2026-08-14T07:46:53-05:00 2025-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-10-01 042126583 Athol Memorial Hospital ATHO 9782493511 2033 Main Street Athol MA 01331 John Bujak CFO 9782493511 2026-08-13 1 1 Melissa Magoon CPA P01712842 2077752387 2026-08-13 2024 2025-03-06 01:10:19Z Rozanna Penney 2033 Main Street Athol MA 01331 51800500 0 X www.atholhospital.org X 1918 MA Our vision is to improve the lives of our diverse communities' by providing accessible, affordable, and culturally-sensitive care. 19 14 289 15 0 0 421024 536156 45642321 46041248 6192 2396 0 5220700 46069537 51800500 0 0 0 0 15156909 15764196 0 0 73653 26104886 26300099 41261795 42064295 4807742 9736205 25899942 34743212 8932151 6951573 16967791 27791639 X Our mission is to be our region's first choice for quality, compassionate, patient-centered care. 0 0 40559496 46041248 Athol Hospital provides various outpatient services such as an Emergency Room, on-site Cardiac specialists, high tech laboratory, cardiopulmonary 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 to be our communities' trusted choice for exceptional patient-centered care. 40559496 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 289 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X John Bujak 9786306157 2033 Main Street Athol MA 01331 Rozanna Penney President/CEO 0.20 41.20 X X 0 643675 9677 John Bujak CFO 0.20 41.20 X X 0 379283 36597 Robert Chauvin Chairman 0.20 1.20 X X 0 0 0 Roy Lake Vice Chairman 0.20 1.20 X X 0 0 0 JoAnne Parks Clerk 0.20 1.40 X X 0 0 0 Cheney Castine Esq Treasurer 0.20 1.20 X X 0 0 0 Joyce Fletcher Trustee 0.20 1.20 X 0 0 0 Glenn Hunt Trustee 0.20 1.20 X 0 0 0 Thomas Kane Trustee 0.20 1.20 X 0 0 0 Melissa Maranda Trustee 0.20 1.20 X 0 0 0 Phani Molakatalla MD Trustee/Gastroenterology Physician 0.20 41.20 X 0 657589 49443 Nicole Moorshead Trustee 0.20 1.20 X 0 0 0 Craig Napolitano MD Trustee 0.20 41.20 X 0 601027 39895 Tina Sbrega Trustee 0.20 1.20 X 0 0 0 Joel Shaughnessy Trustee 0.20 1.20 X 0 0 0 John Skrzypczak MD Trustee 0.20 1.20 X 0 0 0 David Spackman Trustee 0.20 1.20 X 0 0 0 Frank Sweeney MD Trustee 0.20 1.20 X 0 26941 0 Craig Twohey Trustee 0.20 1.20 X 0 0 0 Elizabeth Nottleson Past Trustee/Family Practice Physician 0.20 41.20 X 0 362097 38101 Francis Garofalo Past Trustee 0.20 41.20 X 0 547892 21103 Al Rose Past Trustee 0.20 1.20 X 0 0 0 Thomas Sullivan Past President/CEO 0.20 41.20 X X 0 365473 960 Erin O'Hara MD Past Trustee 0.20 41.20 X 0 596161 38048 Kaleigh A Maio VP of Human Resources 40.00 0.00 X 169557 0 51724 Laura Quattrucci Nurse Practitioner 40.00 0.00 X 164228 0 6003 Beth Eppel Assistant Chief Nursing Officer 40.00 0.00 X 159331 0 19773 Mary Aukstikalnis Manager of 2nd Fl Med/Surg 40.00 0.00 X 149506 0 24437 Bethany Maselli Registered Nurse 40.00 0.00 X 143549 0 38969 786171 4180138 374730 19 0 1 0 HMS Hospital Medical Solutions PO Box 660 Exeter NH 03833 Med Services 1345897 Medefis Inc 2121 North 117th Ave Suite 200 Omaha NE 68164 Med Services 565185 Clinical & Support Options Inc 8 Atwood Drive North Hampton MA 01060 Med Services 352830 Labcorp Of America Holdings PO Box 12140 Burlington NC 27216 Lab Services 269667 Diversified Clinical Services 28525 Network Place Chicago IL 606731285 Med Services 120104 5 476461 59695 536156 Patient Service Revenue 621110 117314949 117314949 Miscellaneous Revenue 621110 3212785 3212785 Cafeteria Revenue 621110 142565 142565 Provision for Bad Debts 621110 -3469889 -3469889 Contractual Allowances/Charity Ca 621110 -71159162 -71159162 46041248 2396 2396 Gain on extinguishment of debt 900099 5220700 5220700 5220700 51800500 45898683 0 5365661 X 12646279 11756140 842596 47543 166557 154834 11097 626 2040374 1896756 135947 7671 910986 846864 60697 3425 2708 2708 13604193 13398548 198106 7539 75 73 2 222861 217340 5319 202 139479 136023 3329 127 1661003 1619848 39646 1509 1186 1157 28 1 13607 13270 325 12 128 128 667195 667195 537043 523737 12818 488 Allocations 4550533 4437785 108615 4133 Medical Supplies 4177541 4177541 Miscellaneous 516017 510845 4983 189 Food 206530 201412 4930 188 42064295 40559496 1431146 73653 X 2630990 7029444 5132757 4830972 11439300 16660000 272185 263157 14643 277251 19825694 15697139 4585109 4128555 1819958 374263 5000 1179570 25899942 34743212 7418160 3446753 882852 631139 3504820 8932151 6951573 X 15106440 26243127 1861351 1548512 16967791 27791639 25899942 34743212 X 9736205 -19052 1106695 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6028 6028 0 Part II-B, Line 1: The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. 104490 104490 10006171 7683556 2322615 8886121 7688340 1197781 828912 325243 503669 4128555 Estimated Settlements with Third Party Payors 1783852 Insurance Claims Obligation 5000 Other Current Liabilities 1715968 3504820 X Part X, Line 2: Heywood Healthcare, Heywood Hospital, Athol, HMGI, Charitable Foundation, Quabbin, and NMTC have been determined to be not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code), and the Realty Corp. has been determined to be a not-forprofit corporation as described in Section 501(c)(2) of the Code. All of the entities are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Organization annually evaluates its tax status and tax positions taken with respect to its operations and financial position. Under ASC 740, an organization must recognize the financial statement effects of a tax position taken for tax return purposes when it is more likely than not that the position will not be sustained upon examination by a taxing authority. The Organization does not believe it has taken any material uncertain tax positions and, accordingly, it has not recorded any liability for unrecognized tax benefits. Additionally, the Organization has filed IRS Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. For the year ended September 30, 2025, there was no interest or penalties recorded or included in the consolidated statement of operations. 1 1 X 1 X 1 X 1 1 1 0 1 1 349989 349989 0.00830 6872305 6824109 48196 0.00110 19205396 23344478 0 0.00000 26427690 30168587 398185 0.00940 306239 306239 0.00730 306239 306239 0.00730 26733929 30168587 704424 0.01670 6801 6801 0.00020 196139 196139 0.00470 202940 202940 0.00490 1 1112608 8514490 9014457 -499967 X 1 1 1 1 Athol Memorial Hospital 2033 Main Street Athol MA 01331 www.atholhospital.org 2226 X X X X Athol Memorial Hospital 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X https://www.atholhospital.org/about-us/community-benefit X http://www.chna9.com/ X X 1 23 1 https://www.atholhospital.org/about-us/community-benefit 0 1 X 150.000000000000 300.000000000000 X 1 1 X X X X 1 X www.heywood.org/about-us/community-benefit/patient-financial-services X www.heywood.org/about-us/community-benefit/patient-financial-services X www.heywood.org/about-us/community-benefit/patient-financial-services X X X X X X 1 X X 0 X X X X 1 X 0 0 Athol Memorial Hospital Part V, Section B, Line 5: In 2024, Heywood Healthcare conducted a comprehensive Community Health Needs Assessment (CHNA). It aims to gain a deeper understanding of the unmet health and social service needs facing residents of our Combined Service Area, as well as how those needs are currently being addressed and where gaps and opportunities exist to tackle them in the future. The Health Equity Partnership and Three Pyramids conducted a series of 18 focus groups to gather qualitative insights from community members. Efforts were made to include a diverse group of participants, both geographically and socio-demographically. Athol Memorial Hospital Part V, Section B, Line 6a: The 2024-2026 Community Health Needs Assessment (CHNA) is a collaboration between Heywood Healthcare and UMass Memorial Health - HealthAlliance-Clinton Hospital. It covers 26 primary communities served by the three hospitals, analyzed and presented in four ways: the total service area of 26 communities, Heywood Hospital's service area of 6 towns, Athol Hospital's service area of 9 communities, and UMass Memorial Health's 14 communities. Athol Memorial Hospital Part V, Section B, Line 6b: Partners reviewed existing reports and community assessments to understand health and social service issues in the region, as identified by community partners and residents. Quantitative data from secondary sources were analyzed in conjunction with qualitative data from focus groups. Community organizations involved in gathering lived experiences included YWCA of Central Massachusetts, Health Equity Partnership of North Central Massachusetts Youth Advisory Council, Winchendon Council on Aging, Winchendon Community Action Committee, Townsend Public Library, Nashoba Associated Boards of Health, 19 Carter Community Center, LUK, Inc., NewVue Communities, Montachusett Veterans Outreach Council, Making Opportunity Count, St. Joseph's House, Beautiful Gate Church of God in Christ, Three Pyramids/North Central Minority Coalition, Ahmadiyya Muslim Community, Pathways for Change, and Healthcare Access & Outreach Needs. This holistic approach enabled a comprehensive understanding of community health needs, driven by local knowledge and community members' insights on survival and thriving. This integrative process identified specific "areas of focus and "priority populations" for hospitals to address in their Community Benefits work. Athol Memorial Hospital Part V, Section B, Line 7d: The CHNA provides a comprehensive review of Heywood Healthcare's Service Area, which is used to inform the Community Health Improvement Plan (CHIP). The CHNA findings were reported to the hospital leadership and shared with partners and members at the Community Benefits Advisory Committee, the Health Equity Partnership meetings, Schwartz Rounds, and the Heywood Diversity and Equity Committee. Discussions with these groups informed the prioritization of health needs and the development of strategies. Some of the priority health categories and strategies continue from the previous CHNA-CHIP process, as they represent ongoing, critical needsespecially for key populationsand several initiatives are still in progress to address them. Athol Memorial Hospital Part V, Section B, Line 11: The CHNA revealed three priority areas for the hospitals to guide our efforts around community health improvement and equity: 1. Equitable Access to Care, addressing workforce, transportation, and language and race barriers; 2. Social Determinants of Health (SDOH) emphasizing financial and employment stability as well as structural racism and systemic inequities; 3. Nutrition-related chronic conditions focusing on food insecurity and equitable healthy food systems; 4. Mental Health and Substance Use strategies improving access to treatment, support, and prevention; 5. Maternal Health includes strengthening the health system infrastructure, expanding workforce capacity, and improving prenatal and perinatal resources to enhance equitable access to high-quality, culturally competent maternal health care.The CHIP outlines the strategies and community partners the hospital will partner with to respond to each of the priority health areas. The Hopsital's approach to addressing the critical health needs is to collaborate with cross sector coalitions, healthcare and behavioral health providers, community, and faith-based organizations and businesses to develop and implement our plan, goals, and strategies. We engage community-based organizations, our P.F.A.C, and the Community Benefits Advisory Committee in the development of the CHIP to ensure that the CHIP has input from persons who represent the broad interests and special knowledge of the significant health needs of our community. Part I, Line 7: The costing method used to calculate the amounts reported in the table in Part I, was based on the cost to charge ratio derived from the supplied Worksheet 2, in the IRS Schedule H instructions. Part II, Community Building Activities: Athol Memorial Hospital's Community Benefits Mission Statement is "Athol Hospital is committed to advancing our community's well-being by working collaboratively with community partners to increase prevention efforts, address social determinants of health, and improve access to care." Part III, Line 2: The Organization used the cost-to-charge ratio as its costing methodology to calculate bad debt expense at cost. Part III, Line 4: Please refer to pages 9 - 12 of the attached audited financial statements. Part III, Line 8: As Athol Memorial Hospital operates at a loss from Medicare, the shortfall could be treated as community benefit as there are no other funds available to subsidize the loss. The allowable costs on line 6 were obtained from our FY 2020 Medicare Cost Report, Worksheet D schedules. Part III, Line 9b: Athol Hospital provides patients with information about financial assistance programs that are available through the Commonwealth of MA or through Athol Hospital's own financial assistance program, which may cover all or some of their unpaid hospital bills. For those patients that request such assistance, Athol Hospital assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. These programs include but are not limited to MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Health Safety Net and others. It is the patient's obligation to provide Athol Hospital with accurate and timely information to determine if the patient is eligible to apply for certain health insurance programs. If the patient of guarantor is unable to provide the necessary information, Athol Hospital may make reasonable efforts to obtain any additional information from other sources. Information the Hospital obtains will be maintained in accordance with applicable federal and state privacy and security laws. The screening and application process for public health insurance programs is done through Virtual Gateway, which is an internet portal designed by the MA Executive Office of Health and Human Services. The Virtual Gateway manages the application process from the programs listed above, which is available for children, adults, seniors, veterans, homeless and disabled individuals. Athol Hospital specifically assists the patient in completing the application and secure the necessary documentation required by the applicable financial assistance program. Athol Hospital will then submit this document to the Commonwealth Office of Medicaid and assist the patient in any additional documentation if such is required by the Commonwealth of MA, Office of Medicaid. Special circumstance applications are reviewed and approved by the MA Division of Health Care Finance and Policy. The Hospital has no role in determination of program eligibility made by the Commonwealth, but at the patient's request may take a direct role in appealing decisions made by the Commonwealth to ensure accurate and timely adjudication of all hospital bills. If the patient does not comply with the requests for documentation, then our standard collection procedures apply. Part VI, Line 2: In addition to conducting the CHNA, the organization monitors hospital data and actively engages with the hospital leadership team and Community Benefits Advisory Committee to continuously monitor and assess any changing or emerging community and healthcare needs. Part VI, Line 3: Role of Hospital Certified Financial Counselors and other Finance Staff: The hospital will try to identify available coverage options for patients who may be uninsured or underinsured with their current insurance program when the patient is scheduling their services, while the patient is in the hospital, upon discharge, and for a reasonable time following discharge from the hospital. The hospital will direct all patients seeking available coverage options, or those that the hospital determines may be eligible, to the hospital's patient financial counseling to screen for eligibility in an appropriate coverage option. The hospital will then assist the patient in applying for the appropriate coverage options that are available or notify them of availability of financial assistance through the hospital's own internal financial assistance program, if available. Notification Practices: Individual printed notices are available by contacting a Financial Counselor or through the Patient Accounts Office. Notices indicate the criteria used to determine eligibility for MassHealth and the Health Safety Net Trust Fund and where or how patients may apply. The goal of these notices is to assist patients in applying for coverage within a financial assistance program such as MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, and Health Safety Net. When applicable, the hospital may also assist patients in applying for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. When a patient contacts the hospital, Patient Accounting, Financial Counseling or Social Service Staff will attempt to identify if a patient qualifies for a public financial assistance program or payment plan. Patients who are already enrolled in a public financial assistance program, such as MassHealth or Health Safety Net, may qualify for certain federal, state and private assistance agencies. Patients may also qualify for additional assistance based on the hospital's own internal criteria for financial assistance, or qualify for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. The following items outline more specifically the notification process, criteria, and availability of information beyond the signs that are posted in the hospital. 1. The hospital will provide an individual notice of the availability of financial assistance programs and other programs of public assistance to a patient expected to incur charges for which he/she will be personally responsible, exclusive of personal convenience items or services that may not be paid in full by third party coverage. 2. The hospital or its agents will include a notice or statement about Eligible Services to Low Income Patients and other programs of public assistance in its initial bill and subsequent correspondence with the patient. All correspondence will direct the patient where and how they can receive more information or additional assistance and will inform the patient that they may apply or reapply for financial and public assistance before, during or after care, or after collection agency assignment if their situation changes. 3. The hospital will include a notice regarding the availability of financial assistance and other programs of public assistance to Low Income Patients in all written collection actions. The hospital will notify the patient that it offers a payment plan if the patient is determined to be eligible for MassHealth or free care/uncompensated care through the Health Safety Net Trust Fund as a low income patient or due to Medical Hardship. These payment plans are consistent with 1016 CMR 6613.08 (1)(f)(4). The hospital will also offer payment plan options for those individuals who do not qualify for Low Income Patient status. 4. Athol Hospital will include language on its written notices that reads: "You may be eligible for assistance through our Financial Assistance Program. For eligibility information, please contact our Customer Services Department at 1-800-305-6757." Verbiage may change to accommodate changes of department information. 5. There is no primary language other than English that is spoken by 5% or more of the hospital's service area. Signage and other documentation will be provided in English. The hospital provides translator services for several other languages and this service may be accessed for those individuals whose primary language is not English or Spanish. 6. For cases where the hospital continues to determine eligibility for free care/uncompensated care through the Health Safety Net Trust Fund application, then MassHealth will provide written notice of determination that the patient is or is not eligible within 30 days of receiving a completed application and the required supporting documentation. The vast majority of patients will however be screened via the common intake process and processed through the Virtual Gateway and MA-21 system. 7. Whether the hospital is using the MassHealth application process through the Virtual Gateway or submitting a MassHealth application directly, the hospital will assist the patient in completing the application or intake process for enrollment and eligibility screening. Part VI, Line 4: Community Information: The primary service area served by Athol Hospital includes Athol, Erving, New Salem, Orange, Petersham, Phillipston, Royalston, Warwick, Wendell. All communities carry a Federal Rural designation, and the region is recognized as a Federally Designated Medically Underserved Population (MUP). The combined population of the service area is approximately 37,762. Approximately 23.6% of residents identify as Black, Indigenous, or People of Color, compared with 33.4% statewide. dults ages 4564 represent 21.0% of residents, exceeding the Massachusetts average of 19.9%, and adults ages 65 and older comprise 17.5% of the population. Health related social needs across the region such as economic instability, housing burden, limited transportation, low educational attainment and workforce shortages collectively contribute to poorer health outcomes. Part VI, Line 5: Promotion of Community Health: Athol Hospital's approach to addressing the critical health needs identified by the CHNA is to participate in cross-sector coalitions actively and collaborate with healthcare and behavioral health providers, community, and faith-based organizations and businesses. These collaborations help to develop and implement our plan, goals, and strategies. Partners include North Quabbin Recovery Center, Athol YMCA, Athol and Orange Boards of Health, Athol and Orange School District, Athol, Orange, Petersham Police Department, LUK, Inc, LifePath,Clinical & Support Options, Athol Orange Rotary, PPAl, Making Opportunity Count, GAAMHA, Mount Wachusett Community College, Fitchburg State University, Orange CAP's Collaboartive Schools, . Valuing our Children, Woods Ambulance, North Central Ma Rides TMA, Growing Places, Franklin County Sherrif's Office, Calley Medical Group, Quitters Win, North Quabbin Childrens Health and Wellness System of Care Task Force (CHWTF), Franklin Hampshire System of Care Task Force (SOC). Part VI, Line 6: Athol Hospital, a 25-bed not-for-profit Critical Access Hospital in Athol, MA, is part of Heywood Healthcare, an independent, community-owned healthcare system serving north-central Massachusetts and southern New Hampshire. In addition to Athol Hospital, the health system includes Heywood Hospital; Heywood Medical Group; the Quabbin Retreat; Heywood Rehabilitation Group; Murdock and ACES School-based health Centers; and the Winchendon Health Center. Part VI, Line 7: Community Benefit Report is filed with the Attorney General's Office, State of Massachusetts. 0 0 0 0 0 0 0 1 0 Phani Molakatalla MD Trustee/Gastroenterology Physician 0 646988 0 0 0 10601 0 11500 0 37943 0 707032 0 0 Rozanna Penney President/CEO 0 491933 0 150666 0 1076 0 9677 0 0 0 653352 0 0 Craig Napolitano MD Trustee 0 482648 0 118379 0 0 0 7335 0 32560 0 640922 0 0 Erin O'Hara MD Past Trustee 0 476101 0 119669 0 391 0 489 0 37559 0 634209 0 0 Francis Garofalo Past Trustee 0 519729 0 9290 0 18873 0 8741 0 12362 0 568995 0 0 John Bujak CFO 0 334208 0 45075 0 0 0 4038 0 32559 0 415880 0 0 Elizabeth Nottleson Past Trustee/Family Practice Physici 0 310089 0 37225 0 14783 0 5858 0 32243 0 400198 0 0 Thomas Sullivan Past President/CEO 0 355240 0 0 0 10233 0 0 0 960 0 366433 0 0 Kaleigh A Maio VP of Human Resources 157921 0 11500 0 136 0 7177 0 44547 0 221281 0 0 0 Bethany Maselli Registered Nurse 143549 0 0 0 0 0 4632 0 34337 0 182518 0 0 0 Beth Eppel Assistant Chief Nursing Officer 159126 0 0 0 205 0 6545 0 13228 0 179104 0 0 0 Mary Aukstikalnis Manager of 2nd Fl Med/Surg 134506 0 15000 0 0 0 0 0 24437 0 173943 0 0 0 Laura Quattrucci Nurse Practitioner 98267 0 65702 0 259 0 3994 0 2009 0 170231 0 0 0 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 ogranizations - Written employment contract - Compensation survey or study - Approval by the board or compensation committee Part I, Line 7 Heywood Healthcare has an incentive (bonus) program for senior administration, directors, and managers that is a predefined percentage of their annual salary. The incentive program is structured on the financial health of the organization as well other indicators based surrounding leadership level. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by a third-party accounting firm with the assistance of the Accounting Department. The Form 990 is reviewed by the Director of Finance and CFO. Then the return is uploaded to the Hospital cyber board for the Board of Trustees to review prior to filing. Form 990, Part VI, Section B, line 12c The Board of Trustees review the Organization's Conflict of Interest policy annually in order to ensure that the Organization's Board of Trustees and Officers are regularly and consistently monitoring and enforcing it. Form 990, Part VI, Section B, line 15 All Officers and the CEO's salaries are paid by related corporations. The salaries are determined by the Board of Trustees, considering comparable salary information for Officers of other entities of similar size and level of activity. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public by providing completed copies to the Executive Assistant, who provides copies upon request. Form 990, Part IX, line 11g Physician Fees: Program service expenses 4,434,304. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,434,304. Contracted Services: Program service expenses 123,227. Management and general expenses 3,016. Fundraising expenses 115. Total expenses 126,358. Temporary Employees: Program service expenses 870,031. Management and general expenses 0. Fundraising expenses 0. Total expenses 870,031. Outside Fees: Program service expenses 7,719,955. Management and general expenses 188,946. Fundraising expenses 7,190. Total expenses 7,916,091. Other Professional Fees: Program service expenses 251,031. Management and general expenses 6,144. Fundraising expenses 234. Total expenses 257,409. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Athol Memorial Hospital 2033 Main Street Athol, MA 01331 EIN: 04-2126583 Athol Memorial Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Transfer to Affiliates 1,035,143. Change in Beneficial Interest in Perpetual Trust 71,552. Form 990, Part XI, Line 8: Prior Period Adjustment During the year ended September 30, 2025, the Organization recorded a prior period adjustment to align net assets with the balances reflected in the September 30, 2025 audited financial statements. The adjustment was necessary because audited financial statements were not available before filing the 2023 Form 990. Heywood Healthcare Inc 242 Green Street Gardner MA 01440 222720658 Parent Corp MA 501(c)(3) Line 12b, II 0 Henry Heywood Memorial Hospital 242 Green Street Gardner MA 01440 042103581 Acute Care Hospital MA 501(c)(3) Line 3 Heywood Healthcare Inc 0 Heywood Medical Group 242 Green Street Gardner MA 01440 043163589 Multi-Spec. Physicians MA 501(c)(3) Line 10 Heywood Healthcare Inc 0 Quabbin Healthcare Inc 242 Green Street Gardner MA 01440 812053488 Behavioral Health MA 501(c)(3) Line 12b, II Heywood Healthcare Inc 0 Heywood Realty Corp 242 Green Street Gardner MA 01440 043327447 Prop. Holding Corp MA 501(c)(2) Heywood Healthcare Inc 0 Heywood Healthcare Charitable Foundation Inc 242 Green Street Gardner MA 01440 222720562 Charitable Foundation MA 501(c)(3) Line 7 Heywood Healthcare Inc 0 Athol Memorial Hospital NMTC Holdings Inc 242 Green Street Gardner MA 01440 822171549 Supporting Organization MA 501(c)(3) Line 12a, I Heywood Healthcare Inc 0 Winchendon Health Foundation Inc 55 Hospital Drive Winchendon MA 01475 042113276 Community Health Care MA 501(c)(3) Line 12d, III-O N/A 0 Shields Imaging at Heywood Healthcare LLC 242 Green Street Gardner MA 01440 Imaging Services MA N/A 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 Heywood Realty Corp K 367952 FMV