NORTH ADAMS REGIONAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTH ADAMS REGIONAL HOSPITAL (EIN 04-1676720)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201132239349300718
Schema version
2009v1.7
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)
Timestamp2011-08-11T08:42:01-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN041676720EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH ADAMS REGIONAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone4136643701Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line171 HOSPITAL AVENUEAddressLine1
CityNORTH ADAMSCity
StateMAState
ZIP Code01247ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRISTOPHER HICKEYName
TitleCFOTitle
Phone4136645507Phone
Date Signed2011-08-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD PALMISANONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line171 HOSPITAL AVENUEAddressLine1
CityNORTH ADAMSCity
StateMAState
ZIP Code01247ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64822005GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.NBHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1884YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF NORTH ADAMS REGIONAL HOSPITAL IS TO PROVIDE EXCEPTIONAL HEALTHCARE FROM THE HEART.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees537TotalNbrEmployees
Total Nbr Volunteers122TotalNbrVolunteers
Total Gross UBI133862TotalGrossUBI
Net Unrelated Business Txbl Income33871NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1282413ContributionsGrantsPriorYear
Contributions Grants Current Year481225ContributionsGrantsCurrentYear
Program Service Revenue Prior Year60181589ProgramServiceRevenuePriorYear
Program Service Revenue CY59843216ProgramServiceRevenueCY
Investment Income Prior Year-2753200InvestmentIncomePriorYear
Investment Income Current Year347558InvestmentIncomeCurrentYear
Other Revenue Prior Year82348OtherRevenuePriorYear
Other Revenue Current Year155750OtherRevenueCurrentYear
Total Revenue Prior Year58793150TotalRevenuePriorYear
Total Revenue Current Year60827749TotalRevenueCurrentYear
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 Year33527148SalariesEtcPriorYear
Salaries Etc Current Year34264604SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28365142OtherExpensePriorYear
Other Expenses Current Year31152663OtherExpensesCurrentYear
Total Expenses Prior Year61892290TotalExpensesPriorYear
Total Expenses Current Year65417267TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3099140RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4589518RevenuesLessExpensesCY
Total Assets BOY68635828TotalAssetsBOY
Total Assets EOY67265935TotalAssetsEOY
Total Liabilities BOY62419744TotalLiabilitiesBOY
Total Liabilities EOY67369259TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6216084NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-103324NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF NORTH ADAMS REGIONAL HOSPITAL IS TO PROVIDE EXCEPTIONAL HEALTHCARE FROM THE HEART.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26030200Expense
Revenue24287277Revenue
DescriptionTHE ORGANIZATION PROVIDES INPATIENT SERVICES, INCLUDING INTERNAL MEDICINE, SURGERY, PEDIATRICS, GYNECOLOGY, OBSTETRICS, AND PSYCHIATRY ALONG WITH A CRITICAL-CARE UNIT FOR INTENSIVE-CARE AND CORONARY CARE PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAILS ON PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14662419Expense
Revenue22882449Revenue
DescriptionTHE HOSPITAL HAS A BROAD RANGE OF OUTPATIENT SERVICES, INCLUDING ONCOLOGY SERVICES, A DIAGNOSTIC IMAGING DEPARTMENT, CLINICAL LABORATORY SERVICES, CARDIAC TESTING, REHABILITATION CENTER, SPEECH THERAPY, ENDOSCOPY CENTER, AND SPECIALTY CLINICS. SEE SCHEDULE O FOR ADDITIONAL DETAILS ON PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8566342Expense
Revenue12539628Revenue
DescriptionTHE ORGANIZATION OPERATES AN EMERGENCY ROOM, PROVIDING 24-HOUR SERVICE TO NEARLY 21,000 PATIENTS EACH YEAR. SEE SCHEDULE O FOR ADDITIONAL DETAILS ON PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT.Description
FieldValueIRS element (for citing)
Total Program Service Expense49258961TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096176NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees537NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISTOPHER HICKEYNamePerson
Telephone Number4136645507TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line171 HOSPITAL AVENUEAddressLine1
CityNORTH ADAMSCity
StateMAState
ZIP Code01247ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BRUCE GRINNELL ESQ
CHAIRMAN10.0XX000
STEPHEN FIX
TRUSTEE1.0X000
JULIA BOLTON
TRUSTEE1.0X000
JONATHAN CLUETT MD
TRUSTEE1.0X000
ERWIN A STUEBNER JR MD
TRUSTEE1.0X000
STEPHEN KLASS
TRUSTEE1.0X000
JANE ALLEN
TRUSTEE1.0X000
WILLIAM GREENWALD
TRUSTEE1.0X000
MARTHA STOREY
TRUSTEE1.0X000
DENISE RICHARDELLO
TRUSTEE1.0X000
ARTHUR TURTON MD
VICE CHAIR1.0X000
PAUL DONOVAN MD
MEDICAL STAFF PRESIDENT1.0X326070036682X
ELLEN BERNSTEIN
TRUSTEE1.0X000
BYRON SHERMAN
SECRETARY1.0XX000
RICHARD JETTE
TRUSTEE1.0X000
RICHARD PALMISANO
CEO/PRESIDENT10.0XX29085510757640368
STEPHEN PAGNOTTA
TRUSTEE1.0X000
CHRISTOPHER HICKEY
CFO/TREASURER10.0X21214701235
ROBERT CALWAY
VICE PRESIDENT OF BUSINESS DEV10.01135647570917487X
ROBERT SILLS MD
ED PHYSICIAN36.0267002028288X
OSCAR RODRIGUEZ MD
ED PHYSICIAN36.0283061033312X
FRED LANDES MD
ED PHYSICIAN36.0269165033571X
FERNANDO PONCE MD
ED PHYSICIAN36.0263485029030X
RONALD DURNING MD
HOSPITAL PHYSICIAN36.0240351017432X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2265700TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs183285TotalReportableCompFrmRltdOrgs
Total Other Compensation237405TotalOtherCompensation
Number Individuals GT100 K36NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
MOLARI INC
TEMP EMPLOYMENT SVCS591183
SCHWARTZ HANNUM PC
LEGAL SERVICES554174
SPECIALTY LABORATORIES
LABORATORY SERVICES523294
LINC HEALTH INC
BIO MED SERVICES384165
SODEXHO USA
MGT/CONSULT. SVCS367196
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Government Grants120863GovernmentGrants
All Other Contributions360362AllOtherContributions
Total Contributions481225TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE9000995813784758137847
OTHER REVENUE90009915715071571507
MAINTENANCE INCOME8110003921039210
HOUSEKEEPING INCOME8129009465294652
FieldValueIRS element (for citing)
Total Program Service Revenue59843216TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column99666TotalRevenueColumn
Exclusion$99,666ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real155750Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real155750Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column155750TotalRevenueColumn
Exclusion$155,750ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4242148Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3972403Securities
Other21853Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities269745Securities
Other-21853Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column247892TotalRevenueColumn
Exclusion$247,892ExclusionAmount

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60827749TotalRevenueColumn
Related Or Exempt Function Income59709354RelatedOrExemptFunctionIncome
Unrelated Business Revenue133862UnrelatedBusinessRevenue
Exclusion$503,308ExclusionAmount

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)
Total1020513Total
Program Services362752ProgramServices
Management And General657761ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total24432610Total
Program Services20076865ProgramServices
Management And General4355745ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3187672Total
Program Services2569522ProgramServices
Management And General618150ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3656913Total
Program Services2959793ProgramServices
Management And General697120ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1966896Total
Program Services1581480ProgramServices
Management And General385416ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3480090Total
Management And General3480090ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total997406Total
Management And General997406ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total386699Total
Management And General386699ManagementAndGeneral

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)
Total18254Total
Management And General18254ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9904417Total
Program Services7963634ProgramServices
Management And General1940783ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total89361Total
Program Services71851ProgramServices
Management And General17510ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5718276Total
Program Services4597774ProgramServices
Management And General1120502ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1250Total
Program Services1005ProgramServices
Management And General245ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total996962Total
Program Services801606ProgramServices
Management And General195356ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total46617Total
Program Services37482ProgramServices
Management And General9135ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total86569Total
Program Services69606ProgramServices
Management And General16963ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2476971Total
Program Services1991605ProgramServices
Management And General485366ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2933272Total
Program Services2358494ProgramServices
Management And General574778ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total632347Total
Program Services508438ProgramServices
Management And General123909ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT12080181208018
LICENSES, DUES & SUBSCRIPTIONS23708519062846457
RECRUITING16048129033145
MEDICAL SUPPLIES & DRUGS17826001782600
REPAIRS & MAINTENANCE14042111290527516

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65417267Total
Program Services49258961ProgramServices
Management And General16158306ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY49315BOY
EOY715826EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7504594BOY
EOY5556882EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY5000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5885748BOY
EOY5533666EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1247707BOY
EOY1288171EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1685594BOY
EOY1133175EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis80653874LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec47159227LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34691117BOY
EOY33494647EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3892681BOY
EOY1954657EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13679072BOY
EOY17583911EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY68635828BOY
EOY67265935EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25901267BOY
EOY30054486EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY283701BOY
EOY631274EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY28825316BOY
EOY28731896EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6454226BOY
EOY6491554EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY626692BOY
EOY384262EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY328542BOY
EOY1075787EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY62419744BOY
EOY67369259EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3423706BOY
EOY-1899160EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1407079BOY
EOY536137EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1385299BOY
EOY1259699EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6216084BOY
EOY-103324EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68635828BOY
EOY67265935EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,454OtherActivitiesAmount
Total Lobbying Expenditures IIB15454TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION AND THE MASSACHUSETTS HOSPITAL ASSOCIATION. A PORTION OF THESE DUES, 24.42% AND 24.94%, RESPECTIVELY, IS ATTRIBUTABLE TO LOBBYING EXPENSES, FOR A TOTAL AMOUNT OF $15,454.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance863063BeginningOfYearBalance
Contributions50000Contributions
End Of Year Balance913063EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance843063BeginningOfYearBalance
Contributions20000Contributions
End Of Year Balance863063EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis24830OtherCostOrOtherBasis
Book Value24830BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45000005OtherCostOrOtherBasis
Depreciation22636694Depreciation
Book Value22363311BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31945407OtherCostOrOtherBasis
Depreciation23585889Depreciation
Book Value8359518BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3683632OtherCostOrOtherBasis
Depreciation936644Depreciation
Book Value2746988BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33494647TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSITS10000
LIFE INSURANCE CSV89811
OTHER ASSETS6451
BENEFICIAL INT IN TRUSTS617950
DUE FROM RELATED PARTY16644070
OTHER RECEIVABLES215629
FieldValueIRS element (for citing)
Total Book Value Other Assets17583911TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EST DUE TO 3RD PARTIES$748,595
ASSET RETIREMENT OBLIGATION$327,192
FieldValueIRS element (for citing)
Total Of Amounts1075787TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierENDOWMENT PURPOSEIdentifier
Return ReferenceSCHEDULE D, PART V, LINE 4ReturnReference
ExplanationENDOWMENT FUNDS ARE RESTRICTED, BUT THE INCOME GENERATED IS AVAILABLE FOR USE BY THE ORGANIZATION. IT IS USUALLY UNRESTRICTED WITH A SPENDING CAP ON THE AMOUNT OF INCOME. THE EARNINGS MAY BE USED FOR A NUMBER OF USES INCLUDING DAY TO DAY OPERATIONS AND CAPITAL EXPENDITURES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1469885TotalCommunityBenefitExpense
Direct Offsetting Revenue630664DirectOffsettingRevenue
Net Community Benefit Expense839221NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9295782TotalCommunityBenefitExpense
Direct Offsetting Revenue9114933DirectOffsettingRevenue
Net Community Benefit Expense180849NetCommunityBenefitExpense
Percent Of Total Expense0.00280PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2379839TotalCommunityBenefitExpense
Direct Offsetting Revenue1366323DirectOffsettingRevenue
Net Community Benefit Expense1013516NetCommunityBenefitExpense
Percent Of Total Expense0.01550PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense13145506TotalCommunityBenefitExpense
Direct Offsetting Revenue11111920DirectOffsettingRevenue
Net Community Benefit Expense2033586NetCommunityBenefitExpense
Percent Of Total Expense0.03110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense191994TotalCommunityBenefitExpense
Net Community Benefit Expense191994NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense8070975TotalCommunityBenefitExpense
Direct Offsetting Revenue4765618DirectOffsettingRevenue
Net Community Benefit Expense3305357NetCommunityBenefitExpense
Percent Of Total Expense0.02820PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense7803TotalCommunityBenefitExpense
Net Community Benefit Expense7803NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8270772TotalCommunityBenefitExpense
Direct Offsetting Revenue4765618DirectOffsettingRevenue
Net Community Benefit Expense3505154NetCommunityBenefitExpense
Percent Of Total Expense0.03120PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense21416278TotalCommunityBenefitExpense
Direct Offsetting Revenue15877538DirectOffsettingRevenue
Net Community Benefit Expense5538740NetCommunityBenefitExpense
Percent Of Total Expense0.06230PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$512,320BadDebtExpenseAmount
Amount Attributable To65577AmountAttributableTo
Amount Reimbursed By Medicare18039603AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare21680406CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-3640803MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
NORTH ADAMS REGIONAL HOSPITAL
71 HOSPITAL AVENUENORTH ADAMSMA01247XXX
ADAMS REHABILITATION CENTER
1 COMMERCIAL STREETADAMSMA01220PHYSICAL THERAPY

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteTHERE WAS NOT A FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS AS NO FORMAL REPORT WAS PREPARED. HOWEVER, THE COSTING METHODOLOGY IS THE HOSPITAL'S COST TO CHARGE RELATIONSHIP APPLIED TO THE BAD DEBT PROVISION WHICH APPEARS ON THE INCOME STATEMENT. THIS SHOULD BE CONSIDERED A COMMUNITY BENEFIT SINCE SERVICE IS PROVIDED REGARDLESS OF ABILITY TO PAY AND FAILURE TO PAY DOES NOT RESULT IN ANY ACTION OTHER THAN SENDING STATEMENTS AND USING A COLLECTIONS AGENCY, TO ATTEMPT TO COLLECT THE PAYMENT. THE HOSPITAL DOES NOT PUT LIENS ON PATIENT ASSETS, REPORT NON PAYMENT TO CREDIT REPORTING AGENCIES, AND DOES NOT CHARGE INTEREST ON PATIENT DEBT. THE HOSPITAL WILL NOT REFUSE TO TREAT A PATIENT THAT CURRENTLY IS IN A BAD DEBT STATUS REGARDING PREVIOUS SERVICES AT THE HOSPITAL.BadDebtFootnote
Shortfall As Community BenefitALL OF THE SHORTFALL REPORTED ON LINE 7 SHOULD BE CONSIDERED A COMMUNITY BENEFIT. MEDICARE PAYMENTS DO NOT COVER THE COST OF DELIVERING THE SERVICE. PAYMENTS ARE DICTATED NOT BY ACTUAL COST BUT BY WHAT THE GOVERNMENT HAS TO SPEND. THE SHORTFALL HAS TO BE MADE UP BY OTHER PAYORS, IF POSSIBLE, SINCE MEDICARE BENEFICIARIES CANNOT BE BILLED FOR THE MEDICARE SHORTFALL. MEDICARE AS THE LARGEST PAYOR RESULTS IN A SIGNIFICANT SHORTFALL WHICH IS NOT RECOVERABLE GIVEN THAT OTHER PAYORS ARE BARELY PAYING AT COST. THE HOSPITAL DOES NOT DENY ANYONE SERVICE BECAUSE OF THEIR ABILITY TO PAY OR INSURANCE COVERAGE. THE AMOUNT FOR LINE 6 WAS TAKEN FROM THE MEDICARE COST REPORT WORKSHEET D-1 PART II AND WORKSHEET E PART B.ShortfallAsCommunityBenefit
Debt Collection PolicyPATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS. THE HOSPITAL MAY SEEK COLLECTION ACTION FOR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY THE FINANCIAL ASSISTANCE PROGRAM THE PATIENT IS ENROLLED IN. THE HOSPITAL WILL NOT UNDERTAKE COLLECTION ACTION AGAINST ANY INDIVIDUAL THAT HAS BEEN APPROVED FOR MEDICAL HARDSHIP. THE HOSPITAL WILL NOT GARNISH LOW INCOME PATIENTS OR THEIR GUARANTOR'S WAGES OR EXECUTE LIENS. THE HOSPITALS INTERNAL FINANCIAL ASSISTANCE PROGRAM ALLOWS THE HOSPITAL TO CEASE ANY COLLECTION OR BILLING ACTIONS AGAINST A PATIENT WHO IS UNABLE TO PAY THE HOSPITAL BILL AT ANY TIME DURING THE BILLING PROCESS.DebtCollectionPolicy
Needs AssessmentREACH FOR COMMUNITY HEALTH, A DEPARTMENT OF NORTH ADAMS REGIONAL HOSPITAL, HAS OVERSIGHT RESPONSIBILITY FOR THE ORGANIZATION'S COMMUNITY BENEFITS PROGRAM. THE MISSION OF REACH IS TO IMPROVE THE HEALTH OF THE NORTHERN BERKSHIRE COMMUNITY THROUGH EDUCATION, OUTREACH, ADVOCACY, AND TREATMENT, IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS. REACH EXECUTES THE MAJORITY OF COMMUNITY BENEFITS PROGRAMS AND RESPONDS TO THE NEEDS OF THE COMMUNITY WITH ITS DIRECT HEALTH-RELATED PROGRAMMING, MUCH OF WHICH IS GRANT FUNDED. AS A DEPARTMENT OF NORTH ADAMS REGIONAL HOSPITAL, REACH HAS FINANCIAL SUPPORT FOR ITS CORE ADMINISTRATIVE FUNCTIONS; THIS SUPPORT ALLOWS REACH TO MAXIMIZE ITS CAPACITY TO DEVELOP, IMPLEMENT, AND EVALUATE THE NUMEROUS PROGRAMS AND INTERVENTIONS THAT IT PROVIDES IN THE COMMUNITY. A COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED BY THE DIRECTOR OF REACH AND THE VP OF EXTERNAL AFFAIRS OF NORTH ADAMS REGIONAL HOSPITAL IN SEPTEMBER 2009 THAT INCLUDED DATA GATHERING AS WELL AS COMMUNITY SURVEYS. INFORMATION WAS COLLECTED FROM NARH DISCHARGE DATA, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MASSCHIP DATA AND BUREAU OF ENVIRONMENTAL HEALTH DATA), BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA , U.S. CENSUS 2000 AND NORTHERN BERKSHIRE COMMUNITY COALITION 2009 PREVENTION NEEDS ASSESSMENT SURVEY, WHICH FOCUSES ON YOUTH. THE PROCESS INCLUDED A SURVEY THAT ASKED RESPONDENTS TO RATE DISEASES/HEALTH RISKS BY MOST CONCERN AND RATE CONTRIBUTING FACTORS TO HEALTH BY MOST CONCERN (E.G.: PCP AVAILABILITY). RESPONDENT GROUPS INCLUDED 13 AREA PHYSICIANS (15.6% RESPONSE RATE), 78 COMMUNITY ORGANIZATIONS, AND 1235 NBH CORPORATORS (30% RESPONSE RATE); THEY WERE SURVEYED USING AN INTERNET-BASED SURVEY. TWO GROUPS WERE SURVEYED THROUGH THE NORTHERN BERKSHIRE COMMUNITY COALITION. AT A COMMUNITY PLANNING MEETING THERE WERE 68 RESPONDENTS AND THE COALITION COMMUNITY OUTREACH WORKERS SURVEYED 69 AREA RESIDENTS. BASED UPON ALL OF THE COLLECTED DATA, THE COMMUNITY BENEFITS COMMITTEE IDENTIFIED THE FOLLOWING TARGET POPULATIONS: LOWER INCOME RESIDENTS, YOUTH, 18-34 YEAR OLD, AND ELDERS. THE COMMITTEE SELECTED THE FOLLOWING COMMUNITY BENEFITS PRIORITIES: HEALTHY EATING, PHYSICAL ACTIVITY, EMOTIONAL WELL-BEING & SUPPORT, AND SAFE CHOICES, ALL OF WHICH FALL UNDER THE UMBRELLA OF HEALTHY LIFESTYLES. REACH TARGETS ALL RESIDENTS OF NORTHERN BERKSHIRE COUNTY, WITH A PARTICULAR EMPHASIS ON THE UNINSURED AND UNDERINSURED. PRIMARY PREVENTION AND EARLY DETECTION ARE AT THE CORE OF REACH'S COMMUNITY INITIATIVES. EACH OF REACH'S NUMEROUS PROGRAMS IS BASED ON ASSESSMENT OF COMMUNITY NEED AND INCLUDES SPECIFIC PROCESS AND OUTCOME MEASURES.NeedsAssessment
Patient Education AssistanceIN NORTH BERKSHIRE COUNTY, ECU-HEALTH CARE, WHICH IS THE AREA'S ENROLLMENT SITE FOR ALL PUBLIC HEALTH PROGRAMS, PROVIDES FINANCIAL COUNSELING SERVICES FOR THE PATIENTS OF NORTH ADAMS REGIONAL HOSPITAL. ALL SELF-PAY PATIENTS, AT TIME OF SERVICE, ARE GIVEN INFORMATION ABOUT ECU-HEALTH CARE'S SERVICES AND ECU-HEALTH CARE CONTACTS PATIENTS IMMEDIATELY. ECU-HEALTH CARE'S PROGRAM SERVICES INCLUDE: o PROVIDING ONE-TO-ONE ENROLLMENT ASSISTANCE FOR ALL PUBLIC HEALTH PROGRAMS. THIS INCLUDES CASE-MANAGEMENT TO INSURE THAT PATIENTS COMPLETE APPLICATION PROCESSES. o CONDUCTING COMMUNITY OUTREACH AND MARKETING CAMPAIGNS FOR MASSHEALTH, COMMONWEALTH CARE, THE MEDICAL SECURITY PLAN, COMMONWEALTH CHOICE, PRESCRIPTION ADVANTAGE, AND ALL OTHER MEDICARE ASSISTANCE PROGRAMS. o WORKING CLOSELY WITH AREA PHYSICIAN GROUPS TO ENSURE THAT APPLICANTS HAVE PRIMARY CARE PROVIDERS. ECU-HEALTH CARE ALSO MAINTAINS A VOLUNTARY PHYSICIAN PROGRAM FOR THOSE NOT ELIGIBLE FOR PUBLIC HEALTH COVERAGE. IN ADDITION, WE HAVE AN AGREEMENT WITH A NUMBER OF LOCAL DENTISTS WHO HAVE AGREED TO PROVIDE SERVICES AT A REDUCED FEE TO LOWER INCOME RESIDENTS WITHOUT DENTAL COVERAGE.PatientEducationAssistance
Community InformationTHE PRIMARY SERVICE AREA (PSA) FOR NORTH ADAMS REGIONAL HOSPITAL (NARH) IS COMPRISED OF THE FOLLOWING TOWNS: NORTH ADAMS, ADAMS, FLORIDA, CLARKSBURG, AND WILLIAMSTOWN. COMPARED TO MASSACHUSETTS, NORTH ADAMS REGIONAL HOSPITAL SERVES A POORER AND LESS EDUCATED POPULATION OF RESIDENTS. THIS IS IMPORTANT BECAUSE RESEARCH HAS DEMONSTRATED THAT SOCIOECONOMIC STATUS AFFECTS HEALTH. ACCORDING TO THE U.S. CENSUS IN 2000, 726 FAMILIES IN THE PSA LIVED BELOW THE FEDERAL POVERTY LEVEL. OF THOSE, 603 INCLUDED RELATED CHILDREN UNDER 18 AND 298 CHILDREN UNDER FIVE. THE RATES OF ELDERS AGE 65 PLUS WHO LIVE BELOW THE POVERTY LEVEL ALSO EXCEED STATE RATES. RESIDENTS WITH LESS THAN A NINTH GRADE EDUCATION EXCEED THAT FOR THE STATE IN ALL BUT WILLIAMSTOWN, AND EVEN THERE THE PERCENTAGE IS ONLY 5/10THS LESS THAN THE STATE RATE. IN ADAMS AND NORTH ADAMS, THE PERCENTAGE OF PEOPLE WITHOUT A HIGH SCHOOL DIPLOMA EXCEEDS THE STATE RATE BY 5.9 PERCENTAGE POINTS AND 6.7 PERCENTAGE POINTS, RESPECTIVELY. BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) DATA (2002-2007) INDICATES THE RATE OF INSURED PEOPLE IN THE BERKSHIRES COMMUNITY HEALTH NETWORK ASSOCIATION (CHNA) IS BELOW THE STATE FOR MEN BUT ABOVE THE STATE RATE OVERALL AND FOR WOMEN. WHILE 13 PERCENT OF MASSACHUSETTS RESIDENTS 18-34 REPORTED BEING WITHOUT INSURANCE, THE RATE IS 19 PERCENT IN THE BERKSHIRES. THE RATE OF UNINSURED PEOPLE 55-64 IS 25 PERCENT HIGHER IN THE BERKSHIRES THAN IN THE STATE, AND TWO PERCENT OF PEOPLE 65+ IN THE BERKSHIRES REPORT BEING UNINSURED. FURTHER, ACCORDING TO BRFSS DATA, THE PERCENTAGE OF RESPONDENTS REPORTING THEY WERE UNABLE TO SEE A DOCTOR IN THE PAST YEAR (2003-2007) DUE TO COST WAS HIGHER OVERALL AND FOR WOMEN THAN THE STATE AND THE PERCENTAGE OF RESPONDENTS IN THE BERKSHIRES AGES 45-54 WHO SAID THEY COULD NOT SEE A DOCTOR BECAUSE OF COST WAS 49 PERCENT HIGHER THAN THE STATE RATE. THE ELDER POPULATION IN NORTHERN BERKSHIRE COMPRISES A MUCH HIGHER PERCENTAGE OF THE POPULATION AS A WHOLE THAN IT DOES FOR THE STATE OF MASSACHUSETTS. THE PERCENTAGE OF THE ELDERLY PEOPLE 85 AND OLDER, IS MORE THAN 1% HIGHER IN NORTHERN BERKSHIRE. THE PERCENTAGES OF THE YOUNGER ELDERS ARE HIGHER IN NORTHERN BERKSHIRE AS WELL.CommunityInformation
Community Building ActivitiesTHE NORTHERN BERKSHIRE COMMUNITY IS KNOWN FOR ITS COLLABORATIVE APPROACH IN WORKING ON VARIOUS PROBLEMS. TO SERVE OUR TARGET POPULATION, REACH AND NORTH ADAMS REGIONAL HOSPITAL OFTEN COLLABORATE WITH LOCAL ENTITIES, INCLUDING THE FOLLOWING: NORTHERN BERKSHIRE COMMUNITY COALITION; ECU HEALTH CARE; CHILDCARE OF THE BERKSHIRES; BERKSHIRE COMMUNITY ACTION COUNCIL; WILLIAMSTOWN MEDICAL ASSOCIATES AND OTHER MEDICAL GROUPS; BERKSHIRE NURSING FAMILIES; THE HORIZON ADVISORY BOARD AND ELDER SERVICES OF BERKSHIRE COUNTY; AREA COUNCILS ON AGING; NORTHERN BERKSHIRE UNITED WAY; TARGET: HUNGER; WILLIAMS COLLEGE; MASSACHUSETTS COLLEGE OF LIBERAL ARTS (MCLA); THE NORTH ADAMS PUBLIC SCHOOLS, ADAMS AND CHESHIRE REGIONAL SCHOOL DISTRICT, MASS MOCA AND THE BERKSHIRE FOOD PROJECT, AMONG OTHERS.CommunityBuildingActivities
Other InformationIN ADDITION TO THE GOVERNING BOARD, THE NBH BOARD OF TRUSTEES, A COMMUNITY BOARD, NORTHERN BERKSHIRE HEALTHCARE CORPORATORS, SERVES AS LIAISON TO THE NORTHERN BERKSHIRE COMMUNITY AND HAS THE AUTHORITY TO APPROVE NOMINATIONS TO THE BOARD OF CORPORATORS AND THE NBH BOARD OF TRUSTEES, AND MAKE ADJUSTMENTS IN THE BYLAWS GOVERNING NBH. CORPORATORS ARE ELECTED FROM THE COMMUNITIES SERVED BY NBH AND ITS AFFILIATES.OtherInformation
Affiliated Health Care SystemNORTH ADAMS REGIONAL HOSPITAL IS A SUBSIDIARY OF NORTHERN BERKSHIRE HEALTHCARE, LOCATED IN BERKSHIRE COUNTY IN THE NORTHWESTERN CORNER OF MASSACHUSETTS. THE HEALTH SYSTEM, IN ADDITION TO THE HOSPITAL, INCLUDES THE VISITING NURSE ASSOCIATION AND HOSPICE OF NORTHERN BERKSHIRE. REACH FOR COMMUNITY HEALTH EXECUTES THE MAJORITY OF COMMUNITY BENEFITS PROGRAMS AND RESPONDS TO THE NEEDS OF THE COMMUNITY WITH ITS DIRECT HEALTH-RELATED PROGRAMMING, MUCH OF WHICH IS GRANT FUNDED. AS A DEPARTMENT OF NORTH ADAMS REGIONAL HOSPITAL, REACH HAS FINANCIAL SUPPORT FOR ITS CORE ADMINISTRATIVE FUNCTIONS; THIS SUPPORT ALLOWS REACH TO MAXIMIZE ITS CAPACITY TO DEVELOP, IMPLEMENT, AND EVALUATE THE NUMEROUS PROGRAMS AND INTERVENTIONS THAT IT PROVIDES IN THE COMMUNITY. THE REACH COMMUNITY BENEFITS COMMITTEE, IS A STANDING COMMITTEE OF THE NBH BOARD OF TRUSTEES AND HAS DIRECT OVERSIGHT OF THE NARH COMMUNITY BENEFIT PLAN AND SUBSEQUENT ACTIVITY. REACH FOR COMMUNITY HEALTH IS MANAGED BY A DIRECTOR WITH OVERSIGHT BY THE SENIOR EXECUTIVE GROUP OF NORTHERN BERKSHIRE HEALTHCARE.AffiliatedHealthCareSystem
Reports Filed With StatesMAReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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

Form990 Schedule J Part II Form990ScheduleJPartII (9 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 OrgsTotalCompensationRelatedOrgs
PAUL DONOVAN MD
321561000450901854201814003627520
RICHARD PALMISANO
1758046502337269137847778228769125764652168926248320323118476
CHRISTOPHER HICKEY
190526010000011621000123502133820
ROBERT SILLS MD
265820000118201274301554502952900
OSCAR RODRIGUEZ MD
280463000259801517201814003163730
FRED LANDES MD
265106000405901543101814003027360
FERNANDO PONCE MD
260887000259801521601381402925150
RONALD DURNING MD
23372900066220724401018802577830
ROBERT CALWAY
9725664838153021020110066700010492699512405682704

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BRICHARD PALMISANO, CEO/PRESIDENT, PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. IN THE CURRENT YEAR, CONTRIBUTIONS WERE $93,494.
BONUSSCHEDULE JRICHARD PALMISANO, CHRISTOPHER HICKEY, AND ROBERT CALWAY RECEIVE AN ANNUAL BONUS OF UP TO A CERTAIN PERCENT OF BASE SALARY UPON ACCOMPLISHMENT OF GOALS AND OBJECTIVES ESTABLISHED ANNUALLY BY THE BOARD. THEY ARE PAID BY NORTHERN BERKSHIRE HEALTHCARE, WITH A PORTION OF COMPENSATION, INCLUDING BONUS, ALLOCATED TO RELATED ORGANIZATIONS. IN ADDITION, ROBERT CALWAY RECEIVED A RETENTION BONUS.
COMPENSATION DETERMINATIONSCHEDULE J, PART I, LINE 3NORTHERN BERKSHIRE HEALTHCARE, A RELATED ORGANIZATION, DETERMINES COMPENSATION FOR THE CEO USING THE FOLLOWING METHODS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS HEALTH & EDUCATIONAL FACILITIES AUTHBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN042456011IssuerEIN
CUSIP Number57586CDS1CUSIPNumber
Date Issued2004-10-13DateIssued
Issue Price26014649IssuePrice
Description Of PurposeCAPITAL IMPROVEMENTS, REFUND PRIORDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds26014649TotalProceeds
Amount In Reserve Fund2607120AmountInReserveFund
Amount Defeased5988818AmountDefeased
Amount Unspent3359871AmountUnspent
Issuance Costs From Proceeds555293IssuanceCostsFromProceeds
Capital Expenditures16863419CapitalExpenditures
Year Of Subst Completion2006YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
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
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MISSIONFORM 990, PART I, LINE 1THE MISSION OF NORTHERN BERKSHIRE HEALTHCARE IS TO PROVIDE EXCEPTIONAL HEALTHCARE FROM THE HEART. NORTHERN BERKSHIRE HEALTHCARE INCLUDES NORTH ADAMS REGIONAL HOSPITAL, THE VISITING NURSE ASSOCIATION & HOSPICE OF NORTHERN BERKSHIRE, SWEET BROOK TRANSITIONAL CARE & LIVING CENTERS, SWEETWOOD CONTINUING CARE RETIREMENT COMMUNITY, REACH FOR COMMUNITY HEALTH AND THE NBH PHYSICIANS GROUP. A FULL SERVICE COMMUNITY HOSPITAL, NARH INCLUDES 24 HOUR EMERGENCY CARE, DIAGNOSTIC IMAGING, LABORATORY, BIRTHING CENTER, OB, SURGERY, PSYCHIATRY, PHYSICAL REHABILITATION, INPATIENT, AND OUTPATIENT CARE. IT IS THE PRIMARY HOSPITAL FOR OVER 40,000 RESIDENTS OF NORTHERN BERKSHIRE COUNTY. REACH IS THE HEALTH EDUCATION AND HEALTH PROMOTION ARM OF NORTHERN BERKSHIRE HEALTHCARE AND OVERSEES THE COMMUNITY BENEFITS PROGRAM FOR NORTH ADAMS REGIONAL HOSPITAL. THE MISSION OF REACH IS TO IMPROVE THE HEALTH OF THE NORTHERN BERKSHIRE COMMUNITY THROUGH EDUCATION, OUTREACH, ADVOCACY AND TREATMENT, IN PARTNERSHIP WITH COMMUNITY MEMBERS AND ORGANIZATIONS. REACH IS NOW A DEPARTMENT OF NARH AND THEY CONTINUE TO HAVE THE RESPONSIBILITY OF OVERSEEING COMMUNITY HEALTH BENEFITS AND NEEDS.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINES 4A, 4B, & 4CNORTH ADAMS REGIONAL HOSPITAL (NARH) IS A NON-PROFIT, ACUTE-CARE, COMMUNITY HOSPITAL LICENSED BY THE MASSACHUSETTS DEPARTMENT OF HEALTH TO PROVIDE PRIMARY-CARE SERVICES, SPECIALTY-PHYSICIAN SERVICES, DIAGNOSTIC AND TREATMENT SERVICES, AND WOUND CARE SERVICES. NARH IS A DESIGNATED MEDICARE-DEPENDENT HOSPITAL. IN ADDITION, THE ADAMS AND NORTH ADAMS ARE DESIGNATED AS A LOW INCOME PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREA FOR ADULT PRIMARY CARE, OBSTETRICS AND DENTISTRY AND MAINTAINS A HPSA SCORE OF 13. THE HOSPITAL PROVIDES A RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING THE MAJOR SPECIALTIES OF INTERNAL MEDICINE, SURGERY, PEDIATRICS, GYNECOLOGY, OBSTETRICS, AND PSYCHIATRY. IN ADDITION, IT HAS A CRITICAL-CARE UNIT, WHICH CARES FOR BOTH INTENSIVE-CARE PATIENTS AND CORONARY-CARE PATIENTS. MEDICAL/SURGICAL SERVICES: THE HOSPITAL HAS ONE MEDICAL/SURGICAL FLOOR WITH 25 BEDS INCLUDING 5 BEDS FOR PEDIATRIC PATIENTS. THERE ARE 14 DUAL OCCUPANCY PATIENT ROOMS AND 3 PRIVATE ROOMS. THIS FLOOR WAS MOST RECENTLY RENOVATED IN 2009. CRITICAL CARE & TELEMETRY UNIT: THIS UNIT CAN MONITOR 8 CCU AND 4 TELEMETRY PATIENTS. THE UNIT WAS FULLY RENOVATED IN 2006 AND IS LICENSED FOR 13 BEDS. FIVE BEDS ARE NON-MONITORED AND USED FOR TELEMETRY OR STEP-DOWN BEDS AND 8 ARE CRITICAL CARE BEDS. TELEMETRY PATIENTS REQUIRE CARDIAC MONITORING BUT DO NOT REQUIRED CRITICAL CARE NURSING. NARH DOES NOT CARE FOR TRAUMA PATIENTS. THESE PATIENTS ARE REFERRED OUT TO TERTIARY CARE FACILITIES IN EITHER ALBANY OR SPRINGFIELD, MASSACHUSETTS. PEDIATRICS: THE HOSPITAL'S PEDIATRIC UNIT IS LOCATED ON THE MEDICAL/SURGICAL FLOOR OF THE HOSPITAL. OBSTETRICAL SERVICES: THE HOSPITAL'S MATERNITY WARD OFFERS FAMILY-CENTERED MATERNITY CARE, WHICH IS A FLEXIBLE PROGRAM DESIGNED TO MEET THE NEEDS OF NEW PARENTS AND INFANTS. THE HOSPITAL CURRENTLY HAS FIVE BOARD CERTIFIED OBSTETRICIANS/GYNECOLOGISTS ON STAFF. THE ENTIRE SUITE WAS RENOVATED IN 2007. IMPROVEMENTS INCLUDED THE ENLARGEMENT OF THE INDIVIDUAL PATIENT ROOMS AND THE ADDITION OF PRIVATE BATHROOMS AND OTHER AMENITIES. RENOVATIONS INCLUDED FIVE PRIVATE POST-PARTUM ROOMS, A MODERNIZED NURSERY, THREE LABOR AND DELIVERY ROOMS, A NEW NURSES' STATION AND A NEW FATHERS' AND FAMILY WAITING AREA. SURGERY DEPARTMENT: THE HOSPITAL MAINTAINS THREE FULL-SERVICE OPERATING ROOMS (WITH A FOURTH USED TO IMPROVE CASE TURNAROUND AND FOR FUTURE EXPANSION) AND SIXTEEN PRE- AND POST-OPERATIVE AMBULATORY-CARE OPERATING ROOMS WITH NINE RECOVERY BEDS FOR USE IN THE POST-SURGICAL STABILIZATION OF PATIENTS. THE HOSPITAL HAS 32 BOARD CERTIFIED AND 4 BOARD ELIGIBLE SURGEONS ON STAFF, REPRESENTING MAJOR SURGICAL SPECIALTIES SUCH AS GENERAL SURGERY, UROLOGY, GYNECOLOGY AND ORTHOPEDIC SURGERY. THE AMBULATORY SURGERY DEPARTMENT WAS COMPLETED RENOVATED IN 2007 AND CONTAINS THREE FULLY-EQUIPPED OPERATING ROOMS, TWO FULLY-EQUIPPED ENDOSCOPY SUITES, PRIVATE EXAMINATION, CONSULTATION AND RECOVERY ROOMS, AND A NEW WAITING LOUNGE. PSYCHIATRIC SERVICES: THE HOSPITAL'S PSYCHIATRIC UNIT, GREYLOCK PAVILION ("GREYLOCK"), COMMENCED OPERATION IN 1989. IT IS A LOCKED UNIT WITH 20 BEDS. GREYLOCK TREATS A RANGE OF PATIENTS FROM AGE 16 AND UP AND OPERATES A UNIT SPECIALIZING IN THE TREATMENT OF PATIENTS DUALLY DIAGNOSED WITH MENTAL ILLNESS AND SUBSTANCE ABUSE. EILEEN A. BARRETT ONCOLOGY CENTER: IN 1994, THE HOSPITAL OPENED THE EILEEN A. BARRETT ONCOLOGY CENTER, WHICH WAS FINANCED BY PRIVATE CONTRIBUTIONS, TO PROVIDE TREATMENT OF AND SERVICES TO CANCER PATIENTS. TREATMENT AVAILABLE AT THE HOSPITAL FOR ONCOLOGY CARE INCLUDES CHEMOTHERAPY AND SURGERY. OUTPATIENT CHEMOTHERAPY IS AVAILABLE AT THE HOSPITAL THROUGH COLLABORATION WITH NORTHERN BERKSHIRE HEMATOLOGY AND ONCOLOGY. THE HOSPITAL HAS FIVE BOARD CERTIFIED ONCOLOGISTS AND REFERRAL ARRANGEMENTS WITH VARIOUS HOSPITAL AND HOSPICE PROGRAMS. DIAGNOSTIC IMAGING SERVICES: THE HOSPITAL PROVIDES A RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES TO BOTH INPATIENTS AND OUTPATIENTS, INCLUDING 64-SLIDE CT SCAN, DIGITAL ECHOCARDIOGRAPHY, NUCLEAR MEDICINE, DIGITAL X-RAY, DIGITAL ULTRASOUND, DIGITAL MAMMOGRAPHY, MRI, STEREOTACTIC BREAST BIOPSY AND DIGITAL BONE DENSITOMETRY. TO MEET THE GROWING DEMAND FOR DIAGNOSTIC IMAGING SERVICES, THE HOSPITAL ADDED A PICTURE ARCHIVING AND COMMUNICATIONS SYSTEMS (PACS) IN 2007. MAMMOGRAPHY, ECHOCARDIOLOGY, ULTRASOUND AND BONE DENSITOMETRY WERE UPGRADED TO DIGITAL TECHNOLOGY IN 2009 AND THE MRI IS SCHEDULED TO BE REPLACED WITH A FIXED UNIT, LARGE BORE OPEN MAGNET IN THE SUMMER OF 2010. THE HOSPITAL HAS 3 BOARD CERTIFIED RADIOLOGISTS ON STAFF. CLINICAL LABORATORY: THE LABORATORY OFFERS BOTH ANATOMICAL AND CLINICAL PATHOLOGY PROGRAMS AND THERE ARE 3 BOARD CERTIFIED PATHOLOGISTS ON STAFF. THE LABORATORY PERFORMS 400,000 TESTS EACH YEAR. PHARMACY: THE HOSPITAL PHARMACY MAINTAINS AN INPATIENT LICENSE ONLY AND SERVES AN EMPLOYEE BENEFIT FUNCTION BY FILLING PRESCRIPTION REQUESTS FOR EMPLOYEES. PHARMACY SERVICES TO THE BEDSIDE ARE DELIVERED VIA OMNICELL MEDICATION CABINETS ON EACH OF THE MEDICAL FLOORS AND UTILIZATION OF THE MEDITECH PHARMACY MODULE. PHARMACY SERVICES ARE AVAILABLE SIXTEEN HOURS PER DAY AND NIGHT HOURS ARE COVERED BY CARDINAL HEALTH SERVICES VIA REMOTE ACCESS TO MEDITECH. REHABILITATION PROGRAMS: THE HOSPITAL HAS A LONG HISTORY AS AN OUTPATIENT REHABILITATION PROVIDER. THE HOSPITAL'S OUTPATIENT REHABILITATION CENTER INCLUDES A FULL RANGE OF SPEECH THERAPY, OCCUPATIONAL THERAPY, AND PHYSICAL THERAPY. THE HOSPITAL MAINTAINS A COMMUNITY REHABILITATION SERVICE IN ADAMS, MASSACHUSETTS. ENDOSCOPY CENTER: THE ENDOSCOPY UNIT OF THE HOSPITAL HOUSES ONE OF THE FASTEST GROWING SERVICES OFFERED BY THE HOSPITAL. THE ENDOSCOPY SUITE WAS RENOVATED AS PART OF THE ORGANIZATION'S 2004-7 RENOVATION PROJECT AND FULL HIGH-DEFINITION ENDOSCOPY IMAGING WAS ADDED IN 2009. OUTPATIENT SERVICES: THE HOSPITAL HAS A BROAD RANGE OF OUTPATIENT SERVICES. THESE SERVICES INCLUDE THE EMERGENCY DEPARTMENT; ONCOLOGY SERVICES; A DIAGNOSTIC IMAGING DEPARTMENT, INCLUDING MRI, 64-SLICE CT SCAN, DIGITAL X-RAY, DIGITAL MAMMOGRAPHY, DIGITAL ULTRASOUND, DIGITAL BONE DENSITY; NUCLEAR MEDICINE AND A PACS SYSTEM; CLINICAL LABORATORY SERVICES; CARDIAC TESTING; REHABILITATION CENTER FOR PHYSICAL OCCUPATIONAL, AND SPEECH THERAPY; ENDOSCOPY CENTER; AND SPECIALTY CLINICS. EMERGENCY SERVICES: THE HOSPITAL'S EMERGENCY DEPARTMENT IS AN ACTIVE COMPONENT OF THE HOSPITAL. THE HOSPITAL'S EMERGENCY DEPARTMENT PROVIDES 24-HOUR SERVICE TO NEARLY 21,0000 PATIENTS EACH YEAR. ALL PHYSICIANS WORKING IN THE EMERGENCY DEPARTMENT ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT AND ADVANCED TRAUMA LIFE SUPPORT. ALL NURSES WORKING IN THE EMERGENCY DEPARTMENT ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT AND PEDIATRIC EMERGENCY NURSING. THE EMERGENCY DEPARTMENT UNDERWENT A SIGNIFICANT RENOVATION AND EXPANSION IN 2007. THE IMPROVEMENTS INCLUDED AN EXPANSION OF THE SERVICE AREA BY 50% WITH ADDITIONAL EXAM ROOMS AND THE ADDITION OF RADIOLOGY SERVICES IN THE DEPARTMENT TO EXPEDITE DIAGNOSTIC SERVICES. THESE RENOVATIONS CREATED AN EMERGENCY DEPARTMENT THAT CONTAINS SEVENTEEN ROOMS, INCLUDING FOUR NEW CARDIAC OBSERVATION ROOMS, FIVE ACUTE- AND SUB-ACUTE EXAMINATION AREAS, TWO PRIVATE CARDIAC EXAMINATION ROOMS, A NEW GYNECOLOGICAL EXAMINATION AREA AND A PRIVATE OBSERVATION ROOM.
MANAGEMENT SERVICESFORM 990, PART VI, SECTION A, LINE 3NORTHERN BERKSHIRE HEALTHCARE, A RELATED ORGANIZATION, PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. THE MANAGEMENT FEES PAID ASSOCIATED WITH THIS SERVICE IS SHOWN ON PART IX, LINE 11A.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A & 7BNORTHERN BERKSHIRE HEALTHCARE IS THE SOLE MEMBER OF THE CORPORATION. THE ACT OF A MAJORITY OF THE MEMBER'S TRUSTEES PRESENT AT ANY MEETING OF THE MEMBER AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE MEMBER, EXCEPT WHERE OTHERWISE PROVIDED BY LAW OR THE GOVERNING DOCUMENTS OF THE ORGANIZATION. IN ADDITION, THERE ARE APPROXIMATELY 132 CORPORATORS OF NBH ("CORPORATORS"). THESE CORPORATORS ARE DRAWN FROM THE PROFESSIONAL AND BUSINESS COMMUNITY OF NORTHERN BERKSHIRE COUNTY AND ARE ELECTED EACH YEAR AT THE NBH ANNUAL MEETING. CORPORATORS ARE EMPOWERED TO ADOPT OR AMEND NBH CORPORATE ARTICLES AND BYLAWS AND TO ELECT INDIVIDUALS TO SERVE AS TRUSTEES OF NBH. NBH IS GOVERNED BY A SEVENTEEN MEMBER BOARD OF TRUSTEES, FIFTEEN OF WHOM ARE ELECTED BY THE CORPORATORS, ONE OF WHOM IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF NBH, AND ONE OF WHOM IS THE PRESIDENT OF THE HOSPITAL'S MEDICAL STAFF. ELECTED TRUSTEES SERVE FOR TERMS OF THREE YEARS, AND MAY BE ELECTED FOR UP TO TWO ADDITIONAL, CONSECUTIVE THREE-YEAR TERMS. EACH MEMBER OF THE BOARD OF TRUSTEES RESIDES IN THE SYSTEM'S PRIMARY SERVICE AREA AND HAS DEMONSTRATED A STRONG COMMITMENT TO THE COMMUNITY AND TO ENSURING THE AVAILABILITY OF LOCALLY MANAGED HEALTH CARE SERVICES. THE HEALTH SYSTEM HAS CORPORATORS WHICH ARE MEMBERS OF THE COMMUNITY THAT APPROVE THE SELECTION OF THE BOARD OF TRUSTEES.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11ATHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS INITIALLY INTERNALLY REVIEWED BY THE CFO. AFTER THIS REVIEW, THE FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS AT THEIR JULY MEETING. THIS ALLOWS FOR BOARD MEMBERS TO ASK QUESTIONS, PROVIDE COMMENTS, OR MAKE CHANGES BEFORE THE FINAL FORM 990 IS FILED.
CONFLICT OF INTEREST POLICY COMPLIANCEFORM 990, PART VI, SECTION B, LINE 12CANNUALLY BOARD MEMBERS AND THE SENIOR EXECUTIVE TEAM ARE REQUIRED TO FILL OUT A QUESTIONNAIRE REGARDING CONFLICTS OF INTEREST. THIS YEAR THESE INDIVIDUALS ALSO RESPONDED TO A QUESTIONNAIRE DESIGNED SPECIFICALLY FOR THE FORM 990. IF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBERS OR EXECUTIVE TEAM MEMBER WOULD RECUSE THEMSELVES FROM THE VOTE.
COMPENSATION DETERMINATIONFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE BOARD COMPENSATION COMMITTEE IS COMPOSED OF INDEPENDENT TRUSTEES. THIS COMMITTEE CONDUCTS AN ANNUAL PERFORMANCE EVALUATION. THE EVALUATION IS BASED ON DIRECT OBSERVATION, THE CEO'S COMPLETION OF PRE-DETERMINED GOALS, A CEO SELF-EVALUATION, AND THE RESULTS OF WRITTEN SURVEYS DISTRIBUTED BY THE COMMITTEE TO ALL TRUSTEES, HOSPITAL AND HEALTH SYSTEM EXECUTIVES, AND EMPLOYED PHYSICIANS. THE COMMITTEE ALSO REVIEWS INDEPENDENTLY COLLECTED AND PUBLISHED MARKET DATA FOR CEO COMPENSATION AT SIMILAR FACILITIES, SUCH AS THE ANNUAL MASSACHUSETTS HOSPITAL ASSOCIATION EXECUTIVE COMPENSATION AND/OR SIMILAR DOCUMENTS. CONSIDERING THE PERFORMANCE EVALUATION AND THE MARKET DATA, THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION FOR ANY CHANGES TO THE CEO'S COMPENSATION, WHICH THEN REQUIRES APPROVAL BY A VOTE OF THE FULL BOARD. DURING THE ANNUAL REVIEW PROCESS, THE COMPENSATION COMMITTEE ALSO DEVELOPS THE CEO'S PERFORMANCE GOALS FOR THE UPCOMING YEAR. THE CEO CONDUCTS ANNUAL PERFORMANCE EVALUATIONS FOR EACH EXECUTIVE OR OFFICER, CONSIDERING PERFORMANCE AGAINST PRE-DETERMINED ANNUAL PERFORMANCE GOALS, PERFORMANCE AGAINST THE JOB DESCRIPTION, AND FEEDBACK SURVEYS DISTRIBUTED BY THE HUMAN RESOURCES STAFF TO A GROUP OF PEERS AND SUBORDINATES. AT THIS TIME, THE CEO ALSO REVIEWS INDEPENDENTLY COLLECTED AND PUBLISHED MARKET DATA FOR SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. BASED ON THE MERITS OF THE PERFORMANCE EVALUATION AND THE COMPARISON TO MARKET DATA, THE CEO DETERMINES ANY CHANGE TO THE OFFICERS' COMPENSATION. COMPENSATION FOR ALL EXECUTIVES AND OFFICERS IS PRESENTED TO THE BOARD OF TRUSTEES ANNUALLY FOR THEIR REVIEW AND COMMENT, BUT CHANGES TO EXECUTIVE COMPENSATION, WITH THE EXCEPTION OF THE CEO, DO NOT REQUIRE BOARD APPROVAL. ALL EXECUTIVE COMPENSATION DECISIONS ARE GUIDED BY THE ORGANIZATION'S STATEMENT OF COMPENSATION PHILOSOPHY AS WELL AS BY GUIDELINES AND REGULATIONS REGARDING EXECUTIVE COMPENSATION IN NON-PROFIT ORGANIZATIONS PUT FORWARD BY THE IRS, THE ATTORNEY GENERAL, AND OTHER RELEVANT GOVERNING BODIES.
DOCUMENT AVAILABILITYFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S 990 IS AVAILABLE FOR VIEWING ON-SITE UPON WRITTEN REQUEST TO THE CFO.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHERN BERKSHIRE HEALTHCARE
71 HOSPITAL AVENUENORTH ADAMSMA01247222563466MANAGEMENT COMA501(C)(3)7NA
NORTHERN BERKSHIRE REALTY CO
71 HOSPITAL AVENUENORTH ADAMSMA01247222563465PROPERTY MGMTMA501(C)(3)11A INA
NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS
71 HOSPITAL AVENUENORTH ADAMSMA01247743253218PHYS SERVICESMA501(C)(3)9NA
NORTHERN BERKSHIRE COMMUNITY SERVICES
71 HOSPITAL AVENUENORTH ADAMSMA01247222563464RESIDENT CAREMA501(C)(3)9NA
REACH COMMUNITY HEALTH FOUNDATION
71 HOSPITAL AVENUENORTH ADAMSMA01247043470287COMM. ACTIV.MA501(C)(3)7NA
VISITING NURSE ASSOCIATION & HOSPICE
71 HOSPITAL AVENUENORTH ADAMSMA01247042910547HOME HEALTHMA501(C)(3)9NA
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 OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
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 OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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