Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
Liabilities / Revenue
84th percentile
Higher debt load relative to revenue than 84% of similar nonprofits.
Net Margin
19th percentile
Higher net margin than 19% of similar nonprofits.
Top Officer Pay
98th percentile
Higher top officer pay than 98% of similar nonprofits.
Top officer pay equals 10.7% of source-year revenue.
Asset Growth
15th percentile
Faster asset growth than 15% of similar nonprofits.
Revenue Growth
56th percentile
Faster revenue growth than 56% of similar nonprofits.
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
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
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.
| Line | Beginning | End | Change |
|---|---|---|---|
| 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 | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $22,926 | $89,237 | $112,163 |
| Other Land Buildings | $7,952 | - | $7,952 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kartik Viswanathan MD | Director/Medical Director | FT | $342,450 | $25,241 | $367,691 |
| Lorenver O Po MD | Internist | FT | $295,114 | $24,825 | $319,939 |
| Joanna Cichon MD | Internist | FT | $278,300 | $17,629 | $295,929 |
| Beth Brown MD | Pediatrician | FT | $245,439 | $5,325 | $250,764 |
| Thomas Graziano MD | Internist | FT | $205,926 | $20,916 | $226,842 |
| Ana Roca Mattei MD | Internist | FT | $203,261 | $10,861 | $214,122 |
| Garry Bombardier MD | President of Board | FT | $12,693 | $113 | $12,806 |
| Name | Title |
|---|---|
| Spiridon E Hatiras | President & CEO, Clerk |
| Carl Cameron | Director |
| Marcel Moniz | Director |
| Dean Vitarisi | Treasurer & CFO |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Holyoke Medical Center Inc | Management services | 575 Beech Street, Holyoke, MA 01040 | $381,951 |
| Valley Health Systems Inc | Management services | 20 Hospital Drive, Holyoke, MA 01040 | $295,239 |
| SNI Companies | Staffing services | PO Box 825811, Philadelphia, PA 19182 | $136,629 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| 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 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to affilates | $4,489,910 |
| Insurance claim liabilities | $3,256,002 |
“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.”
“The sole member of the Organization is MassWest Services, Inc.”
“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.”
“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.”
“There are no committees with the authority to act on behalf of the governing body.”
“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.”
“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.”
“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.”
“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.”
“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.”
“Equity transfers from affiliates 855,000.”
“The audit process has not changed from the prior year.”
“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.”
“Provision for bad debts 146,042.”
“Provision for bad debts 146,042.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 848246 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1153403 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3628679 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 3424828 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide Pediatrics, Internal Medicine, and other healthcare services to residents of Holyoke, Massachusetts and the surrounding communities. |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Dean Vitarisi |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4135342667 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 15 Hospital Drive |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Holyoke |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 010406644 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 475040 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 349838 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 14393 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 366104 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 380497 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 381951 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 295239 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 136629 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 575 Beech Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 20 Hospital Drive |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO Box 825811 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Holyoke |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Holyoke |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Philadelphia |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 01040 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 01040 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 19182 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Holyoke Medical Center Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | Valley Health Systems Inc |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SNI Companies |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Management services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Management services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Staffing services |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 2696190 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 9323969 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -1012704 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 7640483 |
| IRS990/CYTotalExpensesAmt | 0 | 10336673 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 9323969 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4966 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4966 |
| IRS990/Desc | 0 | Provided medical services, including pediatrics and internal medicine, to the residents of Holyoke, Massachusetts and the surrounding communities. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 123 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 9115165 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 638407 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 638407 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 210339 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 558186 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 768525 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 42.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 48.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 47.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 44757 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 29315 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 25241 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 7607 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 76706 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 48263 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 17629 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 24825 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 5325 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 20916 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 10861 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Carl Cameron |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Marcel Moniz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Kartik Viswanathan MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Garry Bombardier MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Spiridon E Hatiras |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Dean Vitarisi |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Joanna Cichon MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Lorenver O Po MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Beth Brown MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Thomas Graziano MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Ana Roca Mattei MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 342450 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 12693 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 278300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 295114 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 245439 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 205926 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 203261 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 204916 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 193139 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 920224 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 351730 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Director/Medical Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | President of Board |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | President & CEO, Clerk |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Treasurer & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Internist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Internist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Pediatrician |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Internist |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Internist |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1993 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 9323969 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 15 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 84644 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 84644 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 7 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 89237 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 21308 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 30878 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 120115 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | To provide medical services, including pediatrics and internal medicine, to the residents of Holyoke, Massachusetts and the surrounding communities. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -5093771 |
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| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -5093771 |
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| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 319394 |
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| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
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| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 563642 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Provision for bad debts |
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| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 146042 |
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| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 6170789 |
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| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 502563 |
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| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 22992 |
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| IRS990/PrincipalOfficerNm | 0 | Garry M Bombardier MD |
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| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Patient care |
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| IRS990/PYTotalRevenueAmt | 0 | 8476025 |
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| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
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| IRS990/ScheduleBRequiredInd | 0 | 0 |
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| IRS990ScheduleD/FootnoteTextInd | 0 | X |
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| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 7952 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 4489910 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 3256002 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Due to affilates |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | Insurance claim liabilities |
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| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
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| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | 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. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | Provision for bad debts 146,042. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | Provision for bad debts 146,042. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part X, Line 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part XI, Line 4b - Other Adjustments: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Part XII, Line 4b - Other Adjustments: |
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