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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII AND SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VII AND SCHEDULE J PART II: NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR (TRUSTEE) FOR HIS OR HER ROLE AS DIRECTOR (TRUSTEE) . THE OFFICERS OF THE FILING ENTITY ARE COMPENSATED FOR THEIR ROLES AS OFFICERS. PHYSICIANS WHO SERVE AS DIRECTOR (TRUSTEE) ARE COMPANSATED FOR THEIR ROLES AS PHYSICIANS. A PORTION OF THE COMPENSATION AMOUNT PAID TO OFFICERS OF THE FILING ENTITY IS ALLOCATED INTERNALLY AMONG THE FILING ENTITY'S 25 ASSOCIATED NON-PROFIT, TAX-EXEMPT ENTITIES IN ORDER TO PROPERLY REFLECT THE DIVISION OF THE OFFICERS' TIME AND EFFORT AMONG THOSE VARIOUS ENTITIES AND EACH ENTITY'S RELATIVE CONTRIBUTION TO THE OFFICERS' TOTAL COMPENSATION (SEE BELOW). COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, DAVID PHELPS, IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER GOVERNING BODY OF BERKSHIRE HEALTH SYSTEMS, INC. (PARENT ORGANIZATION OF THE FILING ENTITY), BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING-BODY ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARKS IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED TOTAL COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 60TH PERCENTILE OF APPROPRIATE BENCHMARKS (OTHER THAN THE CHIEF EXECUTIVE OFFICER WHOSE TOTAL COPENSATION REMAINS TARGETED AT THE 50TH PERCENTILE). FOR MOST OF MR PHELPS' 20 YEAR TENURE AS CHIEF EXECUTIVE OFFICER, A WRITTEN AGREEMENT BETWEEN BERKSHIRE HEALTH SYSTEMS AND MR. PHELPS HAS CALLED FOR BERKSHIRE HEALTH SYSTEMS (AND ITS AFFILIATES) TO FUND A RETIREMENT PROGRAM THAT, WHEN ADDED TO HIS BASE COMPENSATION AND OTHER ROUTINE BENEFITS WAS INTENDED TO BRING MR. PHELPS' TOTAL COMPENSATION CLOSE TO THE 50TH PERCINTILE RANGE OF TOTAL COMPENSATION FOR COMPARABLE EXECUTIVES IN COMPARABLE HEALTHCARE ORGANIZATIONS, AS DETERMINED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION REVIEWERS. MR. PHELPS' CAS COMPENSATION AND BENEFITS ARE ALOCATED AMONG THE 26 RELATED ENTITIES FOR WHICH MR. PHELPS IS RESPONSIBLE. DAVID E. PHELPS, PRESIDENT BERKSHIRE MEDICAL CENTER, INC. 26/50 HRS 504,253 BERKSHIRE FACULTY SVCS, INC. 8.75/50 HRS 169,700 FAIRVIEW HOSPITAL 3.5/50 HRS 67,880 BERKSHIRE INDEMNITY CO. LTD. 1.75/50 HRS 33,940 BHS MANAGEMENT SVCS, INC. 10/50 HRS FOR THE BENEFIT OF: BOURNE MGMT SYSTEMS, INC. 11,350 GREENFIELD MGMT SYSTEMS, INC. 11,882 NEW BEDFORD MGMT SYSTEMS, INC. 14,095 NORTHAMPTON MANAGEMENT SYSTEMS, INC. 14,650 EAST LONGMEADOW MGMT SYSTEMS, INC. 6,371 DANVERS MGMT SYSTEMS, INC. 6,256 PEABODY MGMT SYSTEMS, INC. 11,336 SOUTH YARMOTH MGMT SYSTEMS, INC. 7,234 WILLOWOOD OF GREAT BARRINGTON, INC. 9,850 WILLOWOOD OF NORTH ADAMS, INC. 8,889 WILLOWOOD OF WILLIAMSTOWN, INC. 14,288 HILLCREST EXTENDED CARE SVCS, INC. 28,179 BERKSHIRE RETIREMENT COMMUNITY, INC. 4,371 BERKSHIRE EXTENDED CARE SVCS, INC. 2,175 INTEGRINURSE, INC. 1,728 INTEGRISCRIPT, INC. 4,377 HOSPICE OF FRANKLYN COUNTY 3,896 HOSPICECARE IN THE BERKSHIRES, INC. 10,935 PITTSFIELD MGMT SYSTEMS, INC. 12,477 HOLYOKE RETIREMENT COMMUNITY, INC. 9,604 DARLENE RODOWICZ, TREASURER BERKSHIRE MEDICAL CENTER, INC. 37/50 HRS 478,060 BERKSHIRE FACULTY SVCS, INC. 7/50 HRS 90,444 FAIRVIEW HOSPITAL 3/50 HRS 38,762 BERKSHIRE INDEMNITY CO. LTD. 2.5/50 HRS 32,301 BHS MANAGEMENT SVCS, INC .5/50 HRS 6,460 FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC WILLIAM JONES: BHS MANAGEMENT SVCS, INC. 54/54 HRS FOR THE BENEFIT OF: BOURNE MGMT SYSTEMS, INC. 35,488 GREENFIELD MGMT SYSTEMS, INC. 32,751 NEW BEDFORD MGMT SYSTEMS, INC. 37,423 NORTHAMPTON MGMT SYSTEMS, INC. 39,754 EAST LONGMEADOW MGMT SYSTEMS, INC. 18,604 DANVERS MGMT SYSTEMS, INC. 17,256 PEABODY MGMT SYSTEMS, INC. 31,263 SOUTH YARMOUTH MGMT SYSTEMS, INC. 19,936 WILLOWOOD OF GREAT BARRINGTON, INC. 27,167 WILLOWOOD OF NORTH ADAMS, INC. 31,114 WILLOWOOD OF WILLIAMSTOWN, INC. 39,389 HILLCREST EXTENDED CARE SVCS, INC. 72,461 BERKSHIRE RETIREMENT COMMUNITY, INC. 13,067 BERKSHIRE EXTENDED CARE SVCS, INC. 6,414 INTEGRINURSE, INC. 5,269 INTEGRISCRIPT, INC. 13,348 HOSPICECARE IN THE BERKSHIRES, INC. 21,659 HOSPICE OF FRANKLIN COUNTY, INC. 7,649 PITTSFIELD MGMT SYSTEMS, INC. 34,447 HOLYOKE RETIREMENT COMMUNITY, INC. 29,287 JOHN F. ROGERS: BERKSHIRE HEALTH SYSTEMS, INC 4/50 HRS 47,298 BERKSHIRE MEDICAL CENTER, INC. 14/50 HRS 165,543 BERKSHIRE FACULTY SVCS, INC. 12/50 HRS 141,894 FAIRVIEW HOSPITAL 1.5/50 HRS 17,737 BERKSHIRE INDEMNITY CO. LTD. 8.5/50 HRS 100,508 BHS MANAGEMENT SVCS, INC. 10/50 HRS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. 35,472 BOURNE MGMT SYSTEMS, INC. 5,913 GREENFIELD MGMT SYSTEMS, INC. 4,730 NEW BEDFORD MGMT SYSTEMS, INC. 2,956 NORTHAMPTON MGMT SYSTEMS, INC. 5,913 EAST LONGMEADOW MGMT SYSTEMS, INC. 5,913 DANVERS MGMT SYSTEMS, INC. 5,321 PEABODY MGMT SYSTEMS, INC. 2,364 SOUTH YARMOUTH MGMT SYSTEMS, INC. 2,364 WILLOWOOD OF GREAT BARRINGTON, INC. 3,547 WILLOWOOD OF NORTH ADAMS, INC. 5,321 WILLOWOOD OF WILLIAMSTOWN, INC. 4,730 HILLCREST EXTENDED CARE SERVICES, INC. 7,094 BERKSHIRE RETIREMENT COMMUNITY, INC. 4,730 BERKSHIRE EXTENDED CARE SERVICES, INC. 2,364 INTEGRINURSE, INC. 2,956 INTEGISCRIPT, INC. 3,547 HOSPICECARE IN THE BERKSHIRES, INC. 3,547 HOSPICE OF FRANKLYN COUNTY, INC. 2,366 PITTSFIELD MGMT SYSTEMS, INC. 5,321 HOLYOKE RETIREMENT COMMUNITY, INC. 1,774 WILLIAM YOUNG: BERKSHIRE MEDICAL CENTER, INC. 35/50 HRS 258,253 BERKSHIRE FACULTY SVCS, INC. 5/50 HRS 36,893 FAIRVIEW HOSPITAL 9/50 HRS 66,408 BHS MANAGEMENT SVCS, INC. 1/50 HRS 7,379 FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. PATRICK M. BOREK: BERKSHIRE MEDICAL CENTER, INC. 35/50 HRS 264,981 BERKSHIRE FACULTY SVCS, INC. 5/50 HRS 37,854 FAIRVIEW HOSPITAL 9/50 HRS 68,138 BHS MGMT SVCS, INC. 1/50 HRS 7,571 FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES IS COMPOSED OF THE INCUMBENT MEMBERS OF THE BOARD OF TRUSTEES OF BERKSHIRE HEALTH SYSTEMS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKSHIRE HEALTH SYSTEMS ("BHS") WILL MAKE THE FORMS 990 FOR BHS AND AFFILIATES AVAILABLE TO THE MEMBERS OF THE RESPECTIVE GOVERNING BODIES FOR THEIR REVIEW BY (A) SENDING COPIES TO THEM PHYSICALLY OR ELECTRONICALLY, OR (B) NOTIFYING THE MEMBERS THAT THE FORMS 990 CAN BE ACCESSED BY A SECURE WEB-BASED FOLDER BEFORE THEY ARE FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY REQUIRING ALL MEMBERS OF THE GOVERNING BODY AND ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST (A) ANNUALLY AND (B) AS POTENTIAL CONFLICTS ARISE. THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY IS CHARGED WITH REVIEWING POTENTIAL CONFLICTS OF INTEREST INVOLVING MEMBERS OF THE GOVERNING BODY OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS CHARGED WITH REVIEWING POTENTIAL CONFLICTS OF INTEREST INVOLVING ANY OTHER OFFICERS. (INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER), KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES ARE NOT PERMITTED TO HAVE MATERIAL CONFLICTS OF INTEREST. THE DISINTERESTED MEMBERS OF THE GOVERNING BODY ARE CHARGED WITH DETERMINING WHETHER A CONFLICT EXISTS IN THE CASE OF MEMBERS OF THE GOVERNING BODY AND HOW THE AFFECTED MEMBER IS TO ABSTAIN FROM ACTIONS THAT MAY BE INFLUENCED BY HIS OR HER CONFLICT OR POTENTIAL CONFLICT, INCLUDING BY (A) NOT VOTING, OR (B) NOT VOTING AND LEAVING THE ROOM, OR (C) LEAVING THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT, VOLUNTEER, BHS GOVERNING BODY, BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING BODY-ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARKS IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED TOTAL COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 60TH PERCENTILE OF APPROPRIATE BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR TAX YEAR BEING REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>BHS MANAGEMENT SERVICES, INC.'S FORM 990 REPORT IS AVAILABLE ON THE FOLLOWING WEBSITES: GUIDESTAR AT WWW.GUIDESTAR.ORG AND OFFICE OF THE MA ATTORNEY GENERAL AT WWW.CHARITIES.AGO.STATE.MA.US/CHARITIES/</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE OFFICES OF (A) THE CHIEF FINANCIAL OFFICER AND (B) THE VICE PRESIDENT AND GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD, MA 01201</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BERKSHIRE HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042442944</EIN>
        <PrimaryActivitiesTxt>PARENT CORP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B - II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAIRVIEW HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042133860</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BERKSHIRE MEDICAL CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042791396</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BERKSHIRE FACULTY SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
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        <EIN>042995053</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B - II</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRI-STATE MEDICAL MANAGEMENT CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042913352</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BERKSHIRE ORTHOPAEDIC ASSOCIATES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>24 PARK STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>043017240</EIN>
        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BERKSHIRE FAMILY PRACTICE ASSOCIATES PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>20 ELM ST</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BERKSHIRE APOTHECARY INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>843975327</EIN>
        <PrimaryActivitiesTxt>RETAIL PHARMACY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BERKSHIRE MEDICAL CENTER INC</BusinessNameLine1Txt>
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        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BERKSHIRE EAR NOSE THROAT AND AUDIOLOGICAL ASSOCIATES PC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>510 NORTH ST 10</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
