2014-08-15T08:43:23-05:00 2013-09-30 PricewaterhouseCoopers LLP 185 Asylum Street Suite 2400 Hartford CT 061033404 990 2012-10-01 222520073 Holyoke Medical Center Inc % PAUL M SILVA HOLY 4135342667 575 Beech Street Suite Holyoke MA 010402223 SPIRIDON E HATIRAS 4135342667 2014-08-14 true BRIAN J MCCUE 860-241-7040 8602417000 2012 2015-11-30 17:44:51Z Spiridon E Hatiras 575 Beech Street Holyoke MA 010402223 121068359 false X www.holyokehealth.com X 1984 MA HOLYOKE MEDICAL CENTER, INC. IS AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL AND OTHER HEALTHCARE SERVICES TO RESIDENTS OF HOLYOKE MA, AND THE SURROUNDING COMMUNITIES. 17 11 1380 221 2310198 17967 344498 257497 113488892 106746805 157693 185001 15103485 13609288 129094568 120798591 4500 4500 0 0 77135934 77514201 0 0 0 44069278 38826147 121209712 116344848 7884856 4453743 64629768 65122039 68544194 56483031 -3914426 8639008 HOLYOKE MEDICAL CENTER, INC. IS AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL AND OTHER HEALTHCARE SERVICES TO RESIDENTS OF HOLYOKE, MA AND THE SURROUNDING COMMUNITIES. false false 92451218 117347327 The mission of Holyoke Medical Center, Inc. (HMC) is to serve the health needs of the community in a high quality and efficient manner. To this end, Holyoke Medical Center shall: (1)Provide compassionate care to all whom it serves and commitment to cultural diversity in our programs and workforce, and the development of cultural competencies in our workforce so that we may better serve our patients; (2)Identify and serve those needs which are prevalent and substantial in the community as a whole or within major population groups, and which can be adequately met by the provision of basic primary and secondary health care services; (3)Provide information, education, and expertise to our community in order to promote the general health of its citizens; (4)Provide an environment of excellence and growth in which health care professionals can use their skills and abilities to the fullest extent possible; (5)Provide competitive wages and benefits, as well as safe and dignified working conditions, for all employees; (6)Ensure financial responsibility in the operation of the Medical Center in order to guarantee the future viability of our mission; (7)Provide a formal, public, and ongoing program of community benefits, in cooperation with community individuals and organizations, to improve the health status of the public including especially the medically and economically vulnerable. Holyoke Medical Center, Inc. (HMC) provided inpatient, outpatient, and emergency healthcare services and certain physician services to the residents of Holyoke, Massachusetts and the surrounding communities. Inpatient healthcare services included medical, surgical, critical care, cardiac, obstetrical, psychiatric, and oncology services. During FY 2013, HMC provided 25,460 patient days of inpatient servies with 5,930 discharges. Outpatient healthcare services included a full array of diagnostic, therapeutic, and behavioral health services. During FY 2013, HMC had 231,051 outpatient visits. Emergency services were provided by a 24-hour emergency department; during FY 2013, HMC had 43,308 emergency department visits. a 24-hour emergency department; during FY 2013, HMC had 43,308 emergency department visits. 92451218 true true false true false false false false false true true false true false true false true true false false false false false false false false true true false false true true true false false false false false false false true true false false false false false true true true false false true 180 0 1380 true true true false false false false false false false false false X 17 11 true false false false true true true true true false false true true true true true true true true false MA X PAUL M SILVA 4135342667 575 BEECH STREET HOLYOKE MA 010402223 HANK J PORTEN 35.0 10.0 X X 922037 22396 KAREN M FERRONI MD 40.0 X 265217 16342 DEBORAH A BUCKLEY 0.5 0.5 X MARTIN F SCHOENEMANN CPA 0.5 0.5 X PRISCILLA MANDRACHIA 1.0 2.0 X X M SALEEM BAJWA MD 0.5 X WILLIAM R ANDREWS 0.5 0.5 X VIJAY V GANDEVIA MD 40.0 X 398839 18323 RICHARD J WELLS 0.5 0.5 X PETER C CONNOR 1.0 2.0 X X DONALD L GRAHAM 0.5 0.5 X KATHLEEN M HANKEL 0.5 0.5 X JOHN J KELLEY 1.0 1.0 X MARC E JOYCE 0.5 0.5 X JOSEPH PETERS 0.5 0.5 X DORIS M RANSFORD 0.5 0.5 X ANTHONY SOTO 0.5 0.5 X THEODORE K MLAPAH MD 40.0 X 364077 18695 Spiridon E Hatiras 35.0 10.0 X X Benjamin C Hammond 0.5 0.5 X ANTONIO CORREIA 33.0 12.0 X 297636 16516 PAUL M SILVA 40.0 X 226763 15896 KATHLEEN M BUCKLEY 40.0 X 213350 15905 CLARK A FENN 40.0 X 215298 16111 JAMES M KEEFE 40.0 X 203385 15873 MICHAEL A ZWIRKO 40.0 X 236562 16211 KEVIN F NEILL 40.0 X 192239 16080 MARY E NORRIS MD 40.0 X 442880 18574 ZUBEENA M MATEEN MD 40.0 X 365838 18574 KHALED A INSTRUM MD 40.0 X 450786 18574 Noah J Epstein 40.0 X 450421 18716 Anthony L Rhodes MD 40.0 X 438905 17697 4464560 1219673 280483 96 false true false H-C MANAGEMENT SERVICES INC 20 HOSPITAL DRIVE HOLYOKE MA 01040 MANAGEMENT SERVICES 2328000 QUEST DIAGNOSTICS NICHOLS INSTITUTE 415 MASSACHUSETTS AVENUE CAMBRIDGE MA 02139 LABORATORY SERVICES 680647 Executive Health Resources Inc PO Box 822688 PHILADELPHIA PA 19182 MedNecessityComplian 718735 Dell Marketing LP 120 Royall Street Canton MA 02021 CANTON MA 02021 ICD0-10 Consulting 591624 Medical Information Technology Inc Meditech Circle WESTWOOD MA 02090 Healthcare Tech 572317 31 30500 226997 257497 NET PATIENT SERVICE REVENUE 621110 106263171 106263171 AFFILIATE RENT 531120 483634 483634 106746805 178001 178001 0 0 469654 196971 272683 0 272683 17738 254945 79797 72797 7000 7000 7000 0 0 0 NON-PATIENT LAB REVENUE 621500 2292264 2292264 TRANSCRIPTION SERVICES 561000 196 196 FOOD SERVICES/COFFEE SHOP 722210 443623 443623 10600522 10600522 13336605 120798591 117347327 2310198 883569 4500 4500 0 0 0 2315430 1028133 1287297 330278 330278 62534836 53830458 8704378 432047 365818 66229 6993855 5824312 1169543 4907755 4155434 752321 2115847 2115847 109050 17470 91580 193514 193514 86467 86467 0 0 5763962 2729117 3034845 166744 8512 158232 16798142 15142983 1655159 1702572 882292 820280 0 2007185 1721938 285247 146716 93069 53647 0 0 568718 568718 0 3914353 2279530 1634823 2050701 1120077 930624 LABORATORY TESTS 924899 924899 PURCHASED STAFFING 1198384 1177162 21222 PHYSICIAN FEES 496311 496311 OTHER 582582 318925 263657 116344848 92451218 23893630 0 8421338 8094151 0 0 0 0 13824308 13899141 0 0 0 0 0 0 740767 730996 1114149 1207375 130336257 99761531 29788350 30574726 2269460 2562927 0 0 7182801 6496159 0 0 1288595 1556564 64629768 65122039 16367568 18111978 0 0 0 0 4673913 3092833 0 0 0 0 6976800 7162010 0 0 40525913 28116210 68544194 56483031 X -8218620 4073142 1924746 2118510 2379448 2447356 -3914426 8639008 64629768 65122039 X 4453743 238830 7860861 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 60000 true 26467 false 86467 false PART II-B, LINE 1G: LEGISLATIVE AND EXECUTIVE AGENT REPRESENTATION: 1. CAPITOL CONSULTING GROUP: 25,000 2. SMITH & RAUSCHENBACH: 35,000 ------- TOTAL 60,000 PART II-B, LINE 1H: ASSOCIATION DUES RELATED TO LOBBYING: 1. AMERICAN HOSPITAL ASSOCIATION: 7,245 2. MASSACHUSETTS HOSPITAL ASSOCIATION: 19,222 ------- TOTAL 26,467 1315055 165085 86886 360 1392894 1105474 209881 300 1315055 1154521 -18890 29827 330 1105474 1087014 95984 28477 1154521 1143311 23703 80000 1087014 0.27690 0.72310 false true true 2710635 2710635 58616691 39965431 18651260 67299192 58493594 8805598 1709739 1302506 407233 30574726 PHYSICIAN HOSP ORGANIZATION 238257 F LIMITED USE ASSETS - CURRENT 462331 F LIMITED USE ASSETS - LONG TERM 1716683 F BENEFICIAL INTEREST - VHS 4078888 F 6496159 0 ACCRUED PENSION COST 27930280 ASSET RETIREMENT OBLIGATION 185930 28116210 131530253 238830 10295861 10534691 120995562 -196971 -196971 120798591 118976819 2631971 2631971 116344848 116344848 PART V, LINE 4: THE ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY VALLEY HEALTH SYSTEMS, INC. THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE A PREDICTABLE, STABLE, AND CONSISTENT STREAM OF EARNINGS FOR HOLYOKE MEDICAL CENTER, INC. TO BE USED FOR FREE CARE AND GENERAL OPERATIONS. PART XI, LINE 2D (OTHER): PENSION ADJUSTMENT 10,046,241 CHANGE IN BENEFICIAL INT - VHS 249,620 ------------ TOTAL 10,295,861 PART XII, LINE 2D (OTHER): CONTRIBUTIONS TO WESTERN MASS PHYSICIAN ASSOCIATES INC. 2,375,000 CONTRIBUTION TO MASSWEST SERVICES INC. 60,000 RENTAL EXPENSES 196,971 --------- TOTAL 2,631,971 true true true X true X true true true false true true 2643 2558135 1301707 1256428 0.01080 22059 11987072 9926792 2060280 0.01770 24702 14545207 11228499 3316708 0.02850 37 8993 219751 219751 0.00190 2 495 42914 42914 0.00040 4 658 4600037 3106640 1493397 0.01280 2 2379905 2379905 0.02050 45 10146 7242607 3106640 4135967 0.03560 45 34848 21787814 14335139 7452675 0.06410 3 1126 19224 19224 0.00020 1 276 276 2 255 2818 2818 1 1031 1031 7 1381 23349 23349 0.00020 true 3111270 36508685 33402150 3106535 X true true NOT APPLICABLE 1 1 HOLYOKE MEDICAL CENTER INC

575 BEECH STREET HOLYOKE MA 01040

WWW.HOLYOKEHEALTH.COM X X X HOLYOKE MEDICAL CENTER INC 1 true X X X X X X X X X 12 true true true X X X X X X X false false true true 200. true 400. true X X X X X X true true X X X X true false true X X false true 1. Required Disclosures Part I, Line 3C Not Applicable Part I, Line 7 Holyoke Medical Center, Inc. used the cost-to-charge ratio method in determining the cost of health services provided. Holyoke Medical Center, Inc. derived this cost-to-charge ratio based on the total patient care expense, after step-down adjustment, divided by gross patient charges per the Medicare 2552 Cost Report. Part II Holyoke Medical Center, Inc. provides a variety of community sponsorships and ongoing relationships with local community organizations. Our goals for those sponsorships and / or team building are to help support cultural and healthy lifestyle events, whether it be to support youth sports teams, celebrate youth academic leaders and their families and teachers, or support of a community celebration. Our intended outcome is to make this a healthier and more lively community. The majority of our community support is a result of requests from civic, social, and athletic groups within our community. As an example, working with three community partners, Holyoke Medical Center, Inc. staff help coordinate a children's grant to specifically assist speech and language screening and education for children and parents in the community for children with speech and hearing difficulties. Working with our partners, this program helps assist families with obtaining public school services for their children. Our ongoing involvement helps oversee budgets and assure flow to appropriate allocation of funds to those community services which will support those children and their families for speech, occupational and physical therapy, behavioral counseling, therapeutic play, hearing screenings, family literacy, and nutrition. In addition, HMC also partners with a variety of local community agencies to help oversee specific grants that have been awarded for the broader community for children with childhood developmental delays in their cognitive speech and hearing. Family support and teaching pre-school and grammar school educational programs for teachers are held to assist in minimizing the delays that these children would otherwise undergo without this service. Part III, Section A, Line 2 Holyoke Medical Center, Inc. records an allowance for doubtful accounts by reporting accounts at their net realizable value. The estimated losses are based upon historical collection experience together with a review of the current status of the existing receivables. The allowance for doubtful accounts is then reduced to cost. Part III, Section A, Line 4 In July 2011, the Financial Accounting Standards Board, or FASB, issued Accounting Standard Update No. 2011.7, "Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities" (a consensus of the EITF). The objective of this amendment is to provide financial statement users with greater transparency about a health care entity's net patient service revenue, which is sometimes grossed-up and recognized at the time the services are rendered regardless of whether the entity expects to collect that amount, and the related allowance for doubtful accounts. The amendments require health care entities that recognize significant amounts of patient service revenue at the time the services are rendered even though they do not assess the patient's ability to pay to present the provision for bad debts related to patient service revenue as a deduction from patient service revenue (net of contractual allowances and discounts) on their statement of operations. For the Medical Center, this guidance is effective for the year ended September 30, 2013. See also the footnote for Net Patient Service Revenue and Estimated Final Settlements (Page 9) at Septermber 30, 2013 in the Holyoke Medical Center, Inc. Audited Fiancial Statements. Part III, Section B, Line 8 See Part III, Section A, Line 4 for the description of the costing methodology used in determining the Medicare costs. Part III, Section C, Line 9b Populations Exempt from Collection Action - The following individuals and patient populations are exempt from any collection actions pursuant to the Massachusetts Health Safety Net Program (HSN) regulations: a. Patients enrolled in, receiving benefits from, or participating in a public health insurance program, including but not limited to MassHealth, Emergency Aid to the Elderly, Disabled and Children (EAEDC), Healthy Start, Children's Medical Security Plan (CMSP (provided the patient's family income is equal to or less than 400% of the FPL)), and low income patients subject to the following: (1) Holyoke Medical Center, Inc. may initiate Collection Action against any patient enrolled in, receiving benefits from, or participating in MassHealth, EAEDC or Healthy Start, and any low income patient, for their required co-payments and deductibles as set forth by each specific program. (2) Holyoke Medical Center, Inc. may also initiate collection action for a patient who alleges that he or she is a participant in MassHealth, EAEDC, Health Start or CMSP but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in such a program (including, in the case of MassHealth, EAEDC or Healthy Start, receipt or verification of a signed application), Holyoke Medical Center, Inc. shall cease billing or collection activities. (3) Low income patients are exempt from Collection Action for Eligible Services (as defined by HSN regulations from time-to-time)they receive during the period for which they have low income patient status. (4) Low income patients with family income between 200% and 400% of FPL are exempt from collection action for the portion of their Holyoke Medical Center, Inc. bill that exceeds the patient's deductible. However, Holyoke Medical Center, Inc. may initiate collection action against patients for their required co-payments and deductibles. (5) Holyoke Medical Center, Inc. may continue collection action on any low income patient for services rendered prior to the low income patient determination, provided that the patient's low income patient status has been terminated or expired. However, once a patient is determined to be eligible and enrolled in the Health Safety Net, MassHealth or certain Commonwealth Care rograms, Holyoke Medical Center, Inc. will cease collection action for services rendered prior to the beginning of their eligibility. (6) Holyoke Medical Center, Inc. may pursue collection action against low income patients for services other than eligible services for which the patient has agreed to be responsible, provided Holyoke Medical Center, Inc. obtained the patient's prior written consent to be billed for the services. Holyoke Medical Center, Inc. will not bill low income patients for claims denied by the patient's primary insurer resulting from an administrative or billing error unless the error was initiated by patient / guarantor. (7) Holyoke Medical Center, Inc. will not undertake collection action against an individual who has been approved for ER Bad Debt Medical Hardship or medical hardship under the Massachusetts Health Safety Net Program with respect to the amount of the bill that exceeds the medical hardship contribution. b. With respect to low income patients injured in motor vehicle accidents, Holyoke Medical Center, Inc. will: (1) investigate whether the patient, driver and / or vehicle owner had a motor vehicle liability policy; (2) make every effort to obtain the third party payor information from the patient; (3) if the hospital has prior knowledge and is legally able, attempt to secure assignment on a patient's right to third party coverage on services provided due to an accident; (4) advise patient of duty to notify HSN/MassHealth within 10 days of filing TPL claim/lawsuit, (5)retain documentation of those efforts; (6) where applicable, submit a claim for payment to the motor vehicle liability insurer; and (7)if any portion of the claim was previously billed to the HSN, report any recovery to the HSN. c. Holyoke Medical Center, Inc. will not garnish a low income patient's or their guarantor's wages or execute a lien on the low income patient's or their guarantor's personal residence or motor vehicle unless: (1) Holyoke Medical Center, Inc. can show that the patient or their guarantor has the ability to pay; (2) the patient / guarantor did not respond to HMC requests for information or the patient / guarantor refused to cooperate with HMC to seek an alternative financial assistance program; or (3) for purposes of a lien, it was approved by Holyoke Medical Center, Inc.'s Board of Trustees on an individual case-by-case basis. d. Holyoke Medical Center, Inc. may cease any collection or billing actions against a patient who is unable to pay Holyoke Medical Center, Inc.'s bill at any time during the billing process, if the patient is eligible for assistance under financial assistance programs that HMC may, in its di false false false false false false false false false HANK J PORTEN 922037 22396 944433 ANTONIO CORREIA 297636 16516 314152 KAREN M FERRONI MD 265217 16342 281559 PAUL M SILVA 226763 15896 242659 VIJAY V GANDEVIA MD 398839 18323 417162 KATHLEEN M BUCKLEY 213350 15905 229255 CLARK A FENN 215298 16111 231409 JAMES M KEEFE 203385 15873 219258 MICHAEL A ZWIRKO 236562 16211 252773 MARY E NORRIS MD 442880 18574 461454 THEODORE K MLAPAH MD 364077 18695 382772 ZUBEENA M MATEEN MD 365838 18574 384412 KEVIN F NEILL 192239 16080 208319 KHALED A INSTRUM MD 450786 18574 469360 Noah J Epstein 450421 18716 469137 Anthony L Rhodes MD 438905 17697 456602 PART I, LINE 3: H-C MANAGEMENT SERVICES, INC., A RELATED ORGANIZATION OF HOLYOKE MEDICAL CENTER, INC., IS THE EMPLOYER OF THE ORGANIZATION'S CEO AND ESTABLISHES THE COMPENSATION OF THE CEO THROUGH THE FOLLOWING MEANS: A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION STUDY/SURVEY, AND APPROVAL BY THE ORGANIZATION'S COMPENSATION COMMITTEE. PART I, LINE 7: THE COMPENSATION COMMITTEE DETERMINES THE APPROPRIATE AMOUNT OF THE COMPENSATION FOR THE SENIOR MANAGEMENT TEAM. THESE INDIVIDUALS, WITH THE EXCEPTION OF THE CEO, ARE NOT MEMBERS OF THE COMPENSATION COMMITTEE AND DO NOT PARTICIPATE IN THE PROCESS. THE CEO IS EXCUSED FROM DISCUSSIONS AND DELIBERATIONS REGARDING HIS COMPENSATION. THE COMPENSATION COMMITTEE ENGAGES AN OUTSIDE COMPENSATION CONSULTING FIRM TO HELP DETERMINE THE APPROPRIATE LEVEL OF COMPENSATION OF THE CEO, SENIOR MANAGERS, AND KEY EMPLOYEES. A Mass Health & Education Faciliteis Authority 042456011 2006-02-28 2257136 EQUIPMENT false false false B Mass Development Finance Agency 043431814 2011-10-19 3000000 EQUIPMENT false false false A 2257136 0 2257136 0 0 0 35529 0 0 2221607 0 0 2006 false false true true B 680798 0 3000000 0 0 0 29473 0 0 2942615 0 29650 2012 false false false true A false false false false 0 false false false true B false false false false 0 false false false true A true false false 0 false 0 true true B false true false false false false 0 false 0 false true A true B true GOSS MCLAIN INSURANCE AGENCY INC SEE PART V 621214 INSURANCE PAYMENTS false WANDANA JOSHI DO SEE PART V 330278 SALARY false TRISHA L NEILL SEE PART V 66128 SALARY false ADAM C FENN SEE PART V 19832 SALARY false PATRICK J KEEFE SEE PART V 51663 SALARY false VALLEY HEALTH PARTNERS INC SEE PART V 24000 MEMBER CAPITAL CONTRIBUTIONS false GREGORY E KEEFE SEE PART V 18534 SALARY false WHITING OIL CORPORATION SEE PART V 13106 FUEL/OIL BURNER SERVICES false Schedule L, Part IV (1)Deborah A. Buckley, Director of Holyoke Medical Center, Inc., is President/Owner of Goss & McLain Insurance Agency, Inc. Holyoke Medical Center, Inc. made "pass-through" premium payments (passing through Goss & McLain Insurance Agency, Inc.) to insurance companies for personal lines of insurance coverage purchased by employees of Holyoke Medical Center, Inc. and also for some insurance coverage purchased by Holyoke Medical Center, Inc., obtained through the broker services of Goss & McLain Insurance Agency, Inc. Such "pass-through" premium payments are passed on by Goss & McLain Insurance Agency, Inc. to the insurance companies writing the coverage. Holyoke Medical Center, Inc. also made other insurance premium payments directly to insurance companies for which Goss & McLain Insurance Company, Inc. served as the broker/agent. Peter C. Connor, Chair and Director of Holyoke Medical Center, Inc., is Secretary of Goss & McLain Insurance Agency, Inc. (2) WanDana Joshi, D.O. , The wife of Vijay V. Gandevia, M.D. Director of Holyoke Medical Center, Inc., received compensation as an employee (Anesthesiologist) of Holyoke Medical Center, Inc. (3) Trisha L. Neill, the wife of Holyoke Medical Center, Inc. key employee Kevin F. Neill, received compensation as an employee (Physical Therapy Manager) of Holyoke Medical Center, Inc. (4) Adam C. Fenn, the son of Holyoke Medical Center, Inc. key employee Clark A. Fenn, received compensation as an employee (Security Officer) of Holyoke Medical Center, Inc. (5) Patrick J. Keefe, the son of Holyoke Medical Center, Inc. key Employee, James M. Keefe, received compensation as an employee (Registered Nurse) of Holyoke Medical Center, Inc. (6) Holyoke Medical Center, Inc. (HMC) made payments to Valley Health Partners Inc (VHP) for membership dues and member capital contributions. Spiridon E Hatrias, HMC President, Clerk and Director is a Vice President and Director of VHP. Paul M. Silva, HMC Vice President of Finance is Treasurer, Clerk and Director of VHP. Michael A. Zwirko, HMC Vice President , Outpatient Services, is a Director of VHP. Clark A. Fenn, HMC Vice President Quality Improvement & Innovation is a Director of VHP. Kevin F. Neil, HMC Vice president Physician Services, is a Direcotr of VHP. (7) Gregory E. Keefe, the son of Holyoke Medical Center, Inc. key Employee, James M. Keefe, received compensation as an employee (Patient Sitter) of Holyoke Medical Center, Inc. (8) Peter C. Connor, Chair and Director of Holyoke Medical Center, Inc. is Secretary of Whiting Oil Corporation. Holyoke Medical Center, Inc. made payments to Whiting Oil Corporation for fuel/oil burner services. Form 990, Page 6, Part VI, Section A, Line 2 (Business Relationships): Certain officers and directors of Holyoke Medical Center, Inc. are employed by a related tax-exempt organization which has some common officers and/or directors. The President (Spiridon E. Hatiras) and Treasurer (Antonio Correia) are employees of H-C Management Services, Inc. and its common officers and/or directors are: Spiridon E Hatiras, Antonio Correia, Peter C. Connor, and Priscilla A. Mandrachia. Form 990, Page 6, Part VI, Section A, Line 6: Valley Health Systems, Inc. is the sole member of Holyoke Medical Center, Inc. FORM 990, PAGE 6, PART VI, SECTION A, LINE 7A: Valley Health Systems, Inc. elects the members of the governing body of Holyoke Medical Center, Inc. Form 990, Page 6, Part VI, Section A, Line 7b: Significant decisions of the governing body of Holyoke Medical Center, Inc. are subject to the approval of Valley Health Systems, Inc. as specified in the organization's bylaws. Form 990, Page 6, Part VI, Section B, Line 11b: A copy of Holyoke Medical Center, Inc.'s Federal Form 990 was provided to each voting member of the governing body prior to its filing with the Internal Revenue Service. The Form 990 was prepared with the assistance of PricewaterhouseCoopers LLP. Form 990, Page 6, Part VI, Section B, Line 12c: The conflict of interest policy of Holyoke Medical Center, Inc. is monitored and enforced as part of the Valley Health Systems, Inc. system and is reviewed annually by the system's conflict of interest committee. HMC board members, officers, and key employees complete and sign a conflict of interest questionnaire annually. All signed questionnaires are then submitted to HMC and to the parent company for review and monitoring. FORM 990, PAGE 6, PART VI, SECTION B, LINE 15: The compensation committee engages an outside compensation consulting firm to complete a compensation survey for the review, evaluation, and ultimate approval of said committee to help determine the appropriate compensation levels of the Chief Executive Officer, senior management, and key employees. These individuals, with the exception of the CEO, are not members of the compensation committee and do not participate in this process. The CEO is excused from discussions and deliberations regarding his compensation. This process was last undertaken in 2013. Form 990, Page 6, Part VI, Section C, Line 19: The governing documents, conflict of interest policy, and financial statements of Holyoke Medical Center, Inc. are available to the public upon request at the organization's administrative office at 575 Beech Street, Holyoke, MA. FORM 990, PAGE 12, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS OF FUND BALANCES: EQUITY COTNRIBUTION TO WESTERN MASS PHYSICIANS ASSOCIATES, INC. (2,375,000) MASS WEST SERVICES, INC. (60,000) PENSION ADJUSTMENT 10,046,241 CHANGE IN BENEFICIAL INTEREST IN VALLEY HEALTH SERVICES, INC. 249,620 ----------- TOTAL 7,860,861 TOTAL COMMUNITY HEALTH FDN OF WESTERN MASS INC 113 HAMPDEN STREET HOLYOKE MA 01040 222568962 HOLDING CO MA 501(c)(3) 7 VALLEY HLTH true HCHAR INC - WORKER'S COMPENSATION TRUST 20 HOSPITAL DRIVE HOLYOKE MA 01040 046635116 WORKERS COMP MA 501(c)(3) 11A VALLEY HLTH true H-C MANAGEMENT SERVICES INC 20 HOSPITAL DRIVE HOLYOKE MA 01040 222515981 MGMT SERVICES MA 501(c)(3) 11A VALLEY HLTH true HOLYOKE VISITING NURSE ASSOCIATION INC 113 HAMPDEN STREET HOLYOKE MA 01040 042104310 HEALTHCARE MA 501(c)(3) 9 CHF OF WMASS true MASSWEST SERVICES INC 575 BEECH STREET HOLYOKE MA 01040 222515964 HEALTHCARE MA 501(c)(3) 11A VALLEY HLTH true RIVER VALLEY COUNSELING CENTER INC 319 BEECH STREET HOLYOKE MA 01040 042174657 HEALTHCARE MA 501(c)(3) 9 VALLEY HLTH true VALLEY HEALTH SYSTEMS INC 20 HOSPITAL DRIVE HOLYOKE MA 01040 042103583 HEALTHCARE MA 501(c)(3) 7 NA true WESTERN MASS PHYSICIAN ASSOCIATES INC 15 HOSPITAL DRIVE HOLYOKE MA 01040 043202198 MEDICAL CARE MA 501(c)(3) 3 MASSWEST true true true false true false false false false true false true true false false false false false true WESTERN MASS PHYSICIAN ASSOCIATES INC A-IV 478290 FMV VALLEY HEALTH SYSTEMS INC A-IV 4000 FMV RIVER VALLEY COUNSELING CENTER INC A-IV 1344 FMV RIVER VALLEY COUNSELING CENTER INC A-I 3448 FMV VALLEY HEALTH SYSTEMS INC B 2375000 FMV MASSWEST SERVICES INC B 60000 FMV RIVER VALLEY COUNSELING CENTER INC D 99529 FMV WESTERN MASS PHYSICIAN ASSOCIATES J 478290 FMV VALLEY HEALTH SYSTEMS INC L 140905 FMV WESTERN MASS PHYSICIAN ASSOCIATES INC L 118940 FMV WESTERN MASS PHYSICIAN ASSOCIATES INC L 102428 FMV WESTERN MASS PHYSICIAN ASSOCIATES INC L 188947 FMV H-C MANAGEMENT SERVICES INC M 1982172 FMV VALLEY HEALTH SYSTEMS INC M 133600 FMV WESTERN MASS PHYSICIAN ASSOCIATES INC M 253296 FMV WESTERN MASS PHYSICIAN ASSOCIATES INC M 216000 FMV VALLEY HEALTY SYSTEMS INC R 151578 FMV