ALLIANCE RESOURCES INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ALLIANCE RESOURCES INCORPORATED (EIN 02-0398138)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201201359349303095
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T12:12:18-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020398138EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALLIANCE RESOURCES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALLINameControl
Phone6036683545Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEDWARD L DUDLEY IIIName
TitleSENIOR VP & CFOTitle
Phone6036683545Phone
Date Signed2012-05-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameE DREW CHENEYName
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonEDWARD L DUDLEY IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1068515GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.CATHOLICMEDICALCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionPROPERTY MANAGEMENT AND SUPPORT SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year601767ProgramServiceRevenuePriorYear
Program Service Revenue CY569879ProgramServiceRevenueCY
Investment Income Prior Year30InvestmentIncomePriorYear
Investment Income Current Year467698InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year601797TotalRevenuePriorYear
Total Revenue Current Year1037577TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year773342OtherExpensePriorYear
Other Expenses Current Year756729OtherExpensesCurrentYear
Total Expenses Prior Year773342TotalExpensesPriorYear
Total Expenses Current Year756729TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-171545RevenuesLessExpensesPriorYear
Revenues Less Expenses CY280848RevenuesLessExpensesCY
Total Assets BOY2537620TotalAssetsBOY
Total Assets EOY2910531TotalAssetsEOY
Total Liabilities BOY87978TotalLiabilitiesBOY
Total Liabilities EOY115041TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2449642NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2795490NetAssetsOrFundBalancesEOY
Mission DescriptionTO FACILITATE HEALTHCARE PROGRAMS AS WELL AS FURTHER QUALITY AND ACCESSIBILITY OF HEALTHCARE SERVICES IN THE GREATER MANCHESTER COMMUNITY AND THE STATE OF NEW HAMPSHIREMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense756729Expense
Revenue569879Revenue
DescriptionPROPERTY MANAGEMENT AND SUPPORT SERVICESDescription
Total Program Service Expense756729TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EDWARD DUDLEY IIIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6036683545TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
ALYSON PITMAN GILES
PRESIDENT & CEO1.00XX0749399371016
CONNOR J HAUGH
DIRECTOR1.00X061103416790
WILLIAM CLUTTERBUCK
DIRECTOR1.00X035342129595
GUY D CHAPDELAINE
CHAIR1.00XX000
STEPHEN CAMANN
VICE CHAIR1.00XX000
JOSEPH GRAHAM
TREASURER1.00XX000
MSGR JOHN P QUINN
SECRETARY1.00XX000
ADELE BOUFFORD BAKER
DIRECTOR1.00X000
GARY BOUCHARD PHD
DIRECTOR1.00X000
SUZANNA D MAJEWSKI
DIRECTOR1.00X000
PAUL S BOYNTON
DIRECTOR1.00X000
SUZANNE K MELLON PHD RN
DIRECTOR1.00X000
DARYL J CADY
DIRECTOR1.00X000
MARGARET-ANN MORAN ESQ
DIRECTOR1.00X000
ANNE M O'CONNOR MD
DIRECTOR1.00X000
ELEANOR WM DAHAR ESQ
DIRECTOR1.00X000
RONALD J RIOUX
DIRECTOR1.00X000
JEROME DUVAL
DIRECTOR1.00X000
KEITH A STAHL MD
DIRECTOR1.00X025132727443
JEFF EISENBERG
DIRECTOR1.00X000
REV GAYLE WHITTEMORE
DIRECTOR1.00X000
RAEF FAHMY DPM
DIRECTOR1.00X0566120
BISHOP FRANCIS J CHRISTIAN
DIRECTOR1.00X000
BEJAMIN WESTBROOK MD
DIRECTOR1.00X000
KATHLEEN ZAFFION MD
DIRECTOR1.00X000
RAYMOND BONITO
EXEC. VP1.00X0407078133639
ALLEN ERICSON
COO1.00X034216749551
KEVIN KILDAY
CFO0.00034439844045X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3115436TotalReportableCompFrmRltdOrgs
Total Other Compensation672079TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRENT INCOME FROM AFFILDescription
Business Code532000BusinessCode
Total Revenue Column569879TotalRevenueColumn
Related Or Exempt Function Income569879RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue569879TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column109TotalRevenueColumn
Exclusion$109ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other498527Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other30938Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other467589Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column467589TotalRevenueColumn
Exclusion$467,589ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1037577TotalRevenueColumn
Related Or Exempt Function Income569879RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$467,698ExclusionAmount

Occupancy Occupancy

FieldValueIRS element (for citing)
Total523476Total
Program Services523476ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total180900Total
Program Services180900ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total52353Total
Program Services52353ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total756729Total
Program Services756729ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY51380BOY
EOY50077EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY98223BOY
EOY56136EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17034BOY
EOY21942EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4580590LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1798214LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2370983BOY
EOY2782376EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2537620BOY
EOY2910531EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY87978BOY
EOY115041EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY87978BOY
EOY115041EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2449642BOY
EOY2795490EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2449642BOY
EOY2795490EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2537620BOY
EOY2910531EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses280848ReconcilationRevenueExpenses
Reconcilation Other Changes65000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1CMCBusinessNameLine1
FieldValueIRS element (for citing)
EIN020315693EIN
Type Of Organization3TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis633839OtherCostOrOtherBasis
Book Value633839BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3810908OtherCostOrOtherBasis
Depreciation1671874Depreciation
Book Value2139034BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis109672OtherCostOrOtherBasis
Depreciation109672Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis26171OtherCostOrOtherBasis
Depreciation16668Depreciation
Book Value9503BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2782376TotalOfBookValueLandBuildings
Total Revenue1037577TotalRevenue
Total Expenses756729TotalExpenses
Excess Or Deficit For Year280848ExcessOrDeficitForYear
Other$65,000OtherAmount
Total Adjustments65000TotalAdjustments
Excess Or Deficit Per FS345848ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationTRANSFER FROM AFFILIATE 65,000.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ALYSON PITMAN GILES
061192701374720002744870965290112041500
CONNOR J HAUGH
049115701198770001472302067062782400
WILLIAM CLUTTERBUCK
03534210000010979018616038301600
KEITH A STAHL MD
02199940313330008299019144027877000
RAYMOND BONITO
034687906019900091903041736054071700
ALLEN ERICSON
030631903584800016045033506039171800
KEVIN KILDAY
03443980000012707031338038844300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BPART I, LINES 4A-B: 4A: THE FOLLOWING INDIVIDUAL RECEIVED BASE COMPENSATION UNDER A SEVERANCE AGREEMENT FROM A RELATED ORGANIZATION. (CATHOLIC MEDICAL CENTER) KEVIN KILDAY $137,977 4B: THE FOLLOWING INDIVIDUALS TAKE PART IN A SECTION 457(F) FORFEITABLE NONQUALIFIED DEFERRED COMPENSATION PLAN. THIS REPRESENTS CONTRIBUTIONS FOR MANY YEARS OF SERVICE. ALYSON PITMAN GILES: $257,348 RAYMOND BONITO: $80,065 ALLEN ERICSON: $5,019 KEVIN KILDAY: $9,356
PART I, LINE 7A PORTION OF COMPENSATION IS AT-RISK AND VARIABLE, AND PAYMENT DEPENDS ON THE QUALITY OF JOB PERFORMANCE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF ALLIANCE RESOURCES IS CMC HEALTHCARE SYSTEM
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS ARE APPOINTED BY THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE FORM 990 IS PRESENTED TO THE BOARD BEFORE IT IS FINALIZED.
OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST POLICY ANNUALLY.FORM 990, PART VI, SECTION B, LINE 12C
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
AVERAGE HOURS PER WEEK FOR A RELATED ORGANIZATION ALYSON GILES: 60 HRS WILLIAM CLUTTERBUCK, MD: 40 HRS CONNOR HAUGH, MD: 40 HRS KEITH STAHL, MD: 40 HRS RAYMOND BONITO: 50 HRS ALLEN ERICSON: 50 HRS RAEF FAHMY, DPM: 40 HRSFORM 990, PART VII, LINE 1B:
CHANGES IN NET ASSETS OR FUND BALANCES:TRANSFER FROM AFFILIATE 65,000. TOTAL TO FORM 990, PART XI, LINE 5: 65,000.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ALLIANCE HEALTH SERVICES
100 MCGREGOR STMANCHESTERNH03102611508839PRACTICESNH501(C)(3)LINE 11B, IICMC SYSTEM0
CATHOLIC MEDICAL CENTER
100 MCGREGOR STMANCHESTERNH03102020315693HOSPITALNH501(C)(3)LINE 3CMC SYSTEM0
CMC HEALTHCARE SYSTEM
100 MCGREGOR STMANCHESTERNH03102010568516PARENTNH501(C)(3)LINE 11B, II0N/A
CMC ASSOCIATES
100 MCGREGOR STMANCHESTERNH03102020344786GIFT SHOPNH501(C)(3)LINE 11B, IICMC0
CMC PHYSICIAN PRACTICE ASSOCIATES
100 MCGREGOR STMANCHESTERNH03102020460245PRACTICESNH501(C)(3)LINE 11B, IICMC SYSTEM0
NEHI FOUNDATION
100 MCGREGOR STMANCHESTERNH03102223041916SUPPORTNH501(C)(3)LINE 7CMC0
ST PETERS HOME
100 MCGREGOR STMANCHESTERNH03102020222228HOMENH501(C)(3)LINE 9CMC SYSTEM0
ALLIANCE AMBULATORY SERVICES
100 MCGREGOR STMANCHESTERNH03102020519436AMBULATORY SURGICAL CENTERNH501(C)(3)LINE 11B, IICMC SYSTEM0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1MCGREGOR STEET MOBBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 MCGREGOR STAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03102ZIPCode
FieldValueIRS element (for citing)
EIN134347316EIN
Primary ActivityMEDICAL OFFICE BUILDINGPrimaryActivity
Legal Domicile StateNHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CMC SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
DOCTORS MEDICAL ASSOCIATION
100 MCGREGOR STMANCHESTERNH03102020340690MEDICAL OFFICE BUILDINGNHCMC SYSTEMC
ALLIANCE ENTERPRISES
100 MCGREGOR STMANCHESTERNH03102020386795REAL ESTATENHCMC SYSTEMC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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