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        <PersonNm>Michael Gilbert MD</PersonNm>
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        <PersonNm>Edward Dudley III</PersonNm>
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        <ExplanationTxt>The Organization's President &amp; 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 &amp; CEO's compensation and benefits.</ExplanationTxt>
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        <ExplanationTxt>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</ExplanationTxt>
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        <ExplanationTxt>Person(s) Involved: Please refer to this Form 990, Part VII, List of Officers and Directors, including the following persons: Alexander Walker, President &amp; CEO; Patricia Furey, Medical Staff President; Robert Capodilupo, Trustee &amp; Executive Medical Director; Pamela Martel, VP &amp; CFO; Michael Gilbert, Director; Jason Cole, Director; and William Clutterbuck, Director.</ExplanationTxt>
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        <ExplanationTxt>Explanation of Involvement: Alliance Health Services ("AHS") is affiliated with and part of the Catholic Medical Center Health System, a group of related organizations dedicated to providing care, health, and patient services in and around Manchester, New Hampshire. During the year covered by this Form 990, AHS made significant transfers of its net assets to the Catholic Medical Center. Due to the inter-related nature of the organizations within the System, many individuals serve as directors, officers, executives, or employees simultaneously between multiple entities. In any event where the named individuals served both AHS and CMC, none of those individuals became entitled to any additional compensation or benefits because of these transfers and net asset dispositions. Furthermore, none of the listed individuals' roles or responsibilities materially changed due to the transfers with either respective entity.</ExplanationTxt>
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        <ExplanationTxt>During the period covered by this Form 990, Alliance Health Services ("AHS") made significant transfers and dispositions of its net assets, as defined in the IRS Form 990 Instructions, to Catholic Medical Center ("CMC"). Both AHS and CMC are affiliated with and part of the Catholic Medical Center Health System, a group of related organizations dedicated to providing care, health, and patient services in and around Manchester, New Hampshire. During the period covered by this tax return, AHS ceased to conduct most of its direct physician and health services. For this tax year, the Organization's activity instead consisted primarily of property management and rental activities in furtherance of its charitable purpose and in support of the Catholic Medical Center and other related organizations.To better support the direct health services offered by the System, and due to AHS ceasing to conduct patient care itself, AHS made transfers of net assets to CMC during this tax year. The transfers consisted predominantly of cash and cash equivalent assets, as well as claims to patient receivables.</ExplanationTxt>
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        <ExplanationTxt>During the period covered by this tax return, the Organization ceased to conduct most of its direct physician and health services. For this tax year, the Organization's activity instead consisted primarily of property management and rental activites in furtherance of its charitable purpose and in support of the Catholic Medical Center and other related organizations.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers and directors are required to complete a conflict of interest questionnaire annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, the conflict of interest policy, and the financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Transfers to affiliates -550,000. Contract adjustments related to prior year physician services -105,102.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        </USAddress>
        <EIN>814663563</EIN>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Huggins Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>240 South Main Street</AddressLine1Txt>
          <CityNm>Wolfeboro</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        </USAddress>
        <EIN>020223332</EIN>
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          <BusinessNameLine1Txt>GraniteOne Health (end 524)</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      </IdRelatedTaxExemptOrgGrp>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Monadnock Community Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>452 Old Street Road</AddressLine1Txt>
          <CityNm>Peterborough</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>St Peter's Home</BusinessNameLine1Txt>
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</Return>