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HOLYOKE MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOLYOKE MEDICAL CENTER INC (EIN 22-2520073)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201242269349302149
Schema version
2010v3.7
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

FieldValueIRS element (for citing)
Timestamp2012-08-13T15:57:03-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1185 Asylum Street Suite 2400AddressLine1
CityHartfordCity
StateCTState
ZIP Code061033404ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222520073EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Holyoke Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLYNameControl
Phone4135342667Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1575 Beech StreetAddressLine1
CityHolyokeCity
StateMAState
ZIP Code010402223ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHANK PORTENName
TitlePRESIDENTTitle
Phone4135342667Phone
Date Signed2012-08-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBRIAN J MCCUE 860-241-7040Name
Phone8602417000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHank J PortenNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1575 Beech StreetAddressLine1
CityHolyokeCity
StateMAState
ZIP Code010402223ZIPCode
FieldValueIRS element (for citing)
Gross Receipts122614929GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.holyokehealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionHOLYOKE MEDICAL CENTER, INC. IS AN ACUTUE CARE HOSPITAL THAT PROVIDES MEDICAL AND OTHER HEALTHCARE SERVICES TO RESIDENTS OF HOLYOKE MA, AND THE SURROUNDING COMMUNITIES. SEE ATCH 1 FOR ADDITIONAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1324TotalNbrEmployees
Total Nbr Volunteers66TotalNbrVolunteers
Total Gross UBI3272800TotalGrossUBI
Net Unrelated Business Txbl Income53341NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year726033ContributionsGrantsPriorYear
Contributions Grants Current Year245751ContributionsGrantsCurrentYear
Program Service Revenue Prior Year109499577ProgramServiceRevenuePriorYear
Program Service Revenue CY115781926ProgramServiceRevenueCY
Investment Income Prior Year169436InvestmentIncomePriorYear
Investment Income Current Year-66984InvestmentIncomeCurrentYear
Other Revenue Prior Year5795454OtherRevenuePriorYear
Other Revenue Current Year6287504OtherRevenueCurrentYear
Total Revenue Prior Year116190500TotalRevenuePriorYear
Total Revenue Current Year122248197TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year71371947SalariesEtcPriorYear
Salaries Etc Current Year73393325SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year44127561OtherExpensePriorYear
Other Expenses Current Year45149331OtherExpensesCurrentYear
Total Expenses Prior Year115502508TotalExpensesPriorYear
Total Expenses Current Year118547156TotalExpensesCurrentYear
Revenues Less Expenses Prior Year687992RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3701041RevenuesLessExpensesCY
Total Assets BOY56761214TotalAssetsBOY
Total Assets EOY59730420TotalAssetsEOY
Total Liabilities BOY54295308TotalLiabilitiesBOY
Total Liabilities EOY68472440TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2465906NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-8742020NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOLYOKE MEDICAL CENTER, INC. IS AN ACUTE CARE HOSPITAL THAT PROVIDES MEDICAL AND OTHER HEALTHCARE SERVICES TO RESIDENTS OF HOLYOKE, MA AND THE SURROUNDING COMMUNITIES. SEE ATCH 1 FOR ADDITIONAL INFORMATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense97784204Expense
Grants4500Grants
Revenue117976512Revenue
DescriptionThe mission of Holyoke Medical Center, Inc. (HMC) is to serve the health needs of the community in a high quality and efficient manner. To this end, Holyoke Medical Center shall: -Provide compassionate care to all whom it serves and commitment to cultural diversity in our programs and workforce, and the development of cultural competencies in our workforce so that we may better serve our patients; -Identify and serve those needs which are prevalent and substantial in the community as a whole or within major population groups, and which can be adequately met by the provision of basic primary and secondary health care services; -Provide information, education, and expertise to our community in order to promote the general health of its citizens; -Provide an environment of excellence and growth in which health care professionals can use their skills and abilities to the fullest extent possible; -Provide competitive wages and benefits, as well as safe and dignified working conditions, for all employees; -Ensure financial responsibility in the operation of the Medical Center in order to guarantee the future viability of our mission; -Provide a formal, public, and ongoing program of community benefits, in cooperation with community individuals and organizations, to improve the health status of the public including especially the medically and economically vulnerable.Description
Total Program Service Expense97784204TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096174NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1324NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPAUL M SILVANamePerson
Telephone Number4135342667TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1575 BEECH STREETAddressLine1
CityHOLYOKECity
StateMAState
ZIP Code010402223ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
HANK J PORTEN
PRESIDENT/CLERK/DIRECTOR35.0XX077136313517
KAREN M FERRONI MD
DIRECTOR/CHIEF OF STAFF/OB-GYN40.0X258964015520
DEBORAH A BUCKLEY
DIRECTOR1.0X000
THOMAS N HAZEN
DIRECTOR1.0X000
MANFRED ROSENKRANZ
DIRECTOR-TERM EXPIRED 01/27/111.0X000
MARTIN F SCHOENEMANN CPA
DIRECTOR1.0X000
PRISCILLA MANDRACHIA
DIR/CHAIR/CHAIR FINANCE COMM.1.0XX000
M SALEEM BAJWA MD
DIRECTOR1.0X000
BURTON S RESNIC
DIRECTOR-TERM EXPIRED 01/27/111.0X000
ANGELA WRIGHT
DIRECTOR-TERM EXPIRED 01/27/111.0X000
MARY E KELLEHER
DIRECTOR/PRES HMC AUX ASSOC34.5X02617096774
WILLIAM R ANDREWS
DIRECTOR1.0X000
VIJAY V GANDEVIA MD
DIR/PRES MED STAFF/ANASTHESIO40.0X378660016225
BRIGID L GLACKIN MD
DIRECTOR/VP MED STAFF/SURGEON1.0X000
CRAIG L MOORE PhD
DIRECTOR-TERM EXPIRED 01/27/111.0X000
RICHARD J WELLS
DIRECTOR1.0X000
PETER C CONNOR
VICE CHAIR/DIRECTOR1.0XX000
DONALD L GRAHAM
DIRECTOR1.0X000
KATHLEEN HANKEL
DIRECTOR1.0X000
JOHN J KELLEY
DIRECTOR1.0X000
MARC E JOYCE
DIRECTOR1.0X000
JOSEPH PETERS
DIRECTOR1.0X000
DORIS M RANSFORD
DIRECTOR1.0X000
ANTHONY SOTO
DIRECTOR1.0X000
ANTONIO CORREIA
TREASURER33.0X034353415770
PAUL M SILVA
VP FINANCE40.0X251648015218
KATHY BUCKLEY
VP SUPPORT SERVICES40.0241210015202X
CLARK A FENN
VP QUAL IMPROVEMENT&INNOVATION40.0241783015064X
JAMES KEEFE
VP INPATIENT SERVICES40.0225803015044X
MICHAEL A ZWIRKO
VP OUTPATIENT SERVICES40.0264824014769X
A MASHARN DOANES MD
THORACIC SURGEON40.044940908515X
MARY E NORRIS MD
GASTROENTEROLOGIST40.0409936014810X
THEODORE K MLAPAH MD
HOSPITALIST40.0369485015650X
PAUL H COOKE MD
ANESTHESIOLOGIST40.0336166016381X
ZUBEENA MATEEN MD
ONCOLOGIST40.0333938016321X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3761826TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1376606TotalReportableCompFrmRltdOrgs
Total Other Compensation214780TotalOtherCompensation
Number Individuals GT100 K52NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
H-C MANAGEMENT SERVICES INC
20 HOSPITAL DRIVEHOLYOKEMA01040MANAGEMENT SERVICES1988300
COGENT HEALTHCARE INC
5410 MARYLAND WAYBRENTWOODTN37027HOSPITALIST STAFFING1198890
QUEST DIAGNOSTICS
415 MASSACHUSETTS AVENUECAMBRIDGEMA02139LABORATORY SERVICES807625
MEDICUS HOSPITALIST SERVICES LLC
7 INDUSTRIAL WAYSALEMNH03079HOSPITALIST STAFFING705604
UNITEX TEXTILE RENTAL SERVICES
161 SOUTH MACQUESTEN PARKWAYMOUNT VERNONNY10550LAUNDRY SERVICES526915
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Government Grants34351GovernmentGrants
All Other Contributions211400AllOtherContributions
Noncash Contributions90000NoncashContributions
Total Contributions245751TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE621110115311040115311040
AFFILIATE RENT531120470886470886
FieldValueIRS element (for citing)
Total Program Service Revenue115781926TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column166428TotalRevenueColumn
Exclusion$166,428ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

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Real509724Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real125220Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real384504Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column384504TotalRevenueColumn
Unrelated Business Revenue31424UnrelatedBusinessRevenue
Exclusion$353,080ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other8100Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other241512Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-233412Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-233412TotalRevenueColumn
Exclusion-$233,412ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NON-PATIENT LAB REVENUE62150032395583239558
TRANSCRIPTION SERVICES56100018181818
FOOD SERVICES/COFFEE SHOP722210467038$467,038

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2194586TotalRevenueColumn
Related Or Exempt Function Income2194586RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5903000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column122248197TotalRevenueColumn
Related Or Exempt Function Income117976512RelatedOrExemptFunctionIncome
Unrelated Business Revenue3272800UnrelatedBusinessRevenue
Exclusion$753,134ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4500Total
Program Services4500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1862892Total
Program Services637624ProgramServices
Management And General1225268ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59070235Total
Program Services50917180ProgramServices
Management And General8153055ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total348428Total
Program Services294801ProgramServices
Management And General53627ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7508172Total
Program Services6247621ProgramServices
Management And General1260551ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4603598Total
Program Services3895050ProgramServices
Management And General708548ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2079770Total
Management And General2079770ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total338361Total
Program Services33956ProgramServices
Management And General304405ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total133000Total
Management And General133000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total65937Total
Management And General65937ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4783398Total
Program Services3526339ProgramServices
Management And General1257059ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total176952Total
Program Services6586ProgramServices
Management And General170366ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16234332Total
Program Services14762438ProgramServices
Management And General1471894ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1694989Total
Program Services903916ProgramServices
Management And General791073ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2200055Total
Program Services1859827ProgramServices
Management And General340228ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total109453Total
Program Services76261ProgramServices
Management And General33192ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total687941Total
Management And General687941ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4082955Total
Program Services2939543ProgramServices
Management And General1143412ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1993000Total
Program Services1200107ProgramServices
Management And General792893ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT65310536531053
PURCHASED STAFFING161319916074745725
LABORATORY TESTS10275591027559
PHYSICIAN FEES719450719450
UNCOMPENSATED CARE POOL491928491928

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total185999Total
Program Services100991ProgramServices
Management And General85008ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total118547156Total
Program Services97784204ProgramServices
Management And General20762952ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5912954BOY
EOY6921282EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11669377BOY
EOY11715623EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY76398BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY786085BOY
EOY717231EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1084613BOY
EOY1001698EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis125645651LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec95183476LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28223519BOY
EOY30462175EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1896468BOY
EOY1919882EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY6092059BOY
EOY5725089EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1019741BOY
EOY1267440EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY56761214BOY
EOY59730420EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY14176228BOY
EOY17079576EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1142857BOY
EOY693750EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8548671BOY
EOY6336972EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2410960BOY
EOY4906125EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY28016592BOY
EOY39456017EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY54295308BOY
EOY68472440EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1613287BOY
EOY-12585787EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1853183BOY
EOY1688730EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2226010BOY
EOY2155037EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2465906BOY
EOY-8742020EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56761214BOY
EOY59730420EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3701041ReconcilationRevenueExpenses
Reconcilation Other Changes-14908967ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$40,000DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$25,937RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB65937TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART II-B, LINE 1G:LEGISLATIVE AND EXECUTIVE AGENT REPRESENTATION:1. CAPITOL CONSULTING GROUP: 10,000 2. SMITH & RAUSCHENBACH: 30,000 ------- TOTAL 40,000
PART II-B, LINE 1H:ASSOCIATION DUES RELATED TO LOBBYING:1. AMERICAN HOSPITAL ASSOCIATION: 7,243 2. MASSACHUSETTS HOSPITAL ASSOCIATION: 18,694 ------- TOTAL 25,937

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1154521BeginningOfYearBalance
Investment Earnings Or Losses-18890InvestmentEarningsOrLosses
Other Expenditures29827OtherExpenditures
Administrative Expenses330AdministrativeExpenses
End Of Year Balance1105474EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1087014BeginningOfYearBalance
Investment Earnings Or Losses95984InvestmentEarningsOrLosses
Other Expenditures28477OtherExpenditures
End Of Year Balance1154521EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1143311BeginningOfYearBalance
Investment Earnings Or Losses23703InvestmentEarningsOrLosses
Other Expenditures80000OtherExpenditures
End Of Year Balance1087014EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.41590PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.58410TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2710635OtherCostOrOtherBasis
Book Value2710635BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis57398241OtherCostOrOtherBasis
Depreciation37216339Depreciation
Book Value20181902BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis63616144OtherCostOrOtherBasis
Depreciation56742479Depreciation
Book Value6873665BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1920631OtherCostOrOtherBasis
Depreciation1224658Depreciation
Book Value695973BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30462175TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
PHYSICIAN HOSP ORGANIZATION190574F
LIMITED USE ASSETS - CURRENT430367F
LIMITED USE ASSETS - LONG TERM1716304F
BENEFICIAL INTEREST - VHS3387844F
FieldValueIRS element (for citing)
Total Of Book Value Program Related5725089TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION COST$39,298,918
ASSET RETIREMENT OBLIGATION$157,099
FieldValueIRS element (for citing)
Total Of Amounts39456017TotalOfAmounts
Total Revenue122248197TotalRevenue
Total Expenses118547156TotalExpenses
Excess Or Deficit For Year3701041ExcessOrDeficitForYear
Net Unrealized GL On Investments-44062NetUnrealizedGLOnInvestments
Other-$14,864,905OtherAmount
Total Adjustments-14908967TotalAdjustments
Excess Or Deficit Per FS-11207926ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt122602077TotRevenueEtcAuditedFinclStmt
Revenue Subtotal122602077RevenueSubtotal
Other Revenues Not Included-353880OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-353880RevenueNotRptdOnFinStmt
Total Revenue Per Form990122248197TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt133810003TotExpensesEtcAuditedFinclStmt
Other Expenses Included15262847OtherExpensesIncluded
Expenses Not Rptd F99015262847ExpensesNotRptdF990
Expenses Subtotal118547156ExpensesSubtotal
Total Expenses Per Form990118547156TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
PART V, LINE 4:THE ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY VALLEY HEALTH SYSTEMS, INC. THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROVIDE A PREDICTABLE, STABLE, AND CONSISTENT STREAM OF EARNINGS FOR HOLYOKE MEDICAL CENTER, INC. TO BE USED FOR FREE CARE AND GENERAL OPERATIONS.
PART XI, LINE 8 (OTHER):CONTRIBUTIONS TO AFFILIATES (1,165,000) PENSION ADJUSTMENT (13,529,125) CHANGE IN BENEFICIAL INT - VHS (170,780) ------------ TOTAL (14,864,905)
PART XII, LINE 4B (OTHER):LOSS ON DISPOSAL OF ASSETS, NET (228,660) RENTAL EXPENSES (125,220) --------- TOTAL (353,880)
PART XIII, LINE 2D (OTHER):NET UNREALIZED LOSS ON INVESTMENTS 44,062 CONTRIBUTIONS TO AFFILIATES 1,165,000 PENSION ADJUSTMENTS 13,529,125 LOSS ON DISPOSAL OF ASSETS, NET 228,660 CHANGE IN BENEFICIAL INT - VHS 170,780 RENTAL EXPENSES 125,220 --------- TOTAL 15,262,847

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served3509PersonsServed
Total Community Benefit Expense2751171TotalCommunityBenefitExpense
Direct Offsetting Revenue2436939DirectOffsettingRevenue
Net Community Benefit Expense314232NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served24065PersonsServed
Total Community Benefit Expense12935192TotalCommunityBenefitExpense
Direct Offsetting Revenue11801133DirectOffsettingRevenue
Net Community Benefit Expense1134059NetCommunityBenefitExpense
Percent Of Total Expense0.00960PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served27574PersonsServed
Total Community Benefit Expense15686363TotalCommunityBenefitExpense
Direct Offsetting Revenue14238072DirectOffsettingRevenue
Net Community Benefit Expense1448291NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs35NumberOfActivitiesOrPrograms
Persons Served7870PersonsServed
Total Community Benefit Expense323848TotalCommunityBenefitExpense
Direct Offsetting Revenue955DirectOffsettingRevenue
Net Community Benefit Expense322893NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served127PersonsServed
Total Community Benefit Expense20886TotalCommunityBenefitExpense
Net Community Benefit Expense20886NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served550PersonsServed
Total Community Benefit Expense4176106TotalCommunityBenefitExpense
Direct Offsetting Revenue3306955DirectOffsettingRevenue
Net Community Benefit Expense869151NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense1100000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1100000NetCommunityBenefitExpense
Percent Of Total Expense0.00930PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served8547PersonsServed
Total Community Benefit Expense5620840TotalCommunityBenefitExpense
Direct Offsetting Revenue3307910DirectOffsettingRevenue
Net Community Benefit Expense2312930NetCommunityBenefitExpense
Percent Of Total Expense0.01950PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs45NumberOfActivitiesOrPrograms
Persons Served36121PersonsServed
Total Community Benefit Expense21307203TotalCommunityBenefitExpense
Direct Offsetting Revenue17545982DirectOffsettingRevenue
Net Community Benefit Expense3761221NetCommunityBenefitExpense
Percent Of Total Expense0.03180PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense621TotalCommunityBuildingExpense
Net Community Building Expense621NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Persons Served540PersonsServed
Total Community Building Expense768TotalCommunityBuildingExpense
Net Community Building Expense768NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Persons Served540PersonsServed
Total Community Building Expense1389TotalCommunityBuildingExpense
Net Community Building Expense1389NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$1,904,759BadDebtExpenseAmount
Amount Reimbursed By Medicare33402773AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare34776794CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1374021MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1NOT APPLICABLEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLYOKE MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1575 BEECH STREETAddressLine1
CityHOLYOKECity
StateMAState
ZIP Code01040ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HOLYOKE MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymentfalseActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit Other ActionsXPermitOtherActions
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Identifier1. Required DisclosuresIdentifier
Return ReferencePart I, Line 3CReturnReference
ExplanationNot Applicable Part I, Line 6a Not Applicable Part I, Line 7 Holyoke Medical Center, Inc. used the cost-to-charge ratio method in determining the cost of health services provided. Holyoke Medical Center, Inc. derived this cost-to-charge ratio based on the total patient care expense, after step-down adjustment, divided by gross patient charges per the Medicare 2552 Cost Report. Part II Holyoke Medical Center, Inc. provides a variety of community sponsorships and ongoing relationships with local community organizations. Our goals for those sponsorships and / or team building are to help support cultural and healthy lifestyle events, whether it be to support youth sports teams, celebrate youth academic leaders and their families and teachers, or support of a community celebration. Our intended outcome is to make this a healthier and more lively community. The majority of our community support is a result of requests from civic, social, and athletic groups within our community. As an example, working with three community partners, Holyoke Medical Center, Inc. staff help coordinate a children's grant to specifically assist speech and language screening and education for children and parents in the community for children with speech and hearing difficulties. Working with our partners, this program helps assist families with obtaining public school services for their children. Our ongoing involvement helps oversee budgets and assure flow to appropriate allocation of funds to those community services which will support those children and their families for speech, occupational and physical therapy, behavioral counseling, therapeutic play, hearing screenings, family literacy, and nutrition. In addition, HMC also partners with a variety of local community agencies to help oversee specific grants that have been awarded for the broader community for children with childhood developmental delays in their cognitive speech and hearing. Family support and teaching pre-school and grammar school educational programs for teachers are held to assist in minimizing the delays that these children would otherwise undergo without this service. Part III, Line 4 Holyoke Medical Center, Inc. utilizes generally accepted accounting principles in the preparation of its financial statements. Holyoke Medical Center, Inc. used the cost-to-charge ratio method in determining the cost of health services provided. Holyoke Medical Center, Inc. derived this cost-to-charge ratio based on the total patient care expense, after step-down adjustment, divided by gross patient charges per the Medicare 2552 Cost Report. Part III, Line 8 See Part III, Line 4 for the description of the costing methodology used in determining the Medicare costs. Part III, Line 9b Populations Exempt from Collection Action - The following individuals and patient populations are exempt from any collection actions pursuant to the Massachusetts Health Safety Net Program (HSN) regulations: a. Patients enrolled in, receiving benefits from, or participating in a public health insurance program, including but not limited to MassHealth, Emergency Aid to the Elderly, Disabled and Children (EAEDC), Healthy Start, Children's Medical Security Plan (CMSP (provided the patient's family income is equal to or less than 400% of the FPL)), and low income patients subject to the following: (1) Holyoke Medical Center, Inc. may initiate Collection Action against any patient enrolled in, receiving benefits from, or participating in MassHealth, EAEDC or Healthy Start, and any low income patient, for their required co-payments and deductibles as set forth by each specific program. (2) Holyoke Medical Center, Inc. may also initiate collection action for a patient who alleges that he or she is a participant in MassHealth, EAEDC, Health Start or CMSP but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in such a program (including, in the case of MassHealth, EAEDC or Healthy Start, receipt or verification of a signed application), Holyoke Medical Center, Inc. shall cease billing or collection activities. (3) Low income patients are exempt from Collection Action for Eligible Services (as defined by HSN regulations from time-to-time) they receive during the period for which they have low income patient status. (4) Low income patients with family income between 200% and 400% of FPL are exempt from collection action for the portion of their Holyoke Medical Center, Inc. bill that exceeds the patient's deductible. However, Holyoke Medical Center, Inc. may initiate collection action against patients for their required co-payments and deductibles. (5) Holyoke Medical Center, Inc. may continue collection action on any low income patient for services rendered prior to the low income patient determination, provided that the patient's low income patient status has been terminated or expired. However, once a patient is determined to be eligible and enrolled in the Health Safety Net, MassHealth or certain Commonwealth Care programs, Holyoke Medical Center, Inc. will cease collection action for services rendered prior to the beginning of their eligibility. (6) Holyoke Medical Center, Inc. may pursue collection action against low income patients for services other than eligible services for which the patient has agreed to be responsible, provided Holyoke Medical Center, Inc. obtained the patient's prior written consent to be billed for the services. Holyoke Medical Center, Inc. will not bill low income patients for claims denied by the patient's primary insurer resulting from an administrative or billing error unless the error was initiated by patient / guarantor. (7) Holyoke Medical Center, Inc. will not undertake collection action against an individual who has been approved for ER Bad Debt Medical Hardship or medical hardship under the Massachusetts Health Safety Net Program with respect to the amount of the bill that exceeds the medical hardship contribution. b. With respect to low income patients injured in motor vehicle accidents, Holyoke Medical Center, Inc. will: (1) investigate whether the patient, driver and / or vehicle owner had a motor vehicle liability policy; (2) make every effort to obtain the third party payor information from the patient; (3) if the hospital has prior knowledge and is legally able, attempt to secure assignment on a patient's right to third party coverage on services provided due to an accident; (4) advise patient of duty to notify HSN/MassHealth within 10 days of filing TPL claim/lawsuit, (5) retain documentation of those efforts; (6) where applicable, submit a claim for payment to the motor vehicle liability insurer; and (7) if any portion of the claim was previously billed to the HSN, report any recovery to the HSN. c. Holyoke Medical Center, Inc. will not garnish a low income patient's or their guarantor's wages or execute a lien on the low income patient's or their guarantor's personal residence or motor vehicle unless: (1) Holyoke Medical Center, Inc. can show that the patient or their guarantor has the ability to pay; (2) the patient / guarantor did not respond to HMC requests for information or the patient / guarantor refused to cooperate with HMC to seek an alternative financial assistance program; or (3) for purposes of a lien, it was approved by Holyoke Medical Center, Inc.'s Board of Trustees on an individual case-by-case basis. d. Holyoke Medical Center, Inc. may cease any collection or billing actions against a patient who is unable to pay Holyoke Medical Center, Inc.'s bill at any time during the billing process, if the patient is eligible for assistance under financial assistance programs that HMC may, in its discretion, make available from time-to-time. Holyoke Medical Center, Inc. will keep any and all documentation that shows a patient met the criteria for such programs. e. Holyoke Medical Center, Inc. and its agents shall not continue collection or billing on a patient who is party to bankruptcy proceedings except to secure its rights as a creditor in the appropriate order. f. Holyoke Medical Center, Inc. and its agents will not charge interest on an overdue balance for a low income patient or for patients who are eligible for financial assistance programs that HMC may in its discretion make available from time-to-time. Part V, Line 1j through Line 7 Not applicable for the current tax year Part V, Line 11h Not applicable Part V, Line 13g Not applicable Part V, Line 15e Liens on residences must be approved by Holyoke Medical Center, Inc.'s Board of Trustees on an individual case-by-case basis. Part V, Line 16e Not applicable Part V, Line 17e Not applicable Part V, Line 18d Not applicable Part V, Line 19d It is the policy of Holyoke Medical Center to charge all patients with and without insurance its standard rates on file with the Commonwealth of Massachusetts Division of Heathcare and Policy. The amount ultimately collected wExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HANK J PORTEN
045491003164530000013517078488000
ANTONIO CORREIA
024085701026770000015770035930400
KAREN M FERRONI MD
2589640000000155200274484000
PAUL M SILVA
18437706727100000152180266866000
MARY E KELLEHER
0192754068955000006774026848300
VIJAY V GANDEVIA MD
3786600000000162250394885000
KATHY BUCKLEY
17775806345200000152020256412000
CLARK A FENN
18071306107000000150640256847000
JAMES KEEFE
17062705517600000150440240847000
MICHAEL A ZWIRKO
19869606612800000147690279593000
A MASHARN DOANES MD
449409000000085150457924000
MARY E NORRIS MD
4099360000000148100424746000
THEODORE K MLAPAH MD
3694850000000156500385135000
PAUL H COOKE MD
3361660000000163810352547000
ZUBEENA MATEEN MD
3339380000000163210350259000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 3:H-C MANAGEMENT SERVICES, INC., A RELATED ORGANIZATION OF HOLYOKE MEDICAL CENTER, INC., IS THE EMPLOYER OF THE ORGANIZATION'S CEO AND ESTABLISHES THE COMPENSATION OF THE CEO THROUGH THE FOLLOWING MEANS: A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION STUDY/SURVEY, AND APPROVAL BY THE ORGANIZATION'S COMPENSATION COMMITTEE.
PART I, LINE 7:CERTAIN EMPLOYEES OF HOLYOKE MEDICAL CENTER, INC. PARTICIPATE IN INCENTIVE COMPENSATION BASED ON THE ACHIEVEMENT OF GOALS RELATING TO THE BUSINESS PLAN, PATIENT SATISFACTION, QUALITY, AND OTHER GOALS AS ESTABLISHED ON AN ANNUAL BASIS. THE COMPENSATION COMMITTEE DETERMINES THE APPROPRIATE AMOUNT OF THE INCENTIVE. THESE INDIVIDUALS, WITH THE EXCEPTION OF THE CEO, ARE NOT MEMBERS OF THE COMPENSATION COMMITTEE AND DO NOT PARTICIPATE IN THE PROCESS. THE CEO IS EXCUSED FROM DISCUSSIONS AND DELIBERATIONS REGARDING HIS INCENTIVE COMPENSATION. THE COMPENSATION COMMITTEE ENGAGES AN OUTSIDE COMPENSATION CONSULTING FIRM TO HELP DETERMINE THE APPROPRIATE LEVEL OF COMPENSATION OF THE CEO, SENIOR MANAGERS AND KEY EMPLOYEES.
PART II, COLUMN B(II):BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE PAYMENTS FOR fISCAL yEARS 2009 AND 2010.
PART II, COLUMM B(II) - HANK J. PORTEN:BONUS AND INCENTIVE COMPENSATION CONSISTS OF THE FOLLOWING: 1. FISCAL YEARS 2009 & 2010 INCENTIVE PAYMENTS.... 254,218 2. DEFERRED COMPENSATION PAYMENT PURSUANT TO ARRANGEMENTS PRIOR TO 2003.................. 62,235 ------- TOTAL 316,453

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
0424560112004-07-144765000EQUIPMENTfalsefalsefalse
MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
0424560112006-02-282257136EQUIPMENTfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
47650000476500000016302004478698002005falsefalsetruetrue
17201090225713600035529002221607002006falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalse0.000000.000000.00000true
falsefalsefalsefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsetrue
truefalsefalsefalsetruefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
GOSS MCLAIN INSURANCE AGENCY INC
SEE SCHEDULE O674402INSURANCE PREMIUMSfalse
WANDANA JOSHI DO
SEE SCHEDULE O313468SALARYfalse
ADAM FENN
SEE SCHEDULE O33094SALARYfalse
WHITING OIL CORPORATION
SEE SCHEDULE O26146FUEL/OIL BURNER SERVICESfalse
HOLYOKE COMMUNITY COLLEGE
SEE SCHEDULE O26000SPACE RENTALfalse
ANNE CORREIA
SEE SCHEDULE O21176SALARYfalse
VALLEY HEALTH PARTNERS INC
SEE SCHEDULE O15400MEMBERSHIP DUESfalse
PATRICK KEEFE
SEE SCHEDULE O12331SALARYfalse
VALLEY HEALTH PARTNERS INC
SEE SCHEDULE O11000MEMBER CAPITAL CONTRIBUTIONSfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99090000NoncashContribsRptdF990
Method Of Determining RevenuesAPPRAISED FMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PAGE 6, PART VI, SECTION A, LINE 2 (BUSINESS RELATIONSHIPS):Certain officers and directors of Holyoke Medical Center, Inc. are employed by a related tax-exempt organization which has some common officers and/or directors. The President (Hank J. Porten), Treasurer (Antonio Correia), and Director (Mary E. Kelleher) are employees of H-C Management Services, Inc. and its common officers and/or directors are: Hank J. Porten, Antonio Correia, Peter C. Connor, Priscilla Mandrachia, and Richard J. Wells. Form 990, Page 6, Part VI, Section A, Line 4: The Holyoke Medical Center, Inc. Bylaws were changed as follows: 1. Composition of the Board of Directors and Term of Office: * The composition was changed from no less than 15 and no more than 22 persons to no less than 12 and no more than 18 persons. * The President of the Holyoke Hospital Auxiliary Association was removed as an ex-officio member and the Treasurer of the Corporation was added as a member. 2. Quorum and Attendance: * The Quorum was changed from eight (8) voting members to six (6) voting members. * Absence of a board member from four (4) consecutive meetings was changed to two (2) consecutive meetings as being grounds for removal. 3. Committees: * Executive Committee: The composition was changed to include the Chair of the Board of Directors of Holyoke Medical Center, Inc. (HMC), the Vice Chair of the Board of Directors of HMC, the President of HMC, the Chair of the Board of Directors of Valley Health Systems, Inc., and the Chair of the Board of Directors of H-C Management Services, Inc. * Finance Committee: The composition was changed from eight (8) persons to the Committee Chair, the Vice Chair of the Board of Directors, the President of the Corporation and no more than six (6) other persons, of which no less than four (4) of whom shall be members of the Board of Directors. 4. Indemnification of Directors and Officers: * The by-laws were re-written to bring them up-to-date with current practices and with the requirements set forth in Chapter 180 of the Massachusetts General Laws. 5. Conflict of Interest: * It was added that any member of the Board who has a financial, personal, official, or duality of interest in, or conflict or appearance of a conflict with any matter pending before the Board, of such nature that it prevents or may prevent that member from acting on the matter in an impartial manner, will offer to the Board to voluntarily excuse themself and will vacate their seat and refrain from discussion and voting on said item. Form 990, Page 6, Part VI, Section A, Line 6: Valley Health Systems, Inc. is the sole member of Holyoke Medical Center, Inc.
FORM 990, PAGE 6, PART VI, SECTION A, LINE 7A:Valley Health Systems, Inc. elects the members of the governing body of Holyoke Medical Center, Inc. Form 990, Page 6, Part VI, Section A, Line 7b: Significant decisions of the governing body of Holyoke Medical Center, Inc. are subject to the approval of Valley Health Systems, Inc. as specified in the organization's bylaws. Form 990, Page 6, Part VI, Section B, Line 11b: A copy of Holyoke Medical Center, Inc.'s Federal Form 990 was provided to each voting member of the governing body prior to its filing with the Internal Revenue Service. The Form 990 was prepared with the assistance of PricewaterhouseCoopers LLP. Form 990, Page 6, Part VI, Section B, Line 12c: The conflict of interest policy of Holyoke Medical Center, Inc. is monitored and enforced as part of the Valley Health Systems, Inc. system and is reviewed once a year by the system's conflict of interest committee. HMC board members, officers, and key employees complete and sign a conflict of interest questionnaire annually. All signed questionnaires are then submitted to HMC and to the parent company.
FORM 990, PAGE 6, PART VI, SECTION B, LINE 15A & 15B:The compensation committee engages an outside compensation consulting firm to complete a compensation survey for the review, evaluation, and ultimate approval of said committee to help determine the appropriate compensation levels of the Chief Executive Officer, senior management, and key employees. These individuals, with the exception of the CEO, are not members of the compensation committee and do not participate in this process. The CEO is excused from discussions and deliberations regarding his compensation. This process was last undertaken in 2011. Form 990, Page 6, Part VI, Section C, Line 19: The governing documents, conflict of interest policy, and financial statements of Holyoke Medical Center, Inc. are available to the public upon request at the organization's administrative office at 575 Beech Street, Holyoke, MA.
FORM 990, PAGE 7, PART VII, LINE 1A, COLUMN (B):Average hours per week for compensated executive's time devoted to the system of related organizations - Holyoke Medical Center, Inc. (HMC); Valley Health Systems, Inc. (VHS); Masswest Services, Inc. (MWS); Western Mass Physician Associates, Inc. (WMPA); H-C Management Services, Inc. (HCM); River Valley Counseling Center, Inc. (RVCC); and Holyoke Visiting Nurse Association, Inc. (VNA) are as follows: HMC VHS MWS WMPA HCM RVCC VNA TOTAL Hank J. Porten 35.0 1.5 0.5 1.0 4.5 2.0 0.5 45.0 Antonio Correia 33.0 2.5 0.5 2.5 4.5 1.5 0.5 45.0 Mary E. Kelleher 34.5 0.5 2.0 2.0 1.0 40.0 Form 990, Page 12, Part XI, Line 5 (Other Changes in Net Assets or Fund Balances): Pension Adjustments (13,529,125) Contributions to Affiliates (1,165,000) Change in Beneficial Int - VHS (170,780) Net Unrealized Loss on Investments (44,062) ------------ Total (14,908,967) Schedule L, Part IV, Column (b): Deborah Buckley, Director of Holyoke Medical Center, Inc., is President/Owner of Goss & McLain Insurance Agency, Inc. Holyoke Medical Center, Inc. made "pass-through" premium payments (passing through Goss & McLain Insurance Agency, Inc.) to insurance companies for personal lines of insurance coverage purchased by employees of Holyoke Medical Center, Inc. and also for some insurance coverage purchased by Holyoke Medical Center, Inc., obtained through the broker services of Goss & McLain Insurance Agency, Inc. Such "pass-through" premium payments are passed on by Goss & McLain Insurance Agency, Inc. to the insurance companies writing the coverage. Holyoke Medical Center, Inc. also made other insurance premium payments directly to insurance companies for which Goss & McLain Insurance Company, Inc. served as the broker/agent.
WANDANA JOSHI, D.O., THE WIFE OF VIJAY V. GANDEVIA, M.D., DIRECTOR OFHolyoke Medical Center, Inc., received compensation as an employee (Anesthesiologist) of Holyoke Medical Center, Inc. Adam Fenn, the son of Holyoke Medical Center, Inc. key employee Clark A. Fenn, received compensation as an employee (Mental Health Assistant) of Holyoke Medical Center, Inc. Peter C. Connor, Director of Holyoke Medical Center, Inc. is Secretary of Whiting Oil Corporation. Holyoke Medical Center, Inc. made payments to Whiting Oil Corporation for fuel/oil burner services. Kathleen Hankel, Director of Holyoke Medical Center, Inc., is Dean of the Department of Health and Life Sciences at Holyoke Community College. Holyoke Medical Center, Inc. made payments to the college for space rental. Anne Correia, the wife of Antonio Correia, Treasurer of Holyoke Medical Center, Inc., received compensation as an employee (Nuclear Medicine Coordinator) of Holyoke Medical Center, Inc. Patrick Keefe, the son of Holyoke Medical Center, Inc. key Employee, James Keefe, received compensation as an employee (Nursing Assistant) of Holyoke Medical Center, Inc. Holyoke Medical Center, Inc. (HMC) made payments to Valley Health Partners, Inc. (VHP) for membership dues and member capital contributions. Hank J. Porten, HMC President, Clerk, and Director, is a Vice President and Director of VHP. Paul M. Silva, HMC Vice President of Finance, is Tresaurer and Director of VHP. Michael A. Zwirko, HMC Vice President, Outpatient Services, is a Director of VHP. Clark A. Fenn, HMC Vice President, Quality Improvement and Innovation, is a Director of VHP.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
COMMUNITY HEALTH FDN OF WESTERN MASS INC
113 HAMPDEN STREETHOLYOKEMA010405105222568962HOLDING COMA501(C)(3)7VALLEY HLTH
FALLS NURSING HOME INC
20 HOSPITAL DRIVEHOLYOKEMA010406604042962879INACTIVEMA501(C)(3)11ASUMMERFIELD
HCHAR INC - WORKER'S COMPENSATION TRUST
20 HOSPITAL DRIVEHOLYOKEMA010406604046635116WORKERS COMPMA501(C)(3)11AVALLEY HLTH
H-C MANAGEMENT SERVICES INC
20 HOSPITAL DRIVEHOLYOKEMA010406604222515981MGMT SERVICESMA501(C)(3)11AVALLEY HLTH
HOLYOKE INVESTING NURSE ASSOCIATION INC
113 HAMPDEN STREETHOLYOKEMA010405105042104310HEALTHCAREMA501(C)(3)9CHF OF WMASS
MASSWEST SERVICES INC
575 BEECH STREETHOLYOKEMA010402223222515964HEALTHCAREMA501(C)(3)11AVALLEY HLTH
RIVER VALLEY COUNSELING CENTER INC
319 BEECH STREETHOLYOKEMA010403968042174657HEALTHCAREMA501(C)(3)9VALLEY HLTH
SUMMERFIELD INC
20 HOSPITAL DRIVEHOLYOKEMA010406604222707930MGMT SERVICESMA501(C)(3)11AVALLEY HLTH
VALLEY HEALTH SYSTEMS INC
20 HOSPITAL DRIVEHOLYOKEMA010406604042103583HEALTHCAREMA501(C)(3)7NA
WESTERN MASS PHYSICIAN ASSOCIATES INC
15 HOSPITAL DRIVEHOLYOKEMA010406644043202198MEDICAL CAREMA501(C)(3)3MASSWEST
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg