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Nonprofiteer
← ATHOL MEMORIAL HOSPITAL INCORPORATED

Form 990 for tax year 2022

Filed by ATHOL MEMORIAL HOSPITAL INCORPORATED.

Totals

Total revenue
$41,420,454
Total expenses
$40,459,944
Contributions and grants received
$384,149
Grants paid
$700
Program service revenue
$41,039,203
Investment income
$227
Other revenue
-$3,125
Total assets, end of year
$24,761,125
Total liabilities, end of year
$9,565,417
Net assets or fund balances, end of year
$15,195,708
Program services expenses (Part IX)
$36,071,469
Management and general expenses
$4,241,149
Fundraising expenses
$147,326
Program service expenses (Part III)
$36,071,469

Program services were 89.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $204,729

  • 1f · All other contributions, gifts and grants

    $179,420

  • 2a · Program service revenue: Patient Service Revenue

    total $91,406,849 · related or exempt $91,406,849

  • 2b · Program service revenue: Miscellaneous Revenue

    total $3,301,928 · related or exempt $3,301,928

  • 2c · Program service revenue: Cafeteria Revenue

    total $109,771 · excluded $109,771

  • 2d · Program service revenue: Provision for Bad Debts

    total -$661,724 · related or exempt -$661,724

  • 2e · Program service revenue: Contractual Allowances/Charity Ca

    total -$53,117,621 · related or exempt -$53,117,621

  • 3 · Investment income

    total $227 · excluded $227

  • 6b · Less rental expenses

    real property $3,125

  • 6c · Rental income or loss

    real property -$3,125

  • 6d · Net rental income or loss

    total -$3,125 · excluded -$3,125

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $700 · program services $700

  • 7 · Other salaries and wages

    total $11,048,090 · program services $10,887,854 · management and general $160,236

  • 8 · Pension plan contributions

    total $190,189 · program services $187,431 · management and general $2,758

  • 9 · Other employee benefits

    total $1,722,507 · program services $1,697,525 · management and general $24,982

  • 10 · Payroll taxes

    total $836,006 · program services $823,881 · management and general $12,125

  • 11b · Fees: legal

    total $2,333 · management and general $2,333

  • 11g · Fees: other

    total $13,139,207 · program services $12,924,399 · management and general $168,848 · fundraising $45,960

  • 13 · Office expenses

    total $360,110 · program services $258,430 · management and general $101,680

  • 16 · Occupancy

    total $2,071,997 · program services $1,728,372 · management and general $343,625

  • 17 · Travel

    total $4,138 · program services $4,138

  • 19 · Conferences, conventions and meetings

    total $11,718 · program services $11,718

  • 20 · Interest

    total $52,683 · program services $52,683

  • 22 · Depreciation, depletion and amortization

    total $759,137 · program services $759,137

  • 23 · Insurance

    total $97,705 · program services $9,986 · management and general $87,719

  • 24a · Other expenses: Allocations

    total $5,423,421 · program services $1,995,721 · management and general $3,326,334 · fundraising $101,366

  • 24b · Other expenses: Medical Supplies

    total $4,193,505 · program services $4,193,505

  • 24c · Other expenses: Food

    total $298,252 · program services $287,743 · management and general $10,509

  • 24d · Other expenses: Miscellaneous

    total $248,246 · program services $248,246

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $280,000 · end of year $1,447,311

  • 4 · Accounts receivable

    beginning of year $4,766,398 · end of year $4,199,729

  • 7 · Other notes and loans receivable

    beginning of year $11,439,300 · end of year $11,439,300

  • 8 · Inventories for sale or use

    beginning of year $360,842 · end of year $343,530

  • 9 · Prepaid expenses and deferred charges

    beginning of year $72,030 · end of year $121,915

  • 10a · Land, buildings and equipment: cost or other basis

    $19,775,756

  • 10b · Land, buildings and equipment: accumulated depreciation

    $14,356,368

  • 10c · Land, buildings and equipment, net

    beginning of year $5,718,790 · end of year $5,419,388

  • 11 · Investments: publicly traded securities

    beginning of year $1,770,298 · end of year $1,784,952

  • 15 · Other assets

    beginning of year $990,964 · end of year $5,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,187,989 · end of year $6,226,167

  • 19 · Deferred revenue

    beginning of year $1,441,132 · end of year $1,778,895

  • 23 · Secured mortgages and notes payable

    beginning of year $548,875

  • 25 · Other liabilities

    beginning of year $12,468,281 · end of year $1,560,355

  • 27 · Net assets without donor restrictions

    beginning of year -$2,013,364 · end of year $13,412,013

  • 28 · Net assets with donor restrictions

    beginning of year $1,765,709 · end of year $1,783,695

Mission and programs · 2022

Mission

Our mission is to be our communities' trusted choice for exceptional patient-centered care.

Activities or mission (Part I)

Our vision is to be one of the best independent community hospitals in America. Our mission is to be our communities' trusted choice for exceptional patient-centered care.

  • Athol Hospital provides various outpatient services such as an Emergency Room, on-site Cardiac specialists, high tech laboratory, cardio pulmonary testing, a short stay unit, advanced imaging, rehabilitation services, and many others on an outpatient basis. Athol Hospital provides inpatient acute care services, as well as a Swing Bed program, which transitions beds from acute care to sub-acute care to accommodate the rehabilitation needs of recovering patients. Athol Hospital has three provider based practices: one was an established Rural Health Clinic, and the other was converted to a Rural Health Clinic in 2020, and the last one is a specialty care practice that focuses on many areas including Cardiology, Gastroenterology, Orthopedics, Pulmonology, and General Surgery.

    Expenses $36,071,469 · Grants $700 · Revenue $41,039,203

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Robert Chauvin

    Chairman

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Roy Lake

    Vice Chairman

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Albert Rose

    2nd Vice Chairman

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Cheney Castine

    Treasurer

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • JoAnne Parks

    Clerk

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Joyce Fletcher

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Frank Garofalo

    Trustee

    Total calculated
    $538,430
    From this org
    $0
    From related orgs
    $494,930
    Other
    $43,500
    Hours/week
    0.2 + 31.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $488,954 related
    Bonus
    $0
    Other
    $0 + $5,976 related
    Deferred
    $0 + $18,372 related
    Nontaxable benefits
    $0 + $25,128 related
    Filer's total
    $0 + $538,430 related
  • Glenn Hunt

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Thomas Kane

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Nicole Moorshead

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Craig Napolitano

    Trustee

    Total calculated
    $437,363
    From this org
    $0
    From related orgs
    $437,363
    Other
    $0
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $437,363 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $437,363 related
  • Elizabeth Nottleson

    Trustee

    Total calculated
    $349,847
    From this org
    $0
    From related orgs
    $332,703
    Other
    $17,144
    Hours/week
    0.2 + 29.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $296,218 related
    Bonus
    $0 + $22,680 related
    Other
    $0 + $13,805 related
    Deferred
    $0 + $17,144 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $349,847 related
  • Erin O'Hara

    Trustee

    Total calculated
    $573,576
    From this org
    $0
    From related orgs
    $531,968
    Other
    $41,608
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $403,226 related
    Bonus
    $0 + $118,796 related
    Other
    $0 + $9,946 related
    Deferred
    $0 + $10,806 related
    Nontaxable benefits
    $0 + $30,802 related
    Filer's total
    $0 + $573,576 related
  • Michelle Parker

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Tina Sbrega

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Joel Shaughnessy

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • John Skrzypczak

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • David Spackman

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Frank Sweeney

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Craig Twohey

    Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Kenneth Pierce

    Past Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Debra Vescovi

    Past Trustee

    Total calculated
    $0
    Hours/week
    0.2 + 1.4 related
  • Winfield Brown

    Past President/CEO

    Total calculated
    $1,150,099
    From this org
    $0
    From related orgs
    $1,088,823
    Other
    $61,276
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $778,797 related
    Bonus
    $0 + $158,589 related
    Other
    $0 + $151,437 related
    Deferred
    $0 + $27,656 related
    Nontaxable benefits
    $0 + $33,620 related
    Filer's total
    $0 + $1,150,099 related
  • Thomas Sullivan

    CFO

    Total calculated
    $186,589
    From this org
    $0
    From related orgs
    $186,589
    Other
    $0
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,589 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $186,589 related
  • Rozanna Penney

    CEO

    Total calculated
    $310,211
    From this org
    $0
    From related orgs
    $281,093
    Other
    $29,118
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,480 related
    Bonus
    $0
    Other
    $0 + $613 related
    Deferred
    $0 + $29,118 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $310,211 related
  • Beth Eppel

    ACNO

    Total calculated
    $161,135
    From this org
    $142,997
    From related orgs
    $0
    Other
    $18,138
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,823
    Bonus
    $0
    Other
    $174
    Deferred
    $5,582
    Nontaxable benefits
    $12,556
    Filer's total
    $161,135
  • Bethany Maselli

    RN

    Total calculated
    $171,158
    From this org
    $135,259
    From related orgs
    $0
    Other
    $35,899
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,259
    Bonus
    $0
    Other
    $0
    Deferred
    $3,530
    Nontaxable benefits
    $32,369
    Filer's total
    $171,158
  • Brandon Smith

    RN

    Total calculated
    $145,703
    From this org
    $134,656
    From related orgs
    $0
    Other
    $11,047
    Hours/week
    40
  • Patricia Whitefield

    RN

    Total calculated
    $129,772
    From this org
    $125,978
    From related orgs
    $0
    Other
    $3,794
    Hours/week
    40
  • Joann Djokich

    RN

    Total calculated
    $131,616
    From this org
    $125,891
    From related orgs
    $0
    Other
    $5,725
    Hours/week
    40
  • Michael Abbatiello

    Former Chief Financial Officer

    Total calculated
    $278,860
    From this org
    $0
    From related orgs
    $232,988
    Other
    $45,872
    Hours/week
    0.2 + 41.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $231,732 related
    Bonus
    $0
    Other
    $0 + $1,256 related
    Deferred
    $0 + $21,924 related
    Nontaxable benefits
    $0 + $23,948 related
    Filer's total
    $0 + $278,860 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
The related organization, Henry Heywood Memorial Hospital, uses the following methods to establish the compensation of the organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other ogranizations - Written employment contract - Compensation survey or study - Approval by the board or compensation committee
Form 990, Part VII, line 5:
Craig Napolitano, Trustee/Cardiologist, was contracted and paid through Advanced Cardiovascular Specialists, an unrelated organization, for services rendered to Heywood Medical Group. During calendar year 2022, Heywood Medical Group paid Advanced Cardiovascular Specialists $437,363 for services rendered to Heywood Medical Group by Dr. Napolitano.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202432279349302658

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