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    <ReturnTs>2026-08-07T19:56:18-05:00</ReturnTs>
    <TaxPeriodEndDt>2025-09-30</TaxPeriodEndDt>
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        <BusinessNameLine1Txt>Baker Newman &amp; Noyes</BusinessNameLine1Txt>
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        <AddressLine1Txt>280 Fore Street Suite 500</AddressLine1Txt>
        <CityNm>Portland</CityNm>
        <StateAbbreviationCd>ME</StateAbbreviationCd>
        <ZIPCd>04101</ZIPCd>
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      <PersonNm>Dean Vitarisi</PersonNm>
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      <PhoneNum>4135342567</PhoneNum>
      <SignatureDt>2026-08-06</SignatureDt>
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      <PreparerPersonNm>Connor Smart</PreparerPersonNm>
      <PTIN>P02285543</PTIN>
      <PhoneNum>2078792100</PhoneNum>
      <PreparationDt>2026-08-06</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
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      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <PrimaryExemptPurposeTxt>To provide support to related medical service organizations.</PrimaryExemptPurposeTxt>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Carl Cameron</PersonNm>
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        <PersonNm>Marcel Moniz</PersonNm>
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        <PersonNm>Kartik Viswanathan MD</PersonNm>
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      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm>Spiridon E Hatiras</PersonNm>
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        <PersonNm>Dean Vitarisi</PersonNm>
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      <ActivitiesNotPreviouslyRptInd>0</ActivitiesNotPreviouslyRptInd>
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      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
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      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <TaxImposedOnOrganizationMgrAmt>0</TaxImposedOnOrganizationMgrAmt>
      <TaxReimbursedByOrganizationAmt>0</TaxReimbursedByOrganizationAmt>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <StatesWhereCopyOfReturnIsFldCd>MA</StatesWhereCopyOfReturnIsFldCd>
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        <BusinessName>
          <BusinessNameLine1Txt>Dean Vitarisi</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>575 Beech Street</AddressLine1Txt>
          <CityNm>Holyoke</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>010402223</ZIPCd>
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        <PhoneNum>4135342567</PhoneNum>
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      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <DonorAdvisedFndsInd>0</DonorAdvisedFndsInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <TanningServicesProvidedInd>0</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
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        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Holyoke Medical Center</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Valley Health Systems</BusinessNameLine1Txt>
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        <EIN>042103583</EIN>
        <OrganizationTypeCd>7</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Western Mass Physician Assoc</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>043202198</EIN>
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      <SupportSumAmt>250000</SupportSumAmt>
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        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>0</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
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        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
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      <MajorityDirTrstSupportedOrgInd>0</MajorityDirTrstSupportedOrgInd>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I, Line 12g, Column v &amp; Column vi:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization supports its supported organizations by owning and operating non-profit medical clinics affiliated with Valley Health Systems, Inc. and Holyoke Medical Center, Inc. to provide pediatric and family medicine services and other medical services to patients of Holyoke Medical Center and to residents of Holyoke Medical Center's service area. Additionally, the Organization treats Medicare and Medicaid patients and provides charity care to patients in accordance with its charity care policy. The Organization also participates in the educational programs of Holyoke Medical Center for its staff and for the community serviced by Holyoke Medical Center. Furthermore, the Organization engages generally in any activity which may lawfully be carried on by an organization which is organized under Chapter 180 of the General Laws of the Commonwealth of Massachusetts, as now in force or hereafter amended, and which is not inconsistent with the Organization's qualifications described in 501(c)(3) of the Internal Revenue Code as now in force or hereafter amended. During fiscal year September 30, 2025, the organization made an equity transfer to its supported organization, Western Mass Physician Associates, Inc. This amount approximates the amount of monetary support provided with respect to the above described support activities. Additionally, as MassWest Services' sole exempt purpose is to assist its related, supported organizations in the accomplishment of their charitable goals, all other administrative and operating expenses incurred by the MassWest Services have been disclosed on this Schedule A, Part I, Line 12, Column (vi) as other non-monetary support, as such costs, while paid by this filing Organization, are incurred to either directly or indirectly benefit the supported organizations.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section A, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>One organization listed on Schedule A, Part I, Line 12(g), Western Mass Physician Associates, Inc., is not listed by name in MassWest Services, Inc.'s (MWS) governing documents as a supported organization. However, Western Mass Physician Associates, Inc., by virtue of being a wholly-owned subsidiary of Valley Health Systems, Inc., represents a designated class of supported organzations that is mentioned in MWS's governing documents. Accordingly, MWS's bylaws stipulate its purpose is to: - Establish, own and operate non-profit medical clinics affiliated with Valley Health Systems, Inc. and Holyoke Medical Center, Inc.(HMC) to provide pediatric and family medicine and other medical services to patients of HMC and to residents of HMC's service area. - To treat Medicare and Medicaid patients and to provide charity care to patients in accordance with the charity care policy of the Corporation. - To participate in the educational programs of HMC for its staff and for the community served by HMC. To engage generally in any activity which may lawfully be carried on by an organization which is organized under Chapter 80 of the General Laws of the Commonwealth of Massachusetts, as now in force or hereafter amended, and which is not inconsistent with the corporation's qualification as an organization described in Section 501(c)(3) of the Internal Revenue Code as now in force or hereafter amended.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section C, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>For the fiscal year covered by this Form 990, control of MassWest Services, Inc. and its supported organizations were vested in the same persons that control by virtue of multiple shared board members and the same executive leadership. Furthermore, Valley Health Systems, Inc. (VHS) serves as the sole corporate member of the Organization and Holyoke Medical Center. MassWest Services, Inc. is the sole-corporate member of its other supported affiliated organization, Western Mass Physicians Associates, Inc. Pursuant to the Organization's bylaws the president and treasurer of MassWest Services, Inc. are appointed by the president of Valley Health Systems, 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 4 - Other Investment Income</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Interest on deposits. Amount: 6.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 14</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Depreciation. Amount: 12,728. Description: Other Expenses. Amount: 16,395. Total to Form 990-EZ, line 14: 29,123.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 16 - Other Expenses</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Management fees. Amount: 2,517. Description: Office expenses. Amount: 648. Total to Form 990-EZ, line 16: 3,165.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part I, Line 20 - Other Changes in Net Assets</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Net equity transfers from/(to) affiliates. Amount: 22,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990-EZ, Part II, Line 26 - Other Liabilities</FormAndLineReferenceDesc>
        <ExplanationTxt>Description: Dues to related organizations. Beg. of Year Amount: 1,428. End of Year Amount: 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <DeclarationDesc>The organization did not, during the year, receive any funds, directly,or indirectly, to pay premiums on a personal benefit contract.The organization, did not, during the year, pay any premiums, directly,or indirectly, on a personal benefit contract.</DeclarationDesc>
    </TransferPrsnlBnftContractsDecl>
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