Civic Intelligence

Western Mass Physician Associates Inc

EIN 04-3202198 • 501(c)3 • Holyoke, MA

Profile

To provide medical services, including OB/GYN, pediatrics, and internal medicine to the residents of Holyoke, Massachusetts and the surrounding communities.

15 Hospital DriveHolyoke, MA 01040-6644

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.34x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

84th percentile

0.95x

Higher debt load relative to revenue than 84% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

19th percentile

-11%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

98th percentile

$996,930

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 10.7% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

15th percentile

-7.7%

Faster asset growth than 15% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

56th percentile

10%

Faster revenue growth than 56% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Down

$3,805,544

Down $319,483 (-7.7%) from 2023

Liabilities

Down

$8,899,315

Down $161,779 (-1.8%) from 2023

Net Assets

Down

-$5,093,771

Down $157,704 (-3.2%) from 2023

Revenue

Up

$9,323,969

Up $847,944 (+10%) from 2023

Expenses

Up

$10,336,673

Up $721,394 (+7.5%) from 2023

Net Income

Up

-$1,012,704

Up $126,550 (+11%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0-$5.0M-$10MAssets 2011: $589,265Liabilities 2011: $7,427,911Net Assets 2011: -$6,838,6462011Assets 2012: $562,587Liabilities 2012: $9,244,493Net Assets 2012: -$8,681,9062012Assets 2013: $1,277,793Liabilities 2013: $10,356,264Net Assets 2013: -$9,078,4712013Assets 2014: $1,289,878Liabilities 2014: $10,062,957Net Assets 2014: -$8,773,0792014Assets 2015: $669,118Liabilities 2015: $811,952Net Assets 2015: -$142,8342015Assets 2016: $713,313Liabilities 2016: $1,443,237Net Assets 2016: -$729,9242016Assets 2017: $853,998Liabilities 2017: $2,133,116Net Assets 2017: -$1,279,1182017Assets 2018: $686,261Liabilities 2018: $3,406,012Net Assets 2018: -$2,719,7512018Assets 2019: $870,241Liabilities 2019: $4,984,808Net Assets 2019: -$4,114,5672019Assets 2020: $958,868Liabilities 2020: $6,385,799Net Assets 2020: -$5,426,9312020Assets 2021: $1,764,527Liabilities 2021: $6,334,281Net Assets 2021: -$4,569,7542021Assets 2022: $3,162,857Liabilities 2022: $8,807,670Net Assets 2022: -$5,644,8132022Assets 2023: $4,125,027Liabilities 2023: $9,061,094Net Assets 2023: -$4,936,0672023Assets 2024: $3,805,544Liabilities 2024: $8,899,315Net Assets 2024: -$5,093,7712024

Highlighted filing

2024

Assets$3,805,544
Liabilities$8,899,315
Net Assets-$5,093,771

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2011: $7,183,960Expenses 2011: $9,474,709Net Income 2011: -$2,290,7492011Revenue 2012: $6,845,974Expenses 2012: $9,829,234Net Income 2012: -$2,983,2602012Revenue 2013: $7,471,081Expenses 2013: $10,242,646Net Income 2013: -$2,771,5652013Revenue 2014: $8,314,191Expenses 2014: $10,383,799Net Income 2014: -$2,069,6082014Revenue 2015: $7,947,091Expenses 2015: $10,576,442Net Income 2015: -$2,629,3512015Revenue 2016: $8,545,942Expenses 2016: $11,483,032Net Income 2016: -$2,937,0902016Revenue 2017: $8,981,203Expenses 2017: $11,930,397Net Income 2017: -$2,949,1942017Revenue 2018: $8,799,235Expenses 2018: $12,939,868Net Income 2018: -$4,140,6332018Revenue 2019: $9,859,104Expenses 2019: $14,153,920Net Income 2019: -$4,294,8162019Revenue 2020: $8,867,504Expenses 2020: $13,379,872Net Income 2020: -$4,512,3682020Revenue 2021: $7,001,256Expenses 2021: $8,604,079Net Income 2021: -$1,602,8232021Revenue 2022: $7,668,320Expenses 2022: $9,093,379Net Income 2022: -$1,425,0592022Revenue 2023: $8,476,025Expenses 2023: $9,615,279Net Income 2023: -$1,139,2542023Revenue 2024: $9,323,969Expenses 2024: $10,336,673Net Income 2024: -$1,012,7042024

Highlighted filing

2024

Revenue$9,323,969
Expenses$10,336,673
Net Income-$1,012,704

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3.81$8.90$5.09$9.32$10.3$1.01
2023Detailed filing. Detailed filing data is available for this year.$4.13$9.06$4.94$8.48$9.62$1.14
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.16$8.81$5.64$7.67$9.09$1.43
2021Detailed filing. Detailed filing data is available for this year.$1.76$6.33$4.57$7.00$8.60$1.60
2020Detailed filing. Detailed filing data is available for this year.$0.96$6.39$5.43$8.87$13.4$4.51
2019Detailed filing. Detailed filing data is available for this year.$0.87$4.98$4.11$9.86$14.2$4.29
2018Detailed filing. Detailed filing data is available for this year.$0.69$3.41$2.72$8.80$12.9$4.14
2017Detailed filing. Detailed filing data is available for this year.$0.85$2.13$1.28$8.98$11.9$2.95
2016Detailed filing. Detailed filing data is available for this year.$0.71$1.44$0.73$8.55$11.5$2.94
2015Detailed filing. Detailed filing data is available for this year.$0.67$0.81$0.14$7.95$10.6$2.63
2014Detailed filing. Detailed filing data is available for this year.$1.29$10.1$8.77$8.31$10.4$2.07
2013Summary only. Only limited summary data is available for this year.$1.28$10.4$9.08$7.47$10.2$2.77
2012Summary only. Only limited summary data is available for this year.$0.56$9.24$8.68$6.85$9.83$2.98
2011Summary only. Only limited summary data is available for this year.$0.59$7.43$6.84$7.18$9.47$2.29
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 8, 2025
Return Version
2023v6.0
Gross Receipts
$9,323,969
Mission and Program Overview

Mission

To provide medical services, including pediatrics and internal medicine, to the residents of Holyoke, Massachusetts and the surrounding communities.

To provide Pediatrics, Internal Medicine, and other healthcare services to residents of Holyoke, Massachusetts and the surrounding communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$3,628,679$3,424,828▼ $203,851
Cash and Non-Interest-Bearing Accounts$475,040$349,838▼ $125,202
Land, Buildings, and Equipment, Net$21,308$30,878▲ $9,570
Total Assets$4,125,027$3,805,544▼ $319,483
Liabilities
Other Liabilities$8,212,848$7,745,912▼ $466,936
Accounts Payable and Accrued Expenses$848,246$1,153,403▲ $305,157
Total Liabilities$9,061,094$8,899,315▼ $161,779
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-4,936,067$-5,093,771▼ $157,704
Total Net Assets Fund Balance$-4,936,067$-5,093,771▼ $157,704
Total Liabilities and Net Assets / Fund Balance$4,125,027$3,805,544▼ $319,483

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$22,926$89,237$112,163
Other Land Buildings$7,952-$7,952
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kartik Viswanathan MDDirector/Medical DirectorFT$342,450$25,241$367,691
Lorenver O Po MDInternistFT$295,114$24,825$319,939
Joanna Cichon MDInternistFT$278,300$17,629$295,929
Beth Brown MDPediatricianFT$245,439$5,325$250,764
Thomas Graziano MDInternistFT$205,926$20,916$226,842
Ana Roca Mattei MDInternistFT$203,261$10,861$214,122
Garry Bombardier MDPresident of BoardFT$12,693$113$12,806

Board Members and Trustees

NameTitle
Spiridon E HatirasPresident & CEO, Clerk
Carl CameronDirector
Marcel MonizDirector
Dean VitarisiTreasurer & CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Holyoke Medical Center IncManagement services575 Beech Street, Holyoke, MA 01040$381,951
Valley Health Systems IncManagement services20 Hospital Drive, Holyoke, MA 01040$295,239
SNI CompaniesStaffing servicesPO Box 825811, Philadelphia, PA 19182$136,629
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,323,969
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-1,012,704

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,177,927
Revenue Not Reported on Financial Statements
$146,042
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$146,042
Total Revenue per Audited Statements
$9,177,927
Total Revenue per Form 990
$9,323,969
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$7,640,483
Other Expenses$2,696,190
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,998,544$172,245-$6,170,789
Fees for Services Other$558,186$210,339-$768,525
Fees for Services Management-$638,407-$638,407
Other Employee Benefits$449,141$114,501-$563,642
Payroll Taxes$502,563--$502,563
Occupancy$494,999--$494,999
Current Officers, Directors, Trustees, and Key Employees$366,104$14,393-$380,497
Office Expenses$247,771$71,623-$319,394
Other Expenses$146,042--$146,042
Insurance$84,644--$84,644
Pension Plan Contributions$22,992--$22,992
Depreciation Depletion$4,966--$4,966
Total Functional Expenses$9,115,165$1,221,508$0$10,336,673

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$10,336,673
Expenses per Audited Statements$10,190,631
Total Expenses per Audited Statements$10,190,631
Expenses Not Reported on Financial Statements$146,042
Other Expense Adjustments$146,042
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to affilates$4,489,910
Insurance claim liabilities$3,256,002
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

Certain officers and directors of Western Mass Physician Associates, Inc. are employed by a related tax-exempt organization which has common officers and/or directors. By virtue of this arrangement, certain individuals listed in Form 990, Part VII have a business relationship with one another.

Form 990, Part VI, Section A, line 6

The sole member of the Organization is MassWest Services, Inc.

Form 990, Part VI, Section A, line 7A

MassWest Services, Inc. elects the members of the governing body of the Organization. MassWest Services, Inc. also has the power to remove any member of the governing body, with or without cause, at any time by giving written notice to such governing body member.

Form 990, Part VI, Section A, line 7B

Significant decisions of the governing body of Western Mass Physician Associates, Inc. are subject to the approval of MassWest Services, Inc. as specified in the Organization's bylaws.

Form 990, Part VI, Section A, line 8B

There are no committees with the authority to act on behalf of the governing body.

Form 990, Part VI, Section B, line 11B

A copy of Western Mass Physician Associates, Inc.'s Form 990 was provided to each voting member of the governing body prior to its filing with the Internal Revenue Service. The Form 990 was prepared with the assistance of an independent public accounting firm and thoroughly reviewed by the Senior Vice President of Finance and CFO and key financial staff of the Hospital prior to distributing it to the governing body for review.

Form 990, Part VI, Section B, line 12C

The conflict of interest policy of Western Mass Physician Associates, Inc. (WMPA) is monitored and enforced as part of the Valley Health Systems, Inc. System and is reviewed annually by the System's conflict of interest committee. WMPA board members and officers complete and sign a conflict of interest questionnaire annually. All signed questionnaires are then submitted to WMPA and to Valley Health Systems, Inc. (parent) for review and monitoring.

Form 990, Part VI, Section B, line 15

The compensation committee of the Valley Health System, Inc. utilizes a market compensation survey to recommend to the Board the approval of its determination of the appropriate compensation of the Chief Executive Officer. During that process, the Committee also reviews the compensation levels of other senior management and key employees of the System. These individuals are not members of the compensation committee and do not participate in this process. The CEO, as a member of the Board of VHS, does not participate in the approval process of that officer's compensation.

Form 990, Part VI, Section C, line 19

The governing documents, conflict of interest policy, and financial statements of Valley Health Systems and Affiliates, which includes supplemental information of the filing entity, are available to the public upon request at the Organization's administrative office at 575 Beech Street, Holyoke, MA.

Form 990, Part VII:

The individuals listed in Part VII as voting members of the governing body are employed by Holyoke Medical Center, Inc. and receive compensation in their capacity as a physician of the Hospital or (as in the case of Mr. Hatiras and Mr. Vitarisi) as the top management and top financial official of the Holyoke healthcare system. The individuals listed in Part VII as voting members of the governing body do not receive compensation in their capacity as members of the Organization's board of directors.

Filing and Contact Details

Filer

Filer Name
Western Mass Physician Associates Inc
EIN
04-3202198
Phone
4135342667
Address
15 Hospital Drive, Holyoke, MA 01040-6644

Signing Officer

Name
Dean Vitarisi
Title
Treasurer & CFO
Phone
4135342667
Signed
2025-08-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Garry M Bombardier MD
Formed
1993
Legal Domicile
Ma
Voting Board Members
6
Independent Board Members
0
Employees
123
Volunteers
0

Preparer

Firm
Baker Newman & Noyes
Address
PO Box 507, Portland, ME 04112
Preparer
Connor Smart
Phone
2078792100
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Equity transfers from affiliates 855,000.

Form 990, Part XII, Line 2C:

The audit process has not changed from the prior year.

Financial Statement Notes

Part X, Line 2:

The Organization and the member organizations are exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Organization has evaluated the position taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at September 30, 2024. The Organization's tax years from 2022 through 2024 are open and subject to examination.

Part XI, Line 4B - Other Adjustments:

Provision for bad debts 146,042.

Part XII, Line 4B - Other Adjustments:

Provision for bad debts 146,042.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt617629
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt724825
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt85325
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt920916
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1010861
IRS990/Form990PartVIISectionAGrp/PersonNm0Carl Cameron
IRS990/Form990PartVIISectionAGrp/PersonNm1Marcel Moniz
IRS990/Form990PartVIISectionAGrp/PersonNm2Kartik Viswanathan MD
IRS990/Form990PartVIISectionAGrp/PersonNm3Garry Bombardier MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Spiridon E Hatiras
IRS990/Form990PartVIISectionAGrp/PersonNm5Dean Vitarisi
IRS990/Form990PartVIISectionAGrp/PersonNm6Joanna Cichon MD
IRS990/Form990PartVIISectionAGrp/PersonNm7Lorenver O Po MD
IRS990/Form990PartVIISectionAGrp/PersonNm8Beth Brown MD
IRS990/Form990PartVIISectionAGrp/PersonNm9Thomas Graziano MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Ana Roca Mattei MD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2342450
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt312693
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt6278300
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt7295114
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt8245439
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt9205926
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10203261
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0478507
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1204916
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt3193139
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt4920224
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt5351730
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/TitleTxt0Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director/Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3President of Board
IRS990/Form990PartVIISectionAGrp/TitleTxt4President & CEO, Clerk
IRS990/Form990PartVIISectionAGrp/TitleTxt5Treasurer & CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt6Internist
IRS990/Form990PartVIISectionAGrp/TitleTxt7Internist
IRS990/Form990PartVIISectionAGrp/TitleTxt8Pediatrician
IRS990/Form990PartVIISectionAGrp/TitleTxt9Internist
IRS990/Form990PartVIISectionAGrp/TitleTxt10Internist
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01993
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt09323969
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt00
IRS990/IndivRcvdGreaterThan100KCnt015
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt084644
IRS990/InsuranceGrp/TotalAmt084644
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt07
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt089237
IRS990/LandBldgEquipBasisNetGrp/BOYAmt021308
IRS990/LandBldgEquipBasisNetGrp/EOYAmt030878
IRS990/LandBldgEquipCostOrOtherBssAmt0120115
IRS990/LegalDomicileStateCd0MA
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0To provide medical services, including pediatrics and internal medicine, to the residents of Holyoke, Massachusetts and the surrounding communities.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-4936067
IRS990/NetAssetsOrFundBalancesEOYAmt0-5093771
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-4936067
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-5093771
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0494999
IRS990/OccupancyGrp/TotalAmt0494999
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt071623
IRS990/OfficeExpensesGrp/ProgramServicesAmt0247771
IRS990/OfficeExpensesGrp/TotalAmt0319394
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt0855000
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0114501
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0449141
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0563642
IRS990/OtherExpensesGrp/Desc0Medical supplies
IRS990/OtherExpensesGrp/Desc1Provision for bad debts
IRS990/OtherExpensesGrp/ProgramServicesAmt0239213
IRS990/OtherExpensesGrp/ProgramServicesAmt1146042
IRS990/OtherExpensesGrp/TotalAmt0239213
IRS990/OtherExpensesGrp/TotalAmt1146042
IRS990/OtherLiabilitiesGrp/BOYAmt08212848
IRS990/OtherLiabilitiesGrp/EOYAmt07745912
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0172245
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt05998544
IRS990/OtherSalariesAndWagesGrp/TotalAmt06170789
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0502563
IRS990/PayrollTaxesGrp/TotalAmt0502563
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt022992
IRS990/PensionPlanContributionsGrp/TotalAmt022992
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Garry M Bombardier MD
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621300
IRS990/ProgramServiceRevenueGrp/Desc0Patient care
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt09323969
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt09323969
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt02630350
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt08476025
IRS990/PYRevenuesLessExpensesAmt0-1139254
IRS990/PYSalariesCompEmpBnftPaidAmt06984929
IRS990/PYTotalExpensesAmt09615279
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt08476025
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-1012704
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt09323969
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt022926
IRS990ScheduleD/EquipmentGrp/DepreciationAmt089237
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0112163
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0146042
IRS990ScheduleD/ExpensesSubtotalAmt010190631
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherExpensesNotIncludedAmt0146042
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt07952
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt07952
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04489910
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt13256002
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Due to affilates
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Insurance claim liabilities
IRS990ScheduleD/OtherRevenuesNotIncludedAmt0146042
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt0146042
IRS990ScheduleD/RevenueSubtotalAmt09177927
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Organization and the member organizations are exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Organization has evaluated the position taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at September 30, 2024. The Organization's tax years from 2022 through 2024 are open and subject to examination.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Provision for bad debts 146,042.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Provision for bad debts 146,042.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 4b - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt030878
IRS990ScheduleD/TotalExpensesPerForm990Amt010336673
IRS990ScheduleD/TotalLiabilityAmt07745912
IRS990ScheduleD/TotalRevenuePerForm990Amt09323969
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt09177927
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt010190631
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt3342450
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt4295114
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt5278300
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt6245439
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt8205926
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt9203261
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt1012693
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount90
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt90
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0920224
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1478507
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2351730
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt7204916
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt90
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt10193139
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt60
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt70
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt80
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt90
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt100
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30

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