SOUTHCOAST HOSPITALS GROUP INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: SOUTHCOAST HOSPITALS GROUP INC (EIN 22-2592333)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-15
IRS object ID: 202332279349304318
Schema version: 2021v4.2
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-15T17:02:20-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PWC US TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD SUITE 500	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222592333	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Southcoast Hospitals Group Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% WADE BROUGHMAN	InCareOfNm
Business Name Control	SOUT	BusinessNameControlTxt
Phone	5089615000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 Page Street	AddressLine1Txt
City	New Bedford	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02740	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WADE BROUGHMAN	PersonNm
Person Title	EXEC VP FIN & CFO	PersonTitleTxt
Phone	5089615000	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	WADE	PersonFirstNm
Person Last	BROUGHMAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PAUL J TANIS	PreparerPersonNm
PTIN	P01441612	PTIN
Phone	6175305000	PhoneNum
Preparation	2023-08-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RAYFORD KRUGER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 PAGE STREET	AddressLine1Txt
City	New Bedford	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02740	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,197,027,507	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.southcoast.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1986	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	TO PROMOTE THE OPTIMAL HEALTH AND WELL- BEING OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES SERVED BY SOUTHCOAST HOSPITALS GROUP (SHG).(SEE SCHEDULE O)	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	6718	TotalEmployeeCnt
Total Volunteers	116	TotalVolunteersCnt
Total Gross UBI	$1,364,741	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,046,285	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,653,909	PYContributionsGrantsAmt
CY Contributions Grants	$40,575,749	CYContributionsGrantsAmt
PY Program Service Revenue	$917,286,511	PYProgramServiceRevenueAmt
CY Program Service Revenue	$939,032,538	CYProgramServiceRevenueAmt
PY Investment Income	$33,010,277	PYInvestmentIncomeAmt
CY Investment Income	$39,683,896	CYInvestmentIncomeAmt
PY Other Revenue	$670,238	PYOtherRevenueAmt
CY Other Revenue	$546,460	CYOtherRevenueAmt
PY Total Revenue	$959,620,935	PYTotalRevenueAmt
CY Total Revenue	$1,019,838,643	CYTotalRevenueAmt
PY Grants And Similar Paid	$64,445	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$351,348	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$437,607,064	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$464,394,881	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$125,000	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$5,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,890,180	CYTotalFundraisingExpenseAmt
PY Other Expenses	$451,545,021	PYOtherExpensesAmt
CY Other Expenses	$516,221,934	CYOtherExpensesAmt
PY Total Expenses	$889,341,530	PYTotalExpensesAmt
CY Total Expenses	$980,973,163	CYTotalExpensesAmt
PY Revenues Less Expenses	$70,279,405	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,865,480	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,265,624,200	TotalAssetsBOYAmt
Total Assets EOY	$991,182,909	TotalAssetsEOYAmt
Total Liabilities BOY	$568,584,414	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$449,075,037	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$697,039,786	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$542,107,872	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROMOTE THE OPTIMAL HEALTH AND WELL-BEING OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES SERVED BY SOUTHCOAST HOSPITALS GROUP (SHG). (SEE SCHEDULE O)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$815,065,233	ExpenseAmt
Grant	$351,348	GrantAmt
Revenue	$939,032,538	RevenueAmt
Desc	SOUTHCOAST PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELLNESS OF INDIVIDUALS IN ITS COMMUNITIES. SOUTHCOAST RECORDED 196,749 INPATIENT DAYS, PERFORMED 15,726 SURGERIES AND 10,341 ENDOSCOPIES, PROVIDED 3,220,426 LABORATORY TESTS, PERFORMED 415,113 RADIOLOGICAL PROCEDURES, 192,194 PHYSICAL MEDICINE VISITS, 665 PCI CORONARY INTERVENTIONS, 2,068 DIAGNOSTIC CATHERIZATIONS, 379 OPEN HEART SURGERIES, 1,538 ELECTROPHYSIOLOGY CASES, 626 CORONARY DEVICE IMPLANTS, 2,895 NEWBORN ADMISSIONS, PERFORMED 35,726 RADIATION AND MEDICAL CHEMOTHERAPY TREATMENTS AND CARED FOR 155,154 EMERGENCY ROOM PATIENTS 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. IN FY2022 SHG HAD 21,576 COVID INTERACTIONS, MADE UP OF 1,291 INPATIENT DISCHARGES AND 20,285 OP VISITS.	Desc
Total Program Service Expenses	$815,065,233	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	249	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6718	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	WADE BROUGHMAN	PersonNm
Phone	5089732905	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 PAGE STREET	AddressLine1Txt
City	New Bedford	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02740	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd
KEITH HOVAN
PRESIDENT & CEO (UNTIL 1/22)	58.0	14.5	Yes (X)	Yes (X)	$2,073,393	$0	$344,963
RAYFORD KRUGER MD
PRESIDENT & CEO (AS OF 3/22)	41.5	31.0	Yes (X)	Yes (X)	$0	$1,247,543	$45,373
RENEE CLARK
EVP/COO (SHG)/ ASST. CLERK	45.0	27.5		Yes (X)	$1,054,119	$0	$181,423
WADE BROUGHMAN
EVP FIN/CFO & Treasurer	60.0	12.5		Yes (X)	$1,093,794	$0	$34,680
MICHAEL COFONE
SVP FINANCE (UNTIL 12/21)	60.0	0.0			$737,705	$0	$93,913	Yes (X)
STEPHEN CANESSA
SVP CHIEF BRAND STRATEGY OFFCR	60.0	0.0			$654,570	$0	$123,263	Yes (X)
JAMES FEEN
SVP/CIO	60.0	0.0			$617,574	$0	$128,879		Yes (X)
LAUREN DESIMON JOHNSON
SVP/ CHRO	60.0	0.0			$544,116	$0	$118,013		Yes (X)
ILANA FEINERMAN MD
TRUSTEE	1.5	44.5	Yes (X)		$0	$591,757	$25,541
JAQUELINE SOMERVILLE
SVP/CNO	60.0	0.0			$566,658	$0	$32,358		Yes (X)
TONYA JOHNSON
VP OPERATIONS	60.0	0.0			$390,936	$0	$38,044		Yes (X)
ANA LAUS
TRUSTEE (AS OF 1/22)	1.5	44.5	Yes (X)		$0	$408,612	$15,780
JAMES WITKOWSKI MD
TRUSTEE (UNTIL 12/21)	1.5	44.5	Yes (X)		$0	$363,990	$46,863
STEPHEN PIRES
SVP INSURANCE & RISK MGMT	60.0	0.0			$367,856	$0	$34,680	Yes (X)
ROBERT SWANN
VP/ ACNO SLH	60.0	0.0			$354,519	$0	$17,280	Yes (X)
JADENE ELDEN
VP REVENUE CYCLE	60.0	0.0			$329,893	$0	$1,391	Yes (X)
JAY S SCHACHNE MD
TRUSTEE	1.5	44.5	Yes (X)		$0	$6,802	$408
SALMAN BASHIR MD
TRUSTEE	1.5	6.0	Yes (X)		$1,100	$0	$0
JASON RUA
TRUSTEE	1.5	7.0	Yes (X)		$0	$0	$0
LOUIS CABRAL
CHAIR	2.5	9.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES JEROME COOGAN
Clerk	2.5	7.5	Yes (X)	Yes (X)	$0	$0	$0
W HUGH M MORTON
Trustee	1.5	4.5	Yes (X)		$0	$0	$0
DENNIS J FUSCO
Trustee	1.5	4.5	Yes (X)		$0	$0	$0
DONALD G GIUMETTI
VICE CHAIR	2.5	10.0	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH HUIDEKOPER
TRUSTEE	1.5	6.0	Yes (X)		$0	$0	$0
CHRISTOPHER HODGSON
TRUSTEE	1.5	4.5	Yes (X)		$0	$0	$0
HELENA DASILVA HUGHES
TRUSTEE	1.5	4.5	Yes (X)		$0	$0	$0
JONATHAN L ROUNDS
TRUSTEE	1.5	4.5	Yes (X)		$0	$0	$0
HEIDI A KOSTIN
TRUSTEE	1.5	4.5	Yes (X)		$0	$0	$0
CARMEN F SYLVESTER
TRUSTEE	1.5	4.5	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,786,233	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,618,704	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,282,852	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	782	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROSS COUNTRY STAFFING
PO BOX 404674	ATLANTA	GA	30384	STAFFING	$4,660,108
NORTH AMERICAN PARTNERS IN ANESTHES
68 SOUTH SERVICE ROAD	MELVILLE	NY	11747	ANESTHESIA SERVICES	$6,127,420
SUFFOLK CONSTRUCTION COMPANY
65 ALLERTON STREET	BOSTON	MA	02119	CONSTRUCTION	$18,171,905
QUEST DIAGNOSTICS
PO BOX 740709	ATLANTA	GA	30374	LAB SERVICES	$5,369,020
CANNON COCHRAN MANAGEMENT SERVICE
PO BOX 2205	INDIANAPOLIS	IN	46206	MANAGEMENT SERVICES	$5,134,297

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	159	CntrctRcvdGreaterThan100KCnt
Fundraising	$289,154	FundraisingAmt
Government Grants	$36,089,669	GovernmentGrantsAmt
All Other Contributions	$4,196,926	AllOtherContributionsAmt
Noncash Contributions	$79,058	NoncashContributionsAmt
Total Contributions	$40,575,749	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SVC REVENUE	621500	$845,401,021	$845,360,721	$40,300
HEALTHCARE SVC REVENUE	446110	$87,720,488	$87,629,109	$91,379
PARTNERSHIP INCOME	525990	$1,233,062		$1,233,062
GIFT SHOP INCOME	621400	$493,811			$493,811
CAFETERIA	722210	$2,202,696	$2,202,696

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,981,460	TotalRevenueColumnAmt
Exclusion	$1,981,460	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$939,032,538	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,017,710	TotalRevenueColumnAmt
Exclusion	$14,017,710	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$897,171	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$243,235	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$653,936	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$653,936	TotalRevenueColumnAmt
Exclusion	$653,936	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$202,409,700	SecuritiesAmt
Other	$7,916	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$176,709,161	SecuritiesAmt
Other	$42,269	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,700,539	SecuritiesAmt
Other	-$34,353	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,666,186	TotalRevenueColumnAmt
Exclusion	$25,666,186	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$86,723	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$289,154	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$194,199	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$107,476	TotalRevenueColumnAmt
Exclusion	-$107,476	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,019,838,643	TotalRevenueColumnAmt
Related Or Exempt Func Income	$935,192,526	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,364,741	UnrelatedBusinessRevenueAmt
Exclusion	$42,705,627	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$351,348	TotalAmt
Program Services	$351,348	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,420,409	TotalAmt
Program Services	$8,564,853	ProgramServicesAmt
Management And General	$1,826,724	ManagementAndGeneralAmt
Fundraising	$28,832	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,333,102	TotalAmt
Program Services	$1,095,801	ProgramServicesAmt
Management And General	$233,612	ManagementAndGeneralAmt
Fundraising	$3,689	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$359,821,251	TotalAmt
Program Services	$295,967,520	ProgramServicesAmt
Management And General	$62,860,933	ManagementAndGeneralAmt
Fundraising	$992,798	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,292,433	TotalAmt
Program Services	$12,889,656	ProgramServicesAmt
Management And General	$2,328,406	ManagementAndGeneralAmt
Fundraising	$74,371	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$51,135,054	TotalAmt
Program Services	$43,464,110	ProgramServicesAmt
Management And General	$7,434,285	ManagementAndGeneralAmt
Fundraising	$236,659	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$26,392,632	TotalAmt
Program Services	$22,459,753	ProgramServicesAmt
Management And General	$3,811,147	ManagementAndGeneralAmt
Fundraising	$121,732	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,030,147	TotalAmt
Program Services	$4,543,059	ProgramServicesAmt
Management And General	$1,487,088	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,458,568	TotalAmt
Program Services	$87,504	ProgramServicesAmt
Management And General	$4,371,064	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$540,284	TotalAmt
Management And General	$540,284	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$188,072	TotalAmt
Program Services	$17,645	ProgramServicesAmt
Management And General	$170,427	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Fundraising	$5,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$513,242	TotalAmt
Management And General	$513,242	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$122,840,215	TotalAmt
Program Services	$113,479,252	ProgramServicesAmt
Management And General	$9,360,631	ManagementAndGeneralAmt
Fundraising	$332	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,051,225	TotalAmt
Program Services	$88,017	ProgramServicesAmt
Management And General	$2,962,267	ManagementAndGeneralAmt
Fundraising	$941	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,469,927	TotalAmt
Program Services	$3,767,031	ProgramServicesAmt
Management And General	$3,669,306	ManagementAndGeneralAmt
Fundraising	$33,590	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,595,912	TotalAmt
Program Services	$6,945,339	ProgramServicesAmt
Management And General	$16,605,280	ManagementAndGeneralAmt
Fundraising	$45,293	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$20,201,138	TotalAmt
Program Services	$5,202,802	ProgramServicesAmt
Management And General	$14,998,336	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,750,567	TotalAmt
Program Services	$1,547,430	ProgramServicesAmt
Management And General	$198,240	ManagementAndGeneralAmt
Fundraising	$4,897	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$135,857	TotalAmt
Program Services	$34,025	ProgramServicesAmt
Management And General	$98,666	ManagementAndGeneralAmt
Fundraising	$3,166	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,874,113	TotalAmt
Program Services	$6,874,113	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$58,573,407	TotalAmt
Program Services	$43,132,768	ProgramServicesAmt
Management And General	$15,418,115	ManagementAndGeneralAmt
Fundraising	$22,524	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,070,043	TotalAmt
Management And General	$4,070,043	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHARMACEUTICALS	$97,467,837	$97,467,837
MEDICAL SUPPLIES/LINENS	$113,160,553	$112,933,760	$210,603	$16,190
PARTS AND REPAIRS	$15,497,027	$9,967,745	$5,527,882	$1,400
TAXES	$431,266	$1,762	$429,504

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,372,534	TotalAmt
Program Services	$24,182,103	ProgramServicesAmt
Management And General	$4,891,665	ManagementAndGeneralAmt
Fundraising	$298,766	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$980,973,163	TotalAmt
Program Services	$815,065,233	ProgramServicesAmt
Management And General	$164,017,750	ManagementAndGeneralAmt
Fundraising	$1,890,180	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$23,973,911	BOYAmt
EOY	$30,405,769	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,753,063	BOYAmt
EOY	$2,301,971	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$82,377,256	BOYAmt
EOY	$89,691,688	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,891,586	BOYAmt
EOY	$18,443,521	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,005,445	BOYAmt
EOY	$13,999,695	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$949,369,334	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$609,208,243	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$349,345,498	BOYAmt
EOY	$340,161,091	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$594,073,680	BOYAmt
EOY	$330,430,843	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$97,583,795	BOYAmt
EOY	$73,824,621	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,120,200	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$87,619,966	BOYAmt
EOY	$90,803,510	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,265,624,200	BOYAmt
EOY	$991,182,909	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$250,839,076	BOYAmt
EOY	$146,594,793	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$213,388,411	BOYAmt
EOY	$206,782,041	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$42,899,334	BOYAmt
EOY	$40,651,334	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,457,593	BOYAmt
EOY	$55,046,869	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$568,584,414	BOYAmt
EOY	$449,075,037	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	$603,056,721	BOYAmt
EOY	$467,757,233	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$93,983,065	BOYAmt
EOY	$74,350,639	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$697,039,786	BOYAmt
EOY	$542,107,872	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,265,624,200	BOYAmt
EOY	$991,182,909	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,865,480	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$115,899,783	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$77,897,611	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$188,572	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$188,572	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART II-B, LINE 1, LOBBYING ACTIVITIES

DURING FISCAL YEAR 2022, SOUTHCOAST RETATINED SEPARATE CONSULTANTS AT THE STATE AND FEDERAL LEVEL TO MONITOR HEALTH CARE RELATED ISSUES AND ADVOCATE ON BEHALF OF SOUTHCOAST HEALTH. AT THE STATE LEVEL, OUR STATE CONSULTANTS WORKED WITH OUR LEGISLATIVE DELEGATION ON THE SENATE AND HOUSE ECONOMIC DEVELOPMENT BILL, THE STATE BUDGET AND BUDGET AMENDMENTS, REGULATORY CHANGES, MEDICAID/DSH REIMBURSEMENT RATES, TELEHEALTH, THE 1115 WAIVER, THE SOCIAL DETERMINANTS OF HEALTH, SURPLUS MEDICAID FUNDING AND COVID-19 PANDEMIC RELIEF. OUR CONSULTANT FOR FEDERAL MATTERS WORKED WITH OUR FEDERAL DELEGATION ON MEDICARE DSH FUNDING, THE RURAL FLOOR WAGE INDEX, CHANGES IMPACTED BY THE AFFORDABLE CARE ACT, PREVENTING MEDICARE SEQUESTRATION CUTS, 340B AND CARES ACT FUNDING.

PART II-B, LINE 1G

DURING FISCAL YEAR 2022, OUR STATE CONSULTANTS MONITORED AND COMMUNICATED WITH OUR STATE LEGISLATIVE DELEGATION REGARDING THE SENATE AND HOUSE ECONOMIC DEVELOPMENT BILLS, AND THE STATE BUDGET AND BUDGET AMENDMENTS. THEY ALSO MONITORED AND/OR SHARED SOUTHCOAST'S CONCERNS ON TOPICAL HEALTHCARE ISSUES, MEDICAID FUNDING/REIMBURSEMENTS, AND BEHAVIORAL HEALTH NEEDS, ARPA FUNDING, AND COVID-19 PANDEMIC RELIEF.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$93,983,066	BeginningYearBalanceAmt
Contributions	$3,353,669	ContributionsAmt
Investment Earnings Or Losses	-$14,829,340	InvestmentEarningsOrLossesAmt
Other Expenditures	$8,156,755	OtherExpendituresAmt
End Year Balance	$74,350,640	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$82,482,495	BeginningYearBalanceAmt
Contributions	$877,424	ContributionsAmt
Investment Earnings Or Losses	$14,753,265	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,130,118	OtherExpendituresAmt
End Year Balance	$93,983,066	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$78,807,606	BeginningYearBalanceAmt
Contributions	$2,071,400	ContributionsAmt
Investment Earnings Or Losses	$5,949,361	InvestmentEarningsOrLossesAmt
Other Expenditures	$4,345,872	OtherExpendituresAmt
End Year Balance	$82,482,495	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,441,455	BeginningYearBalanceAmt
Contributions	$937,387	ContributionsAmt
Investment Earnings Or Losses	$2,768,034	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,339,270	OtherExpendituresAmt
End Year Balance	$78,807,606	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$76,128,987	BeginningYearBalanceAmt
Contributions	$4,163,541	ContributionsAmt
Investment Earnings Or Losses	$4,588,968	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,440,041	OtherExpendituresAmt
End Year Balance	$81,441,455	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.68000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.32000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,196,962	OtherCostOrOtherBasisAmt
Book Value	$10,196,962	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$467,138,803	OtherCostOrOtherBasisAmt
Depreciation	$298,459,720	DepreciationAmt
Book Value	$168,679,083	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,577,022	OtherCostOrOtherBasisAmt
Depreciation	$1,162,132	DepreciationAmt
Book Value	$1,414,890	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$443,585,828	OtherCostOrOtherBasisAmt
Depreciation	$309,586,391	DepreciationAmt
Book Value	$133,999,437	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,870,719	OtherCostOrOtherBasisAmt
Book Value	$25,870,719	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$340,161,091	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CASH INVESTMENTS	$1,642,223	F
PRIVATE EQUITY	$8,784,032	F
MULTISTRATEGY HEDGE FUNDS	$24,223,710	F
BENEFICIAL INT IN PERP TRUSTS	$39,174,656	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$73,824,621	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$26,920,112
DUE FORM AFFILIATES	$22,224,784
OTHER RECEIVABLES	$16,468,480
RIGHT OF USE ASSETS OPERATING	$24,971,144
RIGHT OF USE ASSETS FINANCING	$188,291
UNBILLED RECEIVABLES	$30,699

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$90,803,510	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
OTHER LONG-TERM LIABILITIES	$8,102,673
NON-PENSION POST RETIREMENT BE	$4,789,206
DUE TO/FROM AFFILIATE	$18,429,863
UNAMORTIZED BIC	-$2,902,831
ACCUMULATED AMORT BIC	$807,482
LEASE LIABILITY OPERATING	$25,622,743
LEASE LIABILITY FINANCING	$197,733

Field	Value	IRS element (for citing)
Total Liability	$55,046,869	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4	SHG'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT SHG'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN SHG'S SERVICE AREA.
PART X, LINE 2	SHG ADOPTED FIN48 IN FISCAL YEAR 2008. THERE IS NO FOOTNOTE DISCLOSURE IN SHS' FISCAL SEPTEMBER 30, 2022 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF EVENT	Event1Nm
Gross Receipts Event1	$170,450	GrossReceiptsEvent1Amt
Charitable Contri Event1	$140,750	CharitableContriEvent1Amt
Gross Revenue Event1	$29,700	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$7,521	NonCashPrizesEvent1Amt
Other Direct Expenses Event1	$1,300	OtherDirectExpensesEvent1Amt
Event2	GALA DINNER	Event2Nm
Gross Receipts Event2	$155,465	GrossReceiptsEvent2Amt
Charitable Contri Event2	$105,465	CharitableContriEvent2Amt
Gross Revenue Event2	$50,000	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$31,625	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$77,741	FoodAndBeverageEvent2Amt
Entertainment Event2	$6,223	EntertainmentEvent2Amt
Other Direct Expenses Event2	$60,277	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$49,962	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$42,939	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$7,023	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$9,512	NonCashPrizesOtherEventsAmt
Gross Receipts Total	$375,877	GrossReceiptsTotalAmt
Charitable Contributions Tot	$289,154	CharitableContributionsTotAmt
Gross Revenue Total Events	$86,723	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$17,033	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$31,625	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$77,741	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$6,223	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$61,577	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$194,199	DirectExpenseSummaryEventsAmt
Net Income Summary	-$107,476	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,152,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,554,805	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,597,962	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$210,513,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$168,012,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,501,110	NetCommunityBenefitExpnsAmt
Total Expense	0.04330	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$218,666,335	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$170,567,263	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,099,072	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,512,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$499,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,012,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,154,246	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,154,246	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,251,971	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,098,159	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,153,812	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$40,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,155	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$21,958,504	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,598,002	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,360,502	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	31	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$240,624,839	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$173,165,265	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,459,574	NetCommunityBenefitExpnsAmt
Total Expense	0.06870	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$112,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$112,595	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$36,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,450	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,000	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$14,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,250	NetCommunityBenefitExpnsAmt

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,000	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$170,295	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$170,295	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,527,418	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,857,394	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$409,346,536	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$492,406,998	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$83,060,462	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
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	SOUTHCOAST HOSPITALS GROUP INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 Page Street	AddressLine1Txt
City	New Bedford	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02740	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.southcoast.org/	WebsiteAddressTxt
State License	V113	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	ACUTE CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHCOAST HOSPITALS GROUP INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCH H, PART V, SECT C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCH H, PART V, SECT C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCH H, PART V, SECT C	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 (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 3E	AS A COMMUNITY BASED HEALTH DELIVERY SYSTEM, SOUTHCOAST HEALTH SYSTEM CONTINUALLY STRIVES TO IDENTIFY THE PRIORITY HEALTH NEEDS OF THE COMMUNITY AND TO ENSURE THAT ITS SERVICES ARE ALIGNED WITH THESE NEEDS. THE COMMUNITY NEEDS ASSESSMENT ASSISTS WITH THIS GOAL BY DOCUMENTING THE MAJOR DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH TRENDS AMONG SOUTHCOAST RESIDENTS AND BY ENGAGING THE COMMUNITY TO DEVELOP INFORMATION-DRIVEN PRIORITIES AND STRATEGIES THAT CAN BE IMPLEMENTED TO IMPROVE THE OVERALL HEALTH OF SOUTHCOAST RESIDENTS. ALL SIGNIFICANT HEALTH NEEDS ARE IDENTIFIED IN THE CHNA.
PART V, SECTION B, LINE 5	IN OCTOBER 2022 SOUTHCOAST COMPLETED THE THREE-YEAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH A PARTICULAR FOCUS ON ADDRESSING HEALTH EQUITY ISSUES IN AND AROUND THE COMMUNITIES THAT WE SERVE. THE CHNA DOCUMENTS THE MAJOR DEMOGRAPHIC, SOCIOECONOMIC, AND HEALTH TRENDS AMONG SOUTH COAST RESIDENTS, WITH THE GOAL OF THE ASSESSMENT TO INFORM DATA-DRIVEN OBJECTIVES AND STRATEGIES THAT CAN BE USED TO IMPROVE THE OVERALL HEALTH OF SOUTH COAST RESIDENTS. OUR NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH SPRINGLINE RESEARCH GROUP, WHO COMPLETED A RETROSPECTIVE ANALYSIS OF LOCAL, REGIONAL AND NATIONAL HEALTH AND DEMOGRAPHIC DATA. THE ANALYSIS IS ENHANCED BY QUALITATIVE DATA GATHERED THROUGH STAKEHOLDER INTERVIEWS AND SURVEYS OF COMMUNITY MEMBERS AND SERVICE PROVIDERS. (E-I) THE PRIMARY GOAL OF THE CHNA IS TO PRIORITIZE THE REGION'S HEALTH ISSUES USING A HOLISTIC APPROACH THAT EXAMINES HEALTH DATA, LEVERAGES THE EXPERTISE OF KEY INFORMANTS, AND INCORPORATES COMMUNITY VIEWS. 23 KEY INFORMANT INTERVIEWS WERE HELD TO RECEIVE INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY WE SERVE. COMMUNITY MEMBER WHO SERVES ON PFAC/CBAC BROWN UNIVERSITY FATHER BILL'S AND MAINSPRING UNITED WAY OF GREATER NEW BEDFORD COMMUNITY ECONOMIC DEVELOPMENT CENTER (CECD) INTERCHURCH COUNCIL OF GREATER NEW BEDFORD (ICC) GREATER NEW BEDFORD COMMUNITY HEALTH CENTER UNITED NEIGHBORS OF FALL RIVER SER JOBS FOR PROGRESS VETERANS TRANSITION HOUSE MARION INSTITUTE PEOPLE ACTING IN COMMUNITY ENDEAVORS (PACE) FALL RIVER HEALTH DEPARTMENT STEPPINGSTONE IMMIGRANTS ASSISTANCE CENTER (IAC) NEW BEDFORD POLICE DEPARTMENT SOUTHCOAST HEALTH SOUTHCOAST BEHAVIORAL HEALTH PEOPLE INCORPORATED GREATER FALL RIVER FOOD PANTRY FALL RIVER HOUSING AUTHORITY IN ADDITION TO KEY INFORMANT INTERVIEWS, A COMMUNITY SURVEY WAS CONDUCTED IN COOPERATION WITH THE FALL RIVER AND NEW BEDFORD HEALTH DEPARTMENTS TO DETERMINE THE TOP HEALTH ISSUES AND OBSTACLES AMONG COMMUNITY MEMBERS. A TOTAL OF 1,255 SURVEYS WERE COMPLETED, WITH THE MAJORITY BEING COMPLETED BY NEW BEDFORD RESIDENTS. OVER TWO THIRDS OF RESPONDENTS (66.8%) WERE HISPANIC AND 68.9% WERE WOMEN. THE AGE COHORTS WERE RELATIVELY BALANCED. MOST RESPONDENTS WERE IN THE LOWER MEDIAN INCOME BRACKET, WITH 63.8% HAVING A MEDIAN HOUSEHOLD INCOME BELOW $25,000. NEARLY TWENTY-NINE PERCENT (28.9%) REPORT THAT THEY PRIMARILY SPEAK A LANGUAGE OTHER THAN ENGLISH; 80.1% OF THESE RESPONDENTS SPEAK SPANISH. AN ONLINE HEALTH AND SOCIAL SERVICE PROVIDER (HSSP) SURVEY WAS CONDUCTED IN CONJUNCTION WITH THE NEW BEDFORD HEALTH DEPARTMENT AND THE FALL RIVER HEALTH DEPARTMENT TO FURTHER IDENTIFY AND UNDERSTAND THE REGION'S PRIMARY HEALTH ISSUES AND CHALLENGES. A TOTAL OF 200 SURVEYS WERE COMPLETED. THE MAJORITY OF RESPONDENTS WERE EITHER REPRESENTATIVES OF A NON-PROFIT/SOCIAL SERVICE AGENCY (47%) OR A HEALTH CARE PROVIDER (25%) THESE ORGANIZATIONS SERVE A WIDE RANGE OF COMMUNITIES. THESE ORGANIZATIONS SERVE A WIDE RANGE OF COMMUNITIES.
PART V, SECTION B, LINE 6A	SOUTHCOAST HOSPITALS GROUP, INC. CONDUCTS ITS CHNA WITH SOUTHCOAST BEHAVIORAL HEALTH.
PART V, SECTION B, LINE 6B	SOUTHCOAST HOSPITALS GROUP, INC. COLLABORATES WITH SPRINGLINE RESEARCH GROUP.
PART V, SECTION B, LINE 7A	HTTPS://WWW.SOUTHCOAST.ORG/WP-CONTENT/UPLOADS/2022/09/SOUTHCOAST-HEALTH-CH NA-2022.PDF
PART V, SECTION B, LINE 7D	OUR NEEDS ASSESSMENT IS WIDELY SHARED WITH COMMUNITY PARTNERS AND IS OFTEN USED IN GRANT WRITING AND COLLABORATIVE STRATEGIC PLANNING. IN FY22, OUR NEEDS ASSESSMENT DATA WAS SHARED WITH AND UTILIZED BY: BOYS AND GIRLS CLUB OF GREATER NEW BEDFORD COASTLINE ELDERLY GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS (CHNA 26) GREATER NEW BEDFORD COMMUNITY HEALTH CENTER IMMIGRANTS ASSISTANCE CENTER (IAC) INTER CHURCH COUNCIL (ICC) JUNIOR ACHIEVEMENT OF SE MA NEW BEDFORD HEALTH DEPARTMENT - COMMUNITIES OF PRACTICE NEW BEDFORD HEALTHY PARTNERSHIP PARTNERS FOR A HEALTHIER COMMUNITY (CHNA 25) SOUTHEASTERN REGIONAL TRANSIT AUTHORITY (SRTA) VETERANS TRANSITION HOUSE UNITED WAY OF GREATER NEW BEDFORD YMCA SOUTHCOAST
PART V, SECTION B, LINE 10A	HTTPS://WWW.SOUTHCOAST.ORG/WP-CONTENT/UPLOADS/2023/04/FY22-FY24-IMP-STRATE GY.PDF
PART V, SECTION B, LINE 11	COMMUNITY BENEFITS PLAN SOUTHCOAST'S COMMUNITY BENEFITS STRATEGIC ACTION PLAN WAS FIRST FORMULATED IN 1998 AS THE RESULT OF AN EXTENSIVE NEEDS ASSESSMENT AND SINCE IS UPDATED ANNUALLY. THE 2022 CHNA WILL SERVE AS THE BLUEPRINT FOR THE NEXT THREE ANNUAL COMMUNITY HEALTH BENEFITS IMPLEMENTATION STRATEGIES. SOUTHCOAST HEALTH'S COMMUNITY HEALTH BENEFITS ADVISORY COMMITTEE (CBAC) WILL ENGAGE IN AN ONGOING EVALUATION OF PROGRESS MADE ON THE SHORT- AND LONG-TERM GOALS OF THE ANNUAL IMPLEMENTATION STRATEGY, RECOMMENDING ADJUSTMENTS TO THE PLAN AS NEEDED TO POSITIVELY IMPACT AND ADVANCE THE HEALTH-RELATED NEEDS OF THE POPULATIONS TO BE SERVED. THROUGH THE NEEDS ASSESSMENT PROCESS, FIVE PRIORITY HEALTH ISSUES WERE IDENTIFIED BASED ON THE AVAILABLE HEALTH DATA, SURVEYS OF PROVIDERS AND COMMUNITY MEMBERS, AND INTERVIEWS WITH KEY COMMUNITY LEADERS. THESE PRIORITIES ARE: 1. ECONOMIC OPPORTUNITY (SUB-CATEGORIES: SOCIAL MOBILITY, INCOME, EDUCATION): ECONOMIC OPPORTUNITY CAN BE DEFINED AS THE ABILITY OF A PERSON TO REACH THEIR PERSONAL POTENTIAL. OPPORTUNITY INCLUDES HAVING ACCESS TO RESOURCES THAT ARE ESSENTIAL TO MAINTAINING A GOOD QUALITY OF LIFE, SUCH AS EDUCATION, AFFORDABLE HOUSING, HEALTHY FOODS, CHILDCARE, AND STABLE EMPLOYMENT. UNFORTUNATELY, MANY ECONOMIC, SOCIAL, AND STRUCTURAL BARRIERS PREVENT SOME SOUTH COAST RESIDENTS FROM ACHIEVING THEIR POTENTIAL. THESE INCLUDE OBSTACLES SUCH AS CONCENTRATED POVERTY, RACIAL DISCRIMINATION, LOW WAGES, UNEQUAL EDUCATIONAL ACCESS, AND LACK OF QUALITY OPPORTUNITIES FOR CHILDHOOD LEARNING. ECONOMIC OPPORTUNITY BEGINS WITH DEVELOPING STRATEGIES FOR FAMILIES TO BECOME ECONOMICALLY STABLE SO THEY CAN BETTER SUPPORT HEALTHY CHILDREN AND BREAK THE CYCLE OF POVERTY. ABOVE ALL, IT REQUIRES A COORDINATED EFFORT AMONG THE MANY ORGANIZATIONS WORKING TO LESSEN THE IMPACTS OF POVERTY ON THE SOUTH COAST. POVERTY IS A MAJOR SOCIAL DETERMINANT OF HEALTH. THOSE IN POVERTY OFTEN HAVE LESS OPPORTUNITY AND LESS ACCESS TO RESOURCES THAT CAN ASSIST IN IMPROVING AND MAINTAINING ONE'S HEALTH. RESOURCES THAT CONTRIBUTE TO EDUCATIONAL ATTAINMENT, EMPLOYMENT, HOUSING STATUS, HEALTH CARE OPPORTUNITIES, AND SOCIAL ACTIVITIES ARE ALL LESS ACCESSIBLE TO THOSE LIVING IN POVERTY. 2. BEHAVIORAL HEALTH (SUB-CATEGORIES: MENTAL HEALTH, SUBSTANCE USE DISORDER + NAS, YOUTH TRAUMA): MENTAL HEALTH EMERGED THROUGHOUT THE NEEDS ASSESSMENT AS ONE OF THE REGION'S MOST PROMINENT HEALTH ISSUE. BEHAVIORAL HEALTH EXAMINES HOW A PERSON'S HABITS AFFECT THEIR MENTAL AND PHYSICAL WELL-BEING. THIS INCLUDES BEHAVIORS RELATED TO NUTRITION, EXERCISE, SMOKING, SLEEP, AND STRESS. BEHAVIORAL HEALTH IS ALSO A BLANKET TERM THAT INCLUDES MENTAL HEALTH AND SUBSTANCE USE DISORDER. AS ONE MIGHT EXPECT, COVID-19 EXACERBATED MENTAL HEALTH AND SUBSTANCE USE ISSUES SIGNIFICANTLY, WITH THREE PRIMARY MENTAL HEALTH ISSUES STRESSED BY COMMUNITY MEMBERS AND PROVIDERS: (1) THE SHORTAGE OF MENTAL HEALTH PROFESSIONALS, (2) THE OVERALL BEHAVIORAL HEALTH SYSTEM, PARTICULARLY THE SHORTAGE OF BEDS, AND (3) EQUITY IN MENTAL HEALTH, INCLUDING ISSUES OF ACCESS AND STIGMA. SUBSTANCE USE DISORDER (SUD) CONTINUES TO BE IDENTIFIED AS A MAJOR CHALLENGE IN THE REGION, PARTICULARLY IN TERMS OF THE LINKS BETWEEN SUBSTANCE USE DISORDER, OTHER MENTAL HEALTH ISSUES, POVERTY, AND HOMELESSNESS. THE REGION HAD 205 CONFIRMED OPIOID-RELATED DEATHS IN 2021. NOT ONLY IS THIS THE GREATEST ANNUAL NUMBER OF OPIOID-RELATED DEATHS SINCE 2013, BUT THE NUMBER OF DEATHS HAS INCREASED STEADILY SINCE 2013. ANOTHER OUTCOME OF THE OPIOID CRISIS IS THE RATE OF NEWBORNS BORN WITH NEONATAL ABSTINENCE SYNDROME (NAS). NAS IS A GROUP OF CONDITIONS THAT BABIES EXPERIENCE AFTER BEING EXPOSED TO NARCOTICS IN THE WOMB. INFANTS BORN WITH NAS CAN HAVE LOW BIRTH WEIGHT, RESPIRATORY DISTRESS, FEEDING DIFFICULTY, TREMORS, INCREASED IRRITABILITY, DIARRHEA, AND OCCASIONALLY SEIZURES. ALTHOUGH DATA ARE NOT AVAILABLE AT THE LOCAL LEVEL, IT IS CLEAR THAT THE OPIOID CRISIS IS IMPACTING NEWBORNS IN SOUTHEAST MASSACHUSETTS AT A GREATER RATE THAN ELSEWHERE IN THE STATE. 3. HOUSING (SUB-CATEGORIES: HOMELESSNESS, STABILITY, AFFORDABILITY): HOUSING AFFORDABILITY IS A SOCIAL DETERMINANT OF HEALTH. A LACK OF AFFORDABLE HOUSING CONTRIBUTES TO HOUSING INSTABILITY AND HOMELESSNESS, BOTH OF WHICH ARE STRONG PREDICTORS OF POOR HEALTH OUTCOMES. HOUSING EMERGED AS A PRIMARY ISSUE OF CONCERN FOR COMMUNITY LEADERS AND COMMUNITY MEMBERS THROUGHOUT THE NEEDS ASSESSMENT PROCESS, WITH MANY STAKEHOLDERS CONSISTENTLY IDENTIFYING HOUSING AS THE SOCIAL DETERMINANT THAT AFFECTS THE LARGEST NUMBER OF THE PEOPLE THEY SERVE. OVERALL, STAKEHOLDERS ARE CLEAR THAT HOUSING CHALLENGES HAVE BEEN MADE WORSE BY COVID-19, ALTHOUGH THE PANDEMIC PRIMARILY WORSENED EXISTING HOUSING ISSUES. THE REGION'S HOUSING ISSUE IS PRIMARILY TWOFOLD: THE FOCUS IN THE REGION'S CITIES IS LARGELY ON RISING RENTS AND ITS IMPLICATION ON THE WORKING POOR AND PEOPLE ON FIXED INCOMES. CONVERSELY, THE ISSUE IN MANY OF THE AREA'S SUBURBAN COMMUNITIES IS FOCUSED ON THE SIGNIFICANT INCREASE IN SINGLE-FAMILY HOME PRICES. THIS DYNAMIC IS CREATING ISSUES FOR SENIORS WHO WANT TO REMAIN IN THEIR HOMES BUT WHO ARE "HOUSE RICH, CASH POORFOR YOUNGER FAMILIES WHO LEAVE THE REGION BECAUSE THEY CANNOT AFFORD HOMES IN THE AREA. HOUSING INSECURITY DISPROPORTIONATELY AFFECTS LOW-INCOME HOUSEHOLDS, PEOPLE OF COLOR, AND SENIORS. THIS TREND IS EVIDENT IN FALL RIVER AND NEW BEDFORD WHERE WHITE HOUSEHOLDS ARE LESS LIKELY TO BE BURDENED BY HOUSING COSTS THAN THEIR NEIGHBORS. NOTABLY, LOWER-INCOME HOUSEHOLDS ARE PRIMARILY RENTERS, AND THIS GROUP IS MORE LIKELY TO HAVE EXPERIENCED A JOB LOSS DURING THE PANDEMIC BECAUSE THEY ARE MORE LIKELY TO WORK IN THE INDUSTRIES IMPACTED THE HARDEST BY THE PANDEMIC, EITHER BECAUSE OF LAYOFFS OR THE INABILITY TO WORK REMOTELY. COMMUNITY LEADERS IDENTIFIED HOMELESSNESS AS A SIGNIFICANT ISSUE IN THE REGION, WHICH IS PARTLY AN OUTCOME OF THE AFFORDABLE HOUSING SHORTAGE. MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER, WHICH ARE HIGHLY PREVALENT AMONG THE HOMELESS POPULATION, ARE ALSO KEY FACTORS IN THE HOMELESSNESS EQUATION. OFTEN, EXPERIENCING HOMELESSNESS IN COMBINATION WITH THESE ISSUES CREATES CHALLENGES FOR ENTERING SHELTERS AND TRANSITIONAL HOUSING. IN ADDITION, THE ASSESSMENT CAPTURED THAT THE USE OF THE EMERGENCY DEPARTMENT BY HOMELESS INDIVIDUALS IS OFTEN THEIR PRIMARY MEANS OF ACCESSING HEALTH CARE. IN DOING SO, COMMUNITY LEADERS POINT OUT THAT THE HOMELESS ONLY ENGAGE WITH THE HEALTHCARE SYSTEM WHEN THEY ARE EXPERIENCING A HEALTH CRISIS. THUS, NOT ONLY IS THERE CONCERN THAT THESE INDIVIDUALS DO NOT RECEIVE PREVENTIVE CARE, BUT ALSO THAT THEY DO NOT RECEIVE ADEQUATE FOLLOW-UP ON THEIR HEALTH ISSUES. 4. WELLNESS & CHRONIC DISEASE (SUB-CATEGORIES: UNHEALTHY BEHAVIORS, HEALTH OUTCOMES, PREVENTION): FOR MANY, HEALTH AND WELLNESS FIT WITHIN A LARGER FRAMEWORK OF OBLIGATIONS, RANGING FROM ISSUES SUCH AS HOUSING, FINANCES, AND CHILDCARE, TO TRANSPORTATION, EMPLOYMENT, IMMIGRATION, AND SAFETY. THESE RESPONSIBILITIES CREATE OBSTACLES TO MAINTAINING OVERALL HEALTH AND TO ADOPTING HEALTHY HABITS THAT HELP TO PREVENT OR MANAGE DISEASE. UNHEALTHY BEHAVIORS LEAD TO POOR HEALTH OUTCOMES. TOBACCO USE, PHYSICAL INACTIVITY, AND POOR NUTRITION CONTRIBUTE TO PREVENTABLE CHRONIC DISEASES SUCH AS DIABETES, CANCER, HEART DISEASE, AND LUNG DISEASE. WHILE SOME CHRONIC CONDITIONS ARE A RESULT OF BEHAVIOR OR GENETICS, SOCIAL AND ENVIRONMENTAL FACTORS CAN ALSO ELEVATE THE RISK OF CONTRACTING CHRONIC DISEASES. HEALTH PROVIDERS CAUTION THAT WHILE EDUCATING RESIDENTS ON THE IMPORTANCE OF BEING HEALTHY AND WAYS TO ACHIEVE GOOD HEALTH, IT IS EQUALLY NECESSARY TO DISMANTLE BARRIERS THAT PREVENT MANY PEOPLE FROM ACCESSING THE SUPPORTS AND RESOURCES NECESSARY TO BE HEALTHY THAT CONTRIBUTES TO HEALTH INEQUITIES. THE U.S. DEPARTMENT OF AGRICULTURE (USDA) DEFINES FOOD INSECURITY AS A LACK OF CONSISTENT ACCESS TO ENOUGH FOOD FOR AN ACTIVE, HEALTHY LIFE. THE USDA ESTIMATES THAT IN 2021, 33.8 MILLION AMERICANS LIVED IN FOOD INSECURE HOUSEHOLDS AND 8.6 MILLION ADULTS LIVED IN HOUSEHOLDS WITH VERY LOW FOOD SECURITY. THESE RATES ARE HIGHER FOR PEOPLE OF AFRICAN AMERICAN OR HISPANIC DESCENT. WHILE FOOD INSECURITY IS CLOSELY LINKED TO POVERTY, PEOPLE ABOVE THE POVERTY LINE CAN EXPERIENCE FOOD INSECURITY, WHICH WAS ESPECIALLY EVIDENT DURING THE COVID-19 PANDEMIC. PEOPLE WHO ARE FOOD INSECURE ARE AT AN INCREASED RISK FOR A VARIETY OF NEGATIVE HEALTH OUTCOMES, INCLUDING OBESITY AND OTHER CHRONIC DISEASES. FOOD INSECURITY OFTEN OVERLAPS WITH MANY OF THE SOCIAL DETERMINANTS OF HEALTH DISCUSSED THROUGHOUT THIS REPORT SUCH AS INCOME, HOUSING, RACE, AND EDUCATION. CONSEQUENTLY, STRATEGIES TO ADDRESS FOOD INSECURITY MUST BE UNDERTAKEN IN A SOCIAL DETERMINANT CONTEXT. 5. HEALTH ACCESS & EQUITY (SUB-CATEGORIES: UNDERSERVED POPULATIONS, OBSTACLES TO CARE, HEALTH LITERACY): REGULAR ACCESS TO HEALTH SERVICES IS ESSENTIAL IN MANAGING HEALTH CONDITIONS, PREVENTING NEW CONDITIONS FROM ARISING, AND PROMOTING AND MAINTAINING OVERALL GOOD HEA
PART V, SECTION B, LINE 16A	HTTPS://WWW.SOUTHCOAST.ORG/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16B	HTTPS://WWW.SOUTHCOAST.ORG/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINE 16C	HTTPS://WWW.SOUTHCOAST.ORG/FINANCIAL-ASSISTANCE/
PART V, SECTION B, LINES 20A-D	SHG DID NOT ENGAGE IN ANY OF THE ACTIONS IN LINE 19 DURING FY2022.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	DISCOUNTS ARE AFFORDED TO A "QUALIFYING PATIENT" - PATIENT WHO IS NOT ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE AND WHO IS UNINSURED FOR MEDICALLY NECESSARY HOSPITAL SERVICES. ELIGIBLE BALANCES ARE THOSE AMOUNTS FOR WHICH QUALIFYING PATIENTS HAVE FULL RESPONSIBILITY DUE TO LACK OF INSURANCE. OBLIGATIONS DO NOT INCLUDE CO-INSURANCE, DEDUCTIBLES OR BALANCES DUE AFTER INSURANCE OR OUT-OF-NETWORK SERVICES. A DISCOUNT OF 25% OF THE TOTAL CHARGES WILL BE APPLIED AT THE TIME OF INITIAL BILLING. ADDITIONAL DISCOUNTS MAY BE POSSIBLE BASED ON THE SIZE OF THE BALANCE, TIMELINESS OF PAYMENT AND FINANCIAL NEED. THESE ARE GIVEN INDIVIDUAL CONSIDERATION. SHG WILL SEEK TO ADVISE QUALIFYING PATIENTS WITH RESPECT TO AVAILABILITY OF DISCOUNT PURSUANT TO THIS POLICY AS WELL AS THE AVAILABILITY OF LOW INCOME AND MASSHEALTH BENEFITS. THE FINANCIAL ASSISTANCE POLICY EXPLAINS IN DETAIL THE ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE. INCLUDING FEDERAL POVERTY GUIDELINES WITH A LIMIT OF 150% FOR FREE CARE AND 300% FOR DISCOUNTED CARE, ASSET LEVEL, MEDICAL INDIGENCY, INSURED STATUS, UNDERINSURED STATUS, AND RESIDENCY CRITERIA.
PART I, LINE 7	ACTUAL COST FOR ALL SHG PATIENT SEGMENTS WAS USED TO CALCULATE THE VALUE OF CHARITY CARE.
PART I, LINE 7G	INCLUDED IN SUBSIDIZED HEALTH SERVICES AT COST ARE COSTS AND OFFSETTING REVENUES ASSOCIATED WITH SHG'S LEVEL II NURSERY AND INPATIENT REHABILITATIVE SERVICES. SHG IS THE SOLE PROVIDER OF THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED.
PART II	Southcoast engages in a number of community building activities that promote infrastructure improvement in communities and the development of policies and programs that address social determinants of health and improving health equity in the South Coast region. Southcoast leads and convenes collaborative groups and actively participates on numerous coalitions that work to improve the health and wellness of our community. Southcoast is the co-leader of the Bristol County Regional Alliance to end the opioid crisis, which a regional coalition focused on increasing communication and collaboration of all entities working to address the Opioid Epidemic across the South Coast Region. Southcoast is also lead implementation partner of The Basics, Southcoast initiative and serves on the steering committee for the Southcoast Coalition for Early Childhood Education. The Basics are five parenting and caregiving principles that support social, emotional, and cognitive development in children from birth to age three, with the goal to improve kindergarten readiness. Additionally, Southcoast serves on the steering committee for the Homeless Service Provider Network (HSPN) to combat homelessness and the rising costs of affordable housing, the advisory board for the Southcoast Food Policy Council, which connects, convenes, and advocates for local food producers, consumers, and community leaders who seek policy and systems that strengthen our regional food system, improve community health, and eliminate food insecurity, and on the steering committees for the local area CHNA's in Fall River and New Bedford.
PART III, LINE 2	THE COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 WAS BASED ON A RATIO OF COST TO CHARGE METHODOLOGY. DISCOUNTS AND PAYMENTS ON ACCOUNTS CONSIDERED AS BAD DEBT OFFSET THE TOTAL BAD DEBT EXPENSE RECORDED. PART III, LINE 3 PER SHG'S ASSESSMENT OF THE COMMUNITY IT SERVES, A CERTAIN PERCENTAGE OF THE POPULATION WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DO NOT APPLY. DUE TO THIS SHG CONSIDERS THIS AMOUNT OF BAD DEBT AS A COMMUNITY BENEFIT EXPENSE. PART III, LINE 4 FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SHG RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SHG'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SHG RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. FOOTNOTE 2 (PAGES 8-9) AND FOOTNOTE 3 (PAGE 13) OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS RELATES TO ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBTS.
PART III, LINE 8	THE COST ACCOUNTING METHODOLOGY USED IS THE SAME METHODOLOGY USED FOR THE MEDICARE SHORTFALL. THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT SINCE SHG IS REQUIRED TO PROVIDE SERVICES TO ALL REGARDLESS OF THE ABILITY TO PAY FOR SUCH SERVICES.
PART III, LINE 9B	SHG'S CREDIT AND COLLECTION POLICY CONTAINS PROVISIONS REGARDING COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. FOR INDIVIDUALS DETERMINED TO BE LOW INCOME PATIENTS ANY SERVICES PROVIDED PRIOR TO SUCH DETERMINATION DATE AND NOT COVERED UNDER THE SAFETY NET (HSN) WILL BE WRITTEN OFF AS CHARITY CARE. ANY SERVICE DENIED BY THE HSN FOR MEDICALLY NECESSARY SERVICES WILL ALSO BE CONSIDERED CHARITY CARE. ANY COPAYMENTS OR DEDUCTIBLES FOR MASSHEALTH AND MASSHEALTH MANAGED CARE RECIPIENTS WILL BE CONSIDERED CHARITY CARE IF UNRESOLVED AT THE CONCLUSION OF SHG'S COLLECTION PROCESS. THE FOLLOWING ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: 1. PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, EXCEPT SHG MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM FOR THEIR REQUIRED COPAYMENTS AND DEDUCTIBLES AS SET FORTH IN EACH PLAN; 2. SHG MAY INITIATE BILLING AND COLLECTION FOR A PATIENT ALLEGING TO PARTICIPATE IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF SHG SERVICES BUT FAILS TO PROVIDE PROOF OF PARTICIPATION; 3. SHG MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME DETERMINATION, HOWEVER, COLLECTION ACTION WILL CEASE ONCE ELIGIBILITY IS DETERMINED; AND 4. SHG WILL NOT SEEK COLLECTION FROM AN INDIVIDUAL WHO HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HSN WITH RESPECT TO THE AMOUNT OF THE BILL EXCEEDING THE MEDICAL HARDSHIP CONTRIBUTION. SHG WILL NOT PURSUE COLLECTION FROM A PATIENT INVOLVED IN BANKRUPTCY PROCEEDING AND WILL NOT CHARGE INTEREST IN AN OVERDUE BALANCE OF A LOW INCOME PATIENT.
PART VI, LINE 2	In addition to completing a comprehensive, regional community health needs assessment every three years, Southcoast participates in and leads over 30 community coalitions and actively participates in a number of projects every year that collect and analyze information about the social and health care needs of the residents living in the South Coast Region. These activities include tracking hospital data such as the number of patients reporting homelessness, overdose data, and food insecurity; to working with coalition partners to conduct outreach/surveys and focus groups on a number of topics (aligning with our priorities). We meet regularly to discuss the success of these projects and to make sure that we are having the desired impact within the community.
PART VI, LINE 3	Southcoast shares notifications of insurance eligibility in multiple languages throughout all of our inpatient and outpatient facilities. Information on this topic is also provided and accessible on our website. Southcoast also utilizes multilingual outreach brochures, displayed in our facilities and also distributed at a number of health insurance outreach events and also through regular outreach with our Community Wellness Program. All information is shared in english, spanish, and portuguese.
PART VI, LINE 4	Geographic Area: The South Coast region is composed of thirteen communities located in the Southeastern portion of Massachusetts. This regional definition coincides with Community Health Network Area 25, Partners for a Healthier Community (Greater Fall River), and Community Health Network Area 26, Greater New Bedford Allies for Health and Wellness (Greater New Bedford). Fall River and New Bedford are two of the state's many Gateway Cities, which are defined as midsize urban centers that anchor regional economies. These cities are primarily former industrial centers that were the traditional gateways for immigrants. As has been the case across most of the state's Gateway Cities, Fall River, New Bedford, and many suburban areas in the South Coast region for that matter, have not experienced the benefits from the Boston metro area's knowledge economy, with many of the region's service-related jobs requiring relatively low levels of formal training or education and paying comparatively low wages. Accordingly, Fall River and New Bedford, and some of the region's suburban communities, fall below their regional counterparts and state averages on most socioeconomic metrics. Demography: The South Coast's population was 357,212 in 2020, which represents 5.1% of the state's total population. Fall River and New Bedford account for 54.6% of the region's total. The region's population increased by 4.9% from 2010 to 2020 and by 16.1% since 1970, both of which lag behind the statewide population growth rates for these periods (7.4% and 23.6% respectively). Population growth and residential development over the past five decades have been uneven within the region, with much of the growth from 1970 to 2010 driven by population increases in the region's suburbs. The population in the cities of Fall River and New Bedford declined by 14,746 residents from 1970 to 2010, while the region's suburban towns grew by 47,730 residents over this period. However, this trend has reversed in the last decade, with the region's cities experiencing a population increase of 11,150 residents from 2010 to 2020, compared with an increase of just 5,487 residents in the suburbs. Perhaps the most significant demographic trend in the region is its changing racial makeup. This is particularly true in the city of New Bedford, where nearly a quarter of New Bedford residents (24.3%) identify as Hispanic, almost double the statewide percentage (12.6%). In addition, the student populations in Fall River and New Bedford are much more diverse than the population as a whole. Only 46.2% of students in the Fall River Public Schools identify as White (compared to 73.4% of all residents) and only 37.5% of students in the New Bedford students identify as White (compared to 60.8% in the city as a whole. The higher share of minorities in the school system compared to the community is, in part, a product of the national trend of minority births exceeding white births. As this trend continues, the student population in the region will only grow more diverse. The South Coast has long been an attractive place to settle for immigrants, and as Gateway Cities, Fall River and New Bedford have been traditional destinations for new arrivals to America since the late 18th century. More than twenty-one percent (21.3%) of Fall River residents and nineteen percent (19.0%) of New Bedford residents were born outside the U.S. While Portuguese immigrants comprised the majority of the region's foreign-born residents in the last half of the 20th century, emigration from Europe to the U.S. has slowed, and now immigrants from Latin America, South America, Africa, and Asia account for increasing shares of the populations in the region. There are health care implications inherent in being a hub for immigrants, including language barriers, lack of insurance, low health literacy, and other health access issues. The age cohorts in the South Coast generally reflect their counterparts at the state level. However, the region has a slightly higher share of residents 65 years of age or older, which is more pronounced in the region's towns. Fall River and New Bedford have larger shares of the population under the age of 35 when compared to their metro areas and the South Coast overall. Poverty is a major social determinant of health. Those in poverty often have less opportunity and less access to resources that can assist in improving and maintaining one's health. Resources that contribute to educational attainment, employment, housing status, health care opportunities, and social activities are all less accessible to those living in poverty. Over twelve percent (12.6%) of the region's population and 9.8% of its families are below the poverty level. This compares to 9.8% and 6.6% statewide, respectively. The poverty rates in Fall River and New Bedford are nearly double the state average. Students are often the socioeconomic bellwether of a community. More than sixty-two percent (62.2%) of the region's public-school students are classified as economically disadvantaged by the Department of Elementary and Secondary Education (DESE). Much like other poverty measures, the share of public-school students economically disadvantaged in Fall River and New Bedford is about twice the state average. Education: As a region, the South Coast has long struggled with low levels of educational attainment. Massachusetts has the second most highly educated population in the country and one of the most well-educated populations in the world. In contrast, Fall River and New Bedford have some of the lowest levels of educational attainment levels of any cities in Massachusetts. High school graduation rates in Fall River and New Bedford are also well below the state average, while rates for most of the other high schools in the region are above the state average. Not surprisingly, a lower percentage of students in these communities plan to attend college: only 54% of students in Fall River and 51% of students in New Bedford plan to move on to college. In both cities, the majority of the population 25 years of age or older has never attended a college or university. Housing: Housing affordability is a social determinant of health. A lack of affordable housing contributes to housing instability and homelessness, both of which are strong predictors of poor health outcomes. The housing issue in the South Coast is primarily twofold: the focus in the region's cities is primarily on rising rents and the implications on the working poor and people on fixed incomes. This dynamic results in many households paying housing costs that are above their means, which in turn leaves less household income available for health care and other basic needs. During the 2016- 2020 period, 46.5% of renters and 30.5% of homeowners in the South Coast were housing cost burdened. Housing insecurity disproportionately affects low-income households, people of color, and seniors. This trend is evident in Fall River and New Bedford where White households are less likely to be burdened by housing costs than their neighbors. Health & Wellness: The region's health is affected by the physical conditions of the South Coast. A person's physical environment can profoundly affect health outcomes. Environmental factors that affect health outcomes include, but are not limited to, access to healthy food, air quality, water quality, and environmental contamination. In particular, exposure to contaminants through pathways from the air, water, soil, and food can lead to extreme health issues. Unhealthy behaviors lead to poor health outcomes. Tobacco use, physical inactivity, and poor nutrition contributes to preventable chronic diseases such as diabetes, cancer, heart disease, and lung disease. While some chronic conditions are a result of behavior or genetics, social and environmental factors can also elevate the risk of contracting chronic disease: The smoking prevalence in Fall River remains stubbornly high; 23.2% in Fall River and 22.4% in New Bedford, compared to 12.0% in Massachusetts and 16.0% for the country as a whole. In nearly each disease prevalence, the cities of Fall River and New Bedford are higher in comparison to the state and national averages. Most notably, the percentage of Fall River residents who report chronic obstructive pulmonary disease (9.7%) is nearly double that of the state (4.9%). While substance use disorder continues to rank as one of the top health priorities, stakeholders caution that alcohol abuse is also a significant issue; 69% of HSSP survey respondents rate alcohol use disorder as an "extremely concerning" issue. Bristol County, which includes Fall River and New Bedford, has one of the highest percentages of food insecurity among the state's fourteen counties; an estimated 11.0% of residents were food insecure in 2020. In the South Coast, 84,968 residents received SNAP benefits in July 2022, which is an increase of 26.2% (17,631 recipients) from Febru
PART VI, LINE 5	SOUTHCOAST INVESTS INITIATIVES AND PROGRAMS DESIGNED TO ADDRESS PRESSING HEALTH ISSUES ACROSS OUR REGION. WE COLLABORATE WITH HUNDREDS OF COMMUNITY PARTNERS TO ADOPT BEST PRACTICES IN COMMUNITY BENEFITS NEEDS ASSESSMENT, PLANNING AND IMPLEMENTATION, WITH THE SHARED GOAL OF IMPROVING THE HEALTH OF OUR COMMUNITIES. TARGETED ACTIVITIES INCLUDED: ECONOMIC OPPORTUNITY: THE BASICS, SOUTHCOAST INITIATIVE. AS PART OF OUR WORK TO IMPROVE EARLY CHILDHOOD DEVELOPMENT WE ARE THE LEAD IMPLEMENTATION PARTNER OF THE BASICS, SOUTHCOAST IN PARTNERSHIP WITH NORTHSTAR LEARNING CENTER & THE SOUTHCOAST COALITION FOR EARLY CHILDHOOD DEVELOPMENT. SCIENCE SHOWS THAT 80% OF BRAIN GROWTH HAPPENS BY THE AGE OF THREE, AND THE BASICS ARE FIVE PARENTING AND CAREGIVING PRINCIPLES THAT SUPPORT SOCIAL, EMOTIONAL, AND COGNITIVE DEVELOPMENT IN CHILDREN FROM BIRTH TO AGE THREE. THIS PAST YEAR, A LEARNING TRAIL FOR CHILDREN AND FAMILIES WAS CREATED USING ARTS AND CULTURE IN THE CITY OF NEW BEDFORD, AN IMPLEMENTATION COORDINATOR WAS HIRED VIA NORTHSTAR TO ASSIST WITH TRAINING AND EDUCATION ON THE BASICS, AND SOUTHCOAST AS A HEALTH SYSTEM CONTINUED TO EXPLORE OPPORTUNITIES TO EMBED THIS INITIATIVE INTO OUR FACILITIES. BEHAVIORAL HEALTH NEEDS: THE NEW BEGINNINGS PROGRAM IS A MULTIDISCIPLINARY CARE TEAM THAT SUPPORTS PATIENTS PRENATALLY THROUGH POSTPARTUM AND IS OVERSEEN BY A RN. PRENATALLY PATIENTS RECEIVE SUPPORT TO ACCESS SUBSTANCE USE TREATMENT SERVICES, MAINTAIN A HEALTHY PREGNANCY, AND PREPARE FOR DELIVERY. POSTPARTUM CARE CONTINUES UP TO 12 MONTHS TO REDUCE THE HIGH RISK FOR RETURN TO SUBSTANCE USE FOR 7-12 MONTHS. DURING FY22, THERE WERE 143 INDIVIDUALS REFERRED TO THE PROGRAM WHICH IS A 36% INCREASE FROM THE PREVIOUS FISCAL. OUT OF THE 143 REFERRED, 90 INDIVIDUALS ENROLLED IN THE PROGRAM. OF THOSE WHO ENGAGED IN PROGRAM PRENATALLY 74% DISCHARGED WITH THEIR BABY, WHILE THOSE WHO WERE NOT ENGAGED IN THE PROGRAM AND WERE IDENTIFIED DURING THEIR POSTPARTUM PERIOD - ONLY 53% OF THESE INDIVIDUALS WERE DISCHARGED WITH THEIR BABY. THERE IS ABOUT A 20% IMPROVEMENT OF DISCHARGE WITH BABY WHEN INDIVIDUALS ARE ENROLLED IN THIS PROGRAM PRENATALLY. WELLNESS & CHRONIC DISEASE: THE COMMUNITY WELLNESS PROGRAM LAUNCHED DURING FY22. THIS PROGRAM IS THE NEXT PHASE OF OUR MOBILE HEALTH SERVICES, PREVIOUSLY DONE BY OUR SOUTHCOAST HEALTH WELLNESS VAN. THIS NEW PROGRAM UTILIZES 2 ELECTRIC SUVS THAT GO OUT INTO THE COMMUNITY AND PROVIDE PREVENTATIVE HEALTH EDUCATION. WITH THE GOAL OF PROVIDING HEALTH SCREENINGS AND VACCINES AS WE EXPAND THE PROGRAM. IN ADDITION, THE PROGRAM HAS A RN ADDICTION NURSE SPECIALIST WITH A FOCUS ON ASSISTING THOSE WHO ARE HOMELESS, SUFFERING FROM A SUD AND/OR MENTAL HEALTH NEED. IN PARTNERSHIP WITH OUR COMMUNITY PARTNERS SUCH AS SSTAR AND STEPPINGSTONE'S PROJECT FAIHR PROGRAM, THE TEAM GOES OUT TO HOMELESS ENCAMPMENTS PROVIDING STREET OUTREACH AND TRIAGE TO INDIVIDUALS IN NEED WORKING TO CONNECT THEM TO RESOURCES WHERE THEY ARE AT. WELLNESS & CHRONIC DISEASE: IN ADDITION TO THE COMMUNITY WELLNESS PROGRAM, WE ARE FOCUSED ON CHRONIC DISEASE PREVENTION, EDUCATION, AND SCREENING OPPORTUNITIES. THE CANCER CENTER, IN PARTNERSHIP WITH LOCAL COMMUNITY PARTNER AGENCIES PROVIDED VAPING AND SMOKING CESSATION EDUCATION TO AT-RISK YOUTH. IN ADDITION, ADVANCEMENTS IN OUR COLON CANCER SCREENING PROCESS WERE MADE. SOUTHCOAST ALSO WORKS TO ADDRESS THE REGION'S HIGH FOOD INSECURITY NEED. WE PARTNER WITH REGIONAL ORGANIZATIONS TO PROVIDE LOCAL, HEALTHY, LOW-COST PRODUCE AND MEAL OPPORTUNITIES THROUGH FARMER'S MARKETS AND MOBILE POP-UP MARKETS LOCATED IN THE COMMUNITY. HEALTH ACCESS & EQUITY: CONTINUED UTILIZATION AND EXPANSION OF THE SOUTHCOAST RESOURCE CONNECT PLATFORM. SOUTHCOAST RESOURCE CONNECT IS A RESOURCE DIRECTORY FOR FREE OR LOW-COST SERVICES WITH A WIDE RANGE OF BEHAVIORAL HEALTH AND COMMUNITY RESOURCES TO ASSIST INDIVIDUALS AND FAMILIES WHO MAY BE FACING DIFFICULT LIFE CHALLENGES. DURING FY22, THERE WERE 6,243 UNIQUE USERS THAT ACCESSED THE RESOURCE DIRECTORY WITH THE TOP SEARCH BEING FOR FOOD RESOURCES. COLLABORATION: COALITION BUILDING IS AN IMPORTANT ACTIVITY THAT PROMOTES COORDINATION AND COLLABORATION THROUGH THE EFFECTIVE USE OF LIMITED COMMUNITY RESOURCES AND EVERY YEAR SOUTHCOAST STAFF LEAD AND PARTICIPATE IN A NUMBER OF COMMUNITY COALITIONS ACROSS THE REGION. WE ACTIVELY PARTICIPATED ON ABOUT 30 COALITIONS REGION-WIDE TO ADDRESS THE PRESSING SOCIAL CONDITIONS THAT IMPACT HEALTH INCLUDING ACCESS TO SAFE AND AFFORDABLE HOUSING, TRANSPORTATION, FOOD SECURITY, EDUCATIONAL ATTAINMENT, EMPLOYMENT, ENVIRONMENTAL JUSTICE AND MENTAL HEALTH AND SUBSTANCE USE DISORDERS. GRANT SUPPORT: DURING FY22 WE RELEASED THE ACCESS TO TECHNOLOGY GRANT PROGRAM, IN RESPONSE TO EMERGING NEEDS FOR TECHNOLOGICAL IMPROVEMENTS DUE TO THE PANDEMIC. THIS NEW GRANT PROGRAM IS PART OF A LARGER COMMUNITY BENEFITS INITIATIVE, WHICH IMPROVES THE HEALTH AND QUALITY OF LIFE FOR HUNDREDS OF THOUSANDS OF RESIDENTS ON THE SOUTH COAST. IN TOTAL $34,405 WAS AWARDED, WITH NINE OVERALL APPLICATIONS RECEIVED AND 6 ORGANIZATIONS WERE AWARDED FUNDING. ADDITIONALLY, SHG PROMOTES THE HEALTH OF THE COMMUNITY IN OTHER WAYS, SUCH AS: (1) THE MAJORITY OF THE SHG BOARD ARE INDEPENDENT MEMBERS WHO RESIDE IN THE SOUTHCOAST REGION. (2) MANY QUALIFIED PHYSICIANS WITHIN THE COMMUNITY HAVE APPLIED FOR AND BEEN GRANTED MEDICAL STAFF PRIVILEGES IN THE SOUTHCOAST HEALTH SYSTEM, INCLUDING CHARLTON MEMORIAL HOSPITAL (FALL RIVER, MA), SAINT LUKE'S HOSPITAL (NEW BEDFORD, MA) AND TOBEY HOSPITAL (WAREHAM, MA), AND (3) SURPLUS FUNDS ARE PUT BACK INTO THE SYSTEM TO IMPROVE MEDICAL FACILITIES, PURCHASE NEW EQUIPMENT, MAKE IMPROVEMENTS TO PATIENT CARE, PROVIDE TRAINING AND EDUCATION TO STAFF, PERFORM NECESSARY RESEARCH, ETC.
PART VI, LINE 6	THE SOUTHCOAST HEALTH COMMUNITY BENEFITS PROGRAM WORKS WITH OTHER SOUTHCOAST AFFILIATES INCLUDING, SOUTHCOAST BEHAVIORAL HEALTH, SOUTHCOAST VISITING NURSES ASSOCIATION (VNA), SOUTHCOAST PHYSICIANS GROUP (SPG), AND SOUTHCOAST HEALTH NETWORK (SHN), TO COORDINATE ALL COMMUNITY BENEFIT ACTIVITIES DESIGNED TO ADDRESS PRESSING HEALTH ISSUES IN OUR REGION AND IMPROVE ACCESS TO HEALTH CARE. AN INTERNAL COMMITTEE, CALLED THE SOUTHCOAST CARES CHAMPIONS MEETS QUARTERLY TO PLAN AND COORDINATE COMMUNITY BENEFIT PROJECTS AND ACTIVITIES AS GUIDED BY THE CBAC. THIS TEAM CONSISTS OF REPRESENTATIVES FROM DEPARTMENTS THAT REGULARLY ENGAGE IN COMMUNITY OUTREACH INCLUDING STAFF FROM OUR SOCIAL SERVICES, DIABETES MANAGEMENT, BEHAVIORAL HEALTH SERVICES, PATIENT ACCESS AND FINANCIAL SERVICES, CANCER OUTREACH, SMOKING CESSATION, SOUTHCOAST'S VNA, THE PHYSICIANS GROUP (SPG) AND SOUTHCOAST HEALTH NETWORK (SHN). SENIOR MANAGEMENT RESPONSIBLE FOR THE PROGRAM RESTS WITH SOUTHCOAST'S EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER, WHO ALSO SERVES AS A MEMBER OF THE CBAC. THE MANAGER OF COMMUNITY HEALTH & WELLNESS, WHO REPORTS TO THE EXECUTIVE DIRECTOR OF OPERATIONS FOR SOUTHCOAST HEALTH NETWORK, MANAGES THE DAY-TO-DAY COMMUNITY BENEFIT ACTIVITIES. UPDATES AND PRESENTATIONS ON COMMUNITY BENEFIT ACTIVITIES TO SOUTHCOAST LEADERSHIP AT VICE PRESIDENT, DIRECTOR, AND MANAGER LEVEL MEETINGS ARE GIVEN ON A REGULAR BASIS. MESSAGING OF THESE ACTIVITIES ARE DELIVERED TO ALL EMPLOYEES THROUGH AN INTERNAL E-NEWSLETTER. WE ARE ACTIVELY IN THE PROCESS OF DEVELOPING AN INTERNAL WEBSITE PAGE TO COMMUNICATE THIS INFORMATION AS WELL.
PART VI, LINE 7	YES, AN ANNUAL REPORT IS FILED WITH THE OFFICE OF THE MASSACHUSETTS ATTORNEY GENERAL.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (19 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
CHILDREN'S ADVOCACY CNTR OF BRISTOL COUNTY
58 ARCH STREET	FALL RIVER	MA	02724	043135548	501(C)(3)	$15,000	COMMUNITY OUTREACH, SUPPORT SERVICES, AND EDUCATION
BOYS AND GIRLS CLUB OF GREATER NEW BEDFORD
166 JENNEY STREET	NEW BEDFORD	MA	02740	042104752	501(C)(3)	$9,500	SUPPORT SERVICES
MASSACHUSETTS TAXPAYERS FOUNDATION
333 WASHINGTON STREET SUITE 853	BOSTON	MA	02108	041590310	501(C)(3)	$5,495	MEMBERSHIP CONTRIBUTIONS FOR PROGRAM SUPPORT
SAMARITANS SOUTHCOAST
PO BOX 1333	WESTPORT	MA	02790	222474826	501(C)(3)	$5,798	SUPPORT SERVICES
SOUTH COAST LGBTQ NETWORK
1213 PURCHASE STREET UNIT 2	NEW BEDFORD	MA	02740	822601799	501(C)(3)	$5,200	SUPPORT SERVICES
NEW BEDFORD ECONOMIC DEVELOPMENT COUNCIL INC
1213 PURCHASE STREET 2ND FLOOR	NEW BEDFORD	MA	02740	043244024	501(C)(3)	$15,000	SUPPORT SERVICES
TOWN OF WAREHAM
54 MARION ROAD	WAREHAM	MA	02571	046001336	MUNICIPALITY	$8,068	SUPPORT SERVICES
UNITED WAY OF GREATER NEW BEDFORD
128 UNION STREET SUITE 150	NEW BEDFORD	MA	02740	042104264	501(C)(3)	$15,000	COMMUNITY OUTREACH
PACE PEOPLE ACTING IN COMMUNITY ENDEAVORS
166 WILLIAM STREET	NEW BEDFORD	MA	02740	042777810	501(C)(3)	$10,000	COMMUNITY OUTREACH AND SUPPORT SERVICES
CITIZENS FOR CITIZENS
264 GRIFFIN STREET	FALL RIVER	MA	02724	046134724	501(C)(3)	$10,000	COMMUNITY OUTREACH & SUPPORT SERVICES
WACH TURNING POINT
3 VIKING DRIVE	WAREHAM	MA	02571	412079668	501(C)(3)	$7,500	COMMUNITY OUTREACH & SUPPORT SERVICES
SALVATION ARMY OF GREATER FALL RIVER
290 BEDFORD STREET	FALL RIVER	MA	02722	041612613	501(C)(3)	$5,500	COMMUNITY OUTREACH & SUPPORT SERVICES
ONE SOUTHCOAST CHAMBER
227 UNION STREET	NEW BEDFORD	MA	02742	843311136	501(C)(3)	$53,005	COMMUNITY OUTREACH
FRIENDS OF JACK FOUNDATION
PO BOX 419	MATTAPOISETT	MA	02739	834424674	501(C)(3)	$18,000	COMMUNITY OUTREACH
UNIVERSITY OF MASSACHUSETTS DARTMOUTH
285 OLD WESTPORT ROAD	DARTMOUTH	MA	02747	043167352	501(c)(3)	$12,500	COMMUNITY OUTREACH
NEW BEDFORD HISTORICAL SOCIETY INC
21 SEVENTH STREET	NEW BEDFORD	MA	02740	043348881	501(C)(3)	$10,250	COMMUNITY OUTREACH
MASSACHUSETTS HEALTH COUNCIL INC
200 RESERVOIR STREET SUITE 101	NEEDHAM	MA	02494	042296739	501(C)(3)	$6,000	COMMUNITY OUTREACH
GRAY MATTER MARKETING
87 COL CHRISTOPHER GREENE RD	PORTSMOUTH	RI	02871	411493213	C CORP	$10,000	COMMUNITY OUTREACH
SOUTHCOAST HEALTH AMBASSADORS INC
363 HIGHLAND AVENUE	FALL RIVER	MA	02721	043583676	501(C)(3)	$10,000	SUPPORT SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	SOUTHCOAST COMMUNITY BENEFITS DEPARTMENT REQUIRES ALL GRANTEES TO SUBMIT SIX AND TWELVE MONTH REPORTS ON PROJECT RESULTS INCLUDING RESULTS OF "SMART" GOALS THAT ARE A REQUIREMENT OF THE GRANT APPLICATION. SHG ALSO MAINTAINS COMMUNICATION WITH GRANTEES DURING THE GRANT PERIOD TO DETERMINE OPPORTUNITIES FOR COLLABORATION WITH OTHER COMMUNITY BENEFITS PROGRAMMING.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
KEITH HOVAN
PRESIDENT & CEO (UNTIL 1/22)	$1,380,000	$0	$693,393	$324,300	$20,663	$2,418,356	$264,993
RAYFORD KRUGER MD
PRESIDENT & CEO (AS OF 3/22)								$184,776	$73,305	$989,462	$35,100	$10,273	$1,292,916
WADE BROUGHMAN
EVP FIN/CFO & Treasurer	$700,000	$236,000	$157,794	$17,400	$17,280	$1,128,474
RENEE CLARK
EVP/COO (SHG)/ ASST. CLERK	$700,000	$236,000	$118,119	$161,160	$20,263	$1,235,542	$109,644
ILANA FEINERMAN MD
TRUSTEE								$435,671	$75,000	$81,086	$15,600	$9,941	$617,298
LAUREN DESIMON JOHNSON
SVP/ CHRO	$430,000	$107,500	$6,616	$96,750	$21,263	$662,129	$7,630
MICHAEL COFONE
SVP FINANCE (UNTIL 12/21)	$375,000	$93,800	$268,905	$73,650	$20,263	$831,618	$193,085
JAMES FEEN
SVP/CIO	$472,000	$141,600	$3,974	$107,616	$21,263	$746,453
STEPHEN CANESSA
SVP CHIEF BRAND STRATEGY OFFCR	$450,000	$135,000	$69,570	$102,600	$20,663	$777,833	$47,978
JAQUELINE SOMERVILLE
SVP/CNO	$395,000	$98,800	$72,858	$15,078	$17,280	$599,016
ANA LAUS
TRUSTEE (AS OF 1/22)								$279,230	$25,000	$104,382	$15,600	$180	$424,392
STEPHEN PIRES
SVP INSURANCE & RISK MGMT	$292,856	$75,000	$0	$17,400	$17,280	$402,536
TONYA JOHNSON
VP OPERATIONS	$314,936	$76,000	$0	$17,400	$20,644	$428,980
JAMES WITKOWSKI MD
TRUSTEE (UNTIL 12/21)								$279,230	$25,000	$59,760	$35,100	$11,763	$410,853
ROBERT SWANN
VP/ ACNO SLH	$300,000	$48,800	$5,719	$0	$17,280	$371,799
JADENE ELDEN
VP REVENUE CYCLE	$274,893	$55,000	$0	$0	$1,391	$331,284

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED A GROSS UP FOR RELOCATION REIMBURSEMENTS. THIS BENEFIT WAS INCLUDED IN THEIR W-2 TAXABLE INCOME.
PART I, LINE 4B	OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SHG PARTICIPATE IN SHG'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTION CREDITS UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (C). ONLY UPON TERMINATIONS OF EMPLOYMENT DO FULLY VESTED PARTICIPANTS RECEIVE DISTRIBUTIONS FROM THE PLAN. CONTRIBUTIONS VEST THE EARLIER OF: JULY 1 OF THE 3RD CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE CONTRIBUTION CREDIT IS MADE; UPON REACHING AGE 62; DEATH; DISABILITY; OR INVOLUNTARY SEPARATION. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES THE VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE. KEITH HOVAN - $316,134 RENEE CLARK - $112,613 MICHAEL COFONE - $270,538 STEPHEN CANESSA - $77,615 WADE BROUGHMAN - $143,760 JAQUELINE SOMERVILLE - $59,250 LAUREN DESIMON JOHNSON - $11,178 IN ADDITION TO THE ABOVE OUTLINED PLAN, THE FOLLOWING INDIVIDUAL ALSO HAS A SEPARATE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. KEITH HOVAN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF KEITH HOVAN. UNDER THE TERMS OF THE PLAN, MR. HOVAN BECAME FULLY VESTED AS OF JUNE 30, 2018. ANNUAL CREDITS TO THE PLAN ARE IMMEDIATELY VESTED AND INCLUDED IN SCH J, PART II, COLUMN (B)(iii). PURSUANT TO THE PLAN $364,900 WAS INCLUDED IN MR. HOVAN'S 2021 FORM W-2 AND SCH J, PART II, COLUMN B(III).
PART I, LINE 7	The Southcoast Health System Executive Compensation Plan (the Plan) Established 10/15/2008, and updated from time to time, is governed by the Compensation Committee (the Committee) of the Board of Trustees (Board) of Southcoast Health System. The Plan outlines goals, administration, eligibility, participation, performance measurement, and plan funding. Lump sum cash awards are earned by designated executives at specific target levels based on job level: both award amounts paid and eligibility are determined solely at the Board's discretion. The Plan remains in effect at the discretion and judgement of the Committee.
PART II, COLUMN F	OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. PRIOR YEAR CONTRIBUTION CREDITS INCLUDED AS DEFERRED IN A PRIOR YEAR AND AS W-2 COMPENSATION IN THE CURRENT YEAR ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (F). ONLY UPON TERMINATIONS OF EMPLOYMENT DO FULLY VESTED PARTICIPANTS RECEIVE DISTRIBUTIONS FROM THE PLAN. CONTRIBUTIONS VEST THE EARLIER OF: JULY 1 OF THE 3RD CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE CONTRIBUTION CREDIT IS MADE; UPON REACHING AGE 62; DEATH; DISABILITY; OR INVOLUNTARY SEPARATION. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES THE ORIGINAL CONTRIBUTION CREDITS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE. KEITH HOVAN - $264,993 RENEE CLARK - $109,644 MICHAEL COFONE - $193,085 STEPHEN CANESSA - $47,978 LAUREN DESIMON JOHNSON - $7,630

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Mass Development and Finance Agency
A	043431814	57584YH28	2021-02-04	$104,489,523	REFINANCING & CONSTRUCTION/RENOVAT	false	false	false
Mass Development and Finance Agency
B	043431814	999999999	2012-01-31	$46,965,000	Refinancing	false	false	false
Mass Development and Finance Agency
C	043431814	57583UTY4	2013-02-14	$60,879,456	Construct/renovate care centers	false	false	false
MASS DEVELOPMENT AND FINANCE AGENCY
D	043431814	999999999	2018-11-01	$38,480,000	REFINANCING	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$104,489,523	$0	$0	$0	$1,503,621	$0	$0	$52,082,522	$42,956,226	$7,947,154	2022	Yes (true)	false	false	Yes (true)
B	$0	$0	$46,965,000	$0	$0	$0	$254,694	$0	$0	$0	$46,710,306	$0	2012	Yes (true)	false	Yes (true)	false
C	$0	$0	$60,879,456	$0	$0	$0	$759,501	$0	$0	$60,119,955	$0	$0	2014	false	false	Yes (true)	false
D	$0	$0	$38,480,000	$0	$0	$0	$198,723	$0	$0	$0	$38,281,277	$0	2018	Yes (true)	false	Yes (true)	false

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00030	0.00130	0.00160	false	false	false	Yes (true)
C	false	false	false		false	0.00000	0.00000	0.00000	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	0.01000	0.00060	0.01060	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
D	false	false	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 2C	FormAndLineReferenceDesc
Explanation	REBATE COMPUTATIONS WERE PERFORMED ON THE FOLLOWING DATES: A - 11/10/2021 B - 02/04/2022 C - 11/10/2021	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (19 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$1,295,195	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$618,925	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$777,683	COMPENSATION
SHAWN MYERS
FAMILY MEMBER OF OFFICER	$116,130	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$720,974	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$817,758	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$23,653,420	SUPPLIES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$375,951	SUPPLIES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$117,542	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$335,778	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$4,188,426	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$365,011	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$40,911,783	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$2,371,102	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$4,277,150	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$37,259,976	SERVICES
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$807,284	COMPENSATION
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$13,214	COMPENSATION
KAILINN HENRIQUEZ
FAMILY MEMBER OF OFFICER	$20,988	COMPENSATION

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	4	ContributionCnt
Noncash Contributions Rpt F990	$60,282	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	event items	Desc
Contribution	36	ContributionCnt
Noncash Contributions Rpt F990	$18,776	NoncashContributionsRptF990Amt
Method Of Determining Revenues	cost/sales price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1 AND PART III, LINE 1:	SOUTHCOAST HOSPITALS GROUP (SHG) OWNS AND OPERATES THREE COMMUNITY BASED ACUTE CARE HOSPITALS - CHARLTON MEMORIAL HOSPITAL IN FALL RIVER, ST LUKE'S HOSPITAL IN NEW BEDFORD AND TOBEY HOSPITAL IN WAREHAM, MA. SHG SERVES AS THE SAFETY NET PROVIDER TO A CULTURALLY DIVERSE AND ECONOMICALLY CHALLENGED REGION WITH GOVERNMENT SPONSORED PROGRAMS COVERING APPROXIMATELY 70% OF ITS PATIENTS. IN SOME COMMUNITIES, SHG IS THE SOLE PROVIDER OF HOSPITAL SERVICES AND IN ITS REGION THE SOLE PROVIDER OF ADVANCED CLINICAL SERVICES SUCH AS OPEN HEART SURGERY AND OTHER ADVANCED CARDIAC SERVICES, MATERNITY AND NEONATAL INTENSIVE CARE SERVICES. SOUTHCOAST PROVIDES ADVANCED EMERGENCY CARE 24 HOURS PER DAY, 7 DAYS A WEEK AT ALL THREE HOSPITALS.
PART VI, SECTION A, LINE 1:	THE EXECUTIVE COMMITTEE SHALL, EXCEPT AS PROHIBITED BY LAW OR LIMITED BY THE BOARD, HAVE ALL THE POWERS OF THE BOARD IN CONNECTION WITH THE MANAGEMENT AND OPERATION OF SHG BETWEEN MEETINGS OF THE BOARD RELATED TO URGENT MATTERS WHICH THE COMMITTEE DETERMINES CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING, INCLUDING DELEGATION OF AUTHORITY, EXCEPT IN REMOVING ANY MEMBER OF THE MEDICAL STAFF. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE FULLY REPORTED TO THE BOARD AT ITS NEXT MEETING.
PART VI, SECTION A, LINE 2:	CERTAIN OFFICERS AND TRUSTEES OF SHG ARE OFFICERS OR TRUSTEES OF RELATED EXEMPT ORGANIZATIONS AND OF RELATED TAXABLE ORGANIZATIONS. INDIVIDUALS WITH REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS IN PART VII, SECTION A, COLUMN (E), ARE EMPLOYEES OF RELATED EXEMPT ORGANIZATIONS.
PART VI, SECTION A, LINE 6:	THE SOLE MEMBER OF SHG IS SOUTHCOAST HEALTH SYSTEM, INC (SHS), A CHARITABLE ORGANIZATION ACTING THROUGH ITS BOARD OF TRUSTEES.
PART VI, SECTION A, LINE 7A:	TRUSTEES ARE ELECTED AND REMOVED AND SHALL OTHERWISE SERVE AS SET FORTH IN THE BYLAWS OF ITS SOLE CORPORATE MEMBER, SHS.
PART VI, SECTION A, LINE 7B:	THE GOVERNANCE OF SHG IS VESTED IN THE BOARD OF TRUSTEES AND IT MAY EXERCISE ALL POWERS OF THE CORPORATION EXCEPT THOSE POWERS RESERVED TO SHS BY LAW, THE ARTICLES OF ORGANIZATION, OR SHG'S BYLAWS.
PART VI, SECTION B, LINE 11B:	THE ORGANIZATION PREPARES THE FORM 990 WITH THE ASSISTANCE OF A PAID PREPARER. A DRAFT OF THE FORM 990 IS PRESENTED TO THE MANAGEMENT FOR REVIEW AND COMMENT. A DRAFT OF THE FORM 990 IS ALSO PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW. A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. AN OFFICER OF THE ORGANIZATION AND ITS PAID PREPARER, RESPECTIVELY, SIGN THE FINAL FORM 990.
PART VI, SECTION B, LINE 12C:	SHS HAS CONFLICT OF INTEREST, LEGAL COMPLIANCE AND CODE OF CONDUCT POLICIES THAT APPLY TO ALL TRUSTEES, OFFICERS, DIRECTORS AND EMPLOYEES (REFERRED TO AS "MEMBERS"). ON AN ANNUAL BASIS, EACH MEMBER WILL COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE WHICH AFFIRMS THAT EACH PERSON HAS: (1) RECEIVED A COPY OF THE POLICY; (2) READ AND UNDERSTOOD THE POLICY; (3) AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTOOD THAT THE SYSTEM ENTITIES ARE CHARITABLE ORGANIZATIONS AND THAT TO MAINTAIN THEIR FEDERAL TAX EXEMPTION, SUCH ENTITIES MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE SYSTEM OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AND IN CONNECTION WITH ITS COMPLIANCE PROGRAM, SYSTEM'S MANAGEMENT SHALL CONDUCT PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND THE OPERATION AND APPLICATION OF IT. MEMBERS SHALL DISCLOSE ANY INTERESTS OR ACTIVITIES IN WHICH THEY ARE INVOLVED OR BECOME INVOLVED THAT DO RESULT, OR MAY APPEAR TO RESULT IN A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND SHALL COMPLY WITH, AND MAKE ALL REQUIRED DISCLOSURES UNDER THE CONFLICT OF INTEREST POLICY PRIOR TO COMMENCING, CONTINUING, OR CONSUMMATING ANY ACTIVITY OR TRANSACTION WHICH RAISES A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST. EACH MEMBER IS UNDER AN ONGOING DUTY TO UPDATE AND KEEP CURRENT THE INFORMATION CONTAINED IN THEIR QUESTIONNAIRE. AT LEAST ANNUALLY, OR AS NECESSARY BASED ON DISLCOSURES, THE GENERAL COUNSEL WILL SUMMARIZE AND REPORT ALL DISCLOSURES TO THE PRESIDENT AND CEO AND THE CHAIRMAN OF THE BOARD OF TRUSTEES (OR HIS/HER DESIGNEE). UPON DISCLOSURE OF FINANCIAL OR NON-FINANCIAL INTERESTS ("INTERESTS") AND ALL MATERIAL FACTS RELATED THERETO BY MEMBER OR AN INTERESTED PERSON, THE CHAIR OF THE SYSTEM'S GOVERNANCE COMMITTEE SHALL DETERMINE IN CONJUNCTION WITH THE GENERAL COUNSEL WHETHER A CONFLICT OF INTERESTS EXISTS. THE GOVERNANCE COMMITTEE CAN CONTINUE TO DISCUSS THE ISSUE WITH THE MEMBER OR INTERESTED PERSON TO CLARIFY OR OBTAIN ADDITIONAL INFORMATION. HOWEVER, BEFORE THE GOVERNANCE COMMITTEE DISCUSSES OR DETERMINES WHETHER THE MEMBER OR OTHER INTERESTED PERSON'S INTERESTS CONSTITUTE A CONFLICT OF INTEREST, THE MEMBER OR INTERESTED PERSON MUST LEAVE THE MEETING. IN THE EVENT THE INTEREST INVOLVES THE CHAIR OR CEO, THE REMAINING GOVERNANCE COMMITTEE MEMBERS SHALL APPOINT ONE OR MORE DISINTERESTED TRUSTEES TO MAKE SUCH A DETERMINATION. ONCE THE DETERMINATION OF THE CONFLICT OF INTEREST IS MADE BY THE GOVERNANCE COMMITTEE, SUCH DETERMINATION, ALONG WITH APPROPRIATE MITIGATION PLANS, WILL BE SUBMITTED BY THE GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. IF ANY BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH A MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IT. IF, AFTER HEARING THE RESPONSE OF SUCH PERSON AND MAKING FURTHER INQUIRY OR INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR BOARD COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISLCOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN.
PART VI, SECTION B, LINE 15:	COMPENSATION FOR ALL VICE PRESIDENTS AND THE SENIOR LEADERSHIP TEAM (SLT) IS ESTABLISHED USING THE FOLLOWING PROCEDURES:(1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SHS WITHOUT THE INVOLVEMENT OF PERSONS WITH CONFLICT OF INTEREST IN RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE; (2) USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ENGAGED THE SERVICES OF AN INDEPENDENT HUMAN RESOURCE CONSULTING FIRM ("CONSULTANT") TO PROVIDE UPDATED COMPENSATION DATA AND ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO SHG EXECUTIVES. THIS INCLUDED RELATIVE COMPETITIVE MARKET PRACTICE INFORMATION FOR THE NORTHEAST REGION MARKET OBTAINED FROM TWO HEALTHCARE EXECUTIVE COMPENSATION SURVEYS THAT WERE PREPARED BY INDEPENDENT FIRMS. THE CONSULTANT ALSO COMPILED NATIONAL MARKET DATA FROM THREE COMMERCIALLY AVAILABLE HEALTHCARE EXECUTIVE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS: AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS.
PART VI, SECTION C, LINE 19:	SHG MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A, LINE 1:	TRUSTEES AND OFFICERS ARE COMPENSATED FOR THEIR ROLES OUTSIDE OF THEIR CAPACITY AS TRUSTEES AND OFFICERS.
PART XI, LINE 9:	TRANSFERS AMONG AFFILIATES ($70,033,050) POST RET. AND OTHER CHANGES IN NET ASSETS $ 5,431,356 CHANGE IN VALUE OF PERPETUAL TRUSTS ($11,201,686) ENDOWMENT TRANSFERS $ 2,708,857 TEMP RESTRICTED CONTRIBUTIONS AND PLEDGES $ 3,353,669 RELEASES FOR OPS ($4,156,004) RELEASES FOR PPE ($4,000,753) ______________ TOTAL ($77,897,611)
PART XII, LINE 2A & 2B:	FINANCIAL RESULTS FOR SHG ARE INCLUDED IN THE SOUTHCOAST HEALTH SYSTEM, INC AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2022 WHICH WERE ISSUED WITH AN INDEPENDENT AUDITOR'S REPORT WITH AN UNQUALIFIED AUDIT OPINION. INCLUDED IN THESE AUDITED FINANCIAL STATEMENTS IS SUPPLEMENTAL CONSOLIDATED INFORMATION FOR THE YEAR ENDED SEPTEMBER 30, 2022. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SHG FOR THE YEAR ENDED SEPTEMBER 30, 2022.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT PHYSICIANS TOTAL FEES:56362348
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING TOTAL FEES:4506393
FORM 990 PART IX LINE 11G	DESCRIPTION:COURIER SERVICES TOTAL FEES:479384
FORM 990 PART IX LINE 11G	DESCRIPTION:OUTSOURCED SERVICES TOTAL FEES:14497634
FORM 990 PART IX LINE 11G	DESCRIPTION:PAYROLL FEES TOTAL FEES:118915
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING TOTAL FEES:702907
FORM 990 PART IX LINE 11G	DESCRIPTION:RECRUITMENT AND AGENCY FEES TOTAL FEES:933428
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION AND BILLING SERVICE TOTAL FEES:3261239
FORM 990 PART IX LINE 11G	DESCRIPTION:AGENCY STAFF TOTAL FEES:41977967

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHCOAST HEALTH SURGICAL HOLDINGS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 PAGE STREET	AddressLine1Txt
City	NEW BEDFORD	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02740	ZIPCd

Field	Value	IRS element (for citing)
EIN	881860825	EIN
Primary Activities	HOLDING CO.	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$1,120,200	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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
SOUTHCOAST HEALTH SYSTEM INC
101 PAGE ST	NEW BEDFORD	MA	02740	042794625	SUPP. SHG	MA	501(c)(3)	12, III-FI	NA	false
SOUTHCOAST PHYSICIANS GROUP INC
200 MILL RD STE 180	FARIHAVEN	MA	02719	222703314	PHYS. SVCS.	MA	501(c)(3)	10	SHS	Yes (true)
SOUTHCOAST VENTURESINC
101 PAGE ST	NEW BEDFORD	MA	02740	043003172	PHYS. SVCS.	MA	501(c)(3)	12, Type I	SHS	Yes (true)
CHARLTON LONG TERM CARE SVCS INC
363 HIGHLAND AVE	FALL RIVER	MA	02720	043109579	SUPP. SHG	MA	501(c)(3)	12, Type I	SHS	Yes (true)
SOUTHCOAST VISITING NURSE ASSN INC
200 MILL RD	FAIRHAVEN	MA	02719	042105745	HOME CARE	MA	501(c)(3)	10	SHS	Yes (true)
Saint Luke's Nursing Home Inc
101 Page St	NEW BEDFORD	MA	02740	042984542	Inactive	MA	501(c)(3)	12, Type I	SHS	Yes (true)
SOUTHCOAST HEALTH AMBASSADORS INC
363 HIGHLAND AVE	FALL RIVER	MA	02720	043583676	SUPPORT SHG	MA	501(C)(3)	12, TYPE I	SHG	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
COASTLINE PROFESSIONAL ASSURANCE CO
PO Box Grand Cayman	GRAND CAYMAN	CJ	980445031	INSURANCE	CJ	SHS	Corp	$0	$0	0.00000	Yes (true)
HEALTH MANAGEMENT INITIATIVES INC
			042998712	COMM RENTAL		SHS	Corp	$0	$0	0.00000	Yes (true)	363 HIGHLAND AVE	FALL RIVER	MA	02720	MA
CHARITABLE REMAINDER TRUST (12)
				CHARITABLE TRUST		SHG	TRUST				Yes (true)					MA

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Southcoast Physicians Group Inc
J	$1,981,460	CASH
Southcoast Physicians Group Inc
O	$1,325,372	CASH
Southcoast Physicians Group Inc
P	$58,965,732	CASH
Southcoast Physicians Group Inc
Q	$4,831,591	CASH
Southcoast Visiting Nurse Assoc Inc
O	$187,664	CASH
Southcoast Visiting Nurse Assoc Inc
Q	$1,001,257	CASH
Coastline Professional Assurance Corp
P	$2,978,012	CASH
SOUTHCOAST HEALTH AMBASSADORS
O	$105,011	CASH