FURP.ORG / PUBLIC DATA EXPLORER

CATHOLIC HEALTHCARE TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CATHOLIC HEALTHCARE TRUST (EIN 02-0315693)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201211359349303096
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T12:12:18-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020315693EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCATHNameControl
Phone6036683545Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O FINANCE DEPT 100 MCGREGORAddressLine1
Address Line2STREETAddressLine2
CityMANCHESTERCity
StateNHState
ZIP Code031023770ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD DUDLEYName
TitleCFOTitle
Phone6036683545Phone
Date Signed2012-05-03DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameE DREW CHENEYName
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALYSON PITMAN GILESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O FINANCE DEPT 100 MCGREGORAddressLine1
Address Line2STREETAddressLine2
CityMANCHESTERCity
StateNHState
ZIP Code031023770ZIPCode
FieldValueIRS element (for citing)
Gross Receipts324124670GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.CATHOLICMEDICALCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF CATHOLIC MEDICAL CENTER IS TO PROVIDE HEALTH, HEALING, AND HOPE TO ALL.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees2342TotalNbrEmployees
Total Nbr Volunteers405TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year390994ContributionsGrantsPriorYear
Contributions Grants Current Year390704ContributionsGrantsCurrentYear
Program Service Revenue Prior Year270543220ProgramServiceRevenuePriorYear
Program Service Revenue CY294570757ProgramServiceRevenueCY
Investment Income Prior Year2373630InvestmentIncomePriorYear
Investment Income Current Year3970821InvestmentIncomeCurrentYear
Other Revenue Prior Year4427012OtherRevenuePriorYear
Other Revenue Current Year16731668OtherRevenueCurrentYear
Total Revenue Prior Year277734856TotalRevenuePriorYear
Total Revenue Current Year315663950TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year121452462SalariesEtcPriorYear
Salaries Etc Current Year136572632SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year226056TotalFundrsngExpCurrentYear
Other Expense Prior Year144731758OtherExpensePriorYear
Other Expenses Current Year164166429OtherExpensesCurrentYear
Total Expenses Prior Year266184220TotalExpensesPriorYear
Total Expenses Current Year300739061TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11550636RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14924889RevenuesLessExpensesCY
Total Assets BOY232863478TotalAssetsBOY
Total Assets EOY258264871TotalAssetsEOY
Total Liabilities BOY179364600TotalLiabilitiesBOY
Total Liabilities EOY157683086TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY53498878NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY100581785NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 SEEK ITS SERVICES. (CONTINUATION FROM PAGE 2)MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense193709126Expense
Revenue309328186Revenue
DescriptionMEDICAL & SURGICAL SERVICES PROVIDED TO 10,764 INPATIENTS AND 275,425 OUTPATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense67932030Expense
Revenue1974239Revenue
DescriptionVARIOUS 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. CMC SHALL TREAT WITH DIGNITY AND WITH OTHER COMPASSION THE BODY, MIND AND SPIRIT OF ALL WHO SEEK OR PROVIDE CARE AND COMFORT. DETAIL FOR THIS IS PROVIDED IN SCHEDULE H.Description
FieldValueIRS element (for citing)
Total Program Service Expense261641156TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096204NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2342NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EDWARD DUDLEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6036683545TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code031023770ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ALYSON PITMAN GILES
PRESIDENT & CEO60.00XX7493990371016
CONNOR J HAUGH
DIRECTOR1.00X061103416790
WILLIAM CLUTTERBUCK
DIRECTOR1.00X035342129595
GUY D CHAPDELAINE
CHAIR1.00XX000
STEPHEN CAMANN
VICE CHAIR1.00XX000
JOSEPH GRAHAM
TREASURER1.00XX000
MSGR JOHN P QUINN
SECRETARY1.00XX000
ADELE BOUFFORD BAKER
DIRECTOR1.00X000
GARY BOUCHARD PHD
DIRECTOR1.00X000
SUZANNA D MAJEWSKI
DIRECTOR1.00X000
PAUL S BOYNTON
DIRECTOR1.00X000
SUZANNE K MELLON PHD RN
DIRECTOR1.00X000
DARYL J CADY
DIRECTOR1.00X000
MARGARET-ANN MORAN ESQ
DIRECTOR1.00X000
ANNE M O'CONNOR MD
DIRECTOR1.00X000
ELEANOR WM DAHAR ESQ
DIRECTOR1.00X000
RONALD J RIOUX
DIRECTOR1.00X000
JEROME DUVAL
DIRECTOR1.00X000
KEITH A STAHL MD
DIRECTOR1.00X025132727443
JEFF EISENBERG
DIRECTOR1.00X000
REV GAYLE WHITTEMORE
DIRECTOR1.00X000
RAEF FAHMY DPM
DIRECTOR40.00X5661200
BISHOP FRANCIS J CHRISTIAN
DIRECTOR1.00X000
BENJAMIN WESTBROOK
DIRECTOR1.00X000
KATHLEEN ZAFFINO MD
DIRECTOR1.00X000
RAYMOND BONITO
EXEC. VP50.00X4070780133639
ALLEN ERICSON
COO50.00X342167049551
JOSEPH PEPE
CHIEF MEDICAL OFFICER40.00319480012434X
ROBERT DUHAIME
CHIEF NURSE EXEC.40.00236803026369X
BRIAN TEW
CIO40.00215464025928X
MARGO COMPAGNA
VP, HUMAN RESOURCES40.00220298023508X
LISA ROUX COGGINS
VP, SURGICAL SERVICES40.00195617014740X
KEVIN KILDAY
FORMER CFO0.00344398044045X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3087316TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1215782TotalReportableCompFrmRltdOrgs
Total Other Compensation775058TotalOtherCompensation
Number Individuals GT100 K68NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DARTMOUTH-HITCHCOCK CLINIC
100 HITCHCOCK WAYMANCHESTERNH03104MEDICAL SERVICES1690116
GRIFFIN YORK AND KRAUSE
121 RIVER FRONT DRMANCHESTERNH03102MARKETING SERVICES1475204
HARVEY CONSTRUCTION CORP
TEN HARVEY ROADBEDFORDNH03110CONSTRUCTION SERVICES885258
ARAMARK MANAGEMENT SERVICE
PO BOX 33170NEWARKNJ07188STAFFING SERVICES704913
DEVINE MILLIMET AND BRANCH
PO BOX 719MANCHESTERNH03105LEGAL SERVICES682206
FieldValueIRS element (for citing)
Number Of Contractors GT100 K32NumberOfContractorsGT100K
All Other Contributions390704AllOtherContributions
Total Contributions390704TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REV.Description
Business Code900099BusinessCode
Total Revenue Column294570757TotalRevenueColumn
Related Or Exempt Function Income294570757RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue294570757TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1983762TotalRevenueColumn
Exclusion$1,983,762ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real315596Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real315596Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column315596TotalRevenueColumn
Related Or Exempt Function Income315596RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities10433779Securities
Other14000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8430774Securities
Other29946Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2003005Securities
Other-15946Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1987059TotalRevenueColumn
Exclusion$1,987,059ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionEMPLOYEE SALESDescription
Business Code722210BusinessCode
Total Revenue Column1322683TotalRevenueColumn
Related Or Exempt Function Income1322683RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column15093389TotalRevenueColumn
Related Or Exempt Function Income15093389RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue16416072TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column315663950TotalRevenueColumn
Related Or Exempt Function Income311302425RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,970,821ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2686306Total
Program Services2257988ProgramServices
Management And General428318ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total99784429Total
Program Services83777354ProgramServices
Management And General15891743ManagementAndGeneral
Fundraising115332Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11539702Total
Program Services9698431ProgramServices
Management And General1839697ManagementAndGeneral
Fundraising1574Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15250840Total
Program Services12819169ProgramServices
Management And General2431671ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7311355Total
Program Services6138947ProgramServices
Management And General1164498ManagementAndGeneral
Fundraising7910Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1224694Total
Program Services1029423ProgramServices
Management And General195271ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total275000Total
Program Services231153ProgramServices
Management And General43847ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total7568Total
Program Services6361ProgramServices
Management And General1207ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5168659Total
Program Services4344542ProgramServices
Management And General824117ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1778162Total
Program Services1460979ProgramServices
Management And General277133ManagementAndGeneral
Fundraising40050Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2221196Total
Program Services1863787ProgramServices
Management And General353542ManagementAndGeneral
Fundraising3867Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3455659Total
Program Services2904671ProgramServices
Management And General550988ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7223129Total
Program Services6071437ProgramServices
Management And General1151692ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total196481Total
Program Services165153ProgramServices
Management And General31328ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total162906Total
Program Services136931ProgramServices
Management And General25975ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2798611Total
Program Services2352386ProgramServices
Management And General446225ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10791994Total
Program Services9071264ProgramServices
Management And General1720730ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2334167Total
Program Services1961996ProgramServices
Management And General372171ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES55374682465454648829218
BAD DEBT EXPENSE2330945523309455
PHYSICIAN FEES2088745520887455
MEDICAID ENHANCEMENT TA1252142912521429
EQUIPMENT MAINTENANCE796673566964791270256

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6468447Total
Program Services5388902ProgramServices
Management And General1022222ManagementAndGeneral
Fundraising57323Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total300739061Total
Program Services261641156ProgramServices
Management And General38871849ManagementAndGeneral
Fundraising226056Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY35440334BOY
EOY46716254EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4743419BOY
EOY4748890EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27689982BOY
EOY32302845EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY417534BOY
EOY319476EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1224129BOY
EOY1228166EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2313505BOY
EOY3402177EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis198455958LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec120769175LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY81772991BOY
EOY77686783EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY78265782BOY
EOY90967858EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY995802BOY
EOY892422EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY232863478BOY
EOY258264871EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26716213BOY
EOY31720126EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY842714BOY
EOY744653EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY70742817BOY
EOY70561568EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY248508EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY81062856BOY
EOY54408231EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY179364600BOY
EOY157683086EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46874594BOY
EOY93318020EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY357814BOY
EOY381533EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6266470BOY
EOY6882232EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53498878BOY
EOY100581785EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY232863478BOY
EOY258264871EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14924889ReconcilationRevenueExpenses
Reconcilation Other Changes32158018ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$39,857OtherActivitiesAmount
Total Lobbying Expenditures IIB39857TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationCATHOLIC 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. DEVINE, MILLIMET AND BRANCH, PA PROVIDED LOBBYING SERVICES WHICH INCLUDED PROVIDING INFORMATION REGARDING PUBLIC POLICY PENDING BEFORE THE LEGISLATURE. DEVINE, MILLIMET AND 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance6624284BeginningOfYearBalance
Contributions81408Contributions
Investment Earnings Or Losses618215InvestmentEarningsOrLosses
Other Expenditures60143OtherExpenditures
End Of Year Balance7263764EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6155849BeginningOfYearBalance
Investment Earnings Or Losses468435InvestmentEarningsOrLosses
End Of Year Balance6624284EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7356078BeginningOfYearBalance
Contributions31900Contributions
Investment Earnings Or Losses-1232129InvestmentEarningsOrLosses
End Of Year Balance6155849EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.94750PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05250TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1024690OtherCostOrOtherBasis
Book Value1024690BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75260904OtherCostOrOtherBasis
Depreciation27135505Depreciation
Book Value48125399BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4345589OtherCostOrOtherBasis
Depreciation2934299Depreciation
Book Value1411290BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis116117624OtherCostOrOtherBasis
Depreciation89533417Depreciation
Book Value26584207BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1707151OtherCostOrOtherBasis
Depreciation1165954Depreciation
Book Value541197BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings77686783TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION & OTHER LIABILITIES$53,434,346
DUE TO AFFILIATES$973,885
FieldValueIRS element (for citing)
Total Of Amounts54408231TotalOfAmounts
Total Revenue315663950TotalRevenue
Total Expenses300739061TotalExpenses
Excess Or Deficit For Year14924889ExcessOrDeficitForYear
Net Unrealized GL On Investments10001115NetUnrealizedGLOnInvestments
Other$22,156,903OtherAmount
Total Adjustments32158018TotalAdjustments
Excess Or Deficit Per FS47082907ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:PROCEEDS FROM THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED IN OPERATIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET TRANSFER (TO) FROM AFFILIATES -7,530,577. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST 29,331,769. CHANGE IN INTEREST IN PERPETUAL TRUST 408,370. ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -40,163. ADOPTION OF NEW ACCOUNTING PRINCIPLE - GOODWILL IMPAIRMENT -12,496.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served14347PersonsServed
Total Community Benefit Expense8731675TotalCommunityBenefitExpense
Net Community Benefit Expense8731675NetCommunityBenefitExpense
Percent Of Total Expense0.02900PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served21475PersonsServed
Total Community Benefit Expense13811586TotalCommunityBenefitExpense
Net Community Benefit Expense13811586NetCommunityBenefitExpense
Percent Of Total Expense0.04590PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served63966PersonsServed
Total Community Benefit Expense25961497TotalCommunityBenefitExpense
Net Community Benefit Expense25961497NetCommunityBenefitExpense
Percent Of Total Expense0.08630PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served99788PersonsServed
Total Community Benefit Expense48504758TotalCommunityBenefitExpense
Net Community Benefit Expense48504758NetCommunityBenefitExpense
Percent Of Total Expense0.16120PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served336574PersonsServed
Total Community Benefit Expense4130687TotalCommunityBenefitExpense
Direct Offsetting Revenue216156DirectOffsettingRevenue
Net Community Benefit Expense3914531NetCommunityBenefitExpense
Percent Of Total Expense0.01300PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served2793PersonsServed
Total Community Benefit Expense669676TotalCommunityBenefitExpense
Net Community Benefit Expense669676NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served24361PersonsServed
Total Community Benefit Expense13887396TotalCommunityBenefitExpense
Direct Offsetting Revenue1749083DirectOffsettingRevenue
Net Community Benefit Expense12138313NetCommunityBenefitExpense
Percent Of Total Expense0.04040PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served379PersonsServed
Total Community Benefit Expense106370TotalCommunityBenefitExpense
Direct Offsetting Revenue9000DirectOffsettingRevenue
Net Community Benefit Expense97370NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense633143TotalCommunityBenefitExpense
Net Community Benefit Expense633143NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served364107PersonsServed
Total Community Benefit Expense19427272TotalCommunityBenefitExpense
Direct Offsetting Revenue1974239DirectOffsettingRevenue
Net Community Benefit Expense17453033NetCommunityBenefitExpense
Percent Of Total Expense0.05800PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served463895PersonsServed
Total Community Benefit Expense67932030TotalCommunityBenefitExpense
Direct Offsetting Revenue1974239DirectOffsettingRevenue
Net Community Benefit Expense65957791NetCommunityBenefitExpense
Percent Of Total Expense0.21920PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Persons Served2366PersonsServed
Total Community Building Expense696721TotalCommunityBuildingExpense
Direct Offsetting Revenue109136DirectOffsettingRevenue
Net Community Building Expense587585NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served2366PersonsServed
Total Community Building Expense696721TotalCommunityBuildingExpense
Direct Offsetting Revenue109136DirectOffsettingRevenue
Net Community Building Expense587585NetCommunityBuildingExpense
Percent Of Total Expense0.00200PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,041,762BadDebtExpenseAmount
Amount Reimbursed By Medicare81680942AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare107417951CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-25737009MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CATHOLIC MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART II: COMMUNITY SUPPORT: SCHOOL PARTNERSHIPS -PARTNERSHIP WITH MANCHESTER SCHOOL SYSTEM -PARTNERSHIP WITH VNA, EDUCATION FOR CLASSROOM TEACHERS -PARTNERHIP WITH VNA, EDUCATION FOR PRESCHOOL CLASSROOMSEMERGENCY SERVICES: PLANNING HOURS FOR EMERGENCY PREPAREDNESS -BIOTERRORISM PREPAREDNESS SAFETY MANAGEMENT
PART III, LINE 4: THERE IS NO FOOTNOTE IN THE FINANCIAL STATEMENT DESCRIBING BAD DEBT EXPENSE.COSTING METHODOLOGY - RATIO OF COST TO CHARGE TO ARRIVE AT COST.
PART III, LINE 8: THE AMOUNT IN LINE 7 IS REPORTED ON OUR COMMUNITY BENEFIT REPORT TO THE STATE OF NEW HAMPSHIRE.
PART III, LINE 9B: ALL PATIENTS ARE TREATED THE SAME ACCORDING TO OUR COLLECTION PROCEDURES.
PART V, SECTION B, LINE 13G: SIGNS ARE POSTED THROUGHOUT THE FACILITY WHICH DETAIL THE FINANCIAL PROGRAMS AVAILABLE.CATHOLIC MEDICAL CENTER
PART V, SECTION B, LINE 17E: SIGNS ARE POSTED THROUGHOUT THE FACILITY THAT LIST THE FINANCIAL PROGRAMS. PHRASES APPEAR ON OUR STATEMENTS AND PATIENTS ARE NOTIFIED DURING PHONE CONVERSATIONS.CATHOLIC MEDICAL CENTER
PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED THE SAME REGARDLESS OF ABILITY TO PAY.CATHOLIC MEDICAL CENTER
PART V, SECTION B, LINE 21: 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, CMC PARTICIPATES IN A COMMUNITY NEEDS ASSESSMENT EVERY FIVE YEARS AS REQUIRED BY THE NH ATTORNEY GENERAL'S OFFICE DIVISION OF CHARITABLE TRUSTS. THE MOST RECENT COMMUNITY NEEDS ASSESSMENT, 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 NEWS 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 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 6: COMMUNITY SUPPORT: CMC IS INVOLVED IN A NUMBER OF COMMUNITY INITIATIVES TO IMPROVE THE HEALTH OUTCOMES OF OUR COMMUNITY; MANCHESTER SUSTAINABLE ACCESS PROJECT (MSAP), AN INITIATIVE TO IMPROVE HEALTH CARE ACCESS FOR THE POOR IN OUR COMMUNITY MADE UP OF ALL THE MAJOR HEALTH CARE PROVIDER'S SENIOR LEADERSHIP TEAMS; MANCHESTER ORAL HEALTH PROJECT TO IMPROVE THE ORAL HEALTH OF CHILDREN; CMC SCHOOL PARTNERSHIPS WITH AN ELEMENTARY, MIDDLE AND HIGH SCHOOL FOR HEALTH PREVENTION EDUCATION, STATE OF NH IN THE PROMOTION OF HEALTHY BEHAVIORS TO IMPROVE EDUCATIONAL OUTCOMES (LAEP), EMERGENCY AND BIOTERRORISM PREPAREDNESS SAFETY MANAGEMENT TO NAME A FEW OF OUR COMMUNITY INITIATIVES.
PART VI, LINE 7: CMC IS A LICENSED 330 BED FULL SERVICE ACUTE CARE HOSPITAL LOCATED IN MANCHESTER NH, THE STATE'S LARGEST CITY. CMC IS KNOWN FOR ITS ADVANCED CARDIAC AND 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 IS THE HOME OF THE NATIONALLY RECOGNIZED NEW ENGLAND HEART INSTITUTE (NEHI). NEHI COMPRISES CARDIOLOGISTS WHO ARE BOARD CERTIFIED IN INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, AND NON-INVASIVE CARDIOLOGY. THESE SPECIALISTS ARE JOINED BY BOARD CERTIFIED CARDIOVASCULAR SURGEONS AND THE ONLY BOARD CERTIFIED LIPIDOLOGIST CARDIOLOGIST IN NH. CMC HAS BEEN NAMED ONE OF THE 100 BEST HOSPITALS IN THE NATION FOR CARDIAC CARE BY HEALTHGRADES. WE ARE ALSO PROUD TO BE THE RECIPIENT OF A NUMBER OF OTHER RECOGNITIONS FOR OUR CARDIAC SERVICES.- RANKED AMONG THE TOP 10 IN THE NATION FOR CARDIOLOGY SERVICE AND OVERALL CARDIAC CARE - HOLD A FIVE STAR RATING FOR CARDIAC SERVICES, FOR TREATMENT OF HEART ATTACK AND FOR INTERVENTIONAL PROCEDURES - RATED NUMBER 1 IN NH FOR CARDIAC SERVICES AND INTERVENTIONAL PROCEDURES CMC 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 LIFE SAVING SURGERY WITH FEWER COMPLICATIONS. WE WERE THE FIRST HOSPITAL TO UTILIZE A 64SLICE 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 SYSTEM, 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 400 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.
NHREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALYSON PITMAN GILES
611927013747200027448709652901120415000
CONNOR J HAUGH
049115701198770001472302067062782400
WILLIAM CLUTTERBUCK
03534210000010979018616038301600
KEITH A STAHL MD
02199940313330008299019144027877000
RAYMOND BONITO
346879060199000919030417360540717000
ALLEN ERICSON
306319035848000160450335060391718000
JOSEPH PEPE
29742902205100010849015850331914000
ROBERT DUHAIME
22380401299900085630178060263172000
BRIAN TEW
19879201667200080150179130241392000
MARGO COMPAGNA
20733101296700079320155760243806000
LISA ROUX COGGINS
1825130131040007283074570210357000
KEVIN KILDAY
34439800000127070313380388443000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BPART I, LINES 4A-B: 4A: THE FOLLOWING INDIVIDUAL RECEIVED COMPENSATION UNDER A SEVERANCE AGREEMENT. KEVIN KILDAY $137,977 4B: THE FOLLOWING INDIVIDUALS TAKE PART IN A SECTION 457(F) FORFEITABLE NONQUALIFIED DEFERRED COMPENSATION PLAN. THESE REPRESENT CONTRIBUTIONS FOR MANY YEARS OF SERVICE. ALYSON PITMAN GILES: $257,348 RAY BONITO: $80,065 ALLEN ERICSON: $5,019 KEVIN KILDAY: $9,356
PART I, LINE 7A PORTION OF COMPENSATION IS AT-RISK AND VARIABLE, AND PAYMENT DEPENDS ON THE QUALITY OF JOB PERFORMANCE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY
02027986664461TCV42006-05-1032910000CONSTRUCTION & DEFEASANCE ESCROW000
NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY
020279866NONEAVAIL2010-04-207000000REFINANCE 2009 NOTE000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
329100003111888989108248082120559500122686020090111
700000070000001011

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000010.000000.000000.000001
000010.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
MBIA
10015.900000000000110
(no name)
100000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

Sharing Of RevenuesSharingOfRevenuesRelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransaction
(no name)
0
(no name)
0
SARAH PITMAN
0FAMILY MEMBER OF ALYSON PITMAN GILES54635EMPLOYMENT
SETH PITMAN
0FAMILY MEMBER OF ALYSON PITMAN GILES12750EMPLOYMENT
JOYCE DUVAL
0FAMILY MEMBER OF JEROME DUVAL32795EMPLOYMENT
GRANITE STATE EMERGENCY PHYSICIANS
0KATHLEEN ZAFFINO IS A MINORITY OWNER527293ENTITY IS AN INDEPENDENT CONTRACTOR OF EMERGENCY ROOM PHYSICIANS
CARDIOTHORACIC SURGICAL ASSOCIATES
0ENTITY MORE THAN 35% OWNED BY BENJAMIN WESTBROOK232855ENTITY IS AN INDEPENDENT CONTRACTOR THAT PROVIDES A MEDICAL DIRECTOR OF CARDIOVASCULAR SURGERY.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF CMC IS CMC HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7ADIRECTORS OF CMC ARE APPOINTED BY THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE 990 IS PRESENTED TO THE BOARD BEFORE FINALIZED.
OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY.FORM 990, PART VI, SECTION B, LINE 12C
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 PERFOMANCE AND MISSION PERFORMANCE, NOT SOLELY REVENUE GENERATION.FORM 990, PART VI, SECTION B, LINE 15
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
AVERAGE HOURS PER WEEK FOR A RELATED ORGANIZATION CONNOR HAUGH: 40 HRS WILLIAM CLUTTERBUCK: 40 HRS KEITH A. STAHL, MD: 40 HRSFORM 990, PART VII, LINE 1B:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 10,001,115. NET TRANSFER (TO) FROM AFFILIATES -7,530,577. PENSION RELATED CHANGES OTHER THAN NET PERIODIC COST 29,331,769. CHANGE IN INTEREST IN PERPETUAL TRUST 408,370. ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -40,163. ADOPTION OF NEW ACCOUNTING PRINCIPLE - GOODWILL IMPAIRMENT -12,496. TOTAL TO FORM 990, PART XI, LINE 5: 32,158,018.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ALLIANCE RESOURCES
100 MCGREGOR STMANCHESTERNH03102020398138REAL ESTATENH501(C)(3)LINE 11B, IICMC SYSTEMS0
ALLIANCE HEALTH SERVICES
100 MCGREGOR STMANCHESTERNH03102611508839PRACTICESNH501(C)(3)LINE 11B, IICMC SYSTEMS0
CMC HEALTHCARE SYSTEM
100 MCGREGOR STMANCHESTERNH03102010568516PARENTNH501(C)(3)LINE 11B, II0N/A
CMC ASSOCIATES
100 MCGREGOR STMANCHESTERNH03102020344786SUPPORTNH501(C)(3)LINE 11B, IICMC1
CMC PHYSICIAN PRACTICE ASSOCIATES
100 MCGREGOR STMANCHESTERNH03102020460245PRACTICESNH501(C)(3)LINE 11B, IICMC SYSTEMS0
NEHI FOUNDATION
100 MCGREGOR STMANCHESTERNH03102223041916SUPPORTNH501(C)(3)LINE 7CMC1
ST PETER'S HOME
100 MCGREGOR STMANCHESTERNH03102020222228HOMENH501(C)(3)LINE 9CMC SYSTEMS0
ALLIANCE AMBULATORY SERVICES
100 MCGREGOR STMANCHESTERNH03102020519436PRACTICESNH501(C)(3)LINE 11B, IICMC SYSTEMS0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MCGREGOR ST MOBBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
EIN134347316EIN
Primary ActivityMEDICAL OFFICE BLDGPrimaryActivity
Legal Domicile StateNHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CMC SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
ALLIANCE ENTERPRISES
100 MCGREGOR STMANCHESTERNH03102020386795REAL ESTATENHCMC SYSTEMC
DOCTORS MEDICAL ASSOCIATION
100 MCGREGOR STMANCHESTERNH03102020340690MEDICAL OFFICE BUILDINGNHCMC SYSTEMC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NEW ENGLAND HEART INSTITUTE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeRTransactionType
Amount Involved267846AmountInvolved
Method Of Amt DeterminationCASH TRANSFERREDMethodOfAmtDetermination