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        <EOYAmt>5159751</EOYAmt>
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        <EOYAmt>5159751</EOYAmt>
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        <EOYAmt>11700098</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>385801</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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      <HospitalInd>X</HospitalInd>
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      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <OtherActivitiesAmt>890</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>890</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <Form4720Filed4912TaxInd>false</Form4720Filed4912TaxInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1i - Other Activities Description</FormAndLineReferenceDesc>
        <ExplanationTxt>Part II-B, Line 1(I), Other Lobbying Activities:Annual membership dues are paid to Massachusetts Senior Care Association and American Healthcare Association. A portion of these dues are used to conduct lobbying activities for the fiscal year.</ExplanationTxt>
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        <DepreciationAmt>415329</DepreciationAmt>
        <BookValueAmt>270613</BookValueAmt>
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      <OtherLandBuildingsGrp>
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      <OtherAssetsOrgGrp>
        <Desc>Due from Third Party Payers</Desc>
        <BookValueAmt>143556</BookValueAmt>
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        <Desc>Current portion of lt obligations</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to 501 (c) (3) Affiliates</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Long term obligations</Desc>
        <Amt>5335000</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Other Current Liabilities</Desc>
        <Amt>117800</Amt>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>D Phelps Life Insurance Cost</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>107692</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>107692</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David E Phelps</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>712414</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>39979</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11925</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>33841</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>798159</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William C Jones Jr</PersonNm>
        <TitleTxt>President/Treas</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>425086</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>57471</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>11925</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>29698</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>524180</TotalCompensationRltdOrgsAmt>
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        <FormAndLineReferenceDesc>Part III, Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>In reference to Form 990, Part VII and Schedule J Part II, no compensation is paid by the filing entity to any director (trustee) for his or her role as director (trustee). The officers of the filing entity are all compensated by BHS Management Services, Inc., ("BHSMS")a supporting organization of the filing entity. A portion of the compensation amount paid to officers of the filing entity is allocated internally among the filing entity and its 26 associated non-profit, tax-exempt entities in order to 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 of the filing entity is reviewed and established at least biannually by the independent volunteer governing body of the Berkshire Health Systems, Inc., (the parent company of BHSMS) 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 the president of the filing entity is reviewed and established at least biannually the the independent volunteer governing body of Berkshire Healthcare Systems, Inc., (the filing entity or parent company of the filing entity) based on performance reviews and comparison to independently established, regionally appropriate benchmarks for similiar positions in similarly sized healthcare organizations, as verified by independent, nationally recognized compensation consultants. Compensation of any other officers and key employees is set in accordance with governing-body established principles based on comparable benchmarks identified by such independent consultants. The governing bodies currently target total compensation for management employees at the 60th percentile of appropriate benchmarks. David E. Phelps William C. Jones Hrs/Wk Dollars Hrs/Wk DollarsBourne Management Systems, Inc. 0.71 $10,743 3.86 $34,450Greenfield Management Systems, Inc. 0.66 $ 9,915 3.56 $31,795New Bedford Management Systems, Inc. 0.75 $11,329 4.07 $36,329Northampton Management Systems, Inc. 0.79 $11,902 4.27 $38,169East Longmeadow Management Systems, Inc. 0.37 $ 5,632 2.02 $18,062Danvers Management Systems, Inc. 0.35 $ 5,224 1.87 $16,752Peabody Management Systems, Inc. 0.63 $ 9,464 3.40 $30,350In reference to Schedule J Part 2, cont.South Yarmouth Management Systems, Inc. 0.40 $ 6,035 2.17 $19,353Willowood of Great Barrington, Inc. 0.55 $ 8,224 2.95 $26,373Willowood of North Adams, Inc. 0.63 $ 9,419 3.38 $30,205Willowood of Williamstown, Inc. 0.79 $11,924 4.28 $38,237Hillcrest Extended Care Services, Inc. 1.46 $21,936 7.87 $70,345Berkshire Retirement Community, Inc. 0.24 $ 3,545 1.27 $11,367Berkshire Extended Care Services, Inc. 0.11 $ 1,665 0.60 $ 5,338IntegriNurse, Inc. 0.10 $ 1,505 0.54 $ 4,826IntegriScript, Inc. 0.25 $ 3,812 1.37 $12,225Pittsfield Management Systems, Inc. 0.69 $10,428 3.74 $33,441HospiceCare in the Berkshires, Inc. 0.38 $ 5,746 2.06 $18,425Hospice of Franklin County, Inc. 0.14 $ 2,032 0.73 $ 6,516Non Affiliated Entities 40.00 $601,913 0.00 $ 0Non Affiliated Life Insurance Cost n/a $107,692</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 8: Explanation of No Contemporaneously Documentation of Meetings</FormAndLineReferenceDesc>
        <ExplanationTxt>Berkshire Healthcare Systems, Inc. (BHCS) is the parent corporation of Berkshire Retirement Community, Inc. Berkshire Extended Care is a subsidiary of Berkshire Retirement Community, Inc. Governance duties conducted on behalf of Berkshire Extended Care Services, Inc., take place at the BHCS level. Meetings of the governing board and committees with authority to act on behalf of the governing board of BHCS are documented.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by executive management. Prior to filing, all members of the Berkshire Healthcare Systems, Inc. Board are provided with a copy of Form 990 via a secure intranet connection. The Berkshire Healthcare Systems, Inc. Board delegates review of Form 990 to its Finance Committee. Finance Committee members conduct their review of Form 990 prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization enforces and monitors its conflict of interest policy by requiring all members of the governing body and senior employees to disclose potential conflicts of interest (a) annually and (b) as potential conflicts arise. Senior employees are not permitted to have material conflicts of interests and members of the governing body are to abstain from action that may be influenced by their conflict or potential conflict.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The full relevant governing body (Berkshire Health Systems, Inc. and Berkshire Healthcare Systems, Inc.) reviews and approves the compensation of the CEO and President. Every two or three years, the organization engages a nationally recognized healthcare compensation firm to provide information concerning market rates of compensation and assess the organization's compensation structure against those independent benchmarks.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Governance documents, the conflict of interest policy and financial statements are available to the public at the office of the Vice President and General Counsel at 725 North Street, Pittsfield, MA 01201, and at the President/Treasurer's office at 75 North Street, Pittsfield, MA 01201.</ExplanationTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        </DisregardedEntityName>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
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          <ZIPCd>01201</ZIPCd>
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        <EIN>311295974</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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          <ZIPCd>01201</ZIPCd>
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        <EIN>043337130</EIN>
        <PrimaryActivitiesTxt>Maintain skilled nursing facilities</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Berkshire Healthcare Systems Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Bourne Management Systems Inc</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CEC Management Systems Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Greenfield Management Systems Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
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          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>043337128</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>CEC Management Systems Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New Bedford Management Systems Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>043337124</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CEC Management Services Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northampton Management Systems Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>043337116</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CEC Management Services Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Willowood Extended Care Services Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>043480600</EIN>
        <PrimaryActivitiesTxt>Maintain skilled nursing facilities</PrimaryActivitiesTxt>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Berkshire Healthcare Systems Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Willowood of Great Barrington Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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        </USAddress>
        <EIN>042854118</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>Willowood of North Adams Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
          <CityNm>Pittsfield</CityNm>
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          <ZIPCd>01201</ZIPCd>
        </USAddress>
        <EIN>042893906</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Willowood Extended Care Services Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Willowood of Williamstown Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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        </USAddress>
        <EIN>042893911</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        <USAddress>
          <AddressLine1Txt>75 North St Suite 210</AddressLine1Txt>
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        </USAddress>
        <EIN>363700875</EIN>
        <PrimaryActivitiesTxt>Skilled nursing facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MO</LegalDomicileStateCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Willowood Extended Care Services Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>IntegriNurse Inc</BusinessNameLine1Txt>
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        </USAddress>
        <EIN>261446630</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BHCS Management Services Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>BHCS Management Services Inc</BusinessNameLine1Txt>
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        </USAddress>
        <EIN>043031987</EIN>
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        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11a</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Berkshire Healthcare Systems Inc</BusinessNameLine1Txt>
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        <DisregardedEntityName>
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        </USAddress>
        <EIN>043030633</EIN>
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        <DisregardedEntityName>
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        </USAddress>
        <EIN>042982134</EIN>
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      <IdRelatedTaxExemptOrgGrp>
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        </USAddress>
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        <DisregardedEntityName>
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        </USAddress>
        <EIN>271465523</EIN>
        <PrimaryActivitiesTxt>Closed door pharmacy</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>11b</PublicCharityStatusTxt>
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        </USAddress>
        <EIN>201611913</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>9</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Berkshire Healthcare Systems Inc</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        </USAddress>
        <EIN>043472881</EIN>
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        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
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        <EntityTypeTxt>C Corp</EntityTypeTxt>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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  </ReturnData>
</Return>