SOUTH COUNTY HOSPITAL HEALTHCARE: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SOUTH COUNTY HOSPITAL HEALTHCARE (EIN 05-0445136)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202432279349301783
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T12:21:33-05:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	60 SOUTH STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	050445136	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	4017828000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 KENYON AVENUE	AddressLine1Txt
City	WAKEFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02879	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS J BREEN	PersonNm
Person Title	VP AND CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	4017828000	PhoneNum
Signature	2024-08-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	SHYAMALEE JOSEPH	PreparerPersonNm
PTIN	P01085371	PTIN
Phone	6179881000	PhoneNum
Preparation	2024-08-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AARON S ROBINSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 KENYON AVENUE	AddressLine1Txt
City	WAKEFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02879	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$239,710,396	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHCOUNTYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1735	TotalEmployeeCnt
Total Volunteers	167	TotalVolunteersCnt
Total Gross UBI	$4,481	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,195,490	PYContributionsGrantsAmt
CY Contributions Grants	$626,547	CYContributionsGrantsAmt
PY Program Service Revenue	$218,352,366	PYProgramServiceRevenueAmt
CY Program Service Revenue	$229,074,164	CYProgramServiceRevenueAmt
PY Investment Income	$1,934,163	PYInvestmentIncomeAmt
CY Investment Income	$1,780,143	CYInvestmentIncomeAmt
PY Other Revenue	$489,712	PYOtherRevenueAmt
CY Other Revenue	$1,973,718	CYOtherRevenueAmt
PY Total Revenue	$225,971,731	PYTotalRevenueAmt
CY Total Revenue	$233,454,572	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$119,569,313	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$120,512,929	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$111,024,245	PYOtherExpensesAmt
CY Other Expenses	$119,451,034	CYOtherExpensesAmt
PY Total Expenses	$230,593,558	PYTotalExpensesAmt
CY Total Expenses	$239,963,963	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,621,827	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,509,391	CYRevenuesLessExpensesAmt
Total Assets BOY	$165,173,339	TotalAssetsBOYAmt
Total Assets EOY	$186,937,684	TotalAssetsEOYAmt
Total Liabilities BOY	$105,808,259	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$125,499,418	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$59,365,080	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$61,438,266	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE COMMUNITY MEMBERS AND VISITORS. FOR MORE INFORMATION, SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$216,361,321	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$229,909,278	RevenueAmt
Desc	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND, OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. FOR MORE INFORMATION, SEE SCHEDULE O.	Desc
Total Program Service Expenses	$216,361,321	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	64	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1735	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS J BREEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4017828000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 KENYON AVENUE	AddressLine1Txt
City	WAKEFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02879	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER JALBERT
VP OF MEDICAL STAFF	40.00	3.00	Yes (X)	$256,907	$0	$29,118
JOSEPH MATTHEWS
CHAIRMAN	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
JAMES FARRELL
VICE CHAIRMAN	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
NOAH BENEDICT
SECRETARY (AS OF 4/23)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
BETTY RAMBUR PHD RN
TREASURER (AS OF 4/23)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
VICTORIA A WICKS
TRUSTEE, TREASURER (UNTIL 4/23)	1.00	3.00	Yes (X)	$0	$0	$0	Yes (X)
ROBERT BIERWIRTH MD
PRESIDENT OF MED STAFF	1.00	3.00	Yes (X)	$0	$0	$0
STEVE BLAZEJEWSKI
TRUSTEE (THRU 4/23)	1.00	3.00	Yes (X)	$0	$0	$0
SANDRA COLETTA
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
ROBERT DYER MD
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
JOHN H HOWLAND
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
ROGEAN MAKOWSKI
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
JASON MARSHALL
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
RICK NORBERG
TRUSTEE (AS OF 4/23)	1.00	3.00	Yes (X)	$0	$0	$0
AUSTIN C SMITH
TRUSTEE	1.00	3.00	Yes (X)	$0	$0	$0
JOHN WARDLE
TRUSTEE (THRU 4/23)	1.00	3.00	Yes (X)	$0	$0	$0
BARBARA WOLFE
TRUSTEE (AS OF 4/23)	1.00	3.00	Yes (X)	$0	$0	$0
AARON S ROBINSON
PRESIDENT AND CEO	40.00	3.00		$854,719	$0	$30,846	Yes (X)
THOMAS J BREEN
VP AND CHIEF FINANCIAL OFFICER	40.00	5.00		$432,344	$0	$27,071	Yes (X)
ARNOLD SARAZEN
MEDICAL DIRECTOR	40.00	0.00		$646,104	$0	$30,679		Yes (X)
ROBERT KORNAS
CHIEF MED OFF, VP SCMG (10/22-12/23)	40.00	0.00		$595,700	$0	$30,652		Yes (X)
ANETRIA GALMORE
VP, COO/CNO	40.00	0.00		$376,020	$0	$35,693		Yes (X)
KEVIN CHARPENTIER
CHIEF MED OFF, VP SCMG (AS OF 6/22)	40.00	0.00		$279,111	$0	$20,019		Yes (X)
MARGARET REGAN THOMAS
VP, CHIEF HR OFFICER	40.00	0.00		$251,624	$0	$26,245		Yes (X)
ANDREW PRESCOTT
GENERAL COUNSEL	40.00	0.00		$246,652	$0	$3,975		Yes (X)
IAN CLARK
VP, STRATEGY & PERF EXCELL	40.00	0.00		$213,041	$0	$15,455		Yes (X)
ANGIE MATHIEU
VP, CHIEF DIGITAL OFFICER	40.00	0.00		$194,172	$0	$27,824		Yes (X)
JOHN HEFFERNAN
PHYSICIAN	40.00	0.00		$576,761	$0	$26,583			Yes (X)
MEGIN DALTON
PHYSICIAN	40.00	0.00		$537,760	$0	$31,287			Yes (X)
DAVID BADER
PHYSICIAN	40.00	0.00		$528,486	$0	$30,822			Yes (X)
ANGELA TABER
PHYSICIAN	40.00	0.00		$461,303	$0	$11,477			Yes (X)
STEVEN SCHNEIDER
PHYSICIAN	40.00	0.00		$432,498	$0	$30,207			Yes (X)
AARON WEISBORD MD
FORMER TRUSTEE	40.00	0.00		$432,413	$0	$30,822				Yes (X)
SALVATORE ABBRUZZESE JR DO
FORMER PRESIDENT OF MED STAFF	40.00	0.00		$249,950	$0	$28,972				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,565,565	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$467,747	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	168	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SOUTH COUNTY ANESTHESIA ASSOCIATES
1342 BELMONT STREET STE 205	BROCKTON	MA	02818	MEDICAL SERVICES	$1,662,974
NARRGANSETT BAY ANESTHESIA LLC
ONE UNIVERSITY AVENUE STE 104	WESTWOOD	MA	02090	MEDICAL SERVICES	$1,499,798
ORTHOPEDICS RHODE ISLAND
200 CROSSING BLVD SUITE 310	WARWICK	RI	02886	ORTHOPEDICS & PT	$1,298,539
SCHB LLC
ATTN JOHN GREIM 3461 SOUTH COUNTY	EAST GREENWICH	RI	02818	FINANCIAL ADVISING	$874,005
WSCHB
3461 SOUTH COUNTY TRAIL	EAST GREENWICH	RI	02818	FINANCIAL ADVISING	$867,447

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	28	CntrctRcvdGreaterThan100KCnt
Government Grants	$626,547	GovernmentGrantsAmt
Total Contributions	$626,547	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	900099	$224,831,385	$224,831,385
OTHER PROGRAM REVENUE	622110	$4,242,779	$4,242,779

Field	Value	IRS element (for citing)
Total Program Service Revenue	$229,074,164	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,793,340	TotalRevenueColumnAmt
Unrelated Business Revenue	$4,481	UnrelatedBusinessRevenueAmt
Exclusion	$1,788,859	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,717,972	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,483,538	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$234,434	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$234,434	TotalRevenueColumnAmt
Related Or Exempt Func Income	$234,434	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,759,089	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,743,074	SecuritiesAmt
Other	$29,212	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16,015	SecuritiesAmt
Other	-$29,212	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$13,197	TotalRevenueColumnAmt
Exclusion	-$13,197	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SELF INSURED TRUST	900099	$632,339	$632,339
PURCHASE REBATES	549900	$600,680		$600,680
REVENUE FROM JOINT VENTURES	621512	$506,265	$506,265

Field	Value	IRS element (for citing)
Other Revenue Total	$1,739,284	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$233,454,572	TotalRevenueColumnAmt
Related Or Exempt Func Income	$229,909,278	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,481	UnrelatedBusinessRevenueAmt
Exclusion	$2,914,266	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,917,401	TotalAmt
Program Services	$19,988	ProgramServicesAmt
Management And General	$3,897,413	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,709,353	TotalAmt
Program Services	$85,891,736	ProgramServicesAmt
Management And General	$8,817,617	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,184,381	TotalAmt
Program Services	$1,987,467	ProgramServicesAmt
Management And General	$196,914	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,399,193	TotalAmt
Program Services	$12,191,305	ProgramServicesAmt
Management And General	$1,207,888	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,302,601	TotalAmt
Program Services	$5,734,445	ProgramServicesAmt
Management And General	$568,156	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$775,636	TotalAmt
Management And General	$775,636	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$150,684	TotalAmt
Management And General	$150,684	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$36,300	TotalAmt
Management And General	$36,300	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$85,159	TotalAmt
Management And General	$85,159	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,606,622	TotalAmt
Program Services	$14,585,829	ProgramServicesAmt
Management And General	$2,020,793	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$563,875	TotalAmt
Program Services	$494,296	ProgramServicesAmt
Management And General	$69,579	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,701,584	TotalAmt
Program Services	$6,751,245	ProgramServicesAmt
Management And General	$950,339	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,056,720	TotalAmt
Program Services	$4,432,742	ProgramServicesAmt
Management And General	$623,978	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,252,148	TotalAmt
Program Services	$2,850,846	ProgramServicesAmt
Management And General	$401,302	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$66,009	TotalAmt
Program Services	$57,866	ProgramServicesAmt
Management And General	$8,143	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$187,651	TotalAmt
Program Services	$164,499	ProgramServicesAmt
Management And General	$23,152	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,684,152	TotalAmt
Management And General	$1,684,152	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,743,380	TotalAmt
Program Services	$9,417,698	ProgramServicesAmt
Management And General	$1,325,682	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,755,534	TotalAmt
Program Services	$4,168,722	ProgramServicesAmt
Management And General	$586,812	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$54,560,815	$54,560,815
STATE LICENSE FEE	$6,232,578	$6,232,578
BAD DEBT EXPENSE	$5,590,491	$5,590,491
DUES & LICENSES	$540,328	$473,654	$66,674

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$861,368	TotalAmt
Program Services	$755,099	ProgramServicesAmt
Management And General	$106,269	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$239,963,963	TotalAmt
Program Services	$216,361,321	ProgramServicesAmt
Management And General	$23,602,642	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,100	BOYAmt
EOY	$9,100	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,478,863	BOYAmt
EOY	$5,823,637	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,512,090	BOYAmt
EOY	$16,772,530	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$564,541	BOYAmt
EOY	$258,683	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,236,950	BOYAmt
EOY	$4,760,362	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,420,556	BOYAmt
EOY	$5,954,930	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$226,785,301	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$162,642,804	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$70,467,239	BOYAmt
EOY	$64,142,497	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$26,788,586	BOYAmt
EOY	$30,184,682	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$26,991,788	BOYAmt
EOY	$26,477,231	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,903,721	BOYAmt
EOY	$5,618,311	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$799,905	BOYAmt
EOY	$26,935,721	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$165,173,339	BOYAmt
EOY	$186,937,684	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,555,845	BOYAmt
EOY	$27,241,400	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,194,744	BOYAmt
EOY	$33,679,513	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,930,580	BOYAmt
EOY	$3,318,928	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,127,090	BOYAmt
EOY	$61,259,577	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$105,808,259	BOYAmt
EOY	$125,499,418	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,320,080	BOYAmt
EOY	$61,393,266	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,000	BOYAmt
EOY	$45,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$59,365,080	BOYAmt
EOY	$61,438,266	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$165,173,339	BOYAmt
EOY	$186,937,684	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,509,391	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,055,062	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,527,515	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$60,847	OtherActivitiesAmt
Total Lobbying Expenditures	$60,847	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAID BRADFORD GROUP FOR LOBBYING ACTIVITY. IN ADDITION, A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF RHODE ISLAND WERE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$50,074,374	BeginningYearBalanceAmt
Contributions	$235,449	ContributionsAmt
Investment Earnings Or Losses	$4,467,473	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,283,334	OtherExpendituresAmt
End Year Balance	$52,493,962	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$62,897,246	BeginningYearBalanceAmt
Contributions	$1,972,622	ContributionsAmt
Investment Earnings Or Losses	-$10,057,494	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,738,000	OtherExpendituresAmt
End Year Balance	$50,074,374	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$51,725,549	BeginningYearBalanceAmt
Contributions	$2,549,619	ContributionsAmt
Investment Earnings Or Losses	$8,622,078	InvestmentEarningsOrLossesAmt
End Year Balance	$62,897,246	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$45,939,399	BeginningYearBalanceAmt
Contributions	$3,042,232	ContributionsAmt
Investment Earnings Or Losses	$2,743,918	InvestmentEarningsOrLossesAmt
End Year Balance	$51,725,549	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$43,683,907	BeginningYearBalanceAmt
Contributions	$1,241,439	ContributionsAmt
Investment Earnings Or Losses	$1,395,553	InvestmentEarningsOrLossesAmt
Other Expenditures	$381,500	OtherExpendituresAmt
End Year Balance	$45,939,399	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.98810	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.01190	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$473,121	OtherCostOrOtherBasisAmt
Book Value	$473,121	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,651,953	OtherCostOrOtherBasisAmt
Depreciation	$47,651,791	DepreciationAmt
Book Value	$27,000,162	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,742,240	OtherCostOrOtherBasisAmt
Depreciation	$2,634,118	DepreciationAmt
Book Value	$4,108,122	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$141,353,909	OtherCostOrOtherBasisAmt
Depreciation	$109,050,536	DepreciationAmt
Book Value	$32,303,373	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,564,078	OtherCostOrOtherBasisAmt
Depreciation	$3,306,359	DepreciationAmt
Book Value	$257,719	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$64,142,497	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWMENT ASSETS	$9,027,032	F
ASSETS HELD IN TRUST	$12,646,257	F
DONOR RESTRICTED FUNDS	$3,284,317	F
EQUITY INVESTMENT IN JV	$1,519,625	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$26,477,231	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$466,576
FAIR VALUE OF SWAP AGREEMENTS	$241,104
RIGHT OF USE ASSETS	$26,228,041

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$26,935,721	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$11,303,267
UNPAID LOSS RESERVE	$15,792,890
ACCRUED RETIREMENT PLAN	$3,027,621
ACCRUED INSURED LOSSES	$1,623,718
POST RETIREMENT BENEFIT OBLIGATION	$224,574
ACRO LIABILITY	$436,395
SECURITY DEPOSITS	$19,685
LINE OF CREDIT	$2,000,000
OPERATING LEASE	$26,423,133
DUE TO AFFILIATES	$202,334
OTHER LIABILITIES	$205,960

Field	Value	IRS element (for citing)
Total Liability	$61,259,577	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$240,845,037	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$3,055,062	NetUnrealizedGainsInvstAmt
Other Revenue	$5,527,515	OtherRevenueAmt
Revenue Not Reported	$8,582,577	RevenueNotReportedAmt
Revenue Subtotal	$232,262,460	RevenueSubtotalAmt
Investment Expenses Not Incld	$85,159	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$1,106,953	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,192,112	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$233,454,572	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$238,771,851	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$238,771,851	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$85,159	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,106,953	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,192,112	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$239,963,963	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE HOSPITAL'S ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES.
PART X, LINE 2:	THE FOOTNOTE BELOW IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL, SOUTH COUNTY HOME HEALTH AND THE SOUTH COUNTY HEALTH FOUNDATION) OPERATE AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX PROVISIONS AND RELATED LIABILITIES FOR SILVER SPRING HEALTHCARE MANAGEMENT WHICH IS A TAXABLE ENTITY CONTROLLED BY THE HOSPITAL ARE NOT SIGNIFICANT. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITIONS IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2023 OR 2022.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,447,918. CHANGE IN FUND STATUS OF EMPLOYEE BENEFIT PLAN 4,293,416. UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP 53,143. UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. 174,318. NONSERVICE COST COMPONENTS OF NET PENSION COST -441,280.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 5,590,491. RENTAL EXPENSE -4,483,538.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 5,590,491. RENTAL EXPENSE -4,483,538.
PART V, LINE 2:	SOUTH COUNTY HOSPITAL HAS ADOPTED FASB ASU 2016 14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2023 AUDITED FINANCIAL STATEMENTS CLASSIFY THE NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF PART V, LINE 2, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM HAS REPORTED ITS YEAR END ENDOWMENT BALANCE WITHOUT DONOR RESTRICTIONS AS QUASI-ENDOWMENT AND ITS YEAR END BALANCE WITH DONOR RESTRICTIONS AS PERMANENTLY RESTRICTED ENDOWMENT, RESPECTIVELY.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,844,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,023,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,820,668	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,260,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,150,604	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$110,078	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,337,559	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,608,136	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,729,423	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,442,887	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,782,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,660,169	NetCommunityBenefitExpnsAmt
Total Expense	0.02780	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,048,882	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,208,999	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$839,883	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$341,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$160,988	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$180,441	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,825	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,454,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,369,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,084,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00460	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,897,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,152,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,744,318	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$5,590,491	BadDebtExpenseAmt
Reimbursed By Medicare	$44,407,591	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,721,579	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,313,988	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 SOUTH COUNTY RADIATION THERAPY LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	RADIATION ONCOLOGY	PrimaryActivitiesTxt
Org Profit Or Ownership	1.00000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH COUNTY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 KENYON AVENUE	AddressLine1Txt
City	WAKEFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02879	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SOUTHCOUNTYHEALTH.ORG	WebsiteAddressTxt
State License	HOS00114	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTH COUNTY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SUPPLEMENTAL INFORMATION	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFO	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SOUTH COUNTY HOSPITAL	PART V, SECTION B, LINE 3J: THE HOSPITAL ALSO PARTICIPATED IN A STATEWIDE COMPREHENSIVE CHNA LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS AND ENGAGED COMMUNITY RESEARCH CONSULTING (CRC).
SOUTH COUNTY HOSPITAL	PART V, SECTION B, LINE 5: AS PART OF THE CHNA, SOUTH COUNTY HEALTH IN PARTNERSHIP WITH HEALTHY BODIES HEALTHY MINDS WASHINGTON COUNTY HOSTED A VIRTUAL PARTNER MEETING ON MARCH 15, 2022. A TOTAL OF 44 PEOPLE ATTENDED REPRESENTING HEALTH AND SOCIAL SERVICE AGENCIES, SENIOR SERVICES, LOCAL GOVERNMENT, AND CIVIC ORGANIZATIONS. THE OBJECTIVE OF THE FORUM WAS TO SHARE DATA FROM THE CHNA AND GARNER FEEDBACK ON COMMUNITY HEALTH PRIORITIES, AS WELL AS OPPORTUNITIES FOR COLLABORATION AMONG PARTNER AGENCIES. RESEARCH FROM THE CHNA WAS PRESENTED AT THE SESSION. SMALL GROUP DIALOGUE WAS FACILITATED TO DISCUSS RESEARCH FINDINGS, EXISTING RESOURCES AND INITIATIVES TO ADDRESS PRIORITY AREAS, THE IMPACT OF COVID-19 ON COMMUNITIES AND SERVICES, AND NEW OR INNOVATIVE OPPORTUNITIES FOR CROSS-SECTOR COLLABORATION.IN SUPPORT OF SOUTH COUNTY HEALTH'S COMMUNITY BENEFIT ACTIVITIES AND TO GUIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS, SOUTH COUNTY HEALTH PARTICIPATED IN A STATEWIDE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND AND ITS MEMBER HOSPITALS.THE 2022 CHNA WAS CONDUCTED FROM JULY 2021 TO MAY 2022 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES WITHIN THE HOSPITAL SERVICE AREAS COMPARED TO HEALTH INDICATORS ACROSS RHODE ISLAND AND THE NATION.THE ASSESSMENT WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT (ACA), AS WELL AS TO FURTHER SCH'S COMMITMENT OF COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT.IN SUPPORT OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, AND ONGOING COMMUNITY BENEFIT INITIATIVES, SOUTH COUNTY HEALTH PLANS TO IMPLEMENT STRATEGIES TO IMPACT AND MEASURE COMMUNITY HEALTH IMPROVEMENT, PARTICULARLY IN THE AREA OF BEHAVIORAL HEALTH AND CHRONIC DISEASE.
SOUTH COUNTY HOSPITAL	PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: CARE NEW ENGLAND HEALTH SYSTEMS, CHARTERCARE, LANDMARK MEDICAL CENTER, AND THE L&M WESTERLY HOSPITAL.
SOUTH COUNTY HOSPITAL	PART V, SECTION B, LINE 6B: THE OTHER ORGANIZATIONS THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: THE HOSPITAL ASSOCIATION OF RHODE ISLAND, AND THE RHODE ISLAND DEPARTMENT OF HEALTH.
SOUTH COUNTY HOSPITAL	PART V, SECTION B, LINE 11: THE 2022 PRIORITY HEALTH NEEDS IDENTIFIED FOR WASHINGTON COUNTY WERE BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE) AND CHRONIC DISEASE. RHODE ISLAND HAS A HIGHER PREVALENCE OF SUBSTANCE USE DISORDER, INCLUDING ALCOHOL AND OPIOID USE DISORDER, THAN THE NATION. CONSISTENT WITH THE 2019 CHNA, WASHINGTON COUNTY ADULTS HAVE A HIGHER PREVALENCE OF ALCOHOL USE DISORDER THAN THE STATE; THE PREVALENCE OF ADULTS REPORTING EXCESSIVE DRINKING INCREASED FROM THE 2019 CHNA FROM 21.4% TO 24.4%. BOTH RHODE ISLAND AND WASHINGTON COUNTY HAVE HISTORICALLY HAD A HIGHER ACCIDENTAL DRUG OVERDOSE DEATH RATE THAN THE NATION. SINCE THE COVID-19 PANDEMIC, THERE HAS BEEN AN INCREASE IN ACCIDENTAL DRUG OVERDOSE DEATHS STATEWIDE, FROM 308 IN 2019 TO 384 IN 2020.TO ADDRESS THESE NEEDS, SOUTH COUNTY HEALTH DEVELOPED A THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) TO GUIDE COMMUNITY BENEFIT AND POPULATION HEALTH IMPROVEMENT ACTIVITIES ACROSS WASHINGTON COUNTY. THE CHIP BUILDS UPON PREVIOUS HEALTH IMPROVEMENT ACTIVITIES, WHILE RECOGNIZING NEW HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA, A CHANGING HEALTHCARE ENVIRONMENT, AND THE IMPACT OF THE COVID-19 PANDEMIC.
PART V, SECTION B, LINE 7A:	HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 10:	HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART V, SECTION B, LINE 16A:	HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
PART V, SECTION B, LINE 16B:	HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/MEDIA/DOCUMENTS/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-2020.PDF
PART V, SECTION B, LINE 16C:	HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/MEDIA/DOCUMENTS/FINANCIAL-ASSISTANCE/ELIGIBILITY-SCREENING-QUESTIONNAIRE-APPENDIX-2.PDF
PART V, SECTION B, LINE 22D:	SOUTH COUNTY HOSPITAL PROVIDES FREE CARE TO ALL INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE.
PART I, LINE 7:	COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(C), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,590,491.
PART I, LINE 7G:	SOUTH COUNTY HOSPITAL'S COMMUNITY HEALTH DIVISION PROVIDES VARIOUS PROGRAMS FREE OF CHARGE TO THE COMMUNITY IT SERVES WHICH ARE PARTIALLY FUNDED WITH FEDERAL/STATE GRANTS, TOWN SUBSIDIES, AND DONATIONS. THESE PROGRAMS CAN BE SUMMARIZED AS FOLLOWS;RIDOH HEZ CORE: HEALTHY BODIES HEALTHY MINDS (HBHM) INFRASTRUCTURE TO FACILIATE RIDOH PROGRAMS.RIDOH HEZ RURAL HEALTH: INITIAL STAGES OF THE COMMUNITY PARAMEDIC PROGRAM. A FOCUS ON THE PRELIMINARY PERSONNEL TRAINING IN THE CRISIS INTERVENTION TEAM WITH EMPHASIS IN MENTAL HEALTH FROM AN EMS PERSPECTIVE.RIDOH HEZ CARES ACT: PROVIDES ENHANCED RESOURCES TO DEVELOP AND/OR EXPAND A COMMUNITY-LEVEL RESPONSE TO THE COVID-19 PANDEMIC THAT FOCUSES ON INCREASING AWARENESS AND COMPLIANCE WITH COMMUNITY MITIGATION GUIDELINES AND FOSTERING COMMUNITY RESILIENCE.RIDOH HEZ ELC: DEVELOP AND/OR EXPAND A COMMUNITY-LEVEL RESPONSE TO THE COVID-19 PANDEMIC THAT FOCUSES ON INCREASING TESTING, QUARANTINE AND ISOLATION RESOURCES, SYSTEM NAVIGATION SUPPORTS, COMPLIANCE WITH PREVENTION/MITIGATION GUIDELINES, AND COMMUNITY RESILIENCE.RIDOH PDG B-5: IMPLEMENTING INCREDIBLE YEARS PARENTING AND 5-2-1-0 HEALTHY EATING AND ACTIVE LIVING CONSULTATION.RIDOH MENTAL HEALTH FIRST AID TRAINING SERVICES (EMS): SCHEDULE AND PROVIDE MENTAL HEALTH FIRST AID TRAININGS FOR REFERRED EMS AGENCIES AND THEIR STAFF.SAMHSA MHAT: MENTAL HEALTH AWARENESS & TRAINING INITIATIVE (MHAT) AIMS TO IMPROVE PUBLIC AWARENESS OF MENTAL HEALTH INDICATORS AND RESPONSES BY TRAINING PUBLIC SERVICES PROVIDERS.SAMHSA ZERO SUICIDE: A 'POPULATION HEALTH' APPROACH TO ZERO SUICIDE BY IMPLEMENTING THE EVIDENCE-BASED FRAMEWORK IN 8 MAJOR HEALTHCARE ORGANIZATIONS IN WASHINGTON COUNTY. THE ZERO SUICIDE FRAMEWORK INCLUDES SEVEN ESSENTIAL ELEMENTS: LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION, AND IMPROVE.RIF FUND FOR A HEALTHY RI: TO IMPROVE ACCESS TO QUALITY BEHAVIORAL HEALTH SERVCES IN WASHINGTON COUNTY AND TO ADDRESS SOCIAL DETERMINANTS OF MENTAL HEALTH IN TWO SMALL COMMUNITIES WITH KNOWN DISPARITIES: BRADFORD AND DAVISVILLE.RIF THE GREATEST 8 (WCCC): THE GREATEST 8 TEXT MESSAGING SERVICE TO PROMOTE CHILDREN'S MENTAL HEALTH. PROVIDES WEEKLY TIPS/SUGGESTIONS TO PARENTS OF CHILDREN (AGES 0-8 YEARS OLD). HELP PARENTS INSTILL 8 KEY SKILLS IN THEIR CHILDREN FOR A LIFETIME OF MENTAL WELLNESS.WCCC: GENERAL WCCC FUNDING.RIDOH FIRST CONNECTIONS HOME VISITING: FIRST CONNECTIONS PROGRAM PROVIDED NURSING AND CHW SUPPORT FOR 1-3 VISITS FOR NEW MOMS AND BABIES TO SUPPORT EDUCATION AND REFERRAL TO OTHER APPROPRIATE PROGRAMS, AND CAPTA SUPPORT FOR DCYF BABIES AND CHILDREN. RIDOH FC-SOR HOME VISITING: FIRST CONNECTIONS INTERVENTIONS SPECIFICALLY SUPPORTING SUBSTANCE EFFECTED NEONATES.RIDOH HEALTHY FAMILIES: PARENTING DEVELOPMENT FROM PRENATAL TO 3 YEARS OF AGE INCLUDING CHILDHOOD SCREENING AND REFERRAL TO APPRORIATE PROGRAMMING.SCHH WELLNESS CLINICS: LIFESTYLE WELLNESS PROGRAM IS AN 8 WEEK EDUCATIONAL PROGRAM WITH FOCUS ON MANAGMENT OF CHRONIC DISEASE, COMMUNITY FLU CLINICS (14 ANNUALLY), HOME FLU PROGRAM AND BP CHECK IN BI AND SENIOR HOUSING CENTERS.SCHH PALLIATIVE CONSULTATION: NP/RN LIAISON WEEKLY REVIEW OF IDENTIFIED PATIENTS FOR SYMPTOM MANAGEMENT, GOALS OF CARE AND ADVANCED DIRECTIVES.SC CHT CARE TRANSFORMATION COLLABORATIVE OF RI (CTC-RI): SOCIAL WORKERS AND CHW THAT SUPPORT VULNERABLE COMMUNITY WITH PLACE BASED BH CARE AND BASIC NEEDS (SOCIAL DETERMINANTS OF HEALTH).SC CHT RI FOUNDATION: BEHAVIORAL HEALTH LICSW TO SUPPORT COMMUNITY WITH INCREASE IN BH NEEDS DURING COVID.SC CHT SCHH RIDOH FC-SOR: COMMUNITY HEALTH WORKER THAT SUPPORTS THE FIRST CONNECTION SOR PROGRAM CONNECTING NEW MOMS WITH SOCIAL SUPPORT SERVICES.SCSS WAVE VAN: TRANSPORTATION FOR COMMUNITY MEMBERS TO RECEIVE CARE AT THE CANCER CENTER, LAB, DI, COUMADIN, IN FOR SURGERY NOT HOME, AND PROVIDER APPOINTMENTS.SCH IN-PATIENT PALLIATIVE: MD/NP (HOPE HOSPICE) SUPPORTING INPATIENTS WITH CHRONIC DISEASE AND END OF LIFE WITH SYMPTOM MANAGEMENT, GOALS OF CARE, AND ADVANCED DIRECTIVES. EMPLOYED INTERFAITH CHAPLIAN FOR SPIRITUAL NEEDS. REFERRALS FOR ALL READMISSION TO SUPPORT REDUCTION GOALS.SCH CANCER CENTER PALLIATIVE CARE: NP TO SUPPORT SYMPTOM MANAGEMENT, GOALS OF CARE AND ADVANCED DIRECTIVES.
PART II, COMMUNITY BUILDING ACTIVITIES:	SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUP, WELLNESS SCREENING, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY.
PART III, LINE 2:	SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF-PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES.
PART III, LINE 4:	THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGE 10 FN #2(E) .
PART III, LINE 8:	SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF ITS MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITAL'S CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY 2023 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES.
PART III, LINE 9B:	PER THE HOSPITAL'S POLICY, PRIOR TO THE PATIENT'S DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT.SOUTH COUNTY HOSPITAL'S BILLING AND COLLECTION POLICY PROVIDES THE HOSPITAL CAN REFER AN ACCOUNT TO AN OUTSIDE AGENCY FOR COLLECTION BUT WILL NOT REFER ANY ACCOUNTS WHERE A PATIENT APPLIED FOR FINANCIAL ASSISTANCE AND HAS NOT BEEN NOTIFIED OF THE DECISION. BEFORE ENGAGING IN EXTRA ORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT THE AMOUNT DUE.
PART VI, LINE 2:	SOUTH COUNTY HOSPITAL IDENTIFIES ITS COMMUNITY'S HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS, QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITAL'S COMMUNITY.
PART VI, LINE 3:	SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID ETC.) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF-PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA INCLUDES ALL OF WASHINGTON COUNTY, RI COMMONLY KNOWN AS SOUTH COUNTY. THE SECONDARY SERVICE AREA INCLUDES THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH).BASED ON 2015-2019 POPULATION ESTIMATES, ONLY EIGHT ZIP CODES IN WASHINGTON COUNTY SAW POPULATION GROWTH. WASHINGTON COUNTY HAS THE SECOND HIGHEST PROPORTION OF OLDER ADULTS AGE 65 OR OLDER IN THE STATE. THE PROPORTION OF OLDER ADULTS IN THE COUNTY INCREASED MORE THAN TWO PERCENTAGE POINTS IN A FIVE-YEAR SPAN, FROM 17.2% IN 2011-2015 TO 19.9% IN 2015-2019. THE HOUSING UNITS WITHIN THE SOUTH COUNTY HOSPITAL SERVICE AREA INCLUDE 74%, WHICH ARE OWNER-OCCUPIED, AND 26% WHICH ARE RENTER-OCCUPIED. THE MEDIAN HOUSEHOLD INCOME IS $85,531. THE COVID-19 PANDEMIC HAD A SIGNIFICANT IMPACT ON UNEMPLOYMENT RATES. IN WASHINGTON COUNTY, 2020 AVERAGE UNEMPLOYMENT RATE OF 7.8% REPRESENTED A 5-POINT INCREASE FROM THE PERCENTAGE REPORTED AT THE TIME OF THE 2019 CHNA. THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY WITHIN SOUTH COUNTY HOSPITAL'S SERVICE AREA IS 8.6%, 9.2% OF WHICH ARE CHILDREN LIVING IN POVERTY. THEIR PERCENTAGES ARE LOWER THAN THE STATE AVERAGE (12.4% AND 17% RESPECTIVELY). THE CHNA ASSESSMENT COMPLETED IN 2019 PROVIDES ADDITIONAL INFORMATION ON THE COMMUNITY SERVED BY THE HOSPITAL AND IS AVAILABLE ON THE HOSPITAL WEBSITE AT THE FOLLOWING LINK: WWW.SOUTHCOUNTYHEALTH.ORG.
PART VI, LINE 5:	SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY'S HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATION'S NEEDS. THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL:1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES.2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY MULTIDISCIPLINARY TEAMS AND CHRONIC ARE SERVICES.3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING. EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDIATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY. THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES. THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITAL'S CONTINUED COMMITMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 6:	THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM KNOWN AS SOUTH COUNTY HEALTH OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, SOUTH COUNTY HOME HEALTH, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.
PART VI, LINE 7, REPORTS FILED WITH STATES	RI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AARON S ROBINSON
PRESIDENT AND CEO	$712,259	$0	$130,625	$0	$11,835	$0	$10,675	$0	$20,171	$0	$885,565	$0	$0	$0
ARNOLD SARAZEN
MEDICAL DIRECTOR	$390,256	$0	$227,700	$0	$28,148	$0	$10,675	$0	$20,004	$0	$676,783	$0	$0	$0
ROBERT KORNAS
CHIEF MED OFF, VP SCMG (10/22-12/23)	$502,591	$0	$92,819	$0	$290	$0	$10,675	$0	$19,977	$0	$626,352	$0	$0	$0
JOHN HEFFERNAN
PHYSICIAN	$350,083	$0	$220,532	$0	$6,146	$0	$10,150	$0	$16,433	$0	$603,344	$0	$0	$0
MEGIN DALTON
PHYSICIAN	$420,478	$0	$105,604	$0	$11,678	$0	$10,150	$0	$21,137	$0	$569,047	$0	$0	$0
DAVID BADER
PHYSICIAN	$220,759	$0	$307,264	$0	$463	$0	$10,150	$0	$20,672	$0	$559,308	$0	$0	$0
ANGELA TABER
PHYSICIAN	$442,156	$0	$18,425	$0	$722	$0	$10,150	$0	$1,327	$0	$472,780	$0	$0	$0
AARON WEISBORD MD
FORMER TRUSTEE	$211,823	$0	$214,358	$0	$6,232	$0	$10,150	$0	$20,672	$0	$463,235	$0	$0	$0
STEVEN SCHNEIDER
PHYSICIAN	$388,353	$0	$31,522	$0	$12,623	$0	$10,150	$0	$20,057	$0	$462,705	$0	$0	$0
THOMAS J BREEN
VP AND CHIEF FINANCIAL OFFICER	$426,151	$0	$0	$0	$6,193	$0	$10,675	$0	$16,396	$0	$459,415	$0	$0	$0
ANETRIA GALMORE
VP, COO/CNO	$367,997	$0	$0	$0	$8,023	$0	$10,675	$0	$25,018	$0	$411,713	$0	$0	$0
KEVIN CHARPENTIER
CHIEF MED OFF, VP SCMG (AS OF 6/22)	$278,301	$0	$0	$0	$810	$0	$8,924	$0	$11,095	$0	$299,130	$0	$0	$0
CHRISTOPHER JALBERT
VP OF MEDICAL STAFF	$248,495	$0	$8,013	$0	$399	$0	$9,321	$0	$19,797	$0	$286,025	$0	$0	$0
SALVATORE ABBRUZZESE JR DO
FORMER PRESIDENT OF MED STAFF	$232,198	$0	$15,825	$0	$1,927	$0	$9,322	$0	$19,650	$0	$278,922	$0	$0	$0
MARGARET REGAN THOMAS
VP, CHIEF HR OFFICER	$248,638	$0	$0	$0	$2,986	$0	$8,924	$0	$17,321	$0	$277,869	$0	$0	$0
ANDREW PRESCOTT
GENERAL COUNSEL	$243,011	$0	$0	$0	$3,641	$0	$2,966	$0	$1,009	$0	$250,627	$0	$0	$0
IAN CLARK
VP, STRATEGY & PERF EXCELL	$200,883	$0	$0	$0	$12,158	$0	$7,547	$0	$7,908	$0	$228,496	$0	$0	$0
ANGIE MATHIEU
VP, CHIEF DIGITAL OFFICER	$193,863	$0	$0	$0	$309	$0	$7,135	$0	$20,689	$0	$221,996	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	CERTAIN EXECUTIVES RECEIVE BONUS/INCENTIVE PAYMENTS THAT ARE BASED ON THE DISCRETION OF MANAGEMENT AND/OR THE BOARD.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
RI HEALTH & EDUCATION BLDG CORP SERIES 2015
A	521300173	2015-08-12	$45,545,000	REFINANCE 2012 BOND ISSUE	0	0	0
RI HEALTH & EDUCATION BLDG CORP SERIES 2018
B	521300173	2018-12-27	$10,100,000	NEW CONSTRUCTION/ EQUIPMENT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$20,530,000	$45,545,000	$45,545,000	2015	Yes (1)	0	Yes (1)	Yes (1)
B	$3,471,875	$10,100,000	$10,100,000	2020	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0	0	0
B	0	0	Yes (1)	Yes (1)	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH
A	0	Yes (1)	0	0	Yes (1)	Yes (1)	CAPITAL	30.000000000000	0	0	0	0	0
CITIZENS BANK NA
B	0	Yes (1)	0	0	Yes (1)	Yes (1)		10.000000000000	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K, PART II, LINE 11:	BOND FUNDS WERE USED TO REFUND THE 10/1/2012 BOND ISSUE.
SCHEDULE K, PART III, LINE 3A:	MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE: ANY MANAGEMENT OR SERVICE CONTRACTS THAT RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY ARE INCIDENTAL AND FALL UNDER THE SAFE HARBOR PROVIDED.
SCHEDULE K, PART III, LINE 9:	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM MONITORS THEIR BOND FOR POST ISSUANCE BOND COMPLIANCE, BUT DOES NOT HAVE A SET OF WRITTEN PROCEDURES. THEY ARE IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	TO OPERATE AN INDEPENDENT, NON-PROFIT, ACUTE CARE HOSPITAL COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF INTEGRITY, CARING, RESPECT, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	SOUTH COUNTY HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.
FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE:	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF INTEGRITY, CARING, RESPECT, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, THE HOSPITAL REPORTED 5,131 DISCHARGES AND 18,692 INPATIENT DAYS. THE DISCHARGES INCLUDED 710 DELIVERIES AND 1,157 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 249,184 OUTPATIENT VISITS; INCLUDING 27,870 OUTPATIENT EMERGENCY ROOM VISITS AND 41,553 EXPRESS CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 145,731 VISITS.
FORM 990, PART VI, SECTION B, LINE 11B	SOUTH COUNTY HOSPTIAL HEALTHCARE SYSTEM AND ITS AFFILIATED ENTITIES ARE KNOWN AS SOUTH COUNTY HEALTH ("SCH") WHICH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. ALL ENTITIES HAVE MIRROR BOARDS. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMEBERS OF THE BOARD OF TRUSTEES .
FORM 990, PART VI, SECTION B, LINE 12C	SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISITS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION, THE ORGANIZATION USES FORM 990 OF OTHER ORGANIZATIONS AND A COMPENSATION SURVEY. THE REVIEW IS DONE BY INDEPENDENT INDIVIDUALS OF THE GOVERNING BODY AND ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16B:	THE HOSPITAL'S JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE. THE HOSPITAL DOES NOT HAVE A FORMAL POLICY BUT IN PRACTICE ALL JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE THE JOINT VENTURE DOES NOT JEOPARDIZE THE TAX STATUS OF THE ORGANIZATION.
FORM 990, PART XI, LINE 9:	CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS 4,293,416. UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP 53,143. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,447,918. UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. 174,318. NET SERVICE COST COMPONENTS OF NET PENSION COST -441,280.
FORM 990, PART XII, LINE 2C:	FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	OCEAN VIEW HEALTH VENTURE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 KENYON AVENUE	AddressLine1Txt
City	WAKEFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02879	ZIPCd

Field	Value	IRS element (for citing)
EIN	853789537	EIN
Primary Activities	LEASE OFFICE	PrimaryActivitiesTxt
Legal Domicile State	RI	LegalDomicileStateCd
Total Income	$887,822	TotalIncomeAmt
End Of Year Assets	$16,645,448	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SCH HEALTHCARE	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SOUTH COUNTY HEALTH FOUNDATION
100 KENYON AVENUE	WAKEFIELD	RI	02879	854028860	SUPPORT	RI	501(C)(3)	7	SCH HEALTHCARE	Yes (1)
SOUTH COUNTY HOME HEALTH
14 WOODRUFF AVENUE	NARRAGANSETT	RI	02882	056033975	HEALTHCARE	RI	501(C)(3)	10	SCH HEALTHCARE	Yes (1)
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT
100 KENYON AVENUE	WAKEFIELD	RI	02879	050259093	SUPPORT	RI	501(C)(3)	7		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUE	WAKEFIELD	RI	02879	050459095	HOLDING COMPANY	RI	SCH HEALTHCARE	C	1.00000	Yes (1)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUE	WAKEFIELD	RI	02879	050491313	PERSONAL CARE	RI	SS HEALTHCARE	C	1.00000	Yes (1)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUE	WAKEFIELD	RI	02879	050478937	RETAIL OF MED EQP	RI	SS HEALTHCARE	C	1.00000	Yes (1)
CHARITABLE REMAINDER TRUSTS (3)
					CHARITABLE TRUST	RI		T		Yes (1)	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SSHM SURGICAL SUPPLY INC
O	$253,381	FMV
SOUTH COUNTY HOME HEALTH
O	$460,244	FMV