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CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-12
IRS object ID
201101329349300900
Schema version
2009v1.7
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)
Timestamp2011-05-12T05:04:06-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2009-07-01TaxPeriodBeginDate

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 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code031023770ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD DUDLEYName
TitleCFOTitle
Phone6036683545Phone
Date Signed2011-05-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALYSON PITMAN GILESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O FINANCE DEPT 100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code031023770ZIPCode
FieldValueIRS element (for citing)
Gross Receipts277969109GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501cXOrganization501c
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 Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees2213TotalNbrEmployees
Total Nbr Volunteers385TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year299885ContributionsGrantsPriorYear
Contributions Grants Current Year390994ContributionsGrantsCurrentYear
Program Service Revenue Prior Year241989561ProgramServiceRevenuePriorYear
Program Service Revenue CY270543220ProgramServiceRevenueCY
Investment Income Prior Year2193026InvestmentIncomePriorYear
Investment Income Current Year2373630InvestmentIncomeCurrentYear
Other Revenue Prior Year3434393OtherRevenuePriorYear
Other Revenue Current Year4427012OtherRevenueCurrentYear
Total Revenue Prior Year247916865TotalRevenuePriorYear
Total Revenue Current Year277734856TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year112151970SalariesEtcPriorYear
Salaries Etc Current Year121452462SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year191199TotalFundrsngExpCurrentYear
Other Expense Prior Year122591763OtherExpensePriorYear
Other Expenses Current Year144731758OtherExpensesCurrentYear
Total Expenses Prior Year234743733TotalExpensesPriorYear
Total Expenses Current Year266184220TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13173132RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11550636RevenuesLessExpensesCY
Total Assets BOY222601847TotalAssetsBOY
Total Assets EOY232863478TotalAssetsEOY
Total Liabilities BOY159556268TotalLiabilitiesBOY
Total Liabilities EOY179364600TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY63045579NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY53498878NetAssetsOrFundBalancesEOY
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 SEEK ITS SERVICES. (CONTINUATION FROM PAGE 2)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense206849860Expense
Revenue273761281Revenue
DescriptionMEDICAL & SURGICAL SERVICES PROVIDED TO 9,436 INPATIENTS AND 300,023 OUTPATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17634075Expense
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. CMC SHALL TREAT WITH DIGNITY AND WITH OTHER COMPASSION THE BODY, MIND AND SPIRIT OF ALL WHO SEEK OR PROVIDE CARE AND COMFORT. DETAIL FOR THIS IS PROVIDED IN SCHEDULE H.Description
FieldValueIRS element (for citing)
Total Program Service Expense224483935TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096202NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2213NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 Line1100 MCGREGOR STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code031023770ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALYSON PITMAN GILES
CEO & President60.00XX7197210358237
GUY D CHAPDELAINE
CHAIRMAN1.00XX000
BENJAMIN WESTBROOK MD
DIRECTOR1.00X000
ADELE BOUFFORD BAKER
DIRECTOR1.00X000
CONNOR HAUGH MD
DIRECTOR1.00X055027427462
GARY BOUCHARD PHD
DIRECTOR1.00X000
BISHOP FRANCIS J CHRISTIAN
DIRECTOR1.00X000
ELEANOR WM DAHAR ESQ
DIRECTOR1.00X000
JOSEPH GRAHAM
DIRECTOR1.00X000
JEROME DUVAL
DIRECTOR1.00X000
KATHLEEN ZAFFINO MD
DIRECTOR1.00X000
MARGARET-ANN MORAN ESQ
DIRECTOR1.00X000
PAUL BOYNTON
DIRECTOR1.00X000
RAEF FAHMY DPM
DIRECTOR1.00X000
REV GAYLE WHITTEMORE
DIRECTOR1.00X000
SUZANNA D MAJEWSKI
DIRECTOR1.00X000
WILLIAM CLUTTERBUCK MD
DIRECTOR1.00X022774817401
RONALD J RIOUX
TREASURER1.00XX000
STEVEN CAMANN
VICE CHAIRMAN1.00XX000
MSGR JOHN P QUINN
SECRETARY1.00XX000
RAYMOND J BONITO
EXEC VP/COO50.00X6354950132089
KEVIN KILDAY
SVP/CFO50.00X324382037525
ALLEN ERICSON
VP/COO50.00X268412041249
DAVID RBULMER
DIR. PSYCH INST40.00180329019640X
ROBERT DUHAIME
CHIEF NURSE EXEC.40.00204078026745X
TINA LEGERE
VP, OPS/CHIEF QUALITY OFFI40.00194772016645X
MARGO COMPAGNA
VP, HUMAN RESOURCES40.00195438022084X
LISA rOUX
VP, SURGICAL SERVICES40.00179277016080X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2901904TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs778022TotalReportableCompFrmRltdOrgs
Total Other Compensation715157TotalOtherCompensation
Number Individuals GT100 K57NumberIndividualsGT100K
Formers Listed0FormersListed
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
100 HITCHCOCK WAYMANCHESTERNH03104MEDICAL SERVICES1957084
DEVINE MILLIMET & BRANCH PA
PO BOX 719MANCHESTERNH03105LEGAL SERVICES1003548
ARAMARK MANAGEMENT SERVICE
PO BOX 33170NEWARKNJ07188STAFFING SERVICES739311
QUEST DIAGNOSTICS
PO BOX 64363BALTIMOREMD21264MEDICAL SERVICES577845
GRANITE STATE EMERGENCY PHYSICIANS
100 MCGREGOR STMANCHESTERNH03102MEDICAL SERVICES519965
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
All Other Contributions390994AllOtherContributions
Total Contributions390994TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REV.Description
Business Code900099BusinessCode
Total Revenue Column270543220TotalRevenueColumn
Related Or Exempt Function Income270543220RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue270543220TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1224842TotalRevenueColumn
Exclusion$1,224,842ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real310178Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real310178Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column310178TotalRevenueColumn
Related Or Exempt Function Income310178RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1378841Securities
Other4200Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities234253Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1144588Securities
Other4200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1148788TotalRevenueColumn
Exclusion$1,148,788ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS90009929078832907883
EMPLOYEE SALES7222101208951$1,208,951
FieldValueIRS element (for citing)
Total Other Revenue4116834TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column277734856TotalRevenueColumn
Related Or Exempt Function Income273761281RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,582,581ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2531484Total
Program Services2068222ProgramServices
Management And General463262ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total91560685Total
Program Services74736409ProgramServices
Management And General16740224ManagementAndGeneral
Fundraising84052Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8356445Total
Program Services6826185ProgramServices
Management And General1528999ManagementAndGeneral
Fundraising1261Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12385580Total
Program Services10119019ProgramServices
Management And General2266561ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6618268Total
Program Services5402681ProgramServices
Management And General1210148ManagementAndGeneral
Fundraising5439Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2878202Total
Program Services2351491ProgramServices
Management And General526711ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total319710Total
Program Services261203ProgramServices
Management And General58507ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total7250Total
Program Services5923ProgramServices
Management And General1327ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6466990Total
Program Services5283531ProgramServices
Management And General1183459ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2095915Total
Program Services1655641ProgramServices
Management And General370847ManagementAndGeneral
Fundraising69427Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2777075Total
Program Services2264516ProgramServices
Management And General507229ManagementAndGeneral
Fundraising5330Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3668895Total
Program Services2997487ProgramServices
Management And General671408ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6509189Total
Program Services5318007ProgramServices
Management And General1191182ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total180450Total
Program Services147428ProgramServices
Management And General33022ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total174435Total
Program Services142513ProgramServices
Management And General31922ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2960086Total
Program Services2418390ProgramServices
Management And General541696ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10542949Total
Program Services8613590ProgramServices
Management And General1929359ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1682193Total
Program Services1374352ProgramServices
Management And General307841ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES53065380433544159710965
PHYSICIAN FEES2110186821101868
BAD DEBT EXPENSE1806555218065552
EQUIPMENT MAINTENANCE738078060300971350683
DIETARY EXPENSES13212371079169241723345

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3533602Total
Program Services2866246ProgramServices
Management And General642011ManagementAndGeneral
Fundraising25345Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total266184220Total
Program Services224483935ProgramServices
Management And General41509086ManagementAndGeneral
Fundraising191199Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37231837BOY
EOY35440334EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4735741BOY
EOY4743419EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25069791BOY
EOY27689982EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY870922BOY
EOY417534EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1251715BOY
EOY1224129EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1598441BOY
EOY2313505EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis192176502LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec110403511LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY79602628BOY
EOY81772991EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY71350881BOY
EOY78265782EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY889891BOY
EOY995802EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY222601847BOY
EOY232863478EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25473550BOY
EOY26716213EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY930102BOY
EOY842714EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY71963515BOY
EOY70742817EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY61189101BOY
EOY81062856EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY159556268BOY
EOY179364600EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY56889730BOY
EOY46874594EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY320238BOY
EOY357814EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5835611BOY
EOY6266470EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63045579BOY
EOY53498878EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY222601847BOY
EOY232863478EOY
FieldValueIRS element (for citing)
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 Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$50,386OtherActivitiesAmount
Total Lobbying Expenditures IIB50386TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities: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 AND BRANCH, PA PROVIDED LOBBYING SERVICES WHICH INCLUDED PROVIDING INFORMATION REGARDING PUBLIC POLICY PENDING BEFORE THE LEGISLATURE. DEVINE, MILLIMET AND 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 Balance6155849BeginningOfYearBalance
Investment Earnings Or Losses468435InvestmentEarningsOrLosses
End Of Year Balance6624284EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Balance0.95000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05000TermEndowmentEOYBalance
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 Basis73959121OtherCostOrOtherBasis
Depreciation24711627Depreciation
Book Value49247494BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4227573OtherCostOrOtherBasis
Depreciation2603742Depreciation
Book Value1623831BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis110072650OtherCostOrOtherBasis
Depreciation81930130Depreciation
Book Value28142520BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2892468OtherCostOrOtherBasis
Depreciation1158012Depreciation
Book Value1734456BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings81772991TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION & OTHER LIABILITIES$79,796,270
DUE TO AFFILIATES$1,266,586
FieldValueIRS element (for citing)
Total Of Amounts81062856TotalOfAmounts
Total Revenue277734856TotalRevenue
Total Expenses266184220TotalExpenses
Excess Or Deficit For Year11550636ExcessOrDeficitForYear
Net Unrealized GL On Investments3880842NetUnrealizedGLOnInvestments
Other-$24,978,179OtherAmount
Total Adjustments-21097337TotalAdjustments
Excess Or Deficit Per FS-9546701ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt281615698TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3880842NetUnrealizedGainsInvestments
Revenue Not Rptd F9903880842RevenueNotRptdF990
Revenue Subtotal277734856RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990277734856TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt266184220TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal266184220ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990266184220TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:PROCEEDS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED IN OPERATIONS.
Part XI, Line 8 - Other Adjustments:NET TRANSFER (TO) FROM AFFILIATES: -7,751,373 PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST: -17,483,749 CHANGE IN INTEREST IN PERPETUAL TRUST: 344,084 ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS: -87,141

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
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 Served10587PersonsServed
Total Community Benefit Expense8120695TotalCommunityBenefitExpense
Net Community Benefit Expense8120695NetCommunityBenefitExpense
Percent Of Total Expense0.03050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served19712PersonsServed
Total Community Benefit Expense10749326TotalCommunityBenefitExpense
Net Community Benefit Expense10749326NetCommunityBenefitExpense
Percent Of Total Expense0.04040PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served58107PersonsServed
Total Community Benefit Expense22472930TotalCommunityBenefitExpense
Net Community Benefit Expense22472930NetCommunityBenefitExpense
Percent Of Total Expense0.08440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served88406PersonsServed
Total Community Benefit Expense41342951TotalCommunityBenefitExpense
Net Community Benefit Expense41342951NetCommunityBenefitExpense
Percent Of Total Expense0.15530PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served329677PersonsServed
Total Community Benefit Expense3813285TotalCommunityBenefitExpense
Net Community Benefit Expense3813285NetCommunityBenefitExpense
Percent Of Total Expense0.01430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1595PersonsServed
Total Community Benefit Expense126879TotalCommunityBenefitExpense
Net Community Benefit Expense126879NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served23566PersonsServed
Total Community Benefit Expense13067116TotalCommunityBenefitExpense
Net Community Benefit Expense13067116NetCommunityBenefitExpense
Percent Of Total Expense0.04910PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served369PersonsServed
Total Community Benefit Expense87143TotalCommunityBenefitExpense
Net Community Benefit Expense87143NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense539652TotalCommunityBenefitExpense
Net Community Benefit Expense539652NetCommunityBenefitExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served355207PersonsServed
Total Community Benefit Expense17634075TotalCommunityBenefitExpense
Net Community Benefit Expense17634075NetCommunityBenefitExpense
Percent Of Total Expense0.06620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served443613PersonsServed
Total Community Benefit Expense58977026TotalCommunityBenefitExpense
Net Community Benefit Expense58977026NetCommunityBenefitExpense
Percent Of Total Expense0.22150PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served6704PersonsServed
Total Community Building Expense534603TotalCommunityBuildingExpense
Net Community Building Expense534603NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served6704PersonsServed
Total Community Building Expense534603TotalCommunityBuildingExpense
Net Community Building Expense534603NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$6,400,625BadDebtExpenseAmount
Amount Reimbursed By Medicare75622676AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare97952546CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22329870MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

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 VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Needs AssessmentPart VI, Line 2: In collaboration with the City of Manchester in association with social services agencies and health care providers CMC completes a community needs assessment every 5 years as required by the NH Attorney General's Office Division of Charitable Trusts. The most recent Community Needs Assessment, "Believe in a Healthy Community-Greater Manchester Community Needs Assessment 2009" was completed as a community collaborative of the health care and social service agencies in our community. Additional information is obtained on an ongoing basis to assist the organization in evaluating progress towards meeting our goals and the identification of new needs. This information is collected through community surveys, focus groups and discussions with community leaders, program evaluations and communication with the agencies interacting with our vulnerable populations. As the quantitative data is updated it is made available to the community for review. CMC, in collaboration with the community, is in the process of developing a Community Improvement Plan based upon the 2009 Believe In A Healthy Community Study, that will guide us and the community in addressing our needs in a more organized manner.NeedsAssessment
Patient Education AssistancePart VI, Line 3: Flyers are posted throughout the hospital highlighting Catholic Medical Center's Uncompensated Care Program. If the patient is an inpatient and has no insurance, that patient is referred by the social worker to our Internal Health Resource Counselor to determine if the patient qualifies for a federal and/or state program. If no eligibility for either program is evident, a free care application is given to the patient. The application has all the instructions for the patient and supplies him or her with a work sheet that would include the required verifications and other information. The patient has 15 days to return the application for review. The patient is informed of either acceptance or denial into the program within 30 days of receipt.If the patient is an outpatient and admittedly needs financial assistance, a card is given to the patient and he/she is asked to contact the Patient Financial Services Department.PatientEducationAssistance
Community InformationPart VI, Line 4: Catholic Medical Center defines its primary service area as the towns and cities of Auburn, Bedford, Candia, Deerfield, Goffstown, Hooksett, Londonderry, Manchester and New Boston. In addition, Catholic Medical Center includes the towns of Allenstown, Amherst, Bow, Chester, Derry, Dunbarton, Merrimack, Raymond and Weare in its secondary service area.CommunityInformation
Community Building ActivitiesPart VI, Line 5: community support: school partnerships -Partnership with manchester school system -Partnership with vna, education for classroom teachers -Partnerhip with vna, education for preschool classroomsemergency services: planning hours for emergency preparedness -bioterrorism preparedness safety managementCommunityBuildingActivities
Other InformationPart VI, Line 6: CMC is a licensed 330-bed full-service acute care hospital located in Manchester, the state's largest city. CMC is known for its advanced cardiac and general 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-surgical care with more than 25 subspecialties, comprehensive orthopedic care, inpatient and outpatient rehabilitation services, a 24-hour emergency department, outpatient psychiatric services, and diagnostic imaging.Catholic Medical Center provides in and outpatient services at its Mcgregor Street facility to almost 110,000 patients per year, making it one of New Hampshire's largest medical centers.CMC continues to lead the way in advanced medical technology. It's one of the few hospitals in New England using the Da Vinci Surgical Robotics Systems to perform life-saving surgery with fewer complications. In 2009, CMC acquired a second robot to meet the increasing demand for minimally invasive surgeries. It was the first hospital in southern NH to utilize the 64-slice CT Scanner to provide faster, less invasive, diagnoses of cardiac disease. CMC is equipped with an Achieva Quasar 3.0T MRI from Philips Medical Systems, allowing for higher resolution images in less time. The orthopedic surgeons now have access to the new O-Arm Imaging System, A high definition CT Scan that provides real-time three-dimensional images during spine surgery. CMC is also one of the few hospitals to offer state-of-the-art digital mammography.Almost 400 physicians have some level of privileges at CMC. CMC maintains a rigorous application and credentialing process or its medical staff to ensure that patients receive the highest quality of care possible.CMC has a joint venture with the freestanding Bedford Ambulatory Surgical Center.Catholic Medical Center 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 in our primary and secondary market neighborhoods. It is the home of the West Side Neighborhood Health Center, Poisson Dental Facility, Mobile Community Healthcare for the homeless program and Parish Nurse program. We provide Medication Assistance; the Breast and Cervical Cancer Screening Program, Let No Women be Overlooked; health screenings; Fertility Education and 24/7 Nurse triage and information and referrals through its 24 hour call center, ASK-A-Nurse.Catholic Medical Center is also home to the nationally recognized New England Heart Institute. The New England Heart Institute comprises cardiologists who are board certified in Interventional Cardiology, Electrophysiology, and Non-Invasive Cardiology. These specialists are joined by board certified cardiovascular surgeons and the only board certified lipidologist cardiologist in New Hampshire.OtherInformation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
ALYSON PITMAN GILES
5822480137473000254893010334401077958000
CONNOR HAUGH MD
042630501239690009800017662057773600
WILLIAM CLUTTERBUCK MD
0227748000000017401024514900
RAYMOND J BONITO
3233150312180000860530460360767584000
KEVIN KILDAY
27983204455000058140317110361907000
ALLEN ERICSON
23495303345900092600319890309661000
DAVID RBULMER
1803290000036370160030199969000
ROBERT DUHAIME
2000780400000037250230200230823000
TINA LEGERE
1902720450000034800131650211417000
MARGO COMPAGNA
1904380500000035410185430217522000
LISA rOUX
1742770500000034540126260195357000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4aTHE FOLLOWING INDIViDUALS TAKE PART IN A SECTION 457(F) FORFEITABLE NONQUALIFIED DEFERRED COMPENSATION PLAN. THESE REPRESENT CONTRIBUTIONS IN ARREARS FOR MANY YEARS OF SERVICE. ALYSON PITMAN GILES: $245,093 RAY BONITO: $76,253
Part I, Line 5BONUSES MAY BE BASED in part ON REVENUE.
Part I, Line 6BONUSES MAY BE BASED in part ON NET EARNINGS.
Part I, Line 7A PORTION OF COMPENSATION IS AT-RISK AND VARIABLE, AND PAYMENT DEPENDS ON THE QUALITY OF JOB PERFORMANCE.
Part III$251,980 OF MR. BONITO'S CURRENT COMPENSATION REPRESENTS THE PAYMENT OF A NON-RECURRING RETENTION BONUS AND IS ATTRIBUTABLE TO TEN YEARS OF SERVICE.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY
02027986664461TCV42006-05-1032910000CONSTRUCTION & DEFEASANCE ESCROW00
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY
020279866noneavail2009-04-207000000REFINANCE 2008 NOTE00

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
329100003157753989108212268604808212055950020090111
700000070000001011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000001
000000.000000.000000.000001

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 O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
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 11THE 990 IS PRESENTED TO THE BOARD BEFORE FINALIZED.
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 perfomance and mission performance, not solely revenue generation.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION ADIRECTORS EMPLOYED BY A RELATED ORGANIZATION CONNOR J. HAUGH, MD - 40 HOURS/WEEK WILLIAM B. CLUTTERBUCK, MD - 40 HOURS/WEEK

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
ALLIANCE RESOURCES
100 MCGREGOR STMANCHESTERNH03102020398138REAL ESTATENH501(C)(3)11 TYPE IIN/A
ALLIANCE HEALTH SERVICES
100 MCGREGOR STMANCHESTERNH03102611508839PRACTICESNH501(C)(3)11 TYPE IIN/A
CMC HEALTHCARE SYSTEM
100 MCGREGOR STMANCHESTERNH03102010568516PARENTNH501(C)(3)11 TYPE IIN/A
CMC ASSOCIATES
100 MCGREGOR STMANCHESTERNH03102020344786SUPPORTNH501(C)(3)11 TYPE IIN/A
CMC PHYSICIAN PRACTICE ASSOCIATES
100 MCGREGOR STMANCHESTERNH03102020460245PRACTICESNH501(C)(3)11 TYPE IIN/A
NEHI FOUNDATION
100 MCGREGOR STMANCHESTERNH03102223041916SUPPORTNH501(C)(3)7N/A
ST PETER'S HOME
100 MCGREGOR STMANCHESTERNH03102020222228HOMENH501(C)(3)9N/A
ALLIANCE AMBULATORY SERVICES
100 MCGREGOR STMANCHESTERNH03102020519436PRACTICESNH501(C)(3)11 TYPE IIN/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MCGREGOR ST MOBBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
EIN134347316EIN
Primary ActivityMEDICAL OFFICE BLDGPrimaryActivity
Legal Domicile StateNHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ALLIANCE ENTERPRISESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
EIN020386795EIN
Primary ActivityREAL ESTATEPrimaryActivity
Legal Domicile StateNHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Line1NO TRANSACTIONS MET THE FILING THRESHOLDBusinessNameLine1