SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet
Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Bourne Management Systems Inc
 
Employer identification number

04-3337127
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Berkshire Extended Care Services Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3020520
Skilled nursing facility MA 501(c)(3) 3 Berkshire Retirement Community Inc
 
 
No
(2)Hillcrest Extended Care Services Inc
75 North Street Suite 210

Pittsfield,MA01201
36-3700875
Skilled nursing facility MO 501(c)(3) 3 Willowood Extended Care Services Inc
 
 
No
(3)Berkshire Pennsylvania Inc
75 North Street Suite 210

Pittsfield,MA01201
25-1627992
Skilled nursing facility PA 501(c)(3) 3 Fairview Extended Care services Inc
 
 
No
(4)Berkshire Retirement Community Inc
75 North Street Suite 210

Pittsfield,MA01201
22-2579838
Skilled nursing facility and residential units MA 501(c)(3) 9 Berkshire Healthcare Systems Inc
 
 
No
(5)Berkshire Healthcare Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3030633
Maintain skilled nursing facilities MA 501(c)(3) 11a na
 
 
No
(6)CEC Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3337130
Maintain skilled nursing facilities MA 501(c)(3) 11a Berkshire Healthcare Systems Inc
 
 
No
(7)Fairview Extended Care Services Inc
75 North Street Suite 210

Pittsfield,MA01201
04-2979430
Maintain skilled nursing facilities MA 501(c)(3) 3 Berkshire Healthcare Systems Inc
 
 
No
(8)East Longmeadow Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3080762
Skilled nursing facility MA 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(9)Greenfield Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3337128
Skilled nursing facility MA 501(c)(3) 9 CEC Management Systems Inc
 
 
No
(10)South Yarmouth Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3080763
Skilled nursing facility MA 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(11)BHCS Management Services Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3031987
Management MA 501(c)(3) 3 Berkshire Healthcare Systems Inc
 
 
No
(12)Northampton Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3337116
Skilled nursing facility MA 501(c)(3) 9 CEC Management Systems Inc
 
 
No
(13)Peabody Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3080764
Skilled nursing facility MA 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(14)New Bedford Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3337124
Skilled nursing facility MA 501(c)(3) 9 CEC Management Systems Inc
 
 
No
(15)Danvers Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3080765
Skilled nursing facility MA 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(16)Willowood Extended Care Services Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3480600
Maintain skilled nursing facilities MA 501(c)(3) 9 Berkshire Healthcare Systems Inc
 
 
No
(17)Willowood of Great Barrington Inc
75 North Street Suite 210

Pittsfield,MA01201
04-2854118
Skilled nursing facility MA 501(c)(3) 9 Willowood Extended Care Services Inc
 
 
No
(18)Willowood of North Adams Inc
75 North Street Suite 210

Pittsfield,MA01201
04-2893906
Skilled nursing facility MA 501(c)(3) 9 Willowood Extended Care Services Inc
 
 
No
(19)Willowood of Williamstown Inc
75 North Street Suite 210

Pittsfield,MA01201
04-2893911
Skilled nursing facility MA 501(c)(3) 9 Willowood Extended Care Services Inc
 
 
No
(20)Xenia East Management Services Inc
75 North Street Suite 210

Pittsfield,MA01201
31-1295974
Skilled nursing facility OH 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(21)Xenia West Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
31-1295975
Skilled nursing facility OH 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(22)IntegriNurse Inc
75 North Street Suite 210

Pittsfield,MA01201
26-1446630
Nursing registry MA 501(c)(3) 11b BHCS Management Services Inc
 
 
No
(23)Pittsfield Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-2982134
Skilled nursing facility MA 501(c)(3) 9 Berkshire Healthcare Systems Inc
 
 
No
(24)HospiceCare in the Berkshires Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3084466
Provide hospice and palliative care MA 501(c)(3) 7 Berkshire Healthcare Systems Inc
 
 
No
(25)IntegriScript Inc
75 North Street Suite 210

Pittsfield,MA01201
27-1465523
closed door pharmacy MA 501(c)(3) 11b Berkshire Healthcare Systems Inc
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Page 2
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BHCS Management Company Inc

75 North Street Suite 210
Pittsfield,MA01201
04-3472881
Management company MA N/A
C corp         No












Schedule R (Form 990) 2014
Page 3
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2014
Page 4
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Page 5
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014

Additional Data


Software ID: 14000265
Software Version: 2014v5.0