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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Fairview Extended Care Services Inc
 
Employer identification number

04-2979430
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 Healthcare Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3030633 		Maintain skilled nursing facilities MA 501(c)(3) 9 NA
 
 
No
(2)East Longmeadow Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3080762 		Skilled Nursing MA 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(3)Danvers Managment 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
(4)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
(5)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
(6)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
(7)Xenia East Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
31-1295974 		Skilled Nursing Facility OH 501(c)(3) 3 Fairview Extended Care Services Inc
 
 
No
(8)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
(9)CEC Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3337130 		Maintain skilled nursing facility MA 501(c)(3) 11a Berkshire Healthcare Systems Inc
 
 
No
(10)Bourne Management Systems Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3337127 		Skilled Nursing Facility MA 501(c)(3) 9 CEC Management Systems Inc
 
 
No
(11)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
(12)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
(13)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
(14)Berkshire Retirement Community Inc
75 North Street Suite 210

North Street Suite,MA01201
22-2579838 		Residential Units MA 501(c)(3) 9 Berkshire Healthcare Systems Inc
 
 
No
(15)Berkshire Extended Care Services
75 North Street Suite 210

Pittsfield,MA01201
04-3020520 		Skilled Nursing Facility MA 501(c)(3) 3 Berkshire Retirement Community 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) 11a 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)Hillcrest Extended Care Services
75 North Street Suite 210

Pittsfield,MA01201
04-2893911 		Skilled Nursing Facility MO 501(c)(3) 3 Willowood Extended Care Services Inc
 
 
No
(21)BHCS Management Services Inc
75 North Street Suite 210

Pittsfield,MA01201
04-3031987 		Management Company MA 501(c)(3) 3 NA
 
 
No
(22)IntegriNurse Inc
75 North Street Suite 210

Pittsfield,MA01201
26-1446630 		Nursing Staffing 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 BHCS Management Services Inc
 
 
No
(26)Hospice of Franklin County Inc
75 North Street Suite 210

Pittsfield,MA01201
20-1611913 		Provide Hospice Services MA 501(c)(3) 9 Berkshire Healthcare Systems Inc
 
 
No
(27)Holyoke Retirement Community Inc
75 North Street Suite 210

Pittsfield,MA01201
82-1583686 		Skilled nursing facility & residential MA 501(c)(3) 7 Berkshire Healthcare Systems Inc
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
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 Berkshire Healthcare Systems Inc
  		C corp         No












Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
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) 2021
Page 4
Schedule R (Form 990) 2021
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) 2021
Page 5
Schedule R (Form 990) 2021
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) 2021

Additional Data


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