2024-08-14T07:31:05-05:00 2023-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2022-10-01 020398138 Alliance Resources Inc ALLI 6036683545 100 McGregor Street Manchester NH 031023770 Pamela J Martel Vice President & CFO 6036683545 2024-08-01 1 0 Connor Smart P02285543 2078792100 2024-08-01 2022 2024-08-08 14:25:15Z Alexander Walker Jr Esq 100 McGregor Street Manchester NH 031023770 1745478 0 0928 X www.catholicmedicalcenter.org X 1990 NH Property management and support services 15 12 0 14 0 0 0 0 1736292 1745478 0 0 0 0 1736292 1745478 0 0 0 0 0 0 0 0 0 1704781 1730250 1704781 1730250 31511 15228 14744232 14449312 110317 1150169 14633915 13299143 To facilitate healthcare programs as well as further quality and accessibility of healthcare services in the greater Manchester community and the state of New Hampshire. 0 0 1730250 0 1745478 Property Management and Support Services. 1730250 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NH X Pamela J Martel VP & CFO 6036683545 100 McGregor Street Manchester NH 031023770 Alexander Walker Jr Esq President & CEO 0.20 43.70 X 0 705005 397339 Louis I Fink MD Director (end 7/2023) 0.10 41.80 X 0 688177 19799 Carolyn Claussen MD Director (end 12/2022) 0.00 41.10 X 0 252296 11658 Robert Capodilupo MD Interim Trustee/Exec Med Dir NEHI 0.10 40.70 X 0 686462 45682 Patricia Furey MD Director; President Medical Staff 0.20 41.60 X 0 505822 52436 Matthew Albuquerque Director 0.20 2.40 X 0 0 0 Re Msg Anthony Frontiero Director (end 4/2023) 0.10 0.60 X 0 0 0 William Furlong Director 0.20 0.90 X 0 0 0 Robert Gossett Director 0.20 2.40 X 0 0 0 Roger Jean Director 0.20 1.30 X 0 0 0 Derek McDonald Director; Bishop's Delegate 0.20 2.40 X 0 0 0 Marie McKay CPA Director 0.20 2.00 X 0 0 0 Kristy Merrill Director 0.20 1.10 X 0 0 0 John J Munoz MD Director 0.20 1.30 X 0 0 0 Grace Tung Director 0.10 1.90 X 0 0 0 John G Cronin Esq Immediate Past Chair (end 6/2023) 0.00 1.30 X X 0 0 0 Timothy Riley Chair 0.20 2.60 X X 0 0 0 Matthew Kfoury Secretary 0.20 2.50 X X 0 0 0 Pamela Diamantis Treasurer 0.20 2.60 X X 0 0 0 Edward Dudley III Executive VP & CFO (end 2/2023) 0.00 40.10 X 0 548250 278328 Pamela Martel Executive VP & CFO 0.00 40.40 X 0 179495 18897 Joseph Pepe MD Former President & CEO (end 6/2021) 0.00 0.50 X 0 733333 1338 0 4298840 825477 0 1 1 0 0 Rental income 532000 1745478 1745478 1745478 1745478 1745478 0 0 277250 277250 4232 4232 994447 994447 454321 454321 1730250 1730250 0 0 1427657 529274 48360 47216 18701695 5994654 13150377 12707041 1041589 117838 124192 14744232 14449312 110317 93513 0 1056656 110317 1150169 X 14633915 13299143 14633915 13299143 14744232 14449312 X 15228 -1350000 X X 0 1 X 1 0 X X 1 Catholic Medical Center 020315693 3 0 1745478 0 1 1745478 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Part I, Line 12g, Column v: Alliance Resources supports its affiliated tax-exempt organization by providing property management and support services for the Hospital. The monetary value of this support can be approximated by the dollar value of program service revenue Alliance Resources receives in conjunction with its exempt purpose. Schedule A, Part IV, Section A, Line 1: The Organization listed in Schedule A, Part I, Line 12g is not indicated specifically by name in Alliance Resources' governing documents as a supported organization. However, Catholic Medical Center is designated by class in its governing documents as Alliance Resources' primary purpose is to facilitate health care programs to further the quality and accessibility of health care services by providing for reasonable containment of the cost of health care to the public. Alliance Resources accomplishes this by receiving, holding, owning, developing, constructing, operating, leasing, and maintaining real estate and facilities for the provision of health care and community services and related programs and services provided by Catholic Medical Center. 1987280 1987280 16587530 5871506 10716024 109672 109672 0 17213 13476 3737 12707041 Operating lease liabilities 1056656 1056656 X 1745478 0 1745478 0 1745478 1730250 0 1730250 0 1730250 Part X, Line 2: The Organization is part of the Catholic Medical Center Healthcare System. The System and all related entities, with the exception of Enterprises, are not-for-profit corporations as described in Section 501(c)(3) of the Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System 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 consolidated financial statements. 1 1 0 0 0 0 0 0 0 Alexander Walker Jr Esq President & CEO 0 627831 0 0 0 77174 0 292846 0 104493 0 1102344 0 0 Edward Dudley III Executive VP & CFO (end 2/2023) 0 494403 0 338 0 53509 0 222434 0 55894 0 826578 0 0 Joseph Pepe MD Former President & CEO (end 6/2021) 0 0 0 0 0 733333 0 0 0 1338 0 734671 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 Patricia Furey MD Director; President Medical Staff 0 466939 0 38883 0 0 0 12200 0 40236 0 558258 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 0 178567 0 0 0 928 0 7491 0 11406 0 198392 0 0 Part I, Line 3 The Organization's President & CEO's compensation was established by a related organization, Catholic Medical Center. That organization used a compensation committee, independent compensation consultant, Form 990 of other organizations, a compensation survey/study, and approval by their board of directors/compensation committee to determine the President & CEO's compensation and benefits. 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 from the Catholic Medical Center (a related organization). 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 Form 990, Part VI, Section A, line 6 The sole member of Alliance Resources is CMC Healthcare System. Form 990, Part VI, Section A, line 7a The directors are appointed by the sole member. Form 990, Part VI, Section A, line 7b The sole member has reserved powers over Alliance Resources but does not approve each separate action taken by the Alliance Resources' board. Form 990, Part VI, Section B, line 11b Form 990 is prepared by an independent tax accounting firm (Baker Newman Noyes). 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 policy annually. Form 990, Part VI, Section B, line 15 A related organization, Catholic Medical Center, 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 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, line 9: Transfers to affiliates -1,350,000. 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 Catholic Medical Center 100 McGregor Street Manchester NH 03102 020315693 Hospital NH 501(c)(3) Line 3 CMC Healthcare System and GraniteOne Health 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 020223332 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 Alliance Urgent Care Services 100 McGregor Street Manchester NH 03102 831238167 Health Care Services NH N/A 0 0 Bedford Ambulatory Surgical Center LLC 11 Washington Place Bedford NH 03110 020519727 Surgical Center NH N/A 0 0 Alliance Enterprises 100 McGregor Street Manchester NH 03102 020386795 Real Estate NH N/A C 0 Doctors' Medical Association 100 McGregor Street Manchester NH 03102 020340690 Medical Office Building NH N/A C 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0