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BHS MANAGEMENT SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BHS MANAGEMENT SERVICES INC (EIN 22-2755258)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201432279349302228
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T10:43:00-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222755258EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BHS MANAGEMENT SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBHSMNameControl
Phone4134472508Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1725 NORTH STREETAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code012014109ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDARLENE RODOWICZName
TitleTREASURERTitle
Phone4134472809Phone
Date Signed2014-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDARLENE RODOWICZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1725 NORTH STREETAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code012014109ZIPCode
FieldValueIRS element (for citing)
Gross Receipts49427899GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BHS1.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CO.S INCLUDING AFFILIATES OF BERKSHIRE HEALTH SYSTEMSActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees333TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year45302569ProgramServiceRevenuePriorYear
Program Service Revenue CY49427899ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year45302569TotalRevenuePriorYear
Total Revenue Current Year49427899TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27737998SalariesEtcPriorYear
Salaries Etc Current Year30102778SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17564571OtherExpensePriorYear
Other Expenses Current Year19325121OtherExpensesCurrentYear
Total Expenses Prior Year45302569TotalExpensesPriorYear
Total Expenses Current Year49427899TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY6793645TotalAssetsBOY
Total Assets EOY7011429TotalAssetsEOY
Total Liabilities BOY6793645TotalLiabilitiesBOY
Total Liabilities EOY7011429TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense49427899Expense
Revenue49427899Revenue
DescriptionBHS MANAGEMENT SERVICES PROVIDES MANAGEMENT SERVICES AT COST TO NOT FOR PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMS, INC. THIS COORDINATED EFFORT PROVIDES FINANCIAL ACCOUNTING AND ADMINISTRATIVE SERVICES WHICH ALLOWS THE SYSTEM TO OPERATE MORE EFFICIENTLY, REACT MORE QUICKLY AND PERFORM IN AN INTEGRATED MANNER.Description
Total Program Service Expense49427899TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096121NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees333NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DARLENE RODOWICZBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4134472809TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1725 NORTH STREETAddressLine1
CityPITTSFIEDCity
StateMAState
ZIP Code01201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JEROME J ANDERSON
TRUSTEE2.000.00X000
THOMAS O ANDREWS
TRUSTEE2.000.00X000
ALFRED A BARBALUNGA
TRUSTEE2.000.00X000
BRONLY S BOYD
TRUSTEE/CHAIR2.000.00X000X
BRIAN T BURKE MD
TRUSTEE/PHYSICIAN2.0048.00X021323538512
KIT DOBELLE
TRUSTEE2.000.00X000
TIMOTHY C DOHERTY
TRUSTEE2.000.00X000
RICHARD M DOHONEY
TRUSTEE2.000.00X000
A KING FRANCIS
TRUSTEE2.000.00X000
DENNIS J HOGAN
TRUSTEE2.000.00X000
EDMUND H HORNSTEIN DO
TRUSTEE/CONTRACTED PHYSICI0.101.90X0656560
JOHN R KEARNS MD
TRUSTEE2.000.00X000
ELLEN L KENNEDY
TRUSTEE2.000.00X000
SUSAN M KORMANIK
TRUSTEE2.000.00X000
LORINDA ACKLEY MAZUR
TRUSTEE2.000.00X000
JOAN M MCFALLS
TRUSTEE2.000.00X000
MICHAEL R MCINERNEY MD
TRUSTEE2.000.00X000
LAURIE NORTON MOFFATT
TRUSTEE2.000.00X000
BARTON RASER
TRUSTEE2.000.00X000
CAROLE G SIEGEL
TRUSTEE2.000.00X000
GEORGE T SMITH
TRUSTEE2.000.00X000
MARILYN L SPERLING
TRUSTEE2.000.00X000
ANN H TRABULSI
TRUSTEE2.000.00X000
ROBERT P WESPISER
TRUSTEE/PHYSICIAN/NOT ON AT YEAR END0.101.90X01331540
DAVID E PHELPS
PRESIDENT10.0040.00X530620049029X
D PHELPS RETIREMENT DIST ONE TIME
PRESIDENT1.000.00X187832800X
DARLENE RODOWICZ
TREASURER0.5049.50494303039459X
CHERYL M BOUDREAU
CLERK9.5030.5097231014803X
WILLIAM JONES JR
PRESIDENT/TREASURER OF LTC58.000.00500256040820X
WILLIAM YOUNG
DIRECTOR OF IT0.5049.50292079045832X
ARTHUR MILANO
VP HUMAN RESOURCES2.1047.90263672040642X
JOHN ROGERS
VP GENERAL COUNSEL10.0040.00449595044148X
THOMAS ROMEO
VP PHYSICIAN SERVICES0.1049.90266350038313X
ANTHONY J RINALDI
VP FAIRVIEW HOSPITAL0.1049.90260312043239X
EUGENE DELLEA
PRES FAIRVIEW HOSPITAL0.1049.90255193026111X
RUTH BLODGETT
SR VP SYSTEM PLANNING & PROGAMS0.1049.90246361036572X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5534300TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs412045TotalReportableCompFrmRltdOrgs
Total Other Compensation457480TotalOtherCompensation
Number Individuals GT100 K44NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BILL DUNBAR AND ASSOCIATES
2601 FORTUNE CIRCLE EASTINDIANAPOLISIN46241CODING & DOCUMENTATION COMPLIANCE1039481
NAVIGANT
4511 PAYSPHERE CIRCLECHICAGOIL60674BUSINESS CONSULTING856094
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLEWESTWOODMA02090SOFTWARE MAINTENANCE595032
CAIN HIBBARD & MYERS
66 WEST STREETPITTSFIELDMA01201LEGAL SERVICES403675
ERNST & YOUNG
200 CLARENDON STREETBOSTONMA02116AUDITING SERVICES392500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K25NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCENTRALIZED SVC FEES & OPR SVCDescription
Business Code561110BusinessCode
Total Revenue Column49427899TotalRevenueColumn
Related Or Exempt Function Income49427899RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue49427899TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column49427899TotalRevenueColumn
Related Or Exempt Function Income49427899RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2577780Total
Program Services2577780ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21495212Total
Program Services21495212ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total828948Total
Program Services828948ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3620128Total
Program Services3620128ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1580710Total
Program Services1580710ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total870912Total
Program Services870912ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1716539Total
Program Services1716539ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1738734Total
Program Services1738734ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2101960Total
Program Services2101960ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2933545Total
Program Services2933545ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7284587Total
Program Services7284587ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1075110Total
Program Services1075110ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total242169Total
Program Services242169ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total126217Total
Program Services126217ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total13613Total
Program Services13613ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
EMPLOYEE RECRUITMENT559509559509
EDUCATION SERVICES528728528728
LICENSES & DUES133498133498

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total49427899Total
Program Services49427899ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY192589EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1396984BOY
EOY1796478EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5980803LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3248799LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY161649BOY
EOY2732004EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5235012BOY
EOY2290358EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6793645BOY
EOY7011429EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4945538BOY
EOY4361093EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1848107BOY
EOY2650336EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6793645BOY
EOY7011429EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6793645BOY
EOY7011429EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
BERKSHIRE MEDICAL CENTER INC
04279139630$0
FAIRVIEW HOSPITAL INC
04213386030$0
BERKSHIRE FACULTY SERVICES INC
04299505311B0$0
BERKSHIRE HEALTH SYSTEMS INC
04244294411B0$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis427310OtherCostOrOtherBasis
Book Value427310BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2086238OtherCostOrOtherBasis
Depreciation52156Depreciation
Book Value2034082BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis308036OtherCostOrOtherBasis
Depreciation291403Depreciation
Book Value16633BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3159219OtherCostOrOtherBasis
Depreciation2905240Depreciation
Book Value253979BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2732004TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Book Value2290358BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2290358TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$2,290,358
DUE TO AFFILIATES$359,978
FieldValueIRS element (for citing)
Total Of Amounts2650336TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHERE IS NO FIN 48 FOOTNOTE IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTSExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN T BURKE MD
TRUSTEE/PHYSICIAN01942860001894909982033387025660400
DAVID E PHELPS
PRESIDENT475914000547060112500377790579649000
D PHELPS RETIREMENT DIST ONE TIME
PRESIDENT00001878328000001878328000
DARLENE RODOWICZ
TREASURER3670070001272960112500282090533762000
WILLIAM JONES JR
PRESIDENT/TREASURER OF LTC3684310001318250112500295700541076000
WILLIAM YOUNG
DIRECTOR OF IT246530000455490112500345820337911000
ARTHUR MILANO
VP HUMAN RESOURCES178450000852220112500293920304314000
JOHN ROGERS
VP GENERAL COUNSEL3171660001324290112500328980493743000
THOMAS ROMEO
VP PHYSICIAN SERVICES19349400072856097640285490304663000
ANTHONY J RINALDI
VP FAIRVIEW HOSPITAL16746000092852098830333560303551000
EUGENE DELLEA
PRES FAIRVIEW HOSPITAL172408000827850109690151420281304000
RUTH BLODGETT
SR VP SYSTEM PLANNING & PROGAMS17190600074455099500266220282933000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationIN REFERENCE TO FORM 990, PART VII AND SCHEDULE J PART II, NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR (TRUSTEE) FOR HIS OR HER ROLE AS DIRECTOR (TRUSTEE). THE OFFICERS OF THE FILING ENTITY ARE COMPENSATED FOR THEIR ROLES AS OFFICERS. A PORTION OF THE COMPENSATION AMOUNT PAID TO OFFICERS OF THE FILING ENTITY IS ALLOCATED INTERNALLY AMONG THE FILING ENTITY AND ITS 26 ASSOCIATED NON-PROFIT, TAX-EXEMPT ENTITIES IN ORDER TO PROPERLY REFLECT THE DIVISION OF THE OFFICERS TIME AND EFFORT AMONG THOSE VARIOUS ENTITIES AND EACH ENTITY'S RELATIVE CONTRIBUTION TO THE OFFICERS' TOTAL COMPENSATION (SEE BELOW). COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, DAVID PHELPS, IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER GOVERNING BODY OF BERKSHIRE HEALTH SYSTEMS, INC. (PARENT ORGANIZATION OF THE FILING ENTITIY), 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. PHELPSS 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: 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 WILLIAM JONES: BHS MANAGEMENT SERVICES, INC. 50/50 HOURS FOR THE BENEFIT OF: BOURNE MANAGEMENT SYSTEMS, INC. $ 36,272 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 33,366 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 38,176 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 32,665 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 18,637 DANVERS MANAGEMENT SYSTEMS, INC. $ 17,334 PEABODY MANAGEMENT SYSTEMS, INC. $ 31,463 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 20,040 BERKSHIRE PENNSYLVANIA, INC. $ 30,060 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 8,417 WILLOWOOD OF GREAT BARRINGTON, INC. $ 27,354 WILLOWOOD OF NORTH ADAMS, INC. $ 31,262 WILLOWOOD OF WILLIAMSTOWN, INC. $ 39,579 HILLCREST EXTENDED CARE SERVICES, INC. $ 72,745 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 24,749 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 2,104 INTEGRINURSE, INC. $ 6,212 INTEGRISCRIPT, INC. $ 15,731 HOSPICECARE IN THE BERKSHIRES, INC. $ 20,441 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 34,469 ARTHUR D. MILANO: BERKSHIRE MEDICAL CENTER, INC. 37.26 HOURS/50 TOTAL HOURS $226,767 BERKSHIRE FACULTY SERVICES, INC. 8.51/50 HOURS $51,794 FAIRVIEW HOSPITAL 2.13/50 HOURS $12,964 BHS MANAGEMENT SERVICES, INC. 2.1/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $609 BOURNE MANAGEMENT SYSTEMS, INC. $609 GREENFIELD MANAGEMENT SYSTEMS, INC. $609 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $609 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $609 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $609 DANVERS MANAGEMENT SYSTEMS, INC. $609 PEABODY MANAGEMENT SYSTEMS, INC. $609 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $609 BERKSHIRE PENNSYLVANIA, INC. $609 XENIA EAST MANAGEMENT SYSTEMS, INC. $609 WILLOWOOD OF GREAT BARRINGTON, INC. $609 WILLOWOOD OF NORTH ADAMS, INC. $609 WILLOWOOD OF WILLIAMSTOWN, INC. $609 HILLCREST EXTENDED CARE SERVICES, INC. $609 BERKSHIRE RETIREMENT COMMUNITY, INC. $609 BERKSHIRE EXTENDED CARE SERVICES, INC. $609 INTEGRINURSE, INC. $609 INTEGRISCRIPT, INC. $609 HOSPICECARE IN THE BERKSHIRES, INC. $609 PITTSFIELD MANAGEMENT SYSTEMS, INC. $609 WILLIAM YOUNG: BERKSHIRE MEDICAL CENTER, INC. 36.5 HOURS/50 TOTAL HOURS $246,675 BERKSHIRE FACULTY SERVICES, INC. 9/50 HOURS $60,824 FAIRVIEW HOSPITAL 4/50 HOURS $27,033 BHS MANAGEMENT SERVICES, INC. .5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $3,379Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF BHS MANAGEMENT SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 11BERKSHIRE HEATLH SYSTEMS ("BHS") WILL MAKE THE FORMS 990 FOR BHS AND AFFILIATES AVAILABLE TO THE MEMBERS OF THE RESPECTIVE GOVERNING BODIES FOR THEIR REVIEW BY (A) SENDING COPIES TO THEM PHYSICALLY OR ELECTRONICALLY, OR (B)NOTIFYING THE MEMBERS THAT THE FORMS 990 CAN BE ACCESSED BY A SECURE WEB-BASED FOLDER BEFORE THEY ARE FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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. 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 15COMPENSATION 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 19GOVERNANCE DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE OFFICES OF (A) THE CHIEF FINANCIAL OFFICER AND (B) THE VICE PRESIDENT AND GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD, MA 01201
FORM 990, SCHEDULE JJOHN ROGERS BERKSHIRE MEDICAL CENTER INC. - 25 HOURS/WEEK FAIRVIEW HOSPITAL - 3.5 HOURS/WEEK BERKSHIRE FACULTY SERVICES, INC. - 11.5 HOURS/WEEK BERKSHIRE HEALTHCARE SYSTEMS, INC. - 10 HOURS/WEEK ANTHONY J. RINALDI FAIRVIEW HOSPITAL - 50 HOURS/WEEK EUGENE A. DELLEA FAIRVIEW HOSPITAL - 50 HOURS/WEEK THOMAS ROMEO BERKSHIRE FACULTY SERVICES, INC. - 50 HOURS/WEEK RUTH BLODGETT BERKSHIRE MEDICAL CENTER, INC. - 50 HOURS/WEEK BRIAN T BURKE, MD FAIRVIEW HOSPITAL - 48 HOURS/WEEK EDMUND H HORNSTEIN, DO BERKSHIRE MEDICAL CENTER, INC. - CONTRACTED AS NEEDED ROBERT P WESPISER, MD BERKSHIRE MEDICAL CENTER, INC. - CONTRACTED AS NEEDEDAVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
BERKSHIRE HEALTH SYSTEMS INC
725 NORTH STREETPITTSFIELDMA01201042442944PARENT CORPMA501 (C) (3)11BN/A0
FAIRVIEW HOSPITAL
725 NORTH STREETPITTSFIELDMA01201042133860ACUTE CAREMA501 (C) (3)30
BERKSHIRE MEDICAL CENTER INC
725 NORTH STREETPITTSFIELDMA01201042791396ACUTE CAREMA501 (C) (3)30
BERKSHIRE FACULTY SERVICES INC
725 NORTH STREETPITTSFIELDMA01201042995053PHYSICIAN SERVICESMA501 (C) (3)11B0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
TRI-STATE MEDICAL MANAGEMENT CORP
725 NORTH STREETPITTSFIELDMA01201042913352REAL ESTATE MANAGEMENTMAFAIRVIEW HOSPITALC0
WILLIAMSTOWN MEDICAL ASSOCIATES PC
197 ADAMS ROADWILLIAMSTOWNMA01267042680535HEALTH SERVICESMAC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WILLIAMSTOWN MEDICAL ASSOCIATES PC
D161717ACTUAL DOLLAR AMOUNT ADVANCED
WILLIAMSTOWN MEDICAL ASSOCIATES PC
J135000ACTUAL DOLLAR AMOUNT RECEIVED