CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-09
IRS object ID: 202332219349301613
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-09T12:34:52-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Baker Newman & Noyes	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 507	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020315693	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	CATH	BusinessNameControlTxt
Phone	6036683545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Edward L Dudley III	PersonNm
Person Title	Vice President & CFO	PersonTitleTxt
Phone	6036683545	PhoneNum
Signature	2023-08-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Edward	PersonFirstNm
Person Last	Dudley III	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Connor Smart	PreparerPersonNm
PTIN	P02285543	PTIN
Phone	2078792100	PhoneNum
Preparation	2023-08-02	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Alexander Walker Jr Es	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$553,460,995	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.catholicmedicalcenter.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1974	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3105	TotalEmployeeCnt
Total Volunteers	160	TotalVolunteersCnt
Total Gross UBI	$9,868	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$7,549	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$26,512,137	PYContributionsGrantsAmt
CY Contributions Grants	$25,031,537	CYContributionsGrantsAmt
PY Program Service Revenue	$475,141,947	PYProgramServiceRevenueAmt
CY Program Service Revenue	$512,489,949	CYProgramServiceRevenueAmt
PY Investment Income	$47,114,507	PYInvestmentIncomeAmt
CY Investment Income	$5,768,090	CYInvestmentIncomeAmt
PY Other Revenue	-$44,354	PYOtherRevenueAmt
CY Other Revenue	-$51,325	CYOtherRevenueAmt
PY Total Revenue	$548,724,237	PYTotalRevenueAmt
CY Total Revenue	$543,238,251	CYTotalRevenueAmt
PY Grants And Similar Paid	$657,201	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$746,180	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$190,463,658	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$212,104,374	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$106,831	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$98,025	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$795,172	CYTotalFundraisingExpenseAmt
PY Other Expenses	$263,130,035	PYOtherExpensesAmt
CY Other Expenses	$293,292,576	CYOtherExpensesAmt
PY Total Expenses	$454,357,725	PYTotalExpensesAmt
CY Total Expenses	$506,241,155	CYTotalExpensesAmt
PY Revenues Less Expenses	$94,366,512	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$36,997,096	CYRevenuesLessExpensesAmt
Total Assets BOY	$518,751,919	TotalAssetsBOYAmt
Total Assets EOY	$430,455,986	TotalAssetsEOYAmt
Total Liabilities BOY	$400,268,947	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$319,696,442	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$118,482,972	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$110,759,544	NetAssetsOrFundBalancesEOYAmt
Mission	The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$453,732,247	ExpenseAmt
Grant	$746,180	GrantAmt
Revenue	$512,489,949	RevenueAmt
Desc	Medical and surgical services provided to 12,592 inpatients and 444,461 outpatients during the year.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Desc	Various other services. Please see Schedule H.Catholic Medical Center (CMC), as an agency of the Roman Catholic Church, shall provide health care in a manner consistent with the ethical and religious directives for Catholic health care services as interpreted by the Roman Catholic Bishop of Manchester. CMC shall employ the highest quality health care professionals and the most appropriate technology to deliver an array of services either directly or through strategic alliances with compatible health care providers. With dignity and compassion, CMC shall treat the body, mind, and spirit of all who seek or provide care and comfort. Additional details provided in Schedule H.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$453,732,247	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	238	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3105	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Pamela J Martel VP & CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036683545	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	031023770	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Alexander Walker Jr Esq
President & CEO	42.00	1.20	Yes (X)	Yes (X)	$809,150	$0	$370,512
Carolyn Claussen MD
Director	1.20	40.60	Yes (X)		$0	$278,529	$9,220
Louis I Fink MD
Director	1.50	40.40	Yes (X)		$0	$692,924	$19,061
Patricia Furey MD
Director	1.30	40.50	Yes (X)		$0	$499,891	$49,266
Matthew Albuquerque
Director	0.70	0.90	Yes (X)		$0	$0	$0
Re Msg Anthony Frontiero
Director	0.10	0.00	Yes (X)		$0	$0	$0
William Furlong
Director	0.20	0.20	Yes (X)		$0	$0	$0
Robert Gossett
Director	0.80	0.20	Yes (X)		$0	$0	$0
Roger Jean
Director	0.20	0.20	Yes (X)		$0	$0	$0
Susan M Kinney
Director (end 8/2022)	1.40	0.20	Yes (X)		$0	$0	$0
Derek McDonald
Director/Bishop's Delegate	1.70	0.40	Yes (X)		$0	$0	$0
Kristy Merrill
Director	0.20	0.20	Yes (X)		$0	$0	$0
John J Munoz MD
Director	1.40	0.40	Yes (X)		$0	$0	$0
Grace Tung
Director	0.20	0.20	Yes (X)		$0	$0	$0
Timothy Riley
Chair	1.10	0.40	Yes (X)	Yes (X)	$0	$0	$0
John G Cronin Esq
Immediate Past Chair	1.30	0.40	Yes (X)	Yes (X)	$0	$0	$0
Neil Levesque
Vice Chair (end 6/2022)	0.90	0.30	Yes (X)	Yes (X)	$0	$0	$0
Pamela Diamantis
Vice Chair	1.60	0.30	Yes (X)	Yes (X)	$0	$0	$0
Marie McKay CPA
Treasurer	0.70	0.90	Yes (X)	Yes (X)	$0	$0	$0
Matthew Kfoury
Secretary	1.10	0.40	Yes (X)	Yes (X)	$0	$0	$0
Edward Dudley III
Executive VP & CFO	40.60	0.20		Yes (X)	$651,499	$0	$261,225
Ronald Doncaster
Chief Operating Officer	40.00	0.00		Yes (X)	$303,664	$0	$12,369
Carolanne O'Sullivan
Senior VP, Provider Network	40.00	0.00			$432,791	$0	$59,262	Yes (X)
Keith Stahl MD FACP
Associate Chief Medical Officer	40.00	0.00			$398,449	$0	$25,156	Yes (X)
Jennifer Cassin MSRNCNSCENP
VP, Chief Nursing Officer	40.00	0.00			$353,824	$0	$26,056	Yes (X)
Merryll Rosenfeld
VP, Human Resources	40.00	0.00			$332,418	$0	$45,759	Yes (X)
Sarah Doherty RN
Nurse	40.00	0.00			$310,037	$0	$36,740	Yes (X)
Joseph Pepe MD
Former President & CEO (end 6/2021)	0.00	0.00			$1,046,725	$0	$639,851		Yes (X)
Thomas Della Flora
Former VP/CIO (end 8/2021)	0.00	0.00			$207,100	$0	$29,195		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,845,657	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,471,344	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,583,672	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	285	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Dartmouth Hitchcock Clinic
1 Medical Center Drive	Lebanon	NH	03756	Medical services	$19,048,033
Accountable Healthcare Staffing
PO Box 732800	Dallas	TX	75373	Healthcare staffing solutions	$8,662,460
Anesthesia Care Group PC
PO Box 9514	Manchester	NH	03101	Medical services	$5,183,612
Medical Solutions LLC
PO Box 850737	Minneapolis	MN	55485	Healthcare staffing solutions	$3,774,659
Harvey Construction Corp
10 Harvey Road	Bedford	NH	03110	Construction and renovations	$1,982,195

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	81	CntrctRcvdGreaterThan100KCnt
Fundraising	$151,400	FundraisingAmt
Related Organizations	$6,000	RelatedOrganizationsAmt
Government Grants	$16,139,844	GovernmentGrantsAmt
All Other Contributions	$8,734,293	AllOtherContributionsAmt
Noncash Contributions	$25,993	NoncashContributionsAmt
Total Contributions	$25,031,537	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services	621400	$487,340,361	$487,340,361
Disproportionate Share Funding	621400	$21,383,859	$21,383,859
Lab clients	621500	$1,765,374	$1,765,374
Cafeteria and dining	722210	$1,536,763	$1,536,763
Program-related rents	532000	$463,592	$463,592

Field	Value	IRS element (for citing)
Total Program Service Revenue	$512,489,949	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,840,306	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,868	UnrelatedBusinessRevenueAmt
Exclusion	$3,830,438	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$12,080,753	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$10,151,610	SecuritiesAmt
Other	$1,359	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,929,143	SecuritiesAmt
Other	-$1,359	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,927,784	TotalRevenueColumnAmt
Exclusion	$1,927,784	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$18,450	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$151,400	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$69,775	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$51,325	TotalRevenueColumnAmt
Exclusion	-$51,325	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$543,238,251	TotalRevenueColumnAmt
Related Or Exempt Func Income	$512,489,949	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,868	UnrelatedBusinessRevenueAmt
Exclusion	$5,706,897	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$642,713	TotalAmt
Program Services	$642,713	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$103,467	TotalAmt
Program Services	$103,467	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,408,419	TotalAmt
Program Services	$2,052,905	ProgramServicesAmt
Management And General	$355,514	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$174,052,920	TotalAmt
Program Services	$147,999,801	ProgramServicesAmt
Management And General	$25,630,029	ManagementAndGeneralAmt
Fundraising	$423,090	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,410,158	TotalAmt
Program Services	$3,748,021	ProgramServicesAmt
Management And General	$649,068	ManagementAndGeneralAmt
Fundraising	$13,069	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,633,614	TotalAmt
Program Services	$15,883,049	ProgramServicesAmt
Management And General	$2,750,565	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,599,263	TotalAmt
Program Services	$10,715,217	ProgramServicesAmt
Management And General	$1,855,620	ManagementAndGeneralAmt
Fundraising	$28,426	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$124,172	TotalAmt
Management And General	$124,172	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$299,213	TotalAmt
Management And General	$299,213	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$200,439	TotalAmt
Management And General	$200,439	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$66,675	TotalAmt
Management And General	$66,675	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$98,025	TotalAmt
Fundraising	$98,025	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$109,941	TotalAmt
Management And General	$109,941	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,281,802	TotalAmt
Program Services	$10,892,260	ProgramServicesAmt
Management And General	$2,384,242	ManagementAndGeneralAmt
Fundraising	$5,300	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,134,923	TotalAmt
Program Services	$1,751,526	ProgramServicesAmt
Management And General	$383,397	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,055,996	TotalAmt
Program Services	$7,398,834	ProgramServicesAmt
Management And General	$1,619,555	ManagementAndGeneralAmt
Fundraising	$37,607	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,008,258	TotalAmt
Program Services	$8,210,939	ProgramServicesAmt
Management And General	$1,797,319	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,559,225	TotalAmt
Program Services	$14,404,627	ProgramServicesAmt
Management And General	$3,153,075	ManagementAndGeneralAmt
Fundraising	$1,523	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$420,983	TotalAmt
Program Services	$344,668	ProgramServicesAmt
Management And General	$75,445	ManagementAndGeneralAmt
Fundraising	$870	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$502,991	TotalAmt
Program Services	$412,053	ProgramServicesAmt
Management And General	$90,195	ManagementAndGeneralAmt
Fundraising	$743	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,783,146	TotalAmt
Program Services	$4,028,867	ProgramServicesAmt
Management And General	$754,279	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,335,408	TotalAmt
Program Services	$7,122,924	ProgramServicesAmt
Management And General	$5,212,484	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,514,502	TotalAmt
Program Services	$2,883,355	ProgramServicesAmt
Management And General	$631,147	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical supplies	$112,884,425	$111,397,861	$1,486,564
Physician fees	$64,104,239	$62,589,743	$1,514,496
NH Medicaid Tax	$22,288,821	$22,288,821
Provision for bad debt	$16,187,697	$16,187,697

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,429,720	TotalAmt
Program Services	$2,672,899	ProgramServicesAmt
Management And General	$570,302	ManagementAndGeneralAmt
Fundraising	$186,519	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$506,241,155	TotalAmt
Program Services	$453,732,247	ProgramServicesAmt
Management And General	$51,713,736	ManagementAndGeneralAmt
Fundraising	$795,172	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$103,062,431	BOYAmt
EOY	$40,542,506	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$26,807,333	BOYAmt
EOY	$31,450,608	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,362,804	BOYAmt
EOY	$2,415,178	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,021,117	BOYAmt
EOY	$74,093,394	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,912,718	BOYAmt
EOY	$3,816,582	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,176,703	BOYAmt
EOY	$8,084,202	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$316,038,802	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$190,617,587	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$122,341,467	BOYAmt
EOY	$125,421,215	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$152,435,646	BOYAmt
EOY	$126,370,271	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,828,460	BOYAmt
EOY	$7,179,211	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,803,240	BOYAmt
EOY	$11,082,819	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$518,751,919	BOYAmt
EOY	$430,455,986	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$69,263,294	BOYAmt
EOY	$61,580,970	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,065,320	BOYAmt
EOY	$1,000,875	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,787,474	BOYAmt
EOY	$105,077,275	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$49,255,136	BOYAmt
EOY	$53,531,174	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,897,723	BOYAmt
EOY	$98,506,148	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$400,268,947	BOYAmt
EOY	$319,696,442	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$87,915,051	BOYAmt
EOY	$81,934,391	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,567,921	BOYAmt
EOY	$28,825,153	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$118,482,972	BOYAmt
EOY	$110,759,544	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$518,751,919	BOYAmt
EOY	$430,455,986	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$36,997,096	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$27,735,314	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$16,985,210	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$45,075	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$66,675	OtherActivitiesAmt
Total Lobbying Expenditures	$111,750	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Catholic Medical Center (CMC) is a member of the New Hampshire Hospital Association (NHHA) and the American Hospital Association (AHA). A portion of the dues paid to these organizations in the fiscal year ending September 30, 2022 was available for lobbying expenditures on behalf of CMC and the other member-organizations in furtherance of their exempt purposes. The portion of the dues paid that constituted lobbying was as follows: NHHA: $32,309 AHA: $12,766 Also in this fiscal year, the Hospital paid the Diocese of Manchester for lobbying services, which included providing information regarding public policy pending before the legislature. The Diocese participated in the administrative rule-making process with respect to rules concerning the certificate of needs board. They also provided general communication with elected officials. CMC paid the Diocese $66,675 for these services.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,567,921	BeginningYearBalanceAmt
Contributions	$1,713,209	ContributionsAmt
Investment Earnings Or Losses	-$2,239,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,216,345	OtherExpendituresAmt
End Year Balance	$28,825,153	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,995,958	BeginningYearBalanceAmt
Contributions	$2,854,022	ContributionsAmt
Investment Earnings Or Losses	$1,834,839	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,116,898	OtherExpendituresAmt
End Year Balance	$30,567,921	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,244,891	BeginningYearBalanceAmt
Contributions	$16,173,712	ContributionsAmt
Investment Earnings Or Losses	$203,284	InvestmentEarningsOrLossesAmt
Other Expenditures	$625,929	OtherExpendituresAmt
End Year Balance	$26,995,958	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,426,818	BeginningYearBalanceAmt
Contributions	$1,536,316	ContributionsAmt
Investment Earnings Or Losses	-$63,353	InvestmentEarningsOrLossesAmt
Other Expenditures	$654,890	OtherExpendituresAmt
End Year Balance	$11,244,891	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,726,007	BeginningYearBalanceAmt
Contributions	$646,924	ContributionsAmt
Investment Earnings Or Losses	$430,243	InvestmentEarningsOrLossesAmt
Other Expenditures	$376,356	OtherExpendituresAmt
End Year Balance	$10,426,818	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.28130	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.71870	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$672,812	OtherCostOrOtherBasisAmt
Book Value	$672,812	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,876,741	OtherCostOrOtherBasisAmt
Depreciation	$56,202,840	DepreciationAmt
Book Value	$56,673,901	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,022,518	OtherCostOrOtherBasisAmt
Depreciation	$7,910,227	DepreciationAmt
Book Value	$2,112,291	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$159,807,705	OtherCostOrOtherBasisAmt
Depreciation	$120,191,018	DepreciationAmt
Book Value	$39,616,687	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,659,026	OtherCostOrOtherBasisAmt
Depreciation	$6,313,502	DepreciationAmt
Book Value	$26,345,524	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$125,421,215	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Accrued pension & other liabilities	$94,599,057
Due to affiliates	$1,234,110
Capital lease liabilities	$2,672,981

Field	Value	IRS element (for citing)
Total Liability	$98,506,148	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$528,579,563	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$27,735,314	NetUnrealizedGainsInvstAmt
Other Revenue	$30,559,566	OtherRevenueAmt
Revenue Not Reported	$2,824,252	RevenueNotReportedAmt
Revenue Subtotal	$525,755,311	RevenueSubtotalAmt
Investment Expenses Not Incld	$109,941	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$17,372,999	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$17,482,940	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$543,238,251	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$490,793,969	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$69,775	OtherExpensesIncludedAmt
Expenses Not Reported	$69,775	ExpensesNotReportedAmt
Expenses Subtotal	$490,724,194	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$109,941	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$15,407,020	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$15,516,961	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$506,241,155	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	Proceeds from the Organization's endowment funds are used in operations.
Part X, Line 2:	The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Medical Center's tax positions and concluded the Medical Center has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the financial statements.
Part XI, Line 2d - Other Adjustments:	Pension related changes net of periodic costs 29,949,301. Change in FMV of interest rate swap agreement 540,490. Special event expenses 69,775.
Part XI, Line 4b - Other Adjustments:	Provision for bad debts 14,795,579. Changes in FMV of perpetual trust 1,965,979. Donations to others included in audited revenues 611,441.
Part XII, Line 2d - Other Adjustments:	Special event expenses 69,775.
Part XII, Line 4b - Other Adjustments:	Provision for bad debts net against revenues 14,795,579. Donations to others included in audited revenues 611,441.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Accordant Philanthropy
105 Teal Nest Center	Ponte Vedra Beach	FL	32082	Fundraising research and capital campaigns	0	$0	$57,750	$0
Eleni Eliades
5 Masefield Road	Nashua	NH	03062	Fundraising research and capital campaigns	0	$0	$40,275	$0

Field	Value	IRS element (for citing)
Total Retained By Contractors	$98,025	TotalRetainedByContractorsAmt
Licensed States	NH	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$169,850	GrossReceiptsEvent1Amt
Charitable Contri Event1	$151,400	CharitableContriEvent1Amt
Gross Revenue Event1	$18,450	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$103	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$3,900	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$34,156	FoodAndBeverageEvent1Amt
Entertainment Event1	$8,037	EntertainmentEvent1Amt
Other Direct Expenses Event1	$23,579	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$169,850	GrossReceiptsTotalAmt
Charitable Contributions Tot	$151,400	CharitableContributionsTotAmt
Gross Revenue Total Events	$18,450	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$103	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$3,900	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$34,156	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$8,037	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$23,579	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$69,775	DirectExpenseSummaryEventsAmt
Net Income Summary	-$51,325	NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule G, Part I, Professional Fundraisers:	FormAndLineReferenceDesc
Explanation	During the period covered by this tax return, Catholic Medical Center (the "Center") engaged two independent professional fundraisers to provide market and fundraising research and capital campaign services. Specifically, Eleni Eliades helped the Center coordinate its direct charitable contribution mailings and solicitations, as well as management of the annual capital campaign. Additionally, Accordant Philanthropy worked with the Center to coordinate a capital campaign and community event. However, due to building and construction projects, the event had to be rescheduled. Due to the logistics surrounding these fundraising events as well as the broader nature of the services provided by these professionals, the Center is unable to determine an exact or complete estimate for the amount of donations that these services generated. Accordingly, the Hospital has reported $0 on this Schedule G, Part I, for gross receipts generated by these fundraisers and retained by the Center. However, it is the Center's position that these professional fundraisers positively contributed to the Center's overall fundraising efforts, including increasing the Center's understanding of fundraising techniques, markets, and event management.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,280,038	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,280,038	NetCommunityBenefitExpnsAmt
Total Expense	0.00870	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,521,592	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,719,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,802,368	NetCommunityBenefitExpnsAmt
Total Expense	0.06080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,801,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,719,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,082,406	NetCommunityBenefitExpnsAmt
Total Expense	0.06950	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	14	ActivitiesOrProgramsCnt
Persons Served	1123	PersonsServedCnt
Total Community Benefit Expns	$1,749,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$102,019	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,647,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,150,337	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,150,337	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,851,410	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,530,746	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,320,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$488	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,136	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$718,855	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$718,855	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	1123	PersonsServedCnt
Total Community Benefit Expns	$10,477,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,633,253	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,843,930	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	1123	PersonsServedCnt
Total Community Benefit Expns	$85,278,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,352,477	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,926,336	NetCommunityBenefitExpnsAmt
Total Expense	0.08350	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$595	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$595	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$42,979	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$37,391	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$37,391	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$80,965	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,312,911	BadDebtExpenseAmt
Reimbursed By Medicare	$106,380,385	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$149,838,414	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$43,458,029	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 McGregor Street	AddressLine1Txt
City	Manchester	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03102	ZIPCd

Field	Value	IRS element (for citing)
State License	00646	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	see Part V, Section C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	see Part V, Section C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	see Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	see Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	see Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	see Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Catholic Medical Center	Part V, Section B, Line 5: A variety of different secondary data sources were accessed. They included but were not limited to the Centers for Disease Control and Prevention (CDC), New Hampshire Department of Health and Human Services (NHDHHS), Youth Behavioral Risk Factor Surveillance Survey, City of Manchester, Census data, and local town data. Representatives from CMC, Elliot Health System (EHS) and Manchester Health Department interviewed key leaders from towns in our service area to ascertain the key health related issues that they were facing and dealing with in their local communities. The towns that were included in the interview process were Auburn, Bedford, Candia, Hooksett, Goffstown, Deerfield, and New Boston. Though the overall needs were similar the priority of them varies between the towns. Overall, the common themes were substance use, the availability of behavioral health services, transportation (especially in the elderly populations and the more rural areas of New Boston and Deerfield), self-care and management of chronic disease, and access to health care for the low income populations and communities. Communications on community needs were collected via discussions with local leaders in the health care field. These leaders consisted of individuals from: Catholic Medical Center, Dartmouth-Hitchcock Clinic, Public Health Department - City of Manchester, NH, Elliot Health System, and Community Health & Mission.
Catholic Medical Center	Part V, Section B, Line 6a: Elliot Health System in Manchester, NH.
Catholic Medical Center	Part V, Section B, Line 6b: Manchester Health Department.
Catholic Medical Center	Part V, Section B, Line 7d: The Catholic Medical Center "Healthy Living News", the Medical Center's community newsletter, provides a summary report of the community benefits that the Medical Center provides. The Healthy Living News is distributed to our primary and secondary service areas, approximately 120,000 people.
Catholic Medical Center	Part V, Section B, Line 11: Catholic Medical Center has addressed the needs identified in the June 30, 2022 CHNA through the implementation of programs and services throughout the Manchester health service area (HSA). Mental illness and violence are often intrinsically intertwined. CMC has increased services within our Behavioral Health Department and developed the Opioid Use/Misuse Resource. This is an online tool available to all CMC staff to create consistency of care in the treatment and recovery of this public health epidemic. Health Care for the Homeless (HCH) of CMC provides behavioral health services and substance abuse counseling to the homeless throughout the Manchester HSA. CMC has improved the mental health assessment tool in Primary Care, a key component in the early identification and treatment of mental illness. The Doorway of Greater Manchester: In May 2020, CMC, assumed leadership of The Doorway Program of Greater Manchester. The NH Doorway system was launched in January 2019 with funding from the State Opioid Response grant from the U.S. Department of Health and Human Services' Substance Abuse and Mental Health Services Administration (SAMHSA) and is designed to be an access point for those seeking services for substance use disorder (SUD). A 2018 study from SAMHSA found that 20.3 million people aged 12 or older, or 7.4% of this population had a SUD. SUD continues to be an area of concern identified in the Greater Manchester Community Health Needs Assessment. Of those with an addiction-related condition, only 11% received treatment. By operating the Doorway, CMC is committed to assisting those with SUD by connecting them with clinical treatment and wrap-around services to break the cycle of addiction. Wilson Street Integrated Health: Continuing its mission of caring for the region's most vulnerable neighbors, CMC opened Wilson Street Integrated Health (WSIH), located within the Manchester Recovery and Treatment Center (MRTC). Wilson Street Integrated Health is a service of the Health Care for the Homeless Program of Manchester, a collaboration between CMC and the City of Manchester Health Department. The new practice offers primary care, social work, counseling and medication assisted treatment to our most vulnerable patients, as well as providing our patients with easy access to our MRTC partners: Hope for New Hampshire Recovery, The Willows Substance Use Treatment Center, and the Mental Health Center of Greater Manchester's Mobile Crisis Response Team. Ambulatory care, chronic disease, including asthma and aging issues have all been addressed through various means. Catholic Medical Center's Primary Care has implemented The Patient-Centered Medical Home (PCMH) Model, a proactive approach to preventative medicine through the introduction of care coordinators to the primary care practices. All care managers work with the practices' most high risk patients (asthma, diabetes, COPD, etc) to ensure they understand their medications and follow-up care. The PCMH Model encourages patients to become involved and educated in their personal care plan. CMC offers free health screenings, chronic disease, and self-management classes to the community. These programs provide the opportunity for early detection of chronic disease; referral based follow-up care and education on adopting healthy lifestyle behaviors, communicating with the healthcare team, problem solving, and goal setting. To aid with aging issues, CMC's Parish Nurse program provides nurse consultations, education, referrals, and screenings at Parishes throughout the Greater Manchester Area.In order to address the barriers to access of health care services related to poverty (lack of insurance, cost, transportation and education on accessing care, and lack of medical home) CMC provides comprehensive care to Manchester's underserved and refugee populations. Health Care for the Homeless provides primary medicine and behavioral health care to over 1,700 homeless patients. CMC's Certified Application Counselors (CAC) provide outreach and enrollment services to the communities' uninsured. CACs provide information on a full range of qualified health plan (QHP) options and assist individuals in applying for coverage through a QHP in the ACA's Marketplace Exchange. CMC provides shuttle support at no cost to patients with offsite appointments such as primary care, outpatient PT, and other services that are not available at the Hospital. CMC assists patients through the Medication Assistance program to obtain medications they would otherwise not be able to afford and has developed a prescription delivery program with Rite Aid Pharmacy to assist patients with filling their medications upon discharge.CMC's Poisson Dental Facility has expanded access to oral health services to patients of the Pregnancy Care Center and Manchester Community Health Center (MCHC). The Poisson Dental Facility provides access to exams and treatment planning for women from the Pregnancy Care Center and access to oral health care during the first post-partum year until their treatment plan has been completed. CMC's Poisson Dental facility provides oral health services to not-for-profit agencies in our community including Mental Health Center of Greater Manchester, Moore Center Services, Manchester Health Department, and Health Care for the Homeless (HCH). The majority of HCH patients often arrive with very poor oral health. In an effort to meet the growing need for oral health services, CMC's Poisson Dental expanded services to include school-based dental care for children in need attending Manchester elementary, middle, and high schools. This school-based program is made possible through collaboration with the City of Manchester Health Department and Easter Seals NH. Poisson Dental also provides onsite dentistry at Dartmouth Hitchcock Manchester by integrating these services within their pediatric practice. This allows for ease of access for the patients and direct communication amongst the providers of care.CMC's Fertility Education provides teens at local schools and parishes educational opportunities such as The Cradle Within, Ideal Dating, Sexual Risk Behavior, and Conflict Resolution. The goal is to equip adolescents with the tools to identify healthy relationships and the benefits of choosing sexual risk avoidance behaviors. The Pregnancy Care Center provides supportive prenatal care to all women, including teens, regardless of their ability to pay. Their mission is to improve pregnancy outcomes by serving those most in need and unable to access services in a traditional prenatal setting. The Pregnancy Care Center expanded services, adding Centering Group Prenatal Care; this program is a multifaceted model of group care that integrates the three major components of care: health assessment, education, and support. Visits promote greater patient engagement, personal empowerment, and community-building. Veteran's Support: In June of 2018, Easter Seals and Catholic Medical Center launched a pilot program to provide Easter Seals' Military & Veteran Services (MVS) care coordination services onsite to veterans, service members, and their immediate family members (including CMC staff members). Easter Seals MVS provides care coordination services to veterans of all eras, regardless of branch, active duty status, length of service, or discharge status. Among other things, Easter Seals MVS can help patients (and staff members who are veterans) to determine eligibility for and connect to military and civilian benefits and resources, stabilize housing, and find employment support.Breast & Cervical Cancer Screening: Regular screenings and follow-up care can help prevent or more effectively treat breast and cervical cancers. The Let No Woman Be Overlooked Breast and Cervical Cancer Program allows women throughout New Hampshire who do not have access to essential, basic, preventive care access free screenings.(Explanation is continued later in Part V, Facility Information)
Catholic Medical Center	Part V, Section B, Line 16j: Signs are posted throughout the hospital facility and physician practices that list the financial programs available and contact information for assistance.
Part V, Line 7a & 7b:	Hospital's Website URL for Community Health Needs Assessment: https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/AboutUs/Manchester-Community-Health-Needs-Assessment-2022.pdf The CHNA can also be found at:https://www.elliothospital.org/website/downloads/Manchester-Community-Health-Needs-Assessment-2022.pdf
Part V, Line 10a:	Hospital's Website URL for Community Health Implementation Plan:www.catholicmedicalcenter.org/about-cmc/in-the-community/community-health-implementation
Schedule H, Part V, Section B, Line 16a-16c:	The financial assistance policy, application, and plain language summary are available online: https://www.catholicmedicalcenter.org/patients-visitors/financial-assistance

Field	Value	IRS element (for citing)
Facility	44	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (44 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - New England Heart Institute
100 McGregor Street	Manchester	NH	03102	Heart and Vascular services
2 - Hospital Medicine
100 McGregor Street	Manchester	NH	03102	Hospital Medicine
3 - Cardiothoracic Surgical Associates
100 McGregor Street	Manchester	NH	03102	Cardiothoracic Surgery
4 - Women's Wellness & Fertility Center
88 McGregor Street Suite 201	Manchester	NH	03102	Women's Health
5 - Surgical Care Group
87 McGregor Street Suite 3100	Manchester	NH	03102	Surgical Care
6 - Bedford Center Int Med & Pediatric
188 Route 101	Bedford	NH	03110	Internal Medicine and Pediatrics
7 - Outpatient Rehabilitation
188 Route 101	Bedford	NH	03110	Outpatient Rehabilitation
8 - Family Physicians of Manchester
57 Webster Street Suite 110	Manchester	NH	03104	Family Medicine
9 - Goffstown Family Practice
17A Tatro Drive Suite 201	Goffstown	NH	03045	Family Medicine
10 - Granite State Internal Medicine
188 Route 101	Bedford	NH	03110	Internal Medicine
11 - Hooksett Internal Medicine
11 Kimball Drive Unit 132	Hooksett	NH	03103	Internal Medicine
12 - New England Heart Institute
1 Highlander Way	Manchester	NH	03103	Heart and Vascular services
13 - Lakeview Internal Medicine
27 Londonderry Turnpike	Hooksett	NH	03106	Internal Medicine
14 - Outpatient Rehabilitation
27 Londonderry Turnpike	Hooksett	NH	03106	Outpatient Rehabilitation
15 - Queen City Medical Associates
775 South Main Street	Manchester	NH	03102	Internal Medicine
16 - Willowbend Family Practice
5 Washington Place Suite 1A	Bedford	NH	03110	Family Medicine
17 - Urgent Care at Bedford Medical Park
5 Washington Place Suite 1B	Bedford	NH	03110	Urgent Care
18 - New England Heart Institute
59 Page Hill Road	Berlin	NH	03570	Heart and Vascular services
19 - Vein and Vascular Specialists
59 Page Hill Road	Berlin	NH	03570	Vascular Surgery services
20 - Comprehensive Neurological Care
59 Page Hill Road	Berlin	NH	03570	TeleNeurology services
21 - New England Heart Institute
452 Old Street Road Suite 107	Peterborough	NH	03458	Heart and Vascular services
22 - Vein and Vascular Specialists
452 Old Street Road	Peterborough	NH	03458	Vascular Surgery services
23 - Hospital Medicine Services
452 Old Street Road	Peterborough	NH	03458	Hospitalists
24 - New England Heart Institute
173 Middle Street	Lancaster	NH	03584	Heart and Vascular services
25 - Vein and Vascular Specialists
173 Middle Street	Lancaster	NH	03584	Vascular Surgery services
26 - Comprehensive Neurological Care CMC
1 Highlander Way	Manchester	NH	03103	Neurology services
27 - Outpatient Rehabilitation
769 South Main Street Suite 201	Manchester	NH	03102	Outpatient Rehabilitation
28 - New England Heart Institute
181 Corliss Lane	Colebrook	NH	03576	Heart and Vascular services
29 - Hospital Medicine services
181 Corliss Lane	Colebrook	NH	03576	Hospitalists
30 - Cholesterol Management Center
195 McGregor Street Suite 312	Manchester	NH	03102	Cholesterol Management services
31 - New England Heart Institute
6 Tsienneto Road Suite 301	Derry	NH	03038	Heart and Vascular services
32 - Vein and Vascular Specialists
160 South River Road Suite 100	Bedford	NH	03110	Vascular Surgery services
33 - New England Heart Institute
3 Alumni Drive Suite 101	Exeter	NH	03833	Heart and Vascular services
34 - New England Heart Institute
240 S Main Street Suite K	Wolfeboro	NH	03894	Heart and Vascular services
35 - Vein and Vascular Specialists
240 S Main Street	Wolfeboro	NH	03894	Vascular Surgery services
36 - New England Heart Institute-Nashua
166 Kinsley Street Suite 301	Nashua	NH	03060	Heart and Vascular services
37 - New Hampshire Gastroenterology
11 Washington Place	Bedford	NH	03110	Gastroenterology services
38 - New Hampshire Gastroenterology
454 Old Street Road Suite 208	Peterborough	NH	03458	Gastroenterology services
39 - New England Heart Institute
1 Parkland Drive	Derry	NH	03038	Heart and Vascular services
40 - Vein and Vascular Specialists
172 Kinsley Street	Nashua	NH	03060	Vascular Surgery services
41 - New England Heart Institute
16 Hospital Road	Plymouth	NH	03264	Heart and Vascular services
42 - Vein and Vascular Specialists
103 Boulder Point Road 2 FL	Plymouth	NH	03264	Vascular Surgery services
43 - North End Internal Medicine
1750 Elm Street Suite 201A	Manchester	NH	03101	Internal Medicine
44 - New England Heart Institute
15 US Route 302 Suite 1	Glenn	NH	03838	Vascular Surgery services

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 16,187,697.
Part II, Community Building Activities:	Catholic Medical Center participates in a wide range of community building activities, committees, boards, and partnerships to promote the health of the communities it serves, including City Year, Granite United Way, and New Hampshire Charities, among others. The Medical Center sponsors emergency service efforts through planning hours for emergency preparedness and bioterrorism preparedness safety management.COVID-19: During the unprecedented COVID-19 pandemic, CMC was an integral part of the community's response activities. Early on in the pandemic, CMC partnered with the City of Manchester at the City's first COVID testing center located at the NH State Armory. Shortly thereafter, CMC collaborated with the City of Manchester, NH National Guard, and other healthcare partners to stand up the Greater Manchester Alternative Care Site (GMACS), a 250-bed field hospital located at Southern New Hampshire University (SNHU). CMC's Incident Command Center held weekly calls with the City's Emergency Operations Center, ensuring constant communication and updated information sharing. Finally, CMC has provided clinical and non-clinical staff to support the State's fixed Covid Vaccine site at SNHU as well as super clinics held at the New Hampshire Motor Speedway.
Part III, Line 2:	Costing methodology ratio of cost to charge is used to arrive at cost of bad debt expense.
Part III, Line 3:	Patients deemed eligible for financial asssistance follow CMC's charity care policies. Therefore, no bad debt expense related to patients eligible under the Hospital's financial assistance policy is included as a community benefit.
Part III, Line 4:	See Footnote 2 on Page 11 of the attached audited financial statements.
Part III, Line 8:	The entire Medicare shortfall is reported in our Community Benefit Report to the State of New Hampshire. The Medicare shortfall represents costs incured by the Hospital for providing care to Medicare patients in the Hospital's service area that were not reimbursed by the federal government. The Hospital considers this amount to be a significant shortfall for providing healthcare-related services to these patients which ultimately benefits the community it serves.
Part III, Line 9b:	CMC is a charitable healthcare organization that treats patients for emergency or medically necessary care regardless of their financial status. CMC's Collections Policy and Procedures addresses the procedures for patients who choose not to make payment or work with CMC to make payment arrangements for their bill. The policy contains specific language that applies to those patients who may qualify for financial assistance. CMC will hold collection activities where the patient has submitted a completed financial assistance application. CMC makes reasonable efforts to determine whether an individual is eligible for financial assistance under our Financial Assistance Policy (FAP). In order to determine whether a patient is eligible for financial assistance, CMC provides written notice that indicates the availability of financial assistance, provides a plain-language summary of the FAP, and attempts to notify the individual orally about the FAP and how the patient may get assistance with the application process. CMC also publishes the policy on our website, at patient registration locations, and provides notice to the community.
Part VI, Line 2:	In collaboration with the city of Manchester and other health care and social service agencies, Catholic Medical Center participates in a community needs assessment as required by the New Hampshire Attorney General's Office Division of Charitable Trusts.Since hospitals are required to assess the needs of their community every three years, CMC has completed a 2022 (tax year 2021) Needs Assessment and approved by the board and made widely available to the public during the fiscal year covered by the Hospital's 2021 Form 990. The previous Needs Assessment was completed in fiscal year 2019 (tax year 2018) by CMC and the Elliot Hospital of the City of Manchester. Additional information is obtained on an ongoing basis to assist the Organization in evaluating progress towards meeting our goals and the identification of new areas of need. This information is collected through community surveys, focus groups and discussions with community leaders, program evaluations and communication with those in the community who interact with our vulnerable populations.
Part VI, Line 3:	Patients are notified of CMC's FAP via notices upon registration, discharge, postings to our website, in the hospital, and physician practices. Signage is posted throughout the Hospital and physician practices highlighting Catholic Medical Center's financial assistance. CMC also communicates the policy to the community via mailings and other postings in relevant local support organizations. CMC also contacts patients verbally to inform them of the programs available.
Part VI, Line 4:	Catholic Medical Center's primary service area consists of the following towns and cities: Allenstown, Auburn, Bedford, Goffstown, Hooksett, Manchester, and New Boston. Our secondary service area is made up of Amherst, Concord, Derry, Litchfield, Londonderry, Merrimack, Milford, Nashua, Peterborough, Raymond, Salem and Weare.
Part VI, Line 5:	Catholic Medical Center is involved in numerous community initiatives to improve the health outcomes of our community, including, but not limited to the following: DSRIP 1115 Waiver, N4H a federally funded program with the state of New Hampshire to transform care by integrating primary and behavioral health care to improve health outcomes; a collaboration with The Manchester Health Department, Easter Seals, and Catholic Medical Center to provide school-based dental care to school-aged children in need. Services are provided at all Manchester elementary and middle schools along with one of the high schools; partnership with Dartmouth Hitchcock Clinic for the integration of dental care within a pediatric clinic setting, improving oral health and overall health and a partnership with Amoskeag Health Center to provide oral health exams and hygiene and a referral to a dental home for children ages 1-5; 500 Cities initiative with CMC's Parish Nurse Program and Manchester Health Department to offer assessments and services to high risk populations located within neighborhoods; primary care, specialty care and care coordination the homeless population via the HRSA grant; Medication Assistance Program offering free or reduced cost medication through the pharmaceutical companies and other low cost resources; emergency bioterrorism preparedness safety management.
Part VI, Line 6:	Catholic Medical Center operates as part of CMC Healthcare System. Under the System, CMC offers a range of healthcare services to the community. The System includes CMC as a licensed, 330 bed full-service, acute care hospital, physician practices, general care surgical capabilities, and advanced care for cardiac needs. Catholic Medical Center offers full medical-surgical care with more than 25 subspecialties, comprehensive orthopedic care, inpatient and outpatient rehabilitation services, a 24-hour emergency department, outpatient behavioral health services, and diagnostic imaging. In addition, Catholic Medical Center has the Special Care Nursery which is a state-of-the-art neonatal facility designed to meet the distinct needs of our babies and their families. Catholic Medical Center is also home to the nationally recognized New England Heart and Vascular Institute (NEHVI), which provides a full-range of cardiac services, and is a pioneer in offering innovative surgical procedures. The Institute is also a national center for advanced clinical trials and cardiovascular rehabilitation and wellness education to help patients recover in a multi-step program of exercise, education, risk factor management, and the development of healthy lifestyles. The System also participates in two joint ventures, Bedford Ambulatory Surgical Center and Alliance Urgent Care Services, through its wholly-owned entity, and Alliance Ambulatory Services through the Granite Health Network.CMC has a deeply rooted history of providing care to those most in need through the Community Health and Mission department. CMC reaches beyond the walls of the hospital and into the community, assisting underserved individuals with health information and access to care. Community Health and Mission provides a wide variety of education, clinical services and resources for those in our primary and secondary markets. It is the home of the Pregnancy Care Center, the Poisson Dental Facility, the Health Care for the Homeless program, and the Parish Nurse program. We provide medication assistance, breast and cervical cancer screenings, and health screenings.
Part VI, Line 7, Reports Filed With States	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
Foundation for Healthy Communities
125 Airport Road	Concord	NH	03301	020275078	501(c)(3)	$611,441	$0	NH Hospital Association, NH Medicaid Expansion, Drug and Alcohol Abuse Prevention Initiatives
Amoskeag Health (formerly Manchester Community Health Center)
145 Hollis Street	Manchester	NH	03101	020458174	501(c)(3)	$0	$31,272	Funding and equipment for health care services and initiatives	Book value	Medical equipment and supplies

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
Caring for Co-workers program to provide general assistance to individuals in need.	82	$77,492
Dr. Pepe Fund - financial assistance to employees who wish to improve their performance, proficiency, and education in the medical field.	12	$12,641
Emergency Department Nurse Training - financial assistance for individuals pursuing education and training in the field of nurising.	25	$7,655
Nursing Workforce Development Program - financial assistance for individuals pursuing education and training in the field of nurising.	10	$4,179
Hermsdorf Scholarships - financial assistance for the training of worthy and needy students who are employees of CMC.	2	$1,500

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	The Hospital will only makes donations to 501(c)(3) public charities or governmental municipalities. The Hospital may award grants to individuals living in the United States if the recipient-individuals are employees of the Catholic Medical Center system, and if the recipient-individuals meet certain merit and financial-need eligibility requirements. Grants to individuals are awarded in the form of scholarships to pursue higher education and skills in the healthcare field while also working for the Hospital.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joseph Pepe MD
Former President & CEO (end 6/2021)	$566,670	$0	$121,817	$0	$358,238	$0	$622,599	$0	$17,252	$0	$1,686,576	$0	$0	$0
Alexander Walker Jr Esq
President & CEO	$595,758	$0	$157,597	$0	$55,795	$0	$300,538	$0	$69,974	$0	$1,179,662	$0	$0	$0
Edward Dudley III
Executive VP & CFO	$472,397	$0	$135,503	$0	$43,599	$0	$207,331	$0	$53,894	$0	$912,724	$0	$0	$0
Louis I Fink MD
Director	$0	$539,981	$0	$122,943	$0	$30,000	$0	$14,500	$0	$4,561	$0	$711,985	$0	$0
Patricia Furey MD
Director	$0	$467,891	$0	$500	$0	$31,500	$0	$11,600	$0	$37,666	$0	$549,157	$0	$0
Carolanne O'Sullivan
Senior VP, Provider Network	$319,326	$0	$83,085	$0	$30,380	$0	$14,500	$0	$44,762	$0	$492,053	$0	$0	$0
Keith Stahl MD FACP
Associate Chief Medical Officer	$393,047	$0	$500	$0	$4,902	$0	$14,500	$0	$10,656	$0	$423,605	$0	$0	$0
Jennifer Cassin MSRNCNSCENP
VP, Chief Nursing Officer	$270,736	$0	$76,794	$0	$6,294	$0	$7,927	$0	$18,129	$0	$379,880	$0	$0	$0
Merryll Rosenfeld
VP, Human Resources	$255,803	$0	$68,055	$0	$8,560	$0	$10,531	$0	$35,228	$0	$378,177	$0	$0	$0
Sarah Doherty RN
Nurse	$248,730	$0	$61,131	$0	$176	$0	$3,936	$0	$32,804	$0	$346,777	$0	$0	$0
Ronald Doncaster
Chief Operating Officer	$257,330	$0	$29,375	$0	$16,959	$0	$0	$0	$12,369	$0	$316,033	$0	$0	$0
Carolyn Claussen MD
Director	$0	$186,816	$0	$48,588	$0	$43,125	$0	$9,210	$0	$10	$0	$287,749	$0	$0
Thomas Della Flora
Former VP/CIO (end 8/2021)	$200,904	$0	$0	$0	$6,196	$0	$8,287	$0	$20,908	$0	$236,295	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Catholic Medical Center provides certain fringe benefits that have gross-up calculations to cover taxes for a select few officers and/or highly compensated employees. In no case did this amount exceed $15,000 during the year for any one individual.
Part I, Lines 4a-b	Schedule J, Page 1, Line 4a, severance payments: Dr. Joseph Pepe, who previously served as the Organization's President and CEO, retired in June, 2021. As part of his retirement, Dr. Pepe became entitled to severance compensation as per his employment agreement. Dr. Pepe received severance compensation of $338,462 during calendar year 2021, after his formal retirement in June, 2021. This severance was included in his 2021 Form W-2 wages, and is also included in the amount of compensation reported on this Schedule J, Part II, Column B(iii). Schedule J, Page 1, Line 4b, supplemental non-qualified retirement plans: The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The amounts listed represent calendar year 2021 contributions for many years of service, and are included in the total deferred compensation reported on this Schedule J, Part II, Column C. Joseph Pepe: $608,099 Edward Dudley, III: $196,427 Alexander Walker, Jr., Esq.: $288,938
Part I, Line 7	A portion of compensation is at-risk and variable, and payment depends on the quality of job performance.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
New Hampshire Health And Education Facilities Authority
A	020279866	644614x79	2012-12-19	$38,249,382	See Part VI	0	0	0
New Hampshire Health And Education Facilities Authority
B	020279866		2015-09-03	$32,720,000	See Part VI	0	0	0
New Hampshire Health And Education Facilities Authority
C	020279866	64461XBT1	2017-09-21	$65,363,417	See Part VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$21,375,000	$38,249,517	$34,643,460	$597,089	$3,008,968	2013	Yes (1)	0	Yes (1)	Yes (1)
B	$5,550,000	$32,779,646	$28,696,341	$257,332	$3,825,973	2016	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C		$66,661,885		$785,623	$66,661,885	2021	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
C	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Date Rebate Computation Performed	Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 06/19/2014 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 09/03/2020 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 06/30/2020
Schedule K, Part I, Line A(f):	Refinance of Series 2002A Bonds Refinance of Series 2002B Bank Placement Refinance of Series 2012 Capital Note Routine Capital Improvements
Schedule K, Part I, Line B(f):	Advance & Current refunding of Series 2006 Bonds, and Construction
Schedule K, Part I, Line C(f):	To finance various construction projects.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Thomas Della Flora	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family Member Compensation	RelationshipDescriptionTxt
Transaction	$16,923	TransactionAmt
Transaction	The wife of Thomas Della Flora, a former officer of the Hospital, received $16,923 in compensation and benefits as an employee (Registered Nurse) of the Hospital. Compensation paid to Mr. Della Flora's wife is in line with the salary structure for similarly employed persons at the Hospital and does not represent higher than market rate compensation due to her familial relationship with Mr. Della Flora.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$736	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Per books	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$12,798	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Gift Date FMV	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$90	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Per books	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$12,369	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Per books	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 32b:	FormAndLineReferenceDesc
Explanation	The Organization uses brokerage and investment management services to process and sell donations of stock, bonds, and other gifts of investments and financial securities.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	The members of Catholic Medical Center are CMC Healthcare System and GraniteOne Health.
Form 990, Part VI, Section A, line 7a	Directors of CMC are appointed by the members.
Form 990, Part VI, Section A, line 7b	The members have reserved powers over CMC but do not approve each separate action taken by the CMC board.
Form 990, Part VI, Section B, line 11b	Form 990 is prepared by an independent tax accounting firm (Baker Newman Noyes). Upon completion, a draft of the Form 990 is sent to the Organization, where the Executive Director of Finance and Assistant Controller perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from Board, the Form 990 is filed with the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c	Officers and directors are required to complete a conflict of interest questionnaire annually.
Form 990, Part VI, Section B, line 15	CMC utilizes a compensation committee of the board of directors to set compensation levels and determine bonus potential for its senior leadership team. The committee is assisted by an independent consultant who surveys like-sized and performing institutions to benchmark relevant salary scales for each position. The consultant's findings are presented to the compensation committee who considers that external data with actual performance against a list of pre-established goals per senior leaders to set prospective compensation levels and bonus values. Bonus amounts are determined by how well an executive achieves a pre-defined set of goals. These goals, in general, are tied to the achievement of a specific task or project. Some goals are attached to achieve overall financial performance and mission performance, not solely revenue generation.
Form 990, Part VI, Section C, line 19	CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, line 9:	Pension related changes net of periodic costs 29,949,301. Change in fair market value of interest rate swap 540,490. Net assets released for operations -720,929. Change in fair market value of perpetual trust -1,965,979. Net transfers to affiliates -44,788,093.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Alliance Ambulatory Services
100 McGregor Street	Manchester	NH	03102	020519436	Ambulatory Surgical Center	NH	501(c)(3)	Line 10	CMC Healthcare System	0
Alliance Health Services
100 McGregor Street	Manchester	NH	03102	611508839	Practices	NH	501(c)(3)	Line 10	CMC Healthcare System	0
Alliance Resources
100 McGregor Street	Manchester	NH	03102	020398138	Real Estate	NH	501(c)(3)	Line 12b, II	CMC Healthcare System	0
CMC Healthcare System
100 McGregor Street	Manchester	NH	03102	010568516	Parent	NH	501(c)(3)	Line 12b, II		0	N/A
CMC Physician Practice Associates
100 McGregor Street	Manchester	NH	03102	020460245	Practices	NH	501(c)(3)	Line 10	CMC Healthcare System	0
GraniteOne Health
100 McGregor Street	Manchester	NH	03102	814663563	Supporting Organization	NH	501(c)(3)	Line 12a, I		0	N/A
Huggins Hospital
240 South Main Street	Wolfeboro	NH	03894	030223332	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health	0
Monadnock Community Hospital
452 Old Street Road	Peterborough	NH	03458	020222157	Hospital	NH	501(c)(3)	Line 3	GraniteOne Health	0
St Peter's Home
100 McGregor Street	Manchester	NH	03102	020222228	Day Care Services	NH	501(c)(3)	Line 10	CMC Healthcare System	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
Bedford Ambulatory Surgical Center LLC
11 Washington Place	Bedford	NH	03110	020519727	Surgical Center	NH	N/A	0	0
Alliance Urgent Care Services
100 McGregor Street	Manchester	NH	03102	831238167	Health Care Services	NH	N/A	0	0
NH Value Care ACO LLC
100 McGregor Street	Manchester	NH	03102	832029076	Health Care Services	NH	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
Alliance Enterprises
100 McGregor Street	Manchester	NH	03102	020386795	Real Estate	NH	N/A	C	Yes (1)
Doctors' Medical Association Inc
100 Mcgregor Street	Manchester	NH	03102	020340690	Medical Office Building	NH	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd