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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <TotalBookValueLandBuildingsAmt>11849</TotalBookValueLandBuildingsAmt>
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        <Desc>DEFERRED COMPENSATION</Desc>
        <BookValueAmt>4416911</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
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        <Desc>DEFERRED COMPENSATION</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL ACTIVITIES OF BERKSHIRE MEDICAL CENTER, INC. ARE INCLUDED WITHIN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BERKSHIRE HEALTH SYSTEMS, INC AND AFFILIATES FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017. THOSE FINANCIALS INCLUDE THE FOLLOWING FIN-48 FOOTNOOTE: THE HEALTH SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THE HEALTH SYSTEM HAS DETERMINED THAT THERE ARE NO SUCH POSITIONS, INDIVIDUALLY OR IN THE AGGREGATE, THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS."</ExplanationTxt>
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        <PersonNm>BRIAN T BURKE MD</PersonNm>
        <TitleTxt>TRUSTEE/PHYSICIAN</TitleTxt>
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        <PersonNm>DANIEL M DOYLE MD</PersonNm>
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        <PersonNm>DAVID E PHELPS</PersonNm>
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        <PersonNm>DARLENE RODOWICZ</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM JONES JR</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM YOUNG</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>391264</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARTHUR MILANO</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES</TitleTxt>
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        <OtherCompensationFilingOrgAmt>45101</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>323094</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN ROGERS</PersonNm>
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        <PersonNm>SANDRA RAVELLI</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ALBERT MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR INFORMATI</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6539</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20093</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>312638</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUTH BLODGETT</PersonNm>
        <TitleTxt>SVP SYSTEM PLANNING/PROGRA</TitleTxt>
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        <PersonNm>ANTHONY RINALDI</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII AND SCHEDULE J, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VII AND SCHEDULE J PART II: NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR (TRUSTEE) FOR HIS OR HER ROLE AS DIRECTOR (TRUSTEE) . THE OFFICERS OF THE FILING ENTITY ARE COMPENSATED FOR THEIR ROLES AS OFFICERS. A PORTION OF THE COMPENSATION AMOUNT PAID TO OFFICERS OF THE FILING ENTITY IS ALLOCATED INTERNALLY AMONG THE FILING ENTITY'S 24 ASSOCIATED NON-PROFIT, TAX-EXEMPT ENTITIES IN ORDER TO PROPERLY REFLECT THE DIVISION OF THE OFFICERS' TIME AND EFFORT AMONG THOSE VARIOUS ENTITIES AND EACH ENTITY'S RELATIVE CONTRIBUTION TO THE OFFICERS' TOTAL COMPENSATION (SEE BELOW). COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, DAVID PHELPS, IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER GOVERNING BODY OF BERKSHIRE HEALTH SYSTEMS, INC. (PARENT ORGANIZATION OF THE FILING ENTITY), BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING-BODY ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARKS IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED TOTAL COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 60TH PERCENTILE OF APPROPRIATE BENCHMARKS (OTHER THAN THE CHIEF EXECUTIVE OFFICER WHOSE TOTAL COPENSATION REMAINS TARGETED AT THE 50TH PERCENTILE). MR. PHELPS' TOTAL COMPENSATION INCLUDES THE COST OF A LIFE INSURANCE POLICY AND A VESTED RETIREMENT PROGRAM PAYMENT AS WELL AS CERTAIN OTHER TAXABLE BENEFITS THAT ARE GENERALLY AVAILABLE TO EMPLOYEES OF THE REPORTING ENTITY AND ITS RELATED ORGANIZATIONS. MR. PHELPS' BASE COMPENSATION AND VESTED RETIREMENT PROGRAM (AND OTHER TAXABLE BENEFITS) ARE REPORTED SEPARATELY ON SCHEDULE J, PART II, COLUMNS (B) AND (I) AND (B) (II) RESPECTIVELY, AND FORM 990, PART VII COLUMN (E). MR. PHELPS' CASH COMPENSATION AND BENEFITS ARE ALLOCATED AMONG THE 25 RELATED ENTITIES FOR WHICH MR. PHELPS IS RESPONSIBLE. DAVID E. PHELPS, PRESIDENT (EXCLUSIVE OF $1,391,596 VESTED RETIREMENT PROGRAM): BERKSHIRE MEDICAL CENTER, INC. 26/50 HRS 405,753 BERKSHIRE FACULTY SVCS, INC. 8.75/50 HRS 136,551 FAIRVIEW HOSPITAL 3.5/50 HRS 54,621 BERKSHIRE INDEMNITY CO. LTD. 1.75/50 HRS 27,310 BHS MANAGEMENT SVCS, INC. 10/50 HRS FOR THE BENEFIT OF: BOURNE MGMT SYSTEMS, INC. 10,406 GREENFIELD MGMT SYSTEMS, INC. 9,604 NEW BEDFORD MGMT SYSTEMS, INC. 10,974 NORTHAMPTON MANAGEMENT SYSTEMS, INC. 11,658 EAST LONGMEADOW MGMT SYSTEMS, INC. 5,456 DANVERS MGMT SYSTEMS, INC. 5,060 PEABODY MGMT SYSTEMS, INC. 9,168 SOUTH YARMOTH MGMT SYSTEMS, INC. 5,846 WILLOWOOD OF GREAT BARRINGTON, INC. 7,966 WILLOWOOD OF NORTH ADAMS, INC. 9,124 WILLOWOOD OF WILLIAMSTOWN, INC. 11,550 HILLCREST EXTENDED CARE SVCS, INC. 21,249 BERKSHIRE RETIREMENT COMMUNITY, INC. 3,702 BERKSHIRE EXTENDED CARE SVCS, INC. 1,784 INTEGRINURSE, INC. 1,545 INTEGRISCRIPT, INC. 3,914 HOSPICE OF FRANKLYN COUNTY 2,164 HOSPICECARE IN THE BERKSHIRES, INC. 6,200 PITTSFIELD MGMT SYSTEMS, INC. 10,101 HOLYOKE RETIREMENT COMMUNITY, INC. 8,588 DARLENE RODOWICZ: BERKSHIRE MEDICAL CENTER, INC. 37/50 HRS 380,465 BERKSHIRE FACULTY SVCS, INC. 7/50 HRS 71,980 FAIRVIEW HOSPITAL 3/50 HRS 30,848 BERKSHIRE INDEMNITY CO. LTD. 2/50 HRS 25,707 BHS MANAGEMENT SVCS, INC FOR THE BENEFIT OF BERKSHIRE HEALTHCARE SYSTEMS,INC .5/50 HRS 5,141 WILLIAM JONES: BHS MANAGEMENT SVCS, INC. 50/50 HRS FOR THE BENEFIT OF: BOURNE MGMT SYSTEMS, INC. 34,236 GREENFIELD MGMT SYSTEMS, INC. 31,597 NEW BEDFORD MGMT SYSTEMS, INC. 36,103 NORTHAMPTON MGMT SYSTEMS, INC. 38,351 EAST LONGMEADOW MGMT SYSTEMS, INC. 17,949 DANVERS MGMT SYSTEMS, INC. 16,648 PEABODY MGMT SYSTEMS, INC. 30,160 SOUTH YARMOUTH MGMT SYSTEMS, INC. 19,233 WILLOWOOD OF GREAT BARRINGTON, INC. 26,209 WILLOWOOD OF NORTH ADAMS, INC. 30,016 WILLOWOOD OF WILLIAMSTOWN, INC. 37,999 HILLCREST EXTENDED CARE SVCS, INC. 69,906 BERKSHIRE RETIREMENT COMMUNITY, INC. 12,180 BERKSHIRE EXTENDED CARE SVCS, INC. 5,870 INTEGRINURSE, INC. 5,083 INTEGRISCRIPT, INC. 12,878 HOSPICECARE IN THE BERKSHIRES, INC. 20,396 HOSPICE OF FRANKLIN COUNTY, INC. 7,121 PITTSFIELD MGMT SYSTEMS, INC. 33,232 HOLYOKE RETIREMENT COMMUNITY, INC. 28,256 ARTHUR D. MILANO: BERKSHIRE MEDICAL CENTER, INC. 37.31/50 HRS 208,556 BERKSHIRE FACULTY SVCS, INC. 8.51/50 HRS 47,569 FAIRVIEW HOSPITAL 2.13/50 HRS 11,906 BHS MANAGEMENT SVCS, INC. 2.05/50 HRS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. 546 BOURNE MGMT SYSTEMS, INC. 546 GREENFIELD MGMT SYSTEMS, INC. 545 NEW BEDFORD MGMT SYSTEMS, INC. 546 NORTHAMPTON MGMT SYSTEMS, INC. 546 EAST LONGMEADOW MGMT SYSTEMS, INC. 545 DANVERS MGMT SYSTEMS, INC. 546 PEABODY MGMT SYSTEMS, INC. 546 SOUTH YARMOUTH MGMT SYSTEMS, INC. 545 WILLOWOOD OF GREAT BARRINGTON, INC. 546 WILLOWOOD OF NORTH ADAMS, INC. 546 WILLOWOOD OF WILLIAMSTOWN, INC. 545 HILLCREST EXTENDED CARE SERVICES, INC. 546 BERKSHIRE RETIREMENT COMMUNITY, INC. 546 BERKSHIRE EXTENDED CARE SERVICES, INC. 545 INTEGRINURSE, INC. 546 INTEGISCRIPT, INC. 546 HOSPICECARE IN THE BERKSHIRES, INC. 545 HOSPICE OF FRANKLYN COUNTY, INC. 546 PITTSFIELD MGMT SYSTEMS, INC. 546 HOLYOKE RETIREMENT COMMUNITY, INC. 545 WILLIAM YOUNG: BERKSHIRE MEDICAL CENTER, INC. 35/50 HRS 240,257 BERKSHIRE FACULTY SVCS, INC. 5/50 HRS 34,322 FAIRVIEW HOSPITAL 9/50 HRS 61,780 BHS MANAGEMENT SVCS, INC. 1/50 HRS FOR THE BENEFIT OF BERKSHIRE HEALTHCARE SYSTEMS, INC. 6,865 PATRICK M. BOREK BERKSHIRE MEDICAL CENTER, INC. 35/50 HRS 64,954 BERKSHIRE FACULTY SVCS, INC. 5/50 HRS 6,495 FAIRVIEW HOSPITAL 9/50 HRS 11,692 BHS MGMT SVCS, INC. 1/50 HRS 1,299 FOR THE BENEFIT OF BERKSHIRE HEALTHCARE SYSTEMS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES IS COMPOSED OF THE INCUMBENT MEMBERS OF THE BOARD OF TRUSTEES OF BERKSHIRE HEALTH SYSTEMS, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BERKSHIRE HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY REQUIRING ALL MEMBERS OF THE GOVERNING BODY AND ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST (A) ANNUALLY AND (B) AS POTENTIAL CONFLICTS ARISE. THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY IS CHARGED WITH REVIEWING POTENTIAL CONFLICTS OF INTEREST INVOLVING MEMBERS OF THE GOVERNING BODY OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS CHARGED WITH REVIEWING POTENTIAL CONFLICTS OF INTEREST INVOLVING ANY OTHERS. OFFICERS (INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER), KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES ARE NOT PERMITTED TO HAVE MATERIAL CONFLICTS OF INTEREST. THE DISINTERESTED MEMBERS OF THE GOVERNING BODY ARE CHARGED WITH DETERMINING WHETHER A CONFLICT EXISTS IN THE CASE OF MEMBERS OF THE GOVERNING BODY AND HOW THE AFFECTED MEMBER IS TO ABSTAIN FROM ACTIONS THAT MAY BE INFLUENCED BY HIS OR HER CONFLICT OR POTENTIAL CONFLICT. INCLUDING BY (A) NOT VOTING, OR (B) NOT VOTING AND LEAVING THE ROOM, OR (C) LEAVING THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT, VOLUNTEER, BHS GOVERNING BODY, BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING BODY-ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARK IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED TOTAL COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 60TH PERCENTILE OF APPROPRIATE BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR TAX YEAR BEING REPORTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 01201</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, COLUMN (B)</FormAndLineReferenceDesc>
        <ExplanationTxt>AVERAGE HOURS PER WEEK: DANIEL M. DOYLE, MD RECEIVED PAYMENT FROM BERKSHIRE FACULTY SERVICES FOR PHYSICIAN SERVICES, AND MOST OF THE HOURS SHOWN IN PART VII, SECTION A, COLUMN (B) AS HOURS FOR RELATED ORGANIZATIONS ARE RELATED TO THESE SERVICES. DR. DOYLE'S HOURS FOR SERVICES AS A TRUSTEE ARE THE SAME AS FOR OTHER TRUSTEES WHO ARE NOT EMPLOYED BY FAIRVIEW HOSPITAL OR ANY RELATED ORGANIZATION, AND HE RECEIVES NO COMPENSATION FOR HIS SERVICES AS A TRUSTEE. BRIAN T. BURKE, MD RECEIVED PAYMENT FROM FAIRVIEW HOSPITAL FOR PHYSICIAN SERVICES, AND MOST OF THE HOURS SHOWN IN PART VII, SECTION A, COLUMN (B) AS AVERAGE HOURS PER WEEK ARE RELATED TO THESE SERVICES. DR. BURKE'S HOURS FOR SERVICES AS A TRUSTEE ARE THE SAME AS FOR OTHER TRUSTEES WHO ARE NOT EMPLOYED BY FAIRVIEW HOSPITAL OR ANY RELATED ORGANIZATION, AND HE RECEIVES NO COMPENSATION FOR HIS SERVICES AS A TRUSTEE. ALL TRUSTEES (BOARD MEMBERS) RECEIVE NO COMPENSATION FOR SERVICES AS TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BERKSHIRE HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042442944</EIN>
        <PrimaryActivitiesTxt>PARENT CORP</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B - II</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>FAIRVIEW HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042133860</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BERKSHIRE MEDICAL CENTER INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042791396</EIN>
        <PrimaryActivitiesTxt>ACUTE CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BERKSHIRE FACULTY SERVICES INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (C) (3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B - II</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>TRI-STATE MEDICAL MANAGEMENT CORP</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>725 NORTH STREET</AddressLine1Txt>
          <CityNm>PITTSFIELD</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>REAL ESTATE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>FAIRVIEW HOSPITAL</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <ZIPCd>01267</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>BERKSHIRE ORTHOPAEDIC ASSOCIATES INC</BusinessNameLine1Txt>
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        <USAddress>
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          <CityNm>PITTSFIELD</CityNm>
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        <PrimaryActivitiesTxt>HEALTH SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>