BHS MANAGEMENT SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BHS MANAGEMENT SERVICES INC (EIN 22-2755258)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-14
IRS object ID
201322269349303307
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-14T14:54:17-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222755258EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDARLENE RODOWICZName
TitleTREASURERTitle
Phone4134472809Phone
Date Signed2013-08-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1725 NORTH STREETAddressLine1
CityPITTSFIELDCity
StateMAState
ZIP Code012014109ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45302569GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BHS1.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CO.S INCLUDING AFFILIATES OF BERKSHIRE HEALTH SYSTEMSActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees337TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41519875ProgramServiceRevenuePriorYear
Program Service Revenue CY45302569ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year41519875TotalRevenuePriorYear
Total Revenue Current Year45302569TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year26066977SalariesEtcPriorYear
Salaries Etc Current Year27737998SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15452898OtherExpensePriorYear
Other Expenses Current Year17564571OtherExpensesCurrentYear
Total Expenses Prior Year41519875TotalExpensesPriorYear
Total Expenses Current Year45302569TotalExpensesCurrentYear
Revenues Less Expenses Prior Year0RevenuesLessExpensesPriorYear
Revenues Less Expenses CY0RevenuesLessExpensesCY
Total Assets BOY5372113TotalAssetsBOY
Total Assets EOY6793645TotalAssetsEOY
Total Liabilities BOY5372113TotalLiabilitiesBOY
Total Liabilities EOY6793645TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY0NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY0NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MANAGEMENT SERVICES TO NOT-FOR-PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense45302569Expense
Revenue45302569Revenue
DescriptionBHS MANAGEMENT SERVICES PROVIDES MANAGEMENT SERVICES TO NOT FOR PROFIT CORPORATIONS INCLUDING CONTROLLED AFFILIATES OF BERKSHIRE HEALTH SYSTEMS, INC. THIS COORDINATED EFFORT PROVIDES FINANCIAL ACCOUNTING AND ADMINISTRATIVE SERVICES WHICH ALLOWS THE SYSTEM TO OPERATE MORE EFFICIENTLY, REACT MORE QUICKLY AND PERFORM IN AN INTEGRATED MANNER.Description
Total Program Service Expense45302569TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096118NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees337NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JEROME J ANDERSON
TRUSTEE2.00X000
THOMAS O ANDREWS
TRUSTEE2.00X000
ALFRED A BARBALUNGA
TRUSTEE2.00X000
BRONLY S BOYD
TRUSTEE/CHAIR2.00X000X
BRIAN T BURKE MD
TRUSTEE/PHYSICIAN50.00X019655437753
KIT DOBELLE
TRUSTEE2.00X000
TIMOTHY C DOHERTY
TRUSTEE/CHAIR UNTIL 2/122.00X000X
RICHARD M DOHONEY
TRUSTEE2.00X000
BRIAN H FAIRBANK
TRUSTEE/NOT SERVING AT YEA2.00X000
A KING FRANCIS
TRUSTEE2.00X000
DENNIS J HOGAN
TRUSTEE2.00X000
EDMUND H HORNSTEIN DO
TRUSTEE/CONTRACTED PHYSICI2.00X0743120
JOHN R KEARNS MD
TRUSTEE/NOT SERVING AT YEA2.00X000
ELLEN L KENNEDY
TRUSTEE2.00X000
SUSAN M KORMANIK
TRUSTEE2.00X000
LORINDA ACKLEY MAZUR
TRUSTEE2.00X000
JOAN M MCFALLS
TRUSTEE2.00X000
MICHAEL R MCINERNEY
TRUSTEE2.00X000
LAURIE NORTON MOFFATT
TRUSTEE2.00X000
BARTON RASER
TRUSTEE2.00X000
PAUL E RAVERTA
TRUSTEE/NOT SERVING AT YEA2.00X000
CAROLE G SIEGEL
TRUSTEE2.00X000
GEORGE T SMITH
TRUSTEE2.00X000
MARILYN L SPERLING
TRUSTEE2.00X000
ANN H TRABULSI
TRUSTEE2.00X000
ROBERT P WESPISER
TRUSTEE/CONTRACTED PHYSICI2.00X01307480
DAVID E PHELPS
PRESIDENT58.00X454280039701X
D PHELPS LIFE IN OTHER BENEFITS
PRESIDENT1.00X16099900X
DARLENE RODOWICZ
TREASURER51.00359339036363X
CHERYL M BOUDREAU
CLERK41.0087228013973X
WILLIAM JONES JR
PRESIDENT OF LONG TERM CARE50.00412176036216X
ARTHUR MILANO
VP HUMAN RESOURCES50.00208172033923X
WILLIAM YOUNG
DIRECTOR OF IT50.00246563042716X
JOHN ROGERS
VP GENERAL COUNSEL50.00375725038753X
ANTHONY J RINALDI
VP FAIRVIEW HOSPITAL50.00221889034804X
JILL M ZUCCO
REG. DIRECTOR OF OPERATION50.00213379035612X
EUGENE DELLEA
PRES FAIRVIEW HOSPITAL50.00212922019580X
THOMAS ROMEO
VP PHYSICIAN SERVICES50.00196219033280X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3148891TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs401614TotalReportableCompFrmRltdOrgs
Total Other Compensation402674TotalOtherCompensation
Number Individuals GT100 K36NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ERNST & YOUNG
200 CLARENDON STREETBOSTONMA02116AUDITING SERVICES647200
BILL DUNBAR AND ASSOCIATES
2601 FORTUNE CIRCLE EASTINDIANAPOLISIN46241CODING & DOCUMENTATION COMPLIANCE602140
JA THOMAS AND ASSOCIATES
3715 NORTHSIDE PKWYATLANTAGA30327COMPLIANCE CONSULTING541142
CAIN HIBBARD & MYERS
66 WEST STREETPITTSFIELDMA01201LEGAL SERVICES469483
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLEWESTWOODMA02090SOFTWARE MAINTENANCE419892
FieldValueIRS element (for citing)
Number Of Contractors GT100 K30NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCENTRALIZED SVC FEES &Description
Business Code561110BusinessCode
Total Revenue Column45302569TotalRevenueColumn
Related Or Exempt Function Income45302569RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue45302569TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45302569TotalRevenueColumn
Related Or Exempt Function Income45302569RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2612173Total
Program Services2612173ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19465297Total
Program Services19465297ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total725291Total
Program Services725291ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3480476Total
Program Services3480476ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1454761Total
Program Services1454761ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total928450Total
Program Services928450ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1323356Total
Program Services1323356ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3708093Total
Program Services3708093ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1042840Total
Program Services1042840ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2981803Total
Program Services2981803ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5069556Total
Program Services5069556ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total995286Total
Program Services995286ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total346482Total
Program Services346482ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total61368Total
Program Services61368ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total12686Total
Program Services12686ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
EMPLOYEE RECRUITMENT586516586516
EDUCATION SERVICES433488433488
LICENSES & DUES7464774647

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total45302569Total
Program Services45302569ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16260BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY18996BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1762282BOY
EOY1396984EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3284231LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3122582LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY223018BOY
EOY161649EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3351557BOY
EOY5235012EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5372113BOY
EOY6793645EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3970044BOY
EOY4945538EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1402069BOY
EOY1848107EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5372113BOY
EOY6793645EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5372113BOY
EOY6793645EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses0ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
BERKSHIRE MEDICAL CENTER INC
04279139630$0
FAIRVIEW HOSPITAL INC
04213386030$0
BERKSHIRE FACULTY SERVICES INC
04299505311B0$0
BERKSHIRE HEALTH SYSTEMS INC
04244294411B0$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis308036OtherCostOrOtherBasis
Depreciation274770Depreciation
Book Value33266BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2976195OtherCostOrOtherBasis
Depreciation2847812Depreciation
Book Value128383BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings161649TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES3386905
DEFERRED COMPENSATION1848107
FieldValueIRS element (for citing)
Total Book Value Other Assets5235012TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPENSATIONDescription
Amount$1,848,107Amount
FieldValueIRS element (for citing)
Total Of Amounts1848107TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BRIAN T BURKE MD
01788830001767109223028530023430700
DAVID E PHELPS
45428000000110250286760493981000
D PHELPS LIFE IN OTHER BENEFITS
000016099900000160999000
DARLENE RODOWICZ
305877000534620110250253380395702000
WILLIAM JONES JR
343431000687450110250251910448392000
ARTHUR MILANO
16896500039207090650248580242095000
WILLIAM YOUNG
204053000425100108800318360289279000
JOHN ROGERS
290532000851930110250277280414478000
ANTHONY J RINALDI
15607600065813090930257110256693000
JILL M ZUCCO
17120200042177092740263380248991000
EUGENE DELLEA
16721800045704085830109970232502000
THOMAS ROMEO
15099100045228084580248220229499000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationIN REFERENCE TO SCHEDULE J PART II, NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR (TRUSTEE) FOR HIS OR HER ROLE AS DIRECTOR (TRUSTEE). 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 IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER 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 50TH PERCENTILE OF APPROPRIATE BENCHMARKS. DAVID E. PHELPS: BERKSHIRE MEDICAL CENTER, INC. 30 HOURS/58 TOTAL HOURS $339,021 BERKSHIRE FACULTY SERVICES, INC. 10/58 HOURS $112,919 FAIRVIEW HOSPITAL 4/58 HOURS $45,194 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2/58 HOURS $22,597 BHS MANAGEMENT SERVICES, INC. 12/58 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $33,863 BOURNE MANAGEMENT SYSTEMS, INC. $ 2,685 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 2,685 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 2,685 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 2,685 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 2,685 DANVERS MANAGEMENT SYSTEMS, INC. $ 2,685 PEABODY MANAGEMENT SYSTEMS, INC. $ 2,685 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 2,685 BERKSHIRE PENNSYLVANIA, INC. $ 2,685 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 2,685 WILLOWOOD OF GREAT BARRINGTON, INC. $ 5,436 WILLOWOOD OF NORTH ADAMS, INC. $ 4,061 WILLOWOOD OF WILLIAMSTOWN, INC. $ 4,061 HILLCREST EXTENDED CARE SERVICES, INC. $ 9,497 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 13,558 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 9,497 INTEGRINURSE, INC. $ 4,061 INTEGRISCRIPT, INC. $ 4,061 HOSPICECARE IN THE BERKSHIRES, INC. $ 13,558 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 6,746 DARLENE RODOWICZ: BERKSHIRE MEDICAL CENTER, INC. 38 HOURS/51 TOTAL HOURS $292,820 BERKSHIRE FACULTY SERVICES, INC. 7/51 HOURS $55,398 FAIRVIEW HOSPITAL 3/51 HOURS $23,742 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 2.5/51 HOURS $19,785 BHS MANAGEMENT SERVICES, INC. 0.5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $3,957 CHERYL BOUDREAU: BERKSHIRE MEDICAL CENTER, INC. 20 HOURS/41 TOTAL HOURS $49,342 BERKSHIRE FACULTY SERVICES, INC. 8/41 HOURS $19,744 FAIRVIEW HOSPITAL 2/41 HOURS $4,939 BERKSHIRE INDEMNITY COMPANY, SPC, LTD. 1/41 HOURS $2,469 BHS MANAGEMENT SERVICES, INC. 10/41 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $6,163 BOURNE MANAGEMENT SYSTEMS, INC. $ 496 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 496 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 496 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 496 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 496 DANVERS MANAGEMENT SYSTEMS, INC. $ 496 PEABODY MANAGEMENT SYSTEMS, INC. $ 496 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 496 BERKSHIRE PENNSYLVANIA, INC. $ 496 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 496 WILLOWOOD OF GREAT BARRINGTON, INC. $ 992 WILLOWOOD OF NORTH ADAMS, INC. $ 739 WILLOWOOD OF WILLIAMSTOWN, INC. $ 739 HILLCREST EXTENDED CARE SERVICES, INC. $ 1,731 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 2,469 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 1,731 INTEGRINURSE, INC. $ 739 INTEGRISCRIPT, INC. $ 739 HOSPICECARE IN THE BERKSHIRES, INC. $ 2,469 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 1,235 WILLIAM JONES: BHS MANAGEMENT SERVICES, INC. 50/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $112,265 BOURNE MANAGEMENT SYSTEMS, INC. $ 8,902 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 8,902 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 8,902 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 8,902 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 8,902 DANVERS MANAGEMENT SYSTEMS, INC. $ 8,902 PEABODY MANAGEMENT SYSTEMS, INC. $ 8,902 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 8,902 BERKSHIRE PENNSYLVANIA, INC. $ 8,902 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 8,902 WILLOWOOD OF GREAT BARRINGTON, INC. $ 18,022 WILLOWOOD OF NORTH ADAMS, INC. $ 13,463 WILLOWOOD OF WILLIAMSTOWN, INC. $ 13,463 HILLCREST EXTENDED CARE SERVICES, INC. $ 31,485 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 44,949 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 31,485 INTEGRINURSE, INC. $ 13,463 INTEGRISCRIPT, INC. $ 13,463 HOSPICECARE IN THE BERKSHIRES, INC. $ 44,949 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 22,365 ARTHUR D. MILANO: BERKSHIRE MEDICAL CENTER, INC. 37.26 HOURS/50 TOTAL HOURS $180,413 BERKSHIRE FACULTY SERVICES, INC. 8.51/50 HOURS $41,205 FAIRVIEW HOSPITAL 2.13/50 HOURS $10,313 BHS MANAGEMENT SERVICES, INC. 2.1/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $484 BOURNE MANAGEMENT SYSTEMS, INC. $ 484 GREENFIELD MANAGEMENT SYSTEMS, INC. $ 484 NEW BEDFORD MANAGEMENT SYSTEMS, INC. $ 484 NORTHAMPTON MANAGEMENT SYSTEMS, INC. $ 484 EAST LONGMEADOW MANAGEMENT SYSTEMS, INC. $ 484 DANVERS MANAGEMENT SYSTEMS, INC. $ 484 PEABODY MANAGEMENT SYSTEMS, INC. $ 484 SOUTH YARMOUTH MANAGEMENT SYSTEMS, INC. $ 484 BERKSHIRE PENNSYLVANIA, INC. $ 484 XENIA EAST MANAGEMENT SYSTEMS, INC. $ 484 WILLOWOOD OF GREAT BARRINGTON, INC. $ 484 WILLOWOOD OF NORTH ADAMS, INC. $ 484 WILLOWOOD OF WILLIAMSTOWN, INC. $ 484 HILLCREST EXTENDED CARE SERVICES, INC. $ 484 BERKSHIRE RETIREMENT COMMUNITY, INC. $ 484 BERKSHIRE EXTENDED CARE SERVICES, INC. $ 484 INTEGRINURSE, INC. $ 484 INTEGRISCRIPT, INC. $ 484 HOSPICECARE IN THE BERKSHIRES, INC. $ 484 PITTSFIELD MANAGEMENT SYSTEMS, INC. $ 484 WILLIAM YOUNG: BERKSHIRE MEDICAL CENTER, INC. 36.5 HOURS/50 TOTAL HOURS $211,174 BERKSHIRE FACULTY SERVICES, INC. 9/50 HOURS $52,070 FAIRVIEW HOSPITAL 4/50 HOURS $23,142 BHS MANAGEMENT SERVICES, INC. .5/50 HOURS FOR THE BENEFIT OF: BERKSHIRE HEALTHCARE SYSTEMS, INC. $2,893Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF BHS MANAGEMENT SERVICES, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES IS COMPOSED OF THE INCUMBENT MEMBERS OF THE BOARD OF TRUSTEES OF BERKSHIRE HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION B, LINE 11BERKSHIRE HEATLH SYSTEMS ("BHS") WILL MAKE THE FORMS 990 FOR BHS AND AFFILIATES AVAILABLE TO THE MEMBERS OF THE RESPECTIVE GOVERNING BODIES FOR THEIR REVIEW BY (A) SENDING COPIES TO THEM PHYSICALLY OR ELECTRONICALLY, OR (B)NOTIFYING THE MEMBERS THAT THE FORMS 990 CAN BE ACCESSED BY A SECURE WEB-BASED FOLDER BEFORE THEY ARE FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15COMPENSATION 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 50TH PERCENTILE OF APPROPRIATE BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR YEAR ENDED 9/30/12.
FORM 990, PART VI, SECTION C, LINE 19GOVERNANCE 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 JJOHN 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 ANTHONY J. RINALDI FAIRVIEW HOSPITAL - 50 HOURS/WEEK JILL M ZUCCO BERKSHIRE HEALTHCARE SYSTEMS, INC. - 50 HOURS/WEEK EUGENE A. DELLEA FAIRVIEW HOSPITAL - 50 HOURS/WEEK THOMAS ROMEO BERKSHIRE FACULTY SERVICES, INC. - 50 HOURS/WEEK BRIAN T BURKE, MD FAIRVIEW HOSPITAL - 48 HOURS/WEEK EDMUND H HORNSTEIN, DO BERKSHIRE MEDICAL CENTER, INC. - CONTRACTED AS NEEDED ROBERT P WESPISER, MD BERKSHIRE MEDICAL CENTER, INC. - CONTRACTED AS NEEDEDAVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

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

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

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

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