CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201721319349303147
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-11T14:05:30-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | 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 | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020315693 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center | 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 | Exec. VP & CFO | PersonTitleTxt |
| Phone | 6036683545 | PhoneNum |
| Signature | 2017-04-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2017-04-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph Pepe MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 031023770 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $428,947,465 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.catholicmedicalcenter.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | The heart of Catholic Medical Center is to provide health, healing, and hope in a manner that offers innovative high quality services, compassion, and respect for the human dignity of every individual who seeks or needs our care as part of Christ's healing ministry through the Catholic Church. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2643 | TotalEmployeeCnt |
| Total Volunteers | 273 | TotalVolunteersCnt |
| Total Gross UBI | $7,409 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $5,722 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,794,563 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,322,280 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $347,248,774 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $395,326,782 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,235,927 | PYInvestmentIncomeAmt |
| CY Investment Income | $484,672 | CYInvestmentIncomeAmt |
| PY Other Revenue | $120,860 | PYOtherRevenueAmt |
| CY Other Revenue | $1,444,922 | CYOtherRevenueAmt |
| PY Total Revenue | $354,400,124 | PYTotalRevenueAmt |
| CY Total Revenue | $400,578,656 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $28,623 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $52,410 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $144,404,381 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $157,995,914 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $439,767 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $181,230,826 | PYOtherExpensesAmt |
| CY Other Expenses | $198,961,289 | CYOtherExpensesAmt |
| PY Total Expenses | $325,663,830 | PYTotalExpensesAmt |
| CY Total Expenses | $357,009,613 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,736,294 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,569,043 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $310,479,366 | TotalAssetsBOYAmt |
| Total Assets EOY | $323,864,484 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $203,570,167 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $245,633,902 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $106,909,199 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $78,230,582 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The heart of Catholic Medical Center is to provide health, healing, and hope in a manner that offers innovative high quality services, compassion, and respect for the human dignity of every individual who seeks or needs our care as part of Christ's healing ministry through the Catholic Church. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $308,574,583 | ExpenseAmt |
| Grant | $52,410 | GrantAmt |
| Revenue | $387,371,499 | RevenueAmt |
| Desc | Medical & Surgical services provided to 11,382 inpatients and 393,761 outpatients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,475,869 | ExpenseAmt |
| Revenue | $8,129,534 | RevenueAmt |
| Desc | Various other services. Please see Schedule H.Catholic Medical Center (CMC), as an agency of the Roman Catholic Church, shall provide health care in a manner consistent with the ethical and religious directives for Catholic health care services as interpreted by the Roman Catholic Bishop of Manchester. CMC shall employ the highest quality health care professionals and the most appropriate technology to deliver an array of services either directly or through strategic alliances with compatible health care providers. With dignity and compassion, CMC shall treat the body, mind, and spirit of all who seek or provide care and comfort. Additional details provided in Schedule H. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $315,050,452 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | 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 | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 226 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2643 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Edward Dudley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6036683545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Finance Dept 100 McGregor | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 031023770 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Adele Boufford Baker | |||||||||
| Director (end 12/15) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| William Clutterbuck MD | |||||||||
| Director (end 12/15) | 1.00 | 43.00 | Yes (X) | $0 | $366,772 | $44,214 | |||
| Eleanor Wm Dahar Esq | |||||||||
| Director (end 12/15) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Powen Hsu MD | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Susan Huard PhD | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Patrick A Mahon MD | |||||||||
| Director (end 1/16) | 1.00 | 42.00 | Yes (X) | $0 | $545,741 | $45,100 | |||
| Diane Murphy Quinlan Esq | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Keith A Stahl MD | |||||||||
| Director | 1.00 | 42.00 | Yes (X) | $0 | $322,835 | $23,254 | |||
| Fr Patrick Sullivan OSB RN | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Harry E Dumay PhD | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Louis I Fink MD | |||||||||
| Director | 1.00 | 42.00 | Yes (X) | $0 | $610,287 | $28,002 | |||
| Matthew Kfoury | |||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Paul S Moore Esq | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Rick Botnick | |||||||||
| Director (ex officio) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert A Catania MD | |||||||||
| Director (eff 1/16) | 1.00 | 42.00 | Yes (X) | $0 | $544,513 | $45,319 | |||
| Carolyn Claussen MD | |||||||||
| Director (eff 1/16) | 1.00 | 42.00 | Yes (X) | $0 | $99,551 | $7,518 | |||
| Jeannette Davila | |||||||||
| Director (eff 1/16) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Pamela Diamantis | |||||||||
| Director (eff 1/16) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas J Kleeman MD | |||||||||
| President Medical Staff (eff 1/16) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Maria C Mongan | |||||||||
| Chair | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John G Cronin Esq | |||||||||
| Vice Chair | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Neil Levesque | |||||||||
| Secretary | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Richard E Ashooh | |||||||||
| Treasurer (end 6/16) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Donald St Germain | |||||||||
| Treasurer (eff 6/16) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Joseph Pepe MD | |||||||||
| President & CEO | 40.00 | 5.00 | Yes (X) | $725,390 | $0 | $281,003 | Yes (X) | ||
| Edward Dudley III | |||||||||
| Exec. VP & CFO | 40.00 | 4.00 | $478,103 | $0 | $184,819 | Yes (X) | |||
| Alexander Walker Esq | |||||||||
| Exec. VP, Operations | 40.00 | 0.00 | $494,573 | $0 | $166,478 | Yes (X) | |||
| William Goodman MD | |||||||||
| Chief Medical Officer | 40.00 | 0.00 | $376,662 | $0 | $20,957 | Yes (X) | |||
| Carolanne O'Sullivan | |||||||||
| VP of Physician Practices | 40.00 | 0.00 | $313,905 | $0 | $24,554 | Yes (X) | |||
| Robert Duhaime | |||||||||
| Chief Nursing Officer | 40.00 | 0.00 | $289,012 | $0 | $37,956 | Yes (X) | |||
| Merryll Rosenfield | |||||||||
| VP of Human Resources | 40.00 | 0.00 | $246,431 | $0 | $33,751 | Yes (X) | |||
| Lucille Mulla | |||||||||
| VP Operations/Emergency Services | 40.00 | 0.00 | $233,539 | $0 | $19,985 | Yes (X) | |||
| Thomas Della Flora | |||||||||
| VP Chief Information Officer | 40.00 | 0.00 | $217,226 | $0 | $20,827 | Yes (X) | |||
| Raef Fahmy MD | |||||||||
| Former Chief Medical Officer | 0.00 | 0.00 | $305,738 | $0 | $11,344 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,680,579 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,489,699 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $995,081 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 130 | 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 | |||||
| One Medical Center Drive | Lebanon | NH | 03756 | Medical Services | $16,980,589 |
| Integrity Healthcare Locums | |||||
| PO Box 823424 | Philadelphia | PA | 191823424 | Healthcare Staffing Services | $1,365,497 |
| Granite State Emergency Physicians | |||||
| 380 Lafayette Road | Hampton | NH | 03842 | Physician Services | $978,411 |
| Aramark Management Service | |||||
| 25863 Network Place | Chicago | IL | 606731248 | Facilities Management | $763,084 |
| Eisenberg Vital & Ryze LLC | |||||
| 155 Dow Street | Manchester | NH | 03101 | Marketing Services | $754,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $252,613 | FundraisingAmt |
| Related Organizations | $17,500 | RelatedOrganizationsAmt |
| Government Grants | $2,612,272 | GovernmentGrantsAmt |
| All Other Contributions | $439,895 | AllOtherContributionsAmt |
| Noncash Contributions | $16,453 | NoncashContributionsAmt |
| Total Contributions | $3,322,280 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Rev. | 621400 | $375,950,006 | $375,950,006 |
| Disproportionate Share Funding | 621400 | $11,421,493 | $11,421,493 |
| Miscellaneous Rev. | 621400 | $4,184,696 | $4,184,696 |
| Lab Client Revenue | 621500 | $1,746,865 | $1,746,865 |
| Cafeteria Income | 722210 | $1,612,133 | $1,612,133 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,589 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $411,589 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $395,326,782 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,330,223 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $7,409 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,322,814 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,241,476 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,087,027 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$845,551 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$845,551 | TotalRevenueColumnAmt |
| Exclusion | -$845,551 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $47,022 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $252,613 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $102,705 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$55,683 | TotalRevenueColumnAmt |
| Exclusion | -$55,683 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $1,672 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $690 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $982 | TotalRevenueColumnAmt |
| Exclusion | $982 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $352,638 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $178,387 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,251 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $174,251 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Debt Settlement | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,325,372 | TotalRevenueColumnAmt |
| Exclusion | $1,325,372 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,325,372 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $400,578,656 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $395,501,033 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,409 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,747,934 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,410 | TotalAmt |
| Program Services | $52,410 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,727,984 | TotalAmt |
| Program Services | $2,222,869 | ProgramServicesAmt |
| Management And General | $505,115 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,377,011 | TotalAmt |
| Program Services | $98,720,040 | ProgramServicesAmt |
| Management And General | $22,432,686 | ManagementAndGeneralAmt |
| Fundraising | $224,285 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,419,839 | TotalAmt |
| Program Services | $5,223,265 | ProgramServicesAmt |
| Management And General | $1,186,911 | ManagementAndGeneralAmt |
| Fundraising | $9,663 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,765,938 | TotalAmt |
| Program Services | $15,291,230 | ProgramServicesAmt |
| Management And General | $3,474,708 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,705,142 | TotalAmt |
| Program Services | $7,079,793 | ProgramServicesAmt |
| Management And General | $1,608,780 | ManagementAndGeneralAmt |
| Fundraising | $16,569 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $958,272 | TotalAmt |
| Management And General | $958,272 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,913 | TotalAmt |
| Management And General | $154,913 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,271 | TotalAmt |
| Program Services | $74,371 | ProgramServicesAmt |
| Management And General | $16,900 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,660 | TotalAmt |
| Management And General | $181,660 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,530,107 | TotalAmt |
| Program Services | $8,580,348 | ProgramServicesAmt |
| Management And General | $1,949,759 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,482,393 | TotalAmt |
| Program Services | $1,207,913 | ProgramServicesAmt |
| Management And General | $274,480 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,210,088 | TotalAmt |
| Program Services | $9,001,943 | ProgramServicesAmt |
| Management And General | $2,045,560 | ManagementAndGeneralAmt |
| Fundraising | $162,585 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,854,790 | TotalAmt |
| Program Services | $3,141,036 | ProgramServicesAmt |
| Management And General | $713,754 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,599,139 | TotalAmt |
| Program Services | $6,991,097 | ProgramServicesAmt |
| Management And General | $1,588,625 | ManagementAndGeneralAmt |
| Fundraising | $19,417 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,269 | TotalAmt |
| Program Services | $141,186 | ProgramServicesAmt |
| Management And General | $32,083 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,673 | TotalAmt |
| Program Services | $159,894 | ProgramServicesAmt |
| Management And General | $36,334 | ManagementAndGeneralAmt |
| Fundraising | $445 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,208,655 | TotalAmt |
| Program Services | $1,799,700 | ProgramServicesAmt |
| Management And General | $408,955 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,441,142 | TotalAmt |
| Program Services | $10,137,535 | ProgramServicesAmt |
| Management And General | $2,303,607 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,809,932 | TotalAmt |
| Program Services | $1,474,804 | ProgramServicesAmt |
| Management And General | $335,128 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $74,237,255 | $74,237,255 |
| Physician Fees | $27,023,736 | $27,023,736 |
| Bad Debt Expense | $20,941,899 | $20,941,899 |
| Medicaid Enhancement Ta | $15,778,153 | $15,778,153 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,087,942 | TotalAmt |
| Program Services | $5,769,975 | ProgramServicesAmt |
| Management And General | $1,311,164 | ManagementAndGeneralAmt |
| Fundraising | $6,803 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,009,613 | TotalAmt |
| Program Services | $315,050,452 | ProgramServicesAmt |
| Management And General | $41,519,394 | ManagementAndGeneralAmt |
| Fundraising | $439,767 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,274,084 | BOYAmt |
| EOY | $39,176,245 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,042,736 | BOYAmt |
| EOY | $32,768,957 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,585,556 | BOYAmt |
| EOY | $47,860,095 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $711,093 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,124,292 | BOYAmt |
| EOY | $3,199,310 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,387,258 | BOYAmt |
| EOY | $6,314,657 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $230,186,885 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $148,473,963 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,953,109 | BOYAmt |
| EOY | $81,712,922 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,701,692 | BOYAmt |
| EOY | $54,150,978 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,092,783 | BOYAmt |
| EOY | $49,015,159 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,733 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,586,123 | BOYAmt |
| EOY | $8,955,068 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,479,366 | BOYAmt |
| EOY | $323,864,484 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,246,675 | BOYAmt |
| EOY | $45,329,172 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,059 | BOYAmt |
| EOY | $405,913 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,495,000 | BOYAmt |
| EOY | $62,516,312 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,435,913 | BOYAmt |
| EOY | $4,892,038 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,150,520 | BOYAmt |
| EOY | $132,490,467 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,570,167 | BOYAmt |
| EOY | $245,633,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,262,558 | BOYAmt |
| EOY | $69,990,495 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,158 | BOYAmt |
| EOY | $395,655 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,316,483 | BOYAmt |
| EOY | $7,844,432 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,909,199 | BOYAmt |
| EOY | $78,230,582 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,479,366 | BOYAmt |
| EOY | $323,864,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $43,569,043 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,370,455 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$69,877,205 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $31,271 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $60,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $91,271 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Catholic Medical Center is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of CMC and the other organizations in furtherance of their exempt purposes. CMC does not directly perform any lobbying activities. Portion of dues paid that constitutes lobbying is as follows: NHHA: $21,749 AHA: $9,522 Devine, Millimet, & Branch, PA provided lobbying services which included providing information regarding public policy pending before the legislature. Devine, Millimet, & Branch, PA participated in the administrative rule-making process with respect to rules concerning the certificate of needs board. They also provided general communication with elected officials. CMC paid Devine, Milliment, & Branch $60,000 for these services. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,646,641 | BeginningYearBalanceAmt |
| Contributions | $182,178 | ContributionsAmt |
| Investment Earnings Or Losses | -$470,680 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $118,052 | OtherExpendituresAmt |
| End Year Balance | $8,240,087 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,690,560 | BeginningYearBalanceAmt |
| Contributions | $94,278 | ContributionsAmt |
| Investment Earnings Or Losses | $155,862 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $294,059 | OtherExpendituresAmt |
| End Year Balance | $8,646,641 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,473,844 | BeginningYearBalanceAmt |
| Contributions | $500,599 | ContributionsAmt |
| Investment Earnings Or Losses | $880,858 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $164,741 | OtherExpendituresAmt |
| End Year Balance | $8,690,560 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,047,069 | BeginningYearBalanceAmt |
| Contributions | $72,536 | ContributionsAmt |
| Investment Earnings Or Losses | $590,318 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $236,079 | OtherExpendituresAmt |
| End Year Balance | $7,473,844 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,263,764 | BeginningYearBalanceAmt |
| Contributions | $51,208 | ContributionsAmt |
| Investment Earnings Or Losses | -$187,002 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $80,901 | OtherExpendituresAmt |
| End Year Balance | $7,047,069 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.95200 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.04800 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,024,690 | OtherCostOrOtherBasisAmt |
| Book Value | $1,024,690 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,164,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,849,613 | DepreciationAmt |
| Book Value | $43,314,899 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,250,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,296,470 | DepreciationAmt |
| Book Value | $1,953,806 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,736,980 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,110,253 | DepreciationAmt |
| Book Value | $30,626,727 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,010,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,217,627 | DepreciationAmt |
| Book Value | $4,792,800 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $81,712,922 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Granite Healthcare HC | $1,096,153 | F |
| Private Investment Funds | $47,919,006 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $49,015,159 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension & Other Liabilities | $130,914,684 |
| Due to Affiliates | $1,575,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $132,490,467 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $353,036,037 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,370,455 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $30,178 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $281,781 | OtherRevenueAmt |
| Revenue Not Reported | -$2,058,496 | RevenueNotReportedAmt |
| Revenue Subtotal | $355,094,533 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $181,660 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $45,302,463 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $45,484,123 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $400,578,656 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $354,780,383 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $30,178 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $281,781 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $311,959 | ExpensesNotReportedAmt |
| Expenses Subtotal | $354,468,424 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $181,660 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $2,359,529 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,541,189 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $357,009,613 | 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 Internal Revenue Code (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 consolidated financial statements. |
| Part XI, Line 2d - Other Adjustments: | Event Expenses 103,394. Gift Shop COGS 178,387. |
| Part XI, Line 4b - Other Adjustments: | Pension-Related Charges Other than Net Periodic Cost 42,003,139. Assets Released for Operations 43,030. Change in FMV of Interest Rate Swap Agreement 462,570. Change in Interest in Perpetual Trust 434,195. Debt Settlement Income 2,359,529. |
| Part XII, Line 2d - Other Adjustments: | Event Expenses 103,394. Gift Shop COGS 178,387. |
| Part XII, Line 4b - Other Adjustments: | Debt Settlement Income 2,359,529. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $7,998,000 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $7,998,000 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $7,998,000 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part IV, Lines 3 & 4: | FormAndLineReferenceDesc |
| Explanation | The Medical Center has an ownership interest in several foreign corporate holdings as well as being an indirect shareholder of several passive foreign investment companies (PFIC) by way of their ownership in various alternative investments. The Medical Center's interest in these foreign corporations did not surpass the filing threshold for Form 5471. Additionally, the Medical Center had no unrelated business income related to their PFIC interest and therefore is not required to file Form 8621. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $186,600 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $167,745 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $18,855 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $79 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $37,334 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,273 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $14,141 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $10,267 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $73,908 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $54,831 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $19,077 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $2,067 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $13,686 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $4,651 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $1,880 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $368 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $39,127 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $30,037 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $9,090 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $500 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $12,069 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,390 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $299,635 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $252,613 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $47,022 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,146 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $51,520 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $18,993 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $16,021 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $14,025 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $102,705 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$55,683 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 125.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 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 | $3,600,559 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,600,559 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,042,738 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,141,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,900,859 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,643,297 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,141,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,501,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,302,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $118,579 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,184,212 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,264,714 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,264,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,181,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,744,982 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,436,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,843 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $700 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $554,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $554,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,353,758 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,864,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,489,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $65,997,055 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,006,140 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,990,915 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09510 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,435 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $76,085 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $55,843 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,487 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $71,487 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $155,007 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $134,765 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,202,990 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $110,450,185 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $142,693,056 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$32,242,871 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | 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 | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | see Part V, Section C | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 125.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| 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 the Centers for Disease Control and Prevention (CDC), New Hampshire Department of Health and Human Services, NH HealthWRQS and the City of Manchester Department of Health.Also, during March, April, and May of 2013, the hospitals conducted seven focus groups which included clergy, first responders, pregnant women, school nurses, Bhutanese refugees as well as two seniors groups. Due to concerns on the part of many participants, anonymity was guaranteed andtherefore they were not listed by name.A group discussion was conducted on March 25, 2013 with members of the Manchester Sustainable Access Project which included Jennifer Driscoll, Vice President, Planning & Business Development, Elliot Hospital; Raef Fahmy, DPM, Chief Medical Officer, Catholic Medical Center; Peter Janelle,President, Mental Health Center of Greater Manchester; Paul Mertzic, Executive Director of Operations, Physician Practice Association, Primary Care & Community Health Services, Catholic Medical Center; Steven Paris, MD, Medical Director, Dartmouth-Hitchcock Manchester; Tim Soucy, Public Health Director, Manchester Health Department; Anna Thomas, Deputy Public Health Director, Manchester Health Department.Other key informants included Ted Gatsas, Mayor, City of Manchester, NH and Chris Pappas, Member of The Executive Council of the State of New Hampshire & Manchester small business owners. |
| Catholic Medical Center | Part V, Section B, Line 6a: Elliot Health System in Manchester, NH. |
| Catholic Medical Center | Part V, Section B, Line 7d: Our "Healthy Living News" flyers were distributed to our primary and secondary service areas (approximately 120,000 people). Flyers contained a summary report of the community benefit CMC provides. |
| Catholic Medical Center | Part V, Section B, Line 11: Catholic Medical Center has addressed the needs identified in the 2013 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. Catholic Medical Center has expanded access to behavioral health services to patients of the Pregnancy Care Center wishing to become patients of the West Side Neighborhood Health Clinic. 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. In collaboration with Governor Hassan's Senior Director of Substance Misuse and Behavioral Health and Boston University School of Medicine, CMC conducted the "State-of-the art Management of the Opiate-dependent Patient, Pain Treatment and the Heroin Epidemic". The targeted audience for this conference included prescribers, nurses, allied health professionals, pharmacists and social service agencies. The program addressed many facets of substance abuse within our community, hospitals and practices.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 Medical Home Model, a proactive approach to preventative medicine through the introduction of Care Coordinators to the Primary Care Practices. Clinical resource specialists work with the practices most high risk patients (Asthma, Diabetes, COPD, etc) to assure they understand their medications and follow-up care. The Medical Home Model encourages patients to become involved, comprehensive, educated in their personal care plan. CMC offers free health screenings, chronic disease and self-management classes. 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, lack of medical home) WSNHC at CMC provides comprehensive care to Manchester's underserved and refugee populations. Health Care for the Homeless provides comprehensive care to Manchester's homeless community. 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. The Pregnancy Care Center provides prenatal care for women in need regardless of their ability to pay. In addition to The Medical Home Model, CMC has staffed the emergency department with a community health worker to improve primary care access for the homeless population, provide education on accessing care, and transportation support. CMC provides shuttle support to CMC ancillary services to those in need, at no cost. 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 and middle 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, and 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. Catholic Medical Center has a long history of providing services to the community and currently has programs in place to meet every identified need in the most recent CHNA. In addition to the programs we currently offer, we will expand many of our services in response to the needs of the community that have not been addressed. |
| Catholic Medical Center | Part V, Section B, Line 16i: Signs are posted throughout the hospital facility and physician practices that list the financial programs available and contact information for assistance. |
| Catholic Medical Center | Part V, Section B, Line 22d: The maximum amount that can be charged to a FAP-eligible individual for emergent or medically necessary care is determined by reducing the gross charges by the coverage discount amount received by individuals who are covered by health insurance. This discount rate is recalculated on an annual basis. |
| Part V, Line 7a & 7b: | Hospital's Website URL:https://www.catholicmedicalcenter.org/about-us/Community-Health-Needs-Assessment.aspx Other Websites URLs:http://elliothospital.org/website/downloads/QualitativeNeedsAssessment.pdfhttp://www.library.unh.edu/digital/object/mrg:0103 |
| Part V, Line 10a: | https://www.catholicmedicalcenter.org/about-us/Community-Health-Implementation-Plan.aspx |
| Schedule H, Part V, Section B, Line 16a-16c: | Financial Assistance Policy URL: https://www.catholicmedicalcenter.org/patients-and-visitors/financial-assistance/Financial Assistance Policy Application URL:https://www.catholicmedicalcenter.org/patients-and-visitors/financial-assistance/ Financial Assistance Plain Languange Summary URL: https://www.catholicmedicalcenter.org/patients-and-visitors/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Bedford Ambulatory Surgical Center | ||||
| 11 Washington Place | Bedford | NH | 03110 | Ambulatory Surgical Center (50% JV) |
| 2 - Catholic Medical Center-Business Office | ||||
| 195 McGregor Street | Manchester | NH | 03102 | Hospital Business Office |
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 $ 20,941,899. |
| Part II, Community Building Activities: | The Medical Center participates in a wide range of community building activities, committees, boards, and partnerships to promote the health of the communities it serves, including City Year, Granite United Way and New Hampshire Charities among others. The Medical Center sponsors emergency service efforts through planning hours for emergency preparedness and bioterrorism preparedness safety management. |
| Part III, Line 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 9 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 ermergent 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 2016 Needs Assessment and approved by the board and made widely available to the public shortly after the fiscal year covered by this Form 990, Schedule H. The previous Needs Assessment was completed in fiscal year 2013 by CMC and the Elliot Hospital of the City of Manchester. The focus of the 2013 Needs Assessment was on medically related health needs as that is their primary purview. 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, Candia, Deerfield, Dunbarton, Goffstown, Hooksett, Manchester, and New Boston. Our secondary service area is made up of Amherst, Bow, Chester, Derry, Londonderry, Merrimack, Raymond, and Weare. |
| Part VI, Line 5: | Catholic Medical Center is involved in numerous community initiatives to improve the health outcomes of our community, including, but not limited to the following: 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 Manchester Community Health Center to provide oral health exams 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 a joint venture, Bedford Ambulatory Surgical Center, through its wholly-owned entity, Alliance Ambulatory Services, and Tuft's Health Freedom Plan through the Granite Health Network.CMC has a deeply rooted history of providing care to those most in need through the Community Health Services department. CMC reaches beyond the walls of the hospital and into the community, assisting underserved individuals with health information and access to care. Community Health Services provides a wide variety of education, clinical services and resources for those in our primary and secondary markets. It is the home of the Pregnancy Care Center, West Side Neighborhood Health Center, the Poisson Dental Facility, the Health Care for the Homeless program, and the Parish Nurse program. We provide medication assistance, breast and cervical cancer screenings, health screenings, and fertility education. |
| Part VI, Line 7, Reports Filed With States | NH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hooksett New Hampshire Fire Department | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 Legends Drive | AddressLine1Txt |
| City | Hooksett | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03106 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash Grant | $26,636 | CashGrantAmt |
| Purpose Of Grant | New Lifepak 15 Monitor/Defibrillator | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital only makes donations to 501(c)(3) public charities or governmental municipalities, additional monitoring is not deemed necessary. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| William Clutterbuck MD | ||||||||||||||
| Director (end 12/15) | $0 | $366,772 | $0 | $0 | $0 | $0 | $0 | $21,150 | $0 | $23,064 | $0 | $410,986 | $0 | $0 |
| Patrick A Mahon MD | ||||||||||||||
| Director (end 1/16) | $0 | $482,415 | $0 | $29,565 | $0 | $33,761 | $0 | $21,150 | $0 | $23,950 | $0 | $590,841 | $0 | $0 |
| Keith A Stahl MD | ||||||||||||||
| Director | $0 | $296,920 | $0 | $0 | $0 | $25,915 | $0 | $21,200 | $0 | $2,054 | $0 | $346,089 | $0 | $0 |
| Louis I Fink MD | ||||||||||||||
| Director | $0 | $446,263 | $0 | $123,024 | $0 | $41,000 | $0 | $23,800 | $0 | $4,202 | $0 | $638,289 | $0 | $0 |
| Robert A Catania MD | ||||||||||||||
| Director (eff 1/16) | $0 | $511,320 | $0 | $33,193 | $0 | $0 | $0 | $21,150 | $0 | $24,169 | $0 | $589,832 | $0 | $0 |
| Joseph Pepe MD | ||||||||||||||
| President & CEO | $537,600 | $0 | $134,680 | $0 | $53,110 | $0 | $250,934 | $0 | $30,069 | $0 | $1,006,393 | $0 | $0 | $0 |
| Edward Dudley III | ||||||||||||||
| Exec. VP & CFO | $346,789 | $0 | $84,000 | $0 | $47,314 | $0 | $130,118 | $0 | $54,701 | $0 | $662,922 | $0 | $0 | $0 |
| Alexander Walker Esq | ||||||||||||||
| Exec. VP, Operations | $339,896 | $0 | $89,079 | $0 | $65,598 | $0 | $118,469 | $0 | $48,009 | $0 | $661,051 | $0 | $0 | $0 |
| William Goodman MD | ||||||||||||||
| Chief Medical Officer | $365,662 | $0 | $0 | $0 | $11,000 | $0 | $0 | $0 | $20,957 | $0 | $397,619 | $0 | $0 | $0 |
| Carolanne O'Sullivan | ||||||||||||||
| VP of Physician Practices | $231,540 | $0 | $57,502 | $0 | $24,863 | $0 | $17,604 | $0 | $6,950 | $0 | $338,459 | $0 | $0 | $0 |
| Robert Duhaime | ||||||||||||||
| Chief Nursing Officer | $235,767 | $0 | $47,500 | $0 | $5,745 | $0 | $18,543 | $0 | $19,413 | $0 | $326,968 | $0 | $0 | $0 |
| Merryll Rosenfield | ||||||||||||||
| VP of Human Resources | $206,247 | $0 | $34,801 | $0 | $5,383 | $0 | $12,923 | $0 | $20,828 | $0 | $280,182 | $0 | $0 | $0 |
| Lucille Mulla | ||||||||||||||
| VP Operations/Emergency Services | $193,870 | $0 | $35,320 | $0 | $4,349 | $0 | $14,575 | $0 | $5,410 | $0 | $253,524 | $0 | $0 | $0 |
| Thomas Della Flora | ||||||||||||||
| VP Chief Information Officer | $199,165 | $0 | $18,061 | $0 | $0 | $0 | $0 | $0 | $20,827 | $0 | $238,053 | $0 | $0 | $0 |
| Raef Fahmy MD | ||||||||||||||
| Former Chief Medical Officer | $170,078 | $0 | $0 | $0 | $135,660 | $0 | $9,796 | $0 | $1,548 | $0 | $317,082 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Catholic Medical Center provides certain fringe benefits that have gross-up calculations to cover taxes for a select few officers and/or highly compensated employees. In no case did this amount exceed $15,000 during the year for any one individual. |
| Part I, Lines 4a-b | 4a.) Dr. Raef Fahmy served as Chief Medical Officer of the Medical Center until June 2015. Dr. Fahmy's 2015 calendar year compensation included servance payments of $132,621 which are reported in Schedule J, Part II, Column B(iii). 4b.) The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The following represents contributions for many years of service: Joseph Pepe: $229,734 Edward Dudley, III: $114,218 Alexander Walker: $102,569 |
| 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 | 64461TCV4 | 2006-05-24 | $33,380,829 | Construction & Defeasance Escrow | Yes (1) | 0 | 0 |
| New Hampshire Health And Education Facilities Authority | ||||||||
| B | 020279866 | 644614x79 | 2012-12-19 | $38,249,382 | See Part VI | 0 | 0 | 0 |
| New Hampshire Health And Education Facilities Authority | ||||||||
| C | 020279866 | 2015-09-03 | $24,070,000 | See Part VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,910,000 | $20,655,000 | $33,380,829 | $968,431 | $517,960 | $20,559,500 | 2009 | 0 | Yes (1) | Yes (1) | Yes (1) | |
| B | $5,470,000 | $38,249,382 | $2,976,618 | $573,155 | $3,035,221 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $24,070,000 | $257,332 | $3,828,187 | 2016 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $21,737,024 |
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 | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MBIA | |||||||||||
| A | Yes (1) | 0 | 0 | Yes (1) | 0.900000000000 | Yes (1) | 0 | Yes (1) | |||
| (no name) | |||||||||||
| B | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | ||
| (no name) | |||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | ||
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 |
|---|---|
| Schedule K, Part I, Line B(f): | Refinance of Series 2002A Bonds Refinance of Series 2002B Bank Placement Refinance of Series 2012 Capital Note Routine Capital Improvements |
| Schedule K, Part I, Line C(f): | Refinance of Series 2006 Bonds Routine Capital Improvements |
| Schedule K, Part I: | Bond issues, Line C, Column (e) - Issue price presented on Schedule K is different from Form 8038 as initial issue of $24,070,000 were issued in September 2016 to advance refund a portion of the 2006 bonds and fund equipment and construction needs via 2015A bonds. Remaining $8,650,000 of 2015B bonds were issued in July 2016 to currently refund remaining 2006 bonds. The 2015B bonds will be reported on the Hospital's 2016 Schedule K filing as they were issued after the close of the tax period covered by this return. |
| Schedule K, Part IV, Line 5: | The 2006 series bonds were invested in a guaranteed investment contract during the fiscal year that expired on June 1, 2016. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of CMC is CMC Healthcare System. |
| Form 990, Part VI, Section A, line 7a | Directors of CMC are appointed by the sole member. |
| Form 990, Part VI, Section A, line 7b | The sole member has reserved powers over CMC but does not approve each separate action taken by the CMC board. |
| Form 990, Part VI, Section B, line 11 | Form 990 is prepared by an independent tax accounting firm (Baker, Newman, Noyes). Upon completion, a draft of the Form 990 is sent to the Organization, where the CFO, Controller, and Director of Accounting perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from Board, Form 990 is filed with the Internal Revenue Service. |
| Form 990, Part VI, Section B, line 12c | Officers and directors are required to complete a conflict of interest questionnaire annually. |
| Form 990, Part VI, Section B, line 15 | CMC utilizes a compensation committee of the board of directors to set compensation levels and determine bonus potential for its senior leadership team. The committee is assisted by an independent consultant who surveys like-sized and performing institutions to benchmark relevant salary scales for each position. The consultant's findings are presented to the compensation committee who considers that external data with actual performance against a list of pre-established goals per senior leaders to set prospective compensation levels and bonus values. Bonus amounts are determined by how well an executive achieves a pre-defined set of goals. These goals, in general, are tied to the achievement of a specific task or project. Some goals are attached to achieve overall financial performance and mission performance, not solely revenue generation. |
| Form 990, Part VI, Section C, line 19 | CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part XI, line 9: | Net Transfer (to) from Affiliates -26,934,271. Pension Related Changes Other than Net Periodic Cost -42,003,139. Assets Released for Operations -43,030. Change in Interest in Perpetual Trust -434,195. Change in Fair Market Value of Interest Rate Swap -462,570. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
| Form 990: | During the fiscal year covered by this return, Catholic Medical Center began engaging in negotiations to become affiliated with Huggins Hospital of Wolfeboro, New Hampshire and Monadnock Community Hospital of Peterborough, New Hampshire. The Bishop's approval was obtained on June 22, 2016 and the Affiliation Agreement was fully executed on June 29, 2016. Huggins and Monadnock each submitted the required Notice to the Charitable Trust Unit on July 7, 2016. Each hospital submitted a joint request for approval to the Antitrust Bureau on July 7, 2016. The Director of Charitable Trust Unit issued his report of approval on November 3, 2016. The New Hampshire antitrust bureau approved the affiliation on December 9, 2016. As this affiliation was formally effectuated after June 30, 2016 it will be disclosed in greater detail in Catholic Medical Center's Form 990 for the June 30, 2017 tax period. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMC Ancillary Health Services LLC | 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) |
|---|---|---|
| EIN | 464389318 | EIN |
| Primary Activities | Ancillary Health Services | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Total Income | $1,826 | TotalIncomeAmt |
| End Of Year Assets | $246,817 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 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 Resources | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020398138 | Real Estate | NH | 501(c)(3) | Line 11b, II | CMC Healthcare System | 0 | |
| Alliance Health Services | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 611508839 | Practices | NH | 501(c)(3) | Line 9 | CMC Healthcare System | Yes (1) | |
| CMC Healthcare System | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 010568516 | Parent | NH | 501(c)(3) | Line 11b, II | 0 | N/A | |
| CMC Physician Practice Associates | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020460245 | Practices | NH | 501(c)(3) | Line 9 | CMC Healthcare System | 0 | |
| St Peter's Home | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020222228 | Home | NH | 501(c)(3) | Line 9 | CMC Healthcare System | 0 | |
| Alliance Ambulatory Services | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020519436 | Ambulatory Surgical Center | NH | 501(c)(3) | Line 9 | CMC Healthcare System | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| McGregor Street MOB LLC | |||||||
| 100 McGregor Street | Manchester | NH | 03102 | 134347316 | Medical Office Building | NH | N/A |
| Bedford Ambulatory Surgical Center LLC | |||||||
| 11 Washington Place | Bedford | NH | 03110 | 020519727 | Surgical Center | NH | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alliance Enterprises | |||||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020386795 | Real Estate | NH | Catholic Medical Center | C | $14,052 | $2,346,226 | 1.00000 | Yes (1) | |
| Doctors' Medical Association Inc | |||||||||||||
| 100 Mcgregor Street | Manchester | NH | 03102 | 020340690 | Medical Office Building | NH | C | 0 | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |