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        <Identifier>Explanation of Lobbying Activities:</Identifier>
        <ReturnReference>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, &amp; Branch, PA provided lobbying services which included providing information regarding public policy pending before the legislature. Devine, Millimet, &amp; 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, &amp; Branch $48,488 for these services.</Explanation>
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        <BookValue>1148874</BookValue>
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        <Depreciation>103590343</Depreciation>
        <BookValue>21785957</BookValue>
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        <OtherCostOrOtherBasis>6974015</OtherCostOrOtherBasis>
        <Depreciation>2255335</Depreciation>
        <BookValue>4718680</BookValue>
      </OtherLandBuildings>
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        <Description>Accrued Pension &amp; Other Liabilities</Description>
        <Amount>77542026</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Affiliates</Description>
        <Amount>2403436</Amount>
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      <TotalOfAmounts>79945462</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <TotRevenueEtcAuditedFinclStmt>303324433</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>6140206</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>12500</DonatedSrvcAndUseOfFacilities>
      <OtherRevenues>14288701</OtherRevenues>
      <RevenueNotRptdF990>20441407</RevenueNotRptdF990>
      <RevenueSubtotal>282883026</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>193306</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>39031010</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>39224316</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>322107342</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>265584663</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>12500</DonatedServicesUseOfFacilities>
      <OtherExpensesIncluded>68029</OtherExpensesIncluded>
      <ExpensesNotRptdF990>80529</ExpensesNotRptdF990>
      <ExpensesSubtotal>265504134</ExpensesSubtotal>
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      <OtherExpensesNotIncluded>26957932</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>27151238</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>292655372</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>Proceeds from the Organization's endowment funds are used in operations.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d - Other Adjustments:</Identifier>
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        <Identifier>Part XI, Line 4b - Other Adjustments:</Identifier>
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        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
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      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>Bad Debt Expense 26,957,932.</Explanation>
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      <Form990ScheduleHPartVI>
        <Explanation>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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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".</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: All patients are treated the same according to our collection procedures.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>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 &amp; 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 &amp; 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 &amp; Manchester small business owner.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 4: Elliot Health System in Manchester, NH.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 14g: Signs are posted through the facility that list the financial programs available.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 20d: All patients are charged the same regardless of ability to pay.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Catholic Medical Center</Identifier>
        <Explanation>Part V, Section B, Line 22: All patients are charged the same regardless of ability to pay.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Reports Filed With States</Identifier>
        <ReturnReference>Part VI, Line 7</ReturnReference>
        <Explanation>NH</Explanation>
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        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1 City Hall Plaza</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03101</ZIPCode>
        </AddressUS>
        <IRCSection>Governmental</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>Police substation rental</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Town of Peterborough</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1 Grove Street</AddressLine1>
          <City>Peterborough</City>
          <State>NH</State>
          <ZIPCode>03458</ZIPCode>
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        <IRCSection>Governmental</IRCSection>
        <AmountOfCashGrant>21110</AmountOfCashGrant>
        <PurposeOfGrant>Medical Equipment for Fire Department</PurposeOfGrant>
      </RecipientTable>
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        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>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>
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        <NamePerson>Lisa Roux Coggins</NamePerson>
        <Title>VP of Surgical Services</Title>
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        <NamePerson>Lucille Mulla</NamePerson>
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        <NamePerson>Alyson Pitman Giles</NamePerson>
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        <NamePerson>Raymond Bonito</NamePerson>
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        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>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.</Explanation>
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        <ReturnReference>Part I, Lines 4a-b</ReturnReference>
        <Explanation>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</Explanation>
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        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>A portion of compensation is at-risk and vairable, and payment depends on the quality of job performance.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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.</Explanation>
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        <Identifier>Schedule K, Part I, Line b:</Identifier>
        <ReturnReference>(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>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Sarah Sanford</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Family Member of Alyson Pitman Giles</Relationship>
        <AmountOfTransaction>51254</AmountOfTransaction>
        <DescriptionOfTransaction>Employment Ms. Sanford was no longer with CMC at the end of the 6/30/13 fiscal year.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>The sole member of CMC is CMC Healthcare System.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>Directors of CMC are appointed by the sole member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The sole member has reserved powers over CMC but does not approve each separate action taken by the CMC board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Officers and directors are required to complete a conflict of interest questionnaire annually.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part XII, Line 2c:</ReturnReference>
        <Explanation>The audit process has not changed from the prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Alliance Resources</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020398138</EIN>
        <PrimaryActivities>Real Estate</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Healthcare System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Alliance Health Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>611508839</EIN>
        <PrimaryActivities>Practices</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Healthcare System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMC Healthcare System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>010568516</EIN>
        <PrimaryActivities>Parent</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMC Associates</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020344786</EIN>
        <PrimaryActivities>Gift Shop</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Catholic Medical Center</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CMC Physician Practice Associates</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020460245</EIN>
        <PrimaryActivities>Practices</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Healthcare System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>St Peter's Home</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020222228</EIN>
        <PrimaryActivities>Home</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Healthcare System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Alliance Ambulatory Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020519436</EIN>
        <PrimaryActivities>Ambulatory Surgical Center</PrimaryActivities>
        <LegalDomicileState>NH</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 11b, II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Healthcare System</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>McGregor Street MOB LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>134347316</EIN>
        <PrimaryActivity>Medical Office Building</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>Related</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Alliance Enterprises</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 McGregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020386795</EIN>
        <PrimaryActivity>Real Estate</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Doctors' Medical Association Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>100 Mcgregor Street</AddressLine1>
          <City>Manchester</City>
          <State>NH</State>
          <ZIPCode>03102</ZIPCode>
        </AddressUS>
        <EIN>020340690</EIN>
        <PrimaryActivity>Condo Association</PrimaryActivity>
        <LegalDomicileState>NH</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CMC Health System</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>1</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>1</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>1</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Catholic Medical Center Associates</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>77948</AmountInvolved>
        <MethodOfAmtDetermination>Cash Transferred</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>