2024-08-12T11:26:35-05:00 2023-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2022-10-01 043202198 Western Mass Physician Associates Inc WEST 4135342667 15 Hospital Drive Holyoke MA 010406644 Dean Vitarisi Treasurer & CFO 4135342667 2024-08-08 1 0 Connor Smart P02285543 2078792100 2024-08-08 2022 2024-08-08 14:25:15Z Garry M Bombardier MD 15 Hospital Drive Holyoke MA 010406644 8476025 0 X N/A X 1993 MA To provide Pediatrics, Internal Medicine, and other healthcare services to residents of Holyoke, Massachusetts and the surrounding communities. 6 0 112 10 0 0 0 0 7668320 8476025 0 0 0 0 7668320 8476025 0 0 0 0 6490650 6984929 0 0 0 2602729 2630350 9093379 9615279 -1425059 -1139254 3162857 4125027 8807670 9061094 -5644813 -4936067 To provide medical services, including pediatrics and internal medicine, to the residents of Holyoke, Massachusetts and the surrounding communities. 0 0 8506301 0 8476025 Provided medical services, including pediatrics and internal medicine, to the residents of Holyoke, Massachusetts and the surrounding communities. 8506301 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 112 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 MA X Dean Vitarisi 4135342667 15 Hospital Drive Holyoke MA 010406644 X Carl Cameron Director 0.50 42.50 X 0 470369 47179 Marcel Moniz Director 0.50 40.50 X 0 180714 15831 Kartik Viswanathan MD Director/Medical Director 50.00 0.50 X 338495 0 27991 Garry Bombardier MD President of Board 50.00 1.00 X X 12323 217953 14602 Spiridon E Hatiras President & CEO, Clerk 1.00 48.50 X X 0 907453 73368 Dean Vitarisi Treasurer & CFO 1.00 47.00 X X 0 338192 25084 Joanna Cichon MD Internist 50.00 0.00 X 296851 0 12457 Lorenver O Po MD Internist 50.00 0.00 X 292368 0 27476 Beth Brown MD Pediatrician 50.00 0.00 X 268409 0 8316 Thomas Graziano MD Internist 50.00 0.00 X 229113 0 24330 Ana Roca Mattei MD Internist 50.00 0.00 X 187786 0 10411 1625345 2114681 287045 15 0 1 0 Holyoke Medical Center Inc 575 Beech Street Holyoke MA 01040 Management Services 312432 Valley Health Systems Inc 20 Hospital Drive Holyoke MA 01040 Management Services 284999 SNI Companies PO Box 825811 Philadelphia PA 19182 Staffing Services 162797 3 Patient Care Revenue 621300 8476025 8476025 8476025 8476025 8476025 0 0 378920 366184 12736 5597826 5471742 126084 23104 23104 554444 448099 106345 430635 430635 597431 597431 548766 381080 167686 315450 217025 98425 589333 589333 271 271 6209 6209 122776 122776 Medical Supplies 280989 280989 Bad Debt Expense 169125 169125 9615279 8506301 1108978 0 268611 475040 2866729 3628679 105578 84270 27517 21308 3162857 4125027 709979 848246 8097691 8212848 8807670 9061094 X -5644813 -4936067 -5644813 -4936067 3162857 4125027 X -1139254 1848000 X X 0 1 X 1 1 1 X 105578 84270 21308 21308 Due to Affilates 5040178 Insurance Claims Liabilities 3172670 8212848 X 8306900 0 8306900 169125 169125 8476025 9446154 0 9446154 169125 169125 9615279 Part X, Line 2: The Organization and the member organizations are 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 Organization has evaluated the position taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at September 30, 2023. The Organization's tax years from 2021 through 2023 are open and subject to examination. Part XI, Line 4b - Other Adjustments: Bad Debt Expense 169,125. Part XII, Line 4b - Other Adjustments: Bad Debt Expense 169,125. 0 1 0 0 0 0 0 0 0 Spiridon E Hatiras President & CEO, Clerk 0 907453 0 0 0 0 0 51770 0 21598 0 980821 0 0 Carl Cameron Director 0 470369 0 0 0 0 0 29019 0 18160 0 517548 0 0 Kartik Viswanathan MD Director/Medical Director 338495 0 0 0 0 0 2900 0 25091 0 366486 0 0 0 Dean Vitarisi Treasurer & CFO 0 338192 0 0 0 0 0 0 0 25084 0 363276 0 0 Lorenver O Po MD Internist 292368 0 0 0 0 0 2513 0 24963 0 319844 0 0 0 Joanna Cichon MD Internist 296851 0 0 0 0 0 2690 0 9767 0 309308 0 0 0 Beth Brown MD Pediatrician 268409 0 0 0 0 0 2276 0 6040 0 276725 0 0 0 Thomas Graziano MD Internist 229113 0 0 0 0 0 0 0 24330 0 253443 0 0 0 Garry Bombardier MD President of Board 12323 217953 0 0 0 0 0 2274 111 12217 12434 232444 0 0 Ana Roca Mattei MD Internist 187786 0 0 0 0 0 1645 0 8766 0 198197 0 0 0 Marcel Moniz Director 0 180714 0 0 0 0 0 2029 0 13802 0 196545 0 0 Part I, Line 3 Garry M. Bombardier, M.D., was compensated as an employee (Internist) of Holyoke Medical Center, Inc. He was also compensated as Director of Quality Assurance for Western Mass Physician Associates, Inc. This compensation was established pursuant to a written employment contract with the organization. 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 2022 Tax Year, the following listed individuals received 457(f) contributions under the plan: Spiros Hatiras, $48,870; and Carl Cameron, $28,000. Form 990, Part VI, Section A, line 2 Certain officers and directors of Western Mass Physician Associates, Inc. are employed by a related tax-exempt organization which has common officers and/or directors. By virtue of this arrangement, certain individuals listed in Form 990, Part VII have a business relationship with one another. Form 990, Part VI, Section A, line 6 The sole member of the Organization is MassWest Services, Inc. Form 990, Part VI, Section A, line 7a MassWest Services, Inc. elects the members of the governing body of the Organization. MassWest Services, 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 Western Mass Physician Associates, Inc. are subject to the approval of MassWest Services, Inc. as specified in the Organization's bylaws. Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b A copy of Western Mass Physician Associates, Inc.'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 Western Mass Physician Associates, Inc. (WMPA) 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. WMPA board members and officers complete and sign a conflict of interest questionnaire annually. All signed questionnaires are then submitted to WMPA 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 VII: The individuals listed in Part VII as voting members of the governing body are employed by Holyoke Medical Center, Inc. and receive compensation in their capacity as a physician of the Hospital or (as in the case of Mr. Hatiras and Mr. Vitarisi) as the top management and top financial official of the Holyoke healthcare system. The individuals listed in Part VII as voting members of the governing body do not receive compensation in their capacity as members of the Organization's board of directors. Form 990, Part XI, line 9: Equity Transfers from Affiliates 1,848,000. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Community Health Foundation of Western Massachusetts Inc 575 Beech Street Holyoke MA 01040 222568962 Raise & Invest Funds for Affiliates MA 501(c)(3) Line 7 Valley Health Systems Inc 0 Holyoke Medical Center Inc 575 Beech Street Holyoke MA 01040 222520073 Hospital MA 501(c)(3) Line 3 Valley Health Systems Inc 0 Holyoke Visiting Nurse Association Inc 575 Beech Street Holyoke MA 01040 042104310 Home Healthcare MA 501(c)(3) Line 10 Valley Health Systems Inc 0 MassWest Services Inc 575 Beech Street Holyoke MA 01040 222515964 Healthcare 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 0 Valley Health Systems Inc 20 Hospital Drive Holyoke MA 01040 042103583 Healthcare MA 501(c)(3) Line 7 N/A 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 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 0 1 1 0 0 0 0 1 1 1 1 1 0 0 0 0 1