2026-08-07T19:48:49-05:00 2025-09-30 010494526 Baker Newman & Noyes 280 Fore Street Suite 500 Portland ME 04101 990 2024-10-01 222520073 Holyoke Medical Center Inc HOLY 4135342667 575 Beech Street Holyoke MA 010402223 Dean Vitarisi Treasurer & CFO 4135342667 2026-08-06 1 0 Connor Smart P02285543 2078792100 2026-08-06 2024 2025-03-06 01:10:19Z Spiridon E Hatiras 575 Beech Street Holyoke MA 010402223 311565390 0 X www.holyokehealth.com X 1984 MA Acute care hospital, providing medical and other healthcare services to residents of Holyoke, MA and the surrounding areas. 14 9 2113 65 2506633 48092 8261234 1620246 257178852 304022561 605202 457940 100269 97063 266145557 306197810 56399 46810 0 0 159757435 203199119 0 0 0 104853790 118013905 264667624 321259834 1477933 -15062024 129344658 144653522 89883786 83311600 39460872 61341922 X Our Mission at Holyoke Medical Center is to improve the health of all people in our community. We do that with honesty, respect and dignity for our patients, visitors and staff. We do that through expert and compassionate care, education and knowledge sharing, community partnerships, fostering innovation and growth and by inspiring hope in all we touch. We do that by being good stewards of our resources and providing efficient and cost effective care to all. 0 0 277572713 46810 301563176 Holyoke Medical Center, Inc. (HMC) strives to serve the health needs of their medical service community in a high quality and efficient manner. To this end, HMC shall: (1) provide compassionate care to all of whom it serves with a commitment to developing cultural diversity and competencies in our programs and 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. provided inpatient, outpatient, OB/GYN, 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 2025, HMC provided 43,931 patient days of inpatient services with 7,686 discharges. Outpatient healthcare services included a full array of diagnostic, therapeutic, and behavioral health services. During FY 2025, HMC had 461,203 outpatient visits. Emergency services were provided by a 24-hour emergency department. During FY 2025, HMC had 44,069 emergency department visits. 277572713 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 112 0 1 2113 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 0 MA X Dean Vitarisi 4135342667 575 Beech Street Holyoke MA 010402223 X Simon Ahtaridis MD Director/Medical Dir. (end 11/24) 50.00 0.00 X 394096 0 37282 John Mazzucco MD Director/General Surgeon 50.00 0.00 X 356143 0 20048 Vishal Tiwari MD Director/Medical Dir. (start 12/24) 50.00 0.00 X 11538 0 0 Kartik Viswanathan MD Director/Int. Medicine (start 12/24) 0.50 50.50 X 0 339918 25391 Spiridon E Hatiras President & CEO, Clerk 40.00 9.50 X X 0 906011 77893 Dean Vitarisi Treasurer & CFO 40.00 8.00 X X 0 380743 48873 Julie A Beck MD Director 0.50 0.00 X 0 0 0 Tom Buck MD Director 0.50 0.00 X 0 0 0 Shannon Gurek Director 0.50 0.00 X 0 0 0 Mary Jo Maydew Director 0.50 0.50 X 0 0 0 Gary Rome Director 0.50 0.00 X 0 0 0 Idelia Smith Director 0.50 0.50 X 0 0 0 George Timmons PhD Director 0.50 0.00 X 0 0 0 Tricia Koss Chair 1.00 0.00 X X 0 0 0 Michael Sugrue Director/Vice Chair 1.00 0.00 X X 0 0 0 Frederik Pennings MD Neurosurgeon 50.00 0.00 X 1414123 0 21941 Andrey Pavlov MD Pulmonologist 50.00 0.00 X 898653 0 3063 Noah J Epstein MD Orthopedic Surgeon 50.00 0.00 X 1118392 0 25391 Alexander Berry MD Urologist 50.00 0.00 X 826489 0 25391 Nirav R Sheth MD Cardiologist 50.00 0.00 X 848782 0 25391 5868216 1626672 310664 326 0 1 0 Unidine Corporation 1000 Washington Street 510 Boston MA 02118 Cafeteria staffing 3679925 Valley Health Systems Inc 20 Hospital Drive Holyoke MA 01040 Management services 3348682 Med-Metrix LLC 9 Entin Road Parsippany NJ 07054 Billing services 2507340 TriMedx PO Box 636129 Cincinnati OH 45263 Biomedical services 1675891 Quest Diagnostics Nichols 14225 Newbrook Drive Chantilly VA 20151 Lab services 1322507 59 26965 1451618 141663 1620246 Patient services 621110 255952260 255952260 Hospital relief payments 621110 37893939 37893939 Pharmacies 456110 4938559 4938559 Auxiliary and lab services 621500 4099712 1640327 2459385 Affiliate management fees 561000 822293 822293 315798 315798 304022561 191274 191274 231309 134246 97063 97063 47248 49815 5500000 5233334 266666 266666 266666 306197810 301563176 2506633 507755 X 37000 37000 9810 9810 819107 745627 73480 142800503 130220759 12579744 30906721 28059402 2847319 17531285 15293316 2237969 11141503 10160013 981490 3343569 3343569 255564 150318 105246 128915 128915 84469 84469 28372829 18904141 9468688 323936 18706 305230 4619874 2205910 2413964 2230471 122377 2108094 4411645 3776982 634663 81511 56512 24999 158684 114445 44239 950771 813361 137410 7168743 6132687 1036056 3215855 30520 3185335 Medical supplies 44667326 44660784 6542 HSN assessment 7022268 7022268 Provision for bad debts 6970954 6970954 Laboratory tests 1807361 1789778 17583 2199160 277043 1922117 321259834 277572713 43687121 0 363780 603390 15481212 16452716 32964138 50004401 3394668 3574743 1354079 2344152 155230712 97087527 59145911 58143185 5568889 334880 4384160 4753115 2733812 3146265 3954009 5296675 129344658 144653522 42471438 45970145 661936 1017673 13053174 12753108 8373273 8519387 25323965 15051287 89883786 83311600 X 34109615 55623246 5351257 5718676 39460872 61341922 129344658 144653522 X -15062024 -180644 37123718 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 24469 1 60000 0 0 84469 0 Part II-B, Line 1: During the period covered by this Form 990, the Hospital engaged Dempsey, Lucey & Associates, compensating them $60,000 for services related to lobbying activities on behalf of the Hospital and the Valley Health System. The lobbying services were related to causes and issues of relevance to the organizations' charitable missions. The Hospital was also a member of the Massachusetts Health and Hospital Association (MHHA) during the period covered by this Form 990. A portion of the dues paid to the Association was available for lobbying-related expenditures on behalf of the Hospital and other Valley Health System organizations. Lobbying activities conducted by the Association were related to causes and issues of relevance to the organizations' charitable missions and in furtherance of their exempt purposes. The portion of dues paid to MHHA during this tax year that was available for lobbying was $24,469. 1704893 242064 70000 1876957 1502575 278643 76325 1704893 1423090 141046 61561 1502575 1527403 -42939 61374 1423090 1346962 215145 34704 1527403 0.00000 0.24496 0.75504 0 1 1 1942994 1942994 102814688 64687328 38127360 21852391 13526794 8325597 24490319 16819804 7670515 4130320 2053601 2076719 58143185 Asset retirement obligations 231736 Net estimated third-party payor settlements 4800818 Insurance claims payables 6812002 Operating lease liabilities 3206731 15051287 X 299470761 -180644 134246 -46398 299517159 6680651 6680651 306197810 314423126 134246 134246 314288880 6970954 6970954 321259834 Part V, Line 4: The endowment funds are held and administered by Valley Health Systems, Inc. The intended use of the 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 X, Line 2: The Medical Center is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Medical Center has evaluated the position taken on its filed tax returns. The Medical Center has concluded no uncertain income tax positions exist at September 30, 2025. The Medical Center's tax years from 2023 through 2025 are open and subject to examination. Part XI, Line 2d - Other Adjustments: Rental expenses 134,246. Part XI, Line 4b - Other Adjustments: Change in beneficial interest - VHS -290,303. Provision for bad debts 6,970,954. Part XII, Line 2d - Other Adjustments: Rental expenses 134,246. Part XII, Line 4b - Other Adjustments: Provision for bad debts 6,970,954. 1 1 1 X 1 X 1 1 0 1 1 1922576 1156644 765932 0.00240 79332143 79332143 81254719 80488787 765932 0.00240 2383686 2383686 0.00760 6272414 6272414 0.02000 5580693 5580693 0.01780 1796118 1796118 0.00570 16032911 16032911 0.05110 97287630 80488787 16798843 0.05350 1185890 1185890 0.00380 4662 4662 0.00000 16078 16078 0.00010 103361 103361 0.00030 193244 193244 0.00060 1503235 1503235 0.00480 1 8639379 0 52816726 48107265 4709461 X 1 1 1 1 Holyoke Medical Center Inc 575 Beech Street Holyoke MA 01040 www.holyokehealth.com 2145 X X X Holyoke Medical Center Inc 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X See Part V, Section C X 1 25 1 see Part V, Section C 1 0 1 X 150.000000000000 300.000000000000 X X X X X 1 1 X X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X X 1 X 0 X X X X 1 X 0 0 Holyoke Medical Center, Inc. Part V, Section B, Line 5: Holyoke Medical Center has conducted formal and informal surveys each year to look at the health needs of the people we serve. Starting in 2024, Holyoke Medical Center conducted a year long study that entailed key stakeholder interviews, community resident interviews, workshops, a lengthy survey given in English and Spanish, and data collection, which has been brought together to create the 2025 Holyoke Medical Center Community Health Needs Assessment (CHNA). The CHNA also determines how Holyoke Medical Center will provide support, resources and education to the communities we serve. A CHNA is a federal requirement for nonprofit hospitals and must be done every 3 years with input from the broader community including public health experts and collection of important health data. The complete CHNA, as well as the supplemental narratives included on this Form 990, Schedule H, Part VI, provide additional details regarding the Hospital's processes and procedures for gathering community input for its needs assessments. Holyoke Medical Center, Inc. Part V, Section B, Line 11: Please see the attached Implementation Plan for details on how the Hospital is addressing the significant needs identified in its most recently conducted CHNA as well as the needs that are not being addressed. The attached Implementation Plan also describes the needs that are not being addressed.The Medical Center approved and published its latest Community Health Needs Assessment before the conclusion of its fiscal year ending September 30, 2025 (tax year 2024). Its associated Implementation Plan was published soon after. While CHIP was published in tax year 2025 (fiscal year ending September 30, 2026), both the CHNA and the CHIP were approved and published within the time periods required under Section 501(r). Holyoke Medical Center, Inc. Part V, Section B, Line 16j: The Hospital has had a section on its website related to financial assistance for several years. The Hospital has a financial assistance policy, plain language summary, and financial assistance application that was available to our patients along with financial assistance signs in certain locations in the Hospital (such as patient registration, and the Emergency department). Schedule H, Part V, Section B, line 7a & 10a: The Hospital's 2025 CHNA, covering Tax Years 2024-2026, is available at: https://dashboards.mysidewalk.com/2024-update-community-health-needs-assessment-72029f342411/our-story-2025-09-10-181vvvThe Hospital's 2023-2026 CHNA Implementation Strategy is available on the Hospital's website at: https://www.holyokehealth.com/wp-content/uploads/2024/10/HMC-2023-CB-Strategic-Implementation-Plan-1.pdfThe Hospital's 2026-2028 CHNA Implementation Strategy is available on the Hospital's website at:https://www.holyokehealth.com/wp-content/uploads/2026/02/HMC-2026-2028-Strategic-Implementation-Plan.pdfOther past year CHNA and Implementation Strategy reports can be found on the Hospital's website at:https://www.holyokehealth.com/about-us/community-benefits/ Schedule H, Part V, Section B, Line 16a & 16b: The Hospital's Financial Assistance Policy is available on the Hospital's website at: https://www.holyokehealth.com/wp-content/uploads/2024/10/Holyoke-Medical-Center-English-Financial-Assistance-Policy-FY-2016.pdfThe Plain Language Summary can be found on the Hospital's website at: https://www.holyokehealth.com/wp-content/uploads/2025/07/Holyoke-Medical-Center-Financial-Assistance-Plain-Language-Summary-ENG_07.2025.pdfThe Financial Assistance Application can be found on the Hospital's website at: https://www.holyokehealth.com/wp-content/uploads/2025/07/Holyoke-Medical-Center-Financial-Assistance-Application-2025-ENG.pdfA list of providers covered by the Hospital's Financial Assistance Program is found online at:https://www.holyokehealth.com/wp-content/uploads/2024/10/Providers-Covered-Under-Financial-Assistance-Rev-05-08-17.pdfAll of the above-linked documents and materials can be accessed from the Hospital's financial assistance home page. These documents are also available in Spanish. The Financial Assistance Home Page web-link is as follows:https://www.holyokehealth.com/Patients-Visitors/Financial-Assistance/ 22 1 - Endocrinology & Diabetes Center 10 Hospital Drive Suite 104 Holyoke MA 01040 Endocrinology Services 2 - HMC - Urology 10 Hospital Drive Suite 204 Holyoke MA 01040 Urology Services 3 - HMC - Family Medicine 140 Southampton Road Westfield MA 01085 Physical Therapy, OB/GYN, Laboratory, Midwifery, Gastroenterology 4 - HMC - Walk in Care 1962 - 1970 Memorial Drive Chicopee MA 01020 Physical Therapy, Radiology, Ultrasound, Laboratory 5 - HMC - Vascular Center 2 Hospital Drive Suite 203 Holyoke MA 01040 Heart and Lung 6 - HMC - Wound Care Center 18 Hospital Drive Holyoke MA 01040 Wound Care 7 - HMC - Women's Center 2 Hospital Drive Suite 202 Holyoke MA 01040 Women's Services 8 - HMC - Pulmonary Services 5 Hospital Drive Holyoke MA 01040 Pulmonary Services 9 - Holyoke Orthopedics 10 Hospital Drive Holyoke MA 01040 Orthopedic Services 10 - HMC - Pain Management 10 Hospital Drive Holyoke MA 01040 Pain Management Services 11 - HMC - Spine Center 10 Hospital Drive Suite 101 Holyoke MA 01040 Spinal Surgery 12 - HMC - Kidney Associates 10 Hospital Drive Suite 302 Holyoke MA 01040 Nephrology Practice 13 - HMC - Ear Nose & Throat 10 Hospital Drive Suite 306 Holyoke MA 01040 Otolaryngology Services 14 - HMC - Weight Management 10 Hospital Drive Holyoke MA 01040 Medical/Surgical Weight Management Solutions 15 - HMC - NeurologySleep 260 New Ludlow Road Chicopee MA 01020 Neurological and Sleep Disorders 16 - HMC - Work Connection 200 North Main Street Suite 5 East Longmeadow MA 01028 Occupational Medicine Services 17 - HMC - Weight Management 115 Elm Street Suite 110 Enfield CT 06082 Medical/Surgical Weight Management Solutions 18 - HMC - NeurologySleep 2150 Main Street Suite 110 Springfield MA 01104 Neurological and Sleep Disorders 19 - HMC - Podiatry 2150 Main Street Suite 100 Springfield MA 01104 Foot and Ankle 20 - HMC - Rheumatology 2150 Main Street Suite 140 Springfield MA 01104 Rheumatology 21 - HMC - Specialty Surgeons 2150 Main Street Suite 100 Springfield MA 01104 Surgical Services 22 - HMC - Family Physiatry 3640 Main Street Suite 204 Springfield MA 01107 Physiatry Servives 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 total patient care expenses, divided by gross patient service charges per the state CHIA cost report. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 6,970,954. Part II, Community Building Activities: 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 organizations where their programming aligns with Holyoke Medical Center's Community Health Needs Assessment. Our intended outcome is to make this a healthier community. Part III, Line 2: Holyoke Medical Center, Inc. utilizes a costing methodology in which the ratio of patient care cost to charges is applied to the bad debt expense attributable to patient accounts to calculate the estimated cost of bad debt attributable to patient accounts that is reported on Line 2. Discounts and payments on patient accounts are recorded as adjustments to revenue, not bad debt expense. Part III, Line 3: See narrative for Part III, Line 2. Part III, Line 4: See Footnote 2 on Page 11 of the attached audited financial statements. Part III, Line 8: Holyoke Medical Center, Inc. utilizes generally accepted accounting principles in the preparation of its financial statements.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 expenses, divided by gross patient service charges per the state CHIA cost report. Part III, 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 300% 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 150% and 300% 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 programs, 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 discretion, make available from time-to-time. Holyoke Medical Center, Inc. will keep any and all documentation that shows a patient met the criteria for such programs.e. Holyoke Medical Center, Inc. and its agents shall not continue collection or billing on a patient who is party to bankruptcy proceedings except to secure its rights as a creditor in the appropriate order.f. Holyoke Medical Center, Inc. and its agents will not charge interest on an overdue balance for a low income patient or for patients who are eligible for financial assistance programs that HMC may in its discretion make available from time-to-time. Part VI, Line 2: Holyoke Medical Center conducts a Community Health Needs Assessment (CHNA) of the community it serves every three years in conjunction with numerous agencies. As part of the CHNA, community meetings were held with numerous local agencies including Holyoke Housing Authority residents, Holyoke and Chicopee City Officials, Holyoke Public Schools, Holyoke Community Policing, Holyoke Medical Center (Valley Health Systems' staff members, including representatives from Holyoke Medical Center and Holyoke Visiting Nurse Association), MassHire YouthWorks Staff and Students, OneHolyoke CDC Residents and Staff, The Salvation Army Holyoke representatives, and ServiceNet Clinicians. HMC Community Benefits maintains partnerships with many of these agencies throughout the year to continue to assess community needs. HMC conducted over 40 stakeholder interviews for its 2025 CHNA, which included meeting with Board of Health Directors from Holyoke, South Hadley, Chicopee and Westfield; Holyoke's Mayor, Director of Planning and Economic Development, a City Councilor, and Chief of Police; Holyoke's Housing Authority, Holyoke Health Center's Chief Medical Officer, MA State Representative, Pat Duffy, Lorraine's Soup Kitchen Executive Director, Access Care Partners, Westfield Pride, OneHolyoke CDC, two of HMC's Nurse Navigation members, and the Community Benefits Advisory Committee which includes representatives from HMC, OneHolyoke CDC, Hampden County Sheriff's Department, HMC Behavioral Health, Holyoke Health Center and Greater Holyoke YMCA, among others. In addition, as part of the CHNA process, HMC implemented a survey with over 60 questions in English and Spanish, among over 400 community members. These questions were developed with the Western Massachusetts Hospital Coalition so that all involved asked the same questions in the various communities they serve. This collaboration and consistency allows data to be shared and analyzed between the other Western Massachusetts hospitals so that solutions can be worked on regionally through the Community Health Improvement Plan (CHIP). The results help to inform the Holyoke Medical Center's Strategic Implementation Plan and the type of programming to offer in the community to help address the needs identified. In addition to the CHNA, HMC uses the Thrive survey, a tool used to screen for social determinants of health. Based on the responses, providers are able to make referrals for those showing need in areas of housing, food, paying for medication, caring for a dependent, paying for utilities, domestic violence, and transportation. In 2025, HMC provided 13,000 THRIVE screenings and referred those in need to resources.HMC Community Benefits Director also participates in a variety of boards and committees to continually assess the needs of the community and create relationships with non-profit organizations for their feedback. These include the Greater Holyoke Chamber, Girls Inc. of the Valley, The Salvation Army, Hampden County Community Health Improvement Plan committee through Pioneer Valley Planning Authority - Community Team 4 Healthy and Active Living, Holyoke Food & Resources with State Representative, Pat Duffy, Holyoke High Dean Campus Program Advisory Committee, Let's Move Hampden County, 5210 committee, McKinney-Vento Homeless Coalition for Holyoke Public Schools, McKinney-Vento Homeless Coalition for Chicopee Public Schools, Safe Routes to School - Walking School Bus, School Community Health Advisory Council for Holyoke Public Schools, Westover Job Corps Community Relations Council and Western Mass Hospital Coalition. These meetings not only serve the respective organization's specific community, they also connect the hospital to many other community based organizations who are participants. In addition, other HMC staff participate in other committees and boards including the Greater Chicopee Chamber of Commerce, Holyoke Rotary, Holyoke HUB, and the Greater Holyoke YMCA to name a few. Key Objectives:The objective of Holyoke Medical Center's 2025 Community Health Needs Assessment was to: 1. Identify most pressing health needs. 2. Identify contributing factors that create barriers to living a healthy life. 3. Identify vulnerable populations that are experiencing health disparities. 4. Compare findings from this year to the 2022 CHNA to see what issues are still relevant. 5. Use the findings to create a strategic implementation plan to help bridge gaps to good health in our community.CHNA Conclusions: Many of the findings echoed those from the 2022 assessment, including ongoing concerns around mental health, housing instability, substance misuse, and access to healthcare. Persistent challenges such as affordable housing, homelessness and food insecurity seemed heightened in community meetings with increases to cost of living. Support for vulnerable populations remained a central theme.However, the 2025 CHNA also highlights new insights including a rapidly aging population. According to the 2025 Massachusetts Healthy Aging Data Report, within the next decade, one in three residents in many Western Massachusetts communities will be age 65 or older. This demographic shift is expected to significantly impact the local workforce, healthcare systems, home-based services, and the demand for accessible housing. It also underscores the need for increased attention to senior care, caregiver support, and age-friendly infrastructure.Another highlight, Access to technology, while a known challenge for many, was not emphasized in the 2022 assessment. However, by 2025, it has emerged as a key concern due to the increasing reliance on digital tools for telehealth, patient portals, remote work, online learning, job applications, and benefits. There are more than 9% of households in Hampden county without internet access and another 19.7% below the FCC's broadband internet standard, both significantly higher than the rest of the state. This number increases to 31% of households without internet access in some sections of Holyoke and 25% without a computer.Ongoing mental health issues remain a concern for both adults and youth in Hampden County. Since the 2022 CHNA, the average number of mentally unhealthy days reported by adults has risen from 5.2 to 6 days per month, indicating a modest but meaningful increase in emotional distress. Among youth, findings from the Chicopee Youth Health Survey reveal that 32% of 10th and 12th grade students experienced persistent feelings of sadness or hopelessness--lasting nearly every day for two consecutive weeks--severe enough to interfere with their daily activities.HMC reviewed all community feedback and identified the most commonly shared priority areas. To guide decisionmaking around community benefits, a set of guiding principles were established to help determine how best to address these needs. The goals of HMC's community benefits program are to: 1. Increase healthcare access by addressing key social determinants of health. 2. Serve vulnerable and underserved populations especially with chronic conditions. 3. Concentrate on the concerns that are most consistent with the organization's strengths and not addressed byexisting community assets. Part VI, Line 3: 1) General Principles:Holyoke Medical Center, Inc. or its agents will assist uninsured and underinsured patients with the process of applying for available financial assistance programs that may pay for some or all of their hospital bills. In order to help uninsured and underinsured patients find and apply for available financial assistance, HMC will provide all patients with a general notice of the availability of programs by way of posted notices throughout HMC and by way of individual notices to patients. The goal of these notices is to inform patients regarding the availability of financial assistance, as well as assistance with the application process. Holyoke Medical Center, Inc. will assist patients with the application process for the following Massachusetts programs: MassHealth, Commonwealth Care, CMSP, Healthy Start, Health Safety Net, and Medical Hardship through the Health Safety Net. Holyoke Medical Center, Inc. will provide, upon request, specific information about: (a) the eligibility criteria to be a low income patient under the Massachusetts Health Safety Net program or (b) additional financial assistance programs that HMC may in its discretion make available to low income patients from time-to-time. Holyoke Medical Center, Inc. will also notify the patient about available payment plans that may be available to them pursuant to HSN regulations.2) Role of Hospital Patient Financial Counselors and Other Finance Staff:Holyoke Medical Center, Inc. will attempt to identify available coverage options for patients who may be uninsured or underinsured when the patient is scheduling services, while the patient is at HMC, upon discharge and for a reasonable time following discharge. Holyoke Medical Center, Inc. will direct all patients seeking available coverage options to HMC's Patient Financial Counseling office for eligibility screening and assistance with the application process, including the application process for financial assistance programs that HMC may in its discretion make available to low income patients from time-to-time.Holyoke Medical Center, Inc. will also provide information on how to contact the appropriate staff within the hospital's Finance Department to verify the accuracy of the hospital bill or to dispute certain charges.3) Notification Practices:Holyoke Medical Center, Inc. will post a notice (signs) of availability of financial assistance in the following locations: a. Service delivery areas (e.g., inpatient, clinic, emergency department admission and/or registration areas); b. Patient financial counselor areas; c. Central admission/registration areas; and/or d. Business office areas that are open to patients.Posted signs will be clearly visible and legible to patients visiting these areas. The hospital will also include a notice about the availability of financial assistance in all initial bills.When a patient contacts the hospital, the hospital finance staff will attempt to identify if a patient qualifies for a public financial assistance program or a payment plan. A patient who is enrolled in a public financial assistance program (e.g., MassHealth or the Health Safety Net) may qualify for certain plans. Patients may also qualify for additional assistance based on the hospital's own internal criteria for financial assistance or qualify for coverage of services as a medical hardship based on the patient's documented income and allowable medical expenses.For cases in which the hospital is using the Virtual Gateway application, the hospital will assist the patient in completing the application for MassHealth, Commonwealth Care, Children's Medical Security Plan, Health Start, Health Safety Net, or other forms of financial assistance programs as they become part of the Virtual Gateway program.All signs and notices shall be translated into languages other than English if such language is primarily spoken by 10% or more of the residents in the hospital service area, which is based on the hospital admissions and/or discharge information. Part VI, Line 4: As reported in its 2025 CHNA (2024 tax year), based on the geographic area where most of its patients come from, HMC's primary service areas are: Holyoke, Chicopee, South Hadley, West Springfield and Westfield. The total population for the primary service area is over 180,000, and reports the following key demographics and statistics: - $53,605 median household income. - 27% of people are considered to be living in poverty. - 58.4% of the population speaks only English; 38.1% can speak Spanish. - 62.7% of all families with children are composed of a single female with children. - The number of people living below the poverty level has decreased from approximately 12,000 to 10,000 over about 10 years. - 29% of adults have obtained at least a high school degree. An additional 16% have completed at least some college education. The rates of adults without a high school degree have decreased over time. - The rates of children enrolled in nursery school or preschool have increased over time. - Approximately 41% of homes are owner occupied. - 19% of homes do not have a vehicle. - 2.3% of the population is deemed White, and 52.4% is deemed Hispanic or Lantino. The final approximately 5% is composed of persons deemed as Black, Hawaiian, Asian, or Other.Additionally, and in coordination with the Massachusetts Department of Public Health Community Health Equity Survey (CHES), Holyoke Medical Center's service area reports the following demographic statistics. Housing Stability and Basic Needs:Housing is a foundation for health. Poor housing conditions can trigger or worsen chronic illnesses and housing instability can impact overall mental health. - 10.6% of respondents in HMC's service area reported no steady place for housing. - 11.5% of respondents in HMC's service area reported being worried about losing housing. - 21.5% of respondents in HMC's service area reported internet connectivity issues. - 37.7% of respondents in HMC's service area reported applying for/received economic assistance. - 51.7% of respondents in HMC's service area reported Trouble paying for any basic needs in past year. Safety & Discrimination:Safety and discrimination are critical factors shaping health and well-being. These issues can be tied to higher rates of anxiety, depression, chronic diseases, substance abuse, and lower life expectancy. In community meetings, sex trafficking, domestic and intimate partner violence were issues raised as health concerns. - 29.2% of respondents in HMC's service area reported experiencing neighborhood violence. - 43.8% of respondents in HMC's service area reported experiencing intimate partner violence. - 28.3% of respondents in HMC's service area reported experiencing sexual violence. - 65.8% of respondents in HMC's service area reported feeling some form of discrimination. Employment:Employment provides income and stability required for basic needs. Many jobs also offer health insurance and paid sick leave, improving access to healthcare and supporting recovery from illness. Work can also provide social connections and a sense of purpose. During community health needs assessment meetings, participants highlighted challenges around earning a livable wage. Many individuals are juggling multiple part-time jobs to stay afloat, often without access to health insurance. Their work schedule may also make it difficult to take time off for medical appointments, further limiting their ability to access the healthcare they need. - 21.1% of respondents in HMC's service area reported holding more than one job. - 77.9% of respondents in HMC's service area reported paid sick leave at work. - 32% of respondents in HMC's service area reported working from home or having a hybrid work environment. Healthcare:Access to telehealth can make it easier for people to get care. While the data shows that even though many people report having chronic conditions, there is still potential for progress in meeting unmet needs for mental health care, help with short-term illness, or ongoing health issues. - 54.2% of respondents in HMC's service area reported at least one telehealth visit in the past year. - 67.8% of respondents in HMC's service area reported reported having a chronic condition. - 20% of respondents in HMC's service area reported having an unmet healthcare need in the past year. - 17.3% of respondents in HMC's service area reported an unmet mental health care need in the past year. - 16.4% of respondents in HMC's service area reported an unmet, ongoing health condition. - 12.1% of respondents in HMC's service area reported an unmet need for a short-term illness. Mental Health:In the HMC service area, over one-third (36.1%) of survey respondents reported having a mental health condition. Feelings of isolation were higher in the HMC area, with 24.6% of respondents reporting feeling isolated, compared to 13% across Massachusetts. Psychological distress was also notably greater, with nearly half (48.5%) of HMC respondents experiencing high or very high levels of distress in the past month, compared to 31.8% of respondents statewide. Overall, survey respondents in the HMC area report experiencing more mental health challenges and feelings of isolation than the state average. Substance Use:Alcohol use in the HMC service area was lower than the state average, with 37.3% of survey respondents reporting drinking in the past month compared to 48.8% of respondents across Massachusetts. Medical marijuana use was higher in the HMC area at 8.8%, while only 6.3% of survey respondents statewide reported using it. Use of nicotine products was also notably higher among survey respondents in the HMC service area at 25.2% compared to Massachusetts overall at 14.2%. Additionally, 17.2% of HMC survey respondents said they used non-medical marijuana in the past month, compared to 13.4% statewide.In summary, while alcohol use is lower among survey respondents in the HMC service area, the use of medical marijuana, nicotine products, and non-medical marijuana is higher among respondents than the Massachusetts average. Part VI, Line 5: As an independent community hospital, Holyoke Medical Center is committed to addressing the most pressing healthcare needs of those living and working in the surrounding area. Every year the hospital provides expertise, time, and resources to improve the health of all people in our community. Examples of such activities include: 1. CHNA Completion and Continuation: For this tax year, Holyoke Medical Center completed the triennial Community Health Needs Assessment, which provided key data and information about the challenges and opportunities heard through community engagement with residents and community leaders. This information continues to help guide the hospital's Strategic Implementation Plans, as well as to help us to serve those most in need. The Hospital continuously works to address the health needs identified in the CHNA and has outlined its strategies to do so in its 2025 CHNA Implementation Plan reports. 2. 463 employees participated in Adopt-A-Family, where 147 children received 588 gifts, $2,800 in grocery store gift cards, and supported 56 families in need. 3. Nursing students spent 118,000 hours in internships on campus. 4. The Medical Center coordinated over 1,900 rideshares, And also provided door door transportation services for more than 4,000 patients. 5. Over $2.8 million in value of care was provided for those experiencing financial hardship in the emergency department. 6. The Medical Center provide counseling and assistance services to over 700 people. 7. 200,000 educational magazines were distributed to area residents. 8. Over 250 patients received uncompensated legal assistance. 9. The messenger invested over $1.1 million providing interpretive services in 44 languages, with 59,000 encounters. 10. The Medical Center delivered over 3000 meals within the community. 11. Over $2.3 million of uncompensated care for behavioral health patients wwas provided in our community. 12. Because of the Medical Center, 100 mothers are going back to school for their degree, through the HMC Family Nurse Practitioner Program. 13. The Medical Center operates 2 community shuttles, which served over 16,000 patients. 14. Over 1,400 visits were accommodated from teen patients from area high schools. 15. Over $1 million was invested in school events, committees, and educational opportunities for youth. 16. An average of 361 people visited the farmers market at the hospital each week. 17. Addiction counseling services treated over 1,400 patients. 18. HMC providers spent over 14,000 hours with nurse practitioner and physician assistant students. 19. Over 90 volunteers provided services for HMC programs, for a total of 2,090 hours.Through these efforts and more, Holyoke Medical Center remains committed to advancing the general health and wellbeing of its community. Part VI, Line 6: Holyoke Medical Center (HMC) is a 219-bed independent community hospital with over 1,600 employees serving individuals and families throughout the cities and towns of the Pioneer Valley. The medical staff includes more than 375 physicians and consulting staff. Holyoke Medical Center is a nationally-accredited hospital and is the first and only hospital in Western Massachusetts to obtain the prestigious accomplishment of becoming certified in the ISO 9001:2015 Quality Management System. Among some of the top-rated services at Holyoke Medical Center is the award winning Holyoke Medical Center Stroke Service which has been consistently rated as one of the best in the state. HMC received the Top Hospital Award in 2020, 2016, and 2014 from the Leapfrog Group for excellence in quality of care and patient safety. Areas of clinical emphasis also include behavioral health, critical care, emergency care, orthopedics, oncology, rehabilitation, women's health services, speech and hearing, bariatric, and wound care services.Holyoke Medical Center is a member of Valley Health Systems in Holyoke, which also includes the affiliates Holyoke Medical Group, and the Holyoke Visiting Nurse Association & Hospice Life Care.Our Mission at Holyoke Medical Center is to improve the health of all people in our community. We do that with honesty, respect and dignity for our patients, visitors and staff. We do that through expert and compassionate care, education and knowledge sharing, community partnerships, fostering innovation and growth and by inspiring hope in all we touch. We do that by being good stewards of our resources and providing efficient and cost effective care to all.The Community Benefit Mission Statement is to collaborate with community partners to assess and improve the health needs of our residents. We will do this by providing resources, education, and services to address the needs of our most vulnerable community members Part VI, Line 7, Reports Filed With States MA 1 Nueva Esperanza Inc 401 Main Street Holyoke MA 01040 042774010 501(c)(3) 20000 0 Charitable Mission and Event Sponsor St Patrick's Parade Committee of Holyoke PO Box 871 Holyoke MA 01040 042633859 501(c)(3) 10000 0 Charitable Mission and Event Sponsor City of Chicopee 17 Springfield Street Chicopee MA 01013 GOV 7000 0 Charitable Mission and Event Sponsor 3 0 Employee Emergency Financial Relief 15 9810 Part I, Line 2: The Hospital awarded sponsorship and grants to various tax-exempt organizations, public charities, or municipalities, and so additional monitoring is not deemed necessary. The Hospital also maintains a restricted fund to provide emergency financial relief to qualifying employees. Awards for financial relief paid to employees range from $500-$1,000 per payment. 0 1 0 0 0 0 0 0 0 Frederik Pennings MD Neurosurgeon 1414123 0 0 0 0 0 0 0 21941 0 1436064 0 0 0 Noah J Epstein MD Orthopedic Surgeon 1118392 0 0 0 0 0 3450 0 21941 0 1143783 0 0 0 Spiridon E Hatiras President & CEO, Clerk 0 906011 0 0 0 0 0 56334 0 21559 0 983904 0 0 Andrey Pavlov MD Pulmonologist 898653 0 0 0 0 0 0 0 3063 0 901716 0 0 0 Nirav R Sheth MD Cardiologist 848782 0 0 0 0 0 3450 0 21941 0 874173 0 0 0 Alexander Berry MD Urologist 826489 0 0 0 0 0 3450 0 21941 0 851880 0 0 0 Simon Ahtaridis MD Director/Medical Dir. (end 11/24) 394096 0 0 0 0 0 23179 0 14103 0 431378 0 0 0 Dean Vitarisi Treasurer & CFO 0 380743 0 0 0 0 0 26932 0 21941 0 429616 0 0 John Mazzucco MD Director/General Surgeon 356143 0 0 0 0 0 3450 0 16598 0 376191 0 0 0 Kartik Viswanathan MD Director/Int. Medicine (start 12/24) 0 339918 0 0 0 0 0 3450 0 21941 0 365309 0 0 Part I, Line 3 The compensation for the Organization's CEO was established by a related organization, Valley Health Systems, Inc. That organization established the CEO's compensation by using a compensation committee and a compensation study. The compensation was also approved by the System's compensation committee. Part I, Line 4b Holyoke Medical Center adopted a 457(f) non-qualified deferred compensation plan that became effective as of July 1, 2017. The Plan allows for eligible individuals and employees of the Medical Center to receive benefits under the Plan until the attainment of age 65. Non-elective contributions made for a Plan participant are tracked and will vest separately based on anniversaries of participants' employment. Each contribution will be 0% vested until the participant reaches the end of their second year of employment after each contribution. Each contribution will become 100% vested as of the last day of the 2nd year of a participant's employment, if the participant is still employed on that date. Only eligible employees are participants in the plan, and the plan does not allow for employee elective deferrals or employer matches. For the 2024 calendar tax year, the following listed individuals received 457(f) contributions under the plan are: - Spiros Hatiras, $52,884. - Dean Vitarisi, $23,482. - Simon Ahtaridis, $23,179. A Massachusetts Development Finance Agency 043431814 2015-12-18 15000000 Construction of Addition to Hospital Facility & Parking Lot 0 0 0 A 2246892 15000000 509511 622161 16940433 2017 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 Schedule K, Part III; Part IV; and Part V Although formal written policies are not in place to ensure that violations are timely identified and corrected, the bonds issuer, monitors regulation Sections 1.141-12, 1.145-2, and 148 requirements for the Organization. Furthermore, the Organization works closely with bond counsel to monitor any lease agreements or management service contracts that have the potential to result in private business use and to ensure that safeguards are in place to take appropriate and timely remedial action should any violations of federal tax requirements occur. Form 990, Part VI, Section A, line 2 Certain officers and directors of Holyoke Medical Center, Inc. are employed by a related tax-exempt organization with common officers and/or directors with the Medical Center. By virtue of this arrangement, certain individuals listed on this Form 990, Part VII have a business relationship with one another. Form 990, Part VI, Section A, line 6 The sole member of Holyoke Medical Center is Valley Health Systems, Inc. Form 990, Part VI, Section A, line 7a Valley Health Systems, Inc. elects the members of the governing body of Holyoke Medical Center, Inc. Valley Health Systems, Inc. also has the power to remove any member of the governing body, with or without cause, at any time by giving written notice to such governing body member. Form 990, 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, Part VI, Section B, line 11b A copy of the Hospital's 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 an independent public accounting firm and thoroughly reviewed by the Senior Vice President of Finance and CFO and key financial staff of the Hospital prior to distributing it to the governing body for review. Form 990, Part VI, Section B, line 12c The conflict of interest policy of Holyoke Medical Center, Inc. (HMC) 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 Valley Health Systems, Inc. (parent) for review and monitoring. Form 990, Part VI, Section B, line 15 The compensation committee of the Valley Health System, Inc. utilizes a market compensation survey to recommend to the Board the approval of its determination of the appropriate compensation of the Chief Executive Officer. During that process, the Committee also reviews the compensation levels of other senior management and key employees of the System. These individuals are not members of the compensation committee and do not participate in this process. The CEO, as a member of the Board of VHS, does not participate in the approval process of that officer's compensation. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements of Valley Health Systems and Affiliates, which includes supplemental information of the filing entity, are available to the public upon request at the Organization's administrative office at 575 Beech Street, Holyoke, MA. Form 990, Part VI, Section B, Line 16b: Holyoke Medical Center does not have a separate, formal joint venture policy. However, all joint venture arrangements and similar business agreements are subject to the review, approval, and oversight of the Organization's top management and operational officials, including the CEO and COO. The Organization's legal counsel also reviews all joint venture agreements or similar contracts to ensure the arrangements are in compliance with applicable law. Additionally, the Organization's CFO and Director of Financial Planning review any joint venture or similar activities closely and regularly. Accordingly, while there is no separate joint venture policy, any business arrangements that are similar in nature to a joint venture are thoroughly monitored and regularly reviewed to ensure that such activities are compliant with requisite laws and regulations, and that any such activities also contribute meaningfully to the Organization's ability to fulfill its charitable purpose. Form 990, Part VII: Simon Ahtaridis, MD, Kartik Viswanathan, MD, Vishal Tiwari, MD, and John Mazzucco, MD are listed on Form 990, Part VII as voting members of the Hospital's board of directors. In accordance with IRS instructions, each has reportable compensation and benefit information disclosed on Part VII. However, each person is a licensed, full-time physician-employee of the Hospital or one of its affiliates, and their compensation and benefits represents remuneration in their capacity as such. No part of their reportable compensation or benefits is paid in their capacity as board members of the Hospital. Form 990, Part IX, Column D: All philanthropic and solicitation activity is carried out by Holyoke Medical Center affiliates. Therefore, no expenses have been allocated as fundraising expenses on Form 990, Part IX. Form 990, Part XI, line 9: Net transfers (to)/from affiliates 4,741,467. Change in beneficial interest - VHS 290,303. Pension-related changes other than net periodic costs 32,091,948. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Community Health Foundation of Western Mass Inc 575 Beech Street Holyoke MA 01040 222568962 Raise & Invest Funds for Affiliates MA 501(c)(3) Line 7 Valley Health Systems Inc 0 H-C Management Services Inc 20 Hospital Drive Holyoke MA 01040 222515981 Supporting Organization MA 501(c)(3) Line 12b, II Valley Health Systems Inc 0 Holyoke Visiting Nurse Association Inc 575 Beech Street Holyoke MA 01040 042104310 Home Health Care MA 501(c)(3) Line 10 Valley Health Systems Inc 0 MassWest Services Inc 575 Beech Street Holyoke MA 01040 222515964 Health Care MA 501(c)(3) Line 12b, II Valley Health Systems Inc 0 River Valley Counseling Center Inc 187 High Street Holyoke MA 01040 042174657 Outpatient Mental Health MA 501(c)(3) Line 10 Valley Health Systems Inc (end 72025) 0 Valley Health Systems Inc 20 Hospital Drive Holyoke MA 01040 042103583 Health Care MA 501(c)(3) Line 7 N/A 0 Western Mass Physician Associates Inc 15 Hospital Drive Holyoke MA 01040 043202198 Medical Care Services MA 501(c)(3) Line 3 MassWest Services Inc 0 William Skinner TUA-Holyoke Hospital Trust PO Box 1802 Providence RI 029011802 046035855 Grantmaking MA 4797(a)(1) PF Valley Health Systems Inc 0 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 1 1 Form 990, Schedule R, Part II: On June 30, 2025, Valley Health Services ("VHS") entered into an agreement with Servicenet, an unrelated entity, whereby VHS agreed to transfer its sole member interest in River Valley Counseling Center ("RVCC") to Servicenet for no consideration. VHS was concurrently released from all guarantees and other obligations related to RVCC, and effective July 1, 2025, RVCC ceased to be considered a related organization of VHS or its other affiliated entities.