2024-08-14T07:33:47-05:00 2023-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2022-10-01 020315693 Catholic Medical Center CATH 6036683545 100 McGregor Street Manchester NH 031023770 Pamela J Martel Vice President & CFO 6036683545 2024-08-01 1 1 Connor Smart P02285543 2078792100 2024-08-01 2022 2024-08-08 14:25:15Z Alexander Walker Jr Es 100 McGregor Street Manchester NH 031023770 595192642 0 0928 X www.catholicmedicalcenter.org X 1974 NH The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care. 15 12 3154 195 9577 7297 25031537 6465378 512489949 526651677 5768090 6382797 -51325 0 543238251 539499852 746180 763948 0 0 212104374 229532448 98025 5850 591498 293292576 300671692 506241155 530973938 36997096 8525914 430455986 433176137 319696442 339205852 110759544 93970285 The heart of Catholic Medical Center is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care. 0 0 468554502 763948 526651677 Medical and surgical services provided to 12,168 inpatients and 186,652 outpatients during the year. 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. 468554502 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 243 0 1 3154 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 NH X Pamela J Martel VP & CFO 6036683545 100 McGregor Street Manchester NH 031023770 Alexander Walker Jr Esq President & CEO 42.80 1.10 X X 705005 0 397339 Carolyn Claussen MD Director (end 12/2022) 0.90 40.20 X 0 252296 11658 Louis I Fink MD Director (end 7/2023) 1.50 40.40 X 0 688177 19799 Patricia Furey MD Director; Medical Staff President 1.20 40.60 X 0 505822 52436 Robert Capodilupo MD Interim Trustee/Exec Med Dir NEHI 0.40 40.40 X X 0 686462 45682 Matthew Albuquerque Director 2.00 0.60 X 0 0 0 Re Msg Anthony Frontiero Director (end 4/2023) 0.50 0.20 X 0 0 0 William Furlong Director 0.70 0.40 X 0 0 0 Robert Gossett Director 2.20 0.40 X 0 0 0 Roger Jean Director 1.10 0.40 X 0 0 0 Derek McDonald Director/Bishop's Delegate 2.20 0.40 X 0 0 0 Kristy Merrill Director 0.90 0.40 X 0 0 0 John J Munoz MD Director 1.10 0.40 X 0 0 0 Grace Tung Director 1.80 0.20 X 0 0 0 Timothy Riley Chair 2.40 0.40 X X 0 0 0 John G Cronin Esq Chair (end 6/2023) 1.30 0.00 X X 0 0 0 Marie McKay CPA Treasurer 1.30 0.90 X X 0 0 0 Pamela Diamantis Vice Chair 2.40 0.40 X X 0 0 0 Matthew Kfoury Secretary 2.00 0.60 X X 0 0 0 Edward Dudley III Executive VP & CFO (end 2/2023) 40.00 0.10 X 548250 0 278328 Ronald Doncaster Chief Operating Officer 40.00 0.00 X 383001 0 27040 Pamela Martel Executive VP & CFO 40.20 0.20 X 179495 0 18897 Keith Stahl MD FACP Associate Chief Medical Officer 40.70 0.00 X 414535 0 35355 Andrew Watt MD VP/Chief Medical Information Officer 40.70 0.00 X 406181 0 35764 Sarah Doherty RN Nurse 40.00 0.00 X 395872 0 40729 Carolanne O'Sullivan Senior VP, Provider Network 40.00 0.00 X 383023 0 62443 Michael J Gilbert MD Chief Medical Officer 40.30 0.00 X 556392 0 54703 Joseph Pepe MD Former President & CEO (end 6/2021) 0.50 0.00 X 733333 0 1338 4705087 2132757 1081511 376 1 1 0 Dartmouth Hitchcock Clinic 1 Medical Center Drive Lebanon NH 03756 Medical services 27877789 Medical Solutions LLC PO Box 850737 Minneapolis MN 55485 Healthcare staffing solutions 17911386 Accountable Healthcare Staffing PO Box 732800 Dallas TX 75373 Healthcare staffing solutions 9903926 Anesthesia Care Group PC PO Box 9514 Manchester NH 03101 Medical services 5310176 Lavallee Brensinger Architects 155 Dow Street Manchester NH 03102 Construction 3907210 97 127611 6337767 60104 6465378 Patient services 621400 499140050 499140050 Disproportionate Share Funding 621400 23598275 23598275 Cafeteria and dining 722210 1705730 1705730 Lab clients 621500 1680801 1680801 Program-related rents 532000 526821 526821 526651677 5343842 9577 5334265 56731745 55691772 1018 1039973 -1018 1038955 1038955 539499852 526651677 9577 6373220 636957 636957 126991 126991 2537355 2134184 403171 186286193 156337244 29533880 415069 5120753 4295329 811437 13987 22173590 18650331 3523259 13414557 11259678 2127081 27798 1730107 1730107 200964 200964 56375 56375 5850 5850 98423 98423 15938695 12820918 3113177 4600 2259090 1817713 441377 10454214 8395082 2038495 20637 10455966 8413097 2042869 18959169 15253962 3703968 1239 407941 327054 79415 1472 528701 421793 102420 4488 6287755 5197385 1090370 12714405 7535377 5179028 3551448 2857572 693876 Medical supplies 115627513 114252120 1375393 Physician fees 59066076 57347729 1718347 NH Medicaid Tax 23814464 23814464 Provision for bad debt 15059671 15059671 3460715 1599851 1764506 96358 530973938 468554502 61827938 591498 40542506 14751807 31450608 42986455 2415178 1934922 74093394 71163372 3816582 3798671 8084202 10365009 326203684 202636695 125421215 123566989 126370271 108467959 7179211 9019377 37137559 11082819 9984017 430455986 433176137 61580970 71615269 1000875 911915 105077275 102108794 53531174 52898255 98506148 111671619 319696442 339205852 X 81934391 79600950 28825153 14369335 110759544 93970285 430455986 433176137 X 8525914 12385337 -37700510 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 40914 0 0 1 56375 97289 0 Part II-B, Line 1: Catholic Medical Center (CMC) is a member of the New Hampshire Hospital Association (NHHA) and the American Hospital Association (AHA). A portion of the dues paid to these organizations in the fiscal year ending September 30, 2023 was available for lobbying expenditures on behalf of CMC and the other member-organizations in furtherance of their exempt purposes. The portion of the dues paid that constituted lobbying was as follows: NHHA: $27,752 AHA: $13,162 Also in this fiscal year, the Hospital paid the Diocese of Manchester for lobbying services, which included providing information regarding public policy pending before the legislature. The Diocese participated in the administrative rule-making process with respect to rules concerning the certificate of needs board. They also provided general communication with elected officials. CMC paid the Diocese $56,375 for these services. 28825153 -13837018 323922 942722 14369335 30567921 1713209 -2239632 1216345 28825153 26995958 2854022 1834839 1116898 30567921 11244891 16173712 203284 625929 26995958 10426818 1536316 -63353 654890 11244891 0.00000 0.60440 0.39560 0 0 12944290 12944290 114840449 59179817 55660632 10022518 8516657 1505861 166297712 128219602 38078110 22098715 6720619 15378096 123566989 Accrued pension & other liabilities 69588180 Dues to affiliates 548118 Capital lease liabilities 3309784 Operating lease liabilities 38225537 111671619 X 562727550 12385337 24308926 36694263 526033287 98423 13368142 13466565 539499852 517512429 0 517512429 98423 13363086 13461509 530973938 Part V, Line 4: Proceeds from the Organization's endowment funds are used in operations. Included in the year ending September 30, 2023 endowment contributions are $15,032,182 in returned donor-restricted contributions that were previously included within the Hospital's endowment assets. Accordingly, the net-adjustment for contributions within the September 30, 2023 endowment balance is a negative figure. Part X, Line 2: The Medical Center is a not-for-profit corporation as described in Section 501(c)(3) of the Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Medical Center's tax positions and concluded the Medical Center has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Pension related changes net of periodic costs 23,934,901. Changes in FMV of perpetual trust 374,025. Part XI, Line 4b - Other Adjustments: Provision for bad debts 12,757,401. Donations to others included in audited revenues 605,685. Change in FMV of interest rate swap agreement 5,056. Part XII, Line 4b - Other Adjustments: Provision for bad debts net against revenues 12,757,401. Donations to others included in audited revenues 605,685. 1 1 1 X 225.000000000000 1 X 1 1 0 1 1 5802267 5802267 0.01120 68068366 42100006 25968360 0.05030 73870633 42100006 31770627 0.06150 14 477 1876539 75778 1800761 0.00350 3 1230581 1230581 0.00240 5 8954271 4884899 4069372 0.00790 2 6964 488 6476 0.00000 2 608636 9867 598769 0.00120 26 477 12676991 4971032 7705959 0.01500 26 477 86547624 47071038 39476586 0.07650 2 5720 5720 0.00000 2 52312 52312 0.00010 2 31505 31505 0.00010 6 89537 89537 0.00020 1 3694544 0 97736107 147172424 -49436317 X 1 1 1 1 Catholic Medical Center 100 McGregor Street Manchester NH 03102 00646 X X X Catholic Medical Center 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X see Part V, Section C X see Part V, Section C X X 1 21 1 see Part V, Section C 0 1 X 225.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X see Part V, Section C X see Part V, Section C X see Part V, Section C X X X X X X X 1 X 0 X X X 1 X 0 0 Catholic Medical Center Part V, Section B, Line 5: A variety of different secondary data sources were accessed. They included but were not limited to the Centers for Disease Control and Prevention (CDC), New Hampshire Department of Health and Human Services (NHDHHS), Youth Behavioral Risk Factor Surveillance Survey, City of Manchester, Census data, and local town data. Representatives from CMC, Elliot Health System (EHS), Manchester Health Department, and Dartmouth Health interviewed key leaders from towns in our service area to ascertain the key health related issues that they were facing and dealing with in their local communities. The towns that were included in the interview process were Auburn, Bedford, Candia, Hooksett, Goffstown, Deerfield, and New Boston. Though the overall needs were similar the priority of them varies between the towns. Overall, the common themes were substance use, the availability of behavioral health services, transportation (especially in the elderly populations and the more rural areas of New Boston and Deerfield), self-care and management of chronic disease, and access to health care for the low income populations and communities. Communications on community needs were collected via discussions with local leaders in the health care field. These leaders consisted of individuals from: Catholic Medical Center, Dartmouth Health, Public Health Department - City of Manchester, NH, Elliot Health System, and Community Health & Mission. Catholic Medical Center Part V, Section B, Line 6a: Elliot Health System in Manchester, NH. Catholic Medical Center Part V, Section B, Line 6b: Manchester Health Department, Dartmouth Health, and Elliot Health System. Catholic Medical Center Part V, Section B, Line 7d: The Catholic Medical Center "Healthy Living News", the Medical Center's community newsletter, provides a summary report of the community benefits that the Medical Center provides. The Healthy Living News is distributed to our primary and secondary service areas, approximately 120,000 people. Catholic Medical Center Part V, Section B, Line 11: Catholic Medical Center has addressed the needs identified in the June 30, 2022 CHNA through the implementation of programs and services throughout the Manchester health service area (HSA). Mental illness and violence are often intrinsically intertwined. CMC has increased services within our Behavioral Health Department and developed the Opioid Use/Misuse Resource. This is an online tool available to all CMC staff to create consistency of care in the treatment and recovery of this public health epidemic. Health Care for the Homeless (HCH) of CMC provides behavioral health services and substance abuse counseling to the homeless throughout the Manchester HSA. CMC has improved the mental health assessment tool in Primary Care, a key component in the early identification and treatment of mental illness. The Doorway of Greater Manchester: In May 2020, CMC, assumed leadership of The Doorway Program of Greater Manchester. The NH Doorway system was launched in January 2019 with funding from the State Opioid Response grant from the U.S. Department of Health and Human Services' Substance Abuse and Mental Health Services Administration (SAMHSA) and is designed to be an access point for those seeking services for substance use disorder (SUD). A 2018 study from SAMHSA found that 20.3 million people aged 12 or older, or 7.4% of this population had a SUD. SUD continues to be an area of concern identified in the Greater Manchester Community Health Needs Assessment. Of those with an addiction-related condition, only 11% received treatment. By operating the Doorway, CMC is committed to assisting those with SUD by connecting them with clinical treatment and wrap-around services to break the cycle of addiction. Wilson Street Integrated Health: Continuing its mission of caring for the region's most vulnerable neighbors, CMC opened Wilson Street Integrated Health (WSIH), located within the Manchester Recovery and Treatment Center (MRTC). Wilson Street Integrated Health is a service of the Health Care for the Homeless Program of Manchester, a collaboration between CMC and the City of Manchester Health Department. The new practice offers primary care, social work, counseling and medication assisted treatment to our most vulnerable patients, as well as providing our patients with easy access to our MRTC partners: Hope for New Hampshire Recovery, The Willows Substance Use Treatment Center, and the Mental Health Center of Greater Manchester's Mobile Crisis Response Team. Ambulatory care, chronic disease, including asthma and aging issues have all been addressed through various means. Catholic Medical Center's Primary Care has implemented The Patient-Centered Medical Home (PCMH) Model, a proactive approach to preventative medicine through the introduction of care coordinators to the primary care practices. All care managers work with the practices' most high risk patients (asthma, diabetes, COPD, etc) to ensure they understand their medications and follow-up care. The PCMH Model encourages patients to become involved and educated in their personal care plan. CMC offers free health screenings, chronic disease, and self-management classes to the community. These programs provide the opportunity for early detection of chronic disease; referral based follow-up care and education on adopting healthy lifestyle behaviors, communicating with the healthcare team, problem solving, and goal setting. To aid with aging issues, CMC's Parish Nurse program provides nurse consultations, education, referrals, and screenings at Parishes throughout the Greater Manchester Area.In order to address the barriers to access of health care services related to poverty (lack of insurance, cost, transportation and education on accessing care, and lack of medical home) CMC provides comprehensive care to Manchester's underserved and refugee populations. Health Care for the Homeless provides primary medicine and behavioral health care to over 1,700 homeless patients. CMC's Certified Application Counselors (CAC) provide outreach and enrollment services to the communities' uninsured. CACs provide information on a full range of qualified health plan (QHP) options and assist individuals in applying for coverage through a QHP in the ACA's Marketplace Exchange. CMC provides shuttle support at no cost to patients with offsite appointments such as primary care, outpatient PT, and other services that are not available at the Hospital. CMC assists patients through the Medication Assistance program to obtain medications they would otherwise not be able to afford and has developed a prescription delivery program with Rite Aid Pharmacy to assist patients with filling their medications upon discharge.CMC's Poisson Dental Facility has expanded access to oral health services to patients of the Pregnancy Care Center and Manchester Community Health Center (MCHC). The Poisson Dental Facility provides access to exams and treatment planning for women from the Pregnancy Care Center and access to oral health care during the first post-partum year until their treatment plan has been completed. CMC's Poisson Dental facility provides oral health services to not-for-profit agencies in our community including Mental Health Center of Greater Manchester, Moore Center Services, Manchester Health Department, and Health Care for the Homeless (HCH). The majority of HCH patients often arrive with very poor oral health. In an effort to meet the growing need for oral health services, CMC's Poisson Dental expanded services to include school-based dental care for children in need attending Manchester elementary, middle, and high schools. This school-based program is made possible through collaboration with the City of Manchester Health Department and Easter Seals NH. CMC's Fertility Education provides teens at local schools and parishes educational opportunities such as The Cradle Within, Ideal Dating, Sexual Risk Behavior, and Conflict Resolution. The goal is to equip adolescents with the tools to identify healthy relationships and the benefits of choosing sexual risk avoidance behaviors. The Pregnancy Care Center provides supportive prenatal care to all women, including teens, regardless of their ability to pay. Their mission is to improve pregnancy outcomes by serving those most in need and unable to access services in a traditional prenatal setting. The Pregnancy Care Center expanded services, adding Centering Group Prenatal Care; this program is a multifaceted model of group care that integrates the three major components of care: health assessment, education, and support. Visits promote greater patient engagement, personal empowerment, and community-building. Veteran's Support: In June of 2018, Easter Seals and Catholic Medical Center launched a pilot program to provide Easter Seals' Military & Veteran Services (MVS) care coordination services onsite to veterans, service members, and their immediate family members (including CMC staff members). Easter Seals MVS provides care coordination services to veterans of all eras, regardless of branch, active duty status, length of service, or discharge status. Among other things, Easter Seals MVS can help patients (and staff members who are veterans) to determine eligibility for and connect to military and civilian benefits and resources, stabilize housing, and find employment support. This program has been transitioned to the Manchester V.A.Breast & Cervical Cancer Screening: Regular screenings and follow-up care can help prevent or more effectively treat breast and cervical cancers. The Let No Woman Be Overlooked Breast and Cervical Cancer Program allows women throughout New Hampshire who do not have access to essential, basic, preventive care access free screenings.(Explanation is continued later in Part V, Facility Information) Catholic Medical Center Part V, Section B, Line 16j: Signs are posted throughout the hospital facility and physician practices that list the financial programs available and contact information for assistance. Part V, Line 7a & 7b: Hospital's Website URL for Community Health Needs Assessment: https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/AboutUs/Manchester-Community-Health-Needs-Assessment-2022.pdf Part V, Line 10a: Hospital's Website URL for Community Health Implementation Plan:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/CareTreatment/CommHealthOutr/CMC_Community_Health_Implementation_Strategy_2022.pdf Schedule H, Part V, Section B, Line 16a-16c: The financial assistance policy, application, and plain language summary are available on the Hospital's website, at:https://www.catholicmedicalcenter.org/patients-visitors/financial-assistanceThe full policy is available at the following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/Financial_Assistance_Policy_ENGmar23.pdfThe application for financial assistance is available at the following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/FinancialAssistance_CoverLetter_Application_may2019v2.pdfThe financial assistance plain language summary is available at the following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/FAP_Plain_Language_May2021_English.pdfThe list of services eligible for financial assistance is available at teh following webpage:https://www.catholicmedicalcenter.org/CatholicMedicalCenter/media/CMCE-Media-Library/PatientVisitors/Listing_of_CMC_Services_English_Apr-21final.pdf 44 1 - New England Heart Institute 100 McGregor Street Manchester NH 03102 Heart and Vascular services 2 - Hospital Medicine 100 McGregor Street Manchester NH 03102 Hospital Medicine 3 - Cardiothoracic Surgical Associates 100 McGregor Street Manchester NH 03102 Cardiothoracic Surgery 4 - Women's Wellness & Fertility Center 88 McGregor Street Suite 201 Manchester NH 03102 Women's Health 5 - Surgical Care Group 87 McGregor Street Suite 3100 Manchester NH 03102 Surgical Care 6 - Bedford Center Int Med & Pediatric 188 Route 101 Bedford NH 03110 Internal Medicine and Pediatrics 7 - Outpatient Rehabilitation 188 Route 101 Bedford NH 03110 Outpatient Rehabilitation 8 - Family Physicians of Manchester 57 Webster Street Suite 110 Manchester NH 03104 Family Medicine 9 - Goffstown Family Practice 17A Tatro Drive Suite 201 Goffstown NH 03045 Family Medicine 10 - Granite State Internal Medicine 188 Route 101 Bedford NH 03110 Internal Medicine 11 - Hooksett Internal Medicine 11 Kimball Drive Unit 132 Hooksett NH 03103 Internal Medicine 12 - New England Heart Institute 1 Highlander Way Manchester NH 03103 Heart and Vascular services 13 - Lakeview Internal Medicine 27 Londonderry Turnpike Hooksett NH 03106 Internal Medicine 14 - Outpatient Rehabilitation 27 Londonderry Turnpike Hooksett NH 03106 Outpatient Rehabilitation 15 - Queen City Medical Associates 775 South Main Street Manchester NH 03102 Internal Medicine 16 - Willowbend Family Practice 5 Washington Place Suite 1A Bedford NH 03110 Family Medicine 17 - Urgent Care at Bedford Medical Park 5 Washington Place Suite 1B Bedford NH 03110 Urgent Care 18 - New England Heart Institute 59 Page Hill Road Berlin NH 03570 Heart and Vascular services 19 - Vein and Vascular Specialists 59 Page Hill Road Berlin NH 03570 Vascular Surgery services 20 - Comprehensive Neurological Care 59 Page Hill Road Berlin NH 03570 TeleNeurology services 21 - New England Heart Institute 452 Old Street Road Suite 107 Peterborough NH 03458 Heart and Vascular services 22 - Vein and Vascular Specialists 452 Old Street Road Peterborough NH 03458 Vascular Surgery services 23 - Hospital Medicine Services 452 Old Street Road Peterborough NH 03458 Hospitalists 24 - New England Heart Institute 173 Middle Street Lancaster NH 03584 Heart and Vascular services 25 - Vein and Vascular Specialists 173 Middle Street Lancaster NH 03584 Vascular Surgery services 26 - Comprehensive Neurological Care CMC 1 Highlander Way Manchester NH 03103 Neurology services 27 - Outpatient Rehabilitation 769 South Main Street Suite 201 Manchester NH 03102 Outpatient Rehabilitation 28 - New England Heart Institute 181 Corliss Lane Colebrook NH 03576 Heart and Vascular services 29 - Hospital Medicine services 181 Corliss Lane Colebrook NH 03576 Hospitalists 30 - Cholesterol Management Center 195 McGregor Street Suite 312 Manchester NH 03102 Cholesterol Management services 31 - New England Heart Institute 6 Tsienneto Road Suite 301 Derry NH 03038 Heart and Vascular services 32 - Vein and Vascular Specialists 160 South River Road Suite 100 Bedford NH 03110 Vascular Surgery services 33 - New England Heart Institute 3 Alumni Drive Suite 101 Exeter NH 03833 Heart and Vascular services 34 - New England Heart Institute 240 S Main Street Suite K Wolfeboro NH 03894 Heart and Vascular services 35 - Vein and Vascular Specialists 240 S Main Street Wolfeboro NH 03894 Vascular Surgery services 36 - New England Heart Institute-Nashua 166 Kinsley Street Suite 301 Nashua NH 03060 Heart and Vascular services 37 - New Hampshire Gastroenterology 11 Washington Place Bedford NH 03110 Gastroenterology services 38 - New Hampshire Gastroenterology 454 Old Street Road Suite 208 Peterborough NH 03458 Gastroenterology services 39 - New England Heart Institute 1 Parkland Drive Derry NH 03038 Heart and Vascular services 40 - Vein and Vascular Specialists 172 Kinsley Street Nashua NH 03060 Vascular Surgery services 41 - New England Heart Institute 16 Hospital Road Plymouth NH 03264 Heart and Vascular services 42 - Vein and Vascular Specialists 103 Boulder Point Road 2 FL Plymouth NH 03264 Vascular Surgery services 43 - North End Internal Medicine 1750 Elm Street Suite 201A Manchester NH 03101 Internal Medicine 44 - New England Heart Institute 15 US Route 302 Suite 1 Glenn NH 03838 Vascular Surgery services Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 15,059,671. Part II, Community Building Activities: Catholic Medical Center participates in a wide range of community building activities, committees, boards, and partnerships to promote the health of the communities it serves, including USNH, Granite United Way, and New Hampshire Catholic Charities, among others. The Medical Center sponsors emergency service efforts through planning hours for emergency preparedness and bioterrorism preparedness safety management.COVID-19: During the unprecedented COVID-19 pandemic, CMC was an integral part of the community's response activities. Early on in the pandemic, CMC partnered with the City of Manchester at the City's first COVID testing center located at the NH State Armory. Shortly thereafter, CMC collaborated with the City of Manchester, NH National Guard, and other healthcare partners to stand up the Greater Manchester Alternative Care Site (GMACS), a 250-bed field hospital located at Southern New Hampshire University (SNHU). CMC's Incident Command Center held weekly calls with the City's Emergency Operations Center, ensuring constant communication and updated information sharing. Finally, CMC has provided clinical and non-clinical staff to support the State's fixed Covid Vaccine site at SNHU as well as super clinics held at the New Hampshire Motor Speedway. Part III, Line 2: Costing methodology ratio of cost to charge is used to arrive at cost of bad debt expense. Part III, Line 3: Patients deemed eligible for financial asssistance follow CMC's charity care policies. Therefore, no bad debt expense related to patients eligible under the Hospital's financial assistance policy is included as a community benefit. Part III, Line 4: See Footnote 2 on Page 11 of the attached audited financial statements. Part III, Line 8: The entire Medicare shortfall is reported in our Community Benefit Report to the State of New Hampshire. The Medicare shortfall represents costs incured by the Hospital for providing care to Medicare patients in the Hospital's service area that were not reimbursed by the federal government. The Hospital considers this amount to be a significant shortfall for providing healthcare-related services to these patients which ultimately benefits the community it serves. Part III, Line 9b: CMC is a charitable healthcare organization that treats patients for emergency or medically necessary care regardless of their financial status. CMC's Collections Policy and Procedures addresses the procedures for patients who choose not to make payment or work with CMC to make payment arrangements for their bill. The policy contains specific language that applies to those patients who may qualify for financial assistance. CMC will hold collection activities where the patient has submitted a completed financial assistance application. CMC makes reasonable efforts to determine whether an individual is eligible for financial assistance under our Financial Assistance Policy (FAP). In order to determine whether a patient is eligible for financial assistance, CMC provides written notice that indicates the availability of financial assistance, provides a plain-language summary of the FAP, and attempts to notify the individual orally about the FAP and how the patient may get assistance with the application process. CMC also publishes the policy on our website, at patient registration locations, and provides notice to the community. Part VI, Line 2: In collaboration with the city of Manchester and other health care and social service agencies, Catholic Medical Center participates in a community needs assessment as required by the New Hampshire Attorney General's Office Division of Charitable Trusts.Since hospitals are required to assess the needs of their community every three years, CMC has completed a 2023 (tax year 2022) Needs Assessment and approved by the board and made widely available to the public during the fiscal year covered by the Hospital's 2022 Form 990. The previous Needs Assessment was completed in fiscal year 2019 (tax year 2018) by CMC and the Elliot Hospital of the City of Manchester. Additional information is obtained on an ongoing basis to assist the Organization in evaluating progress towards meeting our goals and the identification of new areas of need. This information is collected through community surveys, focus groups and discussions with community leaders, program evaluations and communication with those in the community who interact with our vulnerable populations. Part VI, Line 3: Patients are notified of CMC's FAP via notices upon registration, discharge, postings to our website, in the hospital, and physician practices. Signage is posted throughout the Hospital and physician practices highlighting Catholic Medical Center's financial assistance. CMC also communicates the policy to the community via mailings and other postings in relevant local support organizations. CMC also contacts patients verbally to inform them of the programs available. Part VI, Line 4: Catholic Medical Center's primary service area consists of the following towns and cities: Allenstown, Auburn, Bedford, Goffstown, Hooksett, Manchester, and New Boston. Our secondary service area is made up of Amherst, Concord, Derry, Litchfield, Londonderry, Merrimack, Milford, Nashua, Peterborough, Raymond, Salem and Weare. Part VI, Line 5: Catholic Medical Center is involved in numerous community initiatives to improve the health outcomes of our community, including, but not limited to the following: DSRIP 1115 Waiver, N4H a federally funded program with the state of New Hampshire to transform care by integrating primary and behavioral health care to improve health outcomes; a collaboration with The Manchester Health Department, Easter Seals, and Catholic Medical Center to provide school-based dental care to school-aged children in need, including the following programs: 500 Cities initiative with CMC's Parish Nurse Program and Manchester Health Department to offer assessments and services to high risk populations located within neighborhoods; primary care, specialty care and care coordination the homeless population via the HRSA grant; Medication Assistance Program offering free or reduced cost medication through the pharmaceutical companies and other low cost resources; and emergency bioterrorism preparedness safety management. Part VI, Line 6: Catholic Medical Center operates as part of CMC Healthcare System. Under the System, CMC offers a range of healthcare services to the community. The System includes CMC as a licensed, 330 bed full-service, acute care hospital, physician practices, general care surgical capabilities, and advanced care for cardiac needs. Catholic Medical Center offers full medical-surgical care with more than 25 subspecialties, comprehensive orthopedic care, inpatient and outpatient rehabilitation services, a 24-hour emergency department, outpatient behavioral health services, and diagnostic imaging. In addition, Catholic Medical Center has the Special Care Nursery which is a state-of-the-art neonatal facility designed to meet the distinct needs of our babies and their families. Catholic Medical Center is also home to the nationally recognized New England Heart and Vascular Institute (NEHVI), which provides a full-range of cardiac services, and is a pioneer in offering innovative surgical procedures. The Institute is also a national center for advanced clinical trials and cardiovascular rehabilitation and wellness education to help patients recover in a multi-step program of exercise, education, risk factor management, and the development of healthy lifestyles. The System also participates in two joint ventures, Bedford Ambulatory Surgical Center and Alliance Urgent Care Services, through its wholly-owned entity, and Alliance Ambulatory Services through the Granite Health Network.CMC has a deeply rooted history of providing care to those most in need through the Community Health and Mission department. CMC reaches beyond the walls of the hospital and into the community, assisting underserved individuals with health information and access to care. Community Health and Mission provides a wide variety of education, clinical services and resources for those in our primary and secondary markets. It is the home of the Pregnancy Care Center, the Poisson Dental Facility, the Health Care for the Homeless program, and the Parish Nurse program. We provide medication assistance, breast and cervical cancer screenings, and health screenings. Part VI, Line 7, Reports Filed With States NH 1 Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 605685 0 NH Hospital Association, NH Medicaid Expansion, Drug and Alcohol Abuse Prevention Initiatives Amoskeag Health (formerly Manchester Community Health Center) 145 Hollis Street Manchester NH 03101 020458174 501(c)(3) 0 31272 Book value Medical equipment and supplies Funding and equipment for health care services and initiatives 2 0 Caring for Co-workers program to provide general assistance to individuals in need. 63 54443 Dr. Pepe Fund - financial assistance to employees who wish to improve their performance, proficiency, and education in the medical field. 40 47912 Organizational Workforce Development Program - financial assistance for individuals pursuing education and training in the field of nurising. 9 20886 Hermsdorf Scholarships - financial assistance for the training of worthy and needy students who are employees of CMC. 9 3750 Part I, Line 2: The Hospital will only makes donations to 501(c)(3) public charities or governmental municipalities. The Hospital may award grants to individuals living in the United States if the recipient-individuals are employees of the Catholic Medical Center system, and if the recipient-individuals meet certain merit and financial-need eligibility requirements. Grants to individuals are awarded in the form of scholarships to pursue higher education and skills in the healthcare field while also working for the Hospital. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 Alexander Walker Jr Esq President & CEO 627831 0 0 0 77174 0 292846 0 104493 0 1102344 0 0 0 Edward Dudley III Executive VP & CFO (end 2/2023) 494403 0 338 0 53509 0 222434 0 55894 0 826578 0 0 0 Joseph Pepe MD Former President & CEO (end 6/2021) 0 0 0 0 733333 0 0 0 1338 0 734671 0 0 0 Robert Capodilupo MD Interim Trustee/Exec Med Dir NEHI 0 550015 0 136447 0 0 0 15250 0 30432 0 732144 0 0 Louis I Fink MD Director (end 7/2023) 0 543154 0 145023 0 0 0 15250 0 4549 0 707976 0 0 Michael J Gilbert MD Chief Medical Officer 547460 0 0 0 8932 0 9150 0 45553 0 611095 0 0 0 Patricia Furey MD Director; Medical Staff President 0 466939 0 38883 0 0 0 12200 0 40236 0 558258 0 0 Keith Stahl MD FACP Associate Chief Medical Officer 409633 0 0 0 4902 0 15250 0 20105 0 449890 0 0 0 Carolanne O'Sullivan Senior VP, Provider Network 362774 0 0 0 20249 0 15250 0 47193 0 445466 0 0 0 Andrew Watt MD VP/Chief Medical Information Officer 400621 0 0 0 5560 0 1290 0 34474 0 441945 0 0 0 Sarah Doherty RN Nurse 287227 0 108425 0 220 0 4698 0 36031 0 436601 0 0 0 Ronald Doncaster Chief Operating Officer 366919 0 0 0 16082 0 4385 0 22655 0 410041 0 0 0 Carolyn Claussen MD Director (end 12/2022) 0 232669 0 19627 0 0 0 11648 0 10 0 263954 0 0 Pamela Martel Executive VP & CFO 178567 0 0 0 928 0 7491 0 11406 0 198392 0 0 0 Part I, Line 1a Catholic Medical Center provides certain fringe benefits that have gross-up calculations to cover taxes for a select few officers and/or highly compensated employees. In no case did this amount exceed $15,000 during the year for any one individual. Part I, Lines 4a-b Schedule J, Page 1, Line 4a, severance payments: Dr. Joseph Pepe, who previously served as the Organization's President and CEO, retired in June, 2021. As part of his retirement, Dr. Pepe became entitled to severance compensation as per his employment agreement. Dr. Pepe received severance compensation of $733,333 during calendar year 2022, after his formal retirement in June, 2021. This severance was included in his 2022 Form W-2 wages, and is also included in the amount of compensation reported on this Schedule J, Part II, Column B(iii). Schedule J, Page 1, Line 4b, supplemental non-qualified retirement plans: The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The amounts listed represent calendar year 2022 contributions for many years of service, and are included in the total deferred compensation reported on this Schedule J, Part II, Column C. - Edward Dudley, III: $211,145 - Alexander Walker, Jr., Esq.: $280,646 Part I, Line 7 A portion of compensation is at-risk and variable, and payment depends on the quality of job performance. A New Hampshire Health And Education Facilities Authority 020279866 644614x79 2012-12-19 38249382 See Part VI 0 0 0 B New Hampshire Health And Education Facilities Authority 020279866 2015-09-03 32720000 See Part VI 0 0 0 C New Hampshire Health And Education Facilities Authority 020279866 64461XBT1 2017-09-21 65363417 See Part VI 0 0 0 A 25474382 38249517 34643460 597089 3008968 2013 1 0 1 1 B 7115000 32779646 28696341 257332 3825973 2016 1 1 1 1 C 4248417 66661885 785623 66661885 2021 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 0 1 1 0 0 0 1 C 0 1 0 1 0 0 0 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 06/19/2014 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 09/03/2020 Issuer Name: New Hampshire Health And Education Facilities Authority Date the Rebate Computation was Performed: 06/30/2020 Schedule K, Part I, Line A(f): Refinance of Series 2002A Bonds Refinance of Series 2002B Bank Placement Refinance of Series 2012 Capital Note Routine Capital Improvements Schedule K, Part I, Line B(f): Advance & Current refunding of Series 2006 Bonds, and Construction Schedule K, Part I, Line C(f): To finance various construction projects. Robert Capodilupo MD Interim Trustee, Vice President 30629 Robert Capodilupo, MD, served as the Hospital's Vice President and as an Interim Trustee during the period covered by this Form 990. Dr. Capodilupo's was also employed by the Hospital for part of this tax year. During the 2022 calendar year, Dr. Capodilupo's spouse received compensation of $30,629, as reported to her on her 2022 Form W-2. The payments made to Dr. Capodilupo's spouse were deemed to be reasonable and appropriate given the level and quality of services performed. 0 X 696 Value per book X 590 Value per book X 1 55827 Gift date FMV X 5 2036 Value per book X Flowers 2 535 Value per book X Child toys 1 250 Value per book X Electronics 2 170 Value per book 0 1 1 Part I, Line 32b: The Organization uses brokerage and investment management services to process and sell donations of stock, bonds, and other gifts of investments and financial securities. Form 990, Part VI, Section A, line 4 During the period covered by this Form 990, the Hospital's Board made effective the following significant changes to its amended and restated bylaws: 1.) The number of corporate officers of the Hospital shall include one President and CEO and two or more Vice Presidents; the previous version of the bylaws only required at least one Vice President. 2.) The responsibilities of the Hospital's President and CEO have been amended to read as follows: (a) The President and CEO must remain in compliance with all applicable federal and state laws and in accordance with CMC policies and procedures regarding the health and safety of its patients; (b) The President and CEO must ensure proper licensing by the appropriate state or local authority responsible for licensing hospitals or other healthcare organizations, as applicable; (c) The President and CEO is subject to evaluation criteria that includes aspects of individual character, competence, training, experience, and judgment is established for the selection of individuals working for the organization, director or under contract, and/or appointed through the formal Medical Staff appointment process; (d) The President and CEO is responsible for ensuring that all personnel working for CMC are properly licensed or otherwise meet all applicable federal, state, and local laws; (e) The President and CEO is charged with signing or countersigning all certificates, contracts, and other instruments of CMC, or processes for establishing designees, as authorized by the Board of Trustees; and (f) All such other duties as from time to time may be assigned to him or her by the Board of Trustees. (g) Reporting: the President and CEO shall meet with and advise the Board of Trustees, the Executive Committee, and all other committees. He or she shall be responsible for the systematic preservation of all minutes and records of the CMC. Form 990, Part VI, Section A, line 6 The members of Catholic Medical Center are CMC Healthcare System and GraniteOne Health. Form 990, Part VI, Section A, line 7a Directors of CMC are appointed by the members. Form 990, Part VI, Section A, line 7b The members have reserved powers over CMC but do not approve each separate action taken by the CMC board. Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent public accounting firm. Upon completion, a draft of the Form 990 is sent to the Organization, where the Executive Director of Finance and Assistant Controller perform a final in-house review prior to submission to the Board of Directors for final approval. Upon approval from Board, the Form 990 is filed with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c Officers and directors are required to complete a conflict of interest questionnaire annually. Form 990, Part VI, Section B, line 15 CMC utilizes a compensation committee of the board of directors to set compensation levels and determine bonus potential for its senior leadership team. The committee is assisted by an independent consultant who surveys like-sized and performing institutions to benchmark relevant salary scales for each position. The consultant's findings are presented to the compensation committee who considers that external data with actual performance against a list of pre-established goals per senior leaders to set prospective compensation levels and bonus values. Bonus amounts are determined by how well an executive achieves a pre-defined set of goals. These goals, in general, are tied to the achievement of a specific task or project. Some goals are attached to achieve overall financial performance and mission performance, not solely revenue generation. Form 990, Part VI, Section C, line 19 CMC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, line 9: Pension related changes net of periodic costs 23,934,901. Change in fair market value of perpetual trust 374,025. Change in fair market value of interest rate swap -5,056. Net assets released for operations -566,198. Return of donor-restricted contributions -15,032,182. Net transfers to affiliates -46,406,000. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Alliance Ambulatory Services 100 McGregor Street Manchester NH 03102 020519436 Ambulatory Surgical Center NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Health Services 100 McGregor Street Manchester NH 03102 611508839 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Resources 100 McGregor Street Manchester NH 03102 020398138 Real Estate NH 501(c)(3) Line 12b, II CMC Healthcare System 0 CMC Healthcare System 100 McGregor Street Manchester NH 03102 010568516 Parent NH 501(c)(3) Line 12b, II N/A 0 CMC Physician Practice Associates 100 McGregor Street Manchester NH 03102 020460245 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 GraniteOne Health 100 McGregor Street Manchester NH 03102 814663563 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Huggins Hospital 240 South Main Street Wolfeboro NH 03894 030223332 Hospital NH 501(c)(3) Line 3 GraniteOne Health 0 Monadnock Community Hospital 452 Old Street Road Peterborough NH 03458 020222157 Hospital NH 501(c)(3) Line 3 GraniteOne Health 0 St Peter's Home 100 McGregor Street Manchester NH 03102 020222228 Day Care Services NH 501(c)(3) Line 10 CMC Healthcare System 0 Bedford Ambulatory Surgical Center LLC 11 Washington Place Bedford NH 03110 020519727 Surgical Center NH N/A 0 0 Alliance Urgent Care Services 100 McGregor Street Manchester NH 03102 831238167 Health Care Services NH N/A 0 0 NH Value Care ACO LLC 100 McGregor Street Manchester NH 03102 832029076 Health Care Services NH N/A 0 0 Alliance Enterprises 100 McGregor Street Manchester NH 03102 020386795 Real Estate NH N/A C 1 Doctors' Medical Association Inc 100 Mcgregor Street Manchester NH 03102 020340690 Medical Office Building NH N/A C 0 0 0 0 0 1 0 0 0 0 1 1 1 0 1 1 1 0 1 1