2016-08-11T16:04:40-05:00 2015-09-30 990 2014-10-01 222755258 BHS MANAGEMENT SERVICES INC BHSM 4134472508 725 NORTH STREET PITTSFIELD MA 012014109 DARLENE RODOWICZ TREASURER/CFO 4134472809 2016-08-11 2014 2017-02-10 21:41:12Z DARLENE RODOWICZ 725 NORTH STREET PITTSFIELD MA 012014109 54027291 0 X WWW.BERKSHIREHEALTHSYSTEMS.ORG X 1986 MA PROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CO.S INCLUDING AFFILIATES OF BERKSHIRE HEALTH SYSTEMS 22 19 368 0 0 0 0 0 51482473 54027291 0 0 0 0 51482473 54027291 0 0 0 0 31667397 33247175 0 0 0 19815076 20780116 51482473 54027291 0 0 7345599 8097256 7345599 8097256 0 0 TO PROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMS 0 0 54027291 54027291 BHS MANAGEMENT SERVICES PROVIDES MANAGEMENT SERVICES AT COST TO NOT FOR PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMS, INC. THIS COORDINATED EFFORT PROVIDES FINANCIAL ACCOUNTING AND ADMINISTRATIVE SERVICES WHICH ALLOWS THE SYSTEM TO OPERATE MORE EFFICIENTLY, REACT MORE QUICKLY AND PERFORM IN AN INTEGRATED MANNER. 54027291 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 132 0 1 368 1 0 0 0 0 0 0 0 0 X 22 19 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X DARLENE RODOWICZ 4134472809 725 NORTH STREET PITTSFIED MA 01201 JEROME J ANDERSON TRUSTEE 1.00 2.00 X 0 0 0 THOMAS O ANDREWS TRUSTEE/NOT ON AT YEAR END 1.00 2.00 X 0 0 0 ALFRED A BARBALUNGA TRUSTEE 1.00 2.00 X 0 0 0 BRONLY S BOYD TRUSTEE 1.00 2.00 X 0 0 0 MARCELLA W BRADWAY MD TRUSTEE 1.00 2.00 X 0 0 0 BRIAN T BURKE MD TRUSTEE/PHYSICIAN 1.00 49.00 X 0 234740 43015 KIT DOBELLE TRUSTEE 1.00 2.00 X 0 0 0 TIMOTHY C DOHERTY TRUSTEE/CHAIR 1.00 2.00 X 0 0 0 RICHARD M DOHONEY TRUSTEE/NOT ON AT YEAR END 1.00 2.00 X 0 0 0 A KING FRANCIS TRUSTEE 1.00 2.00 X 0 0 0 DENNIS J HOGAN TRUSTEE 1.00 2.00 X 0 0 0 JOHN R KEARNS MD TRUSTEE/PHYSICIAN 1.00 49.00 X 0 85350 0 ELLEN L KENNEDY TRUSTEE 1.00 2.00 X 0 0 0 JAMES G KOLESAR TRUSTEE 1.00 2.00 X 0 0 0 SUSAN M KORMANIK TRUSTEE 1.00 2.00 X 0 0 0 LORINDA ACKLEY MAZUR TRUSTEE 1.00 2.00 X 0 0 0 JOAN M MCFALLS TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL R MCINERNEY MD TRUSTEE 1.00 2.00 X 0 0 0 LAURIE NORTON MOFFATT TRUSTEE 1.00 2.00 X 0 0 0 BARTON RASER TRUSTEE 1.00 2.00 X 0 0 0 CAROLE G SIEGEL TRUSTEE 1.00 2.00 X 0 0 0 GEORGE T SMITH TRUSTEE 1.00 2.00 X 0 0 0 MARILYN L SPERLING TRUSTEE/NOT ON AT YEAR END 1.00 2.00 X 0 0 0 JOSEPH C THOMPSON TRUSTEE 1.00 2.00 X 0 0 0 ANN H TRABULSI TRUSTEE/NOT ON AT YEAR END 1.00 2.00 X 0 0 0 EDMUND H HORNSTEIN DO TRUSTEE/NOT ON AT YEAR END 1.00 2.00 X 0 63301 0 DARLENE RODOWICZ TREASURER 0.50 49.50 X 473586 0 38285 DAVID E PHELPS PRESIDENT 10.00 40.00 X X 712285 0 42633 DAVID PHELPS ANNUAL LIFE INSURANCE 1.00 X X 107692 0 0 CHERYL M BOUDREAU CLERK 9.50 30.50 X 107771 0 14827 WILLIAM JONES JR PRESIDENT/TREASURER OF LTC 58.00 X 481153 0 37785 WILLIAM YOUNG DIRECTOR OF IT 0.50 49.50 X 322662 0 44983 ARTHUR MILANO VP HUMAN RESOURCES 2.10 47.90 X 254012 0 38397 JOHN ROGERS VP GENERAL COUNSEL 10.00 40.00 X 446261 0 40026 SANDRA RAVELLI CHIEF MEDICAL OFFICER-LTC 50.00 0.00 X 303242 0 31446 DAVID ALBERT MD MEDICAL DIRECTOR INFORMATI 0.10 49.50 X 268448 0 37656 THOMAS ROMEO VP PHYSICIAN SERVICES 0.10 49.90 X 256350 0 35367 JILL ZUCCO REGIONAL DIRECTOR OF OPERATIONS-LTC 50.00 0.00 X 228783 0 37979 3962245 383391 442399 55 0 1 0 ALLSCRIPTS 8529 SIX FORKS ROAD RALEIGH NC 27615 SOFTWARE MAINTENANCE 852429 MEDICAL INFORMATION TECHNOLOGY MEDITECH CIRCLE WESTWOOD MA 02090 SOFTWARE MAINTENANCE 757125 CAIN HIBBARD & MYERS 66 WEST STREET PITTSFIELD MA 01201 LEGAL SERVICES 575381 ERNST & YOUNG 200 CLARENDON STREET BOSTON MA 02116 AUDITING SERVICES 467500 GE HEALTHCARE 101 CARNEGIE CENTER PRINCETON NJ 08540 SOFTWARE MAINTENANCE 429682 36 CENTRALIZED SVC FEES & OPR SVC 561110 54027291 54027291 54027291 54027291 54027291 0 0 2725055 2725055 23111527 23111527 1006682 1006682 4663314 4663314 1740597 1740597 1068323 1068323 1286948 1286948 1730185 1730185 1213434 1213434 3791690 3791690 8739507 8739507 1637068 1637068 129966 129966 134614 134614 24628 24628 EMPLOYEE RECRUITMENT 603687 603687 EDUCATION SERVICES 357320 357320 LICENSES & DUES 62746 62746 54027291 54027291 0 0 5467 22640 865570 1183047 5982108 3543029 2573693 2439079 3900869 4452490 7345599 8097256 4833909 5421218 2511690 2676038 7345599 8097256 X 0 0 0 0 0 0 0 0 7345599 8097256 0 0 X 0 1 X 1 0 X X 2 BERKSHIRE MEDICAL CENTER INC 042791396 3 1 0 0 FAIRVIEW HOSPITAL 042133860 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 427310 427310 2086238 191238 1895000 308036 308036 0 3160524 3043755 116769 2439079 DEFERRED COMPENSATION 2676038 DUE FROM AFFILIATES 1776452 4452490 DEFERRED COMPENSATION 2676038 2676038 X PART X, LINE 2: THERE IS NO FIN 48 FOOTNOTE IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS X X X X X 0 0 0 0 0 0 0 0 0 BRIAN T BURKE MD TRUSTEE/PHYSICIAN 0 227158 0 0 0 7582 0 10641 0 32374 0 277755 0 0 DARLENE RODOWICZ TREASURER 425865 0 0 0 47721 0 11825 0 27150 0 512561 0 0 0 DAVID E PHELPS PRESIDENT 673069 0 0 0 39216 0 11825 0 31117 0 755227 0 0 0 DAVID PHELPS ANNUAL LIFE INSURANCE 0 0 0 0 107692 0 0 0 0 0 107692 0 0 0 WILLIAM JONES JR PRESIDENT/TREASURER OF LTC 428030 0 0 0 53123 0 11825 0 25960 0 518938 0 0 0 WILLIAM YOUNG DIRECTOR OF IT 283623 0 0 0 39039 0 11925 0 33058 0 367645 0 0 0 ARTHUR MILANO VP HUMAN RESOURCES 219047 0 0 0 34965 0 10787 0 27610 0 292409 0 0 0 JOHN ROGERS VP GENERAL COUNSEL 375075 0 0 0 71186 0 11825 0 28201 0 486287 0 0 0 SANDRA RAVELLI CHIEF MEDICAL OFFICER-LTC 293219 0 0 0 10023 0 6993 0 24453 0 334688 0 0 0 DAVID ALBERT MD MEDICAL DIRECTOR INFORMATI 257941 0 0 0 10507 0 10542 0 27114 0 306104 0 0 0 THOMAS ROMEO VP PHYSICIAN SERVICES 226279 0 0 0 30071 0 9587 0 25780 0 291717 0 0 0 JILL ZUCCO REGIONAL DIRECTOR OF OPERATIONS-LTC 198393 0 0 0 30390 0 10470 0 27509 0 266762 0 0 0 FORM 990, PART VII AND SCHEDULE J, PART II 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 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 AND ITS 26 ASSOCIATED NON-PROFIT, TAX-EXEMPT ENTITIES IN ORDER TO PROPERLY REFLECT THE DIVISION OF THE OFFICERS' TIME AND EFFORT AMONG THOSE VARIOUS ENTITIES AND EACH ENTITY'S RELATIVE CONTRIBUTION TO THE OFFICERS' TOTAL COMPENSATION (SEE BELOW). COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, 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 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 (OTHER THAN THE CHIEF EXECUTIVE OFFICER WHOSE TOTAL COMPENSATION REMAINS TARGETED AT THE 50TH PERCENTILE). FOR MOST OF MR. PHELPS' 20+-YEAR TENURE AS CHIEF EXECUTIVE OFFICER, A WRITTEN AGREEMENT BETWEEN BERKSHIRE HEALTH SYSTEMS AND MR. PHELPS HAS CALLED FOR BERKSHIRE HEALTH SYSTEMS (AND ITS AFFILIATES) TO FUND A RETIREMENT PROGRAM THAT, WHEN ADDED TO HIS BASE COMPENSATION AND OTHER ROUTINE BENEFITS, WAS INTENDED TO BRING MR. PHELPS' TOTAL COMPENSATION CLOSE TO THE 50TH PERCENTILE RANGE OF TOTAL COMPENSATION FOR COMPARABLE EXECUTIVES IN COMPARABLE HEALTHCARE ORGANIZATIONS, AS DETERMINED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION REVIEWERS. MR. PHELPS' TOTAL COMPENSATION INCLUDES THE COST OF A LIFE INSURANCE POLICY 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 LIFE INSURANCE (AND OTHER TAXABLE BENEFITS) ARE REPORTED SEPARATELY ON SCHEDULE J, PART II, COLUMNS (B) (I) AND (B) (II) RESPECTIVELY AND FORM 990, PART VII COLUMN (E). MR. PHELPS' CASH COMPENSATION AND BENEFITS ARE ALLOCATED AMONG THE 26 RELATED ENTITIES FOR WHICH MR. PHELPS IS RESPONSIBLE. DAVID E. PHELPS, PRESIDENT (INCLUSIVE OF $107,692 LIFE INSURANCE): BERKSHIRE MEDICAL CENTER, INC. 25.9 HOURS/50 TOTAL HOURS $448,719 BERKSHIRE FACULTY SERVICES, INC. 8.6/50 HOURS $151,011 FAIRVIEW HOSPITAL 3.5/50 HOURS $60,404 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2/50 HOURS $30,202 BHS MANAGEMENT SERVICES, INC. 10/50 HOURS FOR THE BENEFIT OF: BOURNE MANAGEMENT SYSTEMS, INC. $ 12,253 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 11,391 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 12,944 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 11,218 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 6,386 DANVERS MANAGEMENT SYSTEMS, INC. $ 6,040 PEABODY MANAGEMENT SYSTEMS, INC. $ 10,873 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 6,903 BERKSHIRE PENNSYLVANIA, INC. $ 1,553 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 1,553 WILLOWOOD OF GREAT BARRINGTON, INC. $ 9,492 WILLOWOOD OF NORTH ADAMS, INC. $ 10,873 WILLOWOOD OF WILLIAMSTOWN, INC. $ 13,634 HILLCREST EXTENDED CARE SERVICES, INC. $ 25,197 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 5,350 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 690 INTEGRINURSE, INC. $ 2,071 INTEGRISCRIPT, INC. $ 5,005 HOSPICECARE IN THE BERKSHIRES, INC. $ 11,908 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 7,249 DARLENE RODOWICZ: BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/50 TOTAL HOURS $379,294 BERKSHIRE FACULTY SERVICES, INC. 7/50 HOURS $71,759 FAIRVIEW HOSPITAL 3/50 HOURS $30,754 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2.5/50 HOURS $25,628 BHS MANAGEMENT SERVICES, INC. 0.5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $5,126 WILLIAM JONES: BHS MANAGEMENT SERVICES, INC. 50/50 HOURS FOR THE BENEFIT OF: BOURNE MANAGEMENT SYSTEMS, INC. $ 37,274 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 34,199 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 39,098 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 33,526 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 19,405 DANVERS MANAGEMENT SYSTEMS, INC. $ 18,060 PEABODY MANAGEMENT SYSTEMS, INC. $ 32,662 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 20,846 BERKSHIRE PENNSYLVANIA, INC. $ 4,707 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 4,707 WILLOWOOD OF GREAT BARRINGTON, INC. $ 28,339 WILLOWOOD OF NORTH ADAMS, INC. $ 32,470 WILLOWOOD OF WILLIAMSTOWN, INC. $ 41,115 HILLCREST EXTENDED CARE SERVICES, INC. $ 75,698 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 16,139 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 2,017 INTEGRINURSE, INC. $ 5,956 INTEGRISCRIPT, INC. $ 15,178 HOSPICECARE IN THE BERKSHIRES, INC. $ 36,024 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 21,518 ARTHUR D. MILANO: BERKSHIRE MEDICAL CENTER, INC. 37.26 HOURS/50 TOTAL HOURS $217,605 BERKSHIRE FACULTY SERVICES, INC. 8.51/50 HOURS $49,768 FAIRVIEW HOSPITAL 2.13/50 HOURS $12,457 BHS MANAGEMENT SERVICES, INC. 2.1/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $599 BOURNE MANAGEMENT SYSTEMS, INC. $599 GREENFIELD MANAGEMENT SYSTEMS, INC. $599 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $599 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $599 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $599 DANVERS MANAGEMENT SYSTEMS, INC. $599 PEABODY MANAGEMENT SYSTEMS, INC. $599 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $599 BERKSHIRE PENNSYLVANIA, INC. $599 XENIA EAST MANAGEMENT SYSTEMS, INC. $599 WILLOWOOD OF GREAT BARRINGTON, INC. $599 WILLOWOOD OF NORTH ADAMS, INC. $599 WILLOWOOD OF WILLIAMSTOWN, INC. $599 HILLCREST EXTENDED CARE SERVICES, INC. $599 BERKSHIRE RETIREMENT COMMUNITY, INC. $599 BERKSHIRE EXTENDED CARE SERVICES, INC. $599 INTEGRINURSE, INC. $599 INTEGRISCRIPT, INC. $599 HOSPICECARE IN THE BERKSHIRES, INC. $599 PITTSFIELD MANAGEMENT SYSTEMS, INC. $599 WILLIAM YOUNG: BERKSHIRE MEDICAL CENTER, INC. 36.5 HOURS/50 TOTAL HOURS $268,381 BERKSHIRE FACULTY SERVICES, INC. 9/50 HOURS $66,176 FAIRVIEW HOSPITAL 4/50 HOURS $29,412 BHS MANAGEMENT SERVICES, INC. .5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $3,676 FORM 990, PART VI, SECTION A, LINE 6 BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF BHS MANAGEMENT SERVICES, 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 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. 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. MEMBERS OF THE GOVERNING BODY ARE TO ABSTAIN FROM ACTION THAT MAY BE INFLUENCED BY THEIR CONFLICT OR POTENTIAL CONFLICT BY (A) NOT VOTING OR (B) NOT VOTING AND LEAVING THE ROOM OR (C) LEAVING THE GOVERNING BODY, AS DETERMINED BY THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT, VOLUNTEER, BHS GOVERNING BODY, BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING BODY-ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARK IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED TOTAL COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 60TH PERCENTILE OF APPROPRIATE BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR YEAR ENDED 9/30/15. 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 OFFICES OF (A) THE CHIEF FINANCIAL OFFICER AND (B) THE VICE PRESIDENT AND GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD, MA 01201 FORM 990, SCHEDULE J AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS: JOHN ROGERS BERKSHIRE MEDICAL CENTER INC. - 25 HOURS/WEEK FAIRVIEW HOSPITAL - 3.5 HOURS/WEEK BERKSHIRE FACULTY SERVICES, INC. - 11.5 HOURS/WEEK BERKSHIRE HEALTHCARE SYSTEMS, INC. - 10 HOURS/WEEK SANDRA RAVELLI BERKSHIRE HEALTHCARE SYSTEMS, INC. - 50 HOURS/WEEK DAVID ALBERT, MD BERKSHIRE MEDICAL CENTER, INC. 37 HOURS/WEEK BERKSHIRE FACULTY SERVICES, INC. 9 HOURS/WEEK FAIRVIEW HOSPITAL 4 HOURS/WEEK THOMAS ROMEO BERKSHIRE FACULTY SERVICES, INC. - 50 HOURS/WEEK JILL ZUCCO BERKSHIRE HEALTHCARE SYSTEMS, INC. - 50 HOURS/WEEK BRIAN T BURKE, MD FAIRVIEW HOSPITAL - 50 HOURS/WEEK EDMUND H HORNSTEIN, DO BERKSHIRE MEDICAL CENTER, INC. - CONTRACTED AS NEEDED JOHN KEARNS, MD BERKSHIRE MEDICAL CENTER, INC. - 50 HOURS/WEEK BERKSHIRE HEALTH SYSTEMS INC 725 NORTH STREET PITTSFIELD MA 01201 042442944 PARENT CORP MA 501 (C) (3) 11B - II N/A 0 FAIRVIEW HOSPITAL 725 NORTH STREET PITTSFIELD MA 01201 042133860 ACUTE CARE MA 501 (C) (3) 3 0 BERKSHIRE MEDICAL CENTER INC 725 NORTH STREET PITTSFIELD MA 01201 042791396 ACUTE CARE MA 501 (C) (3) 3 0 BERKSHIRE FACULTY SERVICES INC 725 NORTH STREET PITTSFIELD MA 01201 042995053 PHYSICIAN SERVICES MA 501 (C) (3) 11B - II 0 TRI-STATE MEDICAL MANAGEMENT CORP 725 NORTH STREET PITTSFIELD MA 01201 042913352 REAL ESTATE MANAGEMENT MA FAIRVIEW HOSPITAL C 0 WILLIAMSTOWN MEDICAL ASSOCIATES PC 197 ADAMS ROAD WILLIAMSTOWN MA 01267 042680535 HEALTH SERVICES MA N/A C 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 1 0 WILLIAMSTOWN MEDICAL ASSOCIATES PC J 221496 ACTUAL DOLLAR AMOUNT