hour emergency department, outpatient psychiatric services, diagnostic imaging, and community health services. CMC provides inpatient and outpatient services at its McGregor Street facility to almost 110,000 patients per year, making it one of the State's largest medical centers.CMC has been named one of the 100 best hospitals in the nation for cardiac care by Healthgrades. CMC is also proud to be the recipient of a number of other recognitions for cardiac services:- Ranked among the top 10 in the nation for cardiology service and overall cardiac care - Holds a five-star rating for cardiac services, for treatment of heart attack and for interventional procedures - Rated number 1 in New Hampshire for cardiac services and interventional procedures Catholic Medical Center continues to lead the way in advanced medical technology. It is one of the few hospitals in New England using the DaVinci surgical robotics systems to perform life saving surgery with fewer complications. CMC was the first hospital to utilize a 64slice CT scanner to provide faster, less invasive diagnosis of cardiac disease. CMC is equipped with an Achieva Quasar3.0 T MRI allowing for higher resolution images in less time. The orthopedic surgeons have access to new O-Arm imaging systems, a higher definition CT scanner that provides real-time three dimensional images during surgery. CMC also offers digital mammography to better serve and care for our population. Almost 500 physicians have some level of privileges at CMC. CMC maintains a rigorous application and credentialing process for its staff to ensure that patients receive the highest quality of care possible. CMC has a joint venture with a free standing Ambulatory Surgical Center.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 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 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.
NHReports Filed With StatesPart VI, Line 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
William Clutterbuck MD
03425060000014700018594037580000
Connor J Haugh MD FACC
0503116012748600014962019175066473900
Keith A Stahl MD
0279968070730001007102369029948100
Joseph Pepe MD
31530003070100011206083390365546000
Alyson Pitman Giles
654209014434200028819106016601146908000
Edward Dudley III
328206030002000400130423150440536000
Allen Ericson
349070059800000160670276040452541000
Raymond Bonito
365021063207000962650408560565349000
Lisa Roux Coggins
1840980173450007334048170213594000
Margo Compagna
198315000006498087750213588000
Robert Duhaime
23272001672000088340213790279653000
Carolanne O'Sullivan
1910270170090007600051990220835000
Brian Tew
21675403190000087350209920278381000
Kevin Kilday
124809000000000124809000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Lines 4a-bPart I, Lines 4a-b: 4A: The following individual received base compensation under a severance agreement from the Organization: Kevin Kilday $124,809 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: Alyson Pitman Giles: $270,207 Raymond Bonito: $84,065 Allen Ericson: $4,186 Edward Dudley: $40,013
Part I, Line 7A portion of compensation is at-risk and vairable, and payment depends on the quality of job performance.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
New Hampshire Health And Education Facilities Authority
02027986664461TCV42006-05-1032910000Construction & Defeasance Escrow000
New Hampshire Health And Education Facilities Authority
020279866noneavail2012-04-206000000Refinance 2011 Note000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
329100003170077102160005179602055950020090111
600000060000001011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
MBIA
10015.900000000000110
(no name)
100000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Sarah Pitman
Family Member of Alyson Pitman Giles59674Employment0
Joyce Duval
Family Member of Jerome Duval31453Employment0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6The sole member of CMC is CMC Healthcare System.
Form 990, Part VI, Section A, line 7aDirectors of CMC are appointed by the sole member.
Form 990, Part VI, Section A, line 7bThe 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 11Form 990 is prepared by the Organization, and is sent to an independent tax accounting firm (Baker, Newman, Noyes) for a thorough and exhaustive review. Upon completion of independent firm review, Form 990 is sent back 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 12cOfficers and directors are required to complete a conflict of interest questionnaire annually.
Form 990, Part VI, Section B, line 15CMC 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 19CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part VII:Several individuals reported on Form 990, Part VII split their time with related organizations. The following are the average hours per week those respective members spent during the year at related organizations: Connor Haugh: 40 hrs William Clutterbuck: 40 hrs Keith A. Stahl, MD: 40 hrs
Form 990, Part XI, line 5:Net unrealized losses on investments: -6,035,245. Net Transfer (to) from Affiliates -11,658,129. Pension Related Changes Other than Net Periodic Cost -45,281,196. Assets Released for Operations -67,076. Change in Interest in Perpetual Trust -105,086. Total to Form 990, Part XI, Line 5: -63,146,732.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2c:The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Alliance Resources
100 McGregor StreetManchesterNH03102020398138Real EstateNH501(C)(3)Line 11b, IICMC Healthcare System0
Alliance Health Services
100 McGregor StreetManchesterNH03102611508839PracticesNH501(C)(3)Line 11b, IICMC Healthcare System0
CMC Healthcare System
100 McGregor StreetManchesterNH03102010568516ParentNH501(C)(3)Line 11b, II0N/A
CMC Associates
100 McGregor StreetManchesterNH03102020344786Gift ShopNH501(C)(3)Line 11b, IICatholic Medical Center0
CMC Physician Practice Associates
100 McGregor StreetManchesterNH03102020460245PracticesNH501(C)(3)Line 11b, IICMC Healthcare System0
St Peter's Home
100 McGregor StreetManchesterNH03102020222228HomeNH501(C)(3)Line 9CMC Healthcare System0
Alliance Ambulatory Services
100 McGregor StreetManchesterNH03102020519436Ambulatory Surgical CenterNH501(C)(3)Line 11b, IICMC Healthcare System0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1McGregor Street MobBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 McGregor StreetAddressLine1
CityManchesterCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
EIN134347316EIN
Primary ActivityMedical Office BuildingPrimaryActivity
Legal Domicile StateNHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CMC Health SystemBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeUnrelatedPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Alliance Enterprises
100 McGregor StreetManchesterNH03102020386795Real EstateNHCMC Health SystemC
Doctors' Medical Association Inc
100 Mcgregor StreetManchesterNH03102020340690Condo AssociationNHCMC Health SystemC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Catholic Medical Center AssociatesBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved116500AmountInvolved
Method Of Amt DeterminationCash TransferredMethodOfAmtDetermination