BERKSHIRE MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BERKSHIRE MEDICAL CENTER INC (EIN 04-2791396)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201122279349303972
Schema version: 2009v1.7
Note: A later return for the same period supersedes this one.
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	2011-08-15T17:03:32-05:00	Timestamp
Tax Period End Date	2010-09-30	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 JR 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	2009-10-01	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	01201	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DARLENE RODOWICZ	Name
Title	CFO	Title
Phone	4134472508	Phone
Date Signed	2011-08-15	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	PAULA BUSH	Name
Phone	4048748300	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	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	335948874	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	2963	TotalNbrEmployees
Total Nbr Volunteers	204	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1816437	ContributionsGrantsPriorYear
Contributions Grants Current Year	2042733	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	326044514	ProgramServiceRevenuePriorYear
Program Service Revenue CY	305592033	ProgramServiceRevenueCY
Investment Income Prior Year	-2024449	InvestmentIncomePriorYear
Investment Income Current Year	6684637	InvestmentIncomeCurrentYear
Other Revenue Prior Year	895069	OtherRevenuePriorYear
Other Revenue Current Year	799786	OtherRevenueCurrentYear
Total Revenue Prior Year	326731571	TotalRevenuePriorYear
Total Revenue Current Year	315119189	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	180296886	SalariesEtcPriorYear
Salaries Etc Current Year	182633194	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	160876	TotalFundrsngExpCurrentYear
Other Expense Prior Year	148262531	OtherExpensePriorYear
Other Expenses Current Year	134859008	OtherExpensesCurrentYear
Total Expenses Prior Year	328559417	TotalExpensesPriorYear
Total Expenses Current Year	317492202	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1827846	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-2373013	RevenuesLessExpensesCY
Total Assets BOY	360111853	TotalAssetsBOY
Total Assets EOY	370412006	TotalAssetsEOY
Total Liabilities BOY	185690449	TotalLiabilitiesBOY
Total Liabilities EOY	193250439	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	174421404	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	177161567	NetAssetsOrFundBalancesEOY
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	258405091	Expense
Revenue	277891699	Revenue
Description	OPERATE AN ACUTE CARE GENERAL HOSPITAL AND MEDICAL EDUCATIONAL FACILITY, AND TO DELIVER THE HIGHEST QUALITY PATIENT CENTERED CARE IN A LEARINING ENVIRONMENT. TOTAL PATIENT DAYS FOR THE YEAR ARE 59,102, TOTAL LAB PROCEDURES 1,463,406, TOTAL RADIOLOGY PROCEDURES 177,818, TOTAL REHAB VISITS 54,761. HOURS OF OPERATION 24/HRS 365/DAYS PER YEAR.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	15451132	Expense
Revenue	17470460	Revenue
Description	OPERATION OF AN EMERGENCY DEPARTMENT AND TRAUMA CARE CENTER AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. TOTAL VISITS FOR THE YEAR 56,179. ED IS IN OPERTION 24 HRS/DAY 365 DAYS/YEAR.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	8814025	Expense
Revenue	8186073	Revenue
Description	VISITING NURSE PROGRAM ALLOWING FOR THE CARE AND REHABILATION OF PATIENTS IN THEIR OWN HOME ENVIRONMENT. TOTAL VISITS FOR THE YEAR 57,980 DETAILED AS FOLLOWS SKILLED NURSING 31,661, HOME HEALTH AIDE 11,383, REHAB 14,671, AND SOCIAL SERVICE 265. 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	2566377	Expense
Revenue	2043801	Revenue
Description	OPERATE A SUBSTANCE ABUSE CENTER WITH PROVIDING THE HIGHEST QUALITY OF PATIENT CARE. TOTAL PATIENT DAYS FOR THE YEAR 6527. PROGRAM OPERATES 24 HRS/DAY 365 DAYS/YEAR.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	2566377	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	2043801	TotalOfOtherProgramServiceRev
Total Program Service Expense	285236625	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	214	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2963	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
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
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
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
DAVID E PHELPS
PRESIDENT	30.00	X	X	0	529983	38266
THOMAS O ANDREWS
TRUSTEE	2.00	X		0	0	0
JEROME J ANDERSON
TRUSTEE	2.00	X		0	0	0
ALFRED A BARBALUNGA
TRUSTEE	2.00	X		0	0	0
BRONLY S BOYD
VICE CHAIRMAN OF THE BOARD	2.00	X	X	0	0	0
BRIAN T BURKE MD
TRUSTEE/physician	2.00	X		0	177940	34984
KIT DOBELLE
TRUSTEE	2.00	X		0	0	0
TIMOTHY C DOHERTY
cHAIRMAN OF THE BOARD	2.00	X	X	0	0	0
RICHARD M DOHONEY
TRUSTEE	2.00	X		0	0	0
BRIAN H FAIRBANKS
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		71865	0	0
JOHN R KEARNS 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 MOFFAT
TRUSTEE	2.00	X		0	0	0
PAUL E RAVERTA
TRUSTEE	2.00	X		0	0	0
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
TRUSTEE/physician	2.00	X		129890	0	0
GINA C BIRCHALL
TRUSTEE	2.00	X		0	0	0
SHEPARD D RAINIE
TRUSTEE	2.00	X		0	0	0
ANGELO C STRACUZZI
TRUSTEE	2.00	X		0	0	0
THADDEUS TUCKER S WELCH
TRUSTEE	2.00	X		0	0	0
DARLENE RODOWICZ
TREASURER	37.00		X	0	323664	35300
CHERYL BOUDREAU
CLERK	20.00		X	0	81074	13956
DIANE KELLY
C.O.O.	50.00			247021	0	34724	X
RONALD HAYDEN
CHAIRMAN - EMERGENCY MEDICINE	50.00			447051	0	36933		X
TIMOTHY COUNIHAN
CHAIRMAN - DEPT OF SURGERY	50.00			401884	0	37901		X
ANTHONY G ELLRODT
CHAIRMAN - DEPT OF MEDICINE	50.00			372836	0	36612		X
ALEX N SABO
DIRECTOR - PSYCHIATRY	50.00			310557	0	39578		X
D JAMES THOMSON
ER PHYSICIAN	50.00			305114	0	37938		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2286218	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1112661	TotalReportableCompFrmRltdOrgs
Total Other Compensation	346192	TotalOtherCompensation
Number Individuals GT100 K	168	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
BHS MANAGEMENT SERVICES INC
725 NORTH ST	PITTSFIELD	MA	01201	MANAGEMENT	21822759
MEDQUIST INC
1000 BISHOPS GATE BLVD SUITE 300	MOUNT LAUREL	NJ	08054	MEDICAL TRANSCRIPTION	1210299
ROBINSON & SMITH
335 NORTH MAIN ST	GLOVERSVILLE	NY	12078	LAUNDRY/LINEN SERVICE	842492
QUEST DIAGNOSTIC INC
415 MASSACHUSETTS AVE	CAMBRIDGE	MA	02139	MEDICAL LAB SERVICES	842295
DIVERSIFIED CLINICAL SERVICES
PO BOX 85001	ORLANDO	FL	32885	MANAGEMENT FEES	668765

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	35	NumberOfContractorsGT100K
Fundraising Events	50978	FundraisingEvents
Government Grants	1110632	GovernmentGrants
All Other Contributions	881123	AllOtherContributions
Noncash Contributions	99800	NoncashContributions
Total Contributions	2042733	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services Reven	621399	295511074	295511074
Other Ancillary	621399	4544605	4544605
Lab Revenue	621511	2200939	2200939
Health Promo Education	611710	1825064	1825064
Psych Prof Services	621112	1510351	1510351

Field	Value	IRS element (for citing)
Total Program Service Revenue	305592033	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3533773	TotalRevenueColumn
Exclusion	$3,533,773	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	429168	TotalRevenueColumn
Exclusion	$429,168	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1088201	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1430012	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-341811	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-341811	TotalRevenueColumn
Exclusion	-$341,811	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	22020467	Securities
Other	52085	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	19350856	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2669611	Securities
Other	52085	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2721696	TotalRevenueColumn
Exclusion	$2,721,696	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	48817	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	50978	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	48817	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	722212	BusinessCode
Total Revenue Column	1141597	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Exclusion	$1,141,597	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1141597	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	315119189	TotalRevenueColumn
Related Or Exempt Function Income	305592033	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$7,484,423	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	268851	Total
Program Services	259716	ProgramServices
Management And General	9135	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	144732602	Total
Program Services	139814709	ProgramServices
Management And General	4835527	ManagementAndGeneral
Fundraising	82366	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5515390	Total
Program Services	5327867	ProgramServices
Management And General	187523	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	19465009	Total
Program Services	18803197	ProgramServices
Management And General	661812	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12651342	Total
Program Services	12221197	ProgramServices
Management And General	430145	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	21822759	Total
Management And General	21822759	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1486	Total
Management And General	1486	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	48618	Total
Program Services	48618	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2856668	Total
Program Services	2856668	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	176272	Total
Program Services	169795	ProgramServices
Management And General	5977	ManagementAndGeneral
Fundraising	500	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4512226	Total
Program Services	4358810	ProgramServices
Management And General	153416	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	729689	Total
Program Services	704880	ProgramServices
Management And General	24809	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5453644	Total
Program Services	5268219	ProgramServices
Management And General	185425	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	665424	Total
Program Services	665424	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	23528056	Total
Program Services	22720191	ProgramServices
Management And General	807865	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2382064	Total
Program Services	2301074	ProgramServices
Management And General	80990	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	48735684	46407034	2261218	67432
RECIPROCAL SUPPORT TEAC	11403062	11403062	0	0
BAD DEBT	5620240	5620240
EQUIP RENTAL REPAIR	4676440	4461891	214549
UNCOMPENSATED CARE POOL	1760556	1760556

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	486120	Total
Program Services	63477	ProgramServices
Management And General	412065	ManagementAndGeneral
Fundraising	10578	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	317492202	Total
Program Services	285236625	ProgramServices
Management And General	32094701	ManagementAndGeneral
Fundraising	160876	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9804	BOY
EOY	10969	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10524686	BOY
EOY	9924217	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	407187	BOY
EOY	131348	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	40754515	BOY
EOY	34310834	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	15560687	BOY
EOY	15811387	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5835956	BOY
EOY	6388915	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2829377	BOY
EOY	3159240	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	362914044	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	213491463	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	145941250	BOY
EOY	149422581	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	93615032	BOY
EOY	114315449	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	41300833	BOY
EOY	33796258	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3332526	BOY
EOY	3140808	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	360111853	BOY
EOY	370412006	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	47692748	BOY
EOY	34031981	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	135579	BOY
EOY	419651	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	109130051	BOY
EOY	134807657	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	50000	BOY
EOY	14325	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	28682071	BOY
EOY	23976825	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	185690449	BOY
EOY	193250439	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	157756403	BOY
EOY	159373932	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10024388	BOY
EOY	11018883	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6640613	BOY
EOY	6768752	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	174421404	BOY
EOY	177161567	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	360111853	BOY
EOY	370412006	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	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	$48,618	OtherActivitiesAmount
Total Lobbying Expenditures IIB	48618	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	LOBBYING ACTIVITIES EXPENDITURES BERKSHIRE MEDICAL CENTER PAYS ANNUAL MEMBERSHI P 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 9/30/2011.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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	0.56720	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.43280	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6641413	OtherCostOrOtherBasis
Book Value	6641413	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	143216851	OtherCostOrOtherBasis
Depreciation	78852883	Depreciation
Book Value	64363968	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	178316336	OtherCostOrOtherBasis
Depreciation	128367057	Depreciation
Book Value	49949280	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	34739444	OtherCostOrOtherBasis
Depreciation	6271523	Depreciation
Book Value	28467920	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	149422581	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BLACKROCK EQUITY INDEX FUND B	23587752	F
ALLIANCE BERNSTIEN ACM IF	4026812	F
AXA ROSENBERG SMALL/MID CAP FUND	6181694	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	33796258	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
DUE TO THIRD PARTIES	$7,425,294
DEFERRED COMPENSATION	$2,127,459
PENSION FORFEITURE ESCROW	$97,027
GIFT ANNUITY LIABILTIY	$10,427
INTEREST RATE SWAP LIABILITY	$2,455,373
AMOUNT DUE TO AFFILIATE	$10,155,443
ASSET RETIREMENT ACCRETION	$1,705,802

Field	Value	IRS element (for citing)
Total Of Amounts	23976825	TotalOfAmounts
Total Revenue	315119189	TotalRevenue
Total Expenses	317492202	TotalExpenses
Excess Or Deficit For Year	-2373013	ExcessOrDeficitForYear
Net Unrealized GL On Investments	5286131	NetUnrealizedGLOnInvestments
Other	-$172,955	OtherAmount
Total Adjustments	5113176	TotalAdjustments
Excess Or Deficit Per FS	2740163	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	320405323	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	5286134	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	5286134	RevenueNotRptdF990
Revenue Subtotal	315119189	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	315119189	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	317492202	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	317492202	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	317492202	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	THE ORGANIZATION HOLDS, INVESTS AND 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 CONSISTENT WITH THE TAX EXEMPTION OF THE ORGANIZATION.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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, 2010 AND 2009 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

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	24084	GrossReceiptsEvent1
Charitable Contributions Event1	6504	CharitableContributionsEvent1
Gross Revenue Event1	17580	GrossRevenueEvent1
Non Cash Prizes Event1	466	NonCashPrizesEvent1
Rent Facility Costs Event1	11090	RentFacilityCostsEvent1
Other Direct Expenses Event1	6024	OtherDirectExpensesEvent1
Name Of Event2	golf tournament	NameOfEvent2
Gross Receipts Event2	75711	GrossReceiptsEvent2
Charitable Contributions Event2	44474	CharitableContributionsEvent2
Gross Revenue Event2	31237	GrossRevenueEvent2
Non Cash Prizes Event2	2360	NonCashPrizesEvent2
Rent Facility Costs Event2	21661	RentFacilityCostsEvent2
Other Direct Expenses Event2	7216	OtherDirectExpensesEvent2
Gross Receipts Total	99795	GrossReceiptsTotal
Charitable Contributions Total	50978	CharitableContributionsTotal
Gross Revenue Total Events	48817	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2826	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	32751	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	13240	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	48817	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	2905931	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	2905931	NetCommunityBenefitExpense
Percent Of Total Expense	0.00920	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39409739	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33264836	DirectOffsettingRevenue
Net Community Benefit Expense	6144903	NetCommunityBenefitExpense
Percent Of Total Expense	0.01940	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15323022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12004246	DirectOffsettingRevenue
Net Community Benefit Expense	3318776	NetCommunityBenefitExpense
Percent Of Total Expense	0.01050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57638692	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45269082	DirectOffsettingRevenue
Net Community Benefit Expense	12369610	NetCommunityBenefitExpense
Percent Of Total Expense	0.03910	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7854483	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1837247	DirectOffsettingRevenue
Net Community Benefit Expense	6063167	NetCommunityBenefitExpense
Percent Of Total Expense	0.01900	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12357405	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4981822	DirectOffsettingRevenue
Net Community Benefit Expense	7375583	NetCommunityBenefitExpense
Percent Of Total Expense	0.02320	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12225898	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9811998	DirectOffsettingRevenue
Net Community Benefit Expense	2413900	NetCommunityBenefitExpense
Percent Of Total Expense	0.00760	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	89186	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	89186	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	32526972	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16631067	DirectOffsettingRevenue
Net Community Benefit Expense	15941836	NetCommunityBenefitExpense
Percent Of Total Expense	0.05010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	90165664	TotalCommunityBenefitExpense
Direct Offsetting Revenue	61900149	DirectOffsettingRevenue
Net Community Benefit Expense	28311446	NetCommunityBenefitExpense
Percent Of Total Expense	0.08920	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	45932	TotalCommunityBuildingExpense
Net Community Building Expense	45932	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1057533	TotalCommunityBuildingExpense
Net Community Building Expense	1057533	NetCommunityBuildingExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1103465	TotalCommunityBuildingExpense
Net Community Building Expense	1103465	NetCommunityBuildingExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,620,241	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	94661918	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	98009259	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3347341	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther
BERKSHIRE MEDICAL CENTER
725 NORTH ST	PITTSFIELD	MA	01201	X	X	X	X	Home Health, Substance Abuse, Mental Health Services, Dental Clinic, Renal D
(no name)
								Services, Dental Clinic, Renal Dialysis, Occupational Health,
(no name)
								Occupational Health, Acute Rehabilitation Program

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: SUBSTANCE ABUSE UNIT, DENTAL CLINIC, INPATIENT PYSCHIATRIC UNIT	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: BAD DEBT EXPENSE OF $5,620,241 ATTRIBUTABLE TO PATIENT ACCOUNTS HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE SHOWN IN PART I, LINE 7, COLUMN F.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: IF A PATIENT IS INELIGIBLE FOR CHARITY CARE OR CARE AT REDUCED RATES BECUASE 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.	BadDebtFootnote
Shortfall As Community Benefit	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.	ShortfallAsCommunityBenefit
Debt Collection Policy	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 will not garnish a low income patient's (as determined by the Office of Medicaid) or the patient's guarantor's wages or execute a lien on the low income patient's or the patient's guarantor's personal residence or motor vehicle unless: (1) the hospital can show that the patient or the patient's guarantor has the ability to pay, (2) the patient did not respond to hospital requests for information or the patient refused to cooperate with the hospital to seek an available financial assistance program, or (3) for purposes of the lien, it was approved by the Hospital's Board of Trustees on an individual case by case basis. 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.	DebtCollectionPolicy
Needs Assessment	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 committee of the board of Trustees, 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; Bobbie Orsi, RN, Director, Community Outreach Services; 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 Benefits Process since 1996. The Community Needs Assessment is updated annually, and the update in 2009 directed our efforts in 2010. We 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. Our 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. 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. We leverage existing resources and providers as well as 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; Physician Manpower data; Workforce Needs Data; Wellness Data; Emergency Department/Trauma Registry; Berkshire United Way; Berkshire Regional Planning Commission; chamber of commerce blueprint study Goals: Statewide Priorities: As part of our planning process, BMC incorporates the MA statewide priorities as part of our local assessment, priorities and initiatives. The States 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* 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, Berkshire Breast Health Team, Community Health Program, 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.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: 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 them in filing an 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 dunning 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.	PatientEducationAssistance
Community Information	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 135,000 residents account for 2% of the population of the Commonwealth.The population is relatively homogeneous ethnically:White non-Hispanic persons: 93.8%Black non-Hispanic persons : 2.5%Hispanic persons: 2.3%Asian persons: 1.3%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 tried to take 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 23% 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 state50.2% of pregnant women receive publicly financed prenatal care compared to 35.6% 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% vs. 13%)The education profile of county residents reflects the economic and population demographic:The percentage of residents age 25+ who have graduated high school (85.1%) is about the same as the state experience (84.8%).The percentage of residents age 25+ with a Bachelors degree or higher is approx. 27% lower than the commonwealth as a whole (26% vs. 33.2%).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 higher than the state average. (12.1 vs. 7.8 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)9 Churches closed within the last two 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% of the births/yr are babies born to adolescents (121 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 2010 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.Berkshire County ranked 10th for Mortality, 11th for Morbidity, Health Behaviors, Social & Ecomic Factors, 12th for Physical Environment and 1st for Clincial Care.Chronic Disease: Hypertension HTN prevalence in multiple worksites averages at approximately 30%. In worksites with active wellness programs, the percentage of employees with HTN is approximately 17%. 40% of employees have pre-hypertension In >2000 employees (worksites) with HTN, 26% have BP"s "not at goal"continued on schedule o.	CommunityInformation
Community Building Activities	Part VI, Line 5: 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 PartnershipCommunity Health Network of the BerkshiresYouth Suicide Prevention Program/Berkshire Coalition for Suicide Prevention.H1N1 Flu Vaccination ClinicsEmergency Response PlanningSchool partnerships with Reid middle School and Conte Elementary School 2. Serving in a Leadership Capacity with Community OrganizationsUnited Way of Berkshire CountyPittsfield YMCAElder Services of Berkshire CountyBerkshire Community CollegeBerkshire Community College FoundationLocal School Committees (Pittsfield 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	CommunityBuildingActivities
Other Information	Part VI, Line 6: 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 interestsincluding 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 servicesradiology, anesthesia, emergency department and pathologyare 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 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.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: 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.	AffiliatedHealthCareSystem
Reports Filed With States	MA	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	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 (9 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
DAVID E PHELPS
0	491483	0	0	0	38500	0	11025	0	27241	0	568249	0	0
BRIAN T BURKE MD
0	163037	0	0	0	14903	0	8387	0	26597	0	212924	0	0
DARLENE RODOWICZ
0	284137	0	0	0	39527	0	11025	0	24275	0	358964	0	0
DIANE KELLY
202756	0	0	0	44265	0	10320	0	24404	0	281745	0	0	0
RONALD HAYDEN
423809	0	0	0	23242	0	11025	0	25908	0	483984	0	0	0
TIMOTHY COUNIHAN
364960	0	0	0	36924	0	10320	0	27581	0	439785	0	0	0
ANTHONY G ELLRODT
348772	0	0	0	24064	0	11025	0	25587	0	409448	0	0	0
ALEX N SABO
279968	0	0	0	30589	0	11025	0	28553	0	350135	0	0	0
D JAMES THOMSON
264545	0	0	0	40569	0	11025	0	26913	0	343052	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 COMPENSATION REFLECTED ON THIS RETURN WITH RESPECT TO INDIVIDUAL OFFICERS AND KEY EMPLOYEES IS PAID BY BHS MANAGEMENT SERVIES, INC., IN CONSIDERATION OF SERVICES RENDERED WITH RESPECT TO AS MANY AS 25 DIFFERENT NON-PROFIT HEALTHCARE ORGANIZATIONS. AMOUNTS INCLUDED IN COLUMN F OF PART VII REPRESENT THE EMPLOYER'S PORTION OF HEALTH, DISABILITY, DENTAL, LIFE INSURANCE AND 403(B)PLANS. THE FOLLOWING LIST REPRESENTS THE ORGANIZATIONS TO WHICH THE INDENTIFIED OFFICER OR KEY EMPLOYEE PROVIDED SERVICES AND THE RESPECTIVE ALLOCABLE SHARE OF THE COMPENSATION. David E. Phelps: Total-58 hours per week $568,249 Berkshire Medical Center, Inc. =30/58 hours $293,922 Berkshire Faculty Services, Inc. ~10/58 hours $97,974 Fairview Hospital ~4/58 hours $39,190 Berkshire Indemnity Company, SPC, Ltd. ~2/58 hours $19,595 BHS Management Services, Inc. (for LTC) ~12/58 hours $117,569 Allocated as among LTC facilities as follows: Berkshire Healthcare Systems, Inc. $29,392 Bourne Management Systems, Inc. $ 2,351 Greenfield Management Systems, Inc. $ 2,351 New Bedford Management Systems, Inc. $ 2,351 Northampton Management Systems, Inc. $ 2,351 East Longmeadow Management Systems, Inc. $ 2,351 Danvers Management Systems, Inc. $ 2,351 Peabody Management Systems, Inc. $ 2,351 South Yarmouth Management Systems, Inc. $ 2,351 Berkshire Pennsylvania, Inc. $ 2,351 Xenia Management Systems, Inc. $ 2,351 Willowood of Great Barrington, Inc. $ 4,702 Willowood of North Adams, Inc. $ 3,527 Willowood of Williamstown, Inc. $ 3,527 Hillcrest Extended Care Services, Inc. $ 8230 Berkshire Retirement Community, Inc. $ 11,757 Berkshire Extended Care Services, Inc. $ 8,230 IntegriNurse, Inc. $ 3,527 IntegriScript, Inc. $ 3,527 HospiceCare in the Berkshires, Inc. $ 11,757 Pittsfield Management Systems, Inc. $ 5,878 Darlene Rodowicz: Total-50 hours per week $358,964 Berkshie Medical Center, Inc. = 37/50 hours $265,633 Berkshire Faculty Services, Inc. ~7/50 hours $50,255 Fairview Hospital ~3/50 hours $21,538 Berkshire Indemnity Company, SPC, Ltd. ~2.5/50 hours $17,948 BHS Management Services, Inc. (for LTC) ~0.5/50 hours $3,590 Allocated as among LTC facilities as follows- Berkshire Healthcare Systems, Inc. $3590 Cheryl Boudreau: Total-41 hours per week $95,030 Berkshire Medcial Center, Inc. =20/41 hours $46,356 Berkshire Faculty Services, Inc. ~8/41 hours $18,542 Fairview Hospital ~2/41 hours $4,636 Berkshire Indemnity Company, SPC, Ltd. ~1/41 hours $2,318 BHS Management Services, Inc.(for LTC) ~10/41 hours $23,178 Allocated as among LTC facilities as follows: Berkshire Healthcare Systems, Inc. $5792 Bourne Management Systems, Inc. $ 464 Greenfield Management Systems, Inc. $ 464 New Bedford Management Systems, Inc. $ 464 Northampton Management Systems, Inc. $ 464 East Longmeadow Management Systems, Inc. $ 464 Danvers Management Systems, Inc. $ 464 Peabody Management Systems, Inc. $ 464 South Yarmouth Management Systems, Inc. $ 464 Berkshire Pennsylvania, Inc. $ 464 Xenia Management Systems, Inc. $ 464 Willowood of Great Barrington, Inc. $ 927 Willowood of North Adams, Inc. $ 695 Willowood of Williamstown, Inc. $ 695 Hillcrest Extended Care Services, Inc. $ 1622 Berkshire Retirement Community, Inc. $ 2318 Berkshire Extended Care Services, Inc. $ 1622 IntegriNurse, Inc. $ 695 IntegriScript, Inc. $ 695 HospiceCare in the Berkshires, Inc. $ 2318 Pittsfield Management Systems, Inc. $ 1159	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
MHEFA BHS SERIES F
042456011	57586cln3	2005-07-15	53089428	REFUND SERIES C AND D BONDS	0	0
mhefa bhs series a&b
042456011	noneAvail	2009-11-20	29600000	EQUIPMENT AND RELATED RENOVATIONS	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
54290451	5019000	37164406	1902595	73681	9003428	2008	1	0	1	1
29600000		6733055	307850		22559095	2010	0	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	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	0.00000	0.00000	0.00000	1
0	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	1	0

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	99800	NoncashContribsRptdF990
Method Of Determining Revenues	ISSUING CORP VALUATION	MethodOfDeterminingRevenues

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 Councel, 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 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	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 receognized healthcare compensation firm to provide information concerning market rates of compensation and assess the organization's compensaton structure against those independent benchmarks. The organization followed this process for year ended 9/30/10.
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.
SCHEDULE J-2, PART I	BRIAN T BURKE, MD FAIRVIEW HOSPITAL, INC - 48 HOURS	AVERAGE HOURS DEVOTED TO RELATED ORGANIZATION
990 schedule h line 4	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: 47% (168 people out of 354) had a BP > 140/90 Of this group, 67% (113) were on BP meds and BP was not controlled 33% were unaware their BP was high Risk factor prevalence in a working population of more than 1,378 health care professionals: Very High Risk n=92(6%) Framingham Risk >20% Diabetes, CVD/Stroke CRF. Crisis Intervention High Risk Pregnancy Moderate Risk n=368 (27%) Presence of 1 or More FR <10%,BP 121/81-139/89, BMI 25-29 Non smoker High Risk n=585 (42%) 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=333 (24%) FR <10%, BP <120/80, Cholesterol Normal, Non-smoker, BMI <25 In worksites and in the community, risk factor prevalence is driven by unhealthy eating behaviors, physical inactivity, and smoking. Strategies are aimed at assisting individuals to recognize their unique health risk profile and then take intentional steps to improve their health. In 365 patients with diabetes, 37% did not have BP at goal In patients seen with stroke, 63% have HTN as primary diagnosis. Approx 25% of renal patients have HTN as cause of renal failure. Lifetime risk of developing HBP is 90%. Health and clinical indicators Additional health information that helps depict the profile of Berkshire County includes: Berkshire County has higher than state averages for cardiovascular mortality rates, although 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 187.1 which exceeds the state rate of 178.9(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 rate also exceeds the state rate (20.68 versus 16.49) 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 Countys exiting 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.	Community Information

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
BERKSHIRE HEALTH SYSTEMS INC
725 NORTH ST	PITTSFIELD	MA	01201	042442944	PARENT CORP	MA	501 (C)(3)	11B	N/A
FAIRVIEW HOSPITAL INC
725 NORTH ST	PITTSFIELD	MA	01201	042133860	ACUTE CARE	MA	501 (C)(3)	3	N/A
BERKSHIRE FACULTY SERVICES INC
725 NORTH ST	PITTSFIELD	MA	01201	042995053	PHYSICIAN SVC	MA	501 (C)(3)	11B	N/A
BHS MANAGEMENT SERVICE INC
725 NORTH ST	PITTSFIELD	MA	01201	222755258	MANAGEMENT	MA	501 (C)(3)	11B	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	TRI-STATE MEDICAL MANAGEMENT INC	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	1	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