2024-08-14T07:32:45-05:00 2023-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990EZ 2022-10-01 010568516 CMC Healthcare System CMCH 6036683545 100 McGregor Street Manchester NH 03102 Edward L Dudley III Vice President & CFO 6036683545 2024-08-01 1 0 Connor Smart P02285543 2078792100 2024-08-01 2022 2024-08-08 14:25:15Z 0928 X X www.catholicmedicalcenter.org X X 0 0 0 0 0 0 0 0 X Support organization for all other CMC entities. To support all other CMC entities 0 0 X Matthew Albuquerque Director 1.00 0 0 0 Carolyn Claussen MD Director (end 12/2022) 1.00 0 0 0 Robert Capodilupo MD Interim Trustee/Exec Med Dir NEHI 1.00 0 0 0 Louis I Fink MD Director (end 7/2023) 1.00 0 0 0 Re Msg Anthony Frontiero Director 1.00 0 0 0 Patricia Furey MD Director 1.00 0 0 0 William Furlong Director 1.00 0 0 0 Robert Gossett Director 1.00 0 0 0 Roger Jean Director 1.00 0 0 0 Derek McDonald Director/Bishop's Delegate 1.00 0 0 0 Kristy Merrill Director 1.00 0 0 0 John J Munoz MD Director 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NH Pamela J Martel VP & CFO 100 McGregor Street Manchester NH 03102 6036683545 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 5 Catholic Medical Center 020315693 3 1 0 0 CMC Physicians Practice 020460245 10 0 0 0 Alliance Ambulatory Services 020519436 10 1 0 0 Alliance Health Services 611508839 10 0 0 0 St Peter's Home 020222228 10 0 0 0 5 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 Part I, Line 12g, Column v & vi: CMC Healthcare System, through its board of directors, is the sole corporate member of four of its affiliated tax-exempt organizations: CMC Physicians Practice Associates, Alliance Ambulatory Services, Alliance Health Services, and St. Peter's Home. It is also a corporate member, along with GraniteOne Health, of Catholic Medical Center. As a corporate member, CMC Healthcare System appoints the directors and has certain reserved powers over governance decisions of its affiliates. Part IV, Section A, Line 1: Several organizations are listed in Schedule A, Part I, Line 12g that are not named specifically by name in CMC Healthcare System's governing documents. However, all listed organizations not specifically named are designated by class in CMC Healthcare System's governing documents as all are affiliates of Catholic Medical Center. CMC Healthcare System's governing documents designate that its purpose is to function as a supporting organization to benefit, serve as the sole member of, help carry out the purposes of, and uphold, promote and further the welfare, programs and activities of Catholic Medical Center, Alliance Resources, Inc., Alliance Ambulatory Services, and any and all other non-profit entities affiliated with Catholic Medical Center. CMC Healthcare System, as an agency of the Roman Catholic Church, shall provide its services within the scope and in a manner consistent with the Ethical and Religious Directives for Catholic Health Care Services, in accordance with the direction of, and as interpreted by, the Roman Catholic Bishop of Manchester, New Hampshire. Part IV, Section A, Line 2: Two organizations listed in Schedule A, Part I, Line 12g do not have an IRS determination letter specific to that organization. However, Catholic Medical Center and its affiliated organizations were designated tax-exempt organizations by way of a group exemption (#0928) under the United States Conference of Catholic Bishops. All the organizations listed are best described as 509(a)(2) or 170(b)(1)(A)(iii) public charities. The IRS completed the review process of Alliance Ambulatory Services and Alliance Health Services and issued determinations designating them as organizations exempt under 509(a)(2) in September 2017. St. Peter's Home and Catholic Medical Center Physicians Practice Associates file as a 509(a)(2) organizations. Catholic Medical Center Physician Practice Associates has submitted Form 8940 requeesting to change its status to a 509(a)(2). Schedule A, Part IV, Section A, Line 6: CMC Healthcare System provided to Alliance Resources, Inc. (EIN: 02-0398138) similar non-monetary support as was provided to its other supported organizations listed in Schedule A, Part I, Line 12g. Alliance Resources, Inc. is a 509(a)(3) Type II Supporting Organization whose sole supported organization is Catholic Medical Center which is also a supported organization of CMC Healthcare System. Schedule A, Part IV, Section C, Line 1: All of CMC Healthcare System's directors serve as directors of at least one supported organization. Additionally, currently Alexander Walker serves as the President & CEO and Pamela Martel serves as Executive Vice President & CFO of CMC Healthcare System and all of its supported organizations. While the CMC Healthcare System directors may not make up the majority of directors of all supported organizations, they do constitute a significant board presence across the system. In these ways, control of CMC Healthcare System is vested in the same persons that control the supported organizations. The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.