HEYWOOD MEDICAL GROUP INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEYWOOD MEDICAL GROUP INC (EIN 04-3163589)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202322269349300607
- Schema version
- 2021v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-14T07:39:05-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | 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 | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043163589 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heywood Medical Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEYW | BusinessNameControlTxt |
| Phone | 9786325009 | PhoneNum |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas Sullivan | PersonNm |
| Person Title | Interim CFO | PersonTitleTxt |
| Phone | 9786325009 | PhoneNum |
| Signature | 2023-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Thomas | PersonFirstNm |
| Person Last | Sullivan | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara J McGuan CPA | PreparerPersonNm |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2023-08-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas Sullivan | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $6,997,469 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.heywood.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | To engage in the multi-specialty practice of medicine and to perform such medical and other ancillary services as are necessary in rendering such professional services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 384 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,945,508 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,997,105 | CYProgramServiceRevenueAmt |
| PY Investment Income | $891 | PYInvestmentIncomeAmt |
| CY Investment Income | $364 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $24,946,399 | PYTotalRevenueAmt |
| CY Total Revenue | $6,997,469 | 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 | $20,310,753 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,348,493 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,405,084 | PYOtherExpensesAmt |
| CY Other Expenses | $52,027 | CYOtherExpensesAmt |
| PY Total Expenses | $25,715,837 | PYTotalExpensesAmt |
| CY Total Expenses | $14,400,520 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$769,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,403,051 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,509,063 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,739,541 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,722,364 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,184,578 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,786,699 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,554,963 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To engage in the multi-specialty practice of medicine and to perform such medical and other ancillary services as are necessary in rendering such professional services. To provide medical and health care to individuals living and working in the north central region of Massachusetts, to participate in the activities designed and carried on to promote and improve the general public health of patients in the Greater Gardner area. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,507,755 | ExpenseAmt |
| Revenue | $6,997,105 | RevenueAmt |
| Desc | Heywood Medical Group has over 40 physicians specializing in Primary Care and Specialty Care. The Primary Care physicians focus on pediatrics, and family practice. The Specialty Care physicians focus on the areas of cardiology, endocrinology, gastroenterology, gynecology/obstetrics, orthopedics, pulmonology, urology, and general surgery. Heywood Medical Group serves individuals and families in need of health care and works in coordination with Heywood Hospital and Athol Hospital to provide high-quality, comprehensive care to everyone. They also provide oversight to the provider based clinics at Heywood Hospital and Athol Hospital. | Desc |
| Total Program Service Expenses | $13,507,755 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | 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 | 0 | OperateHospitalInd |
| 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 384 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | Thomas Sullivan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9786306157 | PhoneNum |
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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|---|
| Winfield Brown | ||||||||
| President/CEO | 0.20 | 41.40 | Yes (X) | Yes (X) | $0 | $1,064,638 | $71,344 | |
| Thomas Sullivan | ||||||||
| Interim CFO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Elizabeth Nottleson | ||||||||
| Chairwoman | 28.20 | 1.40 | Yes (X) | Yes (X) | $273,458 | $0 | $16,839 | |
| Lisa Rembetsy-Brown | ||||||||
| Officer | 32.00 | 0.00 | Yes (X) | Yes (X) | $178,323 | $0 | $29,517 | |
| Thomas Scalfarotto | ||||||||
| Officer | 36.00 | 0.00 | Yes (X) | Yes (X) | $326,748 | $0 | $28,832 | |
| Katelynn Agrafiotis | ||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $161,550 | $0 | $24,185 | ||
| Maireni Cruz | ||||||||
| Trustee | 32.00 | 0.00 | Yes (X) | $319,939 | $0 | $32,697 | ||
| Patrick Hook | ||||||||
| Trustee | 40.00 | 0.00 | Yes (X) | $259,706 | $0 | $13,998 | ||
| Erica Lasorsa | ||||||||
| Trustee | 28.00 | 0.00 | Yes (X) | $92,005 | $0 | $4,804 | ||
| Erin O'Hara | ||||||||
| Trustee | 32.20 | 1.40 | Yes (X) | $357,028 | $0 | $29,361 | ||
| Rozanna Penney | ||||||||
| Trustee | 0.20 | 40.00 | Yes (X) | $0 | $273,439 | $30,328 | ||
| John Poremba | ||||||||
| Trustee | 32.00 | 0.00 | Yes (X) | $280,298 | $0 | $39,629 | ||
| Michael Abbatiello | ||||||||
| Past Chief Financial Officer | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $455,812 | $58,473 | |
| Helen Heneghan | ||||||||
| Officer/Family Physician | 36.00 | 0.00 | Yes (X) | $510,113 | $0 | $48,448 | ||
| Francis Garofalo | ||||||||
| Physician | 30.00 | 0.00 | $500,015 | $0 | $38,895 | Yes (X) | ||
| Bret Ancowitz | ||||||||
| Gastro Physician | 40.00 | 0.00 | $854,218 | $0 | $39,805 | Yes (X) | ||
| Michael Azzoni | ||||||||
| Ortho Physician | 36.00 | 0.00 | $671,633 | $0 | $46,098 | Yes (X) | ||
| Phani Molakatalla | ||||||||
| Gastro Physician | 29.00 | 0.00 | $572,210 | $0 | $40,533 | Yes (X) | ||
| Jeffrey Blake | ||||||||
| OB/GYN Physician | 30.00 | 0.00 | $552,591 | $0 | $32,945 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,909,835 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,793,889 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $626,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 63 | 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 |
|---|---|---|---|---|---|
| Advanced Cardiovascular Specialists | |||||
| 22 Natty Pond Drive | Hubbardston | MA | 01452 | Healthcare | $2,111,835 |
| Jared Toman | |||||
| 4 Deer Path | Bolton | MA | 01740 | Healthcare | $538,055 |
| Konstantino Avradopoulos | |||||
| 15 JPJM Edward Drive | Northborough | MA | 01532 | Healthcare | $226,731 |
| UMass Memorial Medical Group Inc | |||||
| 265 Plantation Street | Worcester | MA | 01605 | Healthcare | $198,811 |
| McKesson Medical Surgical | |||||
| PO Box 933027 | Atlanta | GA | 31193 | Healthcare | $147,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Gross Patient Revenue | 621110 | $20,488,938 | $20,488,938 |
| Other Program Revenue | 621110 | $1,300,439 | $1,300,439 |
| Care Management Revenu | 621110 | $28,141 | $28,141 |
| Provision for Bad Debt | 621110 | -$721,937 | -$721,937 |
| Contractual Allowances | 621110 | -$14,098,476 | -$14,098,476 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,997,105 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $364 | TotalRevenueColumnAmt |
| Exclusion | $364 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,997,469 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,997,105 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $364 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,027,478 | TotalAmt |
| Program Services | $3,027,478 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,775,289 | TotalAmt |
| Program Services | $2,957,905 | ProgramServicesAmt |
| Management And General | $2,817,384 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,619 | TotalAmt |
| Program Services | $449,252 | ProgramServicesAmt |
| Management And General | $24,367 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,439,226 | TotalAmt |
| Program Services | $2,046,420 | ProgramServicesAmt |
| Management And General | $1,392,806 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,632,881 | TotalAmt |
| Program Services | $1,519,915 | ProgramServicesAmt |
| Management And General | $112,966 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,812 | TotalAmt |
| Management And General | $8,812 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,394 | TotalAmt |
| Program Services | $388,020 | ProgramServicesAmt |
| Management And General | $73,374 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,438 | TotalAmt |
| Program Services | $124,059 | ProgramServicesAmt |
| Management And General | $30,379 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,257 | TotalAmt |
| Program Services | $1,257 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $822,338 | TotalAmt |
| Program Services | $792,198 | ProgramServicesAmt |
| Management And General | $30,140 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,525 | TotalAmt |
| Program Services | $396 | ProgramServicesAmt |
| Management And General | $2,129 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,476 | TotalAmt |
| Program Services | $20,077 | ProgramServicesAmt |
| Management And General | $7,399 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,331 | TotalAmt |
| Management And General | $38,331 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,163 | TotalAmt |
| Program Services | $46,970 | ProgramServicesAmt |
| Management And General | $18,193 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,739 | TotalAmt |
| Program Services | $24,885 | ProgramServicesAmt |
| Management And General | $368,854 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Collection Fees | $558,873 | $558,873 | |
| Medical Supplies | $375,969 | $375,969 | |
| Minor Equipment | $70,734 | $58,804 | $11,930 |
| Allocations | -$3,051,810 | $1,114,599 | -$4,166,409 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,788 | TotalAmt |
| Program Services | $678 | ProgramServicesAmt |
| Management And General | $122,110 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,400,520 | TotalAmt |
| Program Services | $13,507,755 | ProgramServicesAmt |
| Management And General | $892,765 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,783,750 | BOYAmt |
| EOY | $450,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,949 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,330,308 | BOYAmt |
| EOY | $6,487,666 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,970 | BOYAmt |
| EOY | $334,252 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,665,478 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,140,617 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,532 | BOYAmt |
| EOY | $524,861 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,145,554 | BOYAmt |
| EOY | $8,942,762 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,509,063 | BOYAmt |
| EOY | $16,739,541 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,210,816 | BOYAmt |
| EOY | $9,662,547 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,655 | BOYAmt |
| EOY | $170,490 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,105,893 | BOYAmt |
| EOY | $1,351,541 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,722,364 | BOYAmt |
| EOY | $11,184,578 | 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 | $5,786,699 | BOYAmt |
| EOY | $5,554,963 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,786,699 | BOYAmt |
| EOY | $5,554,963 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,509,063 | BOYAmt |
| EOY | $16,739,541 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,403,051 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,300,000 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $9,471,315 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $802,132 | CurrentTaxYearMinus2YearsAmt |
| Total | $802,132 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,199,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,815,764 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,949,186 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,945,508 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,997,105 | CurrentTaxYearAmt |
| Total | $69,906,658 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,199,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,815,764 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,751,318 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,945,508 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,997,105 | CurrentTaxYearAmt |
| Total | $70,708,790 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $70,708,790 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $891 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $364 | CurrentTaxYearAmt |
| Total | $1,606 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $891 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $364 | CurrentTaxYearAmt |
| Total | $1,606 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,199,095 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,815,764 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,751,669 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,946,399 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,997,469 | CurrentTaxYearAmt |
| Total | $70,710,396 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $481,083 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,830 | DepreciationAmt |
| Book Value | $293,253 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,184,395 | OtherCostOrOtherBasisAmt |
| Depreciation | $952,787 | DepreciationAmt |
| Book Value | $231,608 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $524,861 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Compensation | $1,351,541 |
| Due from Related Party | $7,591,221 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,942,762 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Deferred Compensation | Desc |
| Amt | $1,351,541 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,351,541 | 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-for-profit 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 Accounting Standards Codification ("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 person 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 jurisdiction where so required. For the years ended September 30, 2022 and 2021, there were no interest or penalties recorded or included in the consolidated statements of operations. | ExplanationTxt |
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 (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Winfield Brown | ||||||||||||||
| President/CEO | $0 | $611,124 | $0 | $146,625 | $0 | $306,889 | $0 | $25,875 | $0 | $45,469 | $0 | $1,135,982 | $0 | $0 |
| Bret Ancowitz | ||||||||||||||
| Gastro Physician | $689,986 | $0 | $164,232 | $0 | $0 | $0 | $16,846 | $0 | $22,959 | $0 | $894,023 | $0 | $0 | $0 |
| Michael Azzoni | ||||||||||||||
| Ortho Physician | $654,133 | $0 | $0 | $0 | $17,500 | $0 | $18,400 | $0 | $27,698 | $0 | $717,731 | $0 | $0 | $0 |
| Phani Molakatalla | ||||||||||||||
| Gastro Physician | $570,410 | $0 | $0 | $0 | $1,800 | $0 | $17,033 | $0 | $23,500 | $0 | $612,743 | $0 | $0 | $0 |
| Jeffrey Blake | ||||||||||||||
| OB/GYN Physician | $507,835 | $0 | $43,256 | $0 | $1,500 | $0 | $18,585 | $0 | $14,360 | $0 | $585,536 | $0 | $0 | $0 |
| Helen Heneghan | ||||||||||||||
| Officer/Family Physician | $510,113 | $0 | $0 | $0 | $0 | $0 | $15,494 | $0 | $32,954 | $0 | $558,561 | $0 | $0 | $0 |
| Francis Garofalo | ||||||||||||||
| Physician | $500,015 | $0 | $0 | $0 | $0 | $0 | $17,977 | $0 | $20,918 | $0 | $538,910 | $0 | $0 | $0 |
| Michael Abbatiello | ||||||||||||||
| Past Chief Financial Officer | $0 | $396,330 | $0 | $59,482 | $0 | $0 | $0 | $30,786 | $0 | $27,687 | $0 | $514,285 | $0 | $0 |
| Erin O'Hara | ||||||||||||||
| Trustee | $314,925 | $0 | $27,872 | $0 | $14,231 | $0 | $7,060 | $0 | $22,301 | $0 | $386,389 | $0 | $0 | $0 |
| Thomas Scalfarotto | ||||||||||||||
| Officer | $313,975 | $0 | $10,073 | $0 | $2,700 | $0 | $6,420 | $0 | $22,412 | $0 | $355,580 | $0 | $0 | $0 |
| Maireni Cruz | ||||||||||||||
| Trustee | $295,988 | $0 | $18,309 | $0 | $5,642 | $0 | $10,380 | $0 | $22,317 | $0 | $352,636 | $0 | $0 | $0 |
| John Poremba | ||||||||||||||
| Trustee | $280,298 | $0 | $0 | $0 | $0 | $0 | $16,506 | $0 | $23,123 | $0 | $319,927 | $0 | $0 | $0 |
| Rozanna Penney | ||||||||||||||
| Trustee | $0 | $237,756 | $0 | $35,683 | $0 | $0 | $0 | $27,691 | $0 | $2,637 | $0 | $303,767 | $0 | $0 |
| Elizabeth Nottleson | ||||||||||||||
| Chairwoman | $255,458 | $0 | $0 | $0 | $18,000 | $0 | $15,092 | $0 | $1,747 | $0 | $290,297 | $0 | $0 | $0 |
| Patrick Hook | ||||||||||||||
| Trustee | $230,006 | $0 | $29,700 | $0 | $0 | $0 | $12,930 | $0 | $1,068 | $0 | $273,704 | $0 | $0 | $0 |
| Lisa Rembetsy-Brown | ||||||||||||||
| Officer | $173,323 | $0 | $0 | $0 | $5,000 | $0 | $7,065 | $0 | $22,452 | $0 | $207,840 | $0 | $0 | $0 |
| Katelynn Agrafiotis | ||||||||||||||
| Trustee | $161,550 | $0 | $0 | $0 | $0 | $0 | $2,666 | $0 | $21,519 | $0 | $185,735 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The related organization, Henry Heywood Memorial Hospital, uses the following methods to establish the compensation of the organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - 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 (6 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 X, Line 10: Land, Buildings, and Equipment: | Section 1.263(a)-3(n) Election: Heywood Medical Group, Inc. 242 Green Street Gardner, MA 01440 EIN: 04-3163589 Heywood Medical Group, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Transfer from Affiliate 9,471,315. |
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 | |
| Athol Memorial Hospital | |||||||||||
| 2033 Main Street | Athol | MA | 01331 | 042126583 | Critical Access Hospital | MA | 501(c)(3) | Line 3 | 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 | |
| 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heywood Realty Corporation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $773,401 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |