Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $2,856,935

• 1f · All other contributions, gifts and grants

  $329,022

• 1g · Noncash contributions included above

  $25,760

• 2a · Program service revenue: PATIENT SERVICES REVENUE

  total $583,452,699 · related or exempt $583,452,699

• 2b · Program service revenue: RETAIL PHARMACY

  total $105,134,890 · related or exempt $105,134,890

• 2c · Program service revenue: OTHER ANCILLARY

  total $28,939,777 · related or exempt $28,939,777

• 2d · Program service revenue: LAB REVENUE

  total $3,373,660 · related or exempt $3,373,660

• 2e · Program service revenue: HEALTH PROMO EDUCATION

  total $2,127,161 · related or exempt $2,127,161

• 3 · Investment income

  total $13,512,627 · unrelated business $951,630 · excluded $12,560,997

• 6a · Gross rents

  real property $664,789

• 6b · Less rental expenses

  real property $618,523

• 6c · Rental income or loss

  real property $46,266

• 6d · Net rental income or loss

  total $46,266 · excluded $46,266

• 7a · Gross sales of assets other than inventory

  securities $17,900,432 · other assets $2,899

• 7b · Less cost or other basis and sales expenses

  securities $2,023,110 · other assets $0

• 7c · Gain or loss

  securities $15,877,322 · other assets $2,899

• 7d · Net gain or loss

  total $15,880,221 · excluded $15,880,221

• 11a · Other revenue: CAFETERIA INCOME

  total $1,836,787 · excluded $1,836,787

• 11e · Other revenue, total

  $1,836,787

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $1,546,546 · management and general $1,546,546

• 7 · Other salaries and wages

  total $239,544,476 · program services $235,518,802 · management and general $4,025,674

• 8 · Pension plan contributions

  total $9,001,254 · program services $8,762,508 · management and general $238,746

• 9 · Other employee benefits

  total $34,474,315 · program services $33,888,255 · management and general $586,060

• 10 · Payroll taxes

  total $19,809,218 · program services $19,472,460 · management and general $336,758

• 11a · Fees: management

  total $41,902,492 · management and general $41,902,492

• 11b · Fees: legal

  total $93,230 · management and general $93,230

• 11d · Fees: lobbying

  total $54,462 · program services $54,462

• 11f · Fees: investment management

  total $65,237 · management and general $65,237

• 11g · Fees: other

  total $43,538,867 · program services $42,980,552 · management and general $558,315

• 13 · Office expenses

  total $257,263 · program services $252,889 · management and general $4,374

• 16 · Occupancy

  total $6,347,565 · program services $6,239,656 · management and general $107,909

• 17 · Travel

  total $646,075 · program services $635,091 · management and general $10,984

• 20 · Interest

  total $412,345 · program services $405,335 · management and general $7,010

• 21 · Payments to affiliates

  total $521,111 · program services $521,111

• 22 · Depreciation, depletion and amortization

  total $19,084,472 · program services $18,886,435 · management and general $198,037

• 23 · Insurance

  total $2,924,427 · program services $2,874,712 · management and general $49,715

• 24a · Other expenses: PATIENT RELATED SUPPLY

  total $191,267,297 · program services $188,711,823 · management and general $2,555,474

• 24b · Other expenses: BAD DEBT

  total $22,573,350 · program services $22,573,350

• 24c · Other expenses: UNCOMPENSATED CARE POOL

  total $12,309,252 · program services $12,309,252

• 24d · Other expenses: EQUIP RENTAL/PURCHASES

  total $11,978,246 · program services $11,447,207 · management and general $531,039

• 24e · All other expenses

  total $642,512 · program services $78,320 · management and general $564,192

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $15,596 · end of year $15,596

• 2 · Savings and temporary cash investments

  beginning of year $146,877,847 · end of year $139,570,794

• 3 · Pledges and grants receivable

  beginning of year $408,068 · end of year $231,289

• 4 · Accounts receivable

  beginning of year $56,420,934 · end of year $52,671,789

• 7 · Other notes and loans receivable

  beginning of year $16,568,926 · end of year $27,537,515

• 8 · Inventories for sale or use

  beginning of year $15,277,143 · end of year $13,879,150

• 9 · Prepaid expenses and deferred charges

  beginning of year $3,350,283 · end of year $4,561,524

• 10a · Land, buildings and equipment: cost or other basis

  $500,657,770

• 10b · Land, buildings and equipment: accumulated depreciation

  $334,542,792

• 10c · Land, buildings and equipment, net

  beginning of year $172,083,117 · end of year $166,114,978

• 11 · Investments: publicly traded securities

  beginning of year $273,534,755 · end of year $331,353,757

• 12 · Investments: other securities

  beginning of year $49,568,812 · end of year $67,559,592

• 15 · Other assets

  beginning of year $25,401,807 · end of year $28,380,426

• 17 · Accounts payable and accrued expenses

  beginning of year $62,190,272 · end of year $63,311,426

• 19 · Deferred revenue

  beginning of year $3,963,415 · end of year $9,822,394

• 20 · Tax-exempt bond liabilities

  beginning of year $44,032,760 · end of year $38,439,880

• 23 · Secured mortgages and notes payable

  beginning of year $4,017,440 · end of year $4,226,880

• 25 · Other liabilities

  beginning of year $108,843,756 · end of year $65,257,493

• 27 · Net assets without donor restrictions

  beginning of year $497,111,574 · end of year $604,796,307

• 28 · Net assets with donor restrictions

  beginning of year $39,348,069 · end of year $46,022,032

The filer's explanations (Part III)

PART II

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 CALENDAY YEAR 2023, COMPENSATION FOR CEO WAS AT THE 40TH PERCENTILE FOR BASE PAY.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• TRI-STATE MEDICAL MANAGEMENT CORP

  C · REAL ESTATE MANAGEMENT · MA · 100% owned · controlled entity

  Directly controlled by FAIRVIEW HOSPITAL

• BERKSHIRE ORTHOPAEDIC ASSOCIATES PC

  C · HEALTH SERVICES · MA

• BERKSHIRE FAMILY PRACTICE ASSOCIATES PC

  C · HEALTH SERVICES · MA

• BERKSHIRE APOTHECARY INC

  C · RETAIL PHARMACY · MA · 100% owned · controlled entity

  Directly controlled by BERKSHIRE MEDICAL CENTERINC

• BERKSHIRE EAR NOSE THROAT AND AUDIOLOGY PC

  C · HEALTH SERVICES · MA