2025-08-12T20:53:24-05:00 2024-09-30 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-10-01 042104310 Holyoke Visiting Nurse Association Inc HOLY 4135345691 575 Beech Street Holyoke MA 01040 Dean Vitarisi Treasurer & CFO 4135345691 2025-08-08 1 0 Connor Smart P02285543 2078792100 2025-08-08 2023 2025-03-06 01:10:19Z Spiridon E Hatiras 575 Beech Street Holyoke MA 01040 6935639 0 X www.holyokevna.org X 1905 MA The Holyoke Visiting Nurse Association, Inc., established in 1905, is dedicated to providing quality home health care to individuals who are elderly, impoverished and medically needy. We coordinate and deliver comprehensive, cost effective services including nursing, physical therapy, occupational therapy, speech therapy, social work and home health aide care. In addition, we are committed to promoting community health through education and special programs. 6 3 74 10 0 0 10776 10547 5516381 6858325 74244 66767 0 0 5601401 6935639 0 0 0 0 4728122 5586553 0 0 0 1808266 1959212 6536388 7545765 -934987 -610126 2305954 3261900 4409955 5744800 -2104001 -2482900 X The Holyoke Visiting Nurse Association, Inc., established in 1905, is dedicated to providing quality home health care to individuals who are elderly, impoverished and medically needy. We coordinate and deliver comprehensive, cost effective services, including nursing, physical therapy, occupational therapy, speech therapy, social work and home health aide care. In addition, we are committed to promoting community health through education and special programs. 0 0 6249022 0 6858325 Home Care - provides acute health care services to patients who can be cared for at home and provides supportive care for the terminally ill on a 24 hour basis. 6249022 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 74 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 3 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X Dean Vitarisi 4135345691 575 Beech Street Holyoke MA 01040 Carl Cameron Secretary 1.00 42.00 X X 0 478507 44757 Spiridon E Hatiras President & Clerk 1.00 48.50 X X 0 920224 76706 Dean Vitarisi Treasurer/CFO 1.00 47.00 X X 0 351730 48263 Bryarly Lehmann Director 1.00 0.00 X 0 0 0 Jon Lumbra Director 1.00 0.00 X 0 0 0 Eileen O'Leary-Sullivan Chair 1.00 1.00 X X 0 0 0 Brad Borbidge CPA Delegated Exec. & Finance 1.00 1.00 X 68900 0 0 April Bartley Executive Director 40.00 0.00 X 0 162009 9024 Stacie Carlin RN Case Manager 40.00 0.00 X 200145 0 10923 Jennifer Brodeur Registered Nurse 40.00 0.00 X 122596 0 10923 Rita Hurley Clinical Director 40.00 0.00 X 121922 0 51 Seay Chap Registered Nurse 40.00 0.00 X 121831 0 8715 Amber Ribadeneyra Registered Nurse 40.00 0.00 X 117468 0 8715 752862 1912470 218077 11 0 1 0 Valley Health Systems Inc 20 Hospital Drive Holyoke MA 01040 Management services 213650 Berry Dunn McNeil & Parker 1000 Elm Street Manchester NH 031011730 Management and accounting 146223 2 10547 10547 Home Care 621610 6858325 6858325 6858325 66767 66767 6935639 6858325 0 66767 68900 68900 4559787 4008473 551314 602018 519549 82469 355848 307101 48747 265900 265900 9238 9238 27996 27996 24505 24505 328745 251725 77020 3926 3006 920 165507 126731 38776 72784 55732 17052 102680 78623 24057 160977 123262 37715 6870 5260 1610 37314 31193 6121 61477 47074 14403 Provision for bad debts 347538 347538 Program supplies 329282 329282 Patient/VNA Costs 14473 14473 7545765 6249022 1296743 0 114997 12349 9574 418293 979811 1363464 34446 44533 633429 574556 47620 58873 549010 712326 570496 652062 2305954 3261900 463315 644498 34945 48237 3911695 5052065 4409955 5744800 X -2733871 -3177953 629870 695053 -2104001 -2482900 2305954 3261900 X -610126 166044 65183 X X 0 1 X 1 1 1 X 316847 21297 22120 10776 10547 381587 6280246 6590743 4412818 5516381 6858325 29658513 6597093 6612040 4434938 5527157 6868872 30040100 0 0 0 30040100 39756 47677 81515 74244 66767 309959 39756 47677 81515 74244 66767 309959 6636849 6659717 4516453 5601401 6935639 30350059 0.98980 0.98980 0.01020 0.01020 X 67948 67948 67948 67948 67948 67948 67948 67948 67948 67948 0.00000 1.00000 0.00000 0 0 633429 574556 58873 58873 Beneficial interest in perpetual trust held by others 652062 652062 Due to affiliates 5052065 5052065 X 6794823 166044 65183 231227 6563596 24505 347538 372043 6935639 7173722 0 7173722 24505 347538 372043 7545765 Part V, Line 4: The Association's spending policy is equal to investment returns. All available investment returns earned on endowments are expended in the year earned. Part X, Line 2: 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. Part XI, Line 2d - Other Adjustments: Change in market value of beneficial interest in perpetual trust 65,183. Part XI, Line 4b - Other Adjustments: Provision for bad debts 347,538. Part XII, Line 4b - Other Adjustments: Provision for bad debts 347,538. 0 1 0 0 0 0 0 0 0 Spiridon E Hatiras President & Clerk 0 920224 0 0 0 0 0 55147 0 21559 0 996930 0 0 Carl Cameron Secretary 0 478507 0 0 0 0 0 29705 0 15052 0 523264 0 0 Dean Vitarisi Treasurer/CFO 0 351730 0 0 0 0 0 26322 0 21941 0 399993 0 0 Stacie Carlin RN Case Manager 200145 0 0 0 0 0 0 0 10923 0 211068 0 0 0 April Bartley Executive Director 0 162009 0 0 0 0 0 520 0 8504 0 171033 0 0 Part I, Line 3 The compensation for the Organization's executive director and finance director was established by a related organization, Valley Health Systems, Inc. That organization established their compensation by using a compensation committee and a compensation study. The compensation was also approved by the System's compensation committee. Part I, Line 4b Holyoke Medical Center adopted a 457(f) non-qualified deferred compensation plan that became effective as of July 1, 2017. The Plan allows for eligible individuals and employees of the Medical Center to receive benefits under the Plan until the attainment of age 65. Non-elective contributions made for a Plan participant are tracked and will vest separately based on anniversaries of participants' employment. Each contribution will be 0% vested until the participant reaches the end of their second year of employment after each contribution. Each contribution will become 100% vested as of the last day of the 2nd year of a participant's employment, if the participant is still employed on that date. Only eligible employees are participants in the plan, and the plan does not allow for employee elective deferrals or employer matches. For the 2023 Tax Year, the following listed individuals received 457(f) contributions under the plan: - Spiros Hatiras, $51,847. - Carl Cameron, $29,705. And, - Dean Vitarisi, $23,022. Form 990, Part VI, Section A, line 3 Starting in May of 2021, the roles and control of the Holyoke Visiting Nurse Association's (the "VNA") and the Community Health Foundation of Western Massachusetts' (the "Foundation") Executive Director and the Finance Director positions were outsourced and delegated to the public accounting and financial services firm BerryDunn; Brad Borbidge, CPA, was a Principal with BerryDunn who was assigned to supervise and overview these managerial responsibilities once they were delegated to BerryDunn. During the period covered by this Form 990, Brad Borbidge retired from BerryDunn but continued to perform his role as an outsourced Finance Director for the VNA as an independent consultant. While Brad Borbidge occupied these outsourced roles on behalf of both the Foundation and the VNA, any compensation paid and transactions agreed to pursuant to this engagements were effectuated by the VNA. As per this arrangement, Brad Borbidge maintained control and responsibilities over duties customarily performed by officers or key management personnel. Therefore, in accordance with IRS Instructions, Brad Borbidge has been named as an Officer on this Form 990, Part VII, Section A. The amount of compensation reported as paid to Brad Borbidge on this Form 990, Part VII, Section A is $68,900, which represents the fees paid directly to Borbidge Consulting, his independent consulting practice. Form 990, Part VI, Section A, line 6 The sole member of the Corporation shall be Valley Health Systems, Inc. acting through its Board of Directors. Any membership action or vote required or permitted by law shall be taken by the Board of Directors of the Member. Form 990, Part VI, Section A, line 7a The Member shall be required to approve the appointment of the Executive Director; The Executive Director is subject to the discretionary appointment and removal by the President of the Member. The Executive Director is selected, appointed and subject to removal solely by the President of the Member. In addition, the President of the Member, or his designee, shall be an ex-officio member of the Board of Directors. The Board of Directors of the Member may fill vacancies in the Corporation's Board of Directors. Any office (other than the Executive Director) that becomes vacant may be filled by the Board of Directors of the Member and each such successor shall hold office for the unexpired term or until he or she sooner dies, resigns, is removed or becomes disqualified. Any vacancy in the office of the Executive Director shall be appointed by the President of the Member. A Director may be removed with or without cause by vote of at least two-thirds (2/3) of the Board of Directors of the Member at any regular meeting or at any special meeting called for such purpose. The officers of the Corporation, chosen from among the members of its Board of Directors, shall be a Chair, a Vice Chair, a Treasurer, a Clerk, and such other officers as the Board of Directors of the Member may authorize. The officers shall be elected by the Board of Directors of the Member at the Annual Meeting of the Member. The Nominating Committee shall consist of such Directors as the Chair may designate. The Committee shall make nominations and submit them to the President of the Member for consideration and approval. Form 990, Part VI, Section A, line 7b The Member shall be required to approve the following decisions or actions of the Corporation: (a) Approval of the annual operating and capital budget for the next fiscal year; (b) Selection of the independent public accounting firm engaged to conduct and report upon the annual audit of the Corporation's books of account; (c) Sale, assignment, transfer or exchange of any property, assets and real property, of the Corporation in excess of $10,000; (d) Merger or consolidation with or acquisition of another corporation, organization, or other similar entity; (e) Borrowings or financings in excess of $50,000; (f) Changes in the strategic focus or purpose of the Corporation; (g) Changes in the Articles of Organization or the Bylaws of the Corporation; (h) All other decisions or actions of the Board that the Member determines in its reasonable discretion affect the overall efficiency and effectiveness of the integrated health care delivery system of which the Corporation is a part. In no event shall the Board of Directors take any action that restricts, reduces or eliminates the authority of the Member or the President and CEO of the Member. In all cases of disputed authority or uncertainty as to the meaning of the Bylaws of the Corporation the Board of Directors of the Member shall rule and such ruling shall be sought at the next meeting of the Board. The Finance and Investment Committee shall meet annually with representatives of the Member-approved independent certified public accounting firm to review such firm's audit and recommendations as necessary. The Corporation's bylaws may be altered, amended or repealed in whole or in part only by action of the Member. Form 990, Part VI, Section B, line 11b A copy of the VNA'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. Form 990, Part VI, Section B, line 12c The conflict of interest policy of the Holyoke Visiting Nurse Association (VNA) 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. VNA board members and officers complete and sign a conflict of interest questionnaire annually. All signed questionnaires are then submitted to VNA and to Valley Health Systems, Inc. (parent) for review and monitoring. Form 990, Part VI, Section B, line 15 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. Form 990, Part VI, Section C, line 19 Available upon written request. Form 990, Part XI, line 9: Change in market value of beneficial interest in perpetual trust 65,183. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Community Health Foundation of Western Mass Inc 575 Beech Street Holyoke MA 01040 222568962 Raise & Invest Funds for Affiliates MA 501(c)(3) Line 7 Valley Health Systems Inc 0 H-C Management Services Inc 20 Hospital Drive Holyoke MA 01040 222515981 Supporting Organization MA 501(c)(3) Line 12b, II Valley Health Systems Inc 0 Holyoke Medical Center Inc 575 Beech Street Holyoke MA 01040 222520073 Hospital MA 501(c)(3) Line 3 Valley Health Systems Inc 0 MassWest Services Inc 575 Beech Street Holyoke MA 01040 222515964 Health Care MA 501(c)(3) Line 12b, II Valley Health Systems Inc 0 River Valley Counseling Center Inc 187 High Street Holyoke MA 01040 042174657 Outpatient Mental Health MA 501(c)(3) Line 10 Valley Health Systems Inc 0 Valley Health Systems Inc 20 Hospital Drive Holyoke MA 01040 042103583 Health Care MA 501(c)(3) Line 7 N/A 0 Western Mass Physician Associates Inc 15 Hospital Drive Holyoke MA 01040 043202198 Medical Care Services MA 501(c)(3) Line 3 MassWest Services Inc 0 William Skinner TUA-Holyoke Hospital Trust PO Box 1802 Providence RI 029011802 046035855 Grantmaking MA 4797(a)(1) PF Valley Health Systems Inc 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 1 0 0 0 0