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        <PersonNm>Isideal Cuko</PersonNm>
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        <FormAndLineReferenceDesc>Part I, Line 12g, Column v &amp; vi:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHT Healthcare System, through its board of directors, is the sole corporate member of all five of its affiliated tax-exempt organizations: Catholic Healthcare Trust, CHT Physicians Practice Associates, Alliance Ambulatory Services, Alliance Health Services, and St. Peter's Home. As a corporate member, CHT Healthcare System appoints the directors and has certain reserved powers over governance decisions of its affiliates.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section A, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>Several organizations are listed in Schedule A, Part I, Line 12g that are not named specifically by name in CHT Healthcare System's governing documents. However, all listed organizations not specifically named are designated by class in CHT Healthcare System's governing documents as all are affiliates of the Catholic Healthcare Trust (f/k/a Catholic Medical Center.) CHT Healthcare System's governing documents designate that its purpose is to function as a supporting organization to benefit, serve as the sole member of, help carry out the purposes of, and uphold, promote and further the welfare, programs and activities of Catholic Healthcare Trust, Alliance Resources, Inc., Alliance Ambulatory Services, and any and all other non-profit entities affiliated with Catholic Healthcare Trust. CHT Healthcare System, as an agency of the Roman Catholic Church, shall provide its services within the scope and in a manner consistent with the Ethical and Religious Directives for Catholic Health Care Services, in accordance with the direction of, and as interpreted by, the Roman Catholic Bishop of Manchester, New Hampshire.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section A, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Two organizations listed in Schedule A, Part I, Line 12g do not have an IRS determination letter specific to that organization. However, Catholic Healthcare Trust and its affiliated organizations were designated tax-exempt organizations by way of a group exemption (#0928) under the United States Conference of Catholic Bishops. All the organizations listed are best described as 509(a)(2) or 170(b)(1)(A)(iii) public charities. The IRS completed the review process of Alliance Ambulatory Services and Alliance Health Services and issued determinations designating them as organizations exempt under 509(a)(2) in September 2017. St. Peter's Home and CHT Physician Practices Associates (f/k/a Catholic Medical Center Physicians Practice Associates) file as a 509(a)(2) organizations. CHT Physician Practice Associates has submitted Form 8940 requeesting to change its status to a 509(a)(2).</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part IV, Section A, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHT Healthcare System provided to Alliance Resources, Inc. (EIN: 02-0398138) similar non-monetary support as was provided to its other supported organizations listed in Schedule A, Part I, Line 12g. Alliance Resources, Inc. is a 509(a)(3) Type II Supporting Organization whose sole supported organization is Catholic Medical Center which is also a supported organization of CHT Healthcare System.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule A, Part IV, Section C, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>All of CHT Healthcare System's directors served as directors of at least one supported organization. Additionally, Alexander Walker served as the President &amp; CEO and Pamela Martel served as Executive Vice President &amp; CFO of CHT Healthcare System and all its supported organizations during the period covered by this tax return. While the CHT Healthcare System directors may not make up the majority of directors of all supported organizations, they do constitute a significant board presence across the system. In these ways, control of CHT Healthcare System is vested in the same persons that control the supported organizations.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Form 990, Schedule A, Part IV, Section A, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>Effective February 1, 2025, certain affiliates within and related to the CHT Healthcare System completed the sale of substantially all assets to Manchester Health Services, LLC, a wholly-owned subsidiary of HCA. (Additional details regarding the sale agreement can be found in the other disclosures on this Form 990-EZ, Schedule O.) As a result of this sale to Manchester Health Services and other related wind-down procedures, the following affiliated entities of CHT Healthcare System can be deemed to be removed as ongoing supported organizations for years after the period ending September 30, 2025. St. Peter's Home (EIN: 02-0222228): St. Peter's Home, Inc. (SPH), an organization previously affiliated with the Catholic Healthcare Trust (f/k/a the Catholic Medical Center) and the CHT Healthcare System, was transferred by a member substitution to the Roman Catholic Bishop of Manchester, a corporation sole (the Diocese) for no consideration pursuant to the provisions of the governing documents controlling the disposition of assets. SPH remains a separate non-profit corporation and recognized Section 501(c)(3) tax-exempt organization. By being affiliated with the Diocese, SPH should benefit from synergies by the Catholic Schools Office of the Diocese and its primary and secondary Catholic school system. Accordingly, following the transfer from the Medical Center to the Diocese, SPH is no longer a supported organization of CHT Healthcare System. CHT Physicians Practice (EIN: 02-0460245): Separately, as a result of sale agreement with HCA, CHT Physicians Practice ceased all operations, with all assets, holdings, debts, obligations, and activities transferred into either the Medical Center as it concludes its own wind-down operations; or, as pertains to the Organization's former patient care services, absorbed by HCA and its own affiliates as part of the sale agreement. As of this tax year ending September 30, 2025, the CHT Physicians Practice has filed Statements of Dissolution with the New Hampshire Secretary of State and the City of Manchester, NH. Accordingly, following these termination procedures, CHT Physician Practice is no longer a supported organization of CHT Healthcare System.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990-EZ, Part V, Line 33</FormAndLineReferenceDesc>
        <ExplanationTxt>See additional footnotes on this Form 990-EZ, Schedule O.</ExplanationTxt>
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        <ExplanationTxt>The CHT Healthcare System is related to and the sole member of the Catholic Healthcare Trust (f/k/a the Catholic Medical Center) and other related tax-exempt organizations which have provided health and care services in and around Manchester, New Hampshire. In September 2023, the Catholic Healthcare Trust (the, Organization") began negotiations with an affiliate of Healthcare Corporation of America (HCA) to sell substantially all the Medical Center's assets. Following due diligence and negotiations, an asset purchase agreement was executed by the Medical Center, certain affiliates of the System and HCA on June 21, 2024. The required Joint Notice to the Director of Charitable Trusts pursuant to New Hampshire Revised Statutes Annotated (RSA) 7:19-b was filed on June 28, 2024, initiating the State of New Hampshire's 180-day review period. The review period expired on December 24, 2024, but was mutually extended by the Medical Center and the Director of Charitable Trusts to January 9, 2025. In addition to state regulatory approval, the asset purchase agreement contained a number of other conditions to close including, but not limited to, approval by Holy See (granted on December 6, 2024) and approval by New Hampshire's Attorney General (granted on January 6, 2025). Effective February 1, 2025, the Medical Center and certain affiliates completed the sale of substantially all assets to Manchester Health Services, LLC, a wholly-owned subsidiary of HCA, pursuant to the terms and conditions of a certain asset purchase agreement dated June 21, 2024, as amended on December 30, 2024 and January 30, 2025. Significant assets excluded from the transaction included the cash, accounts receivable as of the closing date and its equity interests in the Bedford Ambulatory Surgical Center. The proceeds from the sale and excluded assets were used by the System to pay-off the Medical Center's debt, with all remaining proceeds held to wind down the Medical Center's affairs, including, but not limited to, the management of excluded assets and satisfaction of unassumed liabilities and obligations with the remaining cash. Any net assets remaining after completion of the wind down of the Medical Center's affairs, will be used to fund a charitable foundation called Catholic Health Care Foundation of Greater Manchester (the Foundation) which will continue to support Catholic healthcare in the community. Accordingly, as of this tax year ending September 30, 2025, the Medical Center has ceased to directly conduct any patient services or other operations as a hospital institution, and exists solely as a holding organization to settle these closing, administrative, and wind-down procedures; and to fun and pay grants, as appropriate, to Foundation. As these wind-down procedures are completed, it is anticipated that the CHT Healthcare System and all related entities will also be formally dissolved.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990-EZ, Part V, Line 34:</FormAndLineReferenceDesc>
        <ExplanationTxt>During the tax year, the Organization filed an Affidavit of Amendment to its Articles of Agreement with the New Hampshire Secretary of State. The amendment resulted in the legal name of the Organization being changed to CHT Healthcare System.</ExplanationTxt>
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      <DeclarationDesc>The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.</DeclarationDesc>
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