Catholic Medical Center Physicians: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- Catholic Medical Center Physicians (EIN 02-0460245)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-12
- IRS object ID
- 201121329349300002
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-12T05:04:06-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020460245 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC MEDICAL CENTER PHYSICIANS | BusinessNameLine1 |
| Business Name Line2 | PRACTICE ASSOCIATES | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CATH | NameControl |
| Phone | 6036683545 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MCGREGOR STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD DUDLEY | Name |
| Title | CFO | Title |
| Phone | 6036683545 | Phone |
| Date Signed | 2011-04-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALYSON PITMAN GILES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MCGREGOR STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15349355 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH, HEALING, AND HOPE TO ALL BY OFFERING QUALITY HEALTHCARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 77 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11603154 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15071285 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3654 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1355544 | OtherRevenuePriorYear |
| Other Revenue Current Year | 278070 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12962352 | TotalRevenuePriorYear |
| Total Revenue Current Year | 15349355 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17210926 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20627668 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1218148 | OtherExpensePriorYear |
| Other Expenses Current Year | 1294470 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 18429074 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21922138 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5466722 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6572783 | RevenuesLessExpensesCY |
| Total Assets BOY | 1715736 | TotalAssetsBOY |
| Total Assets EOY | 2080410 | TotalAssetsEOY |
| Total Liabilities BOY | 6793640 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9403778 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -5077904 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -7323368 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION IS TO PROVIDE HEALTH, HEALING, AND HOPE TO ALL BY OFFERING QUALITY HEALTHCARE IN A COMPASSIONATE ENVIRONMENT THAT IS BUILT ON TRUST AND RESPECT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 17217646 | Expense |
| Revenue | 15349355 | Revenue |
| Description | TO PROVIDE PHYSICIAN AND HOSPITAL CARE, BOTH INPATIENT AND OUTPATIENT, TO PERSONS IN THE SERVICE AREA OF CATHOLIC MEDICAL CENTER. PHYSICIANS PARTICIPATE IN MEDICARE AND MEDICAID PROGRAMS. | Description |
| Total Program Service Expense | 17217646 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 77 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDWARD DUDLEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6036683545 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MCGREGOR STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| REV GAYLE WHITTEMORE | |||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| RONALD RIOUX | |||||||
| SECRETARY & tREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| ALYSON PITMAN GILES | |||||||
| PRESIDENT & cEO | 1.00 | X | X | 0 | 719720 | 358237 | |
| MARIA MONGAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CONNOR HAUGH | |||||||
| DIRECTOR & cARDIOLOGIST | 40.00 | X | 550274 | 0 | 27462 | ||
| STEPHEN CAMANN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEITH STAHL | |||||||
| DIRECTOR & PHYSICIAN | 40.00 | X | 232478 | 0 | 11697 | ||
| WILLIAM CLUTTERBUCK | |||||||
| DIRECTOR & PHYSICIAN | 40.00 | X | 227748 | 0 | 17401 | ||
| KEVIN KILDAY | |||||||
| CFO | 1.00 | X | 0 | 324382 | 37525 | ||
| LOUIS FINK | |||||||
| DIRECTOR & cARDIOLOGIST | 40.00 | 580540 | 0 | 27462 | X | ||
| DAVID GOLDBERG | |||||||
| CARDIOLOGIST | 40.00 | 583868 | 0 | 27462 | X | ||
| ROBERT DEWEY | |||||||
| CARDIOLOGIST | 40.00 | 547079 | 0 | 26814 | X | ||
| ROBERT CAPODILUPO | |||||||
| CARDIOLOGIST | 40.00 | 539374 | 0 | 26814 | X | ||
| DANIEL PHILBIN | |||||||
| CARDIOLOGIST | 40.00 | 520824 | 0 | 26814 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3782185 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1044102 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 587688 | TotalOtherCompensation |
| Number Individuals GT100 K | 56 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHG COMPANIES INC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | pO bOX 972625 | AddressLine1 |
| City | dALLAS | City |
| State | TX | State |
| ZIP Code | 75397 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | cardiology | DescriptionOfServices |
| Compensation | 136464 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REV. | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 15071285 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15071285 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15071285 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 278070 | TotalRevenueColumn |
| Related Or Exempt Function Income | 278070 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 278070 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15349355 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15349355 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1010500 | Total |
| Program Services | 793647 | ProgramServices |
| Management And General | 216853 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16737530 | Total |
| Program Services | 13145656 | ProgramServices |
| Management And General | 3591874 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 979497 | Total |
| Program Services | 769297 | ProgramServices |
| Management And General | 210200 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1170902 | Total |
| Program Services | 919626 | ProgramServices |
| Management And General | 251276 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729239 | Total |
| Program Services | 572744 | ProgramServices |
| Management And General | 156495 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187259 | Total |
| Program Services | 147073 | ProgramServices |
| Management And General | 40186 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51418 | Total |
| Program Services | 40384 | ProgramServices |
| Management And General | 11034 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124052 | Total |
| Program Services | 97430 | ProgramServices |
| Management And General | 26622 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84066 | Total |
| Program Services | 66025 | ProgramServices |
| Management And General | 18041 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 719632 | Total |
| Program Services | 565199 | ProgramServices |
| Management And General | 154433 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Miscellaneous | 64095 | 50340 | 13755 |
| dues & memberships | 63948 | 50225 | 13723 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21922138 | Total |
| Program Services | 17217646 | ProgramServices |
| Management And General | 4704492 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12097 | BOY |
| EOY | 104279 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48117 | BOY |
| EOY | 643729 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 538687 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149074 | BOY |
| EOY | 22342 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 33800 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28165 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16901 | BOY |
| EOY | 5635 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 950860 | BOY |
| EOY | 1304425 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1715736 | BOY |
| EOY | 2080410 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6793640 | BOY |
| EOY | 9403778 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6793640 | BOY |
| EOY | 9403778 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5077904 | BOY |
| EOY | -7323368 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -5077904 | BOY |
| EOY | -7323368 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1715736 | BOY |
| EOY | 2080410 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020315693 | EIN |
| Type Of Organization | 3 | TypeOfOrganization |
| Listed In Governing Doc | 0 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $0 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33800 | OtherCostOrOtherBasis |
| Depreciation | 28165 | Depreciation |
| Book Value | 5635 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5635 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| due from affiliates | 1122425 |
| Goodwill | 182000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1304425 | TotalBookValueOtherAssets |
| Total Revenue | 15349355 | TotalRevenue |
| Total Expenses | 21922138 | TotalExpenses |
| Excess Or Deficit For Year | -6572783 | ExcessOrDeficitForYear |
| Other | $4,327,319 | OtherAmount |
| Total Adjustments | 4327319 | TotalAdjustments |
| Excess Or Deficit Per FS | -2245464 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 15349355 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 15349355 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 15349355 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 21922138 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 21922138 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 21922138 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XI, Line 8 - Other Adjustments: | Identifier |
| Explanation | transfer from affiliates: 6,219,375 pension liability: -1,892,056 | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALYSON PITMAN GILES | |||||||||||||
| 0 | 582248 | 0 | 137472 | 0 | 0 | 0 | 254893 | 0 | 103344 | 0 | 1077957 | 0 | 0 |
| CONNOR HAUGH | |||||||||||||
| 426305 | 0 | 123969 | 0 | 0 | 0 | 9800 | 0 | 17662 | 0 | 577736 | 0 | 0 | 0 |
| KEITH STAHL | |||||||||||||
| 232478 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11697 | 0 | 244175 | 0 | 0 | 0 |
| WILLIAM CLUTTERBUCK | |||||||||||||
| 227748 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17401 | 0 | 245149 | 0 | 0 | 0 |
| KEVIN KILDAY | |||||||||||||
| 0 | 279832 | 0 | 44550 | 0 | 0 | 0 | 5814 | 0 | 31711 | 0 | 361907 | 0 | 0 |
| LOUIS FINK | |||||||||||||
| 460075 | 0 | 120465 | 0 | 0 | 0 | 0 | 0 | 27462 | 0 | 608002 | 0 | 0 | 0 |
| DAVID GOLDBERG | |||||||||||||
| 471097 | 0 | 112771 | 0 | 0 | 0 | 0 | 0 | 27462 | 0 | 611330 | 0 | 0 | 0 |
| ROBERT DEWEY | |||||||||||||
| 441230 | 0 | 105849 | 0 | 0 | 0 | 0 | 0 | 26814 | 0 | 573893 | 0 | 0 | 0 |
| ROBERT CAPODILUPO | |||||||||||||
| 442008 | 0 | 97366 | 0 | 0 | 0 | 0 | 0 | 26814 | 0 | 566188 | 0 | 0 | 0 |
| DANIEL PHILBIN | |||||||||||||
| 410489 | 0 | 110335 | 0 | 0 | 0 | 0 | 0 | 26814 | 0 | 547638 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4a | THE FOLLOWING INDIViDUAL TAKES PART IN A SECTION 457(F) FORFEITABLE NONQUALIFIED DEFERRED COMPENSATION PLAN. THIS REPRESENTS CONTRIBUTIONS IN ARREARS FOR MANY YEARS OF SERVICE. ALYSON PITMAN GILES: $245,093 |
| Part I, Line 7 | a SIGNIFICANT PORTION OF THE CARDIOLOGISTS' COMPENSATION IS BASED UPON THEIR PRODUCTIVITY. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE SOLE MEMBER OF CMC PHYSICIAN PRACTICE ASSOCIATES IS CMC HEALTHCARE SYSTEM. |
| Form 990, Part VI, Section A, line 7a | THE DIRECTORS OF CMC PHYSICIAN PRACTICE ASSOCIATES ARE APPOINTED BY THE SOLE MEMBER. |
| Form 990, Part VI, Section A, line 7b | THE SOLE MEMBER HAS RESERVED POWERS OVER CMCPPA BUT DOES NOT APPROVE EACH SEPARATE ACTION TAKEN BY THE CMCPPA BOARD. |
| Form 990, Part VI, Section B, line 11 | FORM 990 IS PRESENTED TO THE BOARD BEFORE IT IS FINALIZED. |
| Form 990, Part VI, Section B, line 12c | OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. |
| Form 990, Part VI, Section C, line 19 | THE GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENT ARE ALL AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, LINE 1B: | AVERAGE HOURS PER WEEK FOR A RELATED ORGANIZATION ALYSON GILES: 60 HRS KEVIN KILDAY: 50 HRS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| Catholic Medical center | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 020315693 | hospital | NH | 501(c)(3) | 3 | N/A |
| Alliance health Services | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 611508839 | Practices | NH | 501(c)(3) | 11, Type II | N/A |
| alliance resources | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 020398138 | real estate | NH | 501(c)(3) | 11, Type II | N/A |
| CMC healthcare systems | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 010568516 | parent | NE | 501(c)(3) | 11, Type II | N/A |
| CMC Associates | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 020344786 | support | NH | 501(c)(3) | 11, Type II | N/A |
| St Peter's Home | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 020222228 | home | NH | 501(c)(3) | 9 | N/A |
| NEHI Foundation | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 223041916 | support | NH | 501(c)(3) | 7 | N/A |
| Alliance Ambulatory Services | |||||||||
| 100 mcgregor street | manchester | NH | 03102 | 020519436 | practices | NH | 501(c)(3) | 11, Type II | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McGregor St Mob LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 MCGREGOR ST | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134347316 | EIN |
| Primary Activity | MEDICAL OFFICE BLDG | PrimaryActivity |
| Legal Domicile State | NH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alliance Enterprises | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1 |
| City | manchester | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020386795 | EIN |
| Primary Activity | real estate | PrimaryActivity |
| Legal Domicile State | NH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |