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        <EOY>349438</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>205807</BOY>
        <EOY>175660</EOY>
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      <OtherAssetsTotal>
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        <EOY>7693033</EOY>
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      <TotalAssets>
        <BOY>14164402</BOY>
        <EOY>13771494</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1091808</BOY>
        <EOY>1180626</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>9611583</BOY>
        <EOY>9278257</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>84066</BOY>
        <EOY>94037</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>10787457</BOY>
        <EOY>10552920</EOY>
      </TotalLiabilities>
      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <RetainedEarningsEndowmentEtc>
        <BOY>3376945</BOY>
        <EOY>3218574</EOY>
      </RetainedEarningsEndowmentEtc>
      <TotalNetAssetsFundBalances>
        <BOY>3376945</BOY>
        <EOY>3218574</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14164402</BOY>
        <EOY>13771494</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>84758</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-243129</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="12000229" softwareVersion="2012v2.0">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>1848</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>1848</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>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 ending 12/31/12.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <Land>
        <OtherCostOrOtherBasis>450000</OtherCostOrOtherBasis>
        <BookValue>450000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6161000</OtherCostOrOtherBasis>
        <Depreciation>4569409</Depreciation>
        <BookValue>1591591</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>2518451</OtherCostOrOtherBasis>
        <Depreciation>1490812</Depreciation>
        <BookValue>1027639</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2875052</OtherCostOrOtherBasis>
        <Depreciation>2169561</Depreciation>
        <BookValue>705491</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>3774721</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Due from 501(c)(3) affiliates</Description>
        <BookValue>7093190</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Due from 3rd Party payors</Description>
        <BookValue>599843</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>7693033</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Notes Payable - Banks</Description>
        <Amount>29607</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Berkshire Health Systems</Description>
        <Amount>64430</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>94037</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>William C Jones Jr</NamePerson>
        <Title>President/Treas</Title>
        <CompBasedOnRelatedOrgs>500256</CompBasedOnRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>40820</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>541076</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>David E Phelps</NamePerson>
        <Title>CEO</Title>
        <CompBasedOnRelatedOrgs>638312</CompBasedOnRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>49029</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>687341</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>D Phelps Rabbi Trust</NamePerson>
        <Title>* one time</Title>
        <CompBasedOnRelatedOrgs>1770636</CompBasedOnRelatedOrgs>
        <TotalCompensationRelatedOrgs>1770636</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part III, Additional Information</Identifier>
        <ReturnReference>Part III, Additional Information</ReturnReference>
        <Explanation>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. 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 conpensation 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. For a variety of reasons, the agreed-upon retirement obligation was not fully funded over the twenty years of Mr. Phelps' service and, in 2010, the governing body of Berkshire Health Systems and Mr. Phelps agreed to remedy that shortfall by (a) significantly reducing the retirement benefit, (b) fully catching up the funding of the reduced program over a two-year period and (c) discontinuing any further supplemental retirement program for Mr. Phelps during any remaining period of his employment at Berkshire Health Systems and its affiliates. The catch-up funding of the retirement program was paid over to Mr. Phelps during the reporting year from a Rabbi Trust because, by agreement it became fully vested and, therefore, fully taxable in the reporting year. The catch-up funding amounts for the reduced retirement program are reflected on Form 990 Part VII Item 1(a) line 2 columns E and F and Schedule J part II line 2(ii), column b through E below. Although the retirement program funding is allocated among Berkshire Health Systems and it's direct affiliates, no part of the retirement program funding is allocated among the filing entity or its direct affiliates. David E. Phelps William C. Jones Hrs/Wk Dollars Hrs/Wk DollarsBourne Management Systems, Inc. 0.67 $ 8,553 3.62 $33,516Greenfield Management Systems, Inc. 0.62 $ 7,875 3.33 $30,857New Bedford Management Systems, Inc. 0.71 $ 9,012 3.81 $35,315In reference to Schedule J Part 2, cont.Northampton Management Systems, Inc. 0.60 $ 7,710 3.26 $30,213East Longmeadow Management Systems, Inc. 0.34 $ 4,403 1.86 $17,254Danvers Management Systems, Inc. 0.32 $ 4,097 1.73 $16,054Peabody Management Systems, Inc. 0.58 $ 7,422 3.14 $29,086South Yarmouth Management Systems, Inc. 0.37 $ 4,733 2.00 $18,547Berkshire Pennsylvania, Inc. 0.55 $ 7,066 2.99 $27,688Xenia East Management Systems, Inc. 0.16 $ 1,983 0.84 $ 7,772Willowood of Great Barrington, Inc. 0.51 $ 6,450 2.73 $25,274Willowood of North Adams, Inc. 0.58 $ 7,387 3.12 $28,946Willowood of Williamstown, Inc. 0.73 $ 9,337 3.95 $36,588Hillcrest Extended Care Services, Inc. 1.34 $17,160 7.26 $67,245Berkshire Retirement Community, Inc. 0.45 $ 5,829 2.47 $22,842Berkshire Extended Care Services, Inc. 0.04 $ 496 0.21 $ 1,943IntegriNurse, Inc. 0.12 $ 1,468 0.62 $ 5,754IntegriScript, Inc. 0.29 $ 3,720 1.57 $14,576In reference to Schedule J Part 2, cont.Pittsfield Management Systems, Inc. 0.64 $ 8,136 3.44 $31,879HospiceCare in the Berkshires, Inc. 0.38 $ 4,825 2.04 $18,907Non Affiliated Entities 40.00 $510,650 0.00 $ 0Non Affiliated Rabbi Trust (one time) n/a $1,770,636</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part XI, Line 9</Identifier>
        <ReturnReference>Other Changes In Net Assets Or Fund Balances - Other Decreases</ReturnReference>
        <Explanation>Effect of interest rate swap = -$243129</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>Performance and compensation of the CEO and President are reviewed annually by a subcommittee of the governing bodies, whose members are independent. The full governing bodies 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 8</Identifier>
        <ReturnReference>Form 990, Part VI, Line 8: Explanation of No Contemporaneously Documentation of Meetings</ReturnReference>
        <Explanation>Berkshire Healthcare Systems, Inc. (BHCS) is the parent corporation of Fairview Extended Care Services, Inc. Peabody Management Systems, Inc. is a subsidiary of Fairview Extended Care Services, Inc. Governance duties conducted on behalf of Peabody Management Systems, 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.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>IntegriScript Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>75 North Street Suite 210</AddressLine1>
          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EIN>271465523</EIN>
        <PrimaryActivities>Closed door pharmacy</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHCS Management Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HospiceCare in the Berkshires Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>75 North Street Suite 210</AddressLine1>
          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EIN>043084466</EIN>
        <PrimaryActivities>Provide hospice and palliative care</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Berkshire Healthcare Systems Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Pittsfield Management Systems Inc</BusinessNameLine1>
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          <AddressLine1>75 North Street Suite 210</AddressLine1>
          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EIN>042982134</EIN>
        <PrimaryActivities>Skilled nursing facility</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Berkshire Healthcare Systems Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>IntegriNurse Inc</BusinessNameLine1>
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          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
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        <EIN>261446630</EIN>
        <PrimaryActivities>Nursing staffing</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHCS Management Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EIN>043031987</EIN>
        <PrimaryActivities>Management Company</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
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          <BusinessNameLine1>Hillcrest Extended Care Services Inc</BusinessNameLine1>
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          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
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        <EIN>363700875</EIN>
        <PrimaryActivities>Skilled nursing facility</PrimaryActivities>
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        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
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        <ControlledOrg>false</ControlledOrg>
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          <City>Pittsfield</City>
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        <PublicCharityStatus>9</PublicCharityStatus>
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        <ControlledOrg>false</ControlledOrg>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
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        <ControlledOrg>false</ControlledOrg>
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          <City>Pittsfield</City>
          <State>MA</State>
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        <EIN>042854118</EIN>
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        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Willowood Extended Care Services Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EIN>043480600</EIN>
        <PrimaryActivities>Maintain skilled nursing facilities</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Berkshire Healthcare Systems Inc</BusinessNameLine1>
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          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
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        <EIN>043020520</EIN>
        <PrimaryActivities>Skilled Nursing Facility</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Berkshire Retirement Community Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Berkshire Retirement Community Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>75 North St Suite 210</AddressLine1>
          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
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        <EIN>222579838</EIN>
        <PrimaryActivities>Skilled Nursing facility and residential units</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Berkshire Healthcare Systems Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Northampton Management Systems Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>75 North St Suite 210</AddressLine1>
          <City>Pittsfield</City>
          <State>MA</State>
          <ZIPCode>01201</ZIPCode>
        </AddressUS>
        <EIN>043337116</EIN>
        <PrimaryActivities>Skilled Nursing Facility</PrimaryActivities>
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