ATHOL MEMORIAL HOSPITAL INCORPORATED: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- ATHOL MEMORIAL HOSPITAL INCORPORATED (EIN 04-2126583)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-14
- IRS object ID
- 202642269349300714
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-14T07:46:53-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2211 Congress St | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042126583 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Athol Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ATHO | BusinessNameControlTxt |
| Phone | 9782493511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2033 Main Street | AddressLine1Txt |
| City | Athol | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01331 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Bujak | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9782493511 | PhoneNum |
| Signature | 2026-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Melissa Magoon CPA | PreparerPersonNm |
| PTIN | P01712842 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2026-08-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rozanna Penney | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2033 Main Street | AddressLine1Txt |
| City | Athol | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01331 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,800,500 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.atholhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1918 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | Our vision is to improve the lives of our diverse communities' by providing accessible, affordable, and culturally-sensitive care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 289 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $421,024 | PYContributionsGrantsAmt |
| CY Contributions Grants | $536,156 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $45,642,321 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $46,041,248 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,192 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,396 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $5,220,700 | CYOtherRevenueAmt |
| PY Total Revenue | $46,069,537 | PYTotalRevenueAmt |
| CY Total Revenue | $51,800,500 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,156,909 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,764,196 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $73,653 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,104,886 | PYOtherExpensesAmt |
| CY Other Expenses | $26,300,099 | CYOtherExpensesAmt |
| PY Total Expenses | $41,261,795 | PYTotalExpensesAmt |
| CY Total Expenses | $42,064,295 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,807,742 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,736,205 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $25,899,942 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,743,212 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,932,151 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,951,573 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,967,791 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,791,639 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is to be our region's first choice for quality, compassionate, patient-centered care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,559,496 | ExpenseAmt |
| Revenue | $46,041,248 | RevenueAmt |
| Desc | Athol Hospital provides various outpatient services such as an Emergency Room, on-site Cardiac specialists, high tech laboratory, cardiopulmonary testing, a short stay unit, advanced imaging,rehabilitation services, and many others on an outpatient basis.Athol Hospital provides inpatient acute care services, as well as a Swing Bed program, which transitions beds from acute care to sub-acute care to accommodate the rehabilitation needs of recovering patients.Athol Hospital has three provider based practices: one was an established Rural Health Clinic, and the other was converted to a Rural Health Clinic in 2020, and the last one is to be our communities' trusted choice for exceptional patient-centered care. | Desc |
| Total Program Service Expenses | $40,559,496 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 18 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 289 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John Bujak | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9786306157 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2033 Main Street | AddressLine1Txt |
| City | Athol | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01331 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Rozanna Penney | ||||||||
| President/CEO | 0.20 | 41.20 | Yes (X) | Yes (X) | $0 | $643,675 | $9,677 | |
| John Bujak | ||||||||
| CFO | 0.20 | 41.20 | Yes (X) | Yes (X) | $0 | $379,283 | $36,597 | |
| Robert Chauvin | ||||||||
| Chairman | 0.20 | 1.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Roy Lake | ||||||||
| Vice Chairman | 0.20 | 1.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JoAnne Parks | ||||||||
| Clerk | 0.20 | 1.40 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Cheney Castine Esq | ||||||||
| Treasurer | 0.20 | 1.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Joyce Fletcher | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Glenn Hunt | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Kane | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Melissa Maranda | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Phani Molakatalla MD | ||||||||
| Trustee/Gastroenterology Physician | 0.20 | 41.20 | Yes (X) | $0 | $657,589 | $49,443 | ||
| Nicole Moorshead | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Craig Napolitano MD | ||||||||
| Trustee | 0.20 | 41.20 | Yes (X) | $0 | $601,027 | $39,895 | ||
| Tina Sbrega | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Joel Shaughnessy | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| John Skrzypczak MD | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| David Spackman | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Frank Sweeney MD | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $26,941 | $0 | ||
| Craig Twohey | ||||||||
| Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Nottleson | ||||||||
| Past Trustee/Family Practice Physician | 0.20 | 41.20 | Yes (X) | $0 | $362,097 | $38,101 | ||
| Francis Garofalo | ||||||||
| Past Trustee | 0.20 | 41.20 | Yes (X) | $0 | $547,892 | $21,103 | ||
| Al Rose | ||||||||
| Past Trustee | 0.20 | 1.20 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Sullivan | ||||||||
| Past President/CEO | 0.20 | 41.20 | Yes (X) | Yes (X) | $0 | $365,473 | $960 | |
| Erin O'Hara MD | ||||||||
| Past Trustee | 0.20 | 41.20 | Yes (X) | $0 | $596,161 | $38,048 | ||
| Kaleigh A Maio | ||||||||
| VP of Human Resources | 40.00 | 0.00 | $169,557 | $0 | $51,724 | Yes (X) | ||
| Laura Quattrucci | ||||||||
| Nurse Practitioner | 40.00 | 0.00 | $164,228 | $0 | $6,003 | Yes (X) | ||
| Beth Eppel | ||||||||
| Assistant Chief Nursing Officer | 40.00 | 0.00 | $159,331 | $0 | $19,773 | Yes (X) | ||
| Mary Aukstikalnis | ||||||||
| Manager of 2nd Fl Med/Surg | 40.00 | 0.00 | $149,506 | $0 | $24,437 | Yes (X) | ||
| Bethany Maselli | ||||||||
| Registered Nurse | 40.00 | 0.00 | $143,549 | $0 | $38,969 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $786,171 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,180,138 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $374,730 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HMS Hospital Medical Solutions | |||||
| PO Box 660 | Exeter | NH | 03833 | Med Services | $1,345,897 |
| Medefis Inc | |||||
| 2121 North 117th Ave Suite 200 | Omaha | NE | 68164 | Med Services | $565,185 |
| Clinical & Support Options Inc | |||||
| 8 Atwood Drive | North Hampton | MA | 01060 | Med Services | $352,830 |
| Labcorp Of America Holdings | |||||
| PO Box 12140 | Burlington | NC | 27216 | Lab Services | $269,667 |
| Diversified Clinical Services | |||||
| 28525 Network Place | Chicago | IL | 606731285 | Med Services | $120,104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $476,461 | GovernmentGrantsAmt |
| All Other Contributions | $59,695 | AllOtherContributionsAmt |
| Total Contributions | $536,156 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient Service Revenue | 621110 | $117,314,949 | $117,314,949 | |
| Miscellaneous Revenue | 621110 | $3,212,785 | $3,212,785 | |
| Cafeteria Revenue | 621110 | $142,565 | $142,565 | |
| Provision for Bad Debts | 621110 | -$3,469,889 | -$3,469,889 | |
| Contractual Allowances/Charity Ca | 621110 | -$71,159,162 | -$71,159,162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $46,041,248 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,396 | TotalRevenueColumnAmt |
| Exclusion | $2,396 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Gain on extinguishment of debt | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,220,700 | TotalRevenueColumnAmt |
| Exclusion | $5,220,700 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,220,700 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,800,500 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,898,683 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,365,661 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,646,279 | TotalAmt |
| Program Services | $11,756,140 | ProgramServicesAmt |
| Management And General | $842,596 | ManagementAndGeneralAmt |
| Fundraising | $47,543 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,557 | TotalAmt |
| Program Services | $154,834 | ProgramServicesAmt |
| Management And General | $11,097 | ManagementAndGeneralAmt |
| Fundraising | $626 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,040,374 | TotalAmt |
| Program Services | $1,896,756 | ProgramServicesAmt |
| Management And General | $135,947 | ManagementAndGeneralAmt |
| Fundraising | $7,671 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,986 | TotalAmt |
| Program Services | $846,864 | ProgramServicesAmt |
| Management And General | $60,697 | ManagementAndGeneralAmt |
| Fundraising | $3,425 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,708 | TotalAmt |
| Management And General | $2,708 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,604,193 | TotalAmt |
| Program Services | $13,398,548 | ProgramServicesAmt |
| Management And General | $198,106 | ManagementAndGeneralAmt |
| Fundraising | $7,539 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75 | TotalAmt |
| Program Services | $73 | ProgramServicesAmt |
| Management And General | $2 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,861 | TotalAmt |
| Program Services | $217,340 | ProgramServicesAmt |
| Management And General | $5,319 | ManagementAndGeneralAmt |
| Fundraising | $202 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,479 | TotalAmt |
| Program Services | $136,023 | ProgramServicesAmt |
| Management And General | $3,329 | ManagementAndGeneralAmt |
| Fundraising | $127 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,661,003 | TotalAmt |
| Program Services | $1,619,848 | ProgramServicesAmt |
| Management And General | $39,646 | ManagementAndGeneralAmt |
| Fundraising | $1,509 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,186 | TotalAmt |
| Program Services | $1,157 | ProgramServicesAmt |
| Management And General | $28 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,607 | TotalAmt |
| Program Services | $13,270 | ProgramServicesAmt |
| Management And General | $325 | ManagementAndGeneralAmt |
| Fundraising | $12 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128 | TotalAmt |
| Program Services | $128 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $667,195 | TotalAmt |
| Program Services | $667,195 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $537,043 | TotalAmt |
| Program Services | $523,737 | ProgramServicesAmt |
| Management And General | $12,818 | ManagementAndGeneralAmt |
| Fundraising | $488 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Allocations | $4,550,533 | $4,437,785 | $108,615 | $4,133 |
| Medical Supplies | $4,177,541 | $4,177,541 | ||
| Miscellaneous | $516,017 | $510,845 | $4,983 | $189 |
| Food | $206,530 | $201,412 | $4,930 | $188 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,064,295 | TotalAmt |
| Program Services | $40,559,496 | ProgramServicesAmt |
| Management And General | $1,431,146 | ManagementAndGeneralAmt |
| Fundraising | $73,653 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,630,990 | BOYAmt |
| EOY | $7,029,444 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,132,757 | BOYAmt |
| EOY | $4,830,972 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,439,300 | BOYAmt |
| EOY | $16,660,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,185 | BOYAmt |
| EOY | $263,157 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,643 | BOYAmt |
| EOY | $277,251 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,825,694 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,697,139 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,585,109 | BOYAmt |
| EOY | $4,128,555 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,819,958 | BOYAmt |
| EOY | $374,263 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $1,179,570 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,899,942 | BOYAmt |
| EOY | $34,743,212 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,418,160 | BOYAmt |
| EOY | $3,446,753 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $882,852 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $631,139 | BOYAmt |
| EOY | $3,504,820 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,932,151 | BOYAmt |
| EOY | $6,951,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,106,440 | BOYAmt |
| EOY | $26,243,127 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,861,351 | BOYAmt |
| EOY | $1,548,512 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,967,791 | BOYAmt |
| EOY | $27,791,639 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,899,942 | BOYAmt |
| EOY | $34,743,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,736,205 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$19,052 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $1,106,695 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,028 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,028 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,490 | OtherCostOrOtherBasisAmt |
| Book Value | $104,490 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,006,171 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,683,556 | DepreciationAmt |
| Book Value | $2,322,615 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,886,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,688,340 | DepreciationAmt |
| Book Value | $1,197,781 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $828,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $325,243 | DepreciationAmt |
| Book Value | $503,669 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,128,555 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Settlements with Third Party Payors | $1,783,852 |
| Insurance Claims Obligation | $5,000 |
| Other Current Liabilities | $1,715,968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,504,820 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Heywood Healthcare, Heywood Hospital, Athol, HMGI, Charitable Foundation, Quabbin, and NMTC have been determined to be not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and the Realty Corp. has been determined to be a not-forprofit corporation as described in Section 501(c)(2) of the Code. All of the entities are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Organization annually evaluates its tax status and tax positions taken with respect to its operations and financial position. Under ASC 740, an organization must recognize the financial statement effects of a tax position taken for tax return purposes when it is more likely than not that the position will not be sustained upon examination by a taxing authority. The Organization does not believe it has taken any material uncertain tax positions and, accordingly, it has not recorded any liability for unrecognized tax benefits. Additionally, the Organization has filed IRS Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. For the year ended September 30, 2025, there was no interest or penalties recorded or included in the consolidated statement of operations. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $349,989 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $349,989 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,872,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,824,109 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $48,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,205,396 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,344,478 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,427,690 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,168,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $398,185 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $306,239 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $306,239 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $306,239 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $306,239 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,733,929 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,168,587 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $704,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01670 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,801 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $196,139 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $196,139 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $202,940 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $202,940 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,112,608 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,514,490 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,014,457 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$499,967 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Athol Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2033 Main Street | AddressLine1Txt |
| City | Athol | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01331 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.atholhospital.org | WebsiteAddressTxt |
| State License | 2226 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Athol Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.atholhospital.org/about-us/community-benefit | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.chna9.com/ | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.atholhospital.org/about-us/community-benefit | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.heywood.org/about-us/community-benefit/patient-financial-services | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.heywood.org/about-us/community-benefit/patient-financial-services | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.heywood.org/about-us/community-benefit/patient-financial-services | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Athol Memorial Hospital | Part V, Section B, Line 5: In 2024, Heywood Healthcare conducted a comprehensive Community Health Needs Assessment (CHNA). It aims to gain a deeper understanding of the unmet health and social service needs facing residents of our Combined Service Area, as well as how those needs are currently being addressed and where gaps and opportunities exist to tackle them in the future. The Health Equity Partnership and Three Pyramids conducted a series of 18 focus groups to gather qualitative insights from community members. Efforts were made to include a diverse group of participants, both geographically and socio-demographically. |
| Athol Memorial Hospital | Part V, Section B, Line 6a: The 2024-2026 Community Health Needs Assessment (CHNA) is a collaboration between Heywood Healthcare and UMass Memorial Health - HealthAlliance-Clinton Hospital. It covers 26 primary communities served by the three hospitals, analyzed and presented in four ways: the total service area of 26 communities, Heywood Hospital's service area of 6 towns, Athol Hospital's service area of 9 communities, and UMass Memorial Health's 14 communities. |
| Athol Memorial Hospital | Part V, Section B, Line 6b: Partners reviewed existing reports and community assessments to understand health and social service issues in the region, as identified by community partners and residents. Quantitative data from secondary sources were analyzed in conjunction with qualitative data from focus groups. Community organizations involved in gathering lived experiences included YWCA of Central Massachusetts, Health Equity Partnership of North Central Massachusetts Youth Advisory Council, Winchendon Council on Aging, Winchendon Community Action Committee, Townsend Public Library, Nashoba Associated Boards of Health, 19 Carter Community Center, LUK, Inc., NewVue Communities, Montachusett Veterans Outreach Council, Making Opportunity Count, St. Joseph's House, Beautiful Gate Church of God in Christ, Three Pyramids/North Central Minority Coalition, Ahmadiyya Muslim Community, Pathways for Change, and Healthcare Access & Outreach Needs. This holistic approach enabled a comprehensive understanding of community health needs, driven by local knowledge and community members' insights on survival and thriving. This integrative process identified specific "areas of focus and "priority populations" for hospitals to address in their Community Benefits work. |
| Athol Memorial Hospital | Part V, Section B, Line 7d: The CHNA provides a comprehensive review of Heywood Healthcare's Service Area, which is used to inform the Community Health Improvement Plan (CHIP). The CHNA findings were reported to the hospital leadership and shared with partners and members at the Community Benefits Advisory Committee, the Health Equity Partnership meetings, Schwartz Rounds, and the Heywood Diversity and Equity Committee. Discussions with these groups informed the prioritization of health needs and the development of strategies. Some of the priority health categories and strategies continue from the previous CHNA-CHIP process, as they represent ongoing, critical needsespecially for key populationsand several initiatives are still in progress to address them. |
| Athol Memorial Hospital | Part V, Section B, Line 11: The CHNA revealed three priority areas for the hospitals to guide our efforts around community health improvement and equity: 1. Equitable Access to Care, addressing workforce, transportation, and language and race barriers; 2. Social Determinants of Health (SDOH) emphasizing financial and employment stability as well as structural racism and systemic inequities; 3. Nutrition-related chronic conditions focusing on food insecurity and equitable healthy food systems; 4. Mental Health and Substance Use strategies improving access to treatment, support, and prevention; 5. Maternal Health includes strengthening the health system infrastructure, expanding workforce capacity, and improving prenatal and perinatal resources to enhance equitable access to high-quality, culturally competent maternal health care.The CHIP outlines the strategies and community partners the hospital will partner with to respond to each of the priority health areas. The Hopsital's approach to addressing the critical health needs is to collaborate with cross sector coalitions, healthcare and behavioral health providers, community, and faith-based organizations and businesses to develop and implement our plan, goals, and strategies. We engage community-based organizations, our P.F.A.C, and the Community Benefits Advisory Committee in the development of the CHIP to ensure that the CHIP has input from persons who represent the broad interests and special knowledge of the significant health needs of our community. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costing method used to calculate the amounts reported in the table in Part I, was based on the cost to charge ratio derived from the supplied Worksheet 2, in the IRS Schedule H instructions. |
| Part II, Community Building Activities: | Athol Memorial Hospital's Community Benefits Mission Statement is "Athol Hospital is committed to advancing our community's well-being by working collaboratively with community partners to increase prevention efforts, address social determinants of health, and improve access to care." |
| Part III, Line 2: | The Organization used the cost-to-charge ratio as its costing methodology to calculate bad debt expense at cost. |
| Part III, Line 4: | Please refer to pages 9 - 12 of the attached audited financial statements. |
| Part III, Line 8: | As Athol Memorial Hospital operates at a loss from Medicare, the shortfall could be treated as community benefit as there are no other funds available to subsidize the loss. The allowable costs on line 6 were obtained from our FY 2020 Medicare Cost Report, Worksheet D schedules. |
| Part III, Line 9b: | Athol Hospital provides patients with information about financial assistance programs that are available through the Commonwealth of MA or through Athol Hospital's own financial assistance program, which may cover all or some of their unpaid hospital bills. For those patients that request such assistance, Athol Hospital assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. These programs include but are not limited to MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Health Safety Net and others. It is the patient's obligation to provide Athol Hospital with accurate and timely information to determine if the patient is eligible to apply for certain health insurance programs. If the patient of guarantor is unable to provide the necessary information, Athol Hospital may make reasonable efforts to obtain any additional information from other sources. Information the Hospital obtains will be maintained in accordance with applicable federal and state privacy and security laws. The screening and application process for public health insurance programs is done through Virtual Gateway, which is an internet portal designed by the MA Executive Office of Health and Human Services. The Virtual Gateway manages the application process from the programs listed above, which is available for children, adults, seniors, veterans, homeless and disabled individuals. Athol Hospital specifically assists the patient in completing the application and secure the necessary documentation required by the applicable financial assistance program. Athol Hospital will then submit this document to the Commonwealth Office of Medicaid and assist the patient in any additional documentation if such is required by the Commonwealth of MA, Office of Medicaid. Special circumstance applications are reviewed and approved by the MA Division of Health Care Finance and Policy. The Hospital has no role in determination of program eligibility made by the Commonwealth, but at the patient's request may take a direct role in appealing decisions made by the Commonwealth to ensure accurate and timely adjudication of all hospital bills. If the patient does not comply with the requests for documentation, then our standard collection procedures apply. |
| Part VI, Line 2: | In addition to conducting the CHNA, the organization monitors hospital data and actively engages with the hospital leadership team and Community Benefits Advisory Committee to continuously monitor and assess any changing or emerging community and healthcare needs. |
| Part VI, Line 3: | Role of Hospital Certified Financial Counselors and other Finance Staff: The hospital will try to identify available coverage options for patients who may be uninsured or underinsured with their current insurance program when the patient is scheduling their services, while the patient is in the hospital, upon discharge, and for a reasonable time following discharge from the hospital. The hospital will direct all patients seeking available coverage options, or those that the hospital determines may be eligible, to the hospital's patient financial counseling to screen for eligibility in an appropriate coverage option. The hospital will then assist the patient in applying for the appropriate coverage options that are available or notify them of availability of financial assistance through the hospital's own internal financial assistance program, if available. Notification Practices: Individual printed notices are available by contacting a Financial Counselor or through the Patient Accounts Office. Notices indicate the criteria used to determine eligibility for MassHealth and the Health Safety Net Trust Fund and where or how patients may apply. The goal of these notices is to assist patients in applying for coverage within a financial assistance program such as MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, and Health Safety Net. When applicable, the hospital may also assist patients in applying for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. When a patient contacts the hospital, Patient Accounting, Financial Counseling or Social Service Staff will attempt to identify if a patient qualifies for a public financial assistance program or payment plan. Patients who are already enrolled in a public financial assistance program, such as MassHealth or Health Safety Net, may qualify for certain federal, state and private assistance agencies. 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. The following items outline more specifically the notification process, criteria, and availability of information beyond the signs that are posted in the hospital. 1. The hospital will provide an individual notice of the availability of financial assistance programs and other programs of public assistance to a patient expected to incur charges for which he/she will be personally responsible, exclusive of personal convenience items or services that may not be paid in full by third party coverage. 2. The hospital or its agents will include a notice or statement about Eligible Services to Low Income Patients and other programs of public assistance in its initial bill and subsequent correspondence with the patient. All correspondence will direct the patient where and how they can receive more information or additional assistance and will inform the patient that they may apply or reapply for financial and public assistance before, during or after care, or after collection agency assignment if their situation changes. 3. The hospital will include a notice regarding the availability of financial assistance and other programs of public assistance to Low Income Patients in all written collection actions. The hospital will notify the patient that it offers a payment plan if the patient is determined to be eligible for MassHealth or free care/uncompensated care through the Health Safety Net Trust Fund as a low income patient or due to Medical Hardship. These payment plans are consistent with 1016 CMR 6613.08 (1)(f)(4). The hospital will also offer payment plan options for those individuals who do not qualify for Low Income Patient status. 4. Athol Hospital will include language on its written notices that reads: "You may be eligible for assistance through our Financial Assistance Program. For eligibility information, please contact our Customer Services Department at 1-800-305-6757." Verbiage may change to accommodate changes of department information. 5. There is no primary language other than English that is spoken by 5% or more of the hospital's service area. Signage and other documentation will be provided in English. The hospital provides translator services for several other languages and this service may be accessed for those individuals whose primary language is not English or Spanish. 6. For cases where the hospital continues to determine eligibility for free care/uncompensated care through the Health Safety Net Trust Fund application, then MassHealth will provide written notice of determination that the patient is or is not eligible within 30 days of receiving a completed application and the required supporting documentation. The vast majority of patients will however be screened via the common intake process and processed through the Virtual Gateway and MA-21 system. 7. Whether the hospital is using the MassHealth application process through the Virtual Gateway or submitting a MassHealth application directly, the hospital will assist the patient in completing the application or intake process for enrollment and eligibility screening. |
| Part VI, Line 4: | Community Information: The primary service area served by Athol Hospital includes Athol, Erving, New Salem, Orange, Petersham, Phillipston, Royalston, Warwick, Wendell. All communities carry a Federal Rural designation, and the region is recognized as a Federally Designated Medically Underserved Population (MUP). The combined population of the service area is approximately 37,762. Approximately 23.6% of residents identify as Black, Indigenous, or People of Color, compared with 33.4% statewide. dults ages 4564 represent 21.0% of residents, exceeding the Massachusetts average of 19.9%, and adults ages 65 and older comprise 17.5% of the population. Health related social needs across the region such as economic instability, housing burden, limited transportation, low educational attainment and workforce shortages collectively contribute to poorer health outcomes. |
| Part VI, Line 5: | Promotion of Community Health: Athol Hospital's approach to addressing the critical health needs identified by the CHNA is to participate in cross-sector coalitions actively and collaborate with healthcare and behavioral health providers, community, and faith-based organizations and businesses. These collaborations help to develop and implement our plan, goals, and strategies. Partners include North Quabbin Recovery Center, Athol YMCA, Athol and Orange Boards of Health, Athol and Orange School District, Athol, Orange, Petersham Police Department, LUK, Inc, LifePath,Clinical & Support Options, Athol Orange Rotary, PPAl, Making Opportunity Count, GAAMHA, Mount Wachusett Community College, Fitchburg State University, Orange CAP's Collaboartive Schools, . Valuing our Children, Woods Ambulance, North Central Ma Rides TMA, Growing Places, Franklin County Sherrif's Office, Calley Medical Group, Quitters Win, North Quabbin Childrens Health and Wellness System of Care Task Force (CHWTF), Franklin Hampshire System of Care Task Force (SOC). |
| Part VI, Line 6: | Athol Hospital, a 25-bed not-for-profit Critical Access Hospital in Athol, MA, is part of Heywood Healthcare, an independent, community-owned healthcare system serving north-central Massachusetts and southern New Hampshire. In addition to Athol Hospital, the health system includes Heywood Hospital; Heywood Medical Group; the Quabbin Retreat; Heywood Rehabilitation Group; Murdock and ACES School-based health Centers; and the Winchendon Health Center. |
| Part VI, Line 7: | Community Benefit Report is filed with the Attorney General's Office, State of Massachusetts. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Phani Molakatalla MD | ||||||||||||||
| Trustee/Gastroenterology Physician | $0 | $646,988 | $0 | $0 | $0 | $10,601 | $0 | $11,500 | $0 | $37,943 | $0 | $707,032 | $0 | $0 |
| Rozanna Penney | ||||||||||||||
| President/CEO | $0 | $491,933 | $0 | $150,666 | $0 | $1,076 | $0 | $9,677 | $0 | $0 | $0 | $653,352 | $0 | $0 |
| Craig Napolitano MD | ||||||||||||||
| Trustee | $0 | $482,648 | $0 | $118,379 | $0 | $0 | $0 | $7,335 | $0 | $32,560 | $0 | $640,922 | $0 | $0 |
| Erin O'Hara MD | ||||||||||||||
| Past Trustee | $0 | $476,101 | $0 | $119,669 | $0 | $391 | $0 | $489 | $0 | $37,559 | $0 | $634,209 | $0 | $0 |
| Francis Garofalo | ||||||||||||||
| Past Trustee | $0 | $519,729 | $0 | $9,290 | $0 | $18,873 | $0 | $8,741 | $0 | $12,362 | $0 | $568,995 | $0 | $0 |
| John Bujak | ||||||||||||||
| CFO | $0 | $334,208 | $0 | $45,075 | $0 | $0 | $0 | $4,038 | $0 | $32,559 | $0 | $415,880 | $0 | $0 |
| Elizabeth Nottleson | ||||||||||||||
| Past Trustee/Family Practice Physici | $0 | $310,089 | $0 | $37,225 | $0 | $14,783 | $0 | $5,858 | $0 | $32,243 | $0 | $400,198 | $0 | $0 |
| Thomas Sullivan | ||||||||||||||
| Past President/CEO | $0 | $355,240 | $0 | $0 | $0 | $10,233 | $0 | $0 | $0 | $960 | $0 | $366,433 | $0 | $0 |
| Kaleigh A Maio | ||||||||||||||
| VP of Human Resources | $157,921 | $0 | $11,500 | $0 | $136 | $0 | $7,177 | $0 | $44,547 | $0 | $221,281 | $0 | $0 | $0 |
| Bethany Maselli | ||||||||||||||
| Registered Nurse | $143,549 | $0 | $0 | $0 | $0 | $0 | $4,632 | $0 | $34,337 | $0 | $182,518 | $0 | $0 | $0 |
| Beth Eppel | ||||||||||||||
| Assistant Chief Nursing Officer | $159,126 | $0 | $0 | $0 | $205 | $0 | $6,545 | $0 | $13,228 | $0 | $179,104 | $0 | $0 | $0 |
| Mary Aukstikalnis | ||||||||||||||
| Manager of 2nd Fl Med/Surg | $134,506 | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $24,437 | $0 | $173,943 | $0 | $0 | $0 |
| Laura Quattrucci | ||||||||||||||
| Nurse Practitioner | $98,267 | $0 | $65,702 | $0 | $259 | $0 | $3,994 | $0 | $2,009 | $0 | $170,231 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Henry Heywood Memorial Hospital, a related organization, uses the following methods to establish the compensation of the Organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other ogranizations - Written employment contract - Compensation survey or study - Approval by the board or compensation committee |
| Part I, Line 7 | Heywood Healthcare has an incentive (bonus) program for senior administration, directors, and managers that is a predefined percentage of their annual salary. The incentive program is structured on the financial health of the organization as well other indicators based surrounding leadership level. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared by a third-party accounting firm with the assistance of the Accounting Department. The Form 990 is reviewed by the Director of Finance and CFO. Then the return is uploaded to the Hospital cyber board for the Board of Trustees to review prior to filing. |
| Form 990, Part VI, Section B, line 12c | The Board of Trustees review the Organization's Conflict of Interest policy annually in order to ensure that the Organization's Board of Trustees and Officers are regularly and consistently monitoring and enforcing it. |
| Form 990, Part VI, Section B, line 15 | All Officers and the CEO's salaries are paid by related corporations. The salaries are determined by the Board of Trustees, considering comparable salary information for Officers of other entities of similar size and level of activity. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public by providing completed copies to the Executive Assistant, who provides copies upon request. |
| Form 990, Part IX, line 11g | Physician Fees: Program service expenses 4,434,304. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,434,304. Contracted Services: Program service expenses 123,227. Management and general expenses 3,016. Fundraising expenses 115. Total expenses 126,358. Temporary Employees: Program service expenses 870,031. Management and general expenses 0. Fundraising expenses 0. Total expenses 870,031. Outside Fees: Program service expenses 7,719,955. Management and general expenses 188,946. Fundraising expenses 7,190. Total expenses 7,916,091. Other Professional Fees: Program service expenses 251,031. Management and general expenses 6,144. Fundraising expenses 234. Total expenses 257,409. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment: | Section 1.263(a)-3(n) Election: Athol Memorial Hospital 2033 Main Street Athol, MA 01331 EIN: 04-2126583 Athol Memorial Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Transfer to Affiliates 1,035,143. Change in Beneficial Interest in Perpetual Trust 71,552. |
| Form 990, Part XI, Line 8: Prior Period Adjustment | During the year ended September 30, 2025, the Organization recorded a prior period adjustment to align net assets with the balances reflected in the September 30, 2025 audited financial statements. The adjustment was necessary because audited financial statements were not available before filing the 2023 Form 990. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Heywood Healthcare Inc | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 222720658 | Parent Corp | MA | 501(c)(3) | Line 12b, II | 0 | ||
| Henry Heywood Memorial Hospital | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 042103581 | Acute Care Hospital | MA | 501(c)(3) | Line 3 | 0 | Heywood Healthcare Inc | |
| Heywood Medical Group | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 043163589 | Multi-Spec. Physicians | MA | 501(c)(3) | Line 10 | 0 | Heywood Healthcare Inc | |
| Quabbin Healthcare Inc | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 812053488 | Behavioral Health | MA | 501(c)(3) | Line 12b, II | 0 | Heywood Healthcare Inc | |
| Heywood Realty Corp | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 043327447 | Prop. Holding Corp | MA | 501(c)(2) | 0 | Heywood Healthcare Inc | ||
| Heywood Healthcare Charitable Foundation Inc | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 222720562 | Charitable Foundation | MA | 501(c)(3) | Line 7 | 0 | Heywood Healthcare Inc | |
| Athol Memorial Hospital NMTC Holdings Inc | |||||||||||
| 242 Green Street | Gardner | MA | 01440 | 822171549 | Supporting Organization | MA | 501(c)(3) | Line 12a, I | 0 | Heywood Healthcare Inc | |
| Winchendon Health Foundation Inc | |||||||||||
| 55 Hospital Drive | Winchendon | MA | 01475 | 042113276 | Community Health Care | MA | 501(c)(3) | Line 12d, III-O | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Shields Imaging at Heywood Healthcare LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 Green Street | AddressLine1Txt |
| City | Gardner | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01440 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Imaging Services | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (1) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heywood Realty Corp | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $367,952 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments