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Our community hospital in North Central Massachusetts reports on its service to the community during 2009
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Athol Memorial Hospital is a not-for-profit acute care and outpatient
community hospital serving the North Quabbin region of Massachusetts.
It is designated as a Critical Access Hospital and Primary Stroke Center,
licensed by the Massachusetts Department of Public Health and accredited by the Joint
Commission. Our service area includes the nine towns of Athol, Erving, New Salem,
Orange, Petersham, Phillipston, Royalston, Warwick, and Wendell. The hospital opened
its doors on September 10, 1950 through determined efforts by community and
business leaders to establish a local hospital facility.
The hospital is governed by a local Board of Trustees who generously give their time,
energy and expertise to oversee fiscal operations and hospital policy. Leadership is the
responsibility of the Governing Body, the President/Chief Executive Officer, Chief
Financial Officer, Chief Nursing Officer, President of the Medical Staff, Chiefs of
Services, and Department Directors and Managers.
Athol Memorial Hospital’s mission, as reaffirmed by the Board of Trustees on April 23,
2009, is to participate in the creation of healthier lives within the community; provide
healthcare services that contribute to the physical, psychological, social and spiritual well
being of the patient in the community that it serves; provide healthcare services in a
fiscally responsible manner that ensures sufficient return for continued operations;
collaborate with medical staff to determine long-range strategic goals which increase
quality services for the community; provide healthcare in the spirit of equality and
serving all regardless of age, color, creed or gender.
3
Dear friend,
Athol Memorial Hospital is where neighbors take care of neighbors. We have
the privilege of taking care of people who live down the block, or who grew up
with our parents, or coach our children. The lives we touch today are those we
will meet next week at the grocery store or post office or ballgame. This is what
makes us a community hospital. It is heartwarming to read through the patient
satisfaction surveys and see how grateful our patients are, not just for the clinical
services they received, but for the kindness in their caregivers’ eyes or a reassuring
hand on their shoulder.
We offer a wide range of services and up-to-date medical technologies and are
continually looking for ways to better serve your healthcare needs. In recent
years we have achieved Critical Access Hospital status and earned designation
as a Primary Stroke Service, with state-of-the-art tele-neurology diagnostics.
We are working toward even greater improvements with the hoped for addition
of our new Emergency Services Department and other hospital renovations.
I invite you to take a look through the following pages for a glimpse of who we
are and some of the many things we do. We look forward to taking care of you.
Sincerely,
Steve Penka, FACHEPresident and CEO
Steve Penka, FACHEPresident and CEO
Board of Trustees
James W. Meehan, Jr., Chairman
William Meehan, Vice Chairman
Mohsen Noreldin, MD, 2nd Vice Chairman
Laurey Kenerson, Clerk
Rebecca Bialecki
Pauline Briggs
Robin Brooks
Cheney Castine
Lawrence Estelle, Jr.
Danilo Funa, MD
Robert Knight, MD
Janet Kraft
Roy Lake
Wayne Miller, MD
Donald Mruk, MD
Curtis Rand
Timothy Soule-Regine, MD
David G. Spackman
Douglas A. Starrett
Yogendra Thaker, MD
Steven Penka, President/CEO, Ex-Officio
Dean Fleming, Treasurer/CFO, Ex-Officio
Lucille Songer, CNO, Ex-Officio
• Not-for-profit 25 bed acute care hospital
• Critical Access Hospital(achieved in 2005)
• Primary Stroke Service(certified in 2006)
• Licensed by the Massachusetts Department of Public Health
• Accredited by the Joint Commission
• Clinical Laboratory accredited by COLA
• Ultrasound andDigital Mammography accredited by the American College of Radiology
Please contact Athol Memorial Hospital Community Relationsat 978 249-1143 for a comprehensive guide of our services
or visit our website at www.atholhospital.org.
54
Many of our patients experience the hospital for the first time
through a visit to the Emergency Services Department. Some of
our patients, now grandparents or great-grandparents, remember
coming here as children. For close to sixty years we have been
treating life-threatening emergencies and mending broken bones.
We are here 24 hours a day, 365 days of the year, ready to take care
of you and your family in medical emergencies. Our highly
qualified staff of nurses and emergency physicians are trained and
certified in Advanced Cardiac Life Support, Pediatric Advanced Life Support, and
Neonatal Advanced Life Support. We are designated as a Primary
Stroke Center, with around the clock access to neurologists via
telemedicine, with the ability to diagnose and treat strokes within the
critical window of time for optimum recovery.
Last year we took care of over 11,000 patient visits to the Emergency
Room. Most of the patients coming into Emergency Services are
treated right here and able to return home within a few hours. Some
patients are admitted to the hospital for further care. Then there are times when our
most important role is to stabilize the patient, as in cases of severe trauma or cardiac arrest, and transport them to a tertiary care
facility. When this happens, the Lifeflight helicopter takes the patient directly from the landing pad, in our backyard and steps away
from the Emergency Department, to a center for specialty care. Patients who need the support of a Level One Trauma Center can be
there in less than fifteen minutes.
Our staff consistentlyreceives praises
from patients for their kind, compassionate,
and professional care.Our Emergency Services
Department responds to over 2,000 telephone
calls a year from Lifeline subscribers in
the community, sendinghelp when needed.
6
Athol Memorial Hospital’s nursing staff takes
care of patients in many areas of the hospital
including Emergency Services, Medical/Surgical
Services, the Intensive Care Unit, the Short Stay Unit, and
the Oncology Clinic. Nursing Services also extend to care
and education in the community.
Our nurses are continually learning new skills and treatment
modalities to enhance patient care. This competent and
dedicated nursing staff, close to 90 in number, enjoys
working in our familiar “neighbor caring for neighbor”
atmosphere and this underlies our low staff turnover
and high patient satisfaction rates. Here at Athol
Memorial Hospital our patients experience very
favorable nurse to patient ratios and a optimum level
of “hands on” quality care.
Athol Memorial Hospital is recognized by our patients, accreditation and licensing agencies as
providing high quality care. Responses on hospital-wide surveys consistently reflect more
than 90% very satisfied and satisfied ratings. In separate *Hospital Consumer Assessment of
Healthcare Providers and Systems (HCAHPS) surveys, distributed after inpatient care, our patient satisfaction numbers are higher
than state and national averages.
The hospital participates in federal and state quality care programs. We were included in the Institute for Healthcare Improvement
“100,000 Lives” and “5,000,000 Lives” campaigns. As part of The Joint Commission’s “Speak Up” campaign, we encourage our
patients to ask providers questions about their care. We continuously monitor quality and implement National Safety Goals as
they are issued.
Athol Memorial Hospital takes part in “Patients First,” the Massachusetts Hospital Association’s program for nursing related safe and
quality care. And we have been specially recognized by **Masspro, the state’s quality improvement agency, for our commitment
in the voluntary reporting of our performance data.
Athol Memorial Hospital is accredited by The Joint Commission and licensed by the Massachusetts Department of Health.
The clinical laboratory is accredited by COLA. The digital mammography and ultrasound programs are accredited by the American
College of Radiology.
*These categories include communication with nurses, responsiveness of staff, pain management, communication about medicines,
cleanliness of hospital, quietness of hospital, discharge information, overall rating of hospital, and willingness to recommend the
hospital. Results are available on the “Hospital Compare” website.
** designated by the Centers for Medicare & Medicaid Services
Quality Care
…said nursescommunicated well
…said painwas controlled
…gave an overallfavorable rating
…said roomwas clean
…wouldrecommendour hospital
…said doctorscommunicated well
How We Rate…Athol Memorial Hospital Patient response to HCAHPS surveys
(4th Quarter ’07 to 3rd quarter ’08)
7
The hospital’s state-of-the-art PACS (Picture Archiving and
Communication System) allows us to digitally capture, store, and transmit
images and reports without the use of film. PACS hastens the retrieval and
transport of exam results, which can be delivered electronically to a
physician or downloaded to a CD and given to the patient.
Athol Memorial Hospital maintains both an on-site laboratory and an off-
site draw station. Our laboratory accepts all physicians’ orders and has a
walk-in policy for outpatient convenience. Our phlebotomists treat
patients with skill and compassion. We have the capability and technology
to perform most analyses on-site and deliver fast results to minimize
waiting time and prevent unnecessary delays in treatment.
9
Athol Memorial Hospital offers a wide range of diagnostic
services you might not expect to find in a small, community
hospital. Our Radiology Services Department, one of the
hospital’s busiest, provides x-ray, ultrasound, and fluoroscopy exams.
Other diagnostic technologies include an on-site MRI (Magnetic
Resonance Imaging) unit, the latest Brightspeed 16 slice spiral CT
scanner, bone density scanner, and nuclear medicine imaging.
Digital Mammography is our newest diagnostic
capability. All routine screening mammograms are
performed using a “Mammopad,” provided
individually to each patient, for a softer mammography
experience. Our mammography technicians are
specially trained to lessen the anxiety and discomfort
some women experience with this exam.
8
11
Patient comfort is a critical component of
The Sleep Center at Athol Memorial
Hospital. Here we offer state-of-the-art
diagnostics in a hotel-like environment. The well-
appointed rooms are spacious and comfortable.
Each room has a private bath and other amenities,
to help the patient feel at ease during their study.
The Sleep Center conducts testing for sleep apnea,
snoring, narcolepsy, excessive daytime sleepiness,
restless leg syndrome, and other sleep disorders.
Most health insurances will cover the cost of the
study and referrals from local and out of the area
physician are accepted. Studies are available
Monday through Friday.
The Sleep Center is run under the direction of a
Pulmonary Medicine Specialty physician with
advanced training in the field of Sleep Medicine.
Athol Memorial Hospital offers many procedures your physician might
order to determine why you have a problem with your heart or your
breathing. All of these tests are done right here at the hospital.
Our Cardio-Pulmonary Services Department provides EKG’s, Holter monitoring,
echocardiograms, stress tests, and nuclear stress tests to assess your cardiac health.
Tests for pulmonary and respiratory problems include pulmonary function tests
and broncho-provocation tests. We can help evaluate the efficacy of medications
you are taking for respiratory conditions or guide you in lifestyle changes that
might help you improve.
Respiratory therapists from this department staff the hospital 24 hours a day to
assist our inpatients and Emergency patients who are having trouble breathing.
These therapists are certified to administering medication or ventilators at the
bedside, as prescribed by the physician, to help the patient breathe easier.
10
1312
Athol Memorial Hospital engages local students through a variety
of workforce development initiatives. The hospital provides a job
shadow and internship experiences for individuals exploring
healthcare careers and actively supports those already pursuing
education in a clinical healthcare field. The Healthcare
Scholarship Program awards scholarships to qualifying residents
of our nine-town service area, who are enrolled in healthcare degree
programs. Since the program began in 2006 the hospital has awarded
a total $39,750.00 in scholarships.
Emergency Preparedness
is another community-
focused effort. Athol
Memorial Hospital holds
quarterly meetings with
representatives from
regional towns. The
group, which includes
town administrators, health agents, police and fire department officials,
paramedics, and hospital staff, began meeting in 2004 to develop a cohesive
strategy for responding to disasters in the community. Training exercises
focusing on alternate care sites, mass decontamination, pandemic flu, and
other emergencies are held regularly.
This spirit of community is inherent in Athol Memorial Hospital’s
mission and “participating in creating healthier lives in the
community” provides the framework for our outreach activities. In
FY 2008 alone Athol Memorial Hospital contributed almost 6,500 hours of
time, beyond our direct scope of services, to efforts in and for the community.
Athol Memorial Hospital
serves the community throughout the year, in ways large and small, to fulfill this
mission. Health and wellness education is a major component of our Community
Benefits activities. This includes “Brown Bag” medication check-ups, educational
programs in schools, workshops at community centers, and CPR trainings. We
helped sponsor the “Healthy Smiles” Dental Fair, to assist area residents in
accessing needed care,
and again partnered
with other local agencies on the annual Food-a-thon. Every year the
hospital holds a series of flu and blood pressure clinics and assists with
numerous health and safety events. Additionally, this past year the hospital
launched two new wellness programs; the “Women’s Health and Wellness
Forum” in October and “Safe and Health Living” in April.
Support Groups are free and open to the public:
• ACOA AlAnon
• AlAnon
• ALS (Lou Gehrig’s Disease)
• Bereavement
• Cancer
• Diabetes
• Multiple Sclerosis
• SMART Recovery
• Smoking Cessation
• Wellness Wednesdays
Call 978 249-1143 for more information.
1514
Athol Memorial Hospital’s Rehabilitation Services
Department assists those who are recovering from an
injury or surgery. We also help those impaired by stroke
reclaim function and those coping with chronic pain or illness
improve mobility. These services are available to persons all ages and
generally provided on an outpatient basis. The staff also evaluates
inpatients, upon the physician’s request, to determine if and what
type of therapy would be beneficial.
Physical Therapy helps the patient gain strength, balance and endurance. It is also used to improve gross motor skills and
coordination, condition muscles, and increase range of motion. Benefits of physical therapy include reduced muscle spasms,
decreased pain, and lessened edema (swelling).
Occupational Therapy teaches adaptive techniques for self-care and the activities of daily living to patients recovering from a
stroke or injury. Patients learn the skills to help them compensate for a condition or illness that affects their quality of life.
Speech Therapy is used for the evaluation and treatment of communication disorders. The therapist can assess structural as
well as functional impairment, including swallowing problems and then works with the patient to overcome these difficulties.
Speech therapy also provides cognitive training or retraining in the treatment of some disorders.
Athol Memorial Hospital’s Rehabilitation Services Department offers a wide range of additional services including, but not
limited to, aquatic therapy, continence exercises, custom bracing and splinting, hand therapy, kineseotaping, vestibular
rehabilitation, wheelchair clinics, and massage therapy.
Athol Memorial Hospital’s
Hematology/Oncology Clinic
opened in 1985 so patients
dealing with cancer or blood disorders
would have a local treatment option. We
provide total care for patients as well as
coordinate with out-of-area physicians to
fulfill treatment regimens. All of our
patients will find great support in addition
to highly specialized care as our multi-
disciplinary team takes a “whole person”
approach to caring for the patient.
Our staff physician is Board Certified in Internal Medicine, Hematology, and Oncology. Nurses are certified in the administration of
chemotherapy and knowledgeable about dealing with side effects. The Dietitian guides patients with nutrition choices and our Social
Worker helps address the concerns of coping with treatment. Our Pharmacy Department works in tandem with the physician to
deliver the most current drug therapies, while our volunteers provide assistance and emotional support. The administrative secretary
arranges follow up appointments on behalf of the patient for office visits, further procedures or referrals to outside services.
Our orthopedic surgeons commonly perform shoulder and
knee surgery and total hip and knee replacements. We also
replace pacemakers, do cataract surgery, vascular procedures,
urology and gynecology surgery and foot surgery. All of our
surgeons, anesthesiologists, nurses, and other surgical staff are
committed to providing the highest quality care.
17
Athol Memorial Hospital offers highly individual care by board certified surgeons to treat a variety of medical
conditions. The hospital has a Short Stay unit for day surgery and an inpatient unit for overnight post-operative
care. We provide many types of major and minor, general and specialty, routine and emergency procedures in a
community hospital setting.
Here you will find state-of-the-art technology combined with skillful and attentive care. We do minimally invasive
laparoscopic appendectomies and gall bladder surgery and arthroscopic shoulder and knee procedures. We use non-invasive
laser treatment for taking care of kidney stones. Our high definition endoscopy procedures provide the most accurate
imaging possible for this type of exam.
16
Here you will find state-of-the-arttechnology combined with skillful and attentive care.
cheerful and comforting
a good hospital experience
September 2, 2009
Steve Penka, FACHE
President and CEO
Athol Memorial Hospital
Dear Steve,
Several months ago, I wrote to you about my family's tremendous experience
with AMH during my father's battle with cancer last year.
Last Thursday morning, I found myself in your Emergency Deparment with
severe stomach pains. After some testing, I was informed that I would need
surgery right away for appendicitis; I never hesitated for a moment about
having it done right here.
I was immediately whisked off into surgery and instead of being frightened, I
was comforted by the fact that I would get a chance to see my good friends up
on the 2nd floor who took such good care of my dad.
Upon my arrival to my room, I was greeted by many of the same faces I had
come to know so well last year - some just stopping in because they heard I was
there and many taking the time to ask about me and my family since our loss.
Being back in the hospital brought back some painful memories for me, but
also brought me some peace. I now know from a completely different
perspective just how well my father was taken care of. In fact, I would have
been perfectly happy to stay another night, but they did such a great job of
getting me up and around after my surgery that it wasn't necessary!
What can I say that I haven't already said? Once again the staff at Athol
Memorial Hospital didn't disappoint! I would like to thank Dr. Doyle and
Jacinta (and the rest of the staff) in ER; Renee, Val & Jean in the Lab; the
radiology technician who performed my CT scan (whose name I
unfortunately didn't get); Food Services; Dr. Sprague, Dr. Wu and the
wonderful nurses in the OR and of course, last but not least, all of those very
special 2nd Floor nurses, aides and staff, who made me feel like I was the only
patient there. (I am certain that the other patients felt equally as special!)
Sincerely,
Amy Putnam - Athol, Ma
this community is fortunate
outstanding
“proud you are
my hospital”
exceptionally professional
very caring and compassionate kind & efficient
“great outpatient
care”
“gentle and
patient”
19
The Athol Memorial Hospital Auxiliary, whose mission is to provide care and
comfort equipment for our patients, was established in 1955. Each year they
hold numerous fundraisers, such as the River Rat Pancake Breakfast, Plant Sale
and Fair, and Lotto Calendar, for this purpose.
Contributions from the Auxiliary, just during the
past five years, amount to more that $175,000.
This includes items such as wheelchairs, infusion
pumps, and surgical equipment. Although it is
not possible to include a list of all their donations,
the Auxiliary’s generosity has touched the lives of
many patients and every clinical department
within the hospital.
Our volunteers are found throughout the hospital. They work in
the Auxiliary’s Glass Shelf Gift Shop and help up on the floor in the
Oncology Clinic to keep things running smoothly. They give of
their time and energy and heart only for the satisfaction of assisting
our staff or to put a smile on a patient’s face.
Auxiliary &Volunteers
Athol Memorial Hospital isfortunate to have a very
dedicated group ofAuxiliary members and
other volunteers.
Please contact Athol Memorial Hospital’s Auxiliary Liaison and Volunteer Coordinator at 978 249-1145 about the Auxiliary or other volunteer opportunities.
18
Comments FromOur Patients
2120
Type of service FY 2008 FY2007
Patient admissions 1,018 996
Patient discharges 1,006 997
Patient days 3,298 3,174
Total major and minorOR procedures 2,037 2,005
Day surgery andShort Stay procedures 4,049 4,163
Outpatient visits 41,756 38,368
X-ray exams 28,695 26,674
Mammography exams 2,290 2,130
Ultrasound exams 3,011 2,760
CT scans 4,979 4,653
Laboratory tests 348,855 321,974
Respiratory therapy tests and treatments 10,150 9,945
Emergency visits 11,320 10,886
Sleep Studies 348 314
Oncology clinic visits 1,960 1,993
Specialty Services
• Anesthesiology
• Orthopedic Surgery
• Cardiology
• Otolaryngology
• Dermatology
• Podiatry
• Emergency Medicine
• Psychiatry
• Hematology/Oncology
• Pulmonology
• Nephrology
• Radiology
• Neurology
• Rheumatology
• Obstetrics/Gynecology
• Surgery
• Ophthalmology
• Urology
Statistics
2008 2007
Unrestricted revenue, gains, and other supportNet patient service revenue $ 22,048,811 $ 20,108,762Other operating revenue 468,402 466,629Donations 49,665 37,775Net assetsreleased from restrictions 38,303 99,881
Total revenue, gains, and other support 22,606,181 20,713,047
ExpensesSalaries and benefits 12,845,513 11,427,643Supplies and expenses 7,853,140 7,442,394Depreciation and amortization 530,666 537,399Interest 61,458 48,849Provision for bad debts 1,109,516 1,038,309
Total Expenses 22,400,293 20,494,639
Operating income 204,888 218,408
Interest Income 52,924 33,011
Increase in unrestricted net assets 257,812 251,419
Statement of OperationsYears Ended September 30, 2008 and 2007
Financials
22
Athol Memorial Hospital is planning for the future of the
facility and the community. Included in these plans is a
building expansion to accommodate a new Emergency
Services Department and renovations to the existing building to
improve access, patient flow, and privacy. Our existing Emergency
Services Department offers highly competent staff and state-of-the-art
technology, housed in an outdated and undersized environment. The
new addition, located adjacent to the northeast corner of the hospital,
will provide the necessary space to meet contemporary Emergency
Services Department building standards. It will include ample space
for triage, registration, and comfortable waiting areas.
Renovations to the existing hospital building will consist
of a handicapped accessible front entrance with drive through portico
and weatherproof vestibule. Outpatient services will be relocated and
centralized for optimum convenience
and privacy for our patients. The
improvements will include a new lobby
and central registration area, laboratory
blood draw station, and medical records
office, all accessible through a dedicated
outpatient entrance.
Looking to the Future
Please contact Community Relationsat 978 249-1143 for information
about any of our services.
Athol Memorial Hospital2033 Main Street
Athol, MA 01331Main number - 978 249-3511
www.atholhospital.org
Osama Al-Masri, MD • Orthopedics/Orthopedic Surgery
Robert Austin, MD • Ophthalmology
Robert Averill, MD • Dermatology
Michael Azzoni, MD • Orthopedics/Orthopedic Surgery
Fadi Baladi, MD • Internal Medicine
Bruce Bertrand, MD • Radiology
Jeffrey Blake, MD • Obstetrics/Gynecology
Paul J. Block, MD • Cardiology
John R. Bogdasarian, MD • Otolaryngology
Peter Brassard, MD • Orthopedics/Orthopedic Surgery
Andrea Damour, MD • Obstetrics/Gynecology
Gene Del Rosario, MD • Internal Medicine
Bradley Denker, MD • Nephrology
David Doyle, MD • Emergency Medicine
Daniel Ervin, DO • Otolaryngology
David Fabian, MD • Orthopedics/Orthopedic Surgery
Adekunle G. Fajana, MD • Emergency Medicine
Lourdes Flaminiano, MD • Internal Medicine/Pulmonology
Danilo Funa, MD • Internal Medicine
Fotios Ganias, MD • Ophthalmology
Richard Genovese, DPM • Podiatry
Fayaiz Hakim, MD • Emergency Medicine
John E. Harrington, MD • Family Medicine
David N. Havlin, MD • Family Medicine
Stefan Karos, MD • Urology
Saleem Khanani, MD • Hematology/Oncology
George Krasowski, MD • Surgery
Noreen Lasalle-Green, MD • Radiology
Shipen Li, MD • Nephrology
C. Joseph Mathew, MD • Family Medicine/Pediatrics
Felicidad Melquiades, MD • Internal Medicine
Jeffrey Moser, DPM • Podiatry
David Mount, MD • Nephrology
Donald Mruk, MD • Family Medicine
Mohsen Noreldin, MD, MPH • Internal Medicine/Pulmonology
Paul O Braonain, MD • Family Medicine/Obstetrics
Robert Perry, MD • Family Medicine
Faith Monique Pinkerton, MD • Emergency Medicine
Susan Quinty, DO • Emergency Medicine
Manganallur Radhakrishnan, MD • Anesthesiology
Ellen M. Ray, MD • Emergency Medicine
Michael Reeves, MD • Family Medicine/Obstetrics
Michael A. Reynolds, MD • Emergency Medicine
Paul Sabel, MD • Radiology
Lalit Savla, MD • Neurology/Psychiatry
Jordan E. Scott, MD • Allergy/Immunology
Robert B. Shepherd, DO • Emergency Medicine
Michael Shih, MD • Nephrology
Jang B. Singh, MD • Cardiology
Birendra K. Sinha, MD • Emergency Medicine
John Skrzypczak, MD • Emergency Medicine
Karl Sorenson, MD • Surgery
Timothy Soule-Regine, MD • Family Medicine/Obstetrics
Robert L. Spangler, MD • Emergency Medicine/Infectious Disease
Robert Sprague, MD • Anesthesiology
Michael S. Stauder, MD • Cardiology
David S. Tarr, DPM • Podiatry
Robert Terlato, MD • Cardiology
Yogendra K. Thaker, MD • Pediatrics
Thomas Ukena, MD • Pathology
Kirana Malin Weeratne, MD • Emergency Medicine
Anne-Katrin Weischedel, MD • Family Medicine/Obstetrics
Peter Wilson, MD • Cardiology
Gary Wolf, MD • Rheumatology
Mark P. Wu, MD • Surgery
Francis Zambetti, MD • Nephrology
Medical Staff
Non-Profit Org.US Postage
PAIDPermit No.183Greenfield, MA
978 249-3511www.atholhospital.org
AtholMemorialHospital
Athol Memorial Hospital2033 Main Street
Athol, Massachusetts 01331