CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-13
- IRS object ID
- 201401339349301005
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-13T07:26:08-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020315693 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CATH | NameControl |
| Phone | 6036683545 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O Finance Dept 100 McGregor | AddressLine1 |
| Address Line2 | Street | AddressLine2 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 031023770 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Edward L Dudley III | Name |
| Title | Exec VP & CFO | Title |
| Phone | 6036683545 | Phone |
| Date Signed | 2014-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas E Porto | Name |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Joseph Pepe MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O Finance Dept 100 McGregor | AddressLine1 |
| Address Line2 | Street | AddressLine2 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 031023770 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 344065156 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.catholicmedicalcenter.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1974 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | The mission of Catholic Medical Center is to provide health, healing, and hope to all. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2291 | TotalNbrEmployees |
| Total Nbr Volunteers | 308 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3781596 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2427228 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 318036565 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 316639176 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2463731 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3095347 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -54409 | OtherRevenuePriorYear |
| Other Revenue Current Year | -54409 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 324227483 | TotalRevenuePriorYear |
| Total Revenue Current Year | 322107342 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 31110 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 131177658 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 126333759 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 245616 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 169864335 | OtherExpensePriorYear |
| Other Expenses Current Year | 166290503 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 301041993 | TotalExpensesPriorYear |
| Total Expenses Current Year | 292655372 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 23185490 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 29451970 | RevenuesLessExpensesCY |
| Total Assets BOY | 279702554 | TotalAssetsBOY |
| Total Assets EOY | 289197996 | TotalAssetsEOY |
| Total Liabilities BOY | 219082011 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 190837683 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 60620543 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 98360313 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of Catholic Medical Center is to provide health, hope, and healing to all. We offer innovative, quality healthcare in a compassionate environment built on trust and respect. CMC is a Catholic acute care hospital whose purpose is to extend Christ's healing ministry to all who see its services. (Continuation from Page 2) | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 258823012 | Expense |
| Grants | 31110 | Grants |
| Revenue | 312030757 | Revenue |
| Description | Medical & Surgical services provided to 9,702 inpatients and 371,422 outpatients. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3822587 | Expense |
| Grants | 0 | Grants |
| Revenue | 4608419 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 262645599 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 181 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2291 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Edward Dudley | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6036683545 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O Finance Dept 100 McGregor | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 031023770 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Adele Boufford Baker | |||||||||
| Director | 1.00 | 4.00 | X | 0 | 0 | 0 | |||
| Gary Bouchard PhD | |||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| William Clutterbuck MD | |||||||||
| Director | 1.00 | 43.00 | X | 0 | 336211 | 33424 | |||
| John G Cronin Esq | |||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| Eleanor Wm Dahar Esq | |||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| Raef Fahmy DPM | |||||||||
| Director | 40.00 | 4.00 | X | 147346 | 0 | 4431 | |||
| Connor J Haugh MD FACC | |||||||||
| Director | 1.00 | 43.00 | X | 0 | 631859 | 40161 | |||
| Powen Hsu MD | |||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| Susan Huard PhD | |||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| Maria C Mongan | |||||||||
| Director | 1.00 | 4.00 | X | 0 | 0 | 0 | |||
| Diane Murphy Quinlan Esq | |||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| Msgr John P Quinn | |||||||||
| Director | 1.00 | 4.00 | X | 0 | 0 | 0 | |||
| Keith A Stahl MD | |||||||||
| Director | 1.00 | 43.00 | X | 0 | 261526 | 37300 | |||
| Fr Patrick Sullivan OSB RN | |||||||||
| Director | 1.00 | 4.00 | X | 0 | 0 | 0 | |||
| Guy D Chapdelaine | |||||||||
| Director (Part Year) | 1.00 | 3.00 | X | 0 | 0 | 0 | |||
| Joseph Graham | |||||||||
| Chair | 1.00 | 5.00 | X | 0 | 0 | 0 | X | ||
| Rick Botnick | |||||||||
| Vice Chair | 1.00 | 3.00 | X | 0 | 0 | 0 | X | ||
| Suzanne K Mellon PhD RN | |||||||||
| Vice Chair (Part Year) | 1.00 | 3.00 | X | 0 | 0 | 0 | X | ||
| Margaret-Ann Moran Esq | |||||||||
| Secretary | 1.00 | 5.00 | X | 0 | 0 | 0 | X | ||
| Daryl J Cady CPA | |||||||||
| Treasurer | 1.00 | 4.00 | X | 0 | 0 | 0 | X | ||
| Joseph Pepe MD | |||||||||
| President & CEO | 40.00 | 6.00 | X | 495191 | 0 | 92176 | X | ||
| Edward Dudley III | |||||||||
| Exec. VP & CFO | 40.00 | 4.00 | 423816 | 0 | 103350 | X | |||
| Allen Ericson | |||||||||
| COO | 40.00 | 4.00 | 325490 | 0 | 64430 | X | |||
| Alexander Walker | |||||||||
| General Counsel | 40.00 | 302092 | 0 | 43890 | X | ||||
| Brian Tew | |||||||||
| Chief Information Officer | 40.00 | 296437 | 0 | 71154 | X | ||||
| Robert Duhaime | |||||||||
| Chief Nursing Officer | 40.00 | 257640 | 0 | 36783 | X | ||||
| Carolanne O'Sullivan | |||||||||
| VP of Physician Practices | 40.00 | 213101 | 0 | 17332 | X | ||||
| Lisa Roux Coggins | |||||||||
| VP of Surgical Services | 40.00 | 201731 | 0 | 22255 | X | ||||
| Lucille Mulla | |||||||||
| VP of Operations | 40.00 | 193180 | 0 | 16210 | X | ||||
| Alyson Pitman Giles | |||||||||
| Former Officer | 0.00 | 2917789 | 0 | 23652 | X | ||||
| Raymond Bonito | |||||||||
| Former Officer | 0.00 | 131906 | 0 | 1822 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5905719 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1229596 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 608370 | TotalOtherCompensation |
| Number Individuals GT100 K | 80 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Dartmouth Hitchcock Clinic | |||||
| One Medical Center Dr | Lebanon | NH | 03756 | Professional Services | 18350302 |
| Philips Medical Capital LLC | |||||
| 7450 Dr Phillips Blvd 201 | Orlando | FL | 32819 | Professional Services | 1967006 |
| Granite State Emergency Physicians | |||||
| 380 Lafayette Rd | Hampton | NH | 03842 | Professional Services | 1008085 |
| Medicus Hospitalists Services LLC | |||||
| 22 Roulston Road | Windham | NH | 03087 | Professional Services | 809897 |
| Benefit Strategies LLC | |||||
| 97 Elm Street | Manchester | NH | 03101 | Professional Services | 707765 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 28 | NumberOfContractorsGT100K |
| Fundraising Events | 179680 | FundraisingEvents |
| Related Organizations | 77948 | RelatedOrganizations |
| Government Grants | 1589878 | GovernmentGrants |
| All Other Contributions | 579722 | AllOtherContributions |
| Total Contributions | 2427228 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Rev. | 621400 | 312030757 | 312030757 |
| Miscellaneous Rev. | 621400 | 2837023 | 2837023 |
| Cafeteria Income | 722210 | 1336938 | 1336938 |
| Rental Income | 532000 | 434458 | 434458 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 316639176 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1460345 | TotalRevenueColumn |
| Exclusion | $1,460,345 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 23517637 | Securities |
| Other | 7150 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21875485 | Securities |
| Other | 14300 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1642152 | Securities |
| Other | -7150 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1635002 | TotalRevenueColumn |
| Exclusion | $1,635,002 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 13620 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 179680 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 68029 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -54409 | TotalRevenueColumn |
| Exclusion | -$54,409 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 322107342 | TotalRevenueColumn |
| Related Or Exempt Function Income | 316639176 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,040,938 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31110 | Total |
| Program Services | 31110 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5077381 | Total |
| Program Services | 4242088 | ProgramServices |
| Management And General | 835293 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94023860 | Total |
| Program Services | 78440420 | ProgramServices |
| Management And General | 15445390 | ManagementAndGeneral |
| Fundraising | 138050 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5984100 | Total |
| Program Services | 4993250 | ProgramServices |
| Management And General | 983201 | ManagementAndGeneral |
| Fundraising | 7649 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14045637 | Total |
| Program Services | 11734954 | ProgramServices |
| Management And General | 2310683 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7202781 | Total |
| Program Services | 6009636 | ProgramServices |
| Management And General | 1183334 | ManagementAndGeneral |
| Fundraising | 9811 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308984 | Total |
| Management And General | 308984 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317710 | Total |
| Management And General | 317710 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77211 | Total |
| Program Services | 64509 | ProgramServices |
| Management And General | 12702 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 193306 | Total |
| Management And General | 193306 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6218378 | Total |
| Program Services | 5195377 | ProgramServices |
| Management And General | 1023001 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1249375 | Total |
| Program Services | 1043837 | ProgramServices |
| Management And General | 205538 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7098750 | Total |
| Program Services | 5855801 | ProgramServices |
| Management And General | 1153042 | ManagementAndGeneral |
| Fundraising | 89907 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3338975 | Total |
| Program Services | 2789672 | ProgramServices |
| Management And General | 549303 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7421145 | Total |
| Program Services | 6200274 | ProgramServices |
| Management And General | 1220871 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162262 | Total |
| Program Services | 135568 | ProgramServices |
| Management And General | 26694 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37820 | Total |
| Program Services | 31598 | ProgramServices |
| Management And General | 6222 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3122464 | Total |
| Program Services | 2608780 | ProgramServices |
| Management And General | 513684 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10650179 | Total |
| Program Services | 8898091 | ProgramServices |
| Management And General | 1752088 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1829429 | Total |
| Program Services | 1528465 | ProgramServices |
| Management And General | 300964 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Medical Supplies | 56129978 | 56129978 |
| Bad Debt Expense | 26957932 | 26957932 |
| Physician Fees | 22772057 | 22772057 |
| Medicaid Enhancement Ta | 9759737 | 9759737 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8644811 | Total |
| Program Services | 7222465 | ProgramServices |
| Management And General | 1422147 | ManagementAndGeneral |
| Fundraising | 199 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292655372 | Total |
| Program Services | 262645599 | ProgramServices |
| Management And General | 29764157 | ManagementAndGeneral |
| Fundraising | 245616 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62005310 | BOY |
| EOY | 79440778 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7040423 | BOY |
| EOY | 5759649 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30745571 | BOY |
| EOY | 26183203 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 218859 | BOY |
| EOY | 147577 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1248598 | BOY |
| EOY | 1867994 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3469354 | BOY |
| EOY | 3412225 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 213652640 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 141308544 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75934130 | BOY |
| EOY | 72344096 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81698372 | BOY |
| EOY | 91759697 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 834886 | BOY |
| EOY | 892253 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16507051 | BOY |
| EOY | 7390524 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279702554 | BOY |
| EOY | 289197996 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35661222 | BOY |
| EOY | 38623008 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 684482 | BOY |
| EOY | 638256 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67513065 | BOY |
| EOY | 68583122 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3672855 | BOY |
| EOY | 3047835 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111550387 | BOY |
| EOY | 79945462 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219082011 | BOY |
| EOY | 190837683 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53573474 | BOY |
| EOY | 90886469 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 353996 | BOY |
| EOY | 191861 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6693073 | BOY |
| EOY | 7281983 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60620543 | BOY |
| EOY | 98360313 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279702554 | BOY |
| EOY | 289197996 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 29451970 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 6140206 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 2147594 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $28,723 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $48,488 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 77211 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| 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: $18,924 AHA: $9,799 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 $48,488 for these services. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7047069 | BeginningOfYearBalance |
| Contributions | 72536 | Contributions |
| Investment Earnings Or Losses | 590318 | InvestmentEarningsOrLosses |
| Other Expenditures | 236079 | OtherExpenditures |
| End Of Year Balance | 7473844 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7263764 | BeginningOfYearBalance |
| Contributions | 51208 | Contributions |
| Investment Earnings Or Losses | -187002 | InvestmentEarningsOrLosses |
| Other Expenditures | 80901 | OtherExpenditures |
| End Of Year Balance | 7047069 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6624284 | BeginningOfYearBalance |
| Contributions | 81408 | Contributions |
| Investment Earnings Or Losses | 618215 | InvestmentEarningsOrLosses |
| Other Expenditures | 60143 | OtherExpenditures |
| End Of Year Balance | 7263764 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6155849 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 468435 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6624284 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7356078 | BeginningOfYearBalance |
| Contributions | 31900 | Contributions |
| Investment Earnings Or Losses | -1232129 | InvestmentEarningsOrLosses |
| End Of Year Balance | 6155849 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.97430 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.02570 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1024690 | OtherCostOrOtherBasis |
| Book Value | 1024690 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75702184 | OtherCostOrOtherBasis |
| Depreciation | 32036289 | Depreciation |
| Book Value | 43665895 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4575451 | OtherCostOrOtherBasis |
| Depreciation | 3426577 | Depreciation |
| Book Value | 1148874 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125376300 | OtherCostOrOtherBasis |
| Depreciation | 103590343 | Depreciation |
| Book Value | 21785957 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6974015 | OtherCostOrOtherBasis |
| Depreciation | 2255335 | Depreciation |
| Book Value | 4718680 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 72344096 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension & Other Liabilities | $77,542,026 |
| Due to Affiliates | $2,403,436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 79945462 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 303324433 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 6140206 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 12500 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 14288701 | OtherRevenues |
| Revenue Not Rptd F990 | 20441407 | RevenueNotRptdF990 |
| Revenue Subtotal | 282883026 | RevenueSubtotal |
| Investment Expenses Not Included | 193306 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 39031010 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 39224316 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 322107342 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 265584663 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 12500 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 68029 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 80529 | ExpensesNotRptdF990 |
| Expenses Subtotal | 265504134 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 193306 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 26957932 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 27151238 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 292655372 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | Proceeds from the Organization's endowment funds are used in operations. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | The Medical Center, NEHIF and CMC Associates are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. |
| Part XI, Line 2d - Other Adjustments: | Pension-Related Charges Other than Net Periodic Cost 13,754,116. Change in Interest in Perpetual Trust 466,556. Event Expenses 68,029. | |
| Part XI, Line 4b - Other Adjustments: | Bad Debt Expense 26,957,932. Net Assets to Affiliates 11,840,500. Assets Released for Operations 232,578. | |
| Part XII, Line 2d - Other Adjustments: | Event Expenses 68,029. | |
| Part XII, Line 4b - Other Adjustments: | Bad Debt Expense 26,957,932. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala | NameOfEvent1 |
| Gross Receipts Event1 | 193300 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 179680 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 13620 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 50 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 2500 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 48620 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 11312 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 5547 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 193300 | GrossReceiptsTotal |
| Charitable Contributions Total | 179680 | CharitableContributionsTotal |
| Gross Revenue Total Events | 13620 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 50 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 2500 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 48620 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 11312 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 5547 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 68029 | DirectExpenseSummaryEvents |
| Net Income Summary | -54409 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13145 | PersonsServed |
| Total Community Benefit Expense | 8783845 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8783845 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03000 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 17091 | PersonsServed |
| Total Community Benefit Expense | 22648986 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22648986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07740 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 465 | PersonsServed |
| Total Community Benefit Expense | 128988 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 128988 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 30701 | PersonsServed |
| Total Community Benefit Expense | 31561819 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 31561819 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.10780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 41443 | PersonsServed |
| Total Community Benefit Expense | 1802951 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1760186 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1952 | PersonsServed |
| Total Community Benefit Expense | 447937 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 393 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 447544 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 21252 | PersonsServed |
| Total Community Benefit Expense | 18117026 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1509575 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 16607451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05670 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 474 | PersonsServed |
| Total Community Benefit Expense | 107450 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 104950 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 430900 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 430900 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 65121 | PersonsServed |
| Total Community Benefit Expense | 20906264 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1555233 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19351031 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06610 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 95822 | PersonsServed |
| Total Community Benefit Expense | 52468083 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1555233 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 50912850 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.17390 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3415 | PersonsServed |
| Total Community Building Expense | 390399 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 130911 | DirectOffsettingRevenue |
| Net Community Building Expense | 259488 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3415 | PersonsServed |
| Total Community Building Expense | 390399 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 130911 | DirectOffsettingRevenue |
| Net Community Building Expense | 259488 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $9,602,414 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 89126793 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 111292290 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22165497 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part II: The Medical Center sponsored the following partnerships and services to promote the health of the communities it serves:School Partnerships:Partnership with Manchester School SystemPartnership with VNA, education for classroom teachersPartnership with VNA, education for pre-school classroomsEmergency Services:Planning hours for emergency preparednessBioterrorism preparedness safety management | ||
| Part III, Line 4: There is no footnote in the audited financial statements describing bad debt expense. Costing methodology ratio of cost to charge to arrive at cost. | ||
| Part III, Line 8: The entire Medicare shortfall is reported in our Community Benefit Report to the State of New Hampshire. It is reported under the "Financial Assistance Cost". | ||
| Part III, Line 9b: All patients are treated the same according to our collection procedures. | ||
| Part V, Section B, Line 3: 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 and hence, 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 owner. | Catholic Medical Center | |
| Part V, Section B, Line 4: Elliot Health System in Manchester, NH. | Catholic Medical Center | |
| Part V, Section B, Line 5c: 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 6i: Our implementation plan was approved by the Board of the Directors on 10/31/2013. Since then, we have begun our implementation strategies. | Catholic Medical Center | |
| Part V, Section B, Line 14g: Signs are posted through the facility that list the financial programs available. | Catholic Medical Center | |
| Part V, Section B, Line 18e: Signs are posted through the facility that list the financial programs available. Phrases appear on statements we send to patients and patients are notified during telephone conversations. | Catholic Medical Center | |
| Part V, Section B, Line 20d: All patients are charged the same regardless of ability to pay. | Catholic Medical Center | |
| Part V, Section B, Line 22: All patients are charged the same regardless of ability to pay. | Catholic Medical Center | |
| Part VI, Line 2: In collaboration with the city of Manchester and other health care and social service agencies, Catholic Medical Center participates in a community needs assessment every five years as required by the New Hampshire Attorney General's Office Division of Charitable Trusts. The most recent Community Needs Assessment was titled, "Believe in a Healthy Community 2009". Additional information is obtained on an ongoing basis to assist the Origination in evaluating progress towards meeting our goals and the identification of new areas of need. This information is collected through community surveys, focus groups and discussions with community leaders, program evaluations and communication with those in the community who interact with our vulnerable populations. | ||
| Part VI, Line 3: Flyers are posted throughout the Hospital and physician practices highlighting Catholic Medical Center's uncompensated care program. Inpatients with no insurance are referred to our social service department for an evaluation to determine eligibility for federal, state and CMC's uncompensated program. The department works with them to facilitate the application process. Outpatients are referred to the uncompensated care office for such an evaluation and facilitation of the process if appropriate. | ||
| Part VI, Line 4: Catholic Medical Center's primary service area consists of the following towns and cities: Auburn, Bedford, Candia, Deerfield, Goffstown, Hooksett, Londonderry, Manchester, and New Boston. Our secondary service area is made up of Allenstown, Amherst, Bow, Chester, Derry, Dunbarton, Merrimack, Raymond, and Weare. | ||
| Part VI, Line 5: Catholic Medical Center is involved in numerous community initiatives to improve the health outcomes of our community: Manchester Sustainable Access Project (MSAP), an initiative to improve healthcare access for the poor in our community is made up of all the major healthcare providers' senior leadership teams; Manchester Oral Health Project, an initiative to improve the oral health of children; Catholic Medical Center School partnerships with an elementary, middle, and high schools for health prevention education; State of NH in the promotion of healthy behaviors to improve educational outcomes (LAEP); Emergency bioterrorism prpearedness safety management, to name a few of our community initiatives. | ||
| Part VI, Line 6: Catholic Medical Center is a licensed 330 bed, full-service, acute care hospital located in Manchester, New Hampshire, the State's largest city. CMC is known for its advanced cardiac, general care surgical capabilities, and its comprehensive programs for high acuity patients. Serving the community for more than 100 years, CMC is dedicated to providing health, healing, and hope to all. CMC offers full medical and surgical care with more than 25 subspecialties, comprehensive orthopedic care, inpatient and outpatient rehabilitation services, a 24-hour emergency department, outpatient psychiatric services, diagnostic imaging, and community health services. CMC provides inpatient and outpatient services at its McGregor Street facility to almost 110,000 patients per year, making it one of the State's largest medical centers.CMC has been named one of the 100 best hospitals in the nation for cardiac care by Healthgrades. CMC is also proud to be the recipient of a number of other recognitions for cardiac services:- Ranked among the top 10 in the nation for cardiology service and overall cardiac care - Holds a five-star rating for cardiac services, for treatment of heart attack and for interventional procedures - Rated number 1 in New Hampshire for cardiac services and interventional procedures Catholic Medical Center continues to lead the way in advanced medical technology. It is one of the few hospitals in New England using the DaVinci surgical robotics systems to perform lifesaving surgery with fewer complications. CMC was the first hospital to utilize a 64-slice CT scanner to provide faster, less invasive diagnosis of cardiac disease. CMC is equipped with an Achieva Quasar3.0 T MRI allowing for higher resolution images in less time. The orthopedic surgeons have access to new O-Arm imaging systems, a higher definition CT scanner that provides real-time three dimensional images during surgery. CMC also offers digital mammography to better serve and care for our population. Almost 500 physicians have some level of privileges at CMC. CMC maintains a rigorous application and credentialing process for its staff to ensure that patients receive the highest quality of care possible. CMC has a joint venture with a free standing Ambulatory Surgical Center.CMC has a deeply rooted history of providing care to those most in need through the Community Health Services department. CMC reaches beyond the walls of the hospital and into the community, assisting individuals with health information and access to care. Community Health Services provides a wide variety of education, clinical services and resources for those in our primary and secondary markets. It is the home of the West Side Neighborhood Health Center, the Poisson Dental Facility, the Health Care for the Homeless program, and the Parish Nurse program. We provide medication assistance, breast and cervical cancer screenings, health screenings, and fertility education. | ||
| NH | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|
| City of Manchester | ||||||
| 1 City Hall Plaza | Manchester | NH | 03101 | Governmental | 10000 | Police substation rental |
| Town of Peterborough | ||||||
| 1 Grove Street | Peterborough | NH | 03458 | Governmental | 21110 | Medical Equipment for Fire Department |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The Hospital only makes donations to 501(c)(3) public charities or governmental municipalities, additional monitoring is not deemed necessary. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| William Clutterbuck MD | ||||||||||||||
| Director | 0 | 336211 | 0 | 0 | 0 | 0 | 0 | 15000 | 0 | 18424 | 0 | 369635 | 0 | 0 |
| Raef Fahmy DPM | ||||||||||||||
| Director | 147346 | 0 | 0 | 0 | 0 | 0 | 4420 | 0 | 11 | 0 | 151777 | 0 | 0 | 0 |
| Connor J Haugh MD FACC | ||||||||||||||
| Director | 0 | 507021 | 0 | 124838 | 0 | 0 | 0 | 20000 | 0 | 20161 | 0 | 672020 | 0 | 0 |
| Keith A Stahl MD | ||||||||||||||
| Director | 0 | 205126 | 0 | 56400 | 0 | 0 | 0 | 16959 | 0 | 20341 | 0 | 298826 | 0 | 0 |
| Joseph Pepe MD | ||||||||||||||
| President & CEO | 427363 | 0 | 67828 | 0 | 0 | 0 | 63982 | 0 | 28194 | 0 | 587367 | 0 | 0 | 0 |
| Edward Dudley III | ||||||||||||||
| Exec. VP & CFO | 341812 | 0 | 82004 | 0 | 0 | 0 | 58650 | 0 | 44700 | 0 | 527166 | 0 | 0 | 0 |
| Allen Ericson | ||||||||||||||
| COO | 266779 | 0 | 58711 | 0 | 0 | 0 | 43846 | 0 | 20584 | 0 | 389920 | 0 | 0 | 0 |
| Alexander Walker | ||||||||||||||
| General Counsel | 287092 | 0 | 15000 | 0 | 0 | 0 | 0 | 0 | 43890 | 0 | 345982 | 0 | 0 | 0 |
| Brian Tew | ||||||||||||||
| Chief Information Officer | 264714 | 0 | 31723 | 0 | 0 | 0 | 38114 | 0 | 33040 | 0 | 367591 | 0 | 0 | 0 |
| Robert Duhaime | ||||||||||||||
| Chief Nursing Officer | 236114 | 0 | 21526 | 0 | 0 | 0 | 16469 | 0 | 20314 | 0 | 294423 | 0 | 0 | 0 |
| Carolanne O'Sullivan | ||||||||||||||
| VP of Physician Practices | 193634 | 0 | 19467 | 0 | 0 | 0 | 13049 | 0 | 4283 | 0 | 230433 | 0 | 0 | 0 |
| Lisa Roux Coggins | ||||||||||||||
| VP of Surgical Services | 186687 | 0 | 15044 | 0 | 0 | 0 | 12606 | 0 | 9649 | 0 | 223986 | 0 | 0 | 0 |
| Lucille Mulla | ||||||||||||||
| VP of Operations | 178621 | 0 | 14559 | 0 | 0 | 0 | 12762 | 0 | 3448 | 0 | 209390 | 0 | 0 | 0 |
| Alyson Pitman Giles | ||||||||||||||
| Former Officer | 802717 | 0 | 82095 | 0 | 2032977 | 0 | 17500 | 0 | 6152 | 0 | 2941441 | 0 | 1339641 | 0 |
| Raymond Bonito | ||||||||||||||
| Former Officer | 103906 | 0 | 28000 | 0 | 0 | 0 | 1822 | 0 | 0 | 0 | 133728 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 | Part I, Lines 4a-b: 4A: The following individual received base compensation under a severance agreement from the Organization: Alyson Pitman Giles: $279,802 4B: The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The following represents contributions for many years of service: Alyson Pitman Giles: $270,207 Joseph Pepe: $43,982 Edward Dudley, III: $43,650 Allen Ericson: $27,269 Brian Tew: $22,924 | |
| Part I, Line 7 | A portion of compensation is at-risk and vairable, and payment depends on the quality of job performance. | |
| Part III | Schedule J, Part II, Column F: Box 5 of Alyson Pitman Giles's W-2 reflects payouts of deferred compensation that was accrued in prior years dating back to 2001. The amount in Column F may not be reflective of all compensation that was reported on previous 990s due to changes in reporting requirements with the redesigned form. | Supplemental Information |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| New Hampshire Health And Education Facilities Authority | ||||||||
| A | 020279866 | 64461TCV4 | 2006-05-10 | 32910000 | Construction & Defeasance Escrow | 0 | 0 | 0 |
| New Hampshire Health And Education Facilities Authority | ||||||||
| B | 020279866 | 644614x79 | 2012-12-19 | 35275000 | See Part VI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 32910000 | 3128763 | 10216000 | 517960 | 20559500 | 2009 | 0 | 1 | 1 | 1 |
| B | 35275000 | 1799084 | 34643460 | 573155 | 3035221 | 2013 | 0 | 1 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|
| MBIA | ||||||||
| A | 1 | 0 | 0 | 1 | 5.900000000000 | 1 | 1 | 0 |
| MBIA | ||||||||
| B | 1 | 0 | 0 | 1 | 5.241000000000 | 1 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule K, Part I, Line b: | Identifier |
| Return Reference | (f) Description of Purpose | ReturnReference |
| Explanation | Refinance of Series 2002A Bonds Refinance of Series 2002B Bank Placement Refinance of Series 2012 Capital Note Routine Capital Improvements | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Sarah Sanford | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Family Member of Alyson Pitman Giles | Relationship |
| Amount Of Transaction | 51254 | AmountOfTransaction |
| Description Of Transaction | Employment Ms. Sanford was no longer with CMC at the end of the 6/30/13 fiscal year. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 the Organization, and is sent to an independent tax accounting firm (Baker, Newman, Noyes) for a thorough and exhaustive review. Upon completion of independent firm review, Form 990 is sent back to the Organization, where the CFO, Controller, and Director of Accounting perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from Board, Form 990 is filed with the Internal Revenue Service. | |
| Form 990, Part VI, Section B, line 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 -11,840,500. Pension Related Changes Other than Net Periodic Cost 13,754,116. Assets Released for Operations -232,578. Change in Interest in Perpetual Trust 466,556. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 11b, II | CMC Healthcare System | 0 | |
| CMC Healthcare System | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 010568516 | Parent | NH | 501(C)(3) | Line 11b, II | 0 | N/A | |
| CMC Associates | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020344786 | Gift Shop | NH | 501(C)(3) | Line 11b, II | Catholic Medical Center | 0 | |
| CMC Physician Practice Associates | |||||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020460245 | Practices | NH | 501(C)(3) | Line 11b, II | 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 11b, II | CMC Healthcare System | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | McGregor Street MOB LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134347316 | EIN |
| Primary Activity | Medical Office Building | PrimaryActivity |
| Legal Domicile State | NH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMC Health System | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Alliance Enterprises | |||||||||
| 100 McGregor Street | Manchester | NH | 03102 | 020386795 | Real Estate | NH | CMC Health System | C | 0 |
| Doctors' Medical Association Inc | |||||||||
| 100 Mcgregor Street | Manchester | NH | 03102 | 020340690 | Condo Association | NH | CMC Health System | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Catholic Medical Center Associates | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 77948 | AmountInvolved |
| Method Of Amt Determination | Cash Transferred | MethodOfAmtDetermination |