2015-08-12T14:50:51-05:00 2014-09-30 990 2013-10-01 042442944 BERKSHIRE HEALTH SYSTEMS INC BERK 4134472508 725 NORTH STREET PITTSFIELD MA 012014109 DARLENE RODOWICZ CHIEF FINANCIAL OFFICER 4134472508 2015-08-12 0 2013 2016-02-25 16:41:14Z DARLENE RODOWICZ 725 NORTH STREET PITTSFIELD MA 01201 76505 0 X WWW.BHS1.ORG X 1983 MA THE MISSION OF BERKSHIRE HEALTH SYSTEMS IS TO IMPROVE THE HEALTH OF ALL PEOPLE IN THE BERKSHIRES AND SURROUNDING COMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. 22 18 0 0 0 0 0 0 0 0 153 158 82506 76347 82659 76505 0 0 0 0 0 0 0 0 0 5233 50 5233 50 77426 76455 12792957 12869935 7054400 7054923 5738557 5815012 THE MISSION OF BERKSHIRE HEALTH SYSTEMS IS TO IMPROVE THE HEALTH OF ALL PEOPLE IN THE BERKSHIRES AND SURROUNDING COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY. 0 0 BERKSHIRE HEALTH SYSTEMS SERVES AS THE SOLE MEMBER TO AFFILIATES THAT FORM AN INTEGRATED DELIVERY SYSTEM PROVIDING HEALTHCARE TO THE COMMUNITY. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 CJ 0 0 0 0 0 0 X 22 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X DARLENE RODOWICZ 4134472809 725 NORTH STREET PITTSFIELD MA 01201 DAVID E PHELPS PRESIDENT 10.00 40.00 X X 0 679177 39228 DAVID E PHELPS ANNUAL LIFE INSURANCE 1.00 X X 0 107692 0 JEROME J ANDERSON TRUSTEE 1.00 2.00 X 0 0 0 THOMAS ANDREWS TRUSTEE 1.00 2.00 X 0 0 0 ALFRED BARBALUNGA TRUSTEE 1.00 2.00 X 0 0 0 BRONLY BOYD CHAIR/TRUSTEE - NOT SERVING AT Y/E 1.00 2.00 X X 0 0 0 BRIAN BURKE MD TRUSTEE/PHYSICIAN 1.00 2.00 X X 0 218733 39541 KIT DOBELLE TRUSTEE 1.00 2.00 X 0 0 0 TIMOTHY DOHERTY TRUSTEE/CHAIR 1.00 2.00 X 0 0 0 RICHARD DOHONEY TRUSTEE 1.00 2.00 X 0 0 0 A KING FRANCIS TRUSTEE 1.00 2.00 X 0 0 0 DENNIS HOGAN TRUSTEE 1.00 2.00 X 0 0 0 EDMUND HORNSTEIN DO TRUSTEE/CONTRACTED PHYSICIAN 1.00 2.00 X 0 64920 0 JOHN KEARNS MD TRUSTEE 1.00 2.00 X 0 28200 0 SUSAN KORMANIK TRUSTEE 1.00 2.00 X 0 0 0 LORINDA ACKLEY MAZUR TRUSTEE 1.00 2.00 X 0 0 0 JOAN MCFALLS TRUSTEE 1.00 2.00 X 0 0 0 LAURIE NORTON MOFFATT TRUSTEE 1.00 2.00 X 0 0 0 CAROLE SIEGEL TRUSTEE - NOT SERVING AT Y/E 1.00 2.00 X 0 0 0 GEORGE SMITH TRUSTEE 1.00 2.00 X 0 0 0 MARILYN SPERLING TRUSTEE 1.00 2.00 X 0 0 0 ANN TRABULSI TRUSTEE 1.00 2.00 X 0 0 0 ELLEN KENNEDY TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL MCINERNEY MD TRUSTEE/PHYSICIAN 1.00 2.00 X 0 0 0 BARTON RASER TRUSTEE 1.00 2.00 X 0 0 0 DARLENE RODOWICZ TREASURER 0.50 49.50 X 0 463636 36555 CHERYL BOUDREAU CLERK 9.50 30.50 X 0 101178 14944 0 1663536 130268 0 0 1 0 0 158 158 INTEREST ON BHCS NOTE 900099 76347 76347 76347 76505 0 0 76505 LICENSES AND TAXES 50 50 50 0 50 0 1032788 1140082 225375 274305 100 100 11534694 11455448 12792957 12869935 825 1348 7053575 7053575 7054400 7054923 X 5738557 5815012 5738557 5815012 12792957 12869935 76455 0 X 0 0 0 X X X 0 0 0 BERKSHIRE MEDICAL CENTER INC 042791396 03 0 0 FAIRVIEW HOSPITAL 042133860 03 0 0 BERKSHIRE FACULTY SERVICES INC 042995053 03 0 0 BHS MANAGEMENT SERVICES INC 222755258 03 0 0 4 0 0 DUE FROM MANAGED ENTITIES 1174946 DUE FROM AFFILIATED ENTITIES 7801614 BERKSHIRE INDEMNITY 60000 PITTSFIELD MANAGEMENT SYSTEMS 2418888 11455448 DUE TO AFFILIATES 7053575 7053575 X PART X, LINE 2: THERE IS NO FOOTNOTE FOR FIN 48 IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. 0 1 0 0 0 0 0 0 0 DAVID E PHELPS PRESIDENT 0 639677 0 0 0 39500 0 11475 0 27753 0 718405 0 0 DAVID E PHELPS ANNUAL LIFE INSURANCE 0 0 0 0 0 107692 0 0 0 0 0 107692 0 0 BRIAN BURKE MD TRUSTEE/PHYSICIAN 0 214225 0 0 0 4508 0 10031 0 29510 0 258274 0 0 DARLENE RODOWICZ TREASURER 0 419918 0 0 0 43718 0 11475 0 25080 0 500191 0 0 PART I, LINE 3 IN REFERENCE TO 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. A PORTION OF THE COMPENSATION AMOUNT PAID TO OFFICERS OF THE FILING ENTITY IS ALLOCATED INTERNALLY AMONG THE FILING ENTITY AND ITS 26 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 BENCHMARK 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 COMPENSATION 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 PERCENTILE RANGE OF TOTAL COMPENSATION FOR COMPARABLE EXECUTIVES IN COMPARABLE HEALTHCARE ORGANIZATIONS, AS DETERMINED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION REVIEWERS. MR. PHELPS' TOTAL COMPENSATION INCLUDES THE COST OF A LIFE INSURANCE POLICY AS WELL AS CERTAIN OTHER TAXABLE BENEFITS THAT ARE GENERALLY AVAILABLE TO EMPLOYEES OF THE REPORTING ENTITY AND ITS RELATED ORGANIZATIONS. MR. PHELPS' BASE COMPENSATION AND LIFE INSURANCE (AND OTHER TAXABLE BENEFITS) ARE REPORTED SEPARATELY ON SCHEDULE J, PART II, COLUMNS (B) (I) AND B (II) RESPECTIVELY AND FORM 990, PART VII COLUMN (E). MR. PHELPS' CASH COMPENSATION AND BENEFITS ARE ALLOCATED AMONG THE 26 RELATED ENTITIES FOR WHICH MR. PHELPS IS RESPONSIBLE. FORM 990, SCHEDULE J, PART III DAVID E. PHELPS, PRESIDENT (ALLOCATION IS INCLUSIVE OF $107,692 LIFE INSURANCE IN "OTHER BENEFITS"): BERKSHIRE MEDICAL CENTER, INC. 25.9 HOURS/50 TOTAL HOURS $429,571 BERKSHIRE FACULTY SERVICES, INC. 8.6/50 HOURS $144,567 FAIRVIEW HOSPITAL 3.5/50 HOURS $57,827 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2/50 HOURS $28,913 BHS MANAGEMENT SERVICES, INC. 10/50 HOURS FOR THE BENEFIT OF: BOURNE MANAGEMENT SYSTEMS, INC. $ 10,904 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 10,078 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 11,565 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 9,748 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 5,617 DANVERS MANAGEMENT SYSTEMS, INC. $ 5,287 PEABODY MANAGEMENT SYSTEMS, INC. $ 9,583 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 6,113 BERKSHIRE PENNSYLVANIA, INC. $ 9,087 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 2,478 WILLOWOOD OF GREAT BARRINGTON, INC. $ 8,261 WILLOWOOD OF NORTH ADAMS, INC. $ 9,583 WILLOWOOD OF WILLIAMSTOWN, INC. $ 12,226 HILLCREST EXTENDED CARE SERVICES, INC. $ 22,305 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 7,435 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 660 INTEGRINURSE, INC. $ 1,983 INTEGRISCRIPT, INC. $ 5,122 HOSPICECARE IN THE BERKSHIRES, INC. $ 6,774 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 10,409 DARLENE RODOWICZ, TREASURER: BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/50 TOTAL HOURS $370,141 BERKSHIRE FACULTY SERVICES, INC. 7/50 HOURS $70,027 FAIRVIEW HOSPITAL 3/50 HOURS $30,011 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2.5/50 HOURS $25,010 BHS MANAGEMENT SERVICES, INC. 0.5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $5,002 FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES AND MONITORS ITS CONFLICT OF INTEREST POLICY BY REQUIRING ALL MEMBERS OF THE GOVERNING BODY AND SENIOR MANAGEMENT TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST (A) ANNUALLY AND (B) AS POTENTIAL CONFLICTS ARISE. SENIOR EMPLOYEES ARE NOT PERMITTED TO HAVE MATERIAL CONFLICTS OF INTEREST AND MEMBERS OF THE GOVERNING BODY ARE TO ABSTAIN FROM ACTIONS THAT MAY BE INFLUENCED BY THEIR CONFLICT OR POTENTIAL CONFLICT BY (A) NOT VOTING OR (B) NOT VOTING AND LEAVING THE ROOM OR (C) LEAVING THE GOVERNING BODY, AS DETERMINED BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 15 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 BENCHMARK 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 YEAR ENDED 9/30/14. FORM 990, PART VI, SECTION C, LINE 19 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. FORM 990, PART XII, LINE 2 BERKSHIRE HEALTH SYSTEMS' FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT ONLY AS PART OF CONSOLIDATED FINANCIAL STATEMENTS AND OTHER FINANCIAL INFORMATION FOR BERKSHIRE HEALTH SYSTEMS AND SUBSIDIARIES. EDMUND HORNSTEIN, MD HOURS SHOWN IN SCHEDULE J-2, PART I ARE FOR SERVICES AS A TRUSTEE, FOR WHICH HE RECIEVES NO COMPENSATION. DR. HORNSTEIN RECEIVES PAYMENT FROM BERKSHIRE MEDICAL CENTER FOR PHYSICIAN SERVICES. BRIAN BURKE, MD HOURS SHOWN IN SCHEDULE J-2, PART I ARE FOR SERVICES AS A TRUSTEE, FOR WHICH HE RECEIVES NO COMPENSATION. DR. BURKE RECEIVES PAYMENT FROM FAIRVIEW HOSPITAL FOR PHYSICIAN SERVICES. TRANSFERS SCHEDULE R, PART V, LINE 2 ALTHOUGH BHS HAS CONTROLLED ENTITIES WITHIN THE MEANING OF SECTION 512 (B)(13), THE ORGANIZATION DID NOT ENTER INTO ANY TRANSACTIONS WITH CONTROLLED ENTITIES DURING THE FISCAL YEAR THAT MET THE REPORTING THRESHOLD FOR PART 1. BERKSHIRE MEDICAL CENTER INC 725 NORTH STREET PITTSFIELD MA 01201 042791396 ACUTE CARE MA 501 (C)(3) 3 N/A 0 FAIRVIEW HOSPITAL 725 NORTH STREET PITTSFIELD MA 01201 042133860 ACUTE CARE MA 501 (C)(3) 3 N/A 0 BHS MANAGEMENT SERVICES INC 725 NORTH STREET PITTSFIELD MA 01201 222755258 MANAGEMENT MA 501 (C)(3) 11B N/A 0 BERKSHIRE FACULTY SERVICES INC 725 NORTH STREET PITTSFIELD MA 01201 042995053 PHYS. SVCS MA 501 (C)(3) 11B N/A 0 TRI-STATE MEDICAL MANAGEMENT CORP 725 NORTH STREET PITTSFIELD MA 01201 042913352 REAL ESTATE MGMT MA FAIRVIEW HOSPITAL C 0 WILLIAMSTOWN MEDICAL ASSOCIATES 197 ADAMS ROAD WILLIAMSTOWN MA 01267 042680535 HEALTH SERVICES MA N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0