Masswest Services Inc.

“Certain officers and directors of MassWest Services, 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 is Valley Health Systems, Inc.”

“The president and treasurer of MassWest Services, Inc. are appointed by the president of H-C Management Services, Inc. pursuant to a management services agreement with the Organization. Appointment of the president of the Organization is submitted to its board of directors for approval. The clerk of the Organization is elected by its board of directors. Valley Health Systems, Inc. elects the remaining members of the governing body of the Organization. Valley Health Systems, 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 MassWest Services, Inc. are subject to the approval of Valley Health Systems, Inc. as specified in the Organization's bylaws.”

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

“A copy of MassWest Systems, 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 distibuting it to the governing body for review.”

“The conflict of interest policy of MassWest Systems, Inc. (MWS) 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. MWS board members and officers complete and sign a conflict of interest questionnaire annually. All signed questionnaires are then submitted to MWS 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.”

“Antonio Correia, though no longer an officer of the filing organization, remained employed by Valley Health Systems, Inc. and H-C Management Services, Inc. as Chief Strategy Officer until March, 2016. Compensation and hours reflected on Form 990, Part VII and Schedule J, Part II is for his services as Chief Strategy Officer and does not reflect compensation in his capacity as a former officer of the organization. During the fiscal year following the period covered by this return, the Organization's CFO and Treasurer, Paul M. Silva, resigned his position within the affiliated hospital system. Michael J. Koziol became interim-CFO in April of 2017. Accordingly, Mr. Silva is listed in Part VII while Mr. Koziol is listed on Page 1 as the authorized signing officer. Mr. Koziol will be listed in Part VII of the Organization's 9/30/17 Form 990.”

“Equity Transfer from Affiliate 2,400,000. Equity Transfer to Affiliate -2,350,000.”

“The audit process has not changed from the prior year.”