BERKSHIRE MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BERKSHIRE MEDICAL CENTER INC (EIN 04-2791396)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-08-15
IRS object ID: 201342279349302219
Schema version: 2011v1.5
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	2013-08-15T12:11:21-05:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	55 IVAN ALLEN BLVD SUITE 1000	AddressLine1
City	ATLANTA	City
State	GA	State
ZIP Code	30308	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	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	2013-08-15	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CHAD FRANKS	Name
PTIN	P01071312	PTIN
Phone	4048748300	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	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	378441011	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	2936	TotalNbrEmployees
Total Nbr Volunteers	215	TotalNbrVolunteers
Total Gross UBI	622688	TotalGrossUBI
Net Unrelated Business Txbl Income	621688	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1737226	ContributionsGrantsPriorYear
Contributions Grants Current Year	2125889	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	327281286	ProgramServiceRevenuePriorYear
Program Service Revenue CY	358529957	ProgramServiceRevenueCY
Investment Income Prior Year	8365126	InvestmentIncomePriorYear
Investment Income Current Year	5498511	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1006508	OtherRevenuePriorYear
Other Revenue Current Year	896056	OtherRevenueCurrentYear
Total Revenue Prior Year	338390146	TotalRevenuePriorYear
Total Revenue Current Year	367050413	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	187339579	SalariesEtcPriorYear
Salaries Etc Current Year	194077682	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	167632	TotalFundrsngExpCurrentYear
Other Expense Prior Year	137183743	OtherExpensePriorYear
Other Expenses Current Year	137833339	OtherExpensesCurrentYear
Total Expenses Prior Year	324523322	TotalExpensesPriorYear
Total Expenses Current Year	331911021	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13866824	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	35139392	RevenuesLessExpensesCY
Total Assets BOY	377426794	TotalAssetsBOY
Total Assets EOY	431804902	TotalAssetsEOY
Total Liabilities BOY	195581835	TotalLiabilitiesBOY
Total Liabilities EOY	195954271	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	181844959	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	235850631	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	268951677	Expense
Revenue	318057906	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 1,392,899, TOTAL RADIOLOGY PROCEDURES 165,288, TOTAL REHAB VISITS 60,217. HOURS OF OPERATION 24/HRS 365/DAYS PER YEAR.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	16339186	Expense
Revenue	32433823	Revenue
Description	OPERATION OF AN EMERGENCY DEPARTMENT AND TRAUMA CARE CENTER AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. TOTAL VISITS FOR THE YEAR 57,146. ED IS IN OPERATION 24 HRS/DAY 365 DAYS/YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	7063015	Expense
Revenue	6360733	Revenue
Description	VISITING NURSE PROGRAM ALLOWING FOR THE CARE AND REHABILATION OF PATIENTS IN THEIR OWN HOME ENVIRONMENT. TOTAL VISITS FOR THE YEAR 36,189 DETAILED AS FOLLOWS SKILLED NURSING 24,077, HOME HEALTH AIDE 9,309, REHAB 2,460, AND SOCIAL SERVICE 343. 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	2124140	Expense
Revenue	1677495	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	2124140	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1677495	TotalOfOtherProgramServiceRev
Total Program Service Expense	294478018	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	247	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2936	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
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	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	50.00	X	0	196554	37753
KIT DOBELLE
TRUSTEE	2.00	X	0	0	0
TIMOTHY C DOHERTY CHAIR UNTIL 212
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	74312	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	58.00	X	0	454280	39701	X
D PHELPS LIFE INS OTHER BENEFITS
PRESIDENT	0.00	X	0	160999	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	2.00	X	130748	0	0
BRIAN H FAIRBANK
TRUSTEE TERM ENDED 2/8/2012	2.00	X	0	0	0
JOHN R KEARNS MD
TRUSTEE TERM ENDED 2/8/12	2.00	X	0	0	0
PAUL E RAVERTA
TRUSTEE, RESIGNED 12/30/11	2.00	X	0	0	0
BARTON D RASOR
TRUSTEE	2.00	X	0	0	0
DARLENE RODOWICZ
TREASURER	51.00		0	359339	36363	X
CHERYL BOUDREAU
CLERK	41.00		0	87228	13973	X
RONALD HAYDEN
CHAIRMAN - EMERGENCY MEDIC	50.00		446724	0	35763		X
DIANE KELLY
C.O.O.	50.00		312267	0	35864		X
MARK VANDEN BOSCH
ANESTHESIOLOGIST	50.00		426864	0	31158			X
ANTHONY G ELLRODT
CHAIRMAN - DEPT OF MEDICIN	50.00		452050	0	35863			X
THOMAS LAPLACA
ANESTHESIOLOGIST	50.00		428581	0	39555			X
ALISON MACDONALD
ANESTHESIOLOGIST	50.00		434156	0	12923			X
RAYMOND GARY SOHL
ANESTHESIOLOGIST	50.00		498676	0	35863			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3204378	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1258400	TotalReportableCompFrmRltdOrgs
Total Other Compensation	354779	TotalOtherCompensation
Number Individuals GT100 K	302	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
QUEST DIAGNOSTIC INC
415 MASSACHUSETTS AVE	CAMBRIDGE	MA	02139	MEDICAL LAB SERVICES	983467
MMODEL
9009 CAROTHERS PARKWAY SUITE C	FRANKLIN	TN	37067	MED TRANSCRIPT SRVC	973849
ROBINSON & SMITH
335 NORTH MAIN ST	GLOVERSVILLE	NY	12078	LAUNDRY/LINEN SERVICE	902968
DIVERSIFIED CLINICAL SERVICES
PO BOX 85001	ORLANDO	FL	32885	MANAGEMENT SERVICES	565985
COMPHEALTH MEDICAL STAFF
PO BOX 972670	DALLAS	TX	753972670	CONTRACTED LABOR	558001

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	178	NumberOfContractorsGT100K
Fundraising Events	76399	FundraisingEvents
Government Grants	1065009	GovernmentGrants
All Other Contributions	984481	AllOtherContributions
Noncash Contributions	53900	NoncashContributions
Total Contributions	2125889	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES REVEN	621399	323506380	323506380
OTHER ANCILLARY	621399	29341503	29341503
LAB REVENUE	621511	2114795	2114795
HEALTH PROMO EDUCATION	611710	1901184	1901184
PSYCH PROF SERVICES	621112	1666095	1666095

Field	Value	IRS element (for citing)
Total Program Service Revenue	358529957	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3616012	TotalRevenueColumn
Unrelated Business Revenue	622688	UnrelatedBusinessRevenue
Exclusion	$2,993,324	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	188166	TotalRevenueColumn
Exclusion	$188,166	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1439252	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1664395	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-225143	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-225143	TotalRevenueColumn
Exclusion	-$225,143	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	11349838	Securities
Other	18155	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	9442465	Securities
Other	231195	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1907373	Securities
Other	-213040	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1694333	TotalRevenueColumn
Exclusion	$1,694,333	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	52543	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	76399	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	52543	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	1121199	TotalRevenueColumn
Exclusion	$1,121,199	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1121199	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	367050413	TotalRevenueColumn
Related Or Exempt Function Income	358529957	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	622688	UnrelatedBusinessRevenue
Exclusion	$5,771,879	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	928564	Total
Management And General	928564	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	153313925	Total
Program Services	147615151	ProgramServices
Management And General	5610470	ManagementAndGeneral
Fundraising	88304	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5957544	Total
Program Services	5701370	ProgramServices
Management And General	256174	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	22318782	Total
Program Services	21359074	ProgramServices
Management And General	959708	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11558867	Total
Program Services	11061837	ProgramServices
Management And General	497030	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	24444722	Total
Management And General	24444722	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	813	Total
Management And General	813	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	49470	Total
Program Services	49470	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4464828	Total
Program Services	4464828	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	186824	Total
Program Services	178312	ProgramServices
Management And General	8012	ManagementAndGeneral
Fundraising	500	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4668719	Total
Program Services	4467964	ProgramServices
Management And General	200755	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	755409	Total
Program Services	722926	ProgramServices
Management And General	32483	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5098796	Total
Program Services	4879548	ProgramServices
Management And General	219248	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	554256	Total
Program Services	554256	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18757335	Total
Program Services	17922701	ProgramServices
Management And General	834634	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3969897	Total
Program Services	3798933	ProgramServices
Management And General	170964	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PATIENT RELATED SUPPLY	48250578	45870692	2311638	68248
BAD DEBT	10494331	10494331
RECIPROCAL/TEACH FEE	9016307	9016307
EQUIP RENTAL REPAIR	5032756	4735131	297625

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2088298	Total
Program Services	1585187	ProgramServices
Management And General	492531	ManagementAndGeneral
Fundraising	10580	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	331911021	Total
Program Services	294478018	ProgramServices
Management And General	37265371	ManagementAndGeneral
Fundraising	167632	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	10970	BOY
EOY	10870	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	22831848	BOY
EOY	45928720	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	38873348	BOY
EOY	41780254	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	14704815	BOY
EOY	14433512	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	6297971	BOY
EOY	6470928	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3340776	BOY
EOY	2496850	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	371145818	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	219193603	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	145078721	BOY
EOY	151952215	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	129261201	BOY
EOY	147888681	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	14053043	BOY
EOY	16413215	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2974101	BOY
EOY	4429657	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	377426794	BOY
EOY	431804902	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	33226219	BOY
EOY	36798762	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	170090	BOY
EOY	676830	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	130052213	BOY
EOY	121637995	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	32133313	BOY
EOY	36840684	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	195581835	BOY
EOY	195954271	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	164886504	BOY
EOY	216851871	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10189702	BOY
EOY	12230008	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6768753	BOY
EOY	6768752	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	181844959	BOY
EOY	235850631	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	377426794	BOY
EOY	431804902	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	35139392	ReconcilationRevenueExpenses
Reconcilation Other Changes	18866280	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$49,470	OtherActivitiesAmount
Total Lobbying Expenditures IIB	49470	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 9/30/2012.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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)
Board Designated EOY Balance	0.61470	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.38530	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	145417905	InvestmentCostOrOtherBasis
Depreciation	69381706	Depreciation
Book Value	76036200	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	193255773	InvestmentCostOrOtherBasis
Depreciation	144781753	Depreciation
Book Value	48474019	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	25736580	InvestmentCostOrOtherBasis
Depreciation	5030144	Depreciation
Book Value	20706436	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	151952215	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTIES	$22,109,719
DEFERRED COMPENSATION	$2,898,975
GIFT ANNUITY LIABILTIY	$6,749
INTEREST RATE SWAP LIABILITY	$784,000
AMOUNT DUE TO AFFILIATE	$9,151,629
ASSET RETIREMENT ACCRETION	$1,813,137
REBATE FUND PAYABLE	$76,475

Field	Value	IRS element (for citing)
Total Of Amounts	36840684	TotalOfAmounts
Total Revenue	367050413	TotalRevenue
Total Expenses	331911021	TotalExpenses
Excess Or Deficit For Year	35139392	ExcessOrDeficitForYear
Net Unrealized GL On Investments	18959616	NetUnrealizedGLOnInvestments
Other	-$93,336	OtherAmount
Total Adjustments	18866280	TotalAdjustments
Excess Or Deficit Per FS	54005672	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	386010029	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	18959616	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	18959616	RevenueNotRptdF990
Revenue Subtotal	367050413	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	367050413	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	331911021	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	331911021	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	331911021	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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, 2012, 2011 AND 2010 DOES NOT CONTAIN A FOOTNOTE ADDRESSING ANY LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		ASSETS RELEASED FROM RESTRICTIONS FOR OPERATING PURPOSES -93,336.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	47757	GrossReceiptsEvent1
Charitable Contributions Event1	27086	CharitableContributionsEvent1
Gross Revenue Event1	20671	GrossRevenueEvent1
Non Cash Prizes Event1	1408	NonCashPrizesEvent1
Rent Facility Costs Event1	11200	RentFacilityCostsEvent1
Other Direct Expenses Event1	8063	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	81185	GrossReceiptsEvent2
Charitable Contributions Event2	49313	CharitableContributionsEvent2
Gross Revenue Event2	31872	GrossRevenueEvent2
Non Cash Prizes Event2	2560	NonCashPrizesEvent2
Rent Facility Costs Event2	20803	RentFacilityCostsEvent2
Other Direct Expenses Event2	8509	OtherDirectExpensesEvent2
Gross Receipts Total	128942	GrossReceiptsTotal
Charitable Contributions Total	76399	CharitableContributionsTotal
Gross Revenue Total Events	52543	GrossRevenueTotalEvents
Non Cash Prizes Total Events	3968	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	32003	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	16572	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	52543	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	1823870	TotalCommunityBenefitExpense
Net Community Benefit Expense	1823870	NetCommunityBenefitExpense
Percent Of Total Expense	0.00570	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	41959933	TotalCommunityBenefitExpense
Direct Offsetting Revenue	40283456	DirectOffsettingRevenue
Net Community Benefit Expense	1676477	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17004098	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15775731	DirectOffsettingRevenue
Net Community Benefit Expense	1228367	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60787901	TotalCommunityBenefitExpense
Direct Offsetting Revenue	56059187	DirectOffsettingRevenue
Net Community Benefit Expense	4728714	NetCommunityBenefitExpense
Percent Of Total Expense	0.01470	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3839239	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1038767	DirectOffsettingRevenue
Net Community Benefit Expense	2800472	NetCommunityBenefitExpense
Percent Of Total Expense	0.00870	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12004561	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4944457	DirectOffsettingRevenue
Net Community Benefit Expense	7060104	NetCommunityBenefitExpense
Percent Of Total Expense	0.02200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23885339	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15685968	DirectOffsettingRevenue
Net Community Benefit Expense	8199371	NetCommunityBenefitExpense
Percent Of Total Expense	0.02550	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60110	TotalCommunityBenefitExpense
Net Community Benefit Expense	60110	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39789249	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21669192	DirectOffsettingRevenue
Net Community Benefit Expense	18120057	NetCommunityBenefitExpense
Percent Of Total Expense	0.05640	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	100577150	TotalCommunityBenefitExpense
Direct Offsetting Revenue	77728379	DirectOffsettingRevenue
Net Community Benefit Expense	22848771	NetCommunityBenefitExpense
Percent Of Total Expense	0.07110	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	170046	TotalCommunityBuildingExpense
Direct Offsetting Revenue	6569	DirectOffsettingRevenue
Net Community Building Expense	163477	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	33588	TotalCommunityBuildingExpense
Net Community Building Expense	33588	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	33000	TotalCommunityBuildingExpense
Direct Offsetting Revenue	8000	DirectOffsettingRevenue
Net Community Building Expense	25000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	533478	TotalCommunityBuildingExpense
Net Community Building Expense	533478	NetCommunityBuildingExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	770112	TotalCommunityBuildingExpense
Direct Offsetting Revenue	14569	DirectOffsettingRevenue
Net Community Building Expense	755543	NetCommunityBuildingExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$10,494,331	BadDebtExpenseAmount
Amount Attributable To	4618555	AmountAttributableTo
Amount Reimbursed By Medicare	117029961	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	96723244	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	20306717	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
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	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 (17 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: FAIRVIEW HOSPITAL AND BERKSHIRE MEDICAL CENTER EACH FILE A SEPARATE COMMUNITY BENEFITS REPORT WITH THE STATE OF MASSACHUSETTS. BMC'S FISCAL YEAR 2012 COMMUNITY BENEFITS REPORT CAN BE ACCESSED AT WWW.CBSYS.AGO.STATE.MA.US/CBPUBLIC/PUBLIC/ANNUAL_REPORTS_START.ASPX.
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 $10,494,331 ATTRIBUTABLE TO PATIENT ACCOUNTS HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE SHOWN IN PART I, LINE 7, COLUMN F.
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, 2012 AND 2011 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. THE HOSPITAL USED THE STANDARD MEDICARE COST REPORT TO DETERMINE MEDICARE COSTS BASED ON A STEP-DOWN METHODOLOGY. THE SHORTFALL ON THE MEDICARE PROGRAM IS RELATED TO PROGRAMS AND SERVICES PROVIDED FOR THE COMMUNITY, MANY OF WHICH ARE ONLY PROVIDED BY THE HOSPITAL IN THE GEOGRAPHIC REGION AND INCLUDE TRAUMA SERVICES, RENAL DIALYSIS SERVICES, PSYCHIATRIC AND GEROPSYCHIATRIC PROGRAMS, AND HOMECARE SERVICES. THE HOSPITAL CONSIDERS THE FULL SHORTFALL TO BE A COMMUNITY BENEFIT.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 2012 WAS $16.3 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 19D: THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO AN FAP ELEGIBLE PATIENT IS 95% OF THE FACILITY'S STANDARD CHARGES.	BERKSHIRE MEDICAL CENTER
PART V, SECTION B, LINE 21: 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 2011 DIRECTED OUR EFFORTS IN 2012. 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, 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. 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 OPPORUNITIES 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 THAT 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 TWO 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. 28.1% LOWER THAN THE COMMONWEALTH AS A WHOLE (30.2% VS. 38.7%).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. (7.58 VS. 8.05 STATEWIDE)IN 2008, THE COMMUNITIES OF NORTH ADAMS AND PITTSFIELD (THE TWO LARGEST COMMUNITIES IN BERKSHIRE COUNTY) WERE RANKED 1RST AND 2ND RESPECTIVELY STATEWIDE IN REPORTING RATE FOR CHILD MALTREATMENT. (NORTH ADAMS AT 156.9 REPORTED PER 1000 RESIDENT CHILDREN AND PITTSFIELD AT 142.2 REPORTED PER 1000 RESIDENT CHILDREN COMPARED TO A STATEWIDE RATE OF 52.9 PER 1000.) IN TERMS OF VICTIMIZATION RATES (SUPPORTED ALLEGATIONS) NORTH ADAMS AT 68.3 AND PITTSFIELD AT 57.2 WERE 3RD AND 6TH STATEWIDE RESPECTIVELY COMPARED TO A STATEWIDE AVERAGE OF 24.4. (MASS. DEPARTMENT OF CHILDREN AND FAMILIES JAN. 2010)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 2009, 45% OF BERKSHIRE COUNTY STUDENTS SELF REPORTED ALCOHOL USE. IN 12TH GRADE THE PERCENTAGE WAS 82% IN 2009. (2009 PREVENTION NEEDS ASSESSMENT SURVEY RESULTS: BERKSHIRE COUNTY. BERKSHIRE YOUTH DEVELOPMENT PROJECT)25% OF 12TH GRADE STUDENTS REPORTED BEING DRUNK OR HIGH AT SCHOOL IN 2009.(2009 PREVENTION NEEDS ASSESSMENT SURVEY) 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 THREE 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 2012 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 & ECOMIC FACTORS, 7TH FOR PHYSICAL ENVIRONMENT AND 2ND 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 MAINTIAN 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 SYSTEMS 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 ORGANIZATIONS PRIORITIES BY HONORING OUR FREE CARE GUIDELINES AND IN ENGAGING IN SPECIFIC PROGRAMS AND INITIATIVES DESIGNED TO MEET COMMUNITY NEED.
MA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	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)

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
0	178884	0	0	0	17670	0	9223	0	28530	0	234307	0	0
DAVID E PHELPS
0	454280	0	0	0	0	0	11025	0	28676	0	493981	0	0
D PHELPS LIFE INS OTHER BENEFITS
0	0	0	0	0	160999	0	0	0	0	0	160999	0	0
DARLENE RODOWICZ
0	305877	0	0	0	53462	0	11025	0	25338	0	395702	0	0
RONALD HAYDEN
423482	0	0	0	23242	0	11025	0	24738	0	482487	0	0	0
DIANE KELLY
252842	0	0	0	59425	0	11025	0	24839	0	348131	0	0	0
MARK VANDEN BOSCH
400099	0	0	0	26765	0	11025	0	20133	0	458022	0	0	0
ANTHONY G ELLRODT
409986	0	0	0	42064	0	11025	0	24838	0	487913	0	0	0
THOMAS LAPLACA
386517	0	0	0	42064	0	11025	0	28530	0	468136	0	0	0
ALISON MACDONALD
394414	0	0	0	39742	0	11025	0	1898	0	447079	0	0	0
RAYMOND GARY SOHL
456612	0	0	0	42064	0	11025	0	24838	0	534539	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 SCHEDULE J PART II, NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR (TRUSTEE) FOR HIS OR HER ROLE AS DIRECTOR (TRUSTEE). 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 IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER 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 50TH PERCENTILE OF APPROPRIATE BENCHMARKS. INTERNAL ALLOCATION OF COMPENSATION: DAVID E. PHELPS: BERKSHIRE MEDICAL CENTER, INC. 26 HOURS/50 TOTAL HOURS $339,022 BERKSHIRE FACULTY SERVICES, INC. 8.6/50 HOURS $112,919 FAIRVIEW HOSPITAL 3.45/50 HOURS $45,194 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 1.73/50 HOURS $22,597 BHS MANAGEMENT SERVICES, INC. 10.22/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $33,863 BOURNE MANAGEMENT SYSTEMS, INC. $ 2,685 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 2,685 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 2,685 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 2,685 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 2,685 DANVERS MANAGEMENT SYSTEMS, INC. $ 2,685 PEABODY MANAGEMENT SYSTEMS, INC. $ 2,685 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 2,685 BERKSHIRE PENNSYLVANIA, INC. $ 2,685 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 2,685 WILLOWOOD OF GREAT BARRINGTON, INC. $ 5,436 WILLOWOOD OF NORTH ADAMS, INC. $ 4,061 WILLOWOOD OF WILLIAMSTOWN, INC. $ 4,061 HILLCREST EXTENDED CARE SERVICES, INC. $ 9,497 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 13,558 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 9,497 INTEGRINURSE, INC. $ 4,061 INTEGRISCRIPT, INC. $ 4,061 HOSPICECARE IN THE BERKSHIRES, INC. $ 13,558 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 6,746 DARLENE RODOWICZ: BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/50 TOTAL HOURS $292,819 BERKSHIRE FACULTY SERVICES, INC. 7/50 HOURS $55,398 FAIRVIEW HOSPITAL 3/50 HOURS $23,742 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2.5/50 HOURS $19,785 BHS MANAGEMENT SERVICES, INC. 0.5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $3,957 CHERYL BOUDREAU: BERKSHIRE MEDICAL CENTER, INC. 20 HOURS/41 TOTAL HOURS $49,342 BERKSHIRE FACULTY SERVICES, INC. 8/41 HOURS $19,744 FAIRVIEW HOSPITAL 2/41 HOURS $4,939 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 1/41 HOURS $2,469 BHS MANAGEMENT SERVICES, INC. 10/41 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $6,163 BOURNE MANAGEMENT SYSTEMS, INC. $ 496 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 496 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 496 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 496 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 496 DANVERS MANAGEMENT SYSTEMS, INC. $ 496 PEABODY MANAGEMENT SYSTEMS, INC. $ 496 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 496 BERKSHIRE PENNSYLVANIA, INC. $ 496 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 496 WILLOWOOD OF GREAT BARRINGTON, INC. $ 992 WILLOWOOD OF NORTH ADAMS, INC. $ 739 WILLOWOOD OF WILLIAMSTOWN, INC. $ 739 HILLCREST EXTENDED CARE SERVICES, INC. $ 1,731 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 2,469 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 1,731 INTEGRINURSE, INC. $ 739 INTEGRISCRIPT, INC. $ 739 HOSPICECARE IN THE BERKSHIRES, INC. $ 2,469 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 1,235	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MHEFA BHS SERIES F
042456011	57586CLN3	2005-07-26	53089428	REFUND SERIES C AND D BONDS	0	0	0
MDFA BHS SERIES G
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)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
16460000	54729019	5019000	1003800	898795	73681	9003428	38730315	2008	1	0	0	1
	93491584		1245681			6699357	84144509	2011	1	0	0	1	1402037

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0.00000	0.00000	0.00000	1
0	0	0	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
1	0	0	0	1	0
1	0	0	0	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

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	53900	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 (11 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 50TH PERCENTILE OF APPROPRIATE BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR YEAR ENDED 9/30/12.
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 SCHEDULE J	BRIAN T BURKE, MD FAIRVIEW HOSPITAL - 48 HOURS/WEEK	AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 18,959,616. ASSETS RELEASED FROM RESTRICTIONS FOR OPERATING PURPOSES -93,336. TOTAL TO FORM 990, PART XI, LINE 5: 18,866,280.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART I, LINE 9	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, POSITIVE ADJUSTMENT WILL CONTINUE. THE VALUE OF THE RURAL FLOOR PROVISION TO BMC IN FY 2012 WAS $16.3 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: 18% (N=649) OF POPULATION HAVE BP > 140/90 OF THOSE WITH HBP 336,(51%) ARE ON MEDS AND NOT CONTROLLED -UNDERTREATED OF THOSE WITH HBP, 313 (48%) ARE NOT ON MEDS - NOT TREATED 1,161 PATIENTS HAVE PREHTN AND MORE THAN 30% WILL GO ON TO DEVELOP HBP AND REQUIRED RX- PREVENTION RISK FACTOR PREVALENCE IN VULNERABLE POPULATION OF 142 PEOPLE: HEALTH SCREENING TYPE (N=142) TOTAL# % TOTAL CHOLESTEROL (>240) HIGH 10 7% TOTAL CHOLESTEROL (200-239) BORDERLINE 30 21% BP (PRE) 50 35% BP (STAGE I) 21 15% BP (STAGE II) 4 3% BLOOD GLUCOSE (HIGH) 20 14% BMI (>30) OBESE 42 36% BMI (25-29) OVERWEIGHT 39 33% BMI (<25) 36 31% RISK FACTOR PREVALENCE IN A WORKING POPULATION OF MORE THAN 1492 HEALTH CARE PROFESSIONALS: VERY HIGH RISK N=126 (8%) FRAMINGHAM RISK >20% DIABETES, CVD/STROKE CRF. CRISIS INTERVENTION HIGH RISK PREGNANCY MODERATE RISK N=523 (35%) PRESENCE OF 1 OR MORE FR <10%,BP 121/81-139/89, BMI 25-29 NON SMOKER HIGH RISK N=564 (38%) PRESENCE OF 1 OR MORE FR >10%, BP >140/90, CHOL >240, HDL <40, NON-HDL >160, SMOKING, BMI >30, METABOLIC SYNDROME DEPRESSION LOW RISK N=279 (19%) FR <10%, BP <120/80, CHOLESTEROL NORMAL, NON-SMOKER, BMI <25 2012 ANALYSIS SHOWED POSITIVE HEALTH RISK OUTCOMES IN 1020 EMPLOYEES SCREENED AT LEAST 2 TIMES IN THE AREAS OF RISK LEVEL, CHOLESTEROL, PHYSICAL ACTIVITY, HEALTHY EATING, BLOOD PRESSURE AND BMI >30. CHOLESTEROL VALUES OVER 240 DECREASED BY 15%. GREATER THAN 60% OF THE POPULATION IS WITHIN THE OPTIMAL RANGE FOR CHOLESTEROL. 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

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	TRI-STATE MEDICAL MANAGEMENT CORP	BusinessNameLine1

Address US AddressUS

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)
EIN	042913352	EIN
Primary Activity	REAL ESTATE MANAGEMENT	PrimaryActivity
Legal Domicile State	MA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity

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
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