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BHS MANAGEMENT SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BHS MANAGEMENT SERVICES INC (EIN 22-2755258)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201222289349303592
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-15T16:54:23-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222755258EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDARLENE RODOWICZName
TitleTREASURERTitle
Phone4134472809Phone
Date Signed2012-08-15DateSigned
Authorize Third Party0AuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1725 NORTH STREETAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code012014109ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41519875GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BHS1.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CO.S INCLUDING AFFILIATES OF BERKSHIRE HEALTH SYSTEMSActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees347TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39487225ProgramServiceRevenuePriorYear
Program Service Revenue CY41519875ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year39487225TotalRevenuePriorYear
Total Revenue Current Year41519875TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year25817075SalariesEtcPriorYear
Salaries Etc Current Year26066977SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13670150OtherExpensePriorYear
Other Expenses Current Year15452898OtherExpensesCurrentYear
Total Expenses Prior Year39487225TotalExpensesPriorYear
Total Expenses Current Year41519875TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY4953729TotalAssetsBOY
Total Assets EOY5372113TotalAssetsEOY
Total Liabilities BOY4953729TotalLiabilitiesBOY
Total Liabilities EOY5372113TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense41519875Expense
Revenue41519875Revenue
DescriptionBHS MANAGEMENT SERVICES PROVIDES MANAGEMENT SERVICES TO NOT FOR PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMS, INC. THIS COORDINATED EFFORT PROVIDES FINANCIAL ACCOUNTING AND ADMINISTRATIVE SERVICES WHICH ALLOWS THE SYSTEM TO OPERATE MORE EFFICIENTLY, REACT MORE QUICKLY AND PERFORM IN AN INTEGRATED MANNERDescription
Total Program Service Expense41519875TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096111NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees347NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JEROME J ANDERSON
TRUSTEE2.00X000
THOMAS O ANDREWS
TRUSTEE2.00X000
ALFRED A BARBALUNGA
TRUSTEE2.00X000
BRONLY S BOYD
TRUSTEE/VICE CHAIR2.00X000X
BRIAN T BURKE MD
TRUSTEE/PHYSICIAN2.00X020021337926
KIT DOBELLE
TRUSTEE2.00X000
TIMOTHY C DOHERTY
TRUSTEE/CHAIR2.00X000X
RICHARD M DOHONEY
TRUSTEE2.00X000
BRIAN H FAIRBANK
TRUSTEE2.00X000
A KING FRANCIS
TRUSTEE2.00X000
DENNIS J HOGAN
TRUSTEE2.00X000
EDMUND H HORNSTEIN DO
TRUSTEE/CONTRACTED PHYSICI2.00X0875690
JOHN R KEARNS MD
TRUSTEE2.00X000
SUSAN M KORMANIK
TRUSTEE2.00X000
LORINDA ACKLEY MAZUR
TRUSTEE2.00X000
JOAN M MCFALLS
TRUSTEE2.00X000
LAURIE NORTON MOFFATT
TRUSTEE2.00X000
DAVID E PHELPS
PRESIDENT58.00X522520039741X
PAUL E RAVERTA
TRUSTEE2.00X000
CAROLE G SIEGEL
TRUSTEE2.00X000
GEORGE T SMITH
TRUSTEE2.00X000
MARILYN L SPERLING
TRUSTEE2.00X000
ANN H TRABULSI
TRUSTEE2.00X000
ROBERT P WESPISER
TRUSTEE/CONTRACTED PHYSICI2.00X01320350
THADDEUS S WELCH
TRUSTEE/NOT SERVING AT YEA2.00X000
DARLENE RODOWICZ
TREASURER51.00329477035957X
PHELPSD ONE-TIME RETIREMENT BEN ADJ
PRESIDENT0.10108555300X
CHERYL M BOUDREAU
CLERK41.0079974013078X
WILLIAM JONES JR
VP LONG TERM CARE50.00386910034811X
ARTHUR MILANO
VP HUMAN RESOURCES50.00191326031820X
WILLIAM YOUNG
DIRECTOR OF IT50.00236809032793X
EUGENE DELLEA
PRES FAIRVIEW HOSPITAL50.00207428019464X
ANTHONY J RINALDI
VP FAIRVIEW HOSPITAL50.00214655034921X
JOHN ROGERS
VP GENERAL COUNSEL50.00342931035958X
LISA TRUMBLE
VP PHYSICIAN SERVICES50.00263865029148X
JILL M ZUCCO
REG. DIRECTOR OF OPERATIONS50.00208876035481X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4070324TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs419817TotalReportableCompFrmRltdOrgs
Total Other Compensation381098TotalOtherCompensation
Number Individuals GT100 K36NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ERNST & YOUNG
200 CLARENDON STREETBOSTONMA02116AUDITING SERVICES571140
CAIN HIBBARD & MYERS
66 WEST STREETPITTSFIELDMA01201LEGAL SERVICES564826
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLEWESTWOODMA02090SOFTWARE MAINTENANCE526109
PRICEWATERHOUSE COOPERS
300 MADISON AVENUENEW YORKNY10017CONSULTING SERVICES483660
BERKSHIRE COMMUNITY COLLEGE
1350 WEST STREETPITTSFIELDMA01201EDUCATION SERVICES202068
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCENTRALIZED SVC FEES &Description
Business Code561110BusinessCode
Total Revenue Column41519875TotalRevenueColumn
Related Or Exempt Function Income41519875RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue41519875TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41519875TotalRevenueColumn
Related Or Exempt Function Income41519875RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2073804Total
Program Services2073804ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18474730Total
Program Services18474730ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total643535Total
Program Services643535ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3489942Total
Program Services3489942ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1384966Total
Program Services1384966ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1009683Total
Program Services1009683ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1470120Total
Program Services1470120ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total89225Total
Program Services89225ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3734078Total
Program Services3734078ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1060589Total
Program Services1060589ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2955992Total
Program Services2955992ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3251974Total
Program Services3251974ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total914647Total
Program Services914647ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total306384Total
Program Services306384ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44848Total
Program Services44848ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total18655Total
Program Services18655ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
EMPLOYEE RECRUITMENT503193503193
EDUCATION SERVICES6548265482
LICENSES & DUES2802828028

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total41519875Total
Program Services41519875ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15718BOY
EOY16260EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2300BOY
EOY18996EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1227751BOY
EOY1762282EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3284231LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3061213LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY176541BOY
EOY223018EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3531419BOY
EOY3351557EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4953729BOY
EOY5372113EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3711852BOY
EOY3970044EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1241877BOY
EOY1402069EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4953729BOY
EOY5372113EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4953729BOY
EOY5372113EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
BERKSHIRE MEDICAL CENTER INC
04279139630$0
FAIRVIEW HOSPITAL INC
04213386030$0
BERKSHIRE FACULTY SERVICES INC
04299505311B0$0
BERKSHIRE HEALTH SYSTEMS INC
04244294411B0$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: MONETARY SUPPORT IS NOT REQUIRED. THIS ORGANIZATION PROVIDES SUPPORT IN THE FORM OF PROVIDING MANAGEMENT SERVICES TO ITS SUPPORTED ORGANIZATIONS.GeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$89,225OtherActivitiesAmount
Total Lobbying Expenditures IIB89225TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationBHS MANAGEMENT SERVICES IS MEMBER OF "SECTION 508 HOSPITAL COALITION." 100% OF DUES ARE FOR LOBBYING. THE SECTION 508 COALITION ADVOCATES FOR INCREASED MEDICARE PAYMENTS.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis308036OtherCostOrOtherBasis
Depreciation258137Depreciation
Book Value49899BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2973130OtherCostOrOtherBasis
Depreciation2803076Depreciation
Book Value170054BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3065OtherCostOrOtherBasis
Book Value3065BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings223018TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES1956924
DEFERRED COMPENSATION1394633
FieldValueIRS element (for citing)
Total Book Value Other Assets3351557TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION$1,394,633
PENSION FORFEITURE$7,436
FieldValueIRS element (for citing)
Total Of Amounts1402069TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN T BURKE MD
01823880001782509396028530023813900
DAVID E PHELPS
466255000562650110250287160562261000
DARLENE RODOWICZ
275147000543300110250249320365434000
PHELPSD ONE-TIME RETIREMENT BEN ADJ
00001085553000001085553000
WILLIAM JONES JR
316344000705660110250237860421721000
ARTHUR MILANO
15682400034502083670234530223146000
WILLIAM YOUNG
19206400044745025320302610269602000
EUGENE DELLEA
16315800044270084670109970226892000
ANTHONY J RINALDI
15145500063200089800259410249576000
JOHN ROGERS
267796000751350110250249330378889000
LISA TRUMBLE
21320100050664094410197070293013000
JILL M ZUCCO
16647200042404091430263380244357000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationIN REFERENCE TO SCHEDULE J PART II, NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR. A PROPORTIONAL SHARE OF THE COMPENSATION AMOUNT PAID TO OFFICERS IS ALLOCATED INTERNALLY TO THE FILING ENTITY FOR ACCOUNTING AND MANAGEMENT PURPOSES. (SEE BELOW). THE FILING ENTITY PROVIDES MANAGEMENT SERVICES TO THE FILING ENTITY AND 26 OTHER NOT FOR PROFIT, TAX EXEMPT HEALTHCARE SERVICE ENTITIES. COMPENSATION FOR OFFICERS IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER GOVERNING BODY, BASED ON PERFORMANCE REVIEW AND COMPARISON TO INDEPENDENT, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. THE GOVERNING BODY TARGETS TOTAL COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 50TH PERCENTILE OF APPROPRIATE BENCHMARKS. FOR MOST OF MR. PHELPS' 20 YEAR TENURE AS CHIEF EXECUTIVE, A WRITTEN AGREEMENT BETWEEN BERKSHIRE HEALTH SYSTEMS AND MR. PHELPS HAS CALLED FOR BERKSHIRE HEALTH SYSTEMS TO FUND A RETIREMENT PROGRAM THAT, WHEN ADDED TO HIS BASE COMPENSATION AND OTHER BENEFITS, WAS INTENDED TO BRING HIS TOTAL COMPENSATION CLOSE TO THE 50TH PERCENTILE RANGE OF TOTAL COMPENSATION FOR COMPARABLE HEALTHCARE EXECUTIVES IN COMPARABLE HEALTHCARE ORGANIZATIONS, AS DETERMINED BY INDEPENDENT, NATIONALLY RECOGNIZED THIRD PARTY REVIEWERS. FOR MANY YEARS, A KEY ELEMENT OF THAT RETIREMENT PROGRAM WAS A CERTAIN LIFE INSURANCE POLICY IN WHICH BOTH BERKSHIRE HEALTH SYSTEMS AND MR. PHELPS HAD OWNERSHIP INTERESTS. IN 2010, BERKSHIRE HEALTH SYSTEMS AND MR. PHELPS AGREED TO REORGANIZE HIS RETIREMENT PROGRAM, SURRENDER HIS LIFE INSURANCE POLICY WHICH WAS, BY THEN, NO LONGER MEETING ITS GOALS AND OTHERWISE SIMPLIFY MR. PHELPS' RETIREMENT BENEFIT. AS PART OF THAT REORGANIZATION AND COMPROMISE, MR. PHELPS RECEIVED THE CASH VALUE OF THE SURRENDERED THE LIFE INSURANCE POLICY THAT HAD ACCUMULATED THROUGH HIS TENURE IN HIS CURRENT ROLE. BERKSHIRE HEALTH SYSTEMS' RETIREMENT FUNDING OBLIGATION WAS CORRESPONDINGLY REDUCED BY THAT AMOUNT. THE CASH VALUE OF THE SURRENDERED LIFE INSURANCE POLICY, REPORTED ON SCHEDULE J, PART II, LINE 4(II), COLUMN B(III), IS REFLECTED BELOW, AS IS THE PORTION OF COMPENSATION ALLOCABLE TO EACH OF THE SUPPORTED ORGANIZATIONS. DAVID E. PHELPS: BERKSHIRE MEDICAL CENTER, INC. 30 HOURS/58 TOTAL HOURS $291,029 BERKSHIRE FACULTY SERVICES, INC. 10/58 HOURS $96,934 FAIRVIEW HOSPITAL 4/58 HOURS $38,796 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2/58 HOURS $19,398 BHS MANAGEMENT SERVICES, INC. 12/58 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $29,069 BOURNE MANAGEMENT SYSTEMS, INC. $ 2,305 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 2,305 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 2,305 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 2,305 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 2,305 DANVERS MANAGEMENT SYSTEMS, INC. $ 2,305 PEABODY MANAGEMENT SYSTEMS, INC. $ 2,305 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 2,305 BERKSHIRE PENNSYLVANIA, INC. $ 2,305 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 2,305 WILLOWOOD OF GREAT BARRINGTON, INC. $ 4,667 WILLOWOOD OF NORTH ADAMS, INC. $ 3,486 WILLOWOOD OF WILLIAMSTOWN, INC. $ 3,486 HILLCREST EXTENDED CARE SERVICES, INC. $ 8153 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 11,639 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 8,153 INTEGRINURSE, INC. $ 3,486 INTEGRISCRIPT, INC. $ 3,486 HOSPICECARE IN THE BERKSHIRES, INC. $ 11,639 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 5,791 ONE TIME RETIREMENT BENEFIT ADJUSTMENT $1,085,553 DARLENE RODOWICZ: BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/51 TOTAL HOURS $270,421 BERKSHIRE FACULTY SERVICES, INC. 7/51 HOURS $51,161 FAIRVIEW HOSPITAL 3/51 HOURS $21,926 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 3/51 HOURS $18,272 BHS MANAGEMENT SERVICES, INC. 1/51 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $3654 CHERYL BOUDREAU: BERKSHIRE MEDICAL CENTER, INC. 20 HOURS/41 TOTAL HOURS $45,375 BERKSHIRE FACULTY SERVICES, INC. 8/41 HOURS $18,155 FAIRVIEW HOSPITAL 2/41 HOURS $4,541 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 1/41 HOURS $2,270 BHS MANAGEMENT SERVICES, INC. 10/41 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $5,667 BOURNE MANAGEMENT SYSTEMS, INC. $ 456 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 456 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 456 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 456 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 456 DANVERS MANAGEMENT SYSTEMS, INC. $ 456 PEABODY MANAGEMENT SYSTEMS, INC. $ 456 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 456 BERKSHIRE PENNSYLVANIA, INC. $ 456 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 456 WILLOWOOD OF GREAT BARRINGTON, INC. $ 912 WILLOWOOD OF NORTH ADAMS, INC. $ 679 WILLOWOOD OF WILLIAMSTOWN, INC. $ 679 HILLCREST EXTENDED CARE SERVICES, INC. $ 1591 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 2270 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 1591 INTEGRINURSE, INC. $ 679 INTEGRISCRIPT, INC. $ 679 HOSPICECARE IN THE BERKSHIRES, INC. $ 2270 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 1135 ARTHUR D. MILANO: BERKSHIRE MEDICAL CENTER, INC. 35 HOURS/47 TOTAL HOURS $166,295 BERKSHIRE FACULTY SERVICES, INC. 8/47 HOURS $37,979 FAIRVIEW HOSPITAL 2/47 HOURS $9,506 BHS MANAGEMENT SERVICES, INC. 2/47 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $446 BOURNE MANAGEMENT SYSTEMS, INC. $ 446 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 446 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 446 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 446 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 446 DANVERS MANAGEMENT SYSTEMS, INC. $ 446 PEABODY MANAGEMENT SYSTEMS, INC. $ 446 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 446 BERKSHIRE PENNSYLVANIA, INC. $ 446 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 446 WILLOWOOD OF GREAT BARRINGTON, INC. $ 446 WILLOWOOD OF NORTH ADAMS, INC. $ 446 WILLOWOOD OF WILLIAMSTOWN, INC. $ 446 HILLCREST EXTENDED CARE SERVICES, INC. $ 446 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 446 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 446 INTEGRINURSE, INC. $ 446 INTEGRISCRIPT, INC. $ 446 HOSPICECARE IN THE BERKSHIRES, INC. $ 446 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 446 [BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 0] JOHN F. ROGERS: BERKSHIRE MEDICAL CENTER, INC. 20 HOURS /54 TOTAL HOURS $140,494 BERKSHIRE FACULTY SERVICES, INC. 10/54 HOURS $70,170 FAIRVIEW HOSPITAL 3/54 HOURS $21,066 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 8/54 HOURS $56,113 BHS MANAGEMENT SERVICES, INC. (LTC) 13/54 HOURS ALLOCATED AS AMONG LTC FACILITIES AS FOLLOWS - BERKSHIRE HEALTHCARE SYSTEMS, INC. $7,237 BOURNE MANAGEMENT SYSTEMS, INC. $ 4,509 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 4,509 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 4,509 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 4,509 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 3,599 DANVERS MANAGEMENT SYSTEMS, INC. $ 3,599 PEABODY MANAGEMENT SYSTEMS, INC. $ 3,599 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 3,599 BERKSHIRE PENNSYLVANIA, INC. $ 4,509 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 3,599 WILLOWOOD OF GREAT BARRINGTON, INC. $ 4,509 WILLOWOOD OF NORTH ADAMS, INC. $ 4,509 WILLOWOOD OF WILLIAMSTOWN, INC. $ 5,418 HILLCREST EXTENDED CARE SERVICES, INC. $ 4,509 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 4,509 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 2,690 INTEGRINURSE, INC. $ 2,690 INTEGRISCRIPT, INC. $ 3,599 HOSPICECARE IN THE BERKSHIRES, INC. $ 6,327 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 4,509Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF BHS MANAGEMENT SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES IS COMPOSED OF THE INCUMBENT MEMBERS OF THE BOARD OF TRUSTEES OF BERKSHIRE HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION B, LINE 11BERKSHIRE HEATLH SYSTEMS ("BHS") WILL MAKE THE FORMS 990 FOR BHS AND AFFILIATES AVAILABLE TO THE MEMBERS OF THE RESPECTIVE GOVERNING BODIES FOR THEIR REVIEW BY (A) SENDING COPIES TO THEM PHYSICALLY OR ELECTRONICALLY, OR (B)NOTIFYING THE MEMBERS THAT THE FORMS 990 CAN BE ACCESSED BY A SECURE WEB-BASED FOLDER BEFORE THEY ARE FILED WITH THE IRS.
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. 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 BODYFORM 990, PART VI, SECTION B, LINE 12C
PERFORMANCE AND COMPENSATION OF THE SENIOR EXECUTIVE IS REVIEWED ANNUALLY (AND OF OTHER SENIOR EXECUTIVES, PERIODICALLY) BY A SUBCOMMITTEE OF THE GOVERNING BODY, WHOSE MEMBERS ARE INDEPENDENT. THE FULL GOVERNING BODY REVIEWS AND APPROVES THE COMPENSATION OF THE SENIOR EXECUTIVE. EVERY TWO OR THREE YEARS, THE ORGANIZATION ENGAGES A NATIONALLY RECOGNIZED HEALTHCARE COMPENSATION FIRM TO PROVIDE INFORMATION CONCERNING MARKET RATES OF COMPENSATION AND ASSESS THE ORGANIZATION'S COMPENSATION STRUCTURE AGAINST THOSE INDEPENDENT BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR YEAR ENDED 9/30/11.FORM 990, PART VI, SECTION B, LINE 15
GOVERNANCE DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE OFFICES OF (A) THE CHIEF FINANCIAL OFFICER AND (B) THE VICE PRESIDENT AND GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD, MA 01201FORM 990, PART VI, SECTION C, LINE 19
AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONSWILLIAM C. JONES, JR. BERKSHIRE HEALTHCARE SYSTEMS, INC. - 50 HOURS/WEEK LISA M. TRUMBLE BERKSHIRE FACULTY SERVICES, INC. - 50 HOURS/WEEK ANTHONY J. RINALDI FAIRVIEW HOSPITAL, INC. - 50 HOURS/WEEK JILL M ZUCCO BERKSHIRE HEALTHCARE SYSTEMS, INC. - 50 HOURS/WEEK EUGENE A. DELLEA FAIRVIEW HOSPITAL, INC. - 50 HOURS/WEEK BRIAN T BURKE, MD FAIRVIEW HOSPITAL, INC - 48 HOURS/WEEK EDMUND H HORNSTEIN, DO BERKSHIRE MEDICAL CENTER - CONTRACTED AS NEEDED ROBERT P WESPISER BERKSHIRE MEDICAL CENTER - CONTRACTED AS NEEDEDFORM 990, SCHEDULE J
NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR. A PROPORTIONAL SHARE OF THE HOURS WORKED AND COMPENSATION AMOUNTS PAID TO OFFICERS IS ALLOCATED INTERNALLY TO THE FILING ENTITY AND 26 OTHER TAX EXEMPT HEALTHCARE ENTITIES FOR ACCOUNTING AND MANAGEMENT PURPOSES. (SEE BELOW). DAVID E. PHELPS: BERKSHIRE MEDICAL CENTER, INC. 30 HOURS/58 TOTAL HOURS $291,029 BERKSHIRE FACULTY SERVICES, INC. 10/58 HOURS $96,934 FAIRVIEW HOSPITAL 4/58 HOURS $38,796 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2/58 HOURS $19,398 BHS MANAGEMENT SERVICES, INC. 12/58 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $29,069 BOURNE MANAGEMENT SYSTEMS, INC. $ 2,305 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 2,305 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 2,305 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 2,305 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 2,305 DANVERS MANAGEMENT SYSTEMS, INC. $ 2,305 PEABODY MANAGEMENT SYSTEMS, INC. $ 2,305 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 2,305 BERKSHIRE PENNSYLVANIA, INC. $ 2,305 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 2,305 WILLOWOOD OF GREAT BARRINGTON, INC. $ 4,667 WILLOWOOD OF NORTH ADAMS, INC. $ 3,486 WILLOWOOD OF WILLIAMSTOWN, INC. $ 3,486 HILLCREST EXTENDED CARE SERVICES, INC. $ 8153 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 11,639 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 8,153 INTEGRINURSE, INC. $ 3,486 INTEGRISCRIPT, INC. $ 3,486 HOSPICECARE IN THE BERKSHIRES, INC. $ 11,639 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 5,791 DARLENE RODOWICZ: BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/51 TOTAL HOURS $270,421 BERKSHIRE FACULTY SERVICES, INC. 7/51 HOURS $51,161 FAIRVIEW HOSPITAL 3/51 HOURS $21,926 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 3/51 HOURS $18,272 BHS MANAGEMENT SERVICES, INC. 1/51 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $3654 CHERYL BOUDREAU: BERKSHIRE MEDICAL CENTER, INC. 20 HOURS/41 TOTAL HOURS $45,375 BERKSHIRE FACULTY SERVICES, INC. 8/41 HOURS $18,155 FAIRVIEW HOSPITAL 2/41 HOURS $4,541 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 1/41 HOURS $2,270 BHS MANAGEMENT SERVICES, INC. 10/41 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $5,667 BOURNE MANAGEMENT SYSTEMS, INC. $ 456 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 456 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 456 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 456 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 456 DANVERS MANAGEMENT SYSTEMS, INC. $ 456 PEABODY MANAGEMENT SYSTEMS, INC. $ 456 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 456 BERKSHIRE PENNSYLVANIA, INC. $ 456 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 456 WILLOWOOD OF GREAT BARRINGTON, INC. $ 912 WILLOWOOD OF NORTH ADAMS, INC. $ 679 WILLOWOOD OF WILLIAMSTOWN, INC. $ 679 HILLCREST EXTENDED CARE SERVICES, INC. $ 1591 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 2270 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 1591 INTEGRINURSE, INC. $ 679 INTEGRISCRIPT, INC. $ 679 HOSPICECARE IN THE BERKSHIRES, INC. $ 2270 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 1135 ARTHUR D. MILANO: BERKSHIRE MEDICAL CENTER, INC. 35 HOURS/47 TOTAL HOURS $166,295 BERKSHIRE FACULTY SERVICES, INC. 8/47 HOURS $37,979 FAIRVIEW HOSPITAL 2/47 HOURS $9,506 BHS MANAGEMENT SERVICES, INC. 2/47 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $446 BOURNE MANAGEMENT SYSTEMS, INC. $ 446 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 446 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 446 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 446 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 446 DANVERS MANAGEMENT SYSTEMS, INC. $ 446 PEABODY MANAGEMENT SYSTEMS, INC. $ 446 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 446 BERKSHIRE PENNSYLVANIA, INC. $ 446 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 446 WILLOWOOD OF GREAT BARRINGTON, INC. $ 446 WILLOWOOD OF NORTH ADAMS, INC. $ 446 WILLOWOOD OF WILLIAMSTOWN, INC. $ 446 HILLCREST EXTENDED CARE SERVICES, INC. $ 446 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 446 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 446 INTEGRINURSE, INC. $ 446 INTEGRISCRIPT, INC. $ 446 HOSPICECARE IN THE BERKSHIRES, INC. $ 446 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 446 [BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 0] JOHN F. ROGERS: BERKSHIRE MEDICAL CENTER, INC. 20 HOURS /54 TOTAL HOURS $140,494 BERKSHIRE FACULTY SERVICES, INC. 10/54 HOURS $70,170 FAIRVIEW HOSPITAL 3/54 HOURS $21,066 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 8/54 HOURS $56,113 BHS MANAGEMENT SERVICES, INC. (LTC) 13/54 HOURS ALLOCATED AS AMONG LTC FACILITIES AS FOLLOWS - BERKSHIRE HEALTHCARE SYSTEMS, INC. $7,237 BOURNE MANAGEMENT SYSTEMS, INC. $ 4,509 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 4,509 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 4,509 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 4,509 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 3,599 DANVERS MANAGEMENT SYSTEMS, INC. $ 3,599 PEABODY MANAGEMENT SYSTEMS, INC. $ 3,599 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 3,599 BERKSHIRE PENNSYLVANIA, INC. $ 4,509 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 3,599 WILLOWOOD OF GREAT BARRINGTON, INC. $ 4,509 WILLOWOOD OF NORTH ADAMS, INC. $ 4,509 WILLOWOOD OF WILLIAMSTOWN, INC. $ 5,418 HILLCREST EXTENDED CARE SERVICES, INC. $ 4,509 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 4,509 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 2,690 INTEGRINURSE, INC. $ 2,690 INTEGRISCRIPT, INC. $ 3,599 HOSPICECARE IN THE BERKSHIRES, INC. $ 6,327 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 4,509FORM 990, PART VII, SECTION A, COLUMN (B)
DISCLOSURE STATEMENT RELATED TO FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, FILED ON BEHALF OF THE TAXPAYER UNDER THE CONSTRUCTIVE OWNERSHIP RULES OF IRC SECTIONS 958(A) AND (B), THE TAXPAYER MAY BE REQUIRED TO FILE FORMS 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS, AS A CATEGORY 5 FILER WITH RESPECT TO CERTAIN CONTROLLED FOREIGN CORPORATIONS (CFCS). THESE FILING REQUIREMENTS ARE OR WILL BE SATISFIED THROUGH THE FILING OF FORMS 5471 FOR THESE CFCS BY OTHER U.S. TAXPAYERS IDENTIFIED BELOW WHO HAVE THE SAME FILING REQUIREMENT. TAXPAYER NAME: BERKSHIRE HEALTH SYSTEMS, INC. ADDRESS: 725 NORTH STREET, PITTSFIELD, MA 01201 IDENTIFYING NUMBER OF U.S. TAX RETURN WITH WHICH THE FORMS 5471 WERE OR WILL BE FILED: 04-2442944 IRS SERVICE CENTER WHERE U.S. TAX RETURN WAS OR WILL BE FILED: E-FILEDEXPLANATION OF FORM 5471

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TRI-STATE MEDICAL MANAGEMENT CORPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1725 NORTH STREETAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code01201ZIPCode
FieldValueIRS element (for citing)
EIN042913352EIN
Primary ActivityREAL ESTATE MANAGEMENTPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1FAIRVIEW HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg