BERKSHIRE MEDICAL CENTER INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BERKSHIRE MEDICAL CENTER INC (EIN 04-2791396)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-13
- IRS object ID
- 202622259349300537
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-13T11:11:44-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 991856619 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON ADVISORS LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53 STATE ST 16TH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042791396 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERKSHIRE MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERK | BusinessNameControlTxt |
| Phone | 4134472508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 NORTH STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 012014109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT ST GEORGE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4134472706 | PhoneNum |
| Signature | 2026-08-13 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIN COUTURE | PreparerPersonNm |
| PTIN | P01390492 | PTIN |
| Phone | 6177237900 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DARLENE RODOWICZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 NORTH STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 012014109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $828,487,827 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BERKSHIREHEALTHSYSTEMS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO ADVANCE HEALTH & WELLNESS OF OUR COMMUNITY IN A WELCOMING, INCLUSIVE, & PERSONALIZED ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 3711 | TotalEmployeeCnt |
| Total Volunteers | 42 | TotalVolunteersCnt |
| Total Gross UBI | $464,972 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $463,972 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,185,957 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,318,354 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $723,028,187 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $723,327,559 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,392,848 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,939,184 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,883,053 | PYOtherRevenueAmt |
| CY Other Revenue | $57,261,172 | CYOtherRevenueAmt |
| PY Total Revenue | $757,490,045 | PYTotalRevenueAmt |
| CY Total Revenue | $824,846,269 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $304,375,809 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $309,621,002 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $354,618,203 | PYOtherExpensesAmt |
| CY Other Expenses | $394,760,262 | CYOtherExpensesAmt |
| PY Total Expenses | $658,994,012 | PYTotalExpensesAmt |
| CY Total Expenses | $704,381,264 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $98,496,033 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $120,465,005 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $831,876,410 | TotalAssetsBOYAmt |
| Total Assets EOY | $904,240,634 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $181,058,071 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $176,706,931 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $650,818,339 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $727,533,703 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF BERKSHIRE MEDICAL CENTER IS TO ADVANCE HEALTH AND WELLNESS FOR EVERYONE IN OUR COMMUNITY IN A WELCOMING, INCLUSIVE, AND PERSONALIZED ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $587,721,417 | ExpenseAmt |
| Revenue | $673,621,258 | RevenueAmt |
| Desc | OPERATE AN ACUTE CARE GENERAL HOSPITAL AND MEDICAL EDUCATIONAL FACILITY, AND DELIVER THE HIGHEST QUALITY PATIENT-CENTERED CARE IN A LEARNING ENVIRONMENT. TOTAL PATIENT DAYS FOR THE YEAR ARE 59,140, TOTAL LAB PROCEDURES 1,563,180, TOTAL RADIOLOGY PROCEDURES 163,524, TOTAL REHAB VISITS 56,169. HOURS OF OPERATION 24/HRS 365/DAYS PER YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $37,915,024 | ExpenseAmt |
| Revenue | $40,116,764 | RevenueAmt |
| Desc | OPERATION OF AN EMERGENCY DEPARTMENT AND TRAUMA CARE CENTER AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. TOTAL VISITS FOR THE YEAR 41,395. EMERGENCY DEPARTMENT IS IN OPERATION 24 HRS/DAY 365 DAYS/YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,564,298 | ExpenseAmt |
| Revenue | $7,124,147 | RevenueAmt |
| Desc | VISITING NURSE PROGRAM ALLOWING FOR THE CARE AND REHABILITATION OF PATIENTS IN THEIR OWN HOME ENVIRONMENT. TOTAL VISITS FOR THE YEAR 30,590 DETAILED AS FOLLOWS SKILLED NURSING 16,128 HOME HEALTH AIDE 602, REHAB 13,570, AND SOCIAL SERVICE 290. HOURS OF OPERATION 7 DAYS/WEEK 8AM-9PM WITH A NURSE ON CALL 24 HOURS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,631,270 | ExpenseAmt |
| Revenue | $2,465,390 | RevenueAmt |
| Desc | OPERATE A SUBSTANCE ABUSE CENTER PROVIDING THE HIGHEST QUALITY OF PATIENT CARE. TOTAL PATIENT DAYS FOR THE YEAR 5,940. PROGRAM OPERATES 24 HRS/DAY 365 DAYS/YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,631,270 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,465,390 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $641,832,009 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 223 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3711 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT ST GEORGE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4134472706 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 NORTH STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 012014109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DARLENE RODOWICZ | ||||||||||
| PRESIDENT | 25.00 | 25.00 | Yes (X) | Yes (X) | $0 | $1,124,806 | $55,410 | |||
| RICHARD ALCOMBRIGHT | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALFRED A BARBALUNGA | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ASHLEY P BENSON | ||||||||||
| TRUSTEE TERM BEGAN 1/25 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALEC A BELMAN MD | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 50.00 | Yes (X) | $0 | $523,724 | $75,570 | ||||
| JASON BRATCHER MD | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 50.00 | Yes (X) | $0 | $803,327 | $35,316 | ||||
| ALBERT A BRAVO DPM | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT P CELLA JR MD | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHAWN V CUSSON | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDITH KIT DOBELLE | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID HALL | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LETICIA SE HAYNES | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDMUND HORNSTEIN DO | ||||||||||
| TRUSTEE/PHYSICIAN | 1.00 | 50.00 | Yes (X) | $0 | $480,174 | $11,426 | ||||
| SUSAN KORMANIK | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHLEEN M MCCORMICK ESQ | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID MORESI | ||||||||||
| TRUSTEE/CHAIRMAN | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LAURIE NORTON MOFFATT | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| FREDERICK PUDDESTER | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH RENZI | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEANETTE SMITH PHD | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANAKATINA CORDON SUFFISH | ||||||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TIMOTHY BURKE | ||||||||||
| TRUSTEE/TERM ENDED 12/24 | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN A LOIODICE MD | ||||||||||
| TRUSTEE/TERM ENDED 12/24 | 1.00 | 50.00 | Yes (X) | $0 | $244,652 | $40,071 | ||||
| BARTON D RASOR | ||||||||||
| TRUSTEE/TERM ENDED 12/24 | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SCOTT ST GEORGE | ||||||||||
| TREASURER | 25.00 | 25.00 | Yes (X) | $0 | $624,977 | $61,106 | ||||
| CHERYL M BOUDREAU | ||||||||||
| CLERK TERM END 3/9/25 | 19.00 | 21.00 | Yes (X) | $0 | $127,165 | $22,361 | ||||
| LISA LESCARNEAU | ||||||||||
| CLERK TERM BEGN 1/6/25 | 19.00 | 21.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL MCHUGH MD | ||||||||||
| CHAIRMAN-E.D. MEDICINE | 50.00 | 0.00 | $445,763 | $0 | $55,632 | Yes (X) | ||||
| TEJAS GANDHI | ||||||||||
| CHIEF OPERATING OFFICER | 50.00 | 0.00 | $52,471 | $0 | $0 | Yes (X) | ||||
| BRENDA E CADORETTE | ||||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $362,322 | $0 | $49,443 | Yes (X) | ||||
| ROBIN BURNS-LAMBERT MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $1,039,688 | $0 | $67,686 | Yes (X) | ||||
| SEETHA MUTHAVARAPU MD | ||||||||||
| HOSPITALIST | 50.00 | 0.00 | $841,908 | $0 | $68,998 | Yes (X) | ||||
| RAYMOND GARY SOHL MD | ||||||||||
| ANESTHESIOLOGIST | 50.00 | 0.00 | $635,248 | $0 | $58,365 | Yes (X) | ||||
| TONY MAKDISI MD | ||||||||||
| HOSPITALIST | 50.00 | 0.00 | $731,829 | $0 | $50,688 | Yes (X) | ||||
| LJILJANA MARKOVIC MD | ||||||||||
| CHAIR OF PSYCHIATRY | 50.00 | 0.00 | $757,597 | $0 | $48,542 | Yes (X) | ||||
| ANDREW MANZER COO | ||||||||||
| TERM ENDED 6/11/24 | 50.00 | 0.00 | $508,051 | $0 | $32,960 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,374,877 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,928,825 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $733,574 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 623 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AHSA | |||||
| PO BOX 738891 | DALLAS | TX | 753738891 | CONTRACTED LABOR | $25,440,076 |
| SHIELDS PHARMACY OF THE BERKSHIRE | |||||
| PO BOX 844023 | BOSTON | MA | 022844023 | PHARMACY CONSULTANT | $9,600,315 |
| FASTAFF LLC | |||||
| 5700 S QUEBEC ST SUITE 300 | GREENWOOD VILLAGE | CO | 08111 | CONTRACTED LABOR | $4,071,266 |
| MEDTIGO STAFFING LLC | |||||
| PO BOX 397 | DOVER | MA | 02030 | CONTRACTED LABOR | $3,094,539 |
| AYA HEALTHCARE INC | |||||
| 5930 CORNERSTONE CT WEST SUITE 300 | SAN DIEGO | CA | 09212 | CONTRACTED LABOR | $2,018,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 45 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,333,147 | GovernmentGrantsAmt |
| All Other Contributions | $985,207 | AllOtherContributionsAmt |
| Total Contributions | $4,318,354 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REVENUE | 622000 | $571,189,131 | $571,189,131 |
| RETAIL PHARMACY | 456110 | $133,690,704 | $133,690,704 |
| OTHER ANCILLARY | 622000 | $13,098,573 | $13,098,573 |
| LAB REVENUE | 621510 | $4,778,704 | $4,778,704 |
| HEALTH PROMO EDUCATION | 611710 | $570,447 | $570,447 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $723,327,559 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,530,287 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $464,972 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,065,315 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $454,676 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $412,380 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $42,296 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,296 | TotalRevenueColumnAmt |
| Exclusion | $42,296 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,635,140 | SecuritiesAmt |
| Other | $2,935 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,229,178 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,405,962 | SecuritiesAmt |
| Other | $2,935 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,408,897 | TotalRevenueColumnAmt |
| Exclusion | $25,408,897 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAID WAIVER | 622000 | $55,227,766 | $55,227,766 |
| CAFETERIA INCOME | 722514 | $1,991,110 | $1,991,110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $57,218,876 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $824,846,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $723,327,559 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $464,972 | UnrelatedBusinessRevenueAmt |
| Exclusion | $96,735,384 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,880,436 | TotalAmt |
| Management And General | $1,880,436 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,290,930 | TotalAmt |
| Program Services | $239,868,410 | ProgramServicesAmt |
| Management And General | $5,422,520 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,290,691 | TotalAmt |
| Program Services | $8,904,222 | ProgramServicesAmt |
| Management And General | $386,469 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,541,541 | TotalAmt |
| Program Services | $32,535,293 | ProgramServicesAmt |
| Management And General | $1,006,248 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,617,404 | TotalAmt |
| Program Services | $19,028,881 | ProgramServicesAmt |
| Management And General | $588,523 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,979,660 | TotalAmt |
| Management And General | $46,979,660 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,167 | TotalAmt |
| Program Services | $54,167 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,793 | TotalAmt |
| Management And General | $86,793 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,917,799 | TotalAmt |
| Program Services | $42,189,812 | ProgramServicesAmt |
| Management And General | $727,987 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,909 | TotalAmt |
| Program Services | $288,002 | ProgramServicesAmt |
| Management And General | $8,907 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,762,511 | TotalAmt |
| Program Services | $6,559,636 | ProgramServicesAmt |
| Management And General | $202,875 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,320 | TotalAmt |
| Program Services | $571,641 | ProgramServicesAmt |
| Management And General | $17,679 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $367,006 | TotalAmt |
| Program Services | $355,996 | ProgramServicesAmt |
| Management And General | $11,010 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,986 | TotalAmt |
| Program Services | $650,986 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,390,730 | TotalAmt |
| Program Services | $16,872,038 | ProgramServicesAmt |
| Management And General | $518,692 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,731,762 | TotalAmt |
| Program Services | $4,589,808 | ProgramServicesAmt |
| Management And General | $141,954 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT RELATED SUPPLY | $209,121,121 | $205,783,329 | $3,337,792 |
| UNCOMPENSATED CARE POOL | $33,480,756 | $33,480,756 | |
| BAD DEBT | $19,110,735 | $19,110,735 | |
| EQUIP RENTAL/PURCHASES | $11,626,058 | $10,909,987 | $716,071 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,949 | TotalAmt |
| Program Services | $78,310 | ProgramServicesAmt |
| Management And General | $515,639 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,381,264 | TotalAmt |
| Program Services | $641,832,009 | ProgramServicesAmt |
| Management And General | $62,549,255 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,596 | BOYAmt |
| EOY | $15,796 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,570,794 | BOYAmt |
| EOY | $159,447,870 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,289 | BOYAmt |
| EOY | $387,221 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,671,789 | BOYAmt |
| EOY | $53,185,322 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,537,515 | BOYAmt |
| EOY | $25,174,120 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,879,150 | BOYAmt |
| EOY | $14,383,308 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,561,524 | BOYAmt |
| EOY | $4,029,117 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $513,489,010 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $329,498,862 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,114,978 | BOYAmt |
| EOY | $183,990,148 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,353,757 | BOYAmt |
| EOY | $359,277,082 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,559,592 | BOYAmt |
| EOY | $74,355,555 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,380,426 | BOYAmt |
| EOY | $29,995,095 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,876,410 | BOYAmt |
| EOY | $904,240,634 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,311,424 | BOYAmt |
| EOY | $61,036,001 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,822,394 | BOYAmt |
| EOY | $10,942,144 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,439,880 | BOYAmt |
| EOY | $32,785,800 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,226,880 | BOYAmt |
| EOY | $4,441,080 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,257,493 | BOYAmt |
| EOY | $67,501,906 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,058,071 | BOYAmt |
| EOY | $176,706,931 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,796,307 | BOYAmt |
| EOY | $679,036,119 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,022,032 | BOYAmt |
| EOY | $48,497,584 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $650,818,337 | BOYAmt |
| EOY | $727,533,703 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $831,876,410 | BOYAmt |
| EOY | $904,240,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $120,465,005 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $631,170 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$44,380,809 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $54,167 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $54,167 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES EXPENDITURES BERKSHIRE MEDICAL CENTER PAYS ANNUAL MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE MASSACHUSETTS HOSPITAL ASSOCIATION (MHA). A PORTION OF THESE DUES ARE USED BY THE AHA AND THE MHA TO CONDUCT LOBBYING ACTIVITIES TO ADVOCATE FOR APPROPRIATE FUNDING FOR FYE 9/30/2025. CALCULATION OF THE LOBBYING FEE PORTION OF THE ANNUAL DUES ARE AS FOLLOWS: MHA LOBBYING FEES OF $31,311 ARE 15.85% OF THE $197,549 ANNUAL DUES. AHA LOBBYING FEES OF $22,856 ARE 36.00% OF THE $63,488 ANNUAL DUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,360,552 | BeginningYearBalanceAmt |
| Contributions | $3,833 | ContributionsAmt |
| Investment Earnings Or Losses | $2,576,796 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$19,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $43,921,682 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $34,493,283 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,879,269 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$12,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $41,360,552 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,583,433 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,925,103 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$14,500 | GrantsOrScholarshipsAmt |
| Other Expenditures | -$753 | OtherExpendituresAmt |
| End Year Balance | $34,493,283 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,358,308 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,740,481 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$14,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | -$20,393 | OtherExpendituresAmt |
| End Year Balance | $31,583,433 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,131,752 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,235,776 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | -$8,500 | GrantsOrScholarshipsAmt |
| Other Expenditures | -$720 | OtherExpendituresAmt |
| End Year Balance | $35,358,308 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.17948 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.82052 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,337,605 | OtherCostOrOtherBasisAmt |
| Book Value | $9,337,605 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $256,096,268 | OtherCostOrOtherBasisAmt |
| Depreciation | $164,351,434 | DepreciationAmt |
| Book Value | $91,744,834 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $209,430,182 | OtherCostOrOtherBasisAmt |
| Depreciation | $145,419,466 | DepreciationAmt |
| Book Value | $64,010,716 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,624,955 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,727,962 | DepreciationAmt |
| Book Value | $18,896,993 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $183,990,148 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INDEX FUND, LARGE BLEND | Desc |
| Book Value | $74,355,555 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $74,355,555 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTIES | $48,917,530 |
| DEFERRED COMPENSATION | $12,791,544 |
| WORKERS COMP STOP LOSS LIABILITY | $332,000 |
| ASSET RETIREMENT ACCRETION | $5,318,684 |
| LEASE LIABILITY | $142,148 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $67,501,906 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION HOLDS, INVESTS AND/OR UTILIZES ENDOWMENT FUNDS IN ACCORDANCE WITH ANY EXPRESSED WISH OF THE DONOR OF THOSE FUNDS. TO THE EXTENT THAT THE DONOR INSTRUCTIONS ALLOW THE EXPENDITURE OF THE ENDOWMENT FUNDS, THEY ARE EXPENDED FOR HEALTHCARE SERVICES PURPOSES SUCH AS FREE CARE AND SCHOLARSHIPS, CONSISTENT WITH THE TAX EXEMPTION OF THE ORGANIZATION. |
| PART X, LINE 2: | THE FINANCIAL ACTIVITIES OF BERKSHIRE MEDICAL CENTER, INC. ARE INCLUDED WITHIN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF BERKSHIRE HEALTH SYSTEMS, INC. AND AFFILIATES AND SUPPLEMENTARY FINANCIAL INFORMATION FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024. THOSE FINANCIALS INCLUDE THE FOLLOWING FIN-48 FOOTNOTE: "THE HEALTH SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITONS, WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THE HEALTH SYSTEM HAS DETERMINED THAT THERE ARE NO SUCH POSITIONS, INDIVIDUALLY OR IN THE AGGREGATE, THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS." |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,115,896 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,606 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,084,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,482,367 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,961,542 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,520,825 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01240 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,560,800 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,852,835 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,159,063 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $78,845,983 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,605,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01400 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,579,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,448,956 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,130,720 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,390,655 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,996,776 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,393,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01220 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,943,882 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,346,024 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,597,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $435,985 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $435,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $39,350,198 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,791,756 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,558,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $123,509,261 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $98,637,739 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,163,557 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04240 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $511 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $511 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $510,895 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $502,402 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $511,406 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $502,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,110,735 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $209,434,206 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $301,555,060 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$92,120,854 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERKSHIRE MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 725 NORTH STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BERKSHIREHEALTHSYSTEMS.ORG | WebsiteAddressTxt |
| State License | VQKK | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERKSHIRE MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BERKSHIRE MEDICAL CENTER | PART V, SECTION B, LINE 5: THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS/INSURER "THE COALITION" IS A PARTNERSHIP FORMED IN 2012 AMONG NON-PROFIT HOSPITALS AND INSURERS IN THE REGION: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HOSPITAL, MERCY MEDICAL CENTER, AND HEALTH NEW ENGLAND. IN 2023, THE COALITION EXPANDED TO INCLUDE BERKSHIRE HEALTH SYSTEMS AND HOLYOKE HEALTH SYSTEM. THE COALITION MEMBERS SHARED RESOURCES AND PARTNERED TO CONDUCT THEIR 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO ADDRESS REGIONAL NEEDS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES. BASED ON THE FINDINGS OF THE CHNA, EACH HOSPITAL DEVELOPS A HEALTH IMPROVEMENT PLAN TO ADDRESS SELECT PRIORITIZED NEEDS. THE CHNA DATA ALSO INFORM COUNTY HEALTH IMPROVEMENT PLANS (CHIPS) AND OTHER COMMUNITY PLANNING EFFORTS. THE PUBLIC HEALTH INSTITUTE OF WESTERN MASSACHUSETTS CONDUCTED THE 2025 CHNAS FOR THE COALITION IN PARTNERSHIP WITH A CONSULTANT TEAM THAT INCLUDED BERKSHIRE REGIONAL PLANNING COMMISSION, COLLABORATIVE FOR EDUCATIONAL SERVICES, FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS, AND SEVERAL INDEPENDENT CONSULTANTS. COMMUNITY LEADERS AND RESIDENTS ACROSS THE REGION WERE ALSO INTEGRAL TO THE CHNA PROCESS, PRIMARILY THROUGH REPRESENTATION ON THE REGIONAL ADVISORY COUNCIL (RAC), PARTICIPATION IN INTERVIEWS AND FOCUS GROUPS, AND INVOLVEMENT IN COMMUNITY ASSESSMENTS AND LISTENING SESSIONS CONDUCTED FOR OTHER INITIATIVES. THE 2025 CHNA UPDATES THE PRIORITIZED COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 REPORT, WHICH FOCUSED ON THREE AREAS: THE SOCIAL AND ECONOMIC FACTORS OR "DETERMINANTS" THAT INFLUENCE HEALTH, BARRIERS TO HEALTHCARE ACCESS, AND HEALTH BEHAVIORS AND OUTCOMES. THIS CHNA FOCUSED ON BERKSHIRE COUNTY-LEVEL DATA AND DATA FOR SELECT COMMUNITIES AS AVAILABLE: PITTSFIELD, GREAT BARRINGTON, AND NORTH ADAMS, AS WELL AS RURAL CLUSTERS OF MUNICIPALITIES AS DEFINED BY THE STATE DEPARTMENT OF PUBLIC HEALTH. 87% OF PATIENTS SEEKING CARE AT BHS FACILITIES RESIDE WITHIN THE 32 MUNICIPALITIES OF BERKSHIRE COUNTY, THUS THE COUNTY IS THE GEOGRAPHIC FOCUS OF THIS REPORT.ASSESSMENT PROCESS AND METHODSEXISTING ASSESSMENTS REVIEWREVIEW OF EXISTING ASSESSMENT REPORTS PUBLISHED SINCE 2022 THAT WERE COMPLETED BY COMMUNITY AND REGIONAL AGENCIES SERVING BERKSHIRE COUNTY. VARIOUS LOCAL REPORTS SUCH AS THE BERKSHIRE BENCHMARKS REPORT COMPLETED BY BRPC, AND THE BLACKSHIRES 2024 HEALTH AND WELLNESS REPORT WERE CONSULTED, AS WERE THE ROBERT WOOD JOHNSON/UNIVERSITY OF WISCONSIN 2025 COUNTY HEALTH RANKINGS.QUANTITATIVE DATA COLLECTION AND ANALYSISEXISTING DATA WAS GATHERED AND SUMMARIZED FROM A VARIETY OF SOURCES, INCLUDING MASSACHUSETTS DPH; THE U.S CENSUS BUREAU THROUGH THE AMERICAN COMMUNITY SURVEY (ACS); THE COUNTY HEALTH RANKING REPORTS; AND A VARIETY OF OTHER DATA SOURCES. IN ADDITION, DATA WAS INCLUDED FROM THE MASSACHUSETTS DPH'S COMMUNITY HEALTH EQUITY SURVEY (CHES). IN ADDITION, A LIMITED DATA SET SPECIFIC TO BERKSHIRE HEALTH SYSTEMS WAS OBTAINED DIRECTLY FROM BHS.QUALITATIVE DATA COLLECTION AND ANALYSISPRIMARY DATA COLLECTION WAS CONDUCTED TO GATHER INFORMATION ABOUT SPECIFIC TOPICS, WHICH INCLUDED: A SURVEY AND LISTENING SESSION WITH PUBLIC HEALTH OFFICIALS IN BERKSHIRE COUNTY AND THROUGHOUT WESTERN MASSACHUSETTS; KEY INFORMANT INTERVIEWS AND FOCUS GROUPS SPECIFIC TO BERKSHIRE COUNTY; AND GROUP INTERVIEWS WITH KEY INFORMANTS FROM HEALTHCARE AND SERVICE ORGANIZATIONS ACROSS WESTERN MASSACHUSETTS RELATED TO DEEPER DIVE FOCUS AREAS, WHICH INCLUDED SOME REPRESENTATION FROM BERKSHIRE COUNTY.KEY INFORMANT INTERVIEWS AND FOCUS GROUPS SPECIFIC TO BERKSHIRE COUNTY WERE CONDUCTED BY BERKSHIRE REGIONAL PLANNING COMMISSION (BRPC) AND INCLUDED:FOCUS GROUPS:SECOND STREET, SECOND CHANCES WOMEN'S GROUPSECOND STREET, SECOND CHANCES MEN'S GROUPHEALTHY AGING WORKING GROUP (INCLUDING QUEER MEN OF THE BERKSHIRES (Q-MOB), ELDER SERVICES, AND COMMUNITY MEMBERS)BERKSHIRE OVERDOSE AND ADDICTION PREVENTION COLLABORATIVE (BOAPC)KEY INFORMANT INTERVIEWS:DEBORAH PHILLIPS, MS, LDN, IFNCP, DIRECTOR, SOUTHERN BERKSHIRE RURAL HEALTH NETWORKCHARLES REDD, MS, RN, DIVERSITY EQUITY AND INCLUSION OFFICER, BHSNOE GONZLEZ ORTIZ, CHILD CARE OF THE BERKSHIRESPRITI SHAH, DPT, MBA, ADMINISTRATIVE DIRECTOR, BERKSHIRE VISITING NURSE ASSOCIATIONMICHELLE SCHNOPP, MSN, DIRECTOR OF CASE MANAGEMENT, BHSROBERT SHEARER, DNP, AGACNP-BC, DIRECTOR OF URGENT CARE, BHSADRIAN ELLIOTT, MD, CHIEF OF EMERGENCY MEDICINE, FAIRVIEW HOSPITALCAROL PASSLEY, DBA, MSN, CENP, CDP, LSSGB, SENIOR DIRECTOR OF NURSING, BHSIN ADDITION, THE COUNTY HEALTH INITIATIVE (CHI), MADE UP OF REPRESENTATIVES FROM BERKSHIRE HEALTH SYSTEMS, BERKSHIRE REGIONAL PLANNING COMMISSION, THE CITY OF PITTSFIELD HEALTH DEPARTMENT, NORTHERN BERKSHIRE COMMUNITY COALITION, THE SOUTHERN BERKSHIRE PUBLIC HEALTH COLLABORATIVE, AND VOLUNTEERS IN MEDICINE PROVIDED ONGOING INPUT AND ACTED AS A LOCAL COMMUNITY ADVISORY BOARD IN ADDITION TO THE HEALTH SYSTEM'S COMMUNITY BENEFITS ADVISORY COMMITTEE.THE 2025 CHNA USED THE 2022 CHNA PRIORITIES AS A BASELINE AND REPRIORITIZED NEEDS WHERE QUANTITATIVE DATA, QUALITATIVE DATA, AND COMMUNITY FEEDBACK WARRANTED CHANGES. IN PREVIOUS CHNAS, PRIORITIZED HEALTH NEEDS WERE THOSE THAT HAD THE GREATEST COMBINED MAGNITUDE AND SEVERITY, OR THAT DISPROPORTIONATELY AFFECTED POPULATIONS THAT HAVE BEEN MARGINALIZED IN THE COMMUNITY. QUANTITATIVE, QUALITATIVE, AND COMMUNITY ENGAGEMENT DATA CONFIRM THAT PRIORITIES FROM 2022 CONTINUE IN 2025. COALITION MEMBERS' HEALTH EQUITY GOALS AND PRIORITY COMMUNITIES WERE INCORPORATED INTO THE DATA COLLECTION PLAN. THESE WERE OVERLAID TO IDENTIFY COMMON TOPICS AND POPULATIONS OF CONCERN. TO ENSURE THAT THE CHNAS CAN HELP DRIVE ACTION AND INFORM POLICY CONSIDERATIONS, A CRITERION WAS ADDED TO UNDERSTAND WHICH OF THESE FOCUS AREAS HAD A TIE-IN WITH MAJOR STATE POLICIES EITHER RECENTLY ENACTED OR UNDER CONSIDERATION. THROUGH THIS PROCESS, THE COALITION MEMBERS AGREED THAT MATERNAL HEALTH/BIRTH EQUITY AND MENTAL HEALTH/SUBSTANCE USE WARRANTED REGIONAL ATTENTION AS PRIORITIZED NEEDS, ALONG WITH SEVERAL COMMUNITIES OF FOCUS: OLDER ADULTS, IMMIGRANTS AND REFUGEES, AND YOUNG CHILDREN AND THEIR PARENTS/CAREGIVERS. BERKSHIRE HEALTH SYSTEMS IDENTIFIED FOUR FOCUS AREAS, TWO WHICH OVERLAPPED WITH REGIONAL PRIORITIES: 1) MENTAL HEALTH, 2) THE RELATIONSHIP BETWEEN SUBSTANCE USE (INCLUDING ALCOHOL) AND HOUSING, 3) ACCESS TO CARE (INCLUDING RURAL), AND 4) PEOPLE EXPERIENCING SOCIOECONOMIC DISPARITIES. THE PRIORITIZED HEALTH NEEDS FOR THE BERKSHIRE HEALTH SYSTEMS SERVICE AREA ARE:SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTH A.LACK OF ACCESS AND AFFORDABILITY OF BASIC NEEDSB.EDUCATIONAL ATTAINMENTC.EMPLOYMENT AND INCOMED.VIOLENCE AND TRAUMAE.ENVIRONMENTAL EXPOSURES AND CLIMATE CRISISPRIORITY POPULATIONSA.YOUNG CHILDREN AND THEIR PARENTS/CAREGIVERS (REGIONAL FOCUS) B.OLDER ADULTS (REGIONAL FOCUS)C.IMMIGRANTS AND REFUGEES (REGIONAL FOCUS)HEALTH BEHAVIORS AND OUTCOMESA.MATERNAL HEALTH AND BIRTH EQUITY (REGIONAL FOCUS AREA)B.MENTAL HEALTH (BOTH ADULT AND YOUTH)C.SUBSTANCE USE, INCLUDING ALCOHOL (REGIONAL FOCUS AREA)D.HOUSING AND ITS RELATIONSHIP WITH SUBSTANCE USE ACCESS AND BARRIERS TO HEALTHCAREYOUTH MENTAL HEALTHMANY FACTORS CONTRIBUTE TO A YOUNG PERSON'S MENTAL HEALTH AND WELLNESS, AND IT REQUIRES COLLECTIVE RESOURCES AND RESPONSIBILITY TO BE ACHIEVED. CREATING A SENSE OF CONNECTION AND CARE ARE CRITICAL PREVENTION STRATEGIES. OTHER FACTORS ERODE ANY SENSE OF WELL-BEING. FOR SOME, STRUCTURAL POVERTY AND RURAL ISOLATION ARE FACTORS. FOR YOUTH OF COLOR AND OTHER MARGINALIZED YOUNG PEOPLE, MENTAL WELL-BEING HAS BEEN AFFECTED BY RACISM AND DISCRIMINATION IN BOTH COMMUNITIES AND SCHOOLS. GENDER AND GENDER IDENTITY CAN ALSO IMPACT YOUTH MENTAL HEALTH BECAUSE GIRLS, LESBIAN, GAY AND BISEXUAL (LGB), AND TRANSGENDER YOUNG PEOPLE OFTEN FACE DISCRIMINATION AS WELL. NATIONALLY, WE HAVE SEEN A LONG-TERM RISE IN POOR MENTAL HEALTH AMONG YOUNG PEOPLE, WHICH WAS MADE WORSE BY THE COVID-19 PANDEMIC. THESE TRENDS ARE REFLECTED ACROSS WESTERN MASSACHUSETTS AS WELL.ADULT MENTAL HEALTH AND SUBSTANCE USEMENTAL HEALTH CONTINUES TO BE A PRIORITIZED HEALTH NEED IN THE SERVICE AREA. ALTHOUGH MENTAL HEALTH IS COMMONLY THOUGHT OF AS THE ABSENCE OF MENTAL ILLNESSES, MENTAL WELLBEING EXTENDS BEYOND THE PRESENCE OR ABSENCE OF MENTAL DISORDERS. THE WORLD HEALTH ORGANIZATION (WHO) DEFINES MENTAL HEALTH AS THE "STATE OF WELLBEING IN WHICH AN INDIVIDUAL REALIZES [THEIR] OWN ABILITIES, CAN COPE WITH THE NORMAL STRESSES OF LIFE, CAN WORK PRODUCTIVELY AND IS ABLE TO MAKE A CONTRIBUTION TO [THEIR] COMMUNITY." CONTINUE ON SCHEDULE O |
| BERKSHIRE MEDICAL CENTER | PART V, SECTION B, LINE 6A: FAIRVIEW HOSPITAL, NORTH ADAMS REGIONAL HOSPITAL |
| BERKSHIRE MEDICAL CENTER | PART V, SECTION B, LINE 11: BERKSHIRE HEALTH SYSTEMS REGULARLY ASSESSES THE HEALTH NEEDS OF BERKSHIRE COUNTY RESIDENTS AS PART OF THE STRATEGIC PLANNING PROCESS AND COMMUNITY BENEFITS PROGRAMMING. BHS COMPILES A BERKSHIRE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT EVERY THREE YEARS USING THE EVALUATION OF PUBLICLY AVAILABLE DATA, FINDINGS FROM LOCAL ORGANIZATION REPORTS, AND FEEDBACK COLLECTED FROM FOCUS GROUPS AND SURVEYS. THIS DATA, IN CONJUNCTION WITH THE MASSACHUSETTS FOCUS AREAS AND PRIORITIES, IS USED TO DETERMINE ANNUAL HEALTHSYSTEM COMMUNITY BENEFIT PRIORITIES.THE INTENT IS TO BROADLY IDENTIFY THE MAJOR TRENDS IN HEALTH STATUS AND THE COMMUNITY'S HEALTH NEEDS WITH AN UNDERSTANDING OF THE FACTORS THAT ARE LIKELY TO AFFECT THE POPULATION OF BERKSHIRE COUNTY. THE OBJECTIVES OF THE CHNA ARE TO:1. GATHER STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS OF THE RESIDENTS OF BERKSHIRE COUNTY2. DEVELOP ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS OF HEALTH AND QUALITY OF LIFE MEASURES TO PROVIDE TRENDING INFORMATION FOR THE FUTURE3. IDENTIFY KEY AREAS OF SIGNIFICANT COMMUNITY NEEDS AND VULNERABLE POPULATIONS4. UTILIZE FINDINGS FOR COMMUNITY BENEFIT AND HOSPITAL PLANNINGIN 2024, BHS ESTABLISHED THE HEALTH EQUITY AND ACCESS COMMITTEE (HEAC) OF THE BOARD OF TRUSTEES. THIS COMMITTEE IS MADE UP OF BOARD MEMBERS AND COMMUNITY MEMBERS WITH A FOCUS ON MOVING FORWARD THE HEALTH EQUITY STRATEGY, AS WELL AS THE CHNA, WHICH IS DEVELOPED BY BHS HOSPITALS, IN PARTNERSHIP WITH MEMBERS OF THE COMMUNITY ON THE COMMUNITY BENEFIT ADVISORY COMMITTEE, A SYSTEM-WIDE COMMITTEE THAT REVIEWS AND DISCUSSES COMMUNITY BENEFIT PROGRAMS, POTENTIAL NEW INITIATIVES, AND COMMUNITY NEEDS AND OUTCOMES.BHS IS THE ONLY HEALTH SYSTEM IN BERKSHIRE COUNTY AND THEREFORE ASSUMES A SIGNIFICANT LEADERSHIP ROLE IN ADDRESSING THE PRIORITIES IDENTIFIED IN THE CHNA. BHS HAS A STRONG REPUTATION AS A LEADER AND COLLABORATOR IN MEETING COMMUNITY HEALTH NEEDS THROUGH ITS ONGOING COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE INCLUDE, BUT ARE NOT LIMITED TO, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS, MENTAL HEALTH SERVICES, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES AND ACCESS TO CARE THROUGH SEVERAL LEVERAGED SOURCES (GRANTS). BHS UNDERSTANDS THAT THE NEEDS OF THE COMMUNITY ARE FLUID AND MAY CHANGE WITH CIRCUMSTANCE AND TIME, IN RESPONSE COMMUNITY HEALTH IMPROVEMENT STRATEGIES MAY ALSO CHANGE, AND PROGRAMS MAY BE ADDED, ELIMINATED, OR REVISED AS 2022-2025 TIMEFRAME.WHILE DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH STATUS INDICATORS PROVIDE AN EFFECTIVE MEANS OF IDENTIFYING POTENTIAL NEEDS AND/OR PROBLEMS, SUCH A BROAD-BASED VIEW CANNOT IDENTIFY ALL THE HEALTH AND HUMAN SERVICE PROBLEMS FACING A COMMUNITY. THIS IS RATHER ONE STEP OF MANY IN AN ONGOINGPROCESS OF COLLECTING AND DISSEMINATING HEALTH STATUS INFORMATION SO THAT, IN WORKING TOGETHER, WE ADDRESS MOST OF THE IDENTIFIED HEALTH NEEDS OF OUR COMMUNITY AND HELP TO ENSURE BETTER OUTCOMES FOR ALL THE PEOPLE LIVING IN BERKSHIRE COUNTY. ADDITIONALLY, AN IMPORTANT PART OF THIS PROCESS IS TO IDENTIFY PREEXISTING PROGRAMS AND RESOURCES IN THE COMMUNITY TO AVOID DUPLICATION OF EFFORTS AND SILOED WORK.BY COLLABORATING WITH COMMUNITY PARTNERS, BHS STRIVES TO BUILD A STRONGER, MORE RESILIENT COMMUNITY THAT CAN ADDRESS SHARED NEEDS. WHEN PARTNER ORGANIZATIONS ARE ALREADY ADDRESSING A PRIORITY HEALTH NEED, BHS MAY NOT PROVIDE DIRECT SERVICE OR FUNDS; HOWEVER, THE SYSTEM MAY SUPPORT THE PROGRAM BY PROVIDING REFERRALS, CONNECTIONS, DATA, AND/OR OTHER MODALITIES OF SUPPORT. BASED ON THIS APPROACH, MOST OF THE CHNA'S IDENTIFIED HEALTH NEEDS ARE BEING ADDRESSED BY BHS OR PARTNER ORGANIZATIONS. LISTED BELOW ARE THE HOSPITAL'S FY2025 STRATEGIC PRIORITY HEALTH NEEDS, AND HOW EACH IS ADDRESSED. THE FY2025 PRIORITY HEALTH NEEDS ARE UPDATED FROM THE FY22 CHNA. BMC HAS IDENTIFIED THE FOLLOWING PRIORITY NEEDS AREAS: BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER, CHRONIC CONDITIONS AND INFECTIOUS DISEASE, ACCESS TO CARE, CARE COORDINATION, SOCIAL ECONOMIC, AND WORKFORCE DEVELOPMENT. THESE PRIORITY NEEDS ARE LISTED BELOW WITH SUPPLEMENTATION OF WHAT IS BEING DONE BY THE HOSPITAL REGARDING EACH NEED. PLEASE NOTE, THE LISTS ARE NOT EXHAUSTIVE BUT ARE INTENDED TO PROVIDE AN OVERVIEW. BEHAVIORAL HEALTH & SUBSTANCE USE DISORDERSUBSTANCE USE/ OPIOIDS - BMC HAS INPATIENT SUBSTANCE USE TREATMENT PROGRAMS, INCLUDING THE MCGEE RECOVERY CENTER, A DETOX PROGRAM, AND OUR CLINICAL STABILIZATION SERVICES UNIT, WHICH GIVES THOSE IN RECOVERY THE OPPORTUNITY TO STAY, UP TO 30 DAYS, IN A SAFE SETTING THAT AIDS IN LONG-TERM RECOVERY. BMC ALSO PARTNERS WITH THE BRIEN CENTER FOR SUBSTANCE USE SERVICES IN PROVIDING ACCESS TO OUTPATIENT PROGRAMS TO ENHANCE TREATMENT FOR ADDICTION. THE SUBSTANCE USE TREATMENT CLINIC DEVELOPED IN 2019 IS PROVIDED BY A MEDICATION ASSISTED TREATMENT (MAT) CERTIFIED NURSE PRACTITIONER AND REGISTERED NURSE WHO PROVIDE TREATMENTS RELATED TO ALL FORMS OF SUBSTANCE USE DISORDERS AND PRACTICE USING THE HARM REDUCTION MODEL OF CARE. CARE INCLUDES SUPPORT, MEDICATIONS INCLUDING INDUCTIONS, ORAL, SUBLINGUAL, INJECTABLE AND TRANSDERMAL FORMULATIONS. COORDINATES CARE WITH THE PATIENT'S PRIMARY CARE PHYSICIAN AND SOCIAL SERVICES. THE GOAL OF THE PROGRAM IS TO HELP MANAGE THEIR SUBSTANCE USE DISORDER, REDUCE EMERGENCY DEPARTMENT UTILIZATION, AND REDUCE INPATIENT AND OBSERVATION ADMISSIONS. THE PROVIDERS ARE BOTH CERTIFIED RECOVERY COACHES. RECRUITMENT FOR OTHER POSITIONS SUCH AS COMMUNITY HEALTH WORKER/RECOVERY COACH AND MEDICAL ASSISTANT HAS BEEN CHALLENGING. BMC ALSO DEPLOYS VENDING MACHINES THROUGHOUT THE COUNTY TO PROVIDE FREE HARM REDUCTION SUPPLIES. ADDITIONALLY, BMC HAS INSTALLED NUMEROUS NARCAN BOXES ACROSS THE COUNTY WHERE ANYONE CAN ACCESS THE LIFE-SAVING MEDICATION.MENTAL HEALTH-DEPRESSION, SUICIDE - THE BMC DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL HEALTH PROVIDES ANNUAL FREE DEPRESSION SCREENINGS IN THE COMMUNITY, PARTNERS WITH THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE USE SERVICES ON OUTPATIENT PROGRAMS AND PROVIDES AN EMPLOYEE ASSISTANCE PROGRAM TO COMPANIES IN THE COMMUNITY TO AID IN RESPONDING TO MENTAL HEALTH ISSUES. CHRONIC CONDITIONS & INFECTIOUS DISEASECANCER - IN ADDITION TO PROVIDING COMPREHENSIVE HEMATOLOGY AND RADIATION ONCOLOGY SERVICES THROUGH THE BMC CANCER CENTER, BMC HAS COMMUNITY PROGRAMS ENCOURAGING AND PROMOTING CANCER SCREENING, SUCH AS COLONOSCOPY, MAMMOGRAPHY, AND LUNG CANCER. FOR COLONOSCOPY AND MAMMOGRAPHY, BMC ALSO PROVIDES PATIENT ASSISTANCE FUNDS TO HELP THOSE AT RISK TO PAY FOR POTENTIAL HIGH CO-PAYS FOR THESE PREVENTION SCREENINGS. CARDIOVASCULAR HEALTH - BMC PROVIDES COMPREHENSIVE CARDIOVASCULAR HEALTH SERVICES THROUGH OUR PHYSICIAN PRACTICES. THE WELLNESS AT WORK PROGRAM PROVIDES CARDIOVASCULAR SCREENINGS FOR BUSINESSES AND EMPLOYEES. AS WELL AS FREE COMMUNITY BLOOD PRESSURE SCREENINGS. DIABETES - BMC HAS A DIABETES EDUCATION PROGRAM THAT WORKS WITH PEOPLE DIAGNOSED WITH PRE-DIABETES, AND TYPE 1 AND 2 DIABETES, PROVIDING ONE-ON-ONE COUNSELING AND SUPPORT, INCLUDING ACCESS TO NUTRITION SERVICES. INFECTIOUS DISEASE - BMC'S INFECTION PREVENTION AND CONTROL DEPARTMENT WORKS BOTH IN THE HOSPITAL AND IN THE COMMUNITY TO CURB INFECTIOUS DISEASE, INCLUDING INFLUENZA, LYME DISEASE, AND MANY OTHERS. STROKE/BLOOD PRESSURE - BMC IS A DEDICATED STROKE CENTER AND REGULARLY PROVIDES COMMUNITY LECTURES AND PROGRAMS THAT EDUCATE RESIDENTS ON THE RISK FACTORS AND WARNING SIGNS FOR STROKE, AND HOW TO RESPOND. SEXUALLY TRANSMITTED DISEASE/ INFECTION - BMC'S INFECTION PREVENTION AND CONTROL DEPARTMENT WORKS BOTH IN THE HOSPITAL AND IN THE COMMUNITY TO CURB INFECTIOUS DISEASE, INCLUDING INFLUENZA, LYME DISEASE, AND MANY OTHERS. BERKSHIRE HARM REDUCTION PROGRAM EMBRACES AN APPROACH THAT FOCUSES ON HELPING PEOPLE WHO USE DRUGS REDUCE THEIR HIGH-RISK BEHAVIOR AND THE HARM ASSOCIATED WITH DRUG USE.OBESITY - BERKSHIRE MEDICAL CENTER HAS SEVERAL PROGRAMS FOCUSED ON REDUCING OBESITY AMONG BOTH YOUTH AND ADULT POPULATIONS. OPERATION BETTER START (OBS) IS A UNIQUE PROGRAM THAT WORKS WITH FAMILIES AND CHILDREN TO PROVIDE NUTRITIONAL GUIDANCE AND EXERCISE PROGRAMS. OBS PARTNERS WITH LOCAL PEDIATRICIANS AND THE PUBLIC SCHOOLS TO REACH AT-RISK YOUTH AND FAMILIES. BMC WELLNESS AT WORK PROVIDES LOCAL BUSINESSES WITH TARGETED WELLNESS PROGRAMS FOR EMPLOYEES TO REDUCE OBESITY AND OTHER CO-MORBIDITIES. TOBACCO USE/ NICOTINE DEPENDENCE- THIS NEED IS ADDRESSED BY BMC THROUGH "HYPNOSIS FOR QUITTING SMOKING," BEAT THE PACK (OFFERED TO EMPLOYEES), TOBACCO CESSATION EDUCATION AND, REFERRALS TO OTHER TOBACCO CESSATION PROGRAMS. ADDITIONALLY, OTHER COMMUNITY ORGANIZATIONS AND PROGRAMS THAT ARE ON THE FOREFRONT OF ADDRESSING THIS NEED INCLUDE: BERKSHIRE AHEC, TRI-TOWN HEALTH DEPARTMENT, MAKE SMOKING HISTORY THROUGH MASSACHUSETTS DPH, AND QUIT TO WIN THROUGH FALLON HEALTH. BMC REFERS TO THESE PROGRAMS FOR TOBACCO AND NICOTINE CESSATION EFFORTS. CONTINUE ON SCHEDULE O |
| PART V, SECTION B LINE 7A | THE HOSPITAL'S 2025 CHNA REPORT IS AVAILABLE ON THE HOSPITAL WEBSITE, HTTPS://WWW.BERKSHIREHEALTHSYSTEMS.ORG/COMMUNITY/UNDER COMMUNITY BENEFITS CLICK ON THE LINK FOR BERKSHIRE HEALTH SYSTEMS COMMUNITY HEALTH NEED ASSESSMENT (CHNA) |
| PART V SECTION B LINE 10A | THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE ON THE HOSPITAL WEBSITE,HTTPS://WWW.BERKSHIREHEALTHSYSTEMS.ORG/COMMUNITY/UNDER COMMUNITY BENEFITS CLICK ON THE LINK FOR BERKSHIRE MEDICAL CENTER-COMMUNITY HEALTH NEEDS IMPLEMENTATION PLAN (CHIP) (2026-2028) |
| PART V SECTION B LINE 16A | THE HOSPITAL'S FAP IS AVAILABLE ON THE HOSPITAL WEBSITE, HTTPS://WWW.BERKSHIREHEALTHSYSTEMS.ORG/PATIENT-JOURNEY/BILLING-AND-FINANCES/UNDER "DO I QUALIFY FOR FINANCIAL ASSISTANCE? SELECT THE "FINANCIAL ASSISTANCE POLICY - BERKSHIRE HEALTH SYSTEMS"PDF FILE. |
| PART V SECTION B LINE 16B | THE HOSPITAL'S FAA IS AVAILABLE ON THE HOSPITAL WEBSITE, HTTPS://WWW.BERKSHIREHEALTHSYSTEMS.ORG/PATIENT-JOURNEY/BILLING-AND-FINANCES/UNDER "DO I QUALIFY FOR FINANCIAL ASSISTANCE? SELECT THE "FINANCIAL ASSISTANCE APPLICATION" PDF FILE. |
| PART V SECTION B LINE 16C | THE HOSPITAL'S PLAIN LANGUAGE SUMMARY OF THE FAP IS AVAILABLE ON THE HOSPITAL WEBSITE, HTTPS://WWW.BERKSHIREHEALTHSYSTEMS.ORG/PATIENT-JOURNEY/BILLING-AND-FINANCES/UNDER "DO I QUALIFY FOR FINANCIAL ASSISTANCE? SELECT THE "PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICIES" PDF FILE. |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE TOTAL COMMUNITY BENEFIT EXPENSE REPORTED ON PART I, LINES 7A, 7B, & 7C HAS BEEN CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AS COMPUTED USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE TOTAL COMMUNITY BENEFIT EXPENSE REPORTED ON PART I, LINE 7G HAS BEEN CALCULATED USING A COST ACCOUNTING METHOD. |
| PART I, LINE 7G: | OUR COMMUNITY BENEFITS WHICH ARE SUBSIDIZED ARE THE SUBSTANCE ABUSE UNIT, CLINICAL STABILIZATION SERVICES, RENAL DIALYSIS SERVICES, AND THE INPATIENT PYSCHIATRIC UNIT. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE OF $19,110,735 ATTRIBUTABLE TO PATIENT ACCOUNTS HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE SHOWN IN PART I, LINE 7, COLUMN F. |
| PART I, LINE 6A | FAIRVIEW HOSPITAL, NORTH ADAMS REGIONAL HOSPTIAL AND BERKSHIRE MEDICAL CENTER EACH FILE A SEPARATE COMMUNITY BENEFITS REPORT WITH THE STATE OF MASSACHUSETTS. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ENVIRONMENTAL IMPROVEMENTS $511WORKFORCE DEVELOPMENT $502,401: RECRUITMENT OF STAFF |
| PART III, LINE 2: | THE HOSPITAL REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS, AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE AMOUNTS BASED UPON ACTUAL WRITE-OFF'S, A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION, AND EXISTING ECONOMIC CONDITIONS AND TRENDS. |
| PART III, LINE 4: | FOOTNOTE 2 (PROVISION FOR BAD DEBT) TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTARY FINANCIAL INFORMATION OF BERKSHIRE HEALTH SYSTEMS, INC. AND AFFILIATES (INCLUDING BERKSHIRE MEDICAL CENTER) FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024 ARE LISTED ON PAGE 12 UNDER "PATIENT ACCOUNTS RECEIVABLE". |
| PART III, LINE 8: | THE AMOUNT REPORTED ON LINE 6, PART III WAS DETERMINED USING THE COST ALLOCATION METHODOLOGY USED FOR THE MEDICARE COST REPORTS. THE LOSS ON MEDICARE ACTIVITY AS REPORTED IN PART III, LINE 7 IS A COMMUNITY BENEFIT BECAUSE IT IS THE MISSION OF BERKSHIRE MEDICAL CENTER TO PROVIDE HIGH QUALITY HEALTH CARE TO RESIDENTS OF BERKSHIRE COUNTY REGARDLESS OF THEIR ABILITY TO PAY. THE COST TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES OFTEN EXCEEDS THE REIMBURSEMENT FOR SUCH SERVICES. ELDERLY PATIENTS ARE AMONG THE MOST NEEDY IN OUR COMMUNITY AND PROVIDING SERVICES TO THEM CLOSE TO HOME IMPROVES THE QUALITY OF THEIR CARE, INCREASES ACCESS AND ENHANCES HEALTH AND WELLNESS FOR THIS POPULATION. SERVICES SUCH AS EMERGENCY CARE, CARDIAC SERVICES, PSYCHIATRIC CARE, RENAL DIALYSIS AND WOUND CARE SERVICES ARE AMONG THOSE THAT PROVIDE A SIGNIFICANT BENEFIT TO THE FRAIL ELDERLY. THE BREADTH OF ACUTE AND AMBULATORY SERVICES PROVIDED BY BMC MEANS THAT THE MEDICARE BENEFICIARIES IN OUR COUNTY DO NOT HAVE TO LEAVE THE COUNTY FOR MOST SERVICES. |
| PART III, LINE 9B: | POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS:A. PATIENTS ENROLLED IN A STATE HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN, "LOW INCOME PATIENTS" AS DETERMINED BY THE OFFICE OF MEDICAID.1. PLEASE NOTE THAT BMC MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN THE ABOVE MENTIONED PROGRAMS FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM.2. BMC MAY ALSO INITIATE BILLING OR COLLECTION FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, (INCLUDING RECEIPT OR VERIFICATION OF SIGNED APPLICATION) BMC SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES. 3. BMC MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN COMMONWEALTH CARE PROGRAMS, BMC WILL CEASE COLLECTION ACTIVITY FOR SERVICES, PREVIOUSLY BILLED, THAT NOW FALL INTO THE ELIGIBILITY PERIOD. 4. BMC MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE.5. BMC WILL NOT UNDERTAKE COLLECTION ACTION AGAINST AN INDIVIDUAL THAT HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM WITH RESPECT TO THE AMOUNT OF THE BILL THAT EXCEEDS THE MEDICAL HARDSHIP CONTRIBUTION.B. BMC DOES NOT GARNISH A PATIENT'S OR THE PATIENT'S GUARANTOR'S WAGES OR EXECUTE A LIEN ON THE PATIENT'S OR THE PATIENT'S GUARANTOR'S PERSONAL RESIDENCE OR MOTOR VEHICLE. C. BMC AND ITS AGENTS SHALL NOT CONTINUE COLLECTION OR BILLING ON A PATIENT WHO IS A MEMBER OF A BANKRUPTCY PROCEEDING EXCEPT TO SECURE ITS RIGHTS AS A CREDITOR IN THE APPROPRIATE ORDER. |
| PART VI, LINE 2: | COMMUNITY BENEFITS MISSION STATEMENT:THE COMMUNITY BENEFITS MISSION STATEMENT OF BERKSHIRE MEDICAL CENTER AND BERKSHIRE HEALTH SYSTEMS (BHS) IS TO ADVANCE HEALTH AND WELLNESS FOR EVERYONE IN OUR COMMUNITY IN A WELCOMING, INCLUSIVE, AND PERSONALIZED ENVIRONMENT. AT BERKSHIRE HEALTH SYSTEMS, WE KNOW THAT OVERALL WELLNESS IS THE RESULT OF HEALTHY FAMILIES, HEALTHY ENVIRONMENTS, AND HEALTHY COMMUNITIES, NOT JUST EXCELLENT MEDICAL CARE. THERE, WE SUPPORT OUR PATIENTS BEYOND THE HOSPITAL, CLINIC, OR MEDICAL OFFICE. WE RECOGNIZE THAT EACH OF OUR PATIENTS HAS UNIQUE NEEDS AND CHALLENGES. WE STRIVE TO MAKE EACH EXPERIENCE WITH BHS ONE THAT IS WELCOMING PERSONALIZED, AND CONVENIENT FOR THE PATIENT. WE MAKE CONNECTIONS AND PROMOTE COMMUNITY SERVICES THAT GIVE PATIENTS THE TOOLS TO LIVE HEALTHIER LIVES. ACROSS BHS'S COMMUNITY TEACHING HOSPITAL, BERKSHIRE MEDICAL CENTER, AND TWO CRITICAL ACCESS HOSPITALS, FAIRVIEW HOSPITAL AND NORTH ADAMS REGIONAL HOSPITAL, WE WORK TOGETHER TO SUPPORT PATIENT NEEDS. TOGETHER, OUR CRITICAL ACCESS HOSPITALS HELP US BETTER SERVE THE NEEDS OF OUR COMMUNITIES - KEEPING PATIENTS LOCAL WHENEVER POSSIBLE AND SEAMLESSLY TRANSPORTING THEM TO BMC IF A MORE ADVANCED LEVEL OF CARE IS NEEDED. COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC):THE GOVERNING BODY OF BERKSHIRE MEDICAL CENTER (BMC) IS COMPOSED OF COMMUNITY VOLUNTEERS, PHYSICIAN REPRESENTATIVES FROM THE HOSPITAL'S MEDICAL STAFF, AND THE CHIEF EXECUTIVE OFFICER. COMMUNITY VOLUNTEERS ARE ELECTED TO SERVE TERMS OF UP TO THREE YEARS, ARE SUBJECT TO TERM LIMITS, AND REPRESENT A DIVERSE RANGE OF COMMUNITY INTERESTS-INCLUDING SOCIAL SERVICE PROVIDERS, LOCAL BUSINESS LEADERS, FINANCIAL PROFESSIONALS, CONSUMER ADVOCATES, AND EDUCATIONAL LEADERS. BHS HAS ESTABLISHED THE HEALTH EQUITY AND ACCESS COMMITTEE OF THE BOARD OF TRUSTEES. THIS COMMITTEE IS MADE UP OF BOARD MEMBERS AND COMMUNITY MEMBERS WITH A FOCUS ON MOVING FORWARD THE HEALTH EQUITY STRATEGY, AS WELL AS THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS DEVELOPED BY BHS HOSPITALS, IN PARTNERSHIP WITH MEMBERS OF THE COMMUNITY ON THE COMMUNITY BENEFIT ADVISORY COMMITTEE, WHICH REVIEWS AND DISCUSSES COMMUNITY BENEFIT PROGRAMS, POTENTIAL NEW INITIATIVES, AND COMMUNITY NEEDS AND OUTCOMES. OUR CBAC INCURRED CHANGES IN ITS LEADERSHIP STRUCTURE AND IS CURRENTLY BEING REESTABLISHED. COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)BMC HAS UTILIZED AN ACTIVE COMMUNITY NEEDS ASSESSMENT AS PART OF ITS COMMUNITY BENEFIT PROCESS SINCE 1996. THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS/INSURER ("THE COALITION") IS A PARTNERSHIP FORMED IN 2012 AMONG NON-PROFIT HOSPITALS AND INSURERS IN THE REGION: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HOSPITAL, MERCY MEDICAL CENTER, AND HEALTH NEW ENGLAND. IN 2023, THE COALITION EXPANDED TO INCLUDE BERKSHIRE HEALTH SYSTEMS AND HOLYOKE HEALTH SYSTEM. THE COALITION MEMBERS SHARED RESOURCES AND PARTNERED TO CONDUCT THEIR 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO ADDRESS REGIONAL NEEDS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES. BASED ON THE FINDINGS OF THE CHNA, EACH HOSPITAL DEVELOPS A HEALTH IMPROVEMENT PLAN TO ADDRESS SELECT PRIORITIZED NEEDS. THE CHNA DATA ALSO INFORM COUNTY HEALTH IMPROVEMENT PLANS (CHIPS) AND OTHER COMMUNITY PLANNING EFFORTS.THE PUBLIC HEALTH INSTITUTE OF WESTERN MASSACHUSETTS CONDUCTED THE 2025 CHNAS FOR THE COALITION IN PARTNERSHIP WITH A CONSULTANT TEAM THAT INCLUDED BERKSHIRE REGIONAL PLANNING COMMISSION, COLLABORATIVE FOR EDUCATIONAL SERVICES, FRANKLIN REGIONAL COUNCIL OF GOVERNMENTS, AND SEVERAL INDEPENDENT CONSULTANTS. COMMUNITY LEADERS AND RESIDENTS ACROSS THE REGION WERE ALSO INTEGRAL TO THE CHNA PROCESS, PRIMARILY THROUGH REPRESENTATION ON THE REGIONAL ADVISORY COUNCIL (RAC), PARTICIPATION IN INTERVIEWS AND FOCUS GROUPS, AND INVOLVEMENT IN COMMUNITY ASSESSMENTS AND LISTENING SESSIONS CONDUCTED FOR OTHER INITIATIVES. THE NEEDS DATA, ALONG WITH STATE-ESTABLISHED PRIORITIES, ARE USED TO DETERMINE OUR ANNUAL COMMUNITY BENEFIT AREAS OF FOCUS. IN ITS PLANNING, BHS CONTINUALLY LOOKS FOR OPPORTUNITIES TO MORE IMPACTFUL USE OF EXISTING RESOURCES, SEEKS PHILANTHROPIC OPPORTUNITIES, AS WELL AS WAYS TO IDENTIFY GAPS IN SERVICE AND BUILD PROGRAMS OR PARTNERSHIPS TO SUPPORT COMMUNITY NEEDS.DATA SOURCESCOMMUNITY FOCUS GROUPS, HOSPITAL DATA, CONSUMER AND ADVISORY GROUPS, INTERVIEWS, PUBLIC HEALTH PERSONNEL, SURVEYS, FEDERAL, STATE, AND MUNICIPAL DATA SOURCES, INDUSTRY GROUPS AND NONPROFIT REPORTSGOALS: STATEWIDE PRIORITIES AS PART OF OUR PLANNING PROCESS, BHS INCORPORATES THE MASSACHUSETTS STATEWIDE PRIORITIES AND THE MA DEPARTMENT OF PUBLIC HEALTH PRIORITIES TO GUIDE OUR COMMUNITY BENEFIT INVESTMENTS. THE COMMONWEALTH'S PRIORITIES ARE: CHRONIC DISEASE (WITH A FOCUS ON CANCER, HEART DISEASE, & DIABETES), HOUSING STABILITY/HOMELESSNESS, MENTAL ILLNESS & MENTAL HEALTH, AND SUBSTANCE USE DISORDERS THE DEPARTMENT OF PUBLIC HEALTH'S PRIORITIES ARE: BUILT ENVIRONMENT, SOCIAL ENVIRONMENT, HOUSING, VIOLENCE, EDUCATION, AND EMPLOYMENT. COMMUNITY BENEFIT TARGET POPULATIONS:CHILDREN/ADOLESCENTS OLDER ADULTS MEDICALLY UNDERSERVED COMMUNITY BENEFIT PRIORITIES:BEHAVIORAL HEALTH & SUBSTANCE USE DISORDER CHRONIC CONDITIONS & INFECTIOUS DISEASE ACCESS TO CARE SOCIAL ECONOMIC WORKFORCE DEVELOPMENTACCESS TO AFFORDABLE HOUSING COMMUNITY PARTNERS:BERKSHIRE AHEC, BERKSHIRE COUNTY BOARD OF HEALTH ASSOCIATION, BERKSHIRE BOUNTY, BERKSHIRE BREAST HEALTH TEAM, BERKSHIRE COMMUNITY ACTION COUNCIL, BERKSHIRE COUNTY COURT SYSTEM, BERKSHIRE COUNTY FIRE DEPARTMENTS, BERKSHIRE COUNTY REGIONAL EMERGENCY OPERATIONS PLANNING COMMITTEE, BERKSHIRE COUNTY REGIONAL HOUSING AUTHORITY, BERKSHIRE COUNTY REGIONAL PLANNING COMMISSION, BERKSHIRE COUNTY SHERIFF'S OFFICE, BERKSHIRE DISTRICT ATTORNEY OFFICE, BERKSHIRE EMERGENCY NURSE'S ASSOCIATION, BERKSHIRE FALLON HEALTH COLLABORATIVE, BERKSHIRE IMMIGRANT CENTER, BERKSHIRE OPIOID ADDICTION PREVENTION COLLABORATIVE (BOAPC), BERKSHIRE UNITED WAY, BERKSHIRE YOUTH DEVELOPMENT PROJECT, BOARDS OF HEALTH: TRI-TOWN HEALTH DEPARTMENT, BERKSHIRE COUNTY BOARDS OF HEALTH, PITTSFIELD HEALTH DEPARTMENT, THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, CHILD CARE OF THE BERKSHIRES, CLINICAL SUPPORT OPTIONS, COMMUNITY HEALTH PROGRAMS, EDUCATIONAL INSTITUTIONS (LOCAL SCHOOL DISTRICTS, BERKSHIRE COMMUNITY COLLEGE, MASSACHUSETTS COLLEGE OF LIBERAL ARTS, WILLIAMS COLLEGE, UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL), ELDER SERVICES OF BERKSHIRE COUNTY/ SENIOR CENTERS/COUNCILS ON AGING/RVSP/SHINE, FOOD BANK OF WESTERN MA, GREYLOCK FEDERAL CREDIT UNION, HOME-CARE AGENCIES, INNOVATIVE CARE PARTNERS, JUVENILE AND ADULT PROBATION, KEENAN HOUSE, LOCAL BUSINESS COMMUNITY, LOCAL EMERGENCY MANAGEMENT SERVICES/PITTSFIELD POLICE DEPARTMENT, LOCAL HIRING AGENCIES, LOCAL SHELTERS, FOOD PANTRIES, DAY PROGRAMS, ETC., MCGEE RECOVERY CENTER, MOTHER'S IN RECOVERY, NORTHERN BERKSHIRE COMMUNITY COALITION, PHYSICIAN AND SPECIAL PROVIDER OFFICES, RECREATIONAL (BERKSHIRE BOYS AND GIRLS CLUB, BERKSHIRE FAMILY YMCA, BERKSHIRE SOUTH), REGIONAL PAIN COLLABORATIVE, SERVICENET, THINK FIRST, VOLUNTEERS IN MEDICINE, WIC (WOMEN, INFANTS, AND CHILDREN), ZERO SUICIDEPROGRAM PLANNING AND EVALUATION:THE COMMUNITY HEALTH NEEDS ASSESSMENT IS USED TO FOCUS OUR COMMUNITY BENEFIT PROGRAM AND INITIATIVE PLANNING AS WELL AS TO MONITOR RESULTS AND REPRIORITIZE FOR FUTURE EFFORTS. |
| PART VI, LINE 3: | BMC PROMINENTLY ADVERTISES THROUGHOUT THE COMMUNITY, AT ALL OF ITS FACILITIES, AND ON ITS WEBSITE ITS ADVOCACY FOR ACCESS PROGRAM. THE GOAL OF THIS PROGRAM IS TO ASSIST THE UNINSURED AND UNDERINSURED IN BERKSHIRE COUNTY IN ACCESSING VARIOUS FEDERAL, STATE, OR LOCAL PROGRAMS THAT CAN PAY FOR HEALTHCARE SERVICES, AS WELL AS INFORM PATIENTS ABOUT OTHER AVENUES THEY CAN ACCESS TO RECEIVE HEALTHCARE SERVICES AT NO COST. ADVOCACY FOR ACCESS HELPS REDUCE THE PERCEPTION THAT AN INABILITY TO PAY FOR HEALTHCARE IS A BARRIER TO RECEIVING CARE. ADVOCACY FOR ACCESS STAFF FACILITATE THE APPLICATION AND ENROLLMENT PROCESS OF INDIVIDUALS AND FAMILIES WHO LIVE IN MASSACHUSETTS INTO QUALIFIED HEALTH PLANS THROUGH THE MARKETPLACE AND/OR OTHER HEALTH INSURANCE PROGRAMS SUCH AS MEDICAID AND CHIP, AND ASSIST QUALIFIED INDIVIDUALS IN MAKING INFORMED DECISIONS ON THE SELECTION OF A HEALTH PLAN. THE STAFF RECOGNIZES THAT MANY OF THESE STATE AND FEDERAL PROGRAMS CAN BE COMPLEX AND CONFUSING, AND THEIR GOAL IS TO MAKE THE HEALTH INSURANCE ENROLLMENT PROCESS AS SIMPLE AS POSSIBLE FOR THE PATIENT. WHEN AN INDIVIDUAL OR FAMILY'S CIRCUMSTANCES CHANGE, THE ADVOCACY STAFF CAN ASSIST IN UPDATING THE APPROPRIATE AGENCY.ADVOCACY FOR ACCESS ASSISTS THOUSANDS OF PEOPLE EACH YEAR ACCESS HEALTH INSURANCE OR OTHER COVERAGE PROGRAMS TO AID THEM IN ADDRESSING THEIR HEALTHCARE NEEDS.IN ADDITION TO THE ADVOCACY FOR ACCESS PROGRAM, BERKSHIRE HEALTH SYSTEMS HAS AN INTERNAL FINANCIAL ASSISTANCE PROGRAM THAT IS AVAILABLE TO UNINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC ASSISTANCE THROUGH THE STATE OR WHO ARE NOT MASSACHUSETTS RESIDENTS.INFORMATION REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS IS OFFERED TO OUR PATIENTS IN THE FOLLOWING MANNER:NOTICES OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS ARE POSTED THROUGHOUT THE HOSPITAL, SPECIFICALLY IN ALL SERVICE DELIVERY AREAS, IN FINANCIAL COUNSELING OFFICES THROUGHOUT THE CLINICAL CAMPUSES, IN ALL BERKSHIRE FACULTY SERVICES PHYSICIAN PRACTICES, AND ELECTRONICALLY ON BMC'S WEBSITE WWW.BERKSHIREHEALTHSYSTEMS.ORG. APPOINTMENTS CAN BE MADE WITH THE ADVOCACY FOR ACCESS APPLICATION COUNSELORS WHO CAN ASSIST PATIENTS SUBMIT AN ELECTRONIC APPLICATION VIA WWW.MAHEALTHCONNECTOR.ORG FOR STATE FINANCIAL ASSISTANCE PROGRAMS. APPLICATION COUNSELOR ARE ALSO AVAILABLE DAILY TO MEET WITH PATIENTS WHO PRESENT AT THE OFFICE WITHOUT AN APPOINTMENT.AT PRE-REGISTRATION, SELF-PAY PATIENTS ARE OFFERED AN APPOINTMENT WITH THE ADVOCACY FOR ACCESS PROGRAM OFFICE ALONG WITH AN EXPLANATION OF THE SERVICE.BROCHURES ARE DISTRIBUTED AT ALL ACCESS POINTS INFORMING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS WITH PHONE NUMBERS TO CONTACT ADVOCACY FOR ACCESS TO SET UP AN APPOINTMENT. STATEMENTS MAILED TO PATIENTS WHO HAVE A SELF-PAY BALANCE WILL HAVE A MESSAGE INDICATING THAT FINANCIAL ASSISTANCE MAY BE AVAILABLE AND THE PHONE NUMBERS TO CONTACT ADVOCACY FOR ACCESS FOR ADDITIONAL INFORMATION. ALL PATIENT STATEMENTS HAVE A MESSAGE ON THE BACK OF THE STATEMENT INDICATING THE AVAILABILITY OF FINANCIAL ASSISTANCE. |
| PART VI, LINE 4: | MOSTLY RURAL BERKSHIRE COUNTY COVERS ALMOST 950 SQUARE MILES, WITH A 5-YEAR POPULATION AVERAGE OF 128,763 AND A POPULATION DENSITY OF 136.8 PEOPLE PER SQUARE MILE. BY CONTRAST, BOSTON HAS 13,556 PEOPLE PER SQUARE MILE. 31 OF THE 32 BERKSHIRE MUNICIPALITIES MEET THE MASSACHUSETTS OFFICE OF RURAL HEALTH'S DEFINITION OF A RURAL TOWN (ALL BUT PITTSFIELD), ACCOUNTING FOR 66% OF THE COUNTY'S POPULATION. BERKSHIRE COUNTY TRADITIONALLY DIVIDES ITSELF INTO THREE GEOGRAPHIC AREAS: NORTH, SOUTH, AND CENTRAL COUNTY. PITTSFIELD IS THE COUNTY'S LARGEST MUNICIPALITY, WITH 43,730 RESIDENTS; THE NEXT LARGEST IS THE CITY OF NORTH ADAMS, WITH UNDER 13,000 RESIDENTS. 21 OF THE COUNTY'S 32 MUNICIPALITIES HAVE UNDER 2,500 RESIDENTS (66%) AND 11 (34%) HAVE FEWER THAN 1,000 RESIDENTS. OVERALL, 35% OF RESIDENTS LIVE IN A LOW POPULATION DENSITY AREA (COMPARED TO 9% STATEWIDE AND 20% NATIONWIDE). THE LARGER REGION'S TWO BIGGEST CITIES, SPRINGFIELD, MA AND ALBANY, NY, ARE BOTH AT LEAST AN HOUR DRIVE FROM BERKSHIRE COUNTY, AND POTENTIALLY UP TO TWO HOURS FOR SOME RESIDENTS.PUBLIC TRANSPORTATION IS LIMITED IN ALL AREAS OF THE COUNTY AND DOES NOT RUN AT ALL IN THE EVENINGS OR ON WEEKENDS. ACCORDING TO REGIONAL PLANNERS, IT IS COMMON KNOWLEDGE THAT AVAILABILITY OF TRANSPORTATION VIA RIDE SHARE APPS LIKE UBER OR LYFT IS LARGELY NON-EXISTENT.BERKSHIRE COUNTY IS PRIMARILY WHITE, NON-HISPANIC (86%), WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE AS A WHOLE (69% OF MA RESIDENTS ARE WHITE, NON-HISPANIC) OR THE US (66%), BUT SIMILAR TO THE REST OF WESTERN MA OTHER THAN HAMPDEN COUNTY (2018-2022 DATA).ABOUT 3% OF THE COUNTY'S POPULATION IS BLACK, 2% IS ASIAN, AND 5% ARE MORE THAN ONE RACE.PITTSFIELD IS THE MOST DIVERSE MUNICIPALITY, WITH 82% OF RESIDENTS IDENTIFYING AS WHITE, NON-HISPANIC, 6% AS BLACK, AND 8% AS MULTIPLE RACES.HOWEVER, MORE RESIDENTS IDENTIFYING AS ASIAN LIVE IN GREAT BARRINGTON (4%) AND NORTH ADAMS (3%) THAN IN PITTSFIELD (1%).5% OF BERKSHIRE COUNTY'S POPULATION IDENTIFIES AS LATINE ACCORDING TO THE CENSUS, ALTHOUGH LOCAL PROVIDERS BELIEVE THE NUMBER TO BE HIGHER. THE HIGHEST RATE IS FOUND IN PITTSFIELD, WHERE 8% OF THE POPULATION IDENTIFIES AS LATINE.THE COUNTY HAS DIVERSIFIED OVER THE PAST DECADE, AND IMMIGRANTS FROM LATIN AMERICA ARE ONE OF THE FASTEST GROWING POPULATIONS. ONE LOCAL SERVICE PROVIDER INTERVIEWED FOR THIS CHNA ESTIMATES THAT AT LEAST 350 IMMIGRANTS ARE MOVING TO THE COUNTY ANNUALLY.BERKSHIRE COUNTY'S POPULATION IS OLDER THAN THE STATE AS A WHOLE AND MUCH OLDER THAN THE UNITED STATES (2018-2022 DATA). THOSE 65+ MAKE UP 24% OF THE POPULATION COMPARED TO 17% FOR MASSACHUSETTS OVERALL, AND OVER 40% OF THE POPULATION IS 50+, COMPARED TO 31% OF MASSACHUSETTS. IN CONTRAST TO THE COUNTY'S HIGHER OLDER ADULT POPULATION, THE NUMBER OF RESIDENTS AGED 25-44 ARE LOWER (22%) THAN IN THE REST OF THE STATE (27%). CORRESPONDINGLY, THE NUMBER OF CHILDREN UNDER AGE 18 IS ALSO LOWER - 16% OF THE POPULATION IS 0-17 COMPARED TO ALMOST 20% IN THE REST OF THE COMMONWEALTH. ONLY HAMPSHIRE COUNTY HAS A LOWER PROPORTION OF CHILDREN IN WESTERN MA. ROUGHLY 22% OF HOUSEHOLDS IN BERKSHIRE COUNTY HAVE CHILDREN, COMPARED TO 28% OF HOUSEHOLDS STATEWIDE.AS OF 2025, BERKSHIRE COUNTY HAS A LOWER LIFE EXPECTANCY (77.3 YEARS) THAN THE STATE (79.9 YEARS) OR THAN ANY OF THE OTHER COUNTIES IN WESTERN MA ASIDE FROM HAMPDEN COUNTY, WHICH IS SLIGHTLY LOWER AT 76.9 YEARS.BLACK RESIDENTS HAVE A PARTICULARLY LOW LIFE EXPECTANCY OF ONLY 67.6 YEARS. NON-HISPANIC WHITES HAVE THE SECOND LOWEST LIFE EXPECTANCY IN THE COUNTY AT 77.4 YEARS.IN CONTRAST LATINE RESIDENTS OF ALL RACES HAVE A LIFE EXPECTANCY OF 83.1 YEARS AND ASIAN RESIDENTS HAVE A LIFE EXPECTANCY OF 89.5 YEARS. LIFE EXPECTANCY DIFFERS WIDELY ACROSS THE COUNTY, WITH A HIGH OF 87.5 YEARS IN NEW MARLBOROUGH TO A LOW OF 71 YEARS IN THE WESTSIDE NEIGHBORHOOD OF PITTSFIELD.EVEN WITHIN THE SAME CITY, SOCIAL DETERMINANTS OF HEALTH SUCH AS SUBSTANDARD HOUSING, VIOLENCE, EDUCATION LEVELS, INCOME LEVELS, MENTAL HEALTH AND SUBSTANCE USE, AND SYSTEMIC AND INSTITUTIONAL RACISM LEAD TO DRAMATIC DIFFERENCES IN LIFE EXPECTANCY. THESE DIFFERENCES ARE SHOWN IN FIGURE 7, WITH A HIGH LIFE EXPECTANCY OF 83.5 IN THE RELATIVELY WEALTHIER SOUTHEAST NEIGHBORHOOD OF PITTSFIELD VERSUS A LOW OF 71 IN THE POORER, MORE RACIALLY DIVERSE WESTSIDE NEIGHBORHOOD, JUST A FEW MILES AWAY.BERKSHIRE COUNTY HAS LONG LED THE STATE IN PREMATURE DEATH RATES, WHICH ARE DEATHS BEFORE THE AGE OF 75 THAT MIGHT HAVE BEEN PREVENTED. THE 2025 COUNTY HEALTH RANKINGS SHOWED A SLIGHT IMPROVEMENT OVER PREVIOUS YEARS, HOWEVER, BERKSHIRE COUNTY STILL RANKS HIGHER ON PREMATURE DEATH THAN ANY OTHER COUNTY IN MASSACHUSETTS OTHER THAN HAMPDEN COUNTY, AND ABOVE THE US AVERAGE AS A WHOLE. RATES ARE MORE THAN DOUBLE FOR BLACK RESIDENTS COMPARED TO THE COUNTY OVERALL.THE PRIMARY CAUSES OF DEATH BEFORE AGE 75 IN BERKSHIRE COUNTY ARE CANCERS, HEART DISEASE, ACCIDENTS, CHRONIC LOWER RESPIRATORY INFECTIONS, AND COVID-19. HOWEVER, AN INITIAL ANALYSIS OF RAW DEATH DATA FROM THE MASSACHUSETTS DPH BY BERKSHIRE REGIONAL PLANNING COMMISSION SUGGESTS THAT MANY OF THESE DEATHS HAD UNDERLYING CAUSES RELATED TO ALCOHOL OR OTHER SUBSTANCE MISUSE. THIS SEEMS TO BE BORNE OUT BY SO-CALLED "DEATHS OF DESPAIR" WHICH ENCOMPASS INTENTIONAL SELF-HARM (SUICIDE), ALCOHOL-RELATED DISEASE, AND DRUG-OVERDOSES, WHICH ARE SHOWN TO BE HIGHER IN BERKSHIRE COUNTY COMPARED TO THE STATE AS A WHOLE; THIS IS ALSO SUPPORTED BY ANECDOTAL INFORMATION FROM PROVIDERS. ALTHOUGH THOSE OVER 65 ARE LESS LIKELY TO HAVE A DISABILITY IN BERKSHIRE COUNTY (28% VS. 31% IN MA), HIGHER RATES CAN BE FOUND IN PITTSFIELD (32%) AND NORTH ADAMS (40%) AND A LOWER RATE IN GREAT BARRINGTON (20%) (2018-2022 DATA). YOUNGER AGE GROUPS ARE MORE LIKELY TO HAVE A DISABILITY THAN IN OTHER PARTS OF THE STATE; 12% OF BERKSHIRE COUNTY RESIDENTS AGED 18-64 HAVE A DISABILITY, VERSUS 9% IN MA AS A WHOLE. AGAIN, THE NUMBERS ARE HIGHER IN PITTSFIELD AND NORTH ADAMS (15%) THAN IN GREAT BARRINGTON (5%). OF THOSE UNDER 18, 6% COUNTYWIDE HAVE A DISABILITY VS. 5% STATEWIDE, WITH AGAIN THE LOWEST NUMBERS IN GREAT BARRINGTON (3%).TRANSPORTATION REMAINS A BARRIER FOR MANY. 9% OF HOUSEHOLDS IN BERKSHIRE COUNTY HAVE NO ACCESS TO A MOTOR VEHICLE, AND ALTHOUGH ABOUT 38% OF THE COUNTY LIVES NEAR TRANSIT, PUBLIC TRANSPORTATION IS INFREQUENT EVERYWHERE, DOES NOT RUN IN THE EVENINGS OR ON WEEKENDS, AND ROUTES ARE ONLY SOMETIMES DIRECT.HEALTH SYSTEM DEMOGRAPHICSBERKSHIRE HEALTH SYSTEMS' SERVICE AREA INCLUDES ALL 32 MUNICIPALITIES IN BERKSHIRE COUNTY. BHS ALSO SERVES SOME RESIDENTS FROM BORDERING COUNTIES IN NEW YORK, VERMONT, AND CONNECTICUT, AS WELL AS FROM THE "HILL TOWNS" OF HAMPSHIRE AND HAMPDEN COUNTIES. BERKSHIRE HEALTH SYSTEMS OPERATES THE ONLY IN-PATIENT AND EMERGENCY DEPARTMENT SERVICES IN THE COUNTY AND A TOTAL OF 87% OF THOSE SEEKING CARE AT BHS LIVE WITHIN THE COUNTY. PATIENTS ACCESSING HEALTHCARE ACROSS BERKSHIRE HEALTH SYSTEMS IN 2024 GENERALLY MATCHED THE DEMOGRAPHICS OF THE COUNTY, ALTHOUGH NOT UNEXPECTEDLY MORE VISITS ARE SEEN AMONG THOSE OVER 65. IN 2024, THE HEALTH SYSTEM'S PATIENTS AS A WHOLE WERE 16% UNDER THE AGE OF 20, 52% AGED 20-64, AND 32% OVER THE AGE OF 65.55% OF THESE PATIENTS WERE FEMALE (AS IDENTIFIED AT BIRTH) AND 45% WERE MALE (AS IDENTIFIED AT BIRTH).86% OF THOSE SEEN BY BHS WERE WHITE, AND 4% WERE BLACK, WHILE ANOTHER 4% IDENTIFIED AS SOME OTHER RACE. 5% IDENTIFIED AS LATINE.GEOGRAPHICALLY, 23% RESIDED IN NORTH COUNTY, 53% WERE FROM CENTRAL COUNTY, AND 11% WERE FROM SOUTH COUNTY. 13% CAME FROM OUTSIDE BERKSHIRE COUNTY.95% SPOKE ENGLISH, AND 2% SPOKE SPANISH.21% OF PATIENTS WERE ON MASSHEALTH, THE VAST MAJORITY OF THOSE AS MEMBERS OF THE ACCOUNTABLE CARE ORGANIZATION (ACO). 32% WERE MEDICARE PATIENTS AND 46% HAD PRIVATE INSURANCE. |
| PART VI, LINE 5: | THE GOVERNING BODY OF BERKSHIRE MEDICAL CENTER (BMC) IS COMPOSED OF COMMUNITY VOLUNTEERS, PHYSICIAN REPRESENTATIVES FROM THE HOSPITAL'S MEDICAL STAFF, AND THE CHIEF EXECUTIVE OFFICER. COMMUNITY VOLUNTEERS ARE ELECTED TO SERVE TERMS OF UP TO THREE YEARS, ARE SUBJECT TO TERM LIMITS, AND REPRESENT A DIVERSE RANGE OF COMMUNITY INTERESTS-INCLUDING SOCIAL SERVICE PROVIDERS, LOCAL BUSINESS LEADERS, FINANCIAL PROFESSIONALS, CONSUMER ADVOCATES, AND EDUCATIONAL LEADERS. MOST COMMITTEES OF THE BOARD OF TRUSTEES ALSO INCLUDE ADDITIONAL COMMUNITY REPRESENTATIVES. BERKSHIRE HEALTH SYSTEMS (BHS) MAINTAINS A PATIENT AND FAMILY ADVISORY COUNCIL (PFAC) TO PROVIDE INPUT AND ADVICE ON A WIDE VARIETY OF SERVICE-RELATED TOPICS.THE MEDICAL STAFF OF BHS IS OPEN TO ALL PHYSICIANS WHO MEET ESTABLISHED CLINICAL AND PATIENT SERVICE CRITERIA. HOWEVER, CERTAIN HOSPITAL-BASED SERVICES-SUCH AS RADIOLOGY, ANESTHESIA, EMERGENCY DEPARTMENT, AND PATHOLOGY-ARE FUNCTIONALLY CLOSED DUE TO THE ORGANIZATIONAL STRUCTURE OF THOSE DEPARTMENTS.BMC REGULARLY INVESTS BOTH PERSONNEL AND FINANCIAL RESOURCES TO SUPPORT COMMUNITY INITIATIVES THAT PROMOTE HEALTH AND WELL-BEING, WITHOUT EXPECTATION OF REIMBURSEMENT. THE HOSPITAL ALLOCATES SURPLUS FUNDS FOR CAPITAL IMPROVEMENTS, MAINTAINS ACCESS TO PATIENT SERVICES, AND EXPANDS CARE ACCESS POINTS TO ADVANCE COMMUNITY BENEFIT PRIORITIES FOR PATIENTS THROUGHOUT THE REGION.BERKSHIRE COUNTY HAS LONG FACED A CRITICAL SHORTAGE OF PHYSICIANS IN VARIOUS SPECIALTIES. IN RESPONSE, BHS HAS DEDICATED SIGNIFICANT PERSONNEL TIME AND FINANCIAL RESOURCES TO RECRUIT PHYSICIANS AS DIRECT EMPLOYEES OF BHS OR ITS AFFILIATES. ADDITIONALLY, BMC HAS PROVIDED SUBSTANTIAL ASSISTANCE TO COMMUNITY MEDICAL PRACTICES, SUPPORTING THE RECRUITMENT AND SUCCESSFUL START-UP OF NEW PHYSICIANS IN HIGH-NEED SPECIALTIES.BHS IS ALSO FOCUSED ON FILING NON-PHYSICIAN ROLES THROUGH CAREER PATHWAY PROGRAMS, OFFERING PAID TRAINING OPPORTUNITIES WHERE PROFESSIONALS ARE ABLE TO LEARN VALUABLE SKILLS, EARN CERTIFICATIONS, AND FAST-TRACK PROGRESS TOWARD A CAREER IN HEALTHCARE. CAREER PATHWAY PROGRAMS ARE PAID EDUCATIONAL OPPORTUNITIES SPECIFICALLY DESIGNED TO FOSTER A TALENTED, DIVERSE WORKFORCE BY BREAKING DOWN BARRIERS THAT HAVE TRADITIONALLY PREVENTED MANY INDIVIDUALS INTERESTED IN HEALTHCARE FROM JOINING OUR WORKFORCE. BMC IS SPECIFICALLY FOCUSED ON BUILDING PATHWAYS TO THE MOST IMMEDIATELY NEEDED ROLES: NURSING ASSISTANTS, MEDICAL ASSISTANTS, LICENSED PRACTICAL NURSES, AND REGISTERED NURSES. THIS IS ACHIEVED THROUGH PAID IN-HOUSE TRAINING PROGRAMS AND PARTNERSHIPS WITH LOCAL EDUCATIONAL INSTITUTIONS LIKE BERKSHIRE COMMUNITY COLLEGE AND MCCANN TECHNICAL SCHOOL. IN 2023, THE SYSTEM ANNOUNCED A NEW PARTNERSHIP WITH MASSACHUSETTS COLLEGE OF LIBERAL ARTS, HELPING LAUNCH A 4-YEAR BACHELOR OF SCIENCE IN NURSING PROGRAM, DESIGNED TO HELP GROW THE NEXT GENERATION OF NURSES AND HEALTHCARE PROFESSIONALS IN THE BERKSHIRES. AS OF THE CLOSE OF FY2025, THE PATHWAYS PROGRAM HAS PRODUCED MEASURABLE, SYSTEM-WIDE IMPACT: INCLUDING: 250 GRADUATES OF THE MODIFIED NURSING ASSISTANT PROGRAM WITH 178 CURRENTLY EMPLOYED 139 GRADUATES OF THE MEDICAL ASSISTANT PROGRAM, WITH 87 CURRENTLY EMPLOYED 53 GRADUATES OF THE ASSOCIATE DEGREE IN NURSING PROGRAM, WITH 52 CURRENTLY EMPLOYED AND 127 CURRENTLY ENROLLED 47 GRADUATES OF THE LICENSED PRACTICAL NURSE PROGRAM, WITH 34 CURRENTLY EMPLOYED 12 STUDENTS CURRENTLY ENROLLED IN THE RESPIRATORY THERAPIST PROGRAM 2 STUDENTS ENROLLED IN THE SONOGRAPHY PROGRAMUNLIKE HEALTH SYSTEMS THAT RELY PRIMARILY ON EXTERNAL PIPELINES, BHS HAS DELIBERATELY BUILT A COMPREHENSIVE INTERNAL PATHWAY STRUCTURE THAT SUPPORTS WORKFORCE DEVELOPMENT FOR HUNDREDS OF LOCAL RESIDENTS PER YEAR AND ALLOWS THE ORGANIZATION TO TAKE A STEP TOWARD REVITALIZING THE REGION THROUGH THE CREATION OF NEW JOBS. THANKS TO ITS UNIQUE MODEL OF COUPLING HIGH-LEVEL TRAINING WITH PAID EMPLOYMENT AND BENEFITS, THE BHS PATHWAYS PROGRAM ALSO REDUCES BARRIERS TO ACCESS FOR COMMUNITY MEMBERS WHO WERE PREVIOUSLY UNABLE TO JOIN THE FIELD DUE TO ECONOMIC OR LOGISTICAL CHALLENGES.THE HEALTH SYSTEM IS ALSO ADDRESSING CRITICAL SHORTAGES IN NURSING AND OTHER HEALTHCARE PROFESSIONS. AS DETAILED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), BMC CONSISTENTLY GOES ABOVE AND BEYOND TO SUPPORT COMMUNITY HEALTH THROUGH EXTENSIVE OUTREACH PROGRAMS AND COMPREHENSIVE, COMMUNITY-BASED INITIATIVES. THESE EFFORTS ADDRESS A WIDE RANGE OF HEALTHCARE CHALLENGES, INCLUDING DIABETES, HYPERTENSION AND HEART FAILURE, SMOKING CESSATION, FALLS PREVENTION, CHRONIC PAIN MANAGEMENT, NARCOTICS USE AND DIVERSION, AND IMPROVING ACCESS TO CARE.EXAMPLES OF BMC PROMOTING THE HEALTH OF THE COMMUNITY DURING FY 2024 INCLUDE BUT IS NOT LIMITED TO:DONATED FUNDS TO COMMUNITY EVENTS, LOCAL SPORTS TEAMS, ORGANIZATIONS, AND INITIATIVESHOSTED SEVERAL COMMUNITY EVENTS INCLUDING A SUPPORT GROUPS AND COMMUNITY EDUCATION, BMC INDEPENDENCE DAY RUN, BERKSHIRES 150, FOOD SERVICE DONATION TO HOMELESS SHELTERS MEDICAL STUDENTS PROVIDING HEALTH EDUCATION AT COMMUNITY EVENTS.MEMBERS OF THE WELLNESS PROGRAM AND MANAGEMENT TEAM PROVIDING BLOOD PRESSURE SCREENINGS, HEALTH EDUCATION, ENVIRONMENTAL CLEAN UPS, AND OTHER COMMUNITY VOLUNTEERISMOFFERED COMMUNITY PARTNERS FREE TRAINING FOR INTERESTED EMT'S IN COLLABORATION WITH OUR COUNTY EMS AGENCIES. CREATED SEVERAL TALENT PIPELINE PROGRAMS FOR MEDICAL ASSISTANTS, LPN TO RN PROGRAMS. SUPPORTED A WIDE VARIETY OF COMMUNITY ORGANIZATIONS AND INITIATIVES INCLUDING HEALTH RELATED ORGANIZATIONS SUCH AS THE BRIEN CENTER (MENTAL HEALTH AND ADDICTION TREATMENT), THE ELIZABETH FREEMAN CENTER (RAPE AND SEXUAL ASSAULT SUPPORT), HILLCREST EDUCATIONAL CENTERS (EDUCATION FOR YOUTH WITH DEVELOPMENTAL DISABILITIES), BLACKSHIRES (ECONOMIC AND SOCIAL ADVANCEMENT), AND Q-MOB (COMMUNITY WELLNESS). SUPPORTED SIGNIFICANT COMMUNITY EDUCATIONAL AND CULTURAL INSTITUTIONS IN OUR AREA INCLUDING BERKSHIRE COMMUNITY COLLEGE, BERKSHIRE THEATRE GROUP, MASSACHUSETTS COLLEGE OF LIBERAL ARTS, THE PITTSFIELD PARADE COMMITTEE, GIRLS INC., AND COMMUNITY ACCESS TO THE ARTS, BERKSHIRE IMMIGRATION CENTER.ASSISTED COMMUNITY AGENCIES WITH NALOXONE EDUCATION AND INSTALLATION OF NALOXONE DISPENSING CAPABILITIES. |
| PART VI, LINE 6: | BMC IS A PART OF AN INTEGRATED, NON-PROFIT HEALTHCARE SYSTEM THAT INCLUDES (A) A TEACHING HOSPITAL, (B) A CRITICAL ACCESS COMMUNITY HOSPITAL, (C) A LARGE, MULTISPECIALTY FACULTY PRACTICE ORGANIZATION, (D) A HOME HEALTH AGENCY AND (E), BY CONTRACT AND CLOSE COORDINATION, A NON-PROFIT SENIOR CARE ORGANIZATION THAT INCLUDES SUB-ACUTE SERVICES IN REHABILITATION AND LONG TERM CARE FACILITIES, ASSISTED LIVING FACILITIES, HOSPICE CARE SERVICES, SENIOR DAY CARE AND OTHER ELDERCARE SERVICES. BMC ENGAGES IN HEALTHCARE NEEDS ASSESSMENT AND PLANNING ON A SYSTEM-WIDE BASIS, WITH A GOAL OF A SEAMLESS TRANSITION OF PATIENT-CENTERED CARE ACROSS THE SPECTRUM OF SERVICES OFFERED BY EACH OF THE SYSTEM'S COMPONENT ENTITIES. BMC, ALONG WITH ITS AFFILIATES, CONTINUES TO DEVELOP INTEGRATED CLINICAL AND INFORMATION SYSTEMS ACROSS THE ENTIRE ORGANIZATION SO AS TO RENDER CARE EFFICIENTLY, EFFECTIVELY AND CONSISTENTLY AT EVERY CARE SITE. THE BMC AFFILIATES SUCH, AS THE PHYSICIAN FACULTY PRACTICE, ARE FULLY INTEGRATED INTO OUR COMMUNITY BENEFIT PROCESS AND SUPPORT THE ORGANIZATION'S PRIORITIES BY HONORING OUR FREE CARE GUIDELINES AND IN ENGAGING IN SPECIFIC PROGRAMS AND INITIATIVES DESIGNED TO MEET COMMUNITY NEED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DARLENE RODOWICZ | ||||||||||||||
| PRESIDENT | $0 | $891,974 | $0 | $175,175 | $0 | $57,657 | $0 | $14,243 | $0 | $41,167 | $0 | $1,180,216 | $0 | $0 |
| ROBIN BURNS-LAMBERT MD | ||||||||||||||
| ANESTHESIOLOGIST | $1,006,476 | $0 | $4,741 | $0 | $28,471 | $0 | $15,525 | $0 | $52,161 | $0 | $1,107,374 | $0 | $0 | $0 |
| SEETHA MUTHAVARAPU MD | ||||||||||||||
| HOSPITALIST | $765,826 | $0 | $50,094 | $0 | $25,988 | $0 | $16,169 | $0 | $52,829 | $0 | $910,906 | $0 | $0 | $0 |
| JASON BRATCHER MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $497,206 | $0 | $279,425 | $0 | $26,696 | $0 | $14,765 | $0 | $20,551 | $0 | $838,643 | $0 | $0 |
| LJILJANA MARKOVIC MD | ||||||||||||||
| CHAIR OF PSYCHIATRY | $726,434 | $0 | $3,605 | $0 | $27,558 | $0 | $14,854 | $0 | $33,688 | $0 | $806,139 | $0 | $0 | $0 |
| TONY MAKDISI MD | ||||||||||||||
| HOSPITALIST | $630,791 | $0 | $73,712 | $0 | $27,326 | $0 | $14,209 | $0 | $36,479 | $0 | $782,517 | $0 | $0 | $0 |
| RAYMOND GARY SOHL MD | ||||||||||||||
| ANESTHESIOLOGIST | $623,913 | $0 | $3,863 | $0 | $7,472 | $0 | $16,817 | $0 | $41,548 | $0 | $693,613 | $0 | $0 | $0 |
| SCOTT ST GEORGE | ||||||||||||||
| TREASURER | $0 | $520,962 | $0 | $38,865 | $0 | $65,150 | $0 | $9,627 | $0 | $51,479 | $0 | $686,083 | $0 | $0 |
| ALEC A BELMAN MD | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $516,393 | $0 | $3,769 | $0 | $3,562 | $0 | $16,904 | $0 | $58,666 | $0 | $599,294 | $0 | $0 |
| ANDREW MANZER COO | ||||||||||||||
| TERM ENDED 6/11/24 | $212,698 | $0 | $0 | $0 | $295,353 | $0 | $10,962 | $0 | $21,998 | $0 | $541,011 | $0 | $0 | $0 |
| MICHAEL MCHUGH MD | ||||||||||||||
| CHAIRMAN-E.D. MEDICINE | $367,885 | $0 | $51,249 | $0 | $26,629 | $0 | $15,525 | $0 | $40,107 | $0 | $501,395 | $0 | $0 | $0 |
| EDMUND HORNSTEIN DO | ||||||||||||||
| TRUSTEE/PHYSICIAN | $0 | $464,583 | $0 | $3,188 | $0 | $12,403 | $0 | $10,166 | $0 | $1,260 | $0 | $491,600 | $0 | $0 |
| BRENDA E CADORETTE | ||||||||||||||
| CHIEF NURSING OFFICER | $292,357 | $0 | $22,362 | $0 | $47,603 | $0 | $12,766 | $0 | $36,677 | $0 | $411,765 | $0 | $0 | $0 |
| JOHN A LOIODICE MD | ||||||||||||||
| TRUSTEE/TERM ENDED 12/24 | $0 | $237,087 | $0 | $1,832 | $0 | $5,733 | $0 | $8,920 | $0 | $31,151 | $0 | $284,723 | $0 | $0 |
| TEJAS GANDHI | ||||||||||||||
| CHIEF OPERATING OFFICER | $46,038 | $0 | $0 | $0 | $6,433 | $0 | $0 | $0 | $0 | $0 | $52,471 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II | FormAndLineReferenceDesc |
| Explanation | IN REFERENCE TO FORM 990, PART VII AND SCHEDULE J PART II, NO COMPENSATION IS PAID BY THE FILING ENTITY TO ANY DIRECTOR (TRUSTEE) FOR HIS OR HER ROLE AS DIRECTOR (TRUSTEE). THE OFFICERS OF THE FILING ENTITY ARE COMPENSATED FOR THEIR ROLES AS OFFICERS. PHYSICIANS WHO SERVE AS DIRECTOR (TRUSTEE) ARE COMPENSATED FOR THEIR ROLES AS PHYSICIANS. COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER GOVERNING BODY OF BERKSHIRE HEALTH SYSTEMS, INC. (PARENT ORGANIZATION OF THE FILING ENTITY), BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING-BODY ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARK IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED BASE COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 50TH PERCENTILE OF APPROPRIATE. IN CALENDAR YEAR 2024, COMPENSATION FOR CEO WAS AT THE 50TH PERCENTILE FOR BASE PAY. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MDFA BHS SERIES I | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 043431814 | BondIssuerEIN |
| CUSIP | 57584YP94 | CUSIPNum |
| Bond Issued | 2021-08-03 | BondIssuedDt |
| Issue Price | $58,923,326 | IssuePriceAmt |
| Purpose | REFUND SERIES G BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $12,670,000 | RetiredAmt |
| Total Proceeds | $58,923,326 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $844,443 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $58,078,883 | OtherSpentProceedsAmt |
| Substantial Completion | 2021 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER OF BERKSHIRE MEDICAL CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF TRUSTEES IS COMPOSED OF THE INCUMBENT MEMBERS OF THE BOARD OF TRUSTEES OF BERKSHIRE HEALTH SYSTEMS, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | BHS WILL MAKE THE FORMS 990 FOR BHS AND AFFILIATES AVAILABLE TO THE MEMBERS OF THE RESPECTIVE GOVERNING BODIES FOR THEIR REVIEW BY (A) SENDING COPIES TO THEM PHYSICALLY OR ELECTRONICALLY, OR (B) NOTIFYING THE MEMBERS THAT THE FORMS 990 CAN BE ACCESSED BY A SECURE WEB-BASED FOLDER BEFORE THEY ARE FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY REQUIRING ALL MEMBERS OF THE GOVERNING BODY AND ALL OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST (A) ANNUALLY AND (B) AS POTENTIAL CONFLICTS ARISE. THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY IS CHARGED WITH REVIEWING POTENTIAL CONFLICTS OF INTEREST INVOLVING MEMBERS OF THE GOVERNING BODY OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER IS CHARGED WITH REVIEWING POTENTIAL CONFLICTS OF INTEREST INVOLVING ANY OTHERS. OFFICERS (INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER), KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES ARE NOT PERMITTED TO HAVE MATERIAL CONFLICTS OF INTEREST. THE DISINTERESTED MEMBERS OF THE GOVERNING BODY ARE CHARGED WITH DETERMINING WHETHER A CONFLICT EXISTS IN THE CASE OF MEMBERS OF THE GOVERNING BODY AND HOW THE AFFECTED MEMBER IS TO ABSTAIN FROM ACTION THAT MAY BE INFLUENCED BY HIS OR HER CONFLICT OR POTENTIAL CONFLICT, INCLUDING BY (A) NOT VOTING OR (B) NOT VOTING AND LEAVING THE ROOM OR (C) LEAVING THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT, VOLUNTEER, BHS GOVERNING BODY, BASED ON PERFORMANCE REVIEWS AND COMPARISON TO INDEPENDENTLY ESTABLISHED, REGIONALLY APPROPRIATE BENCHMARKS FOR SIMILAR POSITIONS IN SIMILARLY SIZED HEALTHCARE ORGANIZATIONS, AS VERIFIED BY INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS SET IN ACCORDANCE WITH GOVERNING BODY-ESTABLISHED PRINCIPLES BASED ON COMPARABLE BENCHMARK IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED BASE COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 50TH PERCENTILE OF APPROPRIATE BENCHMARKS. THE ORGANIZATION FOLLOWED THIS PROCESS FOR THE TAX YEAR BEING REPORTED. |
| FORM 990, PART VI, SECTION C, LINE 18 | BERKSHIRE MEDICAL CENTER, INC'S FORM 990 REPORT IS AVAILABLE ON THE FOLLOWING WEBSITES: GUIDESTAR AT WWW.GUIDESTAR.ORG OFFICE OF THE MA ATTORENY GENERAL AT WWW.CHARITIES.AGO.STATE.MA.US/CHARITIES/ |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNANCE DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE OFFICE OF (A) THE CHIEF FINANCIAL OFFICER AND (B) THE VICE PRESIDENT AND GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD MA 01201. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER -44,380,809. |
| SCHEDULE H PART V SECTION B LINE 5 | ADULT MENTAL HEALTH AND SUBSTANCE USE CONTINUED MENTAL HEALTH CHALLENGES EMERGE IN VARIED CONTEXTS, FROM RURAL POVERTY AND ISOLATION TO URBAN DISINVESTMENT AND RACE AND CLASS DISCRIMINATION, WHICH CONTRIBUTE TO POOR MENTAL HEALTH AND OTHER ADVERSE OUTCOMES. MENTAL HEALTH IS ALSO AFFECTED BY LONELINESS AND SOCIAL ISOLATION, BOTH OF WHICH WERE EXACERBATED DURING THE PANDEMIC AND CONTINUE TO AFFLICT MANY RESIDENTS PARTICULARLY OLDER ADULTS, CHILDREN AND YOUTH, AND RURAL RESIDENTS. THE MOST CURRENT AVAILABLE DATA INDICATE THAT ADULTS IN THE BERKSHIRE COUNTY WERE FACING GREATER MENTAL HEALTH CHALLENGES IN 2022 COMPARED TO RIGHT BEFORE THE COVID-19 PANDEMIC IN 2019, AS REPORTED ON IN THE 2022 CHNA. AGE-ADJUSTED 2022 DATA SHOW THAT ALMOST 1 IN 5 (19%) OF BERKSHIRE COUNTY ADULTS EXPERIENCED POOR MENTAL HEALTH (SELF-REPORTED MENTAL HEALTH NOT GOOD FOR 14 OR MORE DAYS OUT OF THE LAST 30). THIS REPRESENTS AN INCREASE FROM BEFORE THE PANDEMIC, WHERE 13% OF ADULTS REPORTED POOR MENTAL HEALTH IN 2019. SIMILARLY, THE PREVALENCE OF DEPRESSION IN BERKSHIRE COUNTY INCREASED FROM 20% IN 2019 TO 25% IN 2022. CHRONIC CONDITIONS CHRONIC HEALTH CONDITIONS REMAIN PRIORITIZED NEEDS. CORONARY HEART DISEASE (CHD), ALSO KNOWN AS CORONARY ARTERY DISEASE (CAD), WAS SLIGHTLY HIGHER IN BERKSHIRE COUNTY IN 2021 COMPARED TO THE REST OF MASSACHUSETTS (5.1% PREVALENCE COMPARED TO 4.7% PREVALENCE). HOWEVER, THE RATE OF HEART ATTACK HOSPITAL ADMISSIONS (AGE-ADJUSTED) WAS NOTICEABLY HIGHER AT 26 PER 10,000 IN BERKSHIRE COUNTY COMPARED TO 22 PER 10,000 IN MASSACHUSETTS. ADULT DIABETES RATES ARE SIMILAR IN BERKSHIRE COUNTY COMPARED TO THE REST OF THE STATE (11.1% IN BERKSHIRE COUNTY IN 2023, VERSUS 11.7% IN MASSACHUSETTS AS A WHOLE). OBESITY, WHICH CAN BE A RISK FACTOR FOR CHRONIC CONDITIONS, HAD AN ADULT PREVALENCE OF 32% IN BERKSHIRE COUNTY IN 2023, WHICH WAS COMPARABLE TO THE MASSACHUSETTS RATE. CANCER IMPACTS WHITE AND BLACK POPULATIONS AT HIGHER RATES THAN OTHER RACE/ETHNICITIES IN THE NATION, STATE, AND IN BERKSHIRE COUNTY. RATES ARE HIGHER FOR ALL RACES/ETHNICITIES IN THE BERKSHIRES EXCEPT ASIAN/PACIFIC ISLANDER; HOWEVER, THE DISPARITY IS MOST DRAMATIC FOR BLACK RESIDENTS. OTHER RISK FACTORS FOR CHRONIC ILLNESS INCLUDE ADULT SMOKING RATES (13% IN BERKSHIRE COUNTY VERSUS 11% IN MASSACHUSETTS) AND ADULT EXCESSIVE DRINKING (24% IN BERKSHIRE COUNTY REPORTED HEAVY OR BINGE DRINKING IN 2025 VERSUS 20% IN MASSACHUSETTS). REPORTED PHYSICAL INACTIVITY IS ALSO SLIGHTLY HIGHER IN ADULTS IN BERKSHIRE COUNTY (23%) VERSUS MASSACHUSETTS (21%). HOUSING AND HOMELESSNESS AFFORDABLE, ACCESSIBLE, AND SUPPORTIVE HOUSING IS A KEY CONTRIBUTOR TO HEALTH, AND COVID-19 HAS CONTRIBUTED TO HOUSING CHALLENGES AND COSTS. THE PANDEMIC CAUSED A SIGNIFICANT INCREASE IN HOUSING PRICES. ALTHOUGH THESE PRICES HAVE SOMEWHAT STABILIZED, COUPLED WITH HIGHER INTEREST RATES, HOUSES ARE OUT OF REACH FOR MANY FAMILIES AND INDIVIDUALS. ALMOST ONE THIRD OF HOUSEHOLDS (32%) IN BERKSHIRE COUNTY ARE HOUSING COST-BURDENED BECAUSE THEY HAVE TO PAY 30% OR MORE OF THEIR INCOME FOR HOUSING; 15% ARE SEVERELY COST-BURDENED MEANING THEY PAY OVER 50% OF THEIR INCOME ON HOUSING (2018-2022 DATA). AMONG RENTAL HOUSEHOLDS, 49% ARE COST-BURDENED. PANDEMIC-ERA POLICIES OFFERED TEMPORARY SUPPORT FOR RENTERS, BUT NOW THAT THOSE PROGRAMS HAVE ENDED, EVICTION FILINGS BY LANDLORDS HAVE RISEN, ALONG WITH HOMELESSNESS RATES. THE IMPACTS OF THE HOUSING CRISIS ARE DISTRIBUTED INEQUITABLY. BERKSHIRE COUNTY SAW A RATE OF 24 EVICTIONS PER RENTER HOUSEHOLD FROM APRIL TO SEPTEMBER 2024 - HIGHER THAN THE STATE RATE OF 17 PER 1,000. NORTH ADAMS (30/1000) AND PITTSFIELD (32/1000) HAVE THE HIGHEST NUMBER OF RENTERS IN THE COUNTY AND SAW PARTICULARLY HIGH RATES OF EVICTIONS. ACROSS THE FOUR-COUNTY REGION, FAMILY HOMELESSNESS INCREASED 46% BETWEEN 2020 AND 2024; INDIVIDUAL HOMELESSNESS INCREASED BY 12% IN THE SAME PERIOD. TRANSPORTATION RELIABLE TRANSPORTATION IS A CRITICAL PART OF DAILY LIFE, ALLOWING INDIVIDUALS TO GO TO WORK, TRAVEL TO THE GROCERY STORE, AND GET TO MEDICAL APPOINTMENTS. TRANSPORTATION TO GET TO MEDICAL APPOINTMENTS IS A PARTICULARLY DIFFICULT ISSUE FOR CHILDREN AND ADULTS LIVING WITH DISABILITIES, OLDER ADULTS, AND LIMITED-INCOME POPULATIONS. OVER 5,000 HOUSEHOLDS (9%) IN BERKSHIRE COUNTY HAVE NO ACCESS TO A MOTOR VEHICLE, AND ALTHOUGH ABOUT 38% OF THE COUNTY LIVES NEAR TRANSIT, THERE IS NO FREQUENT PUBLIC TRANSPORTATION ANYWHERE IN THE COUNTY (2018-2022 DATA). PRIORITY POPULATIONS THE MEDICAL, ECONOMIC, SOCIAL AND EDUCATIONAL UPHEAVALS OF THE COVID-19 PANDEMIC CONTINUE TO IMPACT FAMILIES WITH YOUNG CHILDREN, PARTICULARLY THOSE WITH LOW INCOMES AND IMMIGRANT POPULATIONS, WITH ONGOING CHALLENGES IN CHILDCARE, EDUCATION, AND HEALTH CARE ACCESS. LOCAL CHILDCARE PROFESSIONALS INTERVIEWED FOR THE 2025 CHNA REPORT AN INCREASE IN CHILDREN WITH HIGH MENTAL, PHYSICAL, AND DEVELOPMENTAL NEEDS, INCLUDING SIGNIFICANT LANGUAGE DELAYS THAT HINDER SOCIAL AND EMOTIONAL DEVELOPMENT. THEY ALSO REPORT THAT ACCESS TO HEALTH CARE REMAINS CHALLENGING, WITH FAMILIES STRUGGLING TO SECURE PEDIATRIC APPOINTMENTS AND REFERRALS. INTERVIEWS WITH SERVICE PROVIDERS INDICATE THAT IMMIGRANT FAMILIES FACE ADDITIONAL BARRIERS, INCLUDING LACK OF INSURANCE FOR PARENTS AND FEAR OF ACCESSING AVAILABLE CARE DUE TO IMMIGRATION CONCERNS. PROVIDERS ALSO REPORT THAT FAMILIES STRUGGLE TO FIND AFFORDABLE, RELIABLE CHILDCARE. STAFFING SHORTAGES IN EARLY EDUCATION PROGRAMS HAVE LED TO REDUCED SERVICES AND LONG WAIT LISTS. IMMIGRANT FAMILIES FACE ADDITIONAL BARRIERS, SUCH AS FEAR OF ACCESSING SUPPORT DUE TO IMMIGRATION CONCERNS, LANGUAGE DIFFICULTIES, AND LACK OF SOCIAL NETWORKS. THE NEED FOR CULTURALLY RESPONSIVE MENTAL HEALTH SERVICES AND BETTER SUPPORT SYSTEMS REMAINS CRITICAL. IN SUM, FOR SO MANY FACETS OF HEALTH AND HEALTH CARE, COVID-19 DEEPENED INEQUITIES. VIRTUALLY EVERY PRIORITIZED HEALTH NEED WAS AFFECTED BY THE PANDEMIC, AND PEOPLE WITH ONE OR MORE MARGINALIZED IDENTITIES STILL FEEL THE COMPOUNDING EFFECTS. |
| SCHEDULE H PART V SECTION B LINE 11 | ACCESS TO CARE & CARE COORDINATION ACCESS FOR UNDER AND UNINSURED - BMC'S ADVOCACY FOR ACCESS PROGRAM CONNECTS THOUSANDS OF PEOPLE IN OUR COMMUNITY TO HEALTH INSURANCE OPTIONS AVAILABLE THROUGH MASSHEALTH AND OTHER PROGRAMS. ENHANCING ACCESS AND THE HEALTHCARE WORKFORCE - THE REGION'S SIGNIFICANT RELIANCE ON GOVERNMENT-REIMBURSED SERVICES CAN HAVE A DIRECT INFLUENCE ON LOCALLY AVAILABLE PROGRAMS AND SERVICES. BHS CONTINUES TO FACE STAFFING CHALLENGES, LIKE THOSE EXPERIENCED ACROSS THE NATION AND IS EXPLORING CAREER TRAINING PROGRAMS THAT CAN SIMULTANEOUSLY HELP TO REDUCE CLINICIAN SHORTAGES AND HELP TO RAISE MEDIAN INCOME LEVELS THROUGH STRONG EMPLOYMENT OPPORTUNITIES FOR BERKSHIRE RESIDENTS. BHS NURSE CALL LINE - THE NURSE CALL LINE HELPS PATIENTS DETERMINE WHERE THEY SHOULD GO FOR THEIR CARE-URGENT CARE, EMERGENCY CARE, PRIMARY CARE. NURSES HELP PATIENTS ON WARFARIN MANAGE THEIR MEDICATION IN COLLABORATION WITH THEIR PRIMARY CARE PROVIDER AS WELL AS HELP PEOPLE NAVIGATE THE HEALTHCARE SYSTEM AND PROVIDE ASSISTANCE WITH ACCESS TO COMMUNITY SERVICES. SOCIAL ECONOMIC COMMUNITY DEVELOPMENT/ENGAGEMENT - BMC WORKS IN COLLABORATION WITH NUMEROUS COMMUNITY ORGANIZATIONS ON PROGRAMS THAT ARE AIMED AT IMPROVING COMMUNITY DEVELOPMENT, SOME OF OUR PARTNERS INCLUDE: NORTHERN BERKSHIRE COMMUNITY COALITION, THE BERKSHIRE UNITED WAY, LOCAL SENIOR CENTERS, AND MUNICIPAL GOVERNMENTS ACROSS THE COUNTY. EMERGENCY PREPAREDNESS - WORKING IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, INCLUDING LOCAL FIRE AND POLICE DEPARTMENTS, EMS PROVIDERS, REGIONAL EMERGENCY RESPONSE COMMITTEES AND THE COUNTY BOARDS OF HEALTH ASSOCIATION, BHS HAS A COMPREHENSIVE EMERGENCY PREPAREDNESS PROGRAM. THIS PROGRAM WORKS TO IMPROVE RESPONSE TO POTENTIAL COMMUNITY EMERGENCIES THROUGH REGULAR TABLETOP AND LIVE-ACTION DRILLS. BHS'S EMERGENCY OPERATIONS ALSO HAS PLANS IN PLACE FOR RESPONSE TO A WIDE VARIETY OF POTENTIAL EMERGENCIES, INCLUDING MASS CASUALTY, ELECTRICAL OUTAGES, FLOODING, SNOW/ICE STORM, AND MANY OTHERS. HEALTHCARE DISPARITIES - BMC ACTIVELY WORKS TO REDUCE HEALTH DISPARITIES IN THE COMMUNITY THROUGH EXPANDED ACCESS TO PRIMARY CARE AND SPECIALTY SERVICES, RECRUITMENT OF HEALTHCARE PROFESSIONALS WITH VARIED BACKGROUNDS AND LANGUAGE COMPETENCY, AND A DEDICATED TRANSLATION SERVICE THAT CAN PROVIDE PATIENTS WITH ACCESS TO CARE USING THEIR OWN LANGUAGE, WITH PROFESSIONAL HEALTH INTERPRETERS AND/OR ACCESS TO ELECTRONIC SERVICES THAT CAN PROVIDE INTERPRETATION. NUMEROUS COMMUNITY EFFORTS ARE ALSO USED TO REACH AS MANY AS POSSIBLE IN THE COMMUNITY, INCLUDING COMMUNITY HEALTH WORKERS THAT CAN HELP COMMUNITY MEMBERS OVERCOME BARRIERS SUCH AS TRANSPORTATION, FOOD INSECURITY, HOUSING, TELEPHONE ACCESS, AND MUCH MORE. MATERNAL/CHILD HEALTH - BMC HAS NUMEROUS PROGRAMS DESIGNED TO AID NEW MOTHERS AND NEWBORNS IN ATTAINING OPTIMAL HEALTH DURING AND AFTER PREGNANCY, INCLUDING PRE-NATAL CLASSES AND CLASSES FOR NEW PARENTS. IN ADDITION, THE BERKSHIRE NORTH WOMEN, INFANTS, AND CHILDREN'S PROGRAM, OPERATED BY BMC, PROVIDES ACCESS TO NUTRITIONAL SERVICES AND HEALTHY FOOD OPTIONS, AND OPERATION BETTER START PROVIDES FAMILY SERVICES THAT CAN HELP THE NEWBORN AND FAMILY TO MAINTAIN A HEALTHY LIFESTYLE. SAFETY/ VIOLENCE PREVENTION -BMC SECURITY COLLABORATES WITH MANY COMMUNITY AGENCIES ON SUBSTANCE ABUSE PREVENTION AND TREATMENT AND WORKS REGULARLY WITH AREA POLICE DEPARTMENTS AS WELL AS THE BERKSHIRE COUNTY HOUSE OF CORRECTION TO ENSURE SAFETY OF THE HOSPITAL ENVIRONMENT AND THE SURROUNDING COMMUNITY. SOCIAL DETERMINANTS OF HEALTH- BMC UNDERSTANDS THAT SOCIOECONOMIC STATUS, EDUCATION, EMPLOYMENT, HOUSING, FOOD SECURITY, TRANSPORTATION AND SOCIAL PROTECTIVE FACTORS, ALL HAVE AN IMPACT ON THE PHYSICAL AND MENTAL WELLBEING OF THE POPULATION, INCLUDING THE CIRCUMSTANCES PEOPLE FIND THEMSELVES IN, AND IN MANY CASES THE LIFE CHOICES THEY MAKE OR ARE FORCED TO MAKE DUE TO SOCIAL OR ENVIRONMENTAL CONDITIONS. MANY OF BERKSHIRE COUNTY'S COMMUNITY ORGANIZATIONS DO AN OUTSTANDING JOB AT ADDRESSING THESE NEEDS ALREADY. BMC COLLABORATES WITH THESE ORGANIZATIONS AND MAINTAINS PARTNERSHIP TO FURTHER REDUCE SOCIAL DETERMINANTS OF HEALTH BARRIERS. ADOLESCENT AND YOUTH PREGNANCY - BERKSHIRE UNITED WAY TAKES THE LEAD ON EFFORTS TO PROVIDE INFORMATIONAL AND EDUCATIONAL PROGRAMS TO YOUTH AND ADOLESCENTS TO REDUCE THE RATE OF PREGNANCY IN TEENS. BMC WORKS IN COLLABORATION WITH THIS COMMUNITY PARTNER BY PARTICIPATING ON COMMITTEES, SHARING DATA, AND RESOURCES. WORKFORCE DEVELOPMENT ACCESS TO MEDICAL PROFESSIONALS - BMC HAS AN INTENSIVE PHYSICIAN AND PROVIDER RECRUITMENT PROGRAM, WHICH HAS SUCCEEDED IN SEVERAL PROFESSIONALS TO THE REGION YEARLY, PARTICULARLY IN AREAS OF CRITICAL NEED, SUCH AS: PRIMARY CARE, NEUROSURGERY, RADIOLOGY, AND NEUROLOGY, ORTHOPEDIC SURGERY, ENDOCRINOLOGY, AND OTHERS. THIS INCLUDES NOT ONLY PHYSICIANS, BUT ALSO NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. TRAININGS FOR HEALTHCARE PROFESSIONALS, ALLIED HEALTHCARE WORKERS, AND COMMUNITY HEALTH WORKERS- BMC SUPPORTS ITS EMPLOYEES TO ATTEND TRAININGS AND CERTIFICATIONS IN APPLICABLE AREAS, EXAMPLES OF THESE TRAININGS INCLUDE BRIDGES OUT OF POVERTY, COMMUNITY HEALTH WORKER CERTIFICATION, MENTAL HEALTH FIRST AID, MEDICAL ASSISTANT TRAINING, PHLEBOTOMY CERTIFICATION ETC. BY INVESTING IN OUR EMPLOYEES AND SUPPORTING OUR PARTNERS WE CAN BETTER SERVE THE NEEDS OF OUR COMMUNITY AT LARGE. CAREER PATHWAYS - BMC IS PROUD TO INVEST IN AND CULTIVATE CAREER PATHWAY PROGRAMS, OFFERING PAID TRAINING OPPORTUNITIES WHERE PROFESSIONALS ARE ABLE TO LEARN VALUABLE SKILLS, EARN CERTIFICATIONS, AND FAST-TRACK PROGRESS TOWARD A CAREER IN HEALTHCARE. CAREER PATHWAY PROGRAMS ARE PAID EDUCATIONAL OPPORTUNITIES SPECIFICALLY DESIGNED TO FOSTER A TALENTED, DIVERSE WORKFORCE BY BREAKING DOWN BARRIERS THAT HAVE TRADITIONALLY PREVENTED MANY INDIVIDUALS INTERESTED IN HEALTHCARE FROM JOINING OUR WORKFORCE. BMC IS SPECIFICALLY FOCUSED ON BUILDING PATHWAYS TO THE MOST IMMEDIATELY NEEDED ROLES: NURSING ASSISTANTS, MEDICAL ASSISTANTS, LICENSED PRACTICAL NURSES, AND REGISTERED NURSES. THIS IS ACHIEVED THROUGH PAID IN-HOUSE TRAINING PROGRAMS AND PARTNERSHIPS WITH LOCAL EDUCATIONAL INSTITUTIONS LIKE BERKSHIRE COMMUNITY COLLEGE AND MCCANN TECHNICAL SCHOOL. IN 2023, THE SYSTEM ANNOUNCED A NEW PARTNERSHIP WITH MASSACHUSETTS COLLEGE OF LIBERAL ARTS, HELPING LAUNCH A 4-YEAR BACHELOR OF SCIENCE IN NURSING PROGRAM, DESIGNED TO HELP GROW THE NEXT GENERATION OF NURSES AND HEALTHCARE PROFESSIONALS IN THE BERKSHIRES. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BERKSHIRE HEALTH SYSTEMS INC | ||||||||||
| 725 NORTH ST | PITTSFIELD | MA | 01201 | 042442944 | PARENT CORP | MA | 501(C)(3) | 12B-II | N/A | 0 |
| FAIRVIEW HOSPITAL | ||||||||||
| 725 NORTH ST | PITTSFIELD | MA | 01201 | 042133860 | ACUTE CARE | MA | 501(C)(3) | 3 | N/A | 0 |
| BERKSHIRE FACULTY SERVICES INC | ||||||||||
| 725 NORTH ST | PITTSFIELD | MA | 01201 | 042995053 | PHYSICIAN SVC | MA | 501(C)(3) | 12B-II | N/A | 0 |
| BHS MANAGEMENT SERVICES INC | ||||||||||
| 725 NORTH ST | PITTSFIELD | MA | 01201 | 222755258 | MANAGEMENT | MA | 501(C)(3) | 12B-II | N/A | 0 |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION | ||||||||||
| 725 NORTH ST | PITTSFIELD | MA | 01201 | 932484732 | ACUTE CARE | MA | 501(C)(3) | 3 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Share Of EOY AssetsShareOfEOYAssetsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRI-STATE MEDICAL MANAGEMENT CORP | |||||||||||||
| 725 NORTH STREET | PITTSFIELD | MA | 01201 | 042913352 | REAL ESTATE MANAGEMENT | MA | FAIRVIEW HOSPITAL | C | $42,222 | 1.00000 | Yes (1) | ||
| BERKSHIRE ORTHOPAEDIC ASSOCIATES PC | |||||||||||||
| 24 PARK STREET | PITTSFIELD | MA | 01201 | 043017240 | HEALTH SERVICES | MA | C | 0 | N/A | ||||
| BERKSHIRE FAMILY PRACTICE ASSOCIATES PC | |||||||||||||
| 20 ELM ST | PITTSFIELD | MA | 01201 | 842155335 | HEALTH SERVICES | MA | C | 0 | N/A | ||||
| BERKSHIRE APOTHECARY INC | |||||||||||||
| 725 NORTH STREET | PITTSFIELD | MA | 01201 | 843975327 | RETAIL PHARMACY | MA | BERKSHIRE MEDICAL CENTERINC | C | -$220,494 | 1.00000 | Yes (1) | $2,995,403 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |