2025-08-15T08:13:57-05:00 2024-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-10-01 020460245 Catholic Medical Center Physicians Practice Associates CATH 6036683545 100 McGregor Street Manchester NH 03102 Sidi Cuko Catholic Healthcare Trust Pres./CEO 6036683545 2025-08-14 1 1 Connor Smart P02285543 2078792100 2025-08-14 2023 2025-03-06 01:10:19Z Sidi Cuko 100 McGregor Street Manchester NH 03102 30012977 0 0928 X https://catholicmc.com/ X 2002 NH The heart of Catholic Medical Center Physicians Practice Associates is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care. 5 1 264 1 0 0 0 0 19907001 30012977 0 0 0 0 19907001 30012977 0 0 0 0 63483609 64683324 0 0 0 3277155 14415365 66760764 79098689 -46853763 -49085712 567764 1143289 8940326 8946056 -8372562 -7802767 The heart of Catholic Medical Center Physicians Practice Associates is to carry out Christ's healing ministry by offering health, healing, and hope to every individual who seeks our care. 0 0 63278963 0 30012977 To provide physician and hospital care, both inpatient and outpatient, to persons in the service area of Catholic Medical Center. Physicians participate in Medicare and Medicaid programs. 63278963 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 10 0 1 264 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 1 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 0 NH X Pamela J Martel VP & CFO 6036683545 100 McGregor Street Manchester NH 03102 Alexander Walker Jr Esq President & CEO/Vice Chair 0.20 41.60 X X 0 717524 351171 Carolyn Claussen MD Secretary & Treasurer/Physician 40.20 0.00 X X 252176 0 11658 Patricia Furey MD Director/Physician 40.20 1.40 X 470768 0 53510 Robert Capodilupo MD Trustee/Executive Medical Director 40.20 1.20 X X 675257 0 53048 Marie McKay CPA Director 0.20 1.30 X 0 0 0 Pamela Martel Executive VP & CFO 0.20 41.60 X 0 345190 19006 Benjamin Westbrook MD FACS Physician 40.00 0.00 X 1449882 0 52288 David Caparrelli MD FACS Physician 40.00 0.00 X 968779 0 53485 Gerald Sardella MD FACS Physician 40.00 0.00 X 922595 0 41764 Stephan H Heo MD Physician 40.00 0.00 X 767874 0 54570 Xiaoyu Yang-Giuliano MD Physician 40.00 0.00 X 754783 0 57955 Edward Dudley III Former Executive VP & CFO (end 2/23) 0.00 0.00 X 0 159007 132010 Louis I Fink MD Former Chair (end 7/23)/Cardiologist 40.00 0.00 X 387932 0 17724 6650046 1221721 898189 179 1 1 0 0 Patient service revenue 621110 29675098 29675098 Miscellaneous revenue 621110 337879 337879 30012977 30012977 30012977 0 0 1516417 1213134 303283 55968464 44774771 11193693 1328142 1062514 265628 3074709 2459767 614942 2795592 2236474 559118 11869537 9495630 2373907 211258 169006 42252 888 710 178 58525 46820 11705 5863 4690 1173 2269236 1815389 453847 Medical supplies 58 58 79098689 63278963 15819726 0 60207 153926 4439 5848 3750 0 33800 33800 0 0 499368 983515 567764 1143289 5584913 5915151 3355413 3030905 8940326 8946056 X -8372562 -7802767 -8372562 -7802767 567764 1143289 X -49085712 49655507 X X 0 1 X 1 0 X 19130225 16272810 22155539 19907001 30012977 107478552 19130225 16272810 22155539 19907001 30012977 107478552 0 0 0 107478552 27 153 180 27 153 180 19130252 16272963 22155539 19907001 30012977 107478732 1.00000 1.00000 0.00000 X 33800 33800 0 0 Net due from affiliates 983515 983515 Accrued pension & other liabilities 3030905 3030905 X 30078117 65140 65140 30012977 0 30012977 79098689 0 79098689 0 79098689 Part X, Line 2: 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. Part XI, Line 2d - Other Adjustments: Net periodic pension income 65,140. 0 1 0 0 0 0 0 1 0 Benjamin Westbrook MD FACS Physician 1348179 0 91220 0 10483 0 12200 0 40088 0 1502170 0 0 0 Alexander Walker Jr Esq President & CEO/Vice Chair 0 646076 0 0 0 71448 0 270586 0 80585 0 1068695 0 0 David Caparrelli MD FACS Physician 886226 0 82553 0 0 0 12200 0 41285 0 1022264 0 0 0 Gerald Sardella MD FACS Physician 861562 0 61033 0 0 0 9150 0 32614 0 964359 0 0 0 Stephan H Heo MD Physician 540880 0 226994 0 0 0 15250 0 39320 0 822444 0 0 0 Xiaoyu Yang-Giuliano MD Physician 542695 0 212088 0 0 0 15250 0 42705 0 812738 0 0 0 Robert Capodilupo MD Trustee/Executive Medical Director 567189 0 108068 0 0 0 15250 0 37798 0 728305 0 0 0 Patricia Furey MD Director/Physician 470768 0 0 0 0 0 12200 0 41310 0 524278 0 0 0 Louis I Fink MD Former Chair (end 7/23)/Cardiologist 271027 0 101328 0 15577 0 15250 0 2474 0 405656 0 0 0 Pamela Martel Executive VP & CFO 0 343946 0 0 0 1244 0 4068 0 14938 0 364196 0 0 Edward Dudley III Former Executive VP & CFO (end 2/23) 0 154615 0 0 0 4392 0 120092 0 11918 0 291017 0 0 Carolyn Claussen MD Secretary & Treasurer/Physician 228005 0 24171 0 0 0 11648 0 10 0 263834 0 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, Line 4b The following individuals take part in a section 457(f) forfeitable nonqualified deferred compensation plan. The amounts listed represent calendar year 2023 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: $108,804 - Alexander Walker, Jr., Esq.: $258,386 Part I, Line 7 A portion of compensation is at-risk and variable, and payment depends on the quality of job performance. Carolyn Claussen MD Trustee/Officer 244000 Dr. Carolyn Claussen is the Secretary and Treasurer on the Practice's Board of Directors. Dr. Claussen's husband was employed by the Practice as a contracted physician. Dr. Claussen's husband received $224,876 in compensation, as reported on his 2023 Form W-2, Box 5; deferred compensation of $9,931; and other non-taxable benefits of $9,193, all as an employee of the Practice. Compensation paid to Dr. Claussen's husband was considered in line with the salary structure for similarly employed persons at the Practice and does not represent higher than market rate compensation due to her familial relationship with Dr. Claussen. 0 Form 990, Part VI, Section A, line 6 The sole member of CMC Physician Practice Associates is CMC Healthcare System. Form 990, Part VI, Section A, line 7a The directors of CMC Physician Practice Associates are appointed by the sole member. Form 990, Part VI, Section A, line 7b The sole member has reserved powers over CMC Physician Practice Associates but does not approve each separate action taken by the CMC Physician Practice Associates board. Form 990, Part VI, Section B, line 11b On September 26, 2023, the Catholic Medical Center, and by association its affiliated entities within the CMC Health System, executed a letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all the assets of the Medical Center to HCA. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter. Through this period, the Organization retained an independent public accounting firm to prepare its Form 990 tax return. As of the time of filing this Form 990, the Organization's Board of Directors, as it operated during the year ending September 30, 2024, has been fundamentally changed and largely disbanded due to the affiliation with HCA. However, upon its completion, a draft of the Form 990 was still sent to the standing finance personnel, advisors, and executives overseeing the wind-down and transition processes of the Medical Center into HCA, the majority of whom were intimately familiar with the Medical Center's financial and tax reporting obligations, to ensure the tax return was subject to proper oversight and review procedures prior to its filing. Additionally, the Form 990 was made available to the Board of the Catholic Healthcare Trust, the successor charitable entity of the Catholic Medical Center. 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 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 from affiliates 49,187,000. Pension-related changes other than net periodic pension cost 403,367. Net periodic pension gains, net of nonoperating costs 65,140. Form 990, Part XII, Line 2c: On September 26, 2023, the Catholic Medical Center, and by association its affiliated entities within the CMC Health System, executed a letter of intent with an affiliate of Healthcare Corporation of America (HCA) which provided a framework for the sale of substantially all the assets of the Medical Center to HCA. New Hampshire's attorney general approved the acquisition on January 6, 2025, and the parties closed and completed the transaction shortly thereafter. Through this period, the Organization retained an independent public accounting firm to perform an audit of its financial statements for the period ending September 30, 2024. As of the time of the audit's completion, the Organization's Board of Directors, as it operated during the year ending September 30, 2024, had been fundamentally changed and largely disbanded due to the affiliation with HCA. Additionally, the audit was issued in April 2025, at which point the merger of the Center into HCA was materially completed. 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 Inc 100 McGregor Street Manchester NH 03102 020398138 Real Estate NH 501(c)(3) Line 12b, II 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 (end 524) 0 CMC Healthcare System 100 McGregor Street Manchester NH 03102 010568516 Parent NH 501(c)(3) Line 12b, II N/A 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 (end 524) 0 Monadnock Community Hospital 452 Old Street Road Peterborough NH 03458 020222157 Hospital NH 501(c)(3) Line 3 GraniteOne Health (end 524) 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 LLC 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 0 1 1 1 1 1 1 1 1 1