North Adams Regional Hospital

What it reported doing in 2023

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.

Financial Efficiency

• Mission deployment rate: 97.1%; rating input score 97
• Program expense ratio: 76.2%; rating input score 76
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 78.3%; rating input score 78; 15th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -27.6%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 1.1; rating input score 40; 40th percentile among comparable filings
• Liabilities to assets ratio: 1.2; rating input score 3; 3rd percentile among comparable filings
• Officer compensation ratio: 0.8%; rating input score 87; 87th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: Limited
• Asset growth: Limited