2025-08-15T10:44:51-05:00 2024-09-30 990 2023-10-01 932484732 NORTH ADAMS REGIONAL HOSPITAL NORT 4134472508 725 NORTH ST PITTSFIELD MA 012014109 SCOTT STGEORGE CHIEF FINANCIAL OFFICER 4134473366 2025-08-15 0 0 2023 2025-03-06 01:10:19Z SCOTT STGEORGE 725 NORTH STREET PITTSFIELD MA 012014109 20995088 0 X WWW.BERKSHIREHEALTHSYSTEMS.ORG X 2023 MA ADVANCE THE HEALTH & WELLNESS OF OUR COMMUNITY IN A WELCOMING,INCLUSIVE,& PERSONALIZED ENVIRONMENT. 23 18 209 25 0 0 0 10000 0 20841935 0 0 0 143153 0 20995088 0 0 0 0 0 9923976 0 0 0 0 16857418 0 26781394 0 -5786306 0 29389946 0 35176252 0 -5786306 X THE MISSION OF NORTH ADAMS REGIONAL HOSPITAL IS TO ADVANCE HEALTH & WELLNESS FOR EVERYONE IN OUR COMMUNITY IN A WELCOMING, INCLUSIVE, & PERSONALIZED ENVIRONMENT. 0 0 20395916 20985088 IN 2014, THE FORMER NORTH ADAMS REGIONAL HOSPITAL (NARH), WHICH HAD BEEN OWNED AND OPERATED BY NORTHERN BERKSHIRE HEALTH SYSTEM (NOT AFFILIATED WITH BERKSHIRE HEALTH SYSTEMS), CLOSED AFTER FILING BANKRUPTCY, LEAVING THE NORTH BERKSHIRE REGION WITHOUT AN ACUTE CARE HOSPITAL. FOLLOWING THE CLOSURE, THE GOVERNOR AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH ASKED BERKSHIRE HEALTH SYSTEMS (BHS) TO REOPEN AROUND-THE-CLOCK EMERGENCY CARE THROUGH A SATELLITE EMERGENCY FACILITY UNDER BERKSHIRE MEDICAL CENTER (BMC) LICENSURE. IN THE FOLLOWING MONTHS, BHS PURCHASED THE FACILITY AND PROPERTY THROUGH BANKRUPTCY PROCEEDINGS AND REOPENED NUMEROUS OUTPATIENT SERVICES AS THE NORTH ADAMS CAMPUS OF BMC. IN 2024, BHS FILED AN APPLICATION TO REOPEN NORTH ADAMS REGIONAL HOSPITAL AS A, (CONTINUED ON SCHEDULE O) CRITICAL ACCESS HOSPITAL (CAH) AS CONGRESS HAD ENACTED UPDATED GUIDELINES THAT WOULD ALLOW NARH TO QUALIFY FOR CAH STATUS, WHICH IT HAD NOT QUALIFIED FOR IN 2014. IN MARCH OF 2024, EXACTLY 10 YEARS AFTER IT HAD CLOSED, NARH REOPENED AS A CRITICAL ACCESS HOSPITAL, PROVIDING INPATIENT AND OUTPATIENT CARE SERVICES, MUCH TO THE RELIEF OF THE NORTH BERKSHIRE COMMUNITY.IN FY 2024, NARH ASSISTED WITH INCREASING ACCESS TO HEALTHCARE COVERAGE THROUGH ITS SUPPORT OF THE ECU-HEALTH CARE PROGRAM. THE HOSPITAL SUPPORTED PROGRAMS LIKE BERKSHIRE BOUNTY, BERKSHIRE NORTH WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM, AND OPERATION BETTER START TO HELP THOSE FACING FOOD INSECURITY. THROUGH THE BERKSHIRE CONNECTIONS AND BERKSHIRE HARM REDUCTION PROGRAMS, NARH SUPPORTED THOSE WITH SUBSTANCE USE DISORDER ACCESS SUPPORTS AND SAFE USE SUPPLIES. MEMBERS OF THE COMMUNITY AND NARH STAFF PARTICIPATED IN THE BERKSHIRE 150 EXERCISE PROGRAM IN THE SPRING. THE HOSPITAL'S LANGUAGE SERVICES AND DIVERSITY, EQUITY, AND INCLUSION PROGRAMS IMPROVED ACCESS TO HEALTHCARE BY OFFERING TRANSLATION SERVICES AND CULTURALLY COMPETENT HEALTHCARE. STAFFING CONTINUES TO BE A CHALLENGE, AND AFTER OPENING, NARH CONTINUED BHS'S WORK OF PARTNERING WITH MASSACHUSETTS COLLEGE OF LIBERAL ARTS TO PROVIDE TRAINING AND EDUCATION FOR THE NEXT GENERATION OF HEALTHCARE PROVIDERS. THE HUB TEAM, WHICH IS A GROUP OF COMMUNITY AGENCIES, MET WEEKLY IN FY 2024 TO ASSESS AND ASSIST HIGH-RISK COMMUNITY MEMBERS IN THE NORTH BERKSHIRE COMMUNITY ACCESS CARE. 20395916 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 27 0 1 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 23 18 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X X SCOTT STGEORGE CHIEF FINANCIAL OFFICER 4134472706 725 NORTH ST PITTSFIELD MA 012014109 DARLENE M RODOWICZ PRESIDENT/TRUSTEE 3.00 47.00 X X 0 1055499 37153 ALFRED BARBALUNGA TRUSTEE 1.00 2.00 X 0 0 0 ALEC BELMAN TRUSTEE/ PHYSICIAN 0.00 50.00 X 0 411303 69757 JASON BRATCHER TRUSTEE/ PHYSICIAN 0.00 50.00 X 0 641839 30341 ALFRED BRAVO TRUSTEE 1.00 2.00 X 0 0 0 TIMOTHY BURKE TRUSTEE 1.00 2.00 X 0 0 0 ROBERT CELLA JR MD TRUSTEE 1.00 2.00 X 0 0 0 SHAWN V CUSSON TRUSTEE 1.00 2.00 X 0 0 0 EDITH KIT DOBELLE TRUSTEE 1.00 2.00 X 0 0 0 DAVID HALL TRUSTEE 1.00 2.00 X 0 0 0 LETICIA SE HAYNES TRUSTEE/ TERM ENDED 12/23 1.00 2.00 X 0 0 0 EDMUND HORNSTEIN DO TRUSTEE 1.00 50.00 X 0 227182 380 SUSAN KORMANIK TRUSTEE 1.00 2.00 X 0 0 0 JOHN A LOIODICE MD TRUSTEE/ PHYSICIAN 1.00 50.00 X 0 250636 38038 KATHLEEN M MCCORMICK ESQ TRUSTEE 1.00 2.00 X 0 0 0 DAVID MORESI TRUSTEE 1.00 2.00 X 0 0 0 LAURIE NORTON MOFFATT TRUSTEE 1.00 2.00 X 0 0 0 FREDERICK PUDDESTER TRUSTEE 1.00 2.00 X 0 0 0 BARTON D RASER TRUSTEE 1.00 2.00 X X 0 0 0 DEBORAH RENZI TRUSTEE/ TERM BEGAN 1/1/24 1.00 2.00 X 0 0 0 JEANETTE SMITH PHD TRUSTEE 1.00 2.00 X 0 0 0 ANAKATINA CORDON SUFFISH TRUSTEE 1.00 2.00 X 0 0 0 JOHN L BISSELL TRUSTEE TERM ENDED 12/23 1.00 2.00 X 0 0 0 BRONLY S BOYD TRUSTEE TERM ENDED 12/23 1.00 2.00 X 0 0 0 CAROL G SIEGEL TRUSTEE TERM ENDED 12/23 1.00 2.00 X 0 0 0 EDWIN A STUEBNER JR MD TRUSTEE TERM ENDED 12/23 1.00 2.00 X 0 0 0 SCOTT STGEORGE TREASURER 3.00 47.00 X 0 602502 25392 CHERYL M BOUDREAU CLERK 2.00 38.00 X 0 129314 19721 RICHARD ALCOMBRIGHT TRUSTEE 1.00 2.00 X 0 0 0 0 3318275 220782 7 0 1 0 0 10000 10000 NET PATIENT SVC REVENUE 622000 20752384 20752384 ANCILLARY SVCS & SALES 622000 89551 89551 20841935 CAFETERIA SALES 722514 143153 143153 143153 20995088 20985088 0 0 8448497 7880822 567675 218355 203725 14630 682002 636306 45696 575122 536589 38533 5009954 5009954 201018 201018 334 334 18100 18100 16410 15310 1100 5013 4677 336 453384 422861 30523 2890 2697 193 1222692 1140771 81921 112672 105123 7549 PATIENT RELATED SUPPLY 7701596 7413089 288507 MAINTENANCE & REPAIR 938229 866563 71666 BAD DEBT 756375 756375 MINOR EQUIPMENT 415716 408100 7616 3035 2908 127 26781394 20395916 6385478 0 -19854 10123801 792395 0 30375942 12304831 0 18071111 0 422493 0 29389946 0 2455217 0 32721035 0 35176252 X -5796306 10000 0 -5786306 0 29389946 -5786306 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 599556 599556 4083511 1647316 2436195 7139960 3071858 4068102 18552915 7585657 10967258 18071111 DUE TO THIRD PARTY PAYORS 1903497 DEFERRED COMPENSATION 345944 ASSET RETIREMENT ACCRETION 596857 DUE TO AFFILIATES 29874737 32721035 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE THE FINANCIAL ACTIVITIES OF NORTH ADAMS REGIONAL HOSPITAL ARE INCLUDED WITHIN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION OF BERKSHIRE HEALTH SYSTEMS, INC. AND AFFILIATES FOR THE YEAR ENDED SEPTEMBER 30, 2024. THOSE FINANCIALS INCLUDE THE FOLLOWING FOOTNOTE ADDRESSING ANY LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48, STATING "THE HEALTH SYSTEM FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS, 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." 1 1 1 X 1 X 1 1 0 1 1 4303461 3179175 1124286 0.04320 4303461 3179175 1124286 0.04320 50000 50000 0.00190 50000 50000 0.00190 4353461 3179175 1174286 0.04510 1 756375 3395129 3362189 32940 X 1 1 1 1 NORTH ADAMS REGIONAL HOSPITAL 71 HOSPITAL AVE NORTH ADAMS MA 012472504 WWW.BERKSHIREHEALTHSYSTEMS.ORG/LOCATIO X X X X NORTH ADAMS REGIONAL HOSPITAL 1 1 0 1 X X X X X X X X 22 1 1 0 1 X SEE PART V SECTION C X 1 22 1 SEE PART V SECTION C 0 1 X 150.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X 1 X 0 X X X 1 X 0 0 NORTH ADAMS REGIONAL HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS ASSESSMENT - NORTH ADAMS REGIONAL HOSPITAL HAS UTILIZED A MULTI-FACETED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STRATEGY AS PART OF ITS ONGOING COMMUNITY BENEFITS PLANNING PROCESS. NARH'S CHNA IS PART OF BERKSHIRE HEALTH SYSTEMS' REGIONALLY FOCUSED CHNA. BERKSHIRE MEDICAL CENTER, NARH'S AFFILIATE HOSPITAL IN PITTSFIELD, IS CLOSELY ALIGNED AND INTEGRATED WITH NORTH ADAMS REGIONAL HOSPITAL SERVICES AND THE COMMUNITY BENEFITS PLANNING PROCESS REFLECTS THE REGIONAL INTEGRATION OF BERKSHIRE HEALTH SYSTEMS SERVICES. NARH PARTICIPATES AS A PARTNER IN BMC'S COMMUNITY BENEFITS COMMITTEE MEETINGS AND REPORTS IN CONJUNCTION WITH MANY BMC COMMUNITY BENEFITS PROGRAMS AND SERVICES. THROUGH ITS LOCALIZED PLANNING PROCESS, NORTH ADAMS REGIONAL HOSPITAL IS AWARE OF COMMUNITY VULNERABILITIES AND NEEDS. IN RESPONSE, NARH OFFERS TARGETED PROGRAMS, SUPPORT AND SERVICES BASED ON IDENTIFIED HEALTH ISSUES. MEMBERS OF THE COMMUNITY AND NARH STAFF PARTICIPATED IN THE BERKSHIRE 150 EXERCISE PROGRAM IN THE SPRING. THE HOSPITAL'S LANGUAGE SERVICES AND DIVERSITY, EQUITY, AND INCLUSION PROGRAMS IMPROVED ACCESS TO HEALTHCARE BY OFFERING TRANSLATION SERVICES AND CULTURALLY COMPETENT HEALTHCARE. STAFFING CONTINUES TO BE A CHALLENGE, AND AFTER OPENING, NARH CONTINUED BHS'S WORK OF PARTNERING WITH MASSACHUSETTS COLLEGE OF LIBERAL ARTS TO PROVIDE TRAINING AND EDUCATION FOR THE NEXT GENERATION OF HEALTHCARE PROVIDERS. THE HUB TEAM WHICH IS A GROUP OF COMMUNITY AGENCIES, MET WEEKLY IN FY 2024 TO ASSESS AND ASSIST HIGH-RISK COMMUNITY MEMBERS IN THE NORTH BERKSHIRE COMMUNITY ACCESS CARE. NORTH ADAMS REGIONAL HOSPITAL PART V, SECTION B, LINE 6A: CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES - NORTH ADAMS REGIONAL HOSPITAL IS AN AFFILIATE HOSPITAL OF BERKSHIRE MEDICAL CENTER AND BERKSHIRE HEALTH SYSTEMS, THE REGIONAL PROVIDER OF HEALTHCARE IN THE BERKSHIRES. NORTH ADAMS REGIONAL HOSPITAL PARTICIPATES IN THE BERKSHIRE HEALTH SYSTEMS COMMUNITY HEALTH NEEDS ASSESSMENT AND CONSIDERS IT THE PRIMARY RESOURCE FOR COMMUNITY FEEDBACK FOR OVERALL HEALTH NEEDS AND STATUS OF OUR REGION. THE HEALTHCARE PRIORITIES IDENTIFIED BY THE BERKSHIRE HEALTH SYSTEMS REPORT ARE THE GUIDING FRAMEWORK THAT NARH USES TO EFFECTIVELY COLLABORATE WITH OTHER PROVIDERS TO IDENTIFY PRIORITY NEEDS AND DEVELOP PLANS TO MEET THEM. THROUGH EXTENSIVE COMMUNITY ENGAGEMENT, NARH CONTINUALLY IDENTIFIES PERCEPTIONS OF HEALTHCARE, NEEDS AND OPPORTUNITIES WHERE THE HOSPITAL CAN PLAY A ROLE. NORTH ADAMS REGIONAL HOSPITAL PART V, SECTION B, LINE 11: WERE ALL NEEDS IDENTIFIED IN CHNA ADDRESSED? EDUCATION AND OUTREACH, CHRONIC DISEASE MANAGEMENT AND CARDIAC CARE REFLECT NORTH ADAMS REGIONAL HOSPITAL'S RESPONSIVENESS TO AREAS IDENTIFIED IN THE CHNA. IN ITS ROLE AS A CRITICAL ACCESS HOSPITAL SERVING THE RURAL COMMUNITIES IN THE NORTHERN PART OF THE BERKSHIRES, NARH COLLABORATES WITH BERKSHIRE MEDICAL CENTER (BMC) TO STRENGTHEN PROGRAMS AT NORTH ADAMS REGIONAL HOSPITAL AND IMPACT COMMUNITY HEALTH BEYOND HOSPITAL WALLS. IN RURAL EMERGENCY MANAGEMENT EFFORTS, NARH WORKS CLOSELY WITH BMC'S EMERGENCY MANAGEMENT PROGRAM WITH EXTENSIVE NETWORKING, EDUCATION AND COMMUNITY CAPACITY BUILDING THAT BRINGS RESOURCES TO THE SMALL TOWNS IN THE AREA THAT WOULD NOT HAVE ACCESS TO THIS SUPPORT OTHERWISE. NORTH ADAMS REGIONAL HOSPITAL FOLLOWS THE PRIORITIES OF THE BERKSHIRE HEALTH SYSTEMS COMMUNITY HEALTH NEEDS ASSESSMENT. IN CASES THAT REQUIRE MORE SPECIALTY, OR IT CANNOT FINANCIALLY SUPPORT.BERKSHIRE HEALTH SYSTEMS (BHS) REGULARLY ASSESSES THE HEALTH NEEDS OF BERKSHIRE COUNTY RESIDENTS AS PART OF THE STRATEGIC PLANNING PROCESS AND COMMUNITY BENEFITS PROGRAMMING. BHS COMPILED THE BERKSHIRE COUNTY HEALTH ASSESSMENT REPORT IN COLLABORATION WITH THE COUNTY HEALTH INITIATIVE STEERING COMMITTEE COMPRISED OF BERKSHIRE MEDICAL CENTER, NORTH ADAMS REGIONAL HOSPITAL, FAIRVIEW HOSPITAL, BERKSHIRE COUNTY BOARDS OF HEALTH ASSOCIATION, TRI-TOWN HEALTH DEPARTMENT, BERKSHIRE PUBLIC HEALTH ALLIANCE, PITTSFIELD HEALTH DEPARTMENT, BERKSHIRE UNITED WAY, BERKSHIRE REGIONAL PLANNING COMMISSION, AND NORTHERN BERKSHIRE COMMUNITY COALITION. THE INTENT IS TO BROADLY IDENTIFY THE MAJOR TRENDS IN HEALTH STATUS AND OUR COMMUNITY'S HEALTH NEEDS WITH AN UNDERSTANDING OF THE FACTORS THAT ARE LIKELY TO AFFECT THE POPULATION OF BERKSHIRE COUNTY. THE FRAMEWORK OF THIS PLAN SPANS FISCAL YEARS 2022-2024. THE OBJECTIVES OF THE CHNA WERE: TO GATHER STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS OF THE RESIDENTS OF BERKSHIRE COUNTY, TO DEVELOP ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS OF HEALTH AND QUALITY OF LIFE MEASURES TO PROVIDE TRENDING INFORMATION FOR THE FUTURE, TO IDENTIFY KEY AREAS OF SIGNIFICANT COMMUNITY NEEDS AND VULNERABLE POPULATIONS, TO UTILIZE FINDINGS FOR COMMUNITY BENEFIT AND HOSPITAL PLANNING ACTIVITIES, AND TO MEET THE MASSACHUSETTS ATTORNEY GENERAL'S AND IRS REQUIREMENTS RELATED TO THE NEEDS ASSESSMENT. 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 OF THE HEALTH AND HUMAN SERVICE PROBLEMS FACING A COMMUNITY. THIS IS RATHER ONE STEP OF MANY IN AN ON-GOING PROCESS OF COLLECTING AND DISSEMINATING HEALTH STATUS INFORMATION SO THAT, WORKING TOGETHER, WE CAN ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY AND HELP TO ENSURE BETTER OUTCOMES FOR ALL THE PEOPLE LIVING IN BERKSHIRE COUNTY. WE INCORPORATE FEEDBACK FROM MANY COMMUNITY FORUMS, INCLUDING NORTHERN BERKSHIRE COMMUNITY COALITION MONTHLY COMMUNITY MEETINGS, BI-ANNUAL COMMUNITY MEETINGS, RURAL HEALTH PLANNING TEAM, AND MANY COMMUNITY OUTREACH INTERACTIONS.COMMUNITY BENEFIT AND ACCESS COMMITTEEAS A STANDING COMMITTEE OF THE BOARD OF TRUSTEES - ITSELF MADE UP OF COMMUNITY VOLUNTEERS - THIS COMMITTEE IS RESPONSIBLE FOR UNDERSTANDING THE HEALTH NEEDS AND BARRIERS TO CARE IN OUR SERVICE AREA. THE COMMITTEE OVERSEES THE COMMUNITY BENEFIT PROCESS OF THE ORGANIZATION, INCLUDING HEALTH NEEDS ASSESSMENTS, DETERMINING TARGET POPULATIONS AND PRIORITIES, DEVELOPMENT OF THE COMMUNITY BENEFITS PLAN AND EVALUATING PERFORMANCE AGAINST GOALS AND OBJECTIVES. THE COMMITTEE IS COMPRISED OF PEOPLE FROM THE BOARD OF TRUSTEES AND THE COMMUNITY AT LARGE, AND MEETS MONTHLY THOUGHOUT THE YEAR. THE BHS COMMUNITY BENEFITS AND ACCESS COMMITTEE REVIEWS AND DISCUSSES COMMUNITY BENEFIT PROGRAMS, POTENTIAL NEW INITIATIVES, COMMUNITY NEEDS, AND OUTCOMES. THE COMMITTEE FORMALLY REVIEWS ANY UPDATES TO COMMUNITY NEEDS AND REAFFIRMS PRIORITIES ANNUALLY AND COMPLETES A COMPREHENSIVE NEEDS ASSESSMENT EVERY THREE YEARS. THROUGHOUT THE YEAR, INTERNAL COMMUNITY BENEFITS AND PROGRAM LEADERS MEET TO COORDINATE THE COMMUNITY BENEFIT PLAN AND PROGRAMS. BHS IS THE ONLY HEALTH SYSTEM IN BERKSHIRE COUNTY AND THEREFORE WE ASSUME A SIGNIFICANT LEADERSHIP ROLE IN ADDRESSING THE PRIORITIES IDENTIFIED IN THE CHNA. WE ARE FORTUNATE TO WORK COLLABORATIVELY WITH MANY COMMUNITY ORGANIZATIONS. BERKSHIRE HEALTH SYSTEMS HAS A STRONG REPUTATION AS A LEADER AND COLLABORATOR IN MEETING COMMUNITY HEALTH NEEDS THROUGH ITS ONGOING COMMUNITY BENEFIT PROGRAMS AND SERVICES. BHS PLANS TO PROVIDE COMMUNITY BENEFIT PROGRAMS IN RESPONSE TO THE HEALTH NEEDS IDENTIFIED IN THE 2022-2024 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE INCLUDE, BUT ARE NOT LIMITED TO, NORTH COUNTY NEIGHBORHOOD FOR HEALTH, CANYON RANCH LIFE ENHANCEMENT PROGRAM, PRESCRIPTION PAIN MEDICATION INITIATIVE, PREVENTION WELLNESS TRUST FUND INITIATIVES, HEALTH EDUCATION PROGRAMS, SCREENINGS, SUPPORT GROUPS, MENTAL HEALTH SERVICES, AND OTHER COMMUNITY HEALTH IMPROVEMENT SERVICES AND ACCESS TO CARE THROUGH A NUMBER OF LEVERAGED SOURCES (GRANTS). DUE TO EVER CHANGING HEALTHCARE NEEDS, THE STRATEGIES MAY CHANGE, AND NEW PROGRAMS MAY BE ADDED OR PROGRAMS MAY BE ELIMINATED DURING THE 2022-2024 PERIOD.LISTED BELOW ARE THE IDENTIFIED PRIORITY HEALTH NEEDS, INCLUDING THE HOSPITAL'S STRATEGIC PRIORITY HEALTH NEEDS.CLINICAL CARE: ACCESS TO MEDICAL PROFESSIONALS, ACCESS FOR UNDERINSURED AND UNINSURED, AND HEALTHCARE DISPARITIES.HEALTH BEHAVIORS: ADOLESCENT AND YOUTH - TEEN PREGNANCY, INFECTIOUS DISEASE, OBESITY, SMOKING, AND SUBSTANCE ABUSE.MORBIDITY AND MORTALITY: CANCER, CARDIOVASCULAR HEALTH, DIABETES, INFECTIOUS DISEASE, MATERNAL/CHILD HEALTH, MENTAL HEALTH - DEPRESSION, AND STROKE/BLOOD PRESSURE, COVID-19 TESTING AND VACCINATIONPHYSICAL ENVIRONMENT: EMERGENCY PREPAREDNESS.SOCIAL/ECONOMIC: COMMUNITY DEVELOPMENT AND SAFETY.THE CHNA INCLUDES A NEW FOCUS ON THE POPULATION OF NORTH COUNTY GIVEN THE SUDDEN CLOSING OF NORTH ADAMS REGIONAL HOSPITAL IN MARCH 2014. BHS AND BERKSHIRE MEDICAL CENTER WORKED WITH INPUT AND SUPPORT FROM MANY GOVERNMENT AND COMMUNITY ORGANIZATIONS TO RESTORE CLINICAL SERVICES AND THIS PROCESS IS STILL GOING ON. IN THE RECENT CHNA WE ALSO NOTED AN INCREASE IN VIOLENCE IN OUR COMMUNITY AND A DRAMATIC INCREASE IN OVERDOSES AND DEATHS DUE TO SUBSTANCE ABUSE. BHS IS COLLABORATING WITH THE BRIEN CENTER, PUBLIC HEALTH AUTHORITIES, THE LOCAL FQHC, AND LAW ENFORCEMENT OFFICIALS TO ENHANCE EXISTING EFFORTS TO EXPAND OUR WORK FOR PREVENTION, TREATMENT AND DIVERSION. SCHEDULE H (FORM 990) PART V, SECTION B, LINE 7A THE HOSPITAL'S LATEST CHNA REPORT IS AVAILABLE ON THE HEALTH SYSTEMS' WEBSITE, WWW.BERKSHIREHEALTHSYSTEMS.ORG/PROGRAMS-AND-SERVICES/COMMUNITY-WELLNESS/ "COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), 2022-2024". SCHEDULE H (FORM 990) PART V, SECTION B, LINE 10A THE HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY IS AVAILABLE ON THE HEALTH SYSTEMS' WEBSITE, WWW.BERKSHIREHEALTHSYSTEMS.ORG/PROGRAM-AND-SERVICES/COMMUNITY-WELLNESS/, SELECT THE DOCUMENT "COMMUNITY HEALTH IMPLEMENTATION PLAN ( CHIP), 2022-2024". SCHEDULE H (FORM 990) PART V, SECTION B, LINE 16A THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) IS AVAILABLE ON THE HEALTH SYSTEMS' WEBSITE, WWW.BERKSHIREHEALTHSYSTEMS.ORG/ABOUT/POLICIES-AND-NOTICES, SELECT FINANCIAL ASSISTANCE POLICY DROP DOWN BOX. SELECT THE ENGLISH DOCUMENT "FINANCIAL ASSISTANCE POLICY - FAIRVIEW HOSPITAL OR THE SPANISH DOCUMENT "LA POLITICA DE AYUDA FINANCIERA DE FAIRVIEW HOSPITAL". SCHEDULE H (FORM 990) PART V, SECTION B, LINE 16B THE HOSPITAL'S FAP APPLICATION IS AVAILABLE ON THE HEALTH SYSTEMS' WEBSITE, WWW.BERKSHIREHEALTHSYSTEMS.ORG/ABOUT/POLICIES-AND-NOTICES. SELECT THE ENGLISH DOCUMENT "FINANCIAL ASSISTANCE APPLICATION OR THE SPANISH DOCUMENT "SOLICITUD PARA AYUDA FINANCIERA". SCHEDULE H (FORM 990) PART V, SECTION B, LINE 16C THE HOSPITAL'S PLAIN LANGUAGE SUMMARY OF THE FAP IS AVAILABLE ON THE HEALTH SYSTEMS' WEBSITE, WWW.BERKSHIREHEALTHSYSTEMS.ORG/ABOUT/POLICIES-AND-NOTICES. SELECT THE ENGLISH DOCUMENT "PLAIN LANGUAGE SUMMARY OF FINANCIAL ASSISTANCE POLICIES OR THE SPANISH DOCUMENT "RESUMEN EN LANGUAGE SENCILLO". PART I, LINE 7: COMPUTATION OF COMMUNITY BENEFIT EXPENSE - 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. BECAUSE FAIRVIEW HOSPITAL IS A FEDERALLY-DESIGNATED CRITICAL ACCESS HOSPITAL, THE REVENUE RECEIVED FROM MASSACHUSETTS FOR PATIENTS ELIGIBLE FOR MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS (LINES 7B & 7C, COLUMN (D)) IS BASED ON A COST-BASIS MODEL AND IS HIGHER THAN IT WOULD BE FOR NON-CRITICAL ACCESS HOSPITALS. BAD DEBT EXPENSE HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE SHOWN IN PART I, LINE 7. PART I, LN 7 COL(F): COMPUTATION OF COMMUNITY BENEFIT EXPENSE PERCENTAGES - BAD DEBT EXPENSE OF $756,375 ATTRIBUTABLE TO PATIENT ACCOUNTS AND INCLUDED IN FORM 990, PART IX, LINE 25 COLUMN (A) HAS BEEN EXCLUDED FROM THE COMPUTATION OF ALL COMMUNITY BENEFIT EXPENSE, INCLUDING THE CALCULATION OF THE PERCENTAGES SHOWN IN SCHEDULE H PART I, LINE 7 COLUMN (F). SCHEDULE H (FORM 990) PART I, LINE 6B PUBLIC ACCESS TO COMMUNITY BENEFITS REPORT - NORTH ADAMS REGIONAL HOSPITAL AND BERKSHIRE MEDICAL CENTER EACH FILE A SEPARATE COMMUNITY BENEFITS REPORT WITH THE STATE OF MASSACHUSETTS. NARH'S FISCAL YEAR 2024 COMMUNITY BENEFITS REPORT CAN BE ACCESSED AT HTTPS://WWW.CHARITIES.AGO.STATE.MA.US/CHARITIES/ PART III, LINE 2: COMPUTATION OF BAD DEBT EXPENSE - IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, NORTH ADAMS REGIONAL HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICY - NO BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER NORTH ADAMS REGIONAL HOSPITAL'S FINANCIAL ASSISTANCE POLICY HAS BEEN REPORTED ON PART III, LINE 3 BECAUSE ALL GROSS PATIENT CHARGES ATTRIBUTABLE TO THESE PATIENTS THAT WERE NOT PAID FROM UNCOMPENSATED CARE POOLS OR PROGRAMS WERE WRITTEN OFF AS "FREE CARE" EXPENSE. A PORTION OF FREE CARE EXPENSE, CALCULATED USING THE RATIO OF PATIENT CARE COST TO CHARGES AS COMPUTED USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS, IS INCLUDED IN THE "FINANCIAL ASSISTANCE AT COST" AMOUNT IN SCHEDULE H PART I, LINE 7(A), COLUMN (C). PART III, LINE 4: FOOTNOTE 4 ("CHARITY CARE") TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND SUPPLEMENTARY INFORMATION OF BERKSHIRE HEALTH SYSTEMS, INC. AND AFFILIATES (INCLUDING NORTH ADAMS REGIONAL HOSPITAL) FOR THE YEAR ENDED SEPTEMBER 30, 2024 CONTAINS THE FOLLOWING REGARDING BAD DEBT EXPENSE: "THE HEALTH SYSTEM PROVIDES CARE TO PATIENTS WHO MEET CHARITY CARE POLICY CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES." "IF A PATIENT IS INELIGIBLE FOR CHARITY CARE OR CARE AT REDUCED RATES BECAUSE THE PATIENT'S INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, SERVICES RENDERED ARE RECORDED AT ESTABLISHED RATES AND ANY UNPAID ACCOUNT RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBTS AFTER A REASONABLE COLLECTION EFFORT HAS BEEN MADE." PART III, LINE 8: THE AMOUNT REPORTED ON PART III SECTION B LINE 6 ("MEDICARE ALLOWABLE COSTS OF CARE RELATING TO PAYMENTS ON LINE 5") WAS DETERMINED USING THE COST ALLOCATION METHODOLOGY USED FOR THE MEDICARE COST REPORTS. PART III, LINE 9B: THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS: 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, AND "LOW INCOME PATIENTS" AS DETERMINED BY THE OFFICE OF MEDICAID. PLEASE NOTE THAT NORTH ADAMS REGIONAL HOSPITAL (NARH) 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. NARH 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 A SIGNED APPLICATION), NARH SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES. NARH 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, NARH WILL CEASE COLLECTION ACTIVITY FOR SERVICES, PREVIOUSLY BILLED, THAT NOW FALL INTO THE ELIGIBILITY PERIOD. NARH 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. NARH 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.NARH 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.NARH 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: NEEDS ASSESSMENT - NORTH ADAMS REGIONAL HOSPTIAL ASSESSES THE NEEDS AND CHANGES IN OUR COMMUNITY THROUGH A BROAD RANGE OF ASSESSMENT INITIATIVES AND CONSTANT INTERACTION AND ENGAGEMENT WITH THE LOCAL COMMUNITY. STATISTICAL EVIDENCE FROM HOSPITAL DATABASES, INCLUDING IN-PATIENT, EMERGENCY AND MAJOR DIAGNOSTIC CATEGORIES, AUGMENT FEDERAL, STATE AND LOCAL ASSESSMENTS WHICH HELP IDENTIFY AREAS CONSISTENT WITH, AND THOSE ABOVE, STANDARD NORMS. NARH RELIES ON THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH DEMOGRAPHIC DATA AND HEALTH REGIONALIZATION STATUS REPORTS TO OBTAIN THIS INFORMATION.NORTH ADAMS REGIONAL HOSPITAL PLACES A HIGH PRIORITY ON BUILDING CLOSE ALLIANCES WITH EDUCATIONAL, BUSINESS, HEALTH AND WELFARE, SAFETY, AND LAW ENFORCEMENT AGENCIES AND SOCIAL SERVICES IN THE NORTHERN BERKSHIRES. THROUGH CONTINUAL ENGAGEMENT AND PARTNERING, NARH STAYS ABREAST OF THE BROAD RANGE OF ISSUES AFFECTING OUR COMMUNITY ALLOWING IT TO RESPOND TO ISSUES. THROUGH A CONSTITUENCY FOCUSED OUTREACH AND EDUCATION PROGRAM, WHICH IS BASED ON HEALTH NEEDS ASSESSMENTS AND TARGETS SPECIFIC HEALTH INFORMATION TO MEET THE NEEDS OF SPECIAL POPULATIONS, NARH STRIVES TO INCREASE AWARENESS OF AND ACCESS TO PROGRAMS AND SERVICES, EDUCATION, SUPPORT AND INFORMATION, AND TO RAISE THE OVERALL HEALTH LITERACY AMONG OUR NEIGHBORS. PART VI, LINE 4: COMMUNITY INFORMATION - IN 2014, THE FORMER NORTH ADAMS REGIONAL HOSPITAL (NARH), WHICH HAD BEEN OWNED AND OPERATED BY NORTHERN BERKSHIRE HEALTH SYSTEM (NOT AFFILIATED WITH BERKSHIRE HEALTH SYSTEMS), CLOSED AFTER FILING BANKRUPTCY, LEAVING THE NORTH BERKSHIRE REGION WITHOUT AN ACUTE CARE HOSPITAL. FOLLOWING THE CLOSURE, THE GOVERNOR AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH ASKED BERKSHIRE HEALTH SYSTEMS (BHS) TO REOPEN AROUND-THE-CLOCK EMERGENCY CARE THROUGH A SATELLITE EMERGENCY FACILITY UNDER BERKSHIRE MEDICAL CENTERAS (BMC) LICENSURE. IN THE FOLLOWING MONTHS, BHS PURCHASED THE FACILITY AND PROPERTY THROUGH BANKRUPTCY PROCEEDINGS AND REOPENED NUMEROUS OUTPATIENT SERVICES AS THE NORTH ADAMS CAMPUS OF BMC. IN 2024, BHS FILED AN APPLICATION TO REOPEN NORTH ADAMS REGIONAL HOSPITAL AS A CRITICAL ACCESS HOSPITAL (CAH) AS CONGRESS HAD ENACTED UPDATED GUIDELINES THAT WOULD ALLOW NARH TO QUALIFY FOR CAH STATUS, WHICH IT HAD NOT QUALIFIED FOR IN 2014. IN MARCH OF 2024, EXACTLY 10 YEARS AFTER IT HAD CLOSED, NARH REOPENED AS A CRITICAL ACCESS HOSPITAL, PROVIDING INPATIENT AND OUTPATIENT CARE SERVICES, MUCH TO THE RELIEF OF THE NORTH BERKSHIRE COMMUNITY. IN FY 2024, NARH ASSISTED WITH INCREASING ACCESS TO HEALTHCARE COVERAGE THROUGH ITS SUPPORT OF THE ECU-HEALTH CARE PROGRAM. THE HOSPITAL SUPPORTED PROGRAMS LIKE BERKSHIRE BOUNTY, BERKSHIRE NORTH WOMEN, INFANTS, AND CHILDREN NUTRITION PROGRAM, AND OPERATION BETTER START TO HELP THOSE FACING FOOD INSECURITY. THROUGH THE BERKSHIRE CONNECTIONS AND BERKSHIRE HARM REDUCTION PROGRAMS, NARH SUPPORTED THOSE WITH SUBSTANCE USE DISORDER ACCESS SUPPORTS AND SAFE USE SUPPLIES. MEMBERS OF THE COMMUNITY AND NARH STAFF PARTICIPATED IN THE BERKSHIRE 150 EXERCISE PROGRAM IN THE SPRING. THE HOSPITAL'S LANGUAGE SERVICES AND DIVERSITY, EQUITY, AND INCLUSION PROGRAMS IMPROVED ACCESS TO HEALTHCARE BY OFFERING TRANSLATION SERVICES AND CULTURALLY COMPETENT HEALTHCARE. STAFFING CONTINUES TO BE A CHALLENGE, AND AFTER OPENING, NARH CONTINUED BHS'S WORK OF PARTNERING WITH MASSACHUSETTS COLLEGE OF LIBERAL ARTS TO PROVIDE TRAINING AND EDUCATION FOR THE NEXT GENERATION OF HEALTHCARE PROVIDERS. THE HUB TEAM WHICH IS A GROUP OF COMMUNITY AGENCIES, MET WEEKLY IN FY 2024 TO ASSESS AND ASSIST HIGH-RISK COMMUNITY MEMBERS IN THE NORTH BERKSHIRE COMMUNITY ACCESS CARE. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH - FURTHERING OUR CHARITABLE PURPOSE AS PART OF BERKSHIRE HEALTH SYSTEMS, NORTH ADAMS REGIONAL HOSPITAL'S COMMUNITY BENEFIT MISSION IS COMMITTED TO IDENTIFY, PRIORITIZE, AND MAKE INVESTMENTS THAT ADDRESS OUR COMMUNITIES' HEALTH NEEDS AND RAISE THE HEALTH STATUS OF OUR NEIGHBORS. NORTH ADAMS REGIONAL HOSPITAL IS COMMITTED TO BUILD A HEALTHIER COMMUNITY AND APPROACHES THIS CHALLENGE AS A KEY LEADER IN A REGIONAL NETWORK THAT IS FOCUSED ON ADDRESSING PRIORITY HEALTH ISSUES AMONG VULNERABLE POPULATIONS THROUGH OFFERING HIGH QUALITY EDUCATION, PROGRAMS AND SERVICES THAT WILL IMPROVE HEALTH STATUS. NARH SERVES AS THE RURAL REGION'S PRIMARY HEALTHCARE ORGANIZATION, AND ADDRESSES THE NEEDS OF "AT RISK AND VULNERABLE POPULATIONS AS PART OF OVERALL PUBLIC HEALTH. NARH SEEKS INPUT AND FEEDBACK TO IMPROVE EFFICIENT USE OF RESOURCES TO MEET IDENTIFIED COMMUNITY NEEDS AND ACTS AS A CATALYST TO PROMOTE HEALTH INITIATIVES SUCH AS FLU CLINICS, EMERGENCY PLANNING, AND OTHER PUBLIC HEALTH MANDATES. NARH PARTICIPATES IN THE BERKSHIRE MEDICAL CENTER MONTHLY COMMUNITY BENEFITS MEETINGS. NORTH ADMAS REGIONAL HOSPITAL VALUES THE COMMUNITY'S VITAL ROLE AS PARTNERS IN THE VITALITY OF THEIR COMMUNITY HOSPITAL. MEMBERS OF THE COMMUNITY, REPRESENTING VARIOUS DEMOGRAPHIC AND CONSTITUENCY GROUPS, SERVE ON OUR GOVERNING BOARDS AS WELL AS VARIOUS COMMITTEES, INCLUDING THE PATIENT FAMILY ADVISORY COUNCIL, THE ETHICS COMMITTEE AND OTHER GROUPS THAT CREATE OPPORTUNITY FOR DIALOGUE WHICH ASSURE THE INPUT AND INTERESTS OF THE COMMUNITY ARE REPRESENTED AT THE HIGHEST LEVELS. HOSPITAL STAFF ALSO PLAY AN ACTIVE ROLE IN MANY LOCAL AND REGIONAL ORGANIZATIONS, SUPPORTING THEIR EFFORTS AND, BY ENGAGING WITH THEIR MISSION AND INTERESTS, CREATING NEW AVENUES OF COLLABORATION AND OPPORTUNITY TO BETTER MEET OUR COMMUNITY'S HEALTH NEEDS.AT THE END OF FISCAL YEAR 2024, THE CURRENT GOVERNING BODY OF NORTH ADAMS REGIONAL HOSPITAL CONSISTED OF 18 COMMUNITY VOLUNTEERS, AND FOUR PHYSICIAN REPRESENTATIVES. THE COMMUNITY VOLUNTEERS ARE ELECTED FOR TERMS OF UP TO THREE YEARS, ARE SUBJECT TO TERM LIMITS, AND REPRESENT A WIDE SPECTRUM OF COMMUNITY INTERESTS - INCLUDING SOCIAL SERVICE PROVIDERS, LOCAL BUSINESS LEADERS, FINANCIAL PROFESSIONALS, CONSUMER ADVOCATES, AND EDUCATIONAL LEADERS. MOST COMMITTEES OF THE BOARD OF TRUSTEES INCLUDE ADDITIONAL COMMUNITY REPRESENTATIVES. THE MEDICAL STAFF OF NORTH ADAMS REGIONAL HOSPITAL IS OPEN TO ALL PHYSICIANS WHO MEET CLINICAL AND PATIENT SERVICE CRITERIA.NARH REGULARLY EXPENDS PERSONNEL AND FINANCIAL RESOURCES IN SUPPORT OF COMMUNITY INITIATIVES THAT PROMOTE IMPROVEMENTS IN COMMUNITY HEALTH AND WELL-BEING FOR WHICH IT DOES NOT EXPECT REIMBURSEMENT. THE HOSPITAL UTILIZES SURPLUS FUNDS FOR CAPITAL IMPROVEMENTS, TO MAINTAIN ACCESS TO HOSPITAL SERVICES AND PRIMARY CARE, TO EXPAND ACCESS POINTS OF CARE, AND TO SUPPORT SERVICES THAT SUPPORT COMMUNITY BENEFIT PRIORITIES INCLUDING CHRONIC DISEASE, EDUCATION, AND ACCESS TO CARE. NORTH ADAMS REGIONAL HOSPITAL'S SERVICE AREA IS DESIGNATED A MEDICALLY UNDERSERVED REGION. A HIGH PRIORITY HAS BEEN PLACED ON STABILIZING THE CURRENT MEDICAL COMMUNITY, AS WELL AS ATTRACTING NEW PHYSICIANS AND SPECIALISTS TO THE REGION. NORTH ADAMS REGIONAL HOSPITAL COLLABORATES WITH AREA MEDICAL PRACTICES AND SERVICES TO BUILD A STRONG FOUNDATION OF SERVICES AND INFORMATION TO ASSURE HIGH QUALITY CARE IS AVAILABLE. AS STEWARD OF THE COMMUNITY'S PRIMARY HEALTH ORGANIZATION, AND A NOT-FOR-PROFIT ORGANIZATION, NORTH ADAMS REGIONAL HOSPITAL UTILIZES ANY SURPLUS FUNDS TO MEET THE HIGHEST PRIORITY NEEDS INCLUDING PATIENT CARE, SERVICE AND PROGRAM DEVELOPMENT, MEDICAL EDUCATION OF ALL STAFF, COMMUNITY SUPPORT, AND EDUCATION AND RESEARCH.AS THE CENTER OF THE HEALTHCARE COMMUNITY IN THE NORTHERN BERKSHIRES, NORTH ADAMS REGIONAL HOSPITAL IS AN ACTIVE LEADER IN THE PROMOTION OF BETTER HEALTH IN OUR COMMUNITY. NORTH ADAMS REGIONAL HOSPITAL OFFERS:PRIMARY SERVICES TO ALL WHO SEEK CARE, REGARDLESS OF ABILITY TO PAY;FREE OR LOW-COST EDUCATIONAL PROGRAMS, SUPPORT GROUPS, AND SCREENINGS TO PROVIDE VALUABLE INFORMATION TO OUR COMMUNITY, WITH PARTICULAR FOCUS ON VULNERABLE POPULATIONS;ONGOING MEDIA COMMUNICATION FOR IMPORTANT HEALTH ACCESS INFORMATION INCLUDING FLU PREVENTION, VACCINATIONS, AND COMMONWEALTH CARE DEADLINES;HEALTHY MENUS, MORE SUSTAINABLE OR ENVIRONMENTALLY FRIENDLY POLICIES, AND;LEADERSHIP AND COLLABORATION IN PUBLIC HEALTH INITIATIVES INCLUDING EMERGENCY PLANNING, BOARDS OF HEALTH, AND OTHER COMMUNITY-WIDE INITIATIVES. PART VI, LINE 6: AFFILIATED HEALTHCARE SYSTEM - NORTH ADAMS REGIONAL HOSPITAL 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. NORTH ADAMS REGIONAL HOSPITAL 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. NORTH ADAMS REGIONAL HOSPITAL, 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 VARIOUS AFFILIATES, SUCH AS THE FACULTY PRACTICE ORGANIZATION, ARE FULLY INTEGRATED INTO THE COMMUNITY BENEFIT PROCESS AND SUPPORT THE HOSPITAL'S PRIORITIES BY HONORING OUR FREE CARE GUIDELINES AND ENGAGING IN SPECIFIC PROGRAMS AND INITIATIVES DESIGNED TO MEET COMMUNITY NEEDS. PART VI, LINE 7, REPORTS FILED WITH STATES MA 0 0 0 0 0 0 0 0 0 DARLENE M RODOWICZ PRESIDENT/TRUSTEE 0 829481 0 142617 0 83401 0 13723 0 23430 0 1092652 0 0 JASON BRATCHER TRUSTEE/ PHYSICIAN 0 545031 0 93784 0 3024 0 13832 0 16509 0 672180 0 0 SCOTT STGEORGE TREASURER 0 498127 0 42925 0 61450 0 9013 0 16379 0 627894 0 0 ALEC BELMAN TRUSTEE/ PHYSICIAN 0 387139 0 21463 0 2701 0 14850 0 54907 0 481060 0 0 JOHN A LOIODICE MD TRUSTEE/ PHYSICIAN 0 238907 0 5518 0 6211 0 9437 0 28601 0 288674 0 0 EDMUND HORNSTEIN DO TRUSTEE 0 221460 0 3923 0 1799 0 0 0 380 0 227562 0 0 FORM 990, PART VII AND SCHEDULE J (FORM 990), PART II SUPPLEMENTAL COMPENSATION INFORMATION 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 2023, COMPENSATION FOR THE CEO WAS THE THE 40TH PERCENTILE FOR BASE PAY. FORM 990, PART VI, SECTION A, LINE 3 NORTH ADAMS REGIONAL HOSPITAL RELIES ON BHS MANAGEMENT SERVICES, INC. TO PROVIDE MANAGEMENT AND SUPPORT SERVICES FOR THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, VP GENERAL COUNSEL, VP OF HUMAN RESOURCES, AND VP OF PHYSICIAN SERVICES. FORM 990, PART VI, SECTION A, LINE 6 BERKSHIRE HEALTH SYSTEMS, INC. IS THE SOLE CORPORATE MEMBER. 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 BERKSHIRE HEALTH SYSTEMS, INC. MAKES THE FORMS 990 FOR BHS AND ITS 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 ACTIONS 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 NORTH ADAMS REGIONAL HOSPITAL RELIES ON BHS MANAGEMENT SERVICES, INC. TO SUPPLY ITS CHIEF EXECUTIVE OFFICER. THE COMPENSATION OF CEO DARLENE RODOWICZ IS REVIEWED AND ESTABLISHED AT LEAST BIANNUALLY BY THE INDEPENDENT VOLUNTEER GOVERNING BODY OF BERKSHIRE HEALTH SYSTEMS, INC. (PARENT ORGANIZATION OF FAIRVIEW HOSPITAL), 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 BENCHMARKS IDENTIFIED BY SUCH INDEPENDENT CONSULTANTS. IN THE REPORTING YEAR, THE GOVERNING BODY TARGETED BASE COMPENSATION FOR MANAGEMENT EMPLOYEES AT THE 60TH PERCENTILE OF APPROPRIATE BENCHMARKS (OTHER THAN THE CHIEF EXECUTIVE OFFICER WHOSE TOTAL COMPENSATION REMAINS TARGETED AT THE 50TH PERCENTILE.) FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE OFFICES OF (A) THE CHIEF FINANCIAL OFFICER & (B) THE VICE PRESIDENT, GENERAL COUNSEL AT 725 NORTH STREET, PITTSFIELD, MASSACHUSETTS 01201. BERKSHIRE HEALTH SYSTEMS INC 725 NORTH STREET PITTSFIELD MA 01201 042442944 PARENT CORPORATION MA 501(C)(3) 12B-II N/A 0 BERKSHIRE MEDICAL CENTER INC 725 NORTH STREET PITTSFIELD MA 01201 042791396 ACUTE CARE HOSPITAL MA 501(C)(3) 3 N/A 0 BERKSHIRE FACULTY SERVICES INC 725 NORTH STREET PITTSFIELD MA 01201 042995053 PHYSICIAN SERVICES MA 501(C)(3) 12B-II N/A 0 BHS MANAGEMENT SERVICES INC 725 NORTH STREET PITTSFIELD MA 01201 222755258 MANAGEMENT SERVICES MA 501(C)(3) 12B-II N/A 0 FAIRVIEW HOSPITAL 725 NORTH STREET PITTSFIELD MA 01201 042133860 ACUTE CARE HOSPITAL MA 501(C)(3) 3 0 TRI-STATE MEDICAL MANAGEMENT CORPORATION 725 NORTH STREET PITTSFIELD MA 01201 042913352 REAL ESTATE MANAGEMENT MA FAIRVIEW HOSPITAL C 1.00000 0 BERKSHIRE FAMILY PRACTICE ACCOCIATES PC 20 ELM STREET PITTSFIELD MA 01201 842155335 HEALTHCARE SERVICES MA N/A C 0 BERKSHIRE ORTHOPAEDIC ASSOCIATES INC 24 PARK STREET PITTSFIELD MA 01201 043017240 HEALTHCARE SERVICES MA N/A C 0 BERKSHIRE APOTHECARY INC 725 NORTH STREET PITTSFIELD MA 01201 843975327 RETAIL PHARMACY MA BERKSHIRE MEDICAL CENTER C 1.00000 0 BERKSHIRE EAR NOSE THROAT AND AUDIOLOGICAL ASSOCIATES PC 510 NORTH STREET 10 PITTSFIELD MA 01201 222683819 HEALTHCARE SERVICES MA N/A C 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1 1 1 1 BERKSHIRE MEDICAL CENTER H 17700951 BOOK VALUE AT TRANSFER SCHEDULE R (FORM 990) PART V, LINE 1H ON MARCH 28, 2024, BERKSHIRE MEDICAL CENTER (BMC) SOLD FIXED ASSETS TO NORTH ADAMS REGIONAL HOSPITAL (NARH), A RELATED ORGANIZATION, FOR A TOTAL PURCHASE PRICE OF $17,700,951. THE TRANSACTION WAS CONDUCTED AT BOOK VALUE. BMC AND NARH ARE AFFILIATED THROUGH COMMON GOVERNANCE AND SHARE THE SAME BOARD OF DIRECTORS. THIS ASSET TRANSFER WAS PART OF THE REOPENING AND REESTABLISHMENT OF OPERATIONS AT NORTH ADAMS REGIONAL HOSPITAL, FACILITATED BY BERKSHIRE MEDICAL CENTER TO ENSURE CONTINUED ACCESS TO HEALTHCARE SERVICES IN THE REGION.