FURP.ORG / PUBLIC DATA EXPLORER

NORTHERN BERKSHIRE HEALTHCARE: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTHERN BERKSHIRE HEALTHCARE (EIN 22-2563466)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201142239349300719
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)
Timestamp2011-08-11T08:42:00-05:00Timestamp
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)
EIN222563466EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHERN BERKSHIRE HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone4136645000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCHRISTOPHER HICKEYName
TitleCFO/TREASURERTitle
Phone4136645000Phone
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 Receipts6650686GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.NBHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION SUPPORTS THE ADVANCEMENT AND PRACTICE OF HEALTHCARE TO MEET THE NEEDS OF THE COMMUNITY AND OPERATE EXCLUSIVELY FOR THE BENEFIT OF NORTH ADAMS REGIONAL HOSPITAL AND ITS AFFILIATES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees35TotalNbrEmployees
Total Nbr Volunteers32TotalNbrVolunteers
Total Gross UBI178694TotalGrossUBI
Net Unrelated Business Txbl Income2299NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year625306ContributionsGrantsPriorYear
Contributions Grants Current Year204069ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4196640ProgramServiceRevenuePriorYear
Program Service Revenue CY4731818ProgramServiceRevenueCY
Investment Income Prior Year-490722InvestmentIncomePriorYear
Investment Income Current Year114611InvestmentIncomeCurrentYear
Other Revenue Prior Year-5619OtherRevenuePriorYear
Other Revenue Current Year-29716OtherRevenueCurrentYear
Total Revenue Prior Year4325605TotalRevenuePriorYear
Total Revenue Current Year5020782TotalRevenueCurrentYear
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 Year3277191SalariesEtcPriorYear
Salaries Etc Current Year3487803SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year170249TotalFundrsngExpCurrentYear
Other Expense Prior Year1063040OtherExpensePriorYear
Other Expenses Current Year2130740OtherExpensesCurrentYear
Total Expenses Prior Year4340231TotalExpensesPriorYear
Total Expenses Current Year5618543TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14626RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-597761RevenuesLessExpensesCY
Total Assets BOY3532945TotalAssetsBOY
Total Assets EOY15732521TotalAssetsEOY
Total Liabilities BOY2553197TotalLiabilitiesBOY
Total Liabilities EOY16374334TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY979748NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-641813NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE EXCEPTIONAL HEALTHCARE FROM THE HEART.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3957757Expense
Revenue4553124Revenue
DescriptionNORTHERN BERKSHIRE HEALTHCARE SUPPORTS THE ADVANCEMENT AND PRACTICE OF HEALTHCARE TO MEET THE NEEDS OF THE COMMUNITY AND OPERATES EXCLUSIVELY FOR THE BENEFIT OF NORTH ADAMS REGIONAL HOSPITAL AND ITS AFFILIATES.Description
Total Program Service Expense3957757TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109647NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees35NumberOfEmployees
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 ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
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 DutiesfalseDelegationOfManagementDuties
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 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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISTOPHER HICKEYNamePerson
Telephone Number4136645000TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD PALMISANO
CEO/PRESIDENT5.0XX039843140368
PAUL DONOVAN
MEDICAL STAFF PRESIDENT1.0X032607036682X
BYRON SHERMAN
SECRETARY1.0XX000
JANE ALLEN
TRUSTEE1.0X000
ELLEN BERNSTEIN
TRUSTEE1.0X000
JULIA BOLTON
TRUSTEE1.0X000
JONATHAN CLUETT
TRUSTEE1.0X000
STEPHEN FIX
TRUSTEE1.0X000
BILL GREENWALD
TRUSTEE1.0X000
BRUCE GRINNELL
TRUSTEE1.0X000
RICHARD JETTE
TRUSTEE1.0X000
STEPHEN KLASS
TRUSTEE1.0X000
MARTHA STOREY
TRUSTEE1.0X000
ERWIN STUEBNER
TRUSTEE1.0X000
ARTHUR TURTON
TRUSTEE1.0X000
STEPHEN PAGNOTTA
TRUSTEE1.0X000
CHRISTOPHER HICKEY
CFO/TREASURER5.0X02121471235
ROBERT CALWAY
VICE PRESIDENT OF BUSINESS DEV1.0018927317487X
BILLIE ALLARD
VP PATIENT SERVICES40.013324807880X
PAUL DABRODY
CONTROLLER40.013798508844X
ARTHUR SCOTT
VP HUMAN RESOURCES40.0139993019339X
KATHLEEN ARABIA
DIRECTOR OF GUEST SERVICES40.013084706754X
DAVID DELANO
DIRECTOR OF INFO SYSTEMS40.0127313020542X
FieldValueIRS element (for citing)
Total Reportable Comp From Org669386TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1125921TotalReportableCompFrmRltdOrgs
Total Other Compensation159131TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
AM HEALTHCARE INDUSTRY
CONSULTING SERVICES219150
BKD LLP
ACCOUNTING SERVICES214500
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events59893FundraisingEvents
All Other Contributions144176AllOtherContributions
Total Contributions204069TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
MANAGEMENT FEE56100045504074550407
IT INCOME9000995249952499
CONSIGNMENT INCOME541519126195126195
OTHER REVENUE90009927172717
FieldValueIRS element (for citing)
Total Program Service Revenue4731818TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column32152TotalRevenueColumn
Exclusion$32,152ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1645762Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1558272Securities
Other5031Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities87490Securities
Other-5031Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column82459TotalRevenueColumn
Exclusion$82,459ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events36885GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events59893CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses66601FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-29716TotalRevenueColumn
Exclusion-$29,716ExclusionAmount

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 Column5020782TotalRevenueColumn
Related Or Exempt Function Income4553124RelatedOrExemptFunctionIncome
Unrelated Business Revenue178694UnrelatedBusinessRevenue
Exclusion$84,895ExclusionAmount

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)
Total2906479Total
Program Services2371204ProgramServices
Management And General433274ManagementAndGeneral
Fundraising102001Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total200902Total
Program Services163902ProgramServices
Management And General29949ManagementAndGeneral
Fundraising7051Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total195320Total
Program Services159348ProgramServices
Management And General29117ManagementAndGeneral
Fundraising6855Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total185102Total
Program Services151013ProgramServices
Management And General27593ManagementAndGeneral
Fundraising6496Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total749425Total
Management And General749425ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12600Total
Management And General12600ManagementAndGeneral

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)
Total5339Total
Management And General5339ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1036308Total
Program Services845455ProgramServices
Management And General154484ManagementAndGeneral
Fundraising36369Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total113845Total
Program Services92879ProgramServices
Management And General16971ManagementAndGeneral
Fundraising3995Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27113Total
Program Services22119ProgramServices
Management And General4042ManagementAndGeneral
Fundraising952Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total9125Total
Program Services7445ProgramServices
Management And General1360ManagementAndGeneral
Fundraising320Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total33680Total
Program Services27477ProgramServices
Management And General5021ManagementAndGeneral
Fundraising1182Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22849Total
Program Services18641ProgramServices
Management And General3406ManagementAndGeneral
Fundraising802Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3967Total
Program Services3237ProgramServices
Management And General591ManagementAndGeneral
Fundraising139Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2376Total
Program Services1939ProgramServices
Management And General354ManagementAndGeneral
Fundraising83Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
LICENSES, DUES & SUBSCRIPTIONS318912601847541119
RECRUITING7688562726114612698
MISCELLANEOUS53374354796187

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5618543Total
Program Services3957757ProgramServices
Management And General1490537ManagementAndGeneral
Fundraising170249Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1494BOY
EOY17855EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1503120BOY
EOY3297003EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY419101BOY
EOY374979EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28809BOY
EOY38021EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY78483BOY
EOY588746EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis64854LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec60530LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13322BOY
EOY4324EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY915739BOY
EOY265112EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY16283BOY
EOY16283EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY556594BOY
EOY11130198EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3532945BOY
EOY15732521EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1643431BOY
EOY2004828EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
EOY13585000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY909766BOY
EOY784506EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2553197BOY
EOY16374334EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY74793BOY
EOY-1492531EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY904955BOY
EOY850718EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY979748BOY
EOY-641813EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3532945BOY
EOY15732521EOY
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1259828CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1148171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1297532CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year560131CurrentTaxYearMinus1Year
Current Tax Year204069CurrentTaxYear
Total4469731Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1259828CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1148171CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1297532CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year560131CurrentTaxYearMinus1Year
Current Tax Year204069CurrentTaxYear
Total4469731Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1511007AmountsSubstContributorsTotal
Public Support Total1702958724PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43604CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69673CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39596CurrentTaxYearMinus1Year
Current Tax Year32152CurrentTaxYear
Total271129Total
FieldValueIRS element (for citing)
Total Support4740860TotalSupport
Gross Receipts From Admissions Etc18470749GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.62409PublicSupportPertcentage170
Public Support Pertcent Prior Year0.79241PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64854OtherCostOrOtherBasis
Depreciation60530Depreciation
Book Value4324BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings4324TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
CSV LIFE INSURANCE160245
INTEREST IN FLYNT TRUST440450
DUE FROM AFFILIATES10529503
FieldValueIRS element (for citing)
Total Book Value Other Assets11130198TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDERIVATIVE LIABILITYDescription
Amount$784,506Amount
FieldValueIRS element (for citing)
Total Of Amounts784506TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event157385GrossReceiptsEvent1
Charitable Contributions Event152850CharitableContributionsEvent1
Gross Revenue Event14535GrossRevenueEvent1
Non Cash Prizes Event11960NonCashPrizesEvent1
Rent Facility Costs Event110755RentFacilityCostsEvent1
Other Direct Expenses Event18386OtherDirectExpensesEvent1
Name Of Event2CIRCUS SMIRKUSNameOfEvent2
Gross Receipts Event239393GrossReceiptsEvent2
Charitable Contributions Event27043CharitableContributionsEvent2
Gross Revenue Event232350GrossRevenueEvent2
Rent Facility Costs Event21252RentFacilityCostsEvent2
Entertainment Event232350EntertainmentEvent2
Other Direct Expenses Event211898OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total96778GrossReceiptsTotal
Charitable Contributions Total59893CharitableContributionsTotal
Gross Revenue Total Events36885GrossRevenueTotalEvents
Non Cash Prizes Total Events1960NonCashPrizesTotalEvents
Rent Facility Costs Total Events12007RentFacilityCostsTotalEvents
Entertainment Total Events32350EntertainmentTotalEvents
Other Direct Expenses Total Events20284OtherDirectExpensesTotalEvents
Direct Expense Summary Events66601DirectExpenseSummaryEvents
Net Income Summary-29716NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 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
RICHARD PALMISANO
024082705105301065510172280231400438799
PAUL DONOVAN
032156100045090185420181400362752
CHRISTOPHER HICKEY
019052601000001162100012350213382
ROBERT CALWAY
016209402550301676000174870206760
ARTHUR SCOTT
13878300012100717501216401593320

Form990 Schedule J Part III Form990ScheduleJPartIII (2 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.
BONUSESSCHEDULE J, PART I, LINE 7RICHARD 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 ALL COMPENSATION, INCLUDING BONUS, ALLOCATED TO RELATED ORGANIZATIONS. IN ADDITION, ROBERT CALWAY RECEIVED A RETENTION BONUS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE MEMBERS OF THE CORPORATION ARE THE CORPORATORS. THE TRUSTEES ARE ELECTED BY THE CORPORATORS AT THE ANNUAL MEETING. THE BYLAWS MAY BE AMENDED OR REPEALED IN WHOLE OR IN PART BY VOTE OF A TWO-THIRDS MAJORITY OF MEMBERS PRESENT AT THE ANNUAL MEETING OF THE CORPORATION.
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 WILL BE INITIALLY INTERNALLY REVIEWED BY THE CFO. AFTER THIS REVIEW, THE FORM 990 WILL BE GIVEN TO THE BOARD OF DIRECTORS AT THEIR JULY MEETING. THIS WILL ALLOW 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.
GOVERNING 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
NORTH ADAMS REGIONAL HOSPITAL
71 HOSPITAL AVENUENORTH ADAMSMA01247041676720HOSPITALMA501(C)(3)3NA
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
NORTH ADAMS REGIONAL HOSPITAL
K3480090
NORTHERN BERKSHIRE COMMUNITY SERVICES
K522214
VISITING NURSE ASSOCIATION & HOSPICE
K142933
NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS
K405170
NORTH ADAMS REGIONAL HOSPITAL
O4773682
VISITING NURSE ASSOCIATION & HOSPICE
O54903
NORTHERN BERKSHIRE COMMUNITY SERVICES
P1403045
NORTHERN BERKSHIRE REALTY CO
P70785
NORTHERN BERKSHIRE HEALTHCARE PHYSICIANS
P1859510
NORTH ADAMS REGIONAL HOSPITAL
Q974885
NORTHERN BERKSHIRE COMMUNITY SERVICES
R12934514