BERKSHIRE MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BERKSHIRE MEDICAL CENTER INC (EIN 04-2791396)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-15
IRS object ID: 201412279349302521
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-15T10:43:08-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	346565596	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1101 NEW YORK AVENUE NW	AddressLine1
City	WASHINGTON	City
State	DC	State
ZIP Code	20005	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042791396	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BERKSHIRE MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BERK	NameControl
Phone	4134472081	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	725 NORTH STREET	AddressLine1
City	PITTSFIELD	City
State	MA	State
ZIP Code	012014109	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DARLENE RODOWICZ	Name
Title	CFO	Title
Phone	4134472508	Phone
Date Signed	2014-08-15	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SUSAN S TURNBAUGH	Name
PTIN	P01087152	PTIN
Phone	2023277097	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DARLENE RODOWICZ	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	725 NORTH ST	AddressLine1
City	PITTSFIELD	City
State	MA	State
ZIP Code	01201	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	373390080	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BHS1.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1983	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF BERKSHIRE MEDICAL CENTER IS TO IMPROVE THE HEALTH OF ALL PEOPLE IN THE BERKSHIRES AND SURROUNDING COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	20	NbrIndependentVotingMembers
Total Nbr Employees	2966	TotalNbrEmployees
Total Nbr Volunteers	220	TotalNbrVolunteers
Total Gross UBI	531538	TotalGrossUBI
Net Unrelated Business Txbl Income	530538	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2125889	ContributionsGrantsPriorYear
Contributions Grants Current Year	3228887	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	358529957	ProgramServiceRevenuePriorYear
Program Service Revenue CY	355486744	ProgramServiceRevenueCY
Investment Income Prior Year	5498511	InvestmentIncomePriorYear
Investment Income Current Year	5915577	InvestmentIncomeCurrentYear
Other Revenue Prior Year	896056	OtherRevenuePriorYear
Other Revenue Current Year	756438	OtherRevenueCurrentYear
Total Revenue Prior Year	367050413	TotalRevenuePriorYear
Total Revenue Current Year	365387646	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	194077682	SalariesEtcPriorYear
Salaries Etc Current Year	198334886	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	168924	TotalFundrsngExpCurrentYear
Other Expense Prior Year	137833339	OtherExpensePriorYear
Other Expenses Current Year	142657460	OtherExpensesCurrentYear
Total Expenses Prior Year	331911021	TotalExpensesPriorYear
Total Expenses Current Year	340992346	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	35139392	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	24395300	RevenuesLessExpensesCY
Total Assets BOY	431804902	TotalAssetsBOY
Total Assets EOY	470435532	TotalAssetsEOY
Total Liabilities BOY	195954271	TotalLiabilitiesBOY
Total Liabilities EOY	193886074	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	235850631	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	276549458	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF BERKSHIRE MEDICAL CENTER IS TO IMPROVE THE HEALTH OF ALL PEOPLE IN THE BERKSHIRES AND SURROUNDING COMMUNITIES, REGARDLESS OF THEIR ABILITY TO PAY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	271114739	Expense
Revenue	314595743	Revenue
Description	OPERATE AN ACUTE CARE GENERAL HOSPITAL AND MEDICAL EDUCATIONAL FACILITY, AND TO DELIVER THE HIGHEST QUALITY PATIENT CENTERED CARE IN A LEARNING ENVIRONMENT. TOTAL PATIENT DAYS FOR THE YEAR ARE 57,835, TOTAL LAB PROCEDURES 1,338,837, TOTAL RADIOLOGY PROCEDURES 161,552, TOTAL REHAB VISITS 57,133. HOURS OF OPERATION 24/HRS 365/DAYS PER YEAR.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	17366240	Expense
Revenue	32433914	Revenue
Description	OPERATION OF AN EMERGENCY DEPARTMENT AND TRAUMA CARE CENTER AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. TOTAL VISITS FOR THE YEAR 56,771. ED IS IN OPERATION 24 HRS/DAY 365 DAYS/YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	8910904	Expense
Revenue	6792012	Revenue
Description	VISITING NURSE PROGRAM ALLOWING FOR THE CARE AND REHABILATION OF PATIENTS IN THEIR OWN HOME ENVIRONMENT. TOTAL VISITS FOR THE YEAR 48,063 DETAILED AS FOLLOWS SKILLED NURSING 25,136, HOME HEALTH AIDE 9,366, REHAB 13,172, AND SOCIAL SERVICE 389. HOURS OF OPERATION 7 DAYS/WEEK 8AM-9PM WITH A NURSE ON CALL 24 HOURS.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	2099381	Expense
Revenue	1665075	Revenue
Description	OPERATE A SUBSTANCE ABUSE CENTER WITH PROVIDING THE HIGHEST QUALITY OF PATIENT CARE. TOTAL PATIENT DAYS FOR THE YEAR 5,763. PROGRAM OPERATES 24 HRS/DAY 365 DAYS/YEAR.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2099381	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1665075	TotalOfOtherProgramServiceRev
Total Program Service Expense	299491264	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	248	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2966	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	20	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DARLENE RODOWICZ	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4134472809	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	725 NORTH STREET	AddressLine1
City	PITTSFIELD	City
State	MA	State
ZIP Code	012014109	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JEROME J ANDERSON
TRUSTEE	2.00	X	0	0	0
THOMAS O ANDREWS
TRUSTEE	2.00	X	0	0	0
ALFRED A BARBALUNGA
TRUSTEE	2.00	X	0	0	0
BRONLY S BOYD
TRUSTEE/CHAIRMAN	2.00	X	0	0	0	X
BRIAN T BURKE MD
TRUSTEE/PHYSICIAN	2.00	X	0	213235	43369		48.00
KIT DOBELLE
TRUSTEE	2.00	X	0	0	0
TIMOTHY C DOHERTY
TRUSTEE	2.00	X	0	0	0
RICHARD M DOHONEY
TRUSTEE	2.00	X	0	0	0
ELLEN L KENNEDY
TRUSTEE	2.00	X	0	0	0
A KING FRANCIS
TRUSTEE	2.00	X	0	0	0
DENNIS J HOGAN
TRUSTEE	2.00	X	0	0	0
EDMUND H HORNSTEIN DO
TRUSTEE/PHYSICIAN	2.00	X	65656	0	0
MICHAEL R MCINERNEY MD
TRUSTEE/PHYSICIAN	2.00	X	0	0	0
SUSAN M KORMANIK
TRUSTEE	2.00	X	0	0	0
LORINDA ACKLEY MAZUR
TRUSTEE	2.00	X	0	0	0
JOAN M MCFALLS
TRUSTEE	2.00	X	0	0	0
LAURIE NORTON MOFFATT
TRUSTEE	2.00	X	0	0	0
DAVID E PHELPS
PRESIDENT	29.00	X	0	530620	49029	X	24.00
D PHELPS RETIREMENT
PRESIDENT DIST ONE TIME	1.00	X	0	1878328	0	X
CAROL G SIEGEL
TRUSTEE	2.00	X	0	0	0
GEORGE T SMITH
TRUSTEE	2.00	X	0	0	0
MARILYN L SPERLING
TRUSTEE	2.00	X	0	0	0
ANN H TRABULSI
TRUSTEE	2.00	X	0	0	0
ROBERT P WESPISER MD
TRUSTEE/PHYSICIAN TERM END 1/23/13	2.00	X	133154	0	0
JOHN R KEARNS MD
TRUSTEE	2.00	X	0	0	0
BARTON D RASOR
TRUSTEE	2.00	X	0	0	0
DARLENE RODOWICZ
TREASURER	37.00		0	494303	39459	X	13.00
CHERYL BOUDREAU
CLERK	19.00		0	97231	14651	X	21.00
RONALD HAYDEN
CHAIRMAN - EMERGENCY MEDIC	50.00		559973	0	39953			X
DIANE KELLY
C.O.O.	50.00		433137	0	39053			X
RAYMOND GARY SOHL
ANESTHESIOLOGIST	50.00		465530	0	37971				X
ANTHONY G ELLRODT
CHAIRMAN - DEPT OF MEDICIN	50.00		454537	0	39152				X
DAVID I POMERANTZ
ANESTHESIOLOGIST	50.00		423590	0	46129				X
ROBERT W MALINOWSKI
ANESTHESIOLOGIST	50.00		426248	0	38174				X
TALAL A MAKKAOUI
ANESTHESIOLOGIST	50.00		414107	0	49152				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3375932	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	3213717	TotalReportableCompFrmRltdOrgs
Total Other Compensation	436092	TotalOtherCompensation
Number Individuals GT100 K	293	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MMODEL
9009 CAROTHERS PARKWAY SUITE C	FRANKLIN	TN	37067	MED TRANSCRIPT SRVC	769991
EXECUTIVE HEALTH RESOURCES
PO BOX 822688	PHILADELPHIA	PA	191822688	CONTRACTED LABOR	697095
DIVERSIFIED CLINICAL SERVICES
PO BOX 85001	ORLANDO	FL	32885	MANAGEMENT SERVICES	596774
BAYSTATE REFERENCE LABORATORY
PO BOX 3352	BOSTON	MA	022413352	MEDICAL LAB SERVICES	460259
LOCUM TENENSCOM
PO BOX 405547	ATLANTA	GA	303845547	CONTRACTED LABOR	363044

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	175	NumberOfContractorsGT100K
Fundraising Events	85335	FundraisingEvents
Government Grants	979084	GovernmentGrants
All Other Contributions	2164468	AllOtherContributions
Noncash Contributions	844800	NoncashContributions
Total Contributions	3228887	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES REVENUE	621399	330683267	330683267
OTHER ANCILLARY	621399	19750626	19750626
LAB REVENUE	621511	2080459	2080459
PSYCH PROF SERVICES	621112	1589181	1589181
HEALTH PROMO EDUCATION	611710	1383211	1383211

Field	Value	IRS element (for citing)
Total Program Service Revenue	355486744	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3256908	TotalRevenueColumn
Unrelated Business Revenue	531538	UnrelatedBusinessRevenue
Exclusion	$2,725,370	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	233539	TotalRevenueColumn
Exclusion	$233,539	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1460362	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1843406	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-383044	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-383044	TotalRevenueColumn
Exclusion	-$383,044	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	8506369	Securities
Other	23224	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	6104463	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2401906	Securities
Other	23224	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2425130	TotalRevenueColumn
Exclusion	$2,425,130	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	54565	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	85335	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	54565	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	CAFETERIA INCOME	Description
Business Code	722514	BusinessCode
Total Revenue Column	1139482	TotalRevenueColumn
Exclusion	$1,139,482	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1139482	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	365387646	TotalRevenueColumn
Related Or Exempt Function Income	355486744	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	531538	UnrelatedBusinessRevenue
Exclusion	$6,140,477	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	933109	Total
Management And General	933109	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	156065771	Total
Program Services	149674127	ProgramServices
Management And General	6302048	ManagementAndGeneral
Fundraising	89596	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6266250	Total
Program Services	5971736	ProgramServices
Management And General	294514	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	22931931	Total
Program Services	21854130	ProgramServices
Management And General	1077801	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12137825	Total
Program Services	11567347	ProgramServices
Management And General	570478	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	27085882	Total
Management And General	27085882	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	45340	Total
Program Services	45340	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	6038998	Total
Program Services	4571810	ProgramServices
Management And General	1467188	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	274841	Total
Program Services	261448	ProgramServices
Management And General	12893	ManagementAndGeneral
Fundraising	500	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4916123	Total
Program Services	4685064	ProgramServices
Management And General	231059	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	771331	Total
Program Services	735078	ProgramServices
Management And General	36253	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4330962	Total
Program Services	4127407	ProgramServices
Management And General	203555	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	609168	Total
Program Services	609168	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21849141	Total
Program Services	20831431	ProgramServices
Management And General	1017710	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2770492	Total
Program Services	2640279	ProgramServices
Management And General	130213	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	47012130	45676410	1267472	68248
BAD DEBT	9328644	9328644
RECIPROCAL/TEACH FEE	8896874	8896874
EQUIPMENT RENTAL/PURCHA	6809756	6440364	369392

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1917778	Total
Program Services	1574607	ProgramServices
Management And General	332591	ManagementAndGeneral
Fundraising	10580	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	340992346	Total
Program Services	299491264	ProgramServices
Management And General	41332158	ManagementAndGeneral
Fundraising	168924	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10870	BOY
EOY	10870	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	45928720	BOY
EOY	31743857	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	41780254	BOY
EOY	44871133	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	14433512	BOY
EOY	14608124	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6470928	BOY
EOY	7119480	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2496850	BOY
EOY	2164784	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	420523680	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	241732359	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	151952215	BOY
EOY	178791321	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	147888681	BOY
EOY	165789843	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	16413215	BOY
EOY	20229940	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4429657	BOY
EOY	5106180	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	431804902	BOY
EOY	470435532	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	36798762	BOY
EOY	35244930	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	676830	BOY
EOY	409802	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	121637995	BOY
EOY	115059786	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	36840684	BOY
EOY	43171556	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	195954271	BOY
EOY	193886074	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	216851871	BOY
EOY	254349129	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12230008	BOY
EOY	15452412	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6768752	BOY
EOY	6747917	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	235850631	BOY
EOY	276549458	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	431804902	BOY
EOY	470435532	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	24395300	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	16303527	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$45,340	OtherActivitiesAmount
Total Lobbying Expenditures IIB	45340	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	LOBBYING ACTIVITIES EXPENDITURES BERKSHIRE MEDICAL CENTER PAYS ANNUAL MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE MASSACHUSETTS HOSPITAL ASSOCIATION (MHA). A PORTION OF THESE DUES ARE USED BY THE AHA AND THE MHA TO CONDUCT LOBBYING ACTIVITIES FOR THE FYE 9/30/2013.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17567495	BeginningOfYearBalance
Contributions	-20836	Contributions
Investment Earnings Or Losses	2111310	InvestmentEarningsOrLosses
Grants Or Scholarships	-13100	GrantsOrScholarships
Other Expenditures	-8702	OtherExpenditures
End Of Year Balance	19636167	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15196985	BeginningOfYearBalance
Investment Earnings Or Losses	2399757	InvestmentEarningsOrLosses
Grants Or Scholarships	-15600	GrantsOrScholarships
Other Expenditures	-13646	OtherExpenditures
End Of Year Balance	17567495	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15641155	BeginningOfYearBalance
Investment Earnings Or Losses	-418714	InvestmentEarningsOrLosses
Grants Or Scholarships	-19500	GrantsOrScholarships
Other Expenditures	-5956	OtherExpenditures
End Of Year Balance	15196985	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14530168	BeginningOfYearBalance
Contributions	128139	Contributions
Investment Earnings Or Losses	1002929	InvestmentEarningsOrLosses
Grants Or Scholarships	18000	GrantsOrScholarships
Other Expenditures	2081	OtherExpenditures
End Of Year Balance	15641155	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14373083	BeginningOfYearBalance
Contributions	40498	Contributions
Investment Earnings Or Losses	128713	InvestmentEarningsOrLosses
Grants Or Scholarships	7400	GrantsOrScholarships
Other Expenditures	4726	OtherExpenditures
End Of Year Balance	14530168	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.34470	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.65530	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6735560	OtherCostOrOtherBasis
Book Value	6735560	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	158454823	OtherCostOrOtherBasis
Depreciation	76852943	Depreciation
Book Value	81601880	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	208091159	OtherCostOrOtherBasis
Depreciation	157738715	Depreciation
Book Value	50352444	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47242138	OtherCostOrOtherBasis
Depreciation	7140701	Depreciation
Book Value	40101437	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	178791321	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTIES	$27,458,080
DEFERRED COMPENSATION	$3,575,498
GIFT ANNUITY LIABILTIY	-$114
INTEREST RATE SWAP LIABILITY	$784,000
AMOUNT DUE TO AFFILIATE	$10,015,802
ASSET RETIREMENT ACCRETION	$1,261,815
REBATE FUND PAYABLE	$76,475

Field	Value	IRS element (for citing)
Total Of Amounts	43171556	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	381691173	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	16303527	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	16303527	RevenueNotRptdF990
Revenue Subtotal	365387646	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	365387646	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	340992346	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	340992346	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	340992346	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	THE ORGANIZATION HOLDS, INVESTS AND/OR UTILIZES ENDOWMENT FUNDS IN ACCORDANCE WITH ANY EXPRESSED WISH OF THE DONOR OF THOSE FUNDS. TO THE EXTENT THAT THE DONOR INSTRUCTIONS ALLOW THE EXPENDITURE OF THE ENDOWMENT FUNDS, THEY ARE EXPENDED FOR HEALTHCARE SERVICES PURPOSES SUCH AS FREE CARE AND SCHOLARSHIPS, CONSISTENT WITH THE TAX EXEMPTION OF THE ORGANIZATION.
		PART X LINE 2: THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND OTHER FINANCIAL INFORMATION OF BERKSHIRE HEALTH SYSTEMS, INC. AND AFFILIATES (INCLUDING BERKSHIRE MEDICAL CENTER) FOR THE YEARS ENDED SEPTEMBER 30, 2013, AND 2012 DOES NOT CONTAIN A FOOTNOTE ADDRESSING ANY LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	53235	GrossReceiptsEvent1
Charitable Contributions Event1	32481	CharitableContributionsEvent1
Gross Revenue Event1	20754	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	4656	NonCashPrizesEvent1
Rent Facility Costs Event1	4096	RentFacilityCostsEvent1
Food And Beverage Event1	3773	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	8229	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	86665	GrossReceiptsEvent2
Charitable Contributions Event2	52854	CharitableContributionsEvent2
Gross Revenue Event2	33811	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	2360	NonCashPrizesEvent2
Rent Facility Costs Event2	10980	RentFacilityCostsEvent2
Food And Beverage Event2	10687	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	9784	OtherDirectExpensesEvent2
Gross Receipts Total	139900	GrossReceiptsTotal
Charitable Contributions Total	85335	CharitableContributionsTotal
Gross Revenue Total Events	54565	GrossRevenueTotalEvents
Non Cash Prizes Total Events	7016	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	15076	RentFacilityCostsTotalEvents
Food And Beverage Total Events	14460	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	18013	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	54565	DirectExpenseSummaryEvents
Net Income Summary	0	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3248107	TotalCommunityBenefitExpense
Net Community Benefit Expense	3248107	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	44224504	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40094721	DirectOffsettingRevenue
Net Community Benefit Expense	4129783	NetCommunityBenefitExpense
Percent Of Total Expense	0.01250	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18157997	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16757426	DirectOffsettingRevenue
Net Community Benefit Expense	1400571	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	65630608	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56852147	DirectOffsettingRevenue
Net Community Benefit Expense	8778461	NetCommunityBenefitExpense
Percent Of Total Expense	0.02650	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4485365	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1591291	DirectOffsettingRevenue
Net Community Benefit Expense	2894074	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12508349	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5063374	DirectOffsettingRevenue
Net Community Benefit Expense	7444975	NetCommunityBenefitExpense
Percent Of Total Expense	0.02240	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23773592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14304644	DirectOffsettingRevenue
Net Community Benefit Expense	9468948	NetCommunityBenefitExpense
Percent Of Total Expense	0.02850	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62365	TotalCommunityBenefitExpense
Net Community Benefit Expense	62365	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	40829671	TotalCommunityBenefitExpense
Direct Offsetting Revenue	20959309	DirectOffsettingRevenue
Net Community Benefit Expense	19870362	NetCommunityBenefitExpense
Percent Of Total Expense	0.05980	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	106460279	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77811456	DirectOffsettingRevenue
Net Community Benefit Expense	28648823	NetCommunityBenefitExpense
Percent Of Total Expense	0.08630	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	146524	TotalCommunityBuildingExpense
Direct Offsetting Revenue	536	DirectOffsettingRevenue
Net Community Building Expense	145988	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	67683	TotalCommunityBuildingExpense
Net Community Building Expense	67683	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	36926	TotalCommunityBuildingExpense
Direct Offsetting Revenue	18000	DirectOffsettingRevenue
Net Community Building Expense	18926	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	10988	TotalCommunityBuildingExpense
Net Community Building Expense	10988	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	262121	TotalCommunityBuildingExpense
Direct Offsetting Revenue	18536	DirectOffsettingRevenue
Net Community Building Expense	243585	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$9,328,644	BadDebtExpenseAmount
Amount Attributable To	4352745	AmountAttributableTo
Amount Reimbursed By Medicare	119446090	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	100643967	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	18802123	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BERKSHIRE MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	725 NORTH STREET	AddressLine1
City	PITTSFIELD	City
State	MA	State
ZIP Code	01201	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours
Other	HOME HEALTH, SUBSTANCE ABUSE, MENTAL HEALTH SERVICES, DENTAL CLINIC,	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BERKSHIRE MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	1	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
PART I, LINE 7: THE TOTAL COMMUNITY BENEFIT EXPENSE REPORTED ON PART I, LINES 7A, 7B, & 7C HAS BEEN CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AS COMPUTED USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE TOTAL COMMUNITY BENEFIT EXPENSE REPORTED ON PART I, LINE 7G HAS BEEN CALCULATED USING A COST ACCOUNTING METHOD.
PART I, LINE 7G: SUBSTANCE ABUSE UNIT, DENTAL CLINIC, INPATIENT PYSCHIATRIC UNIT
PART I, L7 COL(F): BAD DEBT EXPENSE OF $9,328,644 ATTRIBUTABLE TO PATIENT ACCOUNTS HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE SHOWN IN PART I, LINE 7, COLUMN F.
FAIRVIEW HOSPITAL AND BERKSHIRE MEDICAL CENTER EACH FILE A SEPARATE COMMUNITY BENEFITS REPORT WITH THE STATE OF MASSACHUSETTS. BMC'S FISCAL YEAR 2013 COMMUNITY BENEFITS REPORT CAN BE ACCESSED AT WWW.CBSYS.AGO.STATE.MA.US/CBPUBLIC/PUBLIC/ANNUAL_REPORTS_START.ASPX.	PART 1, LINE 6A
PART II: BHS RECOGNIZES THAT ACTIVE INVOLVEMENT IN THE COMMUNITY IS CRUCIAL TO PROMOTING AND PROTECTING THE HEALTH OF AREA RESIDENTS. THE DELIVERY OF HEALTHCARE SERVICES ALONE CANNOT ACHIEVE SIGNIFICANT IMPROVEMENT IN THE HEALTH STATUS OF OUR COMMUNITY. BHS HAS ENGAGED IN COMMUNITY BUILDING ACTIVITIES WITH THE GOAL OF DEVELOPING A SOCIETAL INFRASTRUCTURE THAT ENGAGES ALL SEGMENTS OF THE COMMUNITY WITH THE ULTIMATE PURPOSE OF BETTERING THE LIVES OF PEOPLE IN THE COMMUNITY. THESE ACTIVITIES HAVE REVOLVED AROUND THREE SPECIFIC EFFORTS:1. PARTICIPATION IN GRASSROOTS COMMUNITY WIDE INITIATIVES FOCUSING ON LOCALLY IDENTIFIED CONCERNS:TEEN PREGNANCY PREVENTION INITIATIVEPITTSFIELD YOUTH PREVENTION PARTNERSHIPPITTSFIELD PROMISE (3RD GRADE READING LEVELS)COMMUNITY HEALTH NETWORK OF THE BERKSHIRESYOUTH SUICIDE PREVENTION PROGRAM/BERKSHIRE COALITION FOR SUICIDE PREVENTION.H1N1 FLU VACCINATION CLINICSBERKSHIRE PAIN MANAGEMENT PROGRAM, MULTI-STAKEHOLDER INITIATIVE TO CURTAIL PRESCRIPTION DRUG MISUSE AND DIVERSIONEMERGENCY RESPONSE PLANNINGSCHOOL PARTNERSHIPS WITH REID MIDDLE SCHOOL AND CONTE ELEMENTARY SCHOOL 2. SERVING IN A LEADERSHIP CAPACITY WITH COMMUNITY ORGANIZATIONSBERKSHIRE UNITEDBERKSHIRE PRIORITIESAREA HEALTH EDUCATION CENTERPITTSFIELD FAMILY YMCAELDER SERVICES OF BERKSHIRE COUNTYBERKSHIRE COMMUNITY COLLEGEBERKSHIRE COMMUNITY COLLEGE FOUNDATIONLOCAL SCHOOL COMMITTEES (PITTSFIELD, ADAMS CHESHIRE REGIONAL, AND CENTRAL BERKSHIRE)LOCAL BOARDS OF HEALTHBERKSHIRE REGIONAL PLANNING COMMISSION SUSTAINABLE BERKSHIRES INITIATIVELOCAL SCHOOL WELLNESS COMMITTEESAREAS OF ECONOMIC DEVELOPMENT:BERKSHIRE REGIONAL EMPLOYMENT BOARDCHAMBER OF COMMERCEBERKSHIRE ECONOMIC DEVELOPMENT CORPORATION 3. WORKING WITH AREA AND REGIONAL INSTITUTIONS OF HIGHER LEARNING TO MAKE EDUCATIONAL OPPORTUNITIES AVAILABLE TO AREA RESIDENTS.ELMS COLLEGE RN TO BSN PROGRAMCAREER LADDER/ CLINICAL TECHNICAL TRAINING PROGRAMS IN NURSING AND ALLIED HEALTH AREASCLINICAL TRAINING SITE FOR AREA STUDENTS IN NURSING AND ALLIED HEALTH DISCIPLINESEMT-TRAINING AND RE-CERTIFICATION PROGRAMSBHS/BCC NURSING ASSISTANT PROGRAM FOR MEMBERS OF THE COMMUNITY AT LARGEYOUTH LEADERSHIP GROUP
PART III, LINE 4: FOOTNOTE 4 ("CHARITY CARE") TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTARY FINANCIAL INFORMATION OF BERKSHIRE HEALTH SYSTEMS, INC. AND AFFILIATES (INCLUDING BERKSHIRE MEDICAL CENTER) FOR THE YEARS ENDED SEPTEMBER 30, 2013,AND 2012 CONTAINS THE FOLLOWING REGARDING BAD DEBT EXPENSE: "THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CHARITY CARE POLICY CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTALISHED RATES." "IF A PATIENT IS INELIGIBLE FOR CHARITY CARE OR CARE AT REDUCED RATES BECAUSE THE PATIENT'S INCOME EXCEEDS THE ELIGIBILITY GUIDLINES, SERVCIES RENDERED ARE RECORDED AT ESTABLISHED RATES AND ANY UNPAID ACCOUNT RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT EXPENSE AFTER A REASONABLE COLLECTION EFFORT HAS BEEN MADE."THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS REPORTED ON LINE 2, PART III WAS CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AS COMPUTED USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. NO BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER BERKSHIRE MEDICAL CENTER'S CHARITY CARE POLICY HAS BEEN REPORTED ON LINE 3, PART III BECAUSE ALL GROSS PATIENT CHARGES ATTRIBUTABLE TO THESE PATIENTS THAT WERE NOT PAID FROM UNCOMPENSATED CARE POOLS OR PROGRAMS WERE WRITTEN OFF AS "FREE CARE" EXPENSE.
PART III, LINE 8: THE AMOUNT REPORTED ON LINE 6, PART III WAS DETERMINED USING THE COST ALLOCATION METHODOLOGY USED FOR THE MEDICARE COST REPORTS. RURAL FLOOR PROVISION IMPACT ON MRA REVENUE:IN FISCAL YEAR 2012, BERKSHIRE MEDICAL CENTER AND ALMOST ALL OTHER MASSACHUSETTS HOSPITALS EXPERIENCED AN UNUSUAL AND LIKELY TEMPORARY INCREASE IN REIMBURSEMENT FROM THE MEDICARE PROGRAM DUE TO THE MANNER IN WHICH THE MEDICARE PROGRAM APPLIED ONE ELEMENT OF ITS REIMBURSEMENT CALCULATION. FOR MANY YEARS, THE APPLICATION OF THIS SAME ELEMENT OF THE REIMBURSEMENT CALCULATION WORKED TO THE DETRIMENT OF MASSACHUSETTS HOSPITALS, INCLUDING BERKSHIRE MEDICAL CENTER. THE HOSPITAL IS NOT EXPECTING THAT THIS TEMPORARY, POSTIVE ADJUSTMENT WILL CONTINUE.THE VALUE OF THE RURAL FLOOR PROVISION TO BMC IN FY 2013 WAS $13.9 MILLION.
PART III, LINE 9B: POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS:A. PATIENTS ENROLLED IN A STATE HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN, "LOW INCOME PATIENTS" AS DETERMINED BY THE OFFICE OF MEDICAID1. PLEASE NOTE THAT BMC MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN THE ABOVE MENTIONED PROGRAMS FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM.2. BMC MAY ALSO INITIATE BILLING OR COLLECTION FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, (INCLUDING RECEIPT OR VERIFICATION OF SIGNED APPLICATION) BMC SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES. 3. BMC MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN COMMONWEALTH CARE PROGRAMS, BMC WILL CEASE COLLECTION ACTIVITY FOR SERVICES, PREVIOUSLY BILLED, THAT NOW FALL INTO THE ELIGIBILITY PERIOD. 4. BMC MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE.5. BMC WILL NOT UNDERTAKE COLLECTION ACTION AGAINST AN INDIVIDUAL THAT HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM WITH RESPECT TO THE AMOUNT OF THE BILL THAT EXCEEDS THE MEDICAL HARDSHIP CONTRIBUTION.B. BMC DOES NOT GARNISH A PATIENT'S OR THE PATIENT'S GUARANTOR'S WAGES OR EXECUTE A LIEN ON THE PATIENT'S OR THE PATIENT'S GUARANTOR'S PERSONAL RESIDENCE OR MOTOR VEHICLE. C. BMC AND ITS AGENTS SHALL NOT CONTINUE COLLECTION OR BILLING ON A PATIENT WHO IS A MEMBER OF A BANKRUPTCY PROCEEDING EXCEPT TO SECURE ITS RIGHTS AS A CREDITOR IN THE APPROPRIATE ORDER.
PART V, SECTION A: RENAL DIALYSIS, OCCUPATIONAL HEALTH, ACUTE REHABILITATION PROGRAM
PART V, SECTION B, LINE 3: BMC HAS UTILIZED AN ACTIVE COMMUNITY NEEDS ASSESSMENT AS PART OF ITS COMMUNITY BENEFIT PROCESS SINCE 1996. THE COMMUNITY NEEDS ASSESSMENT IS UPDATED ANNUALLY, AND THE UPDATE IN 2012 DIRECTED OUR EFFORTS IN 2013 . BMC UTILIZED ALL AVAILABLE CLINICAL, HEALTH STATUS, DEMOGRAPHIC, AND SOCIO-ECONOMIC DATA AVAILABLE TO FORM THE FOUNDATION OF OUR NEEDS ASSESSMENT. IN ADDITION WE GATHERED AVAILABLE QUALITATIVE DATA FROM OUR MANY ADVISORY GROUPS, COMMUNITY FORUMS, SURVEYS, AND FOCUS GROUPS. THE WELLNESS AND OUTREACH PROGRAMS ALSO SUPPLEMENT OUR UNDERSTANDING OF THE HEALTH STATUS OF OUR COMMUNITY, HEALTH RISK FACTORS, AND BARRIERS TO HEALTH AND HEALTH CARE. IN NOVEMBER 2011, IN COLLABORATION WITH OUR PUBLIC HEALTH COLLEAGUES FROM ACROSS BERKSHIRE COUNTY, WE ALSO HOSTED A COMMUNITY WIDE MEETING TO REVIEW THE HEALTH NEEDS OF OUR COMMUNITY AND SOLICIT ADDITIONAL FEEDBACK FROM OVER 70 COMMUNITY BASED ORGANIZATIONS (SEE ATTACHMENT) . THE FEEDBACK GATHERED INPUT ON SPECIFIC ACTIONS THAT COULD BE TAKEN AT AN INDIVIDUAL, FAMILY AND ORGANIZATIONAL LEVEL AS WELL AS IDENTIFYING GAPS IN SERVICE IN ADDITION TO PRIORITIZING THE MOST IMPORTANT NEEDS FOR THE COMMUNITY AS A WHOLE. WE HAVE CONVENED THIS COMMUNITY GROUP AT LEAST ANNUALLY TO REVIEW DATA, CONFIRM PRIORITIES, DISCUSS NEEDS AND WORK TOGETHER TO ADDRESS THE IDENTIFIED PRIORIES AND NEEDS. IN 2012 WE FORMALIZED THE COUNTY HEALTH INITIATIVE(CHI) WITH THE GOAL OF WORKING TOGETHER TO IMPROVE COMMUNITY HEALTH. THE LEADERSHIP TEAM OF THE CHI INCLUDED BERKSHIRE MEDICAL CENTER, FAIRVIEW HOSPITAL, NORTH ADAMS REGIONAL HOSPITAL, BERKSHIRE COUNTY BOARDS OF HEALTH, THE BERKSHIRE ALLIANCE FOR PUBLIC HEALTH, TRI-TOWN HEALTH DEPARTMENT, PITTSFIELD BOARD OF HEALTH, BERKSHIRE UNITED WAY AND NORTHERN BERKSHIRE COMMUNITY COALITION. THE NEEDS DATA, ALONG WITH STATE PRIORITIES ARE USED TO DETERMINE OUR ANNUAL COMMUNITY BENEFIT PRIORITIES, WHICH ARE ESTABLISHED BY THE COMMUNITY BENEFIT AND ACCESS COMMITTEE OF THE BOARD OF TRUSTEES. IN ITS PLANNING, BMC LOOKS FOR OPPORTUNITIES TO MAKE BETTER AND MORE EFFECTIVE USE OF EXISTING RESOURCES AND PROVIDERS, AS WELL AS TO IDENTIFY GAPS IN SERVICE. BMC WORKS WITH INTERNAL RESOURCES AND COMMUNITY AND REGIONAL PARTNERS, WITH THE HELP OF EVIDENCED BASED OR BEST PRACTICE PROGRAMS, TO DEVELOP AND IMPLEMENT PROGRAMS AND INITIATIVES TO MEET COMMUNITY NEED.		BERKSHIRE MEDICAL CENTER
PART V, SECTION B, LINE 4: FAIRVIEW HOSPITAL, INC.		BERKSHIRE MEDICAL CENTER
PART V, SECTION B, LINE 20D: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO AN FAP ELEGIBLE PATIENT WILL BE IN COMPLIANCE WITH THE NEW FINALIZED SECTION 501(R) REGULATIONS.		BERKSHIRE MEDICAL CENTER
PART V, SECTION B, LINE 22: ALL PATIENTS CHARGED EQUALLY, UNINSURED ARE BILLED AT DISCOUNTED RATE.		BERKSHIRE MEDICAL CENTER
PART VI, LINE 2: COMMUNITY BENEFITS MISSION STATEMENTFURTHERING OUR CHARITABLE PURPOSE, THE BERKSHIRE MEDICAL CENTER'S COMMUNITY BENEFIT MISSION IS TO IDENTIFY, PRIORITIZE AND INVEST IN OUR COMMUNITY'S HEALTH NEEDS BY PURSUING NEEDED INITIATIVES AND PROGRAMS. THE COMMUNITY BENEFIT GOALS INCLUDE SATISFYING UNMET NEEDS IN THE BERKSHIRES AND IMPROVING THE HEALTH STATUS OF OUR COMMUNITY WITH A PARTICULAR FOCUS ON ACCESS TO HEALTHCARE AND "AT RISK" POPULATIONS. RECOGNIZING THE VALUE OF BMC'S PARTNERSHIP WITH OUR COMMUNITY, BMC WILL SEEK INPUT AND MEANINGFUL COLLABORATION IN OUR EFFORT TO MEET COMMUNITY NEED. BMC WILL OUTLINE IN AN ANNUAL COMMUNITY BENEFIT PLAN, THE PRIORITIES TO BE ADDRESSED AND THE INITIATIVES TO BE FUNDED.BMC AND FAIRVIEW HOSPITAL ARE BOTH PART OF BERKSHIRE HEALTH SYSTEMS AND THEREFORE WORK TOGETHER TO MEET COMMUNITY NEED. COMMUNITY BENEFIT AND ACCESS COMMITTEEAS A STANDING COMMITTEE OF THE BOARD OF TRUSTEES - ITSELF MADE UP OF COMMUNITY VOLUNTEERS, THIS COMMITTEE IS RESPONSIBLE FOR UNDERSTANDING THE HEALTH NEEDS AND BARRIERS TO CARE IN OUR SERVICE AREA. THE COMMITTEE OVERSEES THE COMMUNITY BENEFIT PROCESS OF THE ORGANIZATION, INCLUDING HEALTH NEEDS ASSESSMENTS, DETERMINING TARGET POPULATIONS AND PRIORITIES, DEVELOPMENT OF THE COMMUNITY BENEFITS PLAN AND EVALUATING PERFORMANCE AGAINST GOALS AND OBJECTIVES. THE COMMITTEE IS COMPRISED OF PEOPLE FROM THE BOARD OF TRUSTEES AND THE COMMUNITY AT LARGE, AND MEETS MONTHLY THOUGH OUT THE YEAR. COMMUNITY BENEFITS LEADERSHIP/TEAMRUTH BLODGETT, BHS SENIOR VICE PRESIDENT, PLANNING AND DEVELOPMENT; MICHAEL LEARY, BHS DIRECTOR OF MEDIA RELATIONS; CATHIE MCHUGH, PLANNING ANALYST; KAREN BENZIE, RN VP INTEGRATED CARE; ED PERLAK, VICE PRESIDENT, COMMUNITY SERVICES; LEE SANTOS, BHS FISCAL ADMINISTRATION; PROGRAM DIRECTORS OF COMMUNITY BENEFIT PROGRAMS.COMMUNITY BENEFITS TEAM MEETINGSTHE BHS COMMUNITY BENEFITS AND ACCESS COMMITTEE MEETS MONTHLY TO DISCUSS COMMUNITY BENEFIT PROGRAMS, POTENTIAL NEW INITIATIVES, COMMUNITY NEEDS AND OUTCOMES. THROUGHOUT THE YEAR, INTERNAL COMMUNITY BENEFIT AND PROGRAM LEADERS MEET TO COORDINATE THE COMMUNITY BENEFIT PLAN AND PROGRAMS. HEALTH NEEDS ASSESSMENTBMC HAS UTILIZED AN ACTIVE COMMUNITY NEEDS ASSESSMENT AS PART OF ITS COMMUNITY BENEFIT PROCESS SINCE 1996. THE COMMUNITY NEEDS ASSESSMENT IS UPDATED ANNUALLY, AND THE UPDATE IN 2012 DIRECTED OUR EFFORTS IN 2013 . BMC UTILIZED ALL AVAILABLE CLINICAL, HEALTH STATUS, DEMOGRAPHIC, AND SOCIO-ECONOMIC DATA AVAILABLE TO FORM THE FOUNDATION OF OUR NEEDS ASSESSMENT. IN ADDITION WE GATHERED AVAILABLE QUALITATIVE DATA FROM OUR MANY ADVISORY GROUPS, COMMUNITY FORUMS, SURVEYS, AND FOCUS GROUPS. THE WELLNESS AND OUTREACH PROGRAMS ALSO SUPPLEMENT OUR UNDERSTANDING OF THE HEALTH STATUS OF OUR COMMUNITY, HEALTH RISK FACTORS, AND BARRIERS TO HEALTH AND HEALTH CARE. IN NOVEMBER 2011, IN COLLABORATION WITH OUR PUBLIC HEALTH COLLEAGUES FROM ACROSS BERKSHIRE COUNTY, WE ALSO HOSTED A COMMUNITY WIDE MEETING TO REVIEW THE HEALTH NEEDS OF OUR COMMUNITY AND SOLICIT ADDITIONAL FEEDBACK FROM OVER 70 COMMUNITY BASED ORGANIZATIONS (SEE ATTACHMENT) . THE FEEDBACK GATHERED INPUT ON SPECIFIC ACTIONS THAT COULD BE TAKEN AT AN INDIVIDUAL, FAMILY AND ORGANIZATIONAL LEVEL AS WELL AS IDENTIFYING GAPS IN SERVICE IN ADDITION TO PRIORITIZING THE MOST IMPORTANT NEEDS FOR THE COMMUNITY AS A WHOLE. WE HAVE CONVENED THIS COMMUNITY GROUP AT LEAST ANNUALLY TO REVIEW DATA, CONFIRM PRIORITIES, DISCUSS NEEDS AND WORK TOGETHER TO ADDRESS THE IDENTIFIED PRIORIES AND NEEDS. IN 2012 WE FORMALIZED THE COUNTY HEALTH INITIATIVE(CHI) WITH THE GOAL OF WORKING TOGETHER TO IMPROVE COMMUNITY HEALTH. THE LEADERSHIP TEAM OF THE CHI INCLUDED BERKSHIRE MEDICAL CENTER, FAIRIVEW HOSPITAL, NORTH ADAMS REGIONAL HOSPITAL, BERKSHIRE COUNTY BOARDS OF HEALTH, THE BERKSHIRE ALLIANCE FOR PUBLIC HEALTH, TRI-TOWN HEALTH DEPARTMENT, PITTSFIELD BOARD OF HEALTH, BERKSHIRE UNITED WAY AND NORTHERN BERKSHIRE COMMUNITY COALITION. THE NEEDS DATA, ALONG WITH STATE PRIORITIES ARE USED TO DETERMINE OUR ANNUAL COMMUNITY BENEFIT PRIORITIES, WHICH ARE ESTABLISHED BY THE COMMUNITY BENEFIT AND ACCESS COMMITTEE OF THE BOARD OF TRUSTEES. IN ITS PLANNING, BMC LOOKS FOR OPPORTUNITIES TO MAKE BETTER AND MORE EFFECTIVE USE OF EXISTING RESOURCES AND PROVIDERS, AS WELL AS TO IDENTIFY GAPS IN SERVICE. BMC WORKS WITH INTERNAL RESOURCES AND COMMUNITY AND REGIONAL PARTNERS, WITH THE HELP OF EVIDENCED BASED OR BEST PRACTICE PROGRAMS, TO DEVELOP AND IMPLEMENT PROGRAMS AND INITIATIVES TO MEET COMMUNITY NEED. DATA SOURCESCOMMUNITY FOCUS GROUPS, HOSPITAL DATA, CONSUMER AND ADVISORY GROUPS, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, OTHER - HEALTHY PEOPLE 2020; DEPARTMENT OF PUBLIC HEALTH BUREAU OF FAMILY AND COMMUNITY HEALTH INJURY REPORT; DEPARTMENT OF PUBLIC HEALTH PRESCRIPTION MONITORING PROGRAM DATA; PHYSICIAN MANPOWER DATA; WORKFORCE NEEDS DATA; WELLNESS DATA; EMERGENCY DEPARTMENT/TRAUMA REGISTRY; BERKSHIRE UNITED WAY; BERKSHIRE REGIONAL PLANNING COMMISSION; AND CHAMBER OF COMMERCE BLUEPRINT STUDY GOALS: STATEWIDE PRIORITIES: AS PART OF OUR PLANNING PROCESS, BMC ALSO INCORPORATES THE MA STATEWIDE PRIORITIES AS PART OF OUR LOCAL ASSESSMENT, PRIORITIES AND INITIATIVES. THE COMMONWEALTH'S PRIORITIES ARE: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS PROMOTING WELLNESS OF VULNERABLE POPULATIONS REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORMTARGET POPULATIONSMEDICALLY UNDERSERVED - BERKSHIRE COUNTY HAS ONE OF THE HIGHEST NUMBER OF MEDICALLY UNDERSERVED RESIDENTS IN MASSACHUSETTS. UNINSURED - DUE TO ITS ECONOMIC AND EMPLOYMENT STATUS, BERKSHIRE COUNTY HAS A SIGNIFICANT NUMBER OF INDIVIDUALS AND FAMILIES WHO ARE UNINSURED OR UNDERINSURED.SENIOR POPULATION - BERKSHIRE COUNTY HAS ONE OF THE LARGEST ELDERLY POPULATIONS IN THE STATE. RACIAL AND ETHNIC POPULATIONS - THE BERKSHIRES IS EXPERIENCING A STEADY RISE IN IMMIGRANT POPULATION, PARTICULARLY LATIN AMERICAN AND RUSSIAN IMMIGRANTS. ENTIRE GEOGRAPHIC POPULATION OF BERKSHIRE COUNTY - BERKSHIRE COUNTY IS THE MOST RURAL COUNTY IN THE STATE AND IS GEOGRAPHICALLY ISOLATED FROM LARGER COMMUNITIES. AS A RESULT, BMC IS THE PRIMARY PROVIDER OF HEALTHCARE SERVICES TO THE REGION. ECONOMICALLY VULNERABLE - BERKSHIRE COUNTY HAS ONE OF THE HIGHEST UNEMPLOYMENT AND UNDEREMPLOYMENT RATES IN THE STATE AND LOW MEDIAN INCOME. YOUTH - LOCAL HEALTHCARE STATISTICS ON YOUTH AT RISK. PREGNANCY AND CHILDBIRTH - LOCAL HEALTHCARE STATISTICS ON MATERNAL CHILD HEALTH. POPULATIONS WITH HEALTH DISPARITIES - LOCAL HEALTH DATA. COMMUNITY BENEFIT PRIORITIES* CANCER* CARDIOVASCULAR HEALTH* DIABETES* MENTAL HEALTH* OBESITY* STROKE/BLOOD PRESSURE* SUBSTANCE ABUSE* ACCESS TO HEALTHCARE MEDICAL PROFESSIONALS UNDER & UNINSURED* ADOLESCENT & YOUTH HEALTH* TEEN PREGNANCY* DEPRESSION* EMERGENCY PREPAREDNESS * HEALTHCARE DISPARITIES* INFECTIOUS DISEASE* INJURY PREVENTION* MATERNAL/CHILD HEALTH * SMOKINGCOMMUNITY PARTNERSPITTSFIELD PUBLIC SCHOOLS, PITTSFIELD BOARD OF HEALTH, HEAD START, BERKSHIRE COMMUNITY ACTION COUNCIL, CENTER FOR ECOLOGICAL TECHNOLOGY, TEEN PARENT PROGRAM, BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, PITTSFIELD POLICE, MASSACHUSETTS COALITION FOR SUICIDE PREVENTION, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, LOCAL COMMUNITY PHARMACISTS, ELDER SERVICES, PITTSFIELD SENIOR CENTER, GREYLOCK FEDERAL CREDIT UNION, BOXCAR MEDIA, YMCA, TRI-TOWN HEALTH BOARD, SHINE PROGRAM, BERKSHIRE IMMIGRANT CENTER, BERKSHIRE COMMUNITY COLLEGE, BERKSHIRE COUNTY SHERIFF'S DEPARTMENT, LOCAL AMBULANCE COMPANIES, BERKSHIRE BREAST HEALTH TEAM, COMMUNITY HEALTH PROGRAM, BERKSHIRE DISTRICT ATTORNEY, BERKSHIRE UNITED WAY, BERKSHIRE YOUTH DEVELOPMENT PROJECT, CHNA(COMMUNITY HEALTH NETWORK ASSOCIATION), LOCAL BUSINESS COMMUNITY. OTHER RESOURCES AND ORGANIZATIONS INCLUDE:MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH; UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE; BERKSHIRE COUNTY BOARDS OF HEALTH; LOCAL SCHOOL DISTRICTS; BERKSHIRE COUNTY REGIONAL PLANNING COMMISSION; BERKSHIRE UNITED WAY; BERKSHIRE, AMERICAN HEART ASSOCIATION, AMERICAN STROKE ASSOCIATION, AMERICAN DIABETES ASSOCIATION, AMERICAN CANCER SOCIETY, CHAMBER OF COMMERCE; MASSACHUSETTS MEDICAL SOCIETY; REGIONAL PAIN COLLABORATIVE; BERKSHIRE COUNTY REGIONAL EMERGENCY OPERATIONS PLANNING COMMITTEE.PROGRAM PLANNING AND EVALUATIONTHE COMMUNITY HEALTH NEEDS ASSESSMENT IS USED TO FOCUS OUR COMMUNITY BENEFIT PROGRAM AND INITIATIVE PLANNING AS WELL AS TO MONITOR RESULTS AND REPRIORITIZE FOR FUTURE EFFORTS.
PART VI, LINE 3: BMC PROMINENTLY ADVERTISES THROUGHOUT THE COMMUNITY, AT ALL OF ITS FACILITIES AND ON ITS WEBSITE ITS PROGRAM KNOWN AS "ADVOCACY FOR ACCESS." THE GOAL OF THIS PROGRAM IS TO ASSIST THE UNINSURED AND UNDERINSURED IN BERKSHIRE COUNTY IN ACCESSING VARIOUS PROGRAMS THAT CAN PAY FOR HEALTHCARE SERVICES (AS WELL AS AVENUES TO RECEIVE HEALTHCARE SERVICES AT NO COST). THE ADVOCACY FOR ACCESS PROGRAM HELPS REDUCE THE PERCEPTION BY THOSE WITH AN INABILITY TO PAY FOR HEALTHCARE THAT THEIR INABILITY IS, IN FACT, A BARRIER TO NECESSARY CARE. THE STAFF FACILITATES THE APPLICATION PROCESS FOR INDIVIDUALS AND FAMILIES IN ORDER TO BENEFIT ONE OF THE SEVERAL LOW-COST HEALTH INSURANCE PROGRAMS FOR ADULTS AND CHILDREN WHO LIVE IN MASSACHUSETTS. THE STAFF RECOGNIZE THAT MANY OF THESE STATE AND FEDERAL PROGRAMS CAN BE COMPLEX AND CONFUSING AND MAINTAINS AS ITS GOAL MAKING ACCESS TO HEALTH INSURANCE AS SIMPLE AS POSSIBLE. WHEN AN INDIVIDUAL OR FAMILY'S CIRCUMSTANCES CHANGE, THE ADVOCACY STAFF CAN ASSIST IN UPDATING THE APPROPRIATE AGENCY TO FACILITATE THE PROCESS.THE ADVOCACY FOR ACCESS PROGRAMS HELP THOUSANDS OF PEOPLE EACH YEAR ACCESS INSURANCE OR OTHER COVERAGE PROGRAMS TO AID THEM IN ADDRESSING THEIR HEALTHCARE NEEDS.INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS OFFERED TO OUR PATIENTS IN THE FOLLOWING MANNER:NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE POSTED THROUGHOUT THE HOSPITAL, SPECIFICALLY IN ALL SERVICE DELIVERY AREAS, FINANCIAL COUNSELING OFFICES THROUGHOUT THE CLINICAL CAMPUSES AND ALL BERKSHIRE FACULTY SERVICES PHYSICIAN PRACTICES. ADVOCACY FOR ACCESS PROGRAM STAFF ARE AVAILABLE DAILY TO MEET WITH PATIENTS WHO PRESENT AT THE EMERGENCY DEPARTMENT FOR SERVICES AS REQUESTED.APPOINTMENTS CAN BE MADE WITH THE ADVOCACY FOR ACCESS PROGRAM OFFICE TO ASSIST PATIENTS IN FILING AN ELECTRONIC APPLICATION THROUGH THE VIRTUAL GATEWAY FOR STATE FINANCIAL ASSISTANCE PROGRAMS. AT PRE-REGISTRATION, SELF-PAY PATIENTS ARE OFFERED AN APPOINTMENT WITH ADVOCACY FOR ACCESS PROGRAM OFFICE ALONG WITH AN EXPLANATION OF THE SERVICE.BROCHURES ARE DISTRIBUTED AT ALL ACCESS POINTS INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE WITH PHONE NUMBERS TO CONTACT THE ADVOCACY FOR ACCESS PROGRAM OFFICE TO SET UP APPOINTMENTS. STATEMENTS MAILED TO PATIENTS WHO HAVE A SELF-PAY BALANCE WILL HAVE A MESSAGE INDICATING THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND THE PHONE NUMBERS TO CONTACT THE ADVOCACY FOR ACCESS OFFICE FOR ADDITIONAL INFORMATION. ALL PATIENT STATEMENTS HAVE A MESSAGE ON THE BACK OF THE STATEMENT INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE.
PART VI, LINE 4: BERKSHIRE COUNTY IS A LARGELY RURAL AREA LOCATED AT THE FAR WESTERN END OF MASSACHUSETTS, ADJACENT TO NEW YORK STATE TO THE WEST, VERMONT TO THE NORTH AND CONNECTICUT TO THE SOUTH. COMPRISING ROUGHLY 15% OF THE LAND MASS OF MASSACHUSETTS, ITS APPROXIMATELY 131,000 RESIDENTS ACCOUNT FOR 2% OF THE POPULATION OF THE COMMONWEALTH.THE POPULATION IS RELATIVELY HOMOGENEOUS ETHNICALLY:WHITE NON-HISPANIC PERSONS: 92.5%BLACK NON-HISPANIC PERSONS: 2.7%HISPANIC PERSONS: 3.5%ASIAN PERSONS: 1.2%THE COUNTY IS COMPRISED OF THREE DISTINCT SUB-REGIONS: NORTH, SOUTH AND CENTRAL WHICH FORM THE OVERALL COUNTY PROFILE OF A LARGELY RURAL AREA WITH SMALL URBAN, AGRARIAN, AND POST-INDUSTRIAL TOWNS AND CITIES. WHILE TIED TOGETHER ECONOMICALLY, SOCIALLY AND POLITICALLY, EACH SUB-REGION REFLECTS A DEGREE OF SOCIAL AND ECONOMIC DIFFERENCES, PRIMARILY DUE TO THE 50-MILE LENGTH OF THE COUNTY FROM NORTH TO SOUTH. BERKSHIRE COUNTY IS A COMMUNITY IN TRANSITION FROM AN ECONOMY RELYING ON MANUFACTURING TO A SERVICE SECTOR DEPENDENT ECONOMY. THE GENERAL ELECTRIC COMPANY, WHICH AT ONE POINT IN THE 1970S EMPLOYED UPWARDS OF 15,000 PEOPLE, SOLD THE LAST SEGMENT OF ITS BUSINESS IN THE BERKSHIRES (GE PLASTICS, WHICH EMPLOYED ABOUT 500 PEOPLE) TO A SAUDI ARABIAN OWNED COMPANY, SABIC. OTHER MAJOR EMPLOYERS, FOR EXAMPLE, SPRAGUE ELECTRIC (ELECTRICAL COMPONENTS) AND BELOIT-JONES (PAPER MAKING MACHINERY) ALSO CLOSED.THE LAST THREE YEARS HAVE SEEN THE CLOSING OF FIVE PAPER MILLS IN THE COUNTY, WHICH HAD ACCOUNTED FOR A LARGE PART OF THE REMAINING INDUSTRIAL BASE IN THE AREA.SUBSEQUENTLY, THE COUNTY HAS TAKEN ADVANTAGE OF ITS RURAL ENVIRONMENT, CULTURAL ATTRACTIONS, AND ITS SMALL TOWN ATMOSPHERE TO DEVELOP A THREE SEASON TOURIST/VACATION "DESTINATION" PROXIMAL TO THE NEW YORK AND BOSTON METROPOLITAN AREAS (WITHIN A THREE HOUR DRIVE).ALTHOUGH THIS EFFORT HAS BEEN MET WITH A REASONABLE LEVEL OF SUCCESS (UPWARDS OF 2 MILLION TOURISTS VISIT EACH YEAR), THE JOBS CREATED IN THIS EMPLOYMENT SECTOR CANNOT ADEQUATELY REPLACE WHAT HAS BEEN LOST DUE TO THE MAJOR DEINDUSTRIALIZATION OF THE COUNTY OVER THE LAST TWO DECADES. THIS IS REFLECTED IN THE ECONOMIC DEMOGRAPHIC OF THE COUNTY COMPARED TO THE COMMONWEALTH OF MASSACHUSETTS:PER CAPITA INCOME IS 16% BELOW THE STATE AVERAGEMEDIAN HOUSEHOLD INCOME IS 31% BELOW THE STATE AVERAGE% POPULATION BELOW 200% OF THE POVERTY LEVEL IS 20% HIGHER THAN THE STATE% OF CHILDREN LESS THAN 18 YEARS OF AGE LIVING BELOW 100% OF THE POVERTY LINE IS 10% HIGHER THAN THE STATE54.4% OF PREGNANT WOMEN RECEIVE PUBLICLY FINANCED PRENATAL CARE COMPARED TO 36.1% STATEWIDE.THE POPULATION DEMOGRAPHIC HAS BEEN SIMILARLY AFFECTED:2.8 % OF A POPULATION DECLINE IN THE COUNTY FROM 2000 TO 2010 FOLLOWING A 3.25 % DROP IN POPULATION FROM 1990-2000. % PERSONS UNDER THE AGE OF 20 YEARS IN THE COUNTY IS 10% LOWER THAN THE STATEWIDE AVERAGE.% PERSONS AGE 65 AND OLDER IS APPROXIMATELY 1/3 HIGHER THAN THE STATE (18.5% VS. 13.7%)THE EDUCATION PROFILE OF COUNTY RESIDENTS REFLECTS THE ECONOMIC AND POPULATION DEMOGRAPHIC:THE PERCENTAGE OF RESIDENTS AGE 25+ WHO HAVE GRADUATED HIGH SCHOOL (90.7%) IS ABOUT THE SAME AS THE STATE EXPERIENCE (88.9%).THE PERCENTAGE OF RESIDENTS AGE 25+ WITH A BACHELORS DEGREE OR HIGHER IS APPROX. 23.6% LOWER THAN THE COMMONWEALTH AS A WHOLE (29.8% VS. 39.0%).THE CUMULATIVE IMPACT OF THIS TRANSITION HAS HAD A SIGNIFICANT IMPACT ON THE FABRIC OF THE COMMUNITY. TRADITIONAL SUPPORT SYSTEMS OF FAMILY, SCHOOLS AND RELIGION, HAVE BEEN CHALLENGED BY THESE DEVELOPMENTS:ALCOHOL AND DRUG ABUSE ARE SIGNIFICANT ISSUES. COUNTY RESIDENTS ARE ADMITTED INTO SUBSTANCE ABUSE TREATMENT AT A FAR GREATER RATE THAN THE STATE AVERAGE.THE SUICIDE RATE IN BERKSHIRE COUNTY IS LOWER THAN THE STATE AVERAGE. (8.38 VS. 9.07- STATEWIDE)IN 2010, THE COMMUNITIES OF NORTH ADAMS AND PITTSFIELD (THE TWO LARGEST COMMUNITIES IN BERKSHIRE COUNTY) WERE RANKED 1ST AND 3RD RESPECTIVELY STATEWIDE IN REPORTING RATE FOR CHILD MALTREATMENT. (NORTH ADAMS AT 195.2 REPORTED PER 1000 RESIDENT CHILDREN AND PITTSFIELD AT 156.0 REPORTED PER 1000 RESIDENT CHILDREN COMPARED TO A STATEWIDE RATE OF 56.3 PER 1000.) IN TERMS OF VICTIMIZATION RATES (SUPPORTED ALLEGATIONS) NORTH ADAMS AT 48.8 AND PITTSFIELD AT 46.5 WERE 2ND AND 3RD STATEWIDE RESPECTIVELY COMPARED TO A STATEWIDE AVERAGE OF 15.8. (MASS. DEPARTMENT OF CHILDREN AND FAMILIES NOV. 2012)THE CITY OF PITTSFIELD IS ONE OF SIX CITIES IN MASSACHUSETTS WITH THE HIGHEST LEVEL OF DIVISION OF YOUTH SERVICES INVOLVEMENT IN THE COMMONWEALTH. (MASS. JUVENILE JUSTICE ADVISORY CTE. REPORT TO THE GOVERNOR MAY 2007)IN 8TH GRADE IN 2013, 31.9% OF BERKSHIRE COUNTY STUDENTS SELF-REPORTED ALCOHOL USE. IN 12TH GRADE THE PERCENTAGE WAS 74.7% IN 2013. (2013 PREVENTION NEEDS ASSESSMENT SURVEY RESULTS: BERKSHIRE COUNTY. BERKSHIRE YOUTH DEVELOPMENT PROJECT)THE SCHOOL POPULATION OF THE COUNTY HAS BECOME INCREASINGLY MOBILE AND UNSTABLE IN RESPONSE TO AN UNPRECEDENTED INCREASE IN HOUSING COSTS IN SOUTHERN BERKSHIRE COUNTY DUE PRIMARILY TO THE INFLUX OF SECOND HOME BUYERS. FAMILIES ARE RELOCATING TO LOWER COST HOUSING IN THE CENTRAL AND NORTHERN PARTS OF THE COUNTIES DISRUPTING ESTABLISHED SCHOOL SUPPORT SYSTEMS FOR THEIR CHILDREN (SCHOOL MOBILITY RATES BERKSHIRE HILLS REGIONAL SCHOOL DISTRICT).THE BERKSHIRE COUNTY JUVENILE RESOURCE CENTER TRUANCY, INTERVENTION, AND SUSPENSION/EXPULSION ALTERNATIVE PROGRAM SERVES OVER 460 YOUTHS/YEAR. (MASS. JUVENILE JUSTICE ADVISORY CTE. REPORT)1852 JUVENILE CASES WERE OPENED IN BERKSHIRE JUVENILE COURT (70% MALE, 30% FEMALE) (OFFICE OF BERKSHIRE DISTRICT ATTORNEY DAVID CAPELESS MAY 2010)14 CHURCHES CLOSED WITHIN THE LAST FOUR YEARS.THE IMPACT OF THE LOCAL "ENVIRONMENT" ON YOUTH AND ITS IMPLICATIONS FOR THE FUTURE OF THE COUNTY IS FURTHER MAGNIFIED BY TWO SIGNIFICANT FINDINGS: THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS IDENTIFIED BERKSHIRE COUNTY AS BEING AT HIGH RISK FOR YOUTH SUICIDE (ONE OF EIGHT AREAS OUT OF 27 DEFINED AREAS).A COUNTY-WIDE EFFORT TO ADDRESS THIS ISSUE HAS BEEN INITIATED. UNDER THE AUSPICES OF THE COMMUNITY HEALTH NETWORK OF THE BERKSHIRES (COMPRISED OF MEMBERS OF THE HEALTHCARE AND JUVENILE SERVICES PROVIDERS IN THE COUNTY), GRANT FUNDING FROM THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS BEEN OBTAINED (ONE OF ONLY THREE PROPOSALS FUNDED) TO INITIATE A THREE YEAR YOUTH SUICIDE PREVENTION PROGRAM. THE FOCUS OF THIS EFFORT IS TO HELP COMMUNITY ORGANIZATIONS WORKING WITH ADOLESCENTS TO ESTABLISH SUSTAINABLE ACTIVITIES TO PROVIDE SUPPORTIVE ENVIRONMENTS FOR YOUTH, IDENTIFY YOUTH AT RISK, AND MAKE APPROPRIATE REFERRALS TO THE INTERVENTION SAFETY NET. THE NUMBER OF BIRTHS IN BERKSHIRE COUNTY IS DECLINING BUT THE PERCENTAGES OF BIRTHS TO ADOLESCENT MOTHERS IN BERKSHIRE COUNTY AS WELL AS THE TEEN BIRTH RATE ARE HIGHER THAN THE REST OF THE STATE.IN BERKSHIRE COUNTY, 10.7% OF THE BIRTHS/YR. ARE BABIES BORN TO ADOLESCENTS (122 BIRTHS) COMPARED 6% STATEWIDE. THE TEEN PREGNANCY RATE IN BERKSHIRE COUNTY HAS INCREASED OVER 20% OVER THE PAST DECADE COMPARED TO A 21% DECLINE STATEWIDE OVER THE SAME PERIOD OF TIME. (UNITED WAY 2010 COMMUNITY IMPACT REPORT COMPLETED BY THE BERKSHIRE REGIONAL PLANNING COMMISSION)HEALTH STATUSTHE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE PRESENTED THE 2014 COUNTY HEALTH RANKINGS, A COLLECTION OF 50 REPORTS THAT REFLECT THE OVERALL HEALTH OF COUNTIES IN EVERY STATE ACROSS THE COUNTRY.SUMMARY HEALTH OUTCOMES & HEALTH FACTORS RANKINGSCOUNTIES RECEIVE TWO SUMMARY RANKS: HEALTH OUTCOMES HEALTH FACTORS EACH OF THESE RANKS REPRESENTS A WEIGHTED SUMMARY OF A NUMBER OF MEASURES. HEALTH OUTCOMES REPRESENT HOW HEALTHY A COUNTY IS WHILE HEALTH FACTORS ARE WHAT INFLUENCES THE HEALTH OF THE COUNTY. THE INFORMATION BELOW REFLECTS THE SOCIAL AND ECONOMIC STATUS OF OUR COMMUNITY AND INFLUENCES OUR HEALTH STATUS.OUT OF THE FOURTEEN COUNTIES OF MASSACHUSETTS, BERKSHIRE COUNTY RANKED 11TH FOR MORTALITY, MORBIDITY, HEALTH BEHAVIORS, SOCIAL & ECONOMIC FACTORS, 6TH FOR PHYSICAL ENVIRONMENT AND 4TH FOR CLINCIAL CARE.CHRONIC DISEASE: HYPERTENSION CONTINUED ON SCHEDULE O.
PART VI, LINE 5: THE GOVERNING BODY OF BMC CONSISTS OF 25 COMMUNITY VOLUNTEERS, THREE PHYSICIAN REPRESENTATIVES OF THE HOSPITALS' MEDICAL STAFFS AND, AS AN EX OFFICIO MEMBER, THE CHIEF EXECUTIVE OFFICER. THE COMMUNITY VOLUNTEERS ARE ELECTED FOR TERMS OF UP TO THREE YEARS, ARE SUBJECT TO TERM LIMITS AND REPRESENT A WIDE SPECTRUM OF COMMUNITY INTERESTS-INCLUDING SOCIAL SERVICE PROVIDERS, LOCAL BUSINESS LEADERS, FINANCIAL PROFESSIONALS, CONSUMER ADVOCATES AND EDUCATIONAL LEADERS. MOST COMMITTEES OF THE BOARD OF TRUSTEES INCLUDE ADDITIONAL COMMUNITY REPRESENTATIVES. BMC MAINTAINS A PATIENT AND FAMILY COUNCIL TO PROVIDE INPUT AND ADVICE ON A WIDE RANGE OF SERVICE TOPICS.THE MEDICAL STAFF OF BMC IS OPEN TO ALL PHYSICIANS WHO MEET CLINICAL AND PATIENT SERVICE CRITERIA, ALTHOUGH CERTAIN HOSPITAL BASED SERVICES-RADIOLOGY, ANESTHESIA, EMERGENCY DEPARTMENT AND PATHOLOGY-ARE FUNCTIONALLY CLOSED BECAUSE OF THE MANNER IN WHICH THOSE DEPARTMENTS ARE STRUCTURED.BMC REGULARLY EXPENDS PERSONNEL AND FINANCIAL RESOURCES IN SUPPORT OF COMMUNITY INITIATIVES THAT PROMOTE IMPROVEMENTS IN COMMUNITY HEALTH AND WELL-BEING AND FOR WHICH IT DOES NOT EXPECT REIMBURSEMENT. THE HOSPITAL UTILIZES SURPLUS FUNDS FOR CAPITAL IMPROVEMENTS AND TO MAINTAIN ACCESS TO PATIENT SERVICES AND EXPAND ACCESS POINTS OF CARE AND SERVICES THAT SUPPORT COMMUNITY BENEFIT PRIORITIES TO PATIENTS THROUGHOUT THE COMMUNITY. THE BERKSHIRE COUNTY COMMUNITY HAS LONG LABORED UNDER A CRITICAL PHYSICIAN SHORTAGE IN VARIOUS SPECIALTIES AND BMC HAVE IN RECENT YEARS EXPENDED SIGNIFICANT PERSONNEL TIME AND FINANCIAL RESOURCES IN RECRUITING PHYSICIANS TO THE AREA AS DIRECT EMPLOYEES OF BMC OR ITS AFFILIATES. MOREOVER, BMC HAS, IN APPROPRIATE WAYS, PROVIDED SUBSTANTIAL ASSISTANCE TO COMMUNITY MEDICAL PRACTICES TO RECRUIT AND SUPPORT THE PRACTICE START-UP OF NEW PHYSICIANS IN NEEDED SPECIALTIES. AS IS DISCUSSED AT GREATER LENGTH ELSEWHERE IN THIS SUPPLEMENTAL INFORMATION, BMC HAVE EXTENSIVE COMMUNITY OUTREACH PROGRAMS AND SUPPORT, COMPREHENSIVE, COMMUNITY-BASED TO ADDRESS SUCH DIVERSE HEALTHCARE CHALLENGES AS DIABETES, HEART FAILURE AND CHRONIC PAIN MANAGEMENT/NARCOTICS MISUSE AND DIVERSION.
PART VI, LINE 6: BMC IS A PART OF AN INTEGRATED, NON-PROFIT HEALTHCARE SYSTEM THAT INCLUDES (A) A TEACHING HOSPITAL, (B) A CRITICAL ACCESS COMMUNITY HOSPITAL, (C) A LARGE, MULTISPECIALTY FACULTY PRACTICE ORGANIZATION, (D) A HOME HEALTH AGENCY AND (E), BY CONTRACT AND CLOSE COORDINATION, A NON-PROFIT SENIOR CARE ORGANIZATION THAT INCLUDES SUB-ACUTE SERVICES IN REHABILITATION AND LONG TERM CARE FACILITIES, ASSISTED LIVING FACILITIES, HOSPICE CARE SERVICES, SENIOR DAY CARE AND OTHER ELDERCARE SERVICES. BMC ENGAGES IN HEALTHCARE NEEDS ASSESSMENT AND PLANNING ON A SYSTEM-WIDE BASIS, WITH A GOAL OF A SEAMLESS TRANSITION OF PATIENT-CENTERED CARE ACROSS THE SPECTRUM OF SERVICES OFFERED BY EACH OF THE SYSTEM'S COMPONENT ENTITIES. BMC, ALONG WITH ITS AFFILIATES, CONTINUES TO DEVELOP INTEGRATED CLINICAL AND INFORMATION SYSTEMS ACROSS THE ENTIRE ORGANIZATION SO AS TO RENDER CARE EFFICIENTLY, EFFECTIVELY AND CONSISTENTLY AT EVERY CARE SITE. THE BMC AFFILIATES SUCH, AS THE PHYSICIAN FACULTY PRACTICE, ARE FULLY INTEGRATED INTO OUR COMMUNITY BENEFIT PROCESS AND SUPPORT THE ORGANIZATION'S PRIORITIES BY HONORING OUR FREE CARE GUIDELINES AND IN ENGAGING IN SPECIFIC PROGRAMS AND INITIATIVES DESIGNED TO MEET COMMUNITY NEED.
MA	PART VI, LINE 7	REPORTS FILED WITH STATES

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN T BURKE MD
TRUSTEE/PHYSICIAN	0	194286	0	0	0	18949	0	9982	0	33387	0	256604	0	0
DAVID E PHELPS
PRESIDENT	0	475914	0	0	0	54706	0	11250	0	37779	0	579649	0	0
D PHELPS RETIREMENT
PRESIDENT DIST ONE TIME	0	0	0	0	0	1878328	0	0	0	0	0	1878328	0	0
DARLENE RODOWICZ
TREASURER	0	367007	0	0	0	127296	0	11250	0	28209	0	533762	0	0
RONALD HAYDEN
CHAIRMAN - EMERGENCY MEDIC	469163	0	50068	0	40742	0	11250	0	28703	0	599926	0	0	0
DIANE KELLY
C.O.O.	392395	0	0	0	40742	0	11250	0	27803	0	472190	0	0	0
RAYMOND GARY SOHL
ANESTHESIOLOGIST	449257	0	15134	0	1139	0	6250	0	31721	0	503501	0	0	0
ANTHONY G ELLRODT
CHAIRMAN - DEPT OF MEDICIN	411473	0	0	0	43064	0	11250	0	27902	0	493689	0	0	0
DAVID I POMERANTZ
ANESTHESIOLOGIST	391005	0	15134	0	17451	0	11250	0	34879	0	469719	0	0	0
ROBERT W MALINOWSKI
ANESTHESIOLOGIST	387372	0	15134	0	23742	0	11250	0	26924	0	464422	0	0	0
TALAL A MAKKAOUI
ANESTHESIOLOGIST	355909	0	15134	0	43064	0	11250	0	37902	0	463259	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SUPPLEMENTAL INFORMATION	Identifier
Return Reference	PART III	ReturnReference
Explanation	RELATED COMPENSATION SCHEDULE J, PART II, SCHEDULE J-2 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 ALL COMPENSATED BY BHS MANAGEMENT SERVICES, INC., (BHSMS) A SUPPORTING ORGANIZATION OF THE FILING ENTITY. 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., 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. 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. CONTRIBUTIONS TO MR. PHELPS' RETIREMENT PROGRAM HAVE BEEN FULLY REPORTED IN PRIOR YEARS. MR. PHELPS'S INTEREST IN THE RETIREMENT PROGRAM BECAME FULLY VESTED AND, THEREFORE, FULLY REPORTABLE AND TAXABLE AS INCOME IN THE REPORTING YEAR. THE FULL AMOUNT OF MR. PHELPS' INTEREST IN THE RETIREMENT PROGRAM IS REFLECTED ON FORM 990 PART VII LINE 1A ITEM 26 AND SCHEDULE J PART II ITEM 3. A PORTION OF THE RETIREMENT PROGRAM FUNDING IS ALLOCATED AMONG BERKSHIRE HEALTH SYSTEMS AND ITS DIRECT AFFILIATES. 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 $358,104 BERKSHIRE FACULTY SERVICES, INC. 8.6/50 HOURS $120,285 FAIRVIEW HOSPITAL 3.5/50 HOURS $47,427 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2/50 HOURS $24,057 BHS MANAGEMENT SERVICES, INC. 10/50 HOURS FOR THE BENEFIT OF: BOURNE MANAGEMENT SYSTEMS, INC. $ 9,210 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 8,523 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 9,760 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 8,248 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 4,674 DANVERS MANAGEMENT SYSTEMS, INC. $ 4,399 PEABODY MANAGEMENT SYSTEMS, INC. $ 7,973 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 5,086 BERKSHIRE PENNSYLVANIA, INC. $ 7,561 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 2,199 WILLOWOOD OF GREAT BARRINGTON, INC. $ 7,011 WILLOWOOD OF NORTH ADAMS, INC. $ 7,973 WILLOWOOD OF WILLIAMSTOWN, INC. $ 10,035 HILLCREST EXTENDED CARE SERVICES, INC. $ 18,421 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 6,186 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 550 INTEGRINURSE, INC. $ 1,650 INTEGRISCRIPT, INC. $ 3,987 HOSPICECARE IN THE BERKSHIRES, INC. $ 8,798 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 5,224 NON-AFFILIATED RABBI TRUST (ONE TIME PAYMENT) $1,770,636 DARLENE RODOWICZ, TREASURER: BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/50 TOTAL HOURS $394,984 BERKSHIRE FACULTY SERVICES, INC. 7/50 HOURS $74,726 FAIRVIEW HOSPITAL 3/50 HOURS $32,026 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2.5/50 HOURS $26,688 BHS MANAGEMENT SERVICES, INC. 0.5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $5,338	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MHEFA BHS SERIES F
A	042456011	57586CLN3	2005-07-26	53089428	REFUND SERIES C AND D BONDS	0	0	0
MDFA BHS SERIES G
B	043431814	57583UQP6	2012-05-23	93491421	REFUND SERIES E, A & B, RENOVATIONS AND EQUIPMENT	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	19790000	54978523	5019000	1003800	898795	73681	9003428	2008	1	0	1	1
B	2670000	93491421		1104925			8171944	2011	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue
A	1	0	0	0	1	0
B	0	0	0	0	0	0	1	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Schedule M IRS990ScheduleM

Securities Closely Held Stock SecuritiesCloselyHeldStock

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	844800	NoncashContribsRptdF990
Method Of Determining Revenues	ISSUING CORP VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3	BERKSHIRE MEDICAL CENTER, INC. RELIES ON BHS MANAGEMENT SERVICES, INC. TO PROVIDE MANAGEMENT AND SUPPORT SERVICES FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, VP GENERAL COUNSEL, AND VP OF HUMAN RESOURCES .
FORM 990, PART VI, SECTION A, LINE 6	BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF BERKSHIRE MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF TRUSTEES IS COMPOSED OF THE INCUMBENT MEMBERS OF THE BOARD OF TRUSTEES OF BERKSHIRE HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION B, LINE 11	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. IN ADDITION, BHS MANAGEMENT WILL REVIEW THE FORMS 990 WITH THE BHS FINANCE COMMITTEE AND ADDRESS QUESTIONS AND COMMENTS COVERING KEY ELEMENTS OF THE FORMS 990 THAT ARE OF CONCERN TO ALL OF THE FORMS 990, AND ANY SIGNIFICANT ELEMENTS THAT ARE PECULIAR TO ONE OR MORE OF THE AFFILIATES' FORMS 990.
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 ACTION 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 9/30/13.
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 OFFICE OF (A) THE CHIEF FINANCIAL OFFICER AND (B) THE VICE PRESIDENT AND GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD MA 01201.
FORM 990, PART I, LINE 9	IN FISCAL YEARS 2012 AND 2013, BERKSHIRE MEDICAL CENTER AND ALMOST ALL OTHER MASSACHUSETTS HOSPITALS EXPERIENCED AN UNUSUAL AND LIKELY TEMPORARY INCREASE IN REIMBURSEMENT FROM THE MEDICARE PROGRAM DUE TO THE MANNER IN WHICH THE MEDICARE PROGRAM APPLIED ONE ELEMENT OF ITS REIMBURSEMENT CALCULATION. FOR MANY YEARS, THE APPLICATION OF THIS SAME ELEMENT OF THE REIMBURSEMENT CALCULATION WORKED TO THE DETRIMENT OF MASSACHUSETTS HOSPITALS, INCLUDING BERKSHIRE MEDICAL CENTER. THE HOSPITAL IS NOT EXPECTING THAT THIS TEMPORARY, POSITIVE ADJUSTMENT WILL CONTINUE. THE VALUE OF THE RURAL FLOOR PROVISION TO BMC IN FY 2013 WAS $13.4 MILLION.	RURAL FLOOR PROVISION IMPACT ON REVENUE:
SCHEDULE H, PART VI, LINE 4	CHRONIC DISEASE: HYPERTENSION IN WORKSITES WITH ACTIVE WELLNESS PROGRAMS (> 220 EMPLOYEES), THE PERCENTAGE OF EMPLOYEES WITH HTN IS APPROXIMATELY 7%. 36% OF EMPLOYEES HAVE PRE-HYPERTENSION NON-WORKING POPULATIONS WITH LIMITED ACCESS TO CARE (HOMELESS, LOW SOCIOECONOMIC, MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE) SHARE A DISPROPORTIONATE BURDEN OF RISK AS EVIDENCED BY DATA FROM THE BHS COMMUNITY HEALTH VAN: 17.3% (N=505) OF POPULATION HAVE BP > 140/90 OF THOSE WITH HBP 261,(51.7%) ARE ON MEDS AND NOT CONTROLLED -UNDERTREATED OF THOSE WITH HBP, 244 (48.3%) ARE NOT ON MEDS - NOT TREATED 1,025 PATIENTS HAVE PREHTN AND MORE THAN 30% WILL GO ON TO DEVELOP HBP AND REQUIRED RX- PREVENTION RISK FACTOR PREVALENCE IN VULNERABLE POPULATION OF 281 PEOPLE: HEALTH SCREENING TYPE (N=281) TOTAL# % TOTAL CHOLESTEROL (>240) HIGH 18 6.4% TOTAL CHOLESTEROL (200-239) BORDERLINE 85 30.2% BP (PRE) 98 34.9% BP (STAGE I) 21 15% BP (STAGE II) 4 2.1% BLOOD GLUCOSE (HIGH) 30 10.7% BMI (>30) OBESE 65 27.7% BMI (25-29) OVERWEIGHT 90 37% BMI (<25) 88 36% RISK FACTOR PREVALENCE IN A WORKING POPULATION OF MORE THAN 1540 HEALTH CARE PROFESSIONALS: RISK FACTOR PREVALENCE IS BASED ON BIOMETRIC DATA AND PERSONAL HEALTH ASSESSMENT USERS START WITH A SCORE OF 100 AUTOMATIC HIGH RISK: BMI >30, TOBACCO USE, HIGH RISK ON ANY RECORDED BIOMETRICS (BP, CHOLESTEROL, BLOOD GLUCOSE). THERE IS AN AVERAGE OF ALL THE SECTIONS TO CALCULATE THE SCORE; ALL SECTIONS ARE WEIGHTED EVENLY. IF THERE ARE NO RECORDED BIOMETRICS THEY WILL NOT BE INCLUDED IN PROCESSING THE SCORE. OTHER RISK SCORES INCLUDE: CARDIAC RISK / FRAMINGHAM RISK, DIABETES RISK, ASTHMA RISK, STROKE RISK AND COPD RISK HIGH RISK N= 530 (34%) MODERATE RISK N= 361 (23%) LOW RISK N= 649 (42%) GREATER THAN 60% OF THE POPULATION IS WITHIN THE OPTIMAL RANGE FOR CHOLESTEROL AND BLOOD PRESSURE. 13% REPORT A HISTORY OF HIGH BLOOD PRESSURE WITH 10% OF THOSE TAKING BLOOD PRESSURE MEDICATIONS. 15% REPORT A HISTORY OF HIGH CHOLESTEROL WITH 7% OF THOSE TAKING CHOLESTEROL MEDICATIONS. 4% REPORT A HISTORY OF DIABETES WITH 3% OF THOSE TAKING DIABETES MEDICATIONS. 8% REPORT A HISTORY OF DEPRESSION WITH 5% OF THOSE TAKING DEPRESSION MEDICATIONS. 80% REPORT EATING AS LEAST 5 SERVINGS OF FRUITS AND VEGETABLES PER DAY. 77% REPORT AT LEAST 5 DAYS OF ACTIVITY PER WEEK. HEALTH AND CLINICAL INDICATORS ADDITIONAL HEALTH INFORMATION THAT HELPS DEPICT THE PROFILE OF BERKSHIRE COUNTY INCLUDES: BERKSHIRE COUNTY HAS LOWER THAN STATE AVERAGES FOR CARDIOVASCULAR MORTALITY RATES. THROUGH THE EFFORTS OF OUR CLINICAL CARE AND OUTREACH, THE RATE HAS DECLINED CONSISTENTLY OVER THE LAST TEN YEARS TO CLOSER WITH THE STATE. OUR AGE ADJUSTED SPECIFIC RATE FOR ALL CANCER DEATHS IS 173.1 WHICH IS LOWER THAN THE STATE RATE OF 177.4 (PER 100,000 PERSONS). FOR SUBSTANCE ABUSE, OUR ADMISSION RATE TO DPH FUNDED TREATMENT PROGRAMS IS 2818.9 VERSUS 1636.5 FOR THE STATE, AND ALCOHOL AND OTHER DRUG RELATED HOSPITAL DISCHARGES IS 995.0 VERSUS 362.0 (PER 100,000 PERSONS). DIABETES MORTALITY EXCEEDS THE STATE RATE 18.86 VERSUS 13.18. WORKFORCE SHORTAGES AND ACCESS TO CARE IN THE LAST DECADE BERKSHIRE COUNTY HAS EXPERIENCED A SHORTAGE OF PHYSICIANS FOR OUR COMMUNITY, AS WELL AS SHORTAGES FOR KEY CLINICAL SPECIALTIES, SUCH AS NURSING, RADIOLOGY AND LABORATORY. THESE SHORTAGES CREATE ACCESS TO CARE ISSUES FOR THE RESIDENTS OF BERKSHIRE COUNTY. IN THE LAST 5-8 YEARS, BMC HAS EDUCATED AND TRAINED HUNDREDS OF STAFF IN ITS CRITICAL SHORTAGE PROGRAMS AS WELL AS HELPED RECRUIT APPROXIMATELY 150 PHYSICIANS TO THE COMMUNITY, REDUCING THE COUNTY'S EXISTING SHORTAGE OF PROVIDERS BY 40 FTES. GIVEN NATIONAL SHORTAGES, INCREASED DEMAND, AND OUR RURAL LOCATION, BMC EXPECTS THAT THIS CHALLENGE OF HAVING AN ADEQUATE NUMBER OF HEALTH CARE PROFESSIONAL TO MEET THE COMMUNITY NEED WILL CONTINUE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
BERKSHIRE HEALTH SYSTEMS INC
725 NORTH ST	PITTSFIELD	MA	01201	042442944	PARENT CORP	MA	501 (C)(3)	11B	N/A	0
FAIRVIEW HOSPITAL
725 NORTH ST	PITTSFIELD	MA	01201	042133860	ACUTE CARE	MA	501 (C)(3)	3	N/A	0
BERKSHIRE FACULTY SERVICES INC
725 NORTH ST	PITTSFIELD	MA	01201	042995053	PHYSICIAN SVC	MA	501 (C)(3)	11B	N/A	0
BHS MANAGEMENT SERVICE INC
725 NORTH ST	PITTSFIELD	MA	01201	222755258	MANAGEMENT	MA	501 (C)(3)	11B	N/A	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
TRI-STATE MEDICAL MANAGEMENT CORP
725 NORTH STREET	PITTSFIELD	MA	01201	042913352	REAL ESTATE MANAGEMENT	MA	N/A	C	0
WILLIAMSTOWN MEDICAL ASSOCIATES PC
197 ADAMS ROAD	WILLIAMSTOWN	MA	01267	042680535	HEALTH SERVICES	MA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg