Alliance Ambulatory Services

“The sole member of Alliance Ambulatory services is CMC Healthcare System.”

“The directors of Alliance Ambulatory Services are appointed by the sole member.”

“The sole member has reserved powers over Alliance Ambulatory Services but does not approve each separate action taken by the Alliance Ambulatory Services board.”

“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.”

“Officers and directors are required to complete a conflict of interest policy annually.”

“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.”

“The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“Net transfers to affiliates -3,477,000.”

“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. However, the audit was still subject to the same general level of professional scrutiny and expertise as from before the affiliation agreement, and the audit was still conducted in coordination with the standing key finance personnel, advisors, and executives, including those overseeing the wind-down and transition processes of the Medical Center into HCA. The majority of these individuals were intimately familiar with the Medical Center's financial and tax reporting obligations, and all persons involved worked to ensure that the audit was subject to proper oversight and review procedures prior to the audit's finalization and issuance.”