FURP.ORG / PUBLIC DATA EXPLORER

WILLOWOOD OF NORTH ADAMS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WILLOWOOD OF NORTH ADAMS INC (EIN 04-2893906)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201103159349302530
Schema version
2010v3.2
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)
Timestamp2011-11-11T11:49:09-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042893906EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Willowood of North Adams IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone4134472996Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 North Street Suite 210AddressLine1
CityPittsfieldCity
StateMAState
ZIP Code01201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam C Jones JrName
TitlePresident/TreasurerTitle
Date Signed2011-11-11DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts9362208GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSkilled nursing facilityActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees178TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9269054ProgramServiceRevenuePriorYear
Program Service Revenue CY9360970ProgramServiceRevenueCY
Investment Income Prior Year3172InvestmentIncomePriorYear
Investment Income Current Year665InvestmentIncomeCurrentYear
Other Revenue Prior Year603OtherRevenuePriorYear
Other Revenue Current Year573OtherRevenueCurrentYear
Total Revenue Prior Year9272829TotalRevenuePriorYear
Total Revenue Current Year9362208TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4819157SalariesEtcPriorYear
Salaries Etc Current Year4614021SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3784426OtherExpensePriorYear
Other Expenses Current Year3849328OtherExpensesCurrentYear
Total Expenses Prior Year8603583TotalExpensesPriorYear
Total Expenses Current Year8463349TotalExpensesCurrentYear
Revenues Less Expenses Prior Year669246RevenuesLessExpensesPriorYear
Revenues Less Expenses CY898859RevenuesLessExpensesCY
Total Assets BOY6358849TotalAssetsBOY
Total Assets EOY16954619TotalAssetsEOY
Total Liabilities BOY1499700TotalLiabilitiesBOY
Total Liabilities EOY9380025TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4859149NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7574594NetAssetsOrFundBalancesEOY
Mission DescriptionWillowood of North Adams, Inc. is a not-for-profit consumer centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7278937Expense
Revenue9362208Revenue
DescriptionThis corporation is formed exclusively for charitable purposes and to acquire, establish, maintain and operate skilled nursing and extended care facilities and render related services to residents who are supported by the Medicaid and Medicare programs as well as by private funds.Description
Total Program Service Expense7278937TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees178NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWilliam C Jones Jr PresidentNamePerson
Telephone Number4134472996TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line175 North St Ste 210AddressLine1
CityPittsfieldCity
StateMAState
ZIP Code01201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
William Jones Jr
President/Treas54.00X038691131957
Lynn Murphy
Clerk40.00X000
David Phelps
CEO58.00X052252032074
D Phelps life ins
* one time0.00X010855530
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1994984TotalReportableCompFrmRltdOrgs
Total Other Compensation64031TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
IntegriNurse Inc
75 North Street Suite 210PittsfieldMA01201Nursing Registry160295
Genesis Eldercare Rehab Services
PO Box 7777PhiladelphiaPA19175Therapy CPS613582
BHS Management Services Inc
725 North StPittsfieldMA01201Management Fee667805
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Room & BoardDescription
Business Code623000BusinessCode
Total Revenue Column9360970TotalRevenueColumn
Related Or Exempt Function Income9360970RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9360970TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column665TotalRevenueColumn
Exclusion$665ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Total Revenue Column573TotalRevenueColumn
Exclusion$573ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue573TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9362208TotalRevenueColumn
Related Or Exempt Function Income9360970RelatedOrExemptFunctionIncome
Exclusion$1,238ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3741958Total
Program Services3465053ProgramServices
Management And General276905ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total598868Total
Program Services554552ProgramServices
Management And General44316ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total273195Total
Program Services252979ProgramServices
Management And General20216ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total630263Total
Management And General630263ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total21662Total
Management And General21662ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total505301Total
Program Services505301ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total14413Total
Management And General14413ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11270Total
Program Services11270ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total12582Total
Program Services11651ProgramServices
Management And General931ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total172185Total
Program Services159443ProgramServices
Management And General12742ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total14637Total
Management And General14637ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone2212922129
Supplies21804822180482
Real Estate Taxes6199961999
Prov. for Uncoll. Accounts8632886328
Equipment Rental103120103120

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total12957Total
Program Services12957ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8463349Total
Program Services7278937ProgramServices
Management And General1184412ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY31080BOY
EOY2544EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1071664BOY
EOY987694EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28797BOY
EOY28798EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23545BOY
EOY112838EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12703200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec956904LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY834319BOY
EOY11746296EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4369444BOY
EOY4076449EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6358849BOY
EOY16954619EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1189098BOY
EOY955527EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY8400000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY310602BOY
EOY24498EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1499700BOY
EOY9380025EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY4859149BOY
EOY7574594EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4859149BOY
EOY7574594EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6358849BOY
EOY16954619EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses898859ReconcilationRevenueExpenses
Reconcilation Other Changes1816586ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7943250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8434280CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9031470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9269054CurrentTaxYearMinus1Year
Current Tax Year9360970CurrentTaxYear
Total44039024Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7943250CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8434280CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9031470CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9269054CurrentTaxYearMinus1Year
Current Tax Year9360970CurrentTaxYear
Total44039024Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50944039024PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12444CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5314CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3172CurrentTaxYearMinus1Year
Current Tax Year665CurrentTaxYear
Total29099Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7504CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12444CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5314CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3172CurrentTaxYearMinus1Year
Current Tax Year665CurrentTaxYear
Total29099Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2119CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17802CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5458CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year603CurrentTaxYearMinus1Year
Current Tax Year573CurrentTaxYear
Total26555Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7952873CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8464526CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9042242CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9272829CurrentTaxYearMinus1Year
Current Tax Year9362208CurrentTaxYear
Total44094678Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99870PublicSupportPercentage509
Prior Year Support Percentage0.99850PriorYearSupportPercentage
Investment Income Percentage0.00070InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis920000OtherCostOrOtherBasis
Book Value920000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9580000OtherCostOrOtherBasis
Book Value9580000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1086895OtherCostOrOtherBasis
Depreciation551893Depreciation
Book Value535002BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1116305OtherCostOrOtherBasis
Depreciation405011Depreciation
Book Value711294BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11746296TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Rounding3
Renewal and Replacement Fund
Other54086
Goodwill792689
Due from third parties296506
Due from affiliated entities2933165
Deposits lease long term
FieldValueIRS element (for citing)
Total Book Value Other Assets4076449TotalBookValueOtherAssets

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgs
William Jones Jr
38691131957418868421573
David Phelps
4812303207455459456391141290
D Phelps life ins
10855531085553

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationIn reference to Schedule J Part 2, no compensation is paid by the filing entity to any officer or director, although a proportional share of the compensation amount is allocated internally to the filing entity for accounting and management purposes (see below). Compensation is paid to the officers of the filing entity by BHS Management Services, Inc., a supporting organization that provides management services to the filing entity and 30 other not-for-profit, tax-exempt healthcare service entities. Compensation for these two individuals is reviewed and established at least biannually by independent volunteer governing bodies, based on performance review and comparison to independent, regionally appropriate benchmarks for similar positions in similarly sized organizations, as verified by independent, nationally recognized compensation consultants. The governing bodies target total compensation for management employees at the 50th to 60th percentiles of appropriate benchmarks. In 2010, the governing body of BHS Management Services parent and Mr. Phelps agreed to reorganize his compensation and compromise many years of historical compensation adjustments that had not been made and had resulted in his historical compensation being substantially below the governing body's compensation targets. In its place, the governing body and Mr. Phelps have agreed upon a simplified compensation arrangement for future years, adjusted to meet the governing body's 50th to 60th In reference to Schedule J Part 2, cont.percentile target. Part of the compromise was paying over to Mr. Phelps as ordinary income the cash value of a surrendered life insurance policy in which he had an ownership interest, the cash value having accumulated through most of the 17 years of his tenure in his current role. The cash value of the surrendered life insurance policy is reflected below, as is the portion of compensation allocable to each of the supported organizations. David E. Phelps William C. Jones Hrs/Wk Dollars Hrs/Wk DollarsBourne Management Systems, Inc. 0.82 $12,087 3.67 $26,324Greenfield Management Systems, Inc. 0.75 $11,128 3.38 $24,236New Bedford Management Systems, Inc. 0.86 $12,736 3.87 $27,737Northampton Management Systems, Inc. 0.74 $10,896 3.31 $23,730East Longmeadow Management Systems, Inc. 0.42 $ 6,222 1.89 $13,551Danvers Management Systems, Inc. 0.39 $ 5,790 1.76 $12,609Peabody Management Systems, Inc. 0.71 $10,489 3.19 $22,844In reference to Schedule J Part 2, cont.South Yarmouth Management Systems, Inc. 0.45 $ 6,689 2.03 $14,567Berkshire Pennsylvania, Inc. 0.67 $ 9,985 3.04 $21,746Xenia East Management Systems, Inc. 0.19 $ 2,803 0.85 $ 6,104Willowood of Great Barrington, Inc. 0.62 $ 9,115 2.77 $19,851Willowood of North Adams, Inc. 0.71 $10,439 3.17 $22,735Willowood of Williamstown, Inc. 0.89 $13,195 4.01 $28,737Hillcrest Extended Care Services, Inc. 1.64 $24,251 7.37 $52,815Berkshire Retirement Community, Inc. 0.56 $ 8,331 2.54 $18,143Berkshire Extended Care Services, Inc. 0.05 $ 708 0.22 $ 1,543IntegriNurse, Inc. 0.16 $ 2,426 0.74 $ 5,284IntegriScript, Inc. 0.24 $ 3,612 1.10 $ 7,867Pittsfield Management Systems, Inc. 0.78 $11,497 3.49 $25,038HospiceCare in the Berkshires, Inc. 0.36 $ 5,257 1.60 $11,449Non Affiliated Entities 46.00 $344,863 0.00 $ 0Life Insurance Cash Out (one time) n/a $1,085,553 n/a $ 0Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Mass Dev Finance AgencyBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2010-12-30DateIssued
Issue Price8400000IssuePrice
Description Of PurposeProperty acquisitionDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8400000TotalProceeds
Capital Expenditures8400000CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGovernance 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 Executive Vice President/Treasurer's office at 75 North Street, Pittsfield, MA 01201.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesPerformance and compensation are reviewed annually by a subcommittee of the governing body, whose members are independent. The full governing body reviews and approves the compensation of the senior executive. 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.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessForm 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.
Form 990, Part VI, Line 8Form 990, Part VI, Line 8 : Explanation of No Contemporaneously Documentation of MeetingsBerkshire Healthcare Systems, Inc. (BHCS) is the parent corporation of Willowood Extended Care Services, Inc. Willowood of North Adams, Inc. is a subsidiary of Willowood Extended Care Services, Inc. Governance duties conducted on behalf of Willowood of North Adams, 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
IntegriScript Inc
75 North Street Suite 210PittsfieldMA01201271465523closed door pharmacyMA501(c)(3)11bBHCS Management Services Incfalse
HospiceCare in the Berkshires Inc
75 North Street Suite 210PittsfieldMA01201043084466Provide hospice and palliative careMA501(c)(3)7falseN/A
Pittsfield Management Systems Inc
75 North Street Suite 210PittsfieldMA01201042982134Skilled nursing facilityMA501(c)(3)9Berkshire Healthcare Systems Incfalse
BHCS Management Service Inc
75 North St Suite 210PittsfieldMA01201043031987Managment servicesMA501(c)(3)3Berkshire Healthcare Systems Incfalse
Xenia West Management Systems Inc
75 North Street Suite 210PittsfieldMA01201311295975Skilled nursing facilityOH501(c)(3)3Fairview Extended Care Services Incfalse
Xenia East Management Systems Inc
75 North Street Suite 210PittsfieldMA01201311295974Skilled nursing facilityOH501(c)(3)3Fairview Extended Care Services Incfalse
Berkshire Healthcare Systems Inc
75 North Street Suite 210PittsfieldMA01201043030633Maintain skilled nursing facilitiesMA501(c)(3)11anafalse
Willowood of Williamstown Inc
75 North Street Suite 210PittsfieldMA01201042893911Skilled nursing facilityMA501(c)(3)9Willowood Extended Care Services Incfalse
Willowood of Great Barrington Inc
75 North Street Suite 210PittsfieldMA01201042854118Skilled nursing facilityMA501(c)(3)9Willowood Extended Care Services Incfalse
Willowood Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201043480600Maintain skilled nursing facilitiesMA501(c)(3)11aBerkshire Healthcare Systems Incfalse
Danvers Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080765Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
New Bedford Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337124Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
Peabody Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080764Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Northampton Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337116Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
IntegriNurse Inc
75 North Street Suite 210PittsfieldMA01201261446630Nursing staffingMA501(c)(3)11bBHCS Management Services Incfalse
South Yarmouth Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080763Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Greenfield Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337128Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
East Longmeadow Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080762Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Fairview Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201042979430Maintain skilled nursing facilitiesMA501(c)(3)3Berkshire Healthcare Systems Incfalse
CEC Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337130Maintain skilled nursing facilitiesMA501(c)(3)11aBerkshire Healthcare Systems Incfalse
Bourne Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337127Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
Berkshire Retirement Community Inc
75 North Street Suite 210PittsfieldMA01201222579838Skilled nursing facility and residential unitsMA501(c)(3)9Berkshire Healthcare Systems Incfalse
Berkshire Pennsylvania Inc
75 North Street Suite 210PittsfieldMA01201251627992Skilled nursing facilityPA501(c)(3)3Fairview Extended Care Services Incfalse
Hillcrest Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201363700875Skilled nursing facilityMO501(c)(3)3Willowood Extended Care Services Incfalse
Berkshire Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201043020520Skilled nursing facilityMA501(c)(3)3Berkshire Retirement Community Incfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BHCS Management Company IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line175 North Street Suite 210AddressLine1
CityPittsfieldCity
StateMAState
ZIP Code01201ZIPCode
FieldValueIRS element (for citing)
EIN043472881EIN
Primary ActivityManagement companyPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Berkshire Healthcare Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC corpTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg