Form 990 for tax year 2024
Filed by ATHOL MEMORIAL HOSPITAL NMTC HOLDINGS INC.
Totals
- Total revenue
- $154,053
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $154,053
- Total assets, end of year
- $16,645,411
- Total liabilities, end of year
- $16,660,000
- Net assets or fund balances, end of year
- -$14,589
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- not reported
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.
-
6a · Gross rents
real property $671,463
-
6b · Less rental expenses
real property $517,410
-
6c · Rental income or loss
real property $154,053
-
6d · Net rental income or loss
total $154,053 · related or exempt $154,053
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $315,002 · end of year $94,602
-
4 · Accounts receivable
beginning of year $63,204
-
10a · Land, buildings and equipment: cost or other basis
$19,131,349
-
10b · Land, buildings and equipment: accumulated depreciation
$2,580,540
-
10c · Land, buildings and equipment, net
beginning of year $17,028,033 · end of year $16,550,809
-
25 · Other liabilities
beginning of year $16,660,000 · end of year $16,660,000
-
27 · Net assets without donor restrictions
beginning of year $746,239 · end of year -$14,589
Mission and programs · 2024
Mission
To support the operations and purposes of Athol Memorial Hospital, including leasing land, constructing a new medical office building and emergency room, purchasing equipment and leasing office space to medical offices.
Activities or mission (Part I)
To support the operations and purposes or Athol Memorial Hospital, including leasing land, constructing a new medical office building and emergency department, and purchasing equipment.
-
The specific purpose of the corporation is limited to the support of the operations and purposes of Athol Memorial Hospital, a MA non-profit tax-exempt hospital. Such support shall include (I) leasing land from AMH, (II) designing, permitting, and constructing a new medical office building on the land, comprised of an emergency department, physician practice space and lobby. Additional commercial office space, parking areas adjacent to the MOB, and utilities and other infrastructure. (III) Renovating the AMH Imaging Department, (IV) acquiring certain medical equipment, (V) leasing the ED, physician practice space, the parking areas and equipment to AMH, (VI) leasing the additional office space and parking areas to a non-profit, tax-exempt corporation, and (VII) all other purposes permitted by law that further the corporation's support of AMH.
Revenue $154,053
As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Rozanna Penney
President/CEO
- Total calculated
- $653,352
- From this org
- $0
- From related orgs
- $643,675
- Other
- $9,677
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $491,933 related
- Bonus
- $0 + $150,666 related
- Other
- $0 + $1,076 related
- Deferred
- $0 + $9,677 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $653,352 related
-
John Bujak
CFO
- Total calculated
- $415,880
- From this org
- $0
- From related orgs
- $379,283
- Other
- $36,597
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $334,208 related
- Bonus
- $0 + $45,075 related
- Other
- $0
- Deferred
- $0 + $4,038 related
- Nontaxable benefits
- $0 + $32,559 related
- Filer's total
- $0 + $415,880 related
-
Robert Chauvin
Chairman
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Roy Lake
Vice Chairman
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
JoAnne Parks
Clerk
- Total calculated
- $0
- Hours/week
- 0.2 + 1.4 related
-
Cheney Castine Esq
Treasurer
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Joyce Fletcher
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Glenn Hunt
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Thomas Kane
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Melissa Maranda
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Phani Molakatalla MD
Trustee/Gastroenterology Physician
- Total calculated
- $707,032
- From this org
- $0
- From related orgs
- $657,589
- Other
- $49,443
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $646,988 related
- Bonus
- $0
- Other
- $0 + $10,601 related
- Deferred
- $0 + $11,500 related
- Nontaxable benefits
- $0 + $37,943 related
- Filer's total
- $0 + $707,032 related
-
Nicole Moorshead
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Craig Napolitano MD
Trustee
- Total calculated
- $640,922
- From this org
- $0
- From related orgs
- $601,027
- Other
- $39,895
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $482,648 related
- Bonus
- $0 + $118,379 related
- Other
- $0
- Deferred
- $0 + $7,335 related
- Nontaxable benefits
- $0 + $32,560 related
- Filer's total
- $0 + $640,922 related
-
Tina Sbrega
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Joel Shaughnessy
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
John Skrzypczak MD
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
David Spackman
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Frank Sweeney MD
Trustee
- Total calculated
- $26,941
- From this org
- $0
- From related orgs
- $26,941
- Other
- $0
- Hours/week
- 0.2 + 1.2 related
-
Craig Twohey
Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Elizabeth Nottleson
Past Trustee/Family Practice Physician
- Total calculated
- $400,198
- From this org
- $0
- From related orgs
- $362,097
- Other
- $38,101
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $310,089 related
- Bonus
- $0 + $37,225 related
- Other
- $0 + $14,783 related
- Deferred
- $0 + $5,858 related
- Nontaxable benefits
- $0 + $32,243 related
- Filer's total
- $0 + $400,198 related
-
Francis Garofalo
Past Trustee
- Total calculated
- $568,995
- From this org
- $0
- From related orgs
- $547,892
- Other
- $21,103
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $519,729 related
- Bonus
- $0 + $9,290 related
- Other
- $0 + $18,873 related
- Deferred
- $0 + $8,741 related
- Nontaxable benefits
- $0 + $12,362 related
- Filer's total
- $0 + $568,995 related
-
Al Rose
Past Trustee
- Total calculated
- $0
- Hours/week
- 0.2 + 1.2 related
-
Thomas Sullivan
Past President/CEO
- Total calculated
- $366,433
- From this org
- $0
- From related orgs
- $365,473
- Other
- $960
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $355,240 related
- Bonus
- $0
- Other
- $0 + $10,233 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $960 related
- Filer's total
- $0 + $366,433 related
-
Erin O'Hara MD
Past Trustee
- Total calculated
- $634,209
- From this org
- $0
- From related orgs
- $596,161
- Other
- $38,048
- Hours/week
- 0.2 + 41.2 related
Schedule J breakdown matched by us
- Base
- $0 + $476,101 related
- Bonus
- $0 + $119,669 related
- Other
- $0 + $391 related
- Deferred
- $0 + $489 related
- Nontaxable benefits
- $0 + $37,559 related
- Filer's total
- $0 + $634,209 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
- Henry Heywood Memorial Hospital, a related organization, uses the following methods to establish the compensation of the Organization's CEO: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study - Approval by the board or compensation committee
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.
-
501(c)(3) · Parent Corp · MA
-
Henry Heywood Memorial Hospital
501(c)(3) · Acute Care Hospital · MA
Directly controlled by Heywood Healthcare Inc
-
501(c)(3) · Critical Access Hospital · MA
Directly controlled by Heywood Healthcare Inc
-
501(c)(3) · Multi-Spec. Physicians · MA
Directly controlled by Heywood Healthcare Inc
-
501(c)(3) · Behavioral Health · MA
Directly controlled by Heywood Healthcare Inc
-
501(c)(2) · Prop. Holding Corp · MA
Directly controlled by Heywood Healthcare Inc
-
Heywood Healthcare Charitable Foundation Inc
501(c)(3) · Charitable Foundation · MA
Directly controlled by Heywood Healthcare Inc
-
Winchendon Health Foundation Inc
501(c)(3) · Community Health Care · MA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
Shields Imaging at Heywood Healthcare LLC
Imaging Services · MA
Assets distributed on this return
Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.
-
$798,488
Disposition · Net Assets Transferred · Sep 30, 2025 · 501(c)(3)
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 13 August 2026
- IRS schema version
- 2024v5.5
- Source object
- 202602269349301510
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