Totals
- Total revenue
- $114,350,269
- Total expenses
- $107,296,594
- Contributions and grants received
- $2,549,679
- Grants paid
- $42,599
- Program services expenses (Part IX)
- $95,188,881
- Management and general expenses
- $11,325,047
- Fundraising expenses
- $782,666
- Program service expenses (Part III)
- $95,188,881
Program services were 88.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
Shawn Harrington MD
Trustee/Physician
- Total calculated
- $458,362
- From this org
- $424,370
- From related orgs
- $0
- Other
- $33,992
- Hours/week
- 41.5
Schedule J breakdown matched by us
- Base
- $414,680
- Bonus
- $5,000
- Other
- $4,690
- Deferred
- $6,100
- Nontaxable benefits
- $27,892
- Filer's total
- $458,362
-
Cynthia McGuire
Chief Executive Officer
- Total calculated
- $410,756
- From this org
- $361,273
- From related orgs
- $0
- Other
- $49,483
- Hours/week
- 55 + 0.6 related
Schedule J breakdown matched by us
- Base
- $338,350
- Bonus
- $0
- Other
- $22,923
- Deferred
- $23,600
- Nontaxable benefits
- $25,883
- Filer's total
- $410,756
-
William White MD
Ex-Officio (voting) (end 4/2023)
- Total calculated
- $521,501
- From this org
- $493,846
- From related orgs
- $0
- Other
- $27,655
- Hours/week
- 27.9
Schedule J breakdown matched by us
- Base
- $490,036
- Bonus
- $0
- Other
- $3,810
- Deferred
- $6,100
- Nontaxable benefits
- $21,555
- Filer's total
- $521,501
-
Alexander J Walker Esq
Ex-Officio (voting)
- Total calculated
- $1,102,344
- From this org
- $0
- From related orgs
- $705,005
- Other
- $397,339
- Hours/week
- 3 + 43.2 related
Schedule J breakdown matched by us
- Base
- $0 + $627,831 related
- Bonus
- $0
- Other
- $0 + $77,174 related
- Deferred
- $0 + $292,846 related
- Nontaxable benefits
- $0 + $104,493 related
- Filer's total
- $0 + $1,102,344 related
-
Robert Boyd
Trustee (end 4/2023)
- Total calculated
- $0
- Hours/week
- 3
-
Peter Cerroni DMD
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Casandra Clark
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Jeffrey R Crocker Esq
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Carolyn Garretson
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Paula Hunter
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Eric Lasky MD
Ex-Officio (voting)
- Total calculated
- $0
- Hours/week
- 3
-
Stephen Lehmkuhl MD
Ex-Officio (end 9/2023)
- Total calculated
- $0
- Hours/week
- 3
-
Leslie Lewis
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Michael Shea
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
Iris Waitt
Trustee
- Total calculated
- $0
- Hours/week
- 3
-
James Callahan Esq
Chair
- Total calculated
- $0
- Hours/week
- 3
-
Paul Faber
Vice Chair
- Total calculated
- $0
- Hours/week
- 3
-
Thomas S Bates CPA
Treasurer
- Total calculated
- $0
- Hours/week
- 3
-
Patricia Shuster
Clerk
- Total calculated
- $0
- Hours/week
- 3
-
Richard D Scheinblum
VP Finance/CFO
- Total calculated
- $261,862
- From this org
- $238,719
- From related orgs
- $0
- Other
- $23,143
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $238,029
- Bonus
- $0
- Other
- $690
- Deferred
- $4,679
- Nontaxable benefits
- $18,464
- Filer's total
- $261,862
-
Lucas Shippee DO
Physician
- Total calculated
- $404,535
- From this org
- $398,435
- From related orgs
- $0
- Other
- $6,100
- Hours/week
- 41.5
Schedule J breakdown matched by us
- Base
- $397,985
- Bonus
- $0
- Other
- $450
- Deferred
- $6,100
- Nontaxable benefits
- $0
- Filer's total
- $404,535
-
Terrence McNamara DO
Physician
- Total calculated
- $461,894
- From this org
- $425,612
- From related orgs
- $0
- Other
- $36,282
- Hours/week
- 41.5
Schedule J breakdown matched by us
- Base
- $425,162
- Bonus
- $0
- Other
- $450
- Deferred
- $6,100
- Nontaxable benefits
- $30,182
- Filer's total
- $461,894
-
Daniel Perli MD
Physician/Chief Medical Officer
- Total calculated
- $439,929
- From this org
- $429,160
- From related orgs
- $0
- Other
- $10,769
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $428,890
- Bonus
- $0
- Other
- $270
- Deferred
- $0
- Nontaxable benefits
- $10,769
- Filer's total
- $439,929
-
Dmitry Tarasevich MD
Physician
- Total calculated
- $371,671
- From this org
- $354,888
- From related orgs
- $0
- Other
- $16,783
- Hours/week
- 41.5
Schedule J breakdown matched by us
- Base
- $354,438
- Bonus
- $0
- Other
- $450
- Deferred
- $6,100
- Nontaxable benefits
- $10,683
- Filer's total
- $371,671
-
Michele Gunning MD
Physician
- Total calculated
- $305,587
- From this org
- $299,650
- From related orgs
- $0
- Other
- $5,937
- Hours/week
- 41.5
Schedule J breakdown matched by us
- Base
- $299,200
- Bonus
- $0
- Other
- $450
- Deferred
- $5,937
- Nontaxable benefits
- $0
- Filer's total
- $305,587
-
Joseph Pepe MD
Former Ex-Officio
- Total calculated
- $734,671
- From this org
- $0
- From related orgs
- $733,333
- Other
- $1,338
- Hours/week
- 0 + 0.5 related
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $733,333 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $1,338 related
- Filer's total
- $0 + $734,671 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Lines 4a-b
- Schedule J, Page 1, Line 4a, severance payments: Dr. Joseph Pepe, who previously served as an ex-officio trustee of the Hospital and was the President and CEO of Catholic Medical Center (a related organization), until his retirement in June, 2021. As part of his retirement, Dr. Pepe became entitled to severance compensation, as per his employment agreement, from Catholic Medical Center. 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: Cynthia McGuire, President & CEO, participates in a 457(f) plan with Monadnock Community Hospital. After a three year vesting period, amounts previously contributed to her by Monadnock Community Hospital are reported as part of her W-2 wages. In calendar year 2022, a total of $17,500 was deposited into Ms. McGuire's 457(f) plan account, which is included in the amount reported on Schedule J, Part II, Column C for this current fiscal year Form 990 filing. Additionally, $19,113 of compensation is reported in Column B(iii), which represents the vested 2019 contribution of $17,500 and earnings of $1,613. The $17,500 has also been reported on this Schedule J, Part II, Column F, as compensation deferred in a previous period which became taxable during this filing period (calendar year 2022 for purposes of income and benefit reporting). Alexander Walker, Jr. takes part in a section 457(f) forfeitable nonqualified deferred compensation plan administered by Catholic Medical Center. In calendar year 2022, Mr. Walker received contributions of $280,211 from Catholic Medical Center into his 457(f) Plan. Such contributions are included in the total deferred compensation reported for Mr. Walker on this Schedule J, Part II, Column C.
- Part I, Line 7
- MCH may from time-to-time compensate physicians utilizing quality and productivity targets based on WRVU (work relative value units). In addition, the Compensation Committee may recommend to the full board, annually, the variable pay award that may be issued to the Hospital's CEO. The payment of any such awards are discretionary and are subject to meeting the pre-determined goals of the Organization.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
Town of Peterborough
$7,500
For the benefit of the Peterborough Ambulance
-
Support no-fee transportation to those in need in the Monadnock Region
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(c)(3) · Ambulatory Surgical Center · NH
Directly controlled by CMC Healthcare System
-
501(c)(3) · Practices · NH
Directly controlled by CMC Healthcare System
-
501(c)(3) · Real Estate · NH
Directly controlled by CMC Healthcare System
-
501(c)(3) · Hospital · NH
Directly controlled by GraniteOne Health
-
501(c)(3) · Parent · NH
-
CMC Physician Practice Associates
501(c)(3) · Practices · NH
Directly controlled by CMC Healthcare System
-
501(c)(3) · Supporting Organization · NH
-
501(c)(3) · Hospital · NH
Directly controlled by GraniteOne Health
-
Monadnock Health Services - INACTIVE
501(c)(3) · Inactive · NH · controlled entity
Directly controlled by Monadnock Community Hospital
-
501(c)(3) · Day Care Services · NH
Directly controlled by CMC Healthcare System
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202432279349303233
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