2022-08-15T17:45:47-05:00 2021-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2020-10-01 222592333 Southcoast Hospitals Group Inc % WADE BROUGHMAN SOUT 5089615000 101 Page Street New Bedford MA 02740 WADE BROUGHMAN EXEC VP FIN & CFO 5089615000 2022-08-15 true WADE BROUGHMAN 999009999 PAUL J TANIS P01441612 6175305000 2 2020 2022-09-23 18:48:47Z RAYFORD KRUGER 101 PAGE STREET New Bedford MA 02740 1053532219 false X www.southcoast.org X 1986 MA 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) 18 12 6688 148 1307803 1063034 72972069 8653909 843691353 917286511 19422490 33010277 710890 670238 936796802 959620935 906278 64445 0 0 429041200 437607064 100000 125000 1642664 408932272 451545021 838979750 889341530 97817052 70279405 1213595255 1265624200 550168256 568584414 663426999 697039786 X 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) false false 721874564 64445 917286511 SOUTHCOAST PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELLNESS OF INDIVIDUALS IN ITS COMMUNITIES. SOUTHCOAST RECORDED 194,161 INPATIENT DAYS, PERFORMED 16,224 SURGERIES AND 9,460 ENDOSCOPIES, PROVIDED 3,177,620 LABORATORY TESTS, PERFORMED 407,945 RADIOLOGICAL PROCEDURES, 189,791 PHYSICAL MEDICINE VISITS, 659 PCI CORONARY INTERVENTIONS, 2,017 DIAGNOSTIC CATHERIZATIONS, 337 OPEN HEART SURGERIES, 1,501 ELECTROPHYSIOLOGY CASES, 491 CORONARY DEVICE IMPLANTS, 2,938 NEWBORN ADMISSIONS, PERFORMED 35,662 RADIATION AND MEDICAL CHEMOTHERAPY TREATMENTS AND CARED FOR 151,267 EMERGENCY ROOM PATIENTS 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. IN FY2021 SHG HAD 13,159 COVID INTERACTIONS, MADE UP OF 1,616 INPATIENT DISCHARGES AND 11,543 OP VISITS. 721874564 true true false true false false false false false true true true false true true false false true false false false false false true true false true true true false true true false false false false false false false true true true true false false false false true true true false false true 279 0 true 6688 true true true false false false false true true false false false false true false X 18 12 true false false false true true true true true false false true true true true true true true true true true MA X WADE BROUGHMAN 5089732905 101 PAGE STREET New Bedford MA 02740 X KEITH HOVAN PRESIDENT & CEO 58.0 14.5 X X 2401479 0 340416 WADE BROUGHMAN EVP FIN/CFO & Treasurer 60.0 12.5 X 1187178 0 33917 RENEE CLARK SVP/COO (SHG)/ ASST. CLERK 45.0 27.5 X 898909 0 157866 ILANA FEINERMAN MD TRUSTEE (AS OF 1/2021) 1.5 44.5 X 0 671349 27132 LAUREN DESIMON JOHNSON SVP/ CHRO 60.0 0.0 X 583026 0 93787 JAMES FEEN SVP/CIO 60.0 0.0 X 553772 0 115194 MICHAEL COFONE SVP FINANCE 60.0 0.0 X 527724 0 103626 STEPHEN CANESSA SVP CHIEF BRAND STRATEGY OFFCR 60.0 0.0 X 454468 0 96936 JAQUELINE SOMERVILLE SVP/CNO 60.0 0.0 X 520634 0 17117 JAMES WITKOWSKI MD TRUSTEE (AS OF 1/2021) 1.5 44.5 X 0 382283 46661 GEORGINA NOUAIME MD TRUSTEE (UNTIL 12/2020) 1.5 46.0 X 0 385755 27888 ROBERT CALDAS MD Former Senior VP & CMO 0.0 0.0 X 394274 0 16490 STEPHEN PIRES SVP INSURANCE & RISK MGMT 60.0 0.0 X 346994 0 34817 JOELY EDWARDS MD TRUSTEE (AS OF 1/2021) 1.5 46.0 X 0 351059 27161 TONYA JOHNSON VP OPERATIONS 60.0 0.0 X 336087 0 37552 SHERI WEINTRAUB CHEIF PHYSICIST 40.0 0.0 X 297951 0 39666 PHILIP OLIVEIRA VP SUPPORT SERVICES 40.0 0.0 X 280705 0 37566 JAY S SCHACHNE MD TRUSTEE 1.5 44.5 X 0 206265 14071 ROBERT TRIPP JR DO TRUSTEE (UNTIL 12/2020) 1.5 44.5 X 0 165465 16074 SALMAN BASHIR MD TRUSTEE 1.5 6.0 X 700 0 0 JASON RUA TRUSTEE 1.5 7.0 X 0 0 0 LOUIS CABRAL CHAIR 2.5 9.0 X X 0 0 0 JAMES JEROME COOGAN Clerk 2.5 7.5 X X 0 0 0 W HUGH M MORTON Trustee 1.5 4.5 X 0 0 0 DENNIS J FUSCO Trustee 1.5 4.5 X 0 0 0 DONALD G GIUMETTI VICE CHAIR 2.5 10.0 X X 0 0 0 ELIZABETH HUIDEKOPER TRUSTEE 1.5 6.0 X 0 0 0 CHRISTOPHER HODGSON TRUSTEE 1.5 4.5 X 0 0 0 HELENA DASILVA HUGHES TRUSTEE 1.5 4.5 X 0 0 0 JONATHAN L ROUNDS TRUSTEE 1.5 4.5 X 0 0 0 HEIDI A KOSTIN TRUSTEE 1.5 4.5 X 0 0 0 CARMEN F SYLVESTER TRUSTEE 1.5 4.5 X 0 0 0 8783901 2162176 1283937 661 true true false EPIC SYSTEMS CORPORATION 1979 MILKY WAY VERONA WI 53593 IT SYSTEM CONSULTANT 3791767 NORTH AMERICAN PARTNERS IN ANESTHES 68 SOUTH SERVICE ROAD MELVILLE NY 11747 ANESTHESIA SERVICES 15928253 SHAWMUT WOODWORKING AND SUPPLY INC 560 HARRISON AVENUE BOSTON MA 02118 CONSTRUCTION 7099809 QUEST DIAGNOSTICS PO BOX 740709 ATLANTA GA 30374 LAB SERVICES 5788519 ROBINSON COLE LLP 280 TRUMBULL STREET HARTFORD CT 06103 LEGAL SERVICES 4077983 158 249150 6358463 2046296 94999 8653909 PATIENT SVC REVENUE 621500 830323320 830199734 123586 HEALTHCARE SVC REVENUE 446110 73246749 73189839 56910 PARTNERSHIP INCOME 525990 9041397 1127307 7914090 GIFT SHOP INCOME 621400 196183 196183 CAFETERIA 722210 2511949 2511949 1966913 1966913 917286511 9480299 9480299 0 0 892875 210195 682680 0 682680 682680 117185516 0 93332558 322981 23852958 -322981 23529978 23529978 33108 249150 45550 -12442 -12442 0 0 0 0 0 0 0 959620935 905901522 1307803 43757701 64445 64445 0 0 0 7803219 6302555 1481402 19262 1249968 1012081 237887 0 337192457 272557318 63802306 832833 14878053 12981557 1851916 44580 51693525 45403238 6143013 147274 24789842 21797004 2922487 70351 6068808 4603246 1465562 4526146 33897 4492249 678318 678318 187446 10719 176727 125000 125000 628239 628239 85598089 70321994 15267422 8673 3269290 100136 3167258 1896 7113761 3254439 3832782 26540 17040997 2048079 14961632 31286 0 17364902 5113660 12251242 1009520 755795 250355 3370 0 109206 33976 71496 3734 6859372 6859372 0 57060270 42894672 14143074 22524 2877963 2877963 PHARMACEUTICALS 90099529 90099529 HEALTH SAFETY NET ASSESSMENT 8844983 8844983 PARTS AND REPAIRS 14899999 3914191 10985229 579 MEDICAL SUPPLIES/LINENS 108801215 107617516 1160335 23364 18506968 15250162 2975408 281398 889341530 721874564 165824302 1642664 0 0 119002976 23973911 2687845 1753063 73025028 82377256 0 0 0 0 0 0 17122174 16891586 10812782 12005445 917132113 567786615 347413235 349345498 494124465 594073680 69735270 97583795 0 0 0 0 79671480 87619966 1213595255 1265624200 284316003 250839076 0 0 0 0 159242543 213388411 0 0 0 0 45147333 42899334 0 0 61462377 61457593 550168256 568584414 X 580944505 603056721 82482494 93983065 663426999 697039786 1213595255 1265624200 X 70279405 37763141 -74429759 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 187446 false false 187446 false PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FISCAL YEAR 2021, SOUTHCOAST RETAINED 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 HEALTH CARE REFORM BILL, THE STATE BUDGET AND BUDGET AMENDMENTS, REGULATORY CHANGES, MEDICAID/DSH REIMBURSEMENT RATES, THE SOCIAL DETERMINANTS OF HEALTH, ARPA FUNDING AND THE COVID-19 PANDEMIC. OUR CONSULTANT FOR FEDERAL MATTERS WORKED WITH OUR FEDERAL DELEGATION ON MEDICARE DSH FUNDING, THE RURAL FLOOR WAGE INDEX, CHANGES TO THE AFFORDABLE CARE ACT, PREVENTING MEDICARE CUTS, 340B AND CARES ACT FUNDING. PART II-B, LINE 1G DURING FISCAL YEAR 2021, OUR STATE CONSULTANTS MONITORED AND COMMUNICATED WITH OUR STATE LEGISLATIVE DELEGATION REGARDING THE SENATE AND HOUSE HEALTH CARE REFORM 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, INCLUDING ARPA FUNDING, AND THE COVID-19 PANDEMIC. 82482495 877424 14753265 4130118 93983066 78807606 2071400 5949361 4345872 82482495 81441455 937387 2768034 6339270 78807606 76128987 4163541 4588968 3440041 81441455 70838207 1482353 7299084 3490657 76128987 0.66000 0.34000 true false 10196962 10196962 434769298 283743867 151025431 2629382 1461106 1168276 424662192 282581642 142080550 44874279 44874279 349345498 CASH INVESTMENTS 1963173 F PRIVATE EQUITY 10971784 F MULTISTRATEGY HEDGE FUNDS 34272496 F BENEFICIAL INT IN PERP TRUSTS 50376342 F 97583795 OTHER ASSETS 30057854 DUE FORM AFFILIATES 27206339 OTHER RECEIVABLES 5465161 RIGHT OF USE ASSETS OPERATING 23513733 RIGHT OF USE ASSETS FINANCING 1318037 UNBILLED RECEIVABLES 58842 87619966 0 OTHER LONG-TERM LIABILITIES 20799258 NON-PENSION POST RETIREMENT BE 6353649 DUE TO/FROM AFFILIATE 11190012 UNAMORTIZED BIC -2902831 ACCUMULATED AMORT BIC 665187 LEASE LIABILITY OPERATING 23989300 LEASE LIABILITY FINANCING 1363018 61457593 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, 2021 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL. X X X X X X X true HANOVER RESEARCH COUNCIL 44001 WILSON BLVD ARLINGTON VA 22203 GRANT CONSULTING false 287541 105000 182541 CAMPO COMPANY EVENTS LLC 25 TILLEY AVENUE NEWPORT RI 02840 FUNDRAISING CONSULTING false 20000 -20000 287541 125000 162541 MA GOLF EVENT 228218 201268 26950 0 6313 15800 11826 0 280 5K EVENT 54040 47882 6158 0 11096 0 0 0 235 0 0 0 0 0 0 0 0 0 0 282258 249150 33108 0 17409 15800 11826 0 515 45550 -12442 true true X true X true X true true false true true 8271095 2469971 5801124 0.00650 192467291 167288871 25178420 0.02830 200738386 169758842 30979544 0.03480 22 8445788 658499 7787289 0.00880 5 967 5951226 0 5951226 0.00670 4 5242107 1762828 3479279 0.00390 2 353745 680 353065 0.00040 33 967 19992866 2422007 17570859 0.01980 33 967 220731252 172180849 48550403 0.05460 2 54005 54005 0.00010 3 50700 50700 0.00010 1 5000 5000 1 13500 13500 2 4000 4000 9 127205 127205 0.00020 true 6731586 2605162 400944640 432817703 -31873063 X true true 1 1 SOUTHCOAST HOSPITALS GROUP INC 101 Page Street New Bedford MA 02740 http://www.southcoast.org/ V113 X X X ACUTE CARE HOSPITAL SOUTHCOAST HOSPITALS GROUP INC false false true X X X X X X X X X 19 true true true true X SEE SCHEDULE H, PART V, SECTION C X X true 19 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 300. X X X X X true true X X X X true X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X X X X X X true X false X X X X true X false false 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 2019, Southcoast completed the conduction of a major, three-year health needs assessment 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 a focus on health care access, the physical environment, health behaviors, children's health, and health disparities. The analysis is enhanced by qualitative data gathered through stakeholder interviews, focus groups, and surveys of community members and service providers. The goal of the assessment is 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 the University of Massachusetts Dartmouth Public Policy Center, who completed a retrospective analysis of local, regional and national health and demographic data. In addition to health data analysis, we also conducted over 31 stakeholder interviews with community partner and service providers, 6 focus groups, a survey for service providers in which 142 people working in a variety of healthcare settings and professions completed and a community member survey, which was completed by 430 residents of the South Coast and its neighboring communities. Stakeholder Interviews: Fall River EMS GateHouse Media New England Father Bill's and Mainspring New Bedford Fire Department New Bedford Police Department Wareham Police Department Community Economic Development Center New Bedford Fishing Partnership Commission for Citizens with Disabilities Cape Verdean Association Old Rochester Regional School District Plymouth County District Attorney's Office Achushnet Council on Aging Community Health Consultant Junior Achievement of Southeastern MA St. Luke's Hospital Steppingstone, Inc. Fall River WIc Children's Advocacy Center of Bristol County New Beginnings, Southcoast Health Interchurch Council of Greater New Bedford Boys and Girls Club of New Bedford and Wareham Charlton Memorial Hospital Greater New Bedford Community Health Center United Neighbors of Fall River Focus Groups: 1. Consisted of Wareham-based service providers representing a wide range of care settings and health care professionals. 2. A support group for cancer survivors and their family members from across the region at the Southcoast Cancer Center in Fairhaven. 3. Conducted as part of the Mental Health Providers Network's regular meeting. Members include mental health professionals working in a variety of settings throughout the Greater New Bedford region. 4. Primary Spanish-speaking residents of the North end of New Bedford. Convened by the Community Economic Development Center of New Bedford. 5. Consisted of families who have engaged with programming provided by the Unoted Way of Greater New Bedford's Family Resource & Development Center. The group was very racially and ethnically diverse and multigenerational. 6. Consisted of community members and serivce providers working in Greater Fall River. Convened by Representative Carole Fiola as part of her regular "Coffee with Carole" event. 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 THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY CENTER. PART V, SECTION B, LINE 7A https://www.southcoast.org/wp-content/uploads/2019/10/Southcoast-Health-CH NA-2019-Final_PPC.pdf PART V, SECTION B, LINES 7D Our needs assessment is widely shared with community partners and is often used in grant writing and collaborative strategic planning. In FY21, our needs assessment data was shared with and utilized by: Greater New Bedford Allies for Health and Wellness (CHNA 26) Partners for a Healthier Community (CHNA 25) Near North End Alliance Wareham Community Services Collaborative BMC Healthnet Plan Coastal Foodshed Laundry of Love Greater New Bedford Community Health Center Leadership Southcoast Age Friendly New Bedford Boys and Girls Club of Greater New Bedford New Bedford Health Department Fall River Health Department Wareham Health Department New Bedford Housing Authority Substance Exposed Newborn Committee of SE MA Wareham Public Schools' Beyond School Time YMCA Southcoast Homeless Service Providers Network PART V, SECTION B, LINE 10A https://www.southcoast.org/community-benefits/community-benefits-reporting / PART V, SECTION B, LINE 11 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. Our current plan is based on the community health needs assessment completed in 2019. Through the needs assessment process, Southcoast, in collaboration with community stakeholder, identified four priorities to address the most pressing health needs of the community. These priorities are: 1. CHRONIC DISEASE, PREVENTION & TREATMENT: REDUCTION OF THE HIGH RATE OF CHRONIC DISEASE (INCLUDING DIABETES, ASTHMA, CANCER, AND OTHER DISEASES) IN OUR REGION. 2. Educational Attainment & Income: Enhancement of South Coast resident's employment skills, increased job opportunities and access to education. Minimization of the skills gap across all sectors through assisting adults continue or expand their educational attainment (ex. a high school diploma or certificate), and to assist adults further their skills/advance in their careers through additional job training and readiness skills. Increase early literacy by boosting enrollment and access to early head start and preschool programs. Reducing Health Disparities including racial and ethnic disparities, income-based disparities, and education-based disparities. One other aspect of this is increasing access to health care for vulnerable populations through insurance enrollment and outreach and creating innovative approaches to population health, i.e. improving health and wellness for defined populations such as specific demographic or geographic groups. 3. Housing & Homelessness: The development of programs and services that support the reduction of homelessness in our region including strategies for increased collaboration among agencies serving homeless residents. 4. Behavioral Health: Behavioral health issues that include substance abuse and mental health, including improved coordination of behavioral health providers and systems. Maternal and Children's Health, including fetal and infant health, abuse and neglect, hospitalizations, substance abuse, healthy weight, and mortality. 5. Environmental Health & Wellness: Development of healthy "System and Environment" change, including healthy food options, increased access to free and low-cost opportunities for active living, such as public parks, bike trails etc., and reduction in the high rate of smoking in our communities. Reduction in the incidence of youth risk behaviors such as teen violence, high rates of teen pregnancy and substance abuse. Increasing Emergency Preparedness in our cities and towns, including basic infrastructure equipment. All activities of Community Benefits are completed in accordance with these priorities and include: conducting ongoing community health needs assessments, awarding Community Benefits Impact Opportunity Grants to community organizations working on projects aligned with CHNA priorities, coalition-building, and collaborating with community partners in the planning, implementing, monitoring and evaluating of Community Benefits programs as described below. Smoking Cessation and Prevention, Community Health Worker Projects, Maternal Child Health Education and Outreach, Health Access Outreach, Behavioral Health/Substance Use Intervention, Healthy System and Environment Change, Mobile Health Van, Cancer Screenings and Outreach, Coalitions to End and Prevent Homelessness, Economic Opportunity. To address needs, target populations are determined by our comprehensive health needs assessment and are reviewed on an annual basis. Our FY21 target populations included: - South Coast residents who suffer disproportionately from chronic disease such as cardiovascular disease, diabetes, cancer and respiratory disease. Particular focus is given to residents who experience barriers to care due to language, culture, race, income or education. - Area youth who are at high risk for problems such as teen pregnancy, violence, substance abuse, lack of educational attainment and other risky behaviors that affect health and wellbeing. This includes Gay/Lesbian/Bisexual/Transgender (GLBT) youth. - Residents who lack access to regular primary health care due to lack of health insurance or other barriers. - Residents and their families who are impacted by mental/behavioral health issues, including substance use disorder, particularly those who experience barriers to or breaks in care and are forced to rely on the Southcoast Emergency Department for regular care. - Area Boards of Health, Emergency Medical Services and other municipal agencies whose programs impact a number of aspects of health for their residents, and who have experienced severe budget cuts that have impacted these programs. This may include smoking cessation and prevention, chronic disease management and emergency preparedness. - Public housing residents, who suffer disproportionately from health disparities and have high rates of unhealthy risk factors including smoking, obesity and hypertension. - Homeless residents on the South Coast, particularly in the town of Wareham, where the rate of unsheltered homeless exceeds other towns in the region and approaches South Coast cities that have five times the population. - Those in our communities who experience health disparities due to racial, ethnic or economic factors. These include residents for whom English is not a first language, especially undocumented immigrants. In FY2021 we worked with the limited to non-english speaking communities to create access to and provide education about COVID-19 testing and vaccination. - The fishing community in New Bedford, who experience higher rates of chronic health issues due to barriers to health access and care. - Adolescents, youth and families/caregivers in the region who are at a higher risk of social and economic factors that will impact their long-term health outcomes. 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, LINE 20A-D SHG DID NOT ENGAGE IN ANY OF THE ACTIONS IN LINE 19 DURING FY2021. 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. 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 influencers of health such as housing, behavioral health, education and workforce development, and environmental health and wellness. Southcoast is the co-leader of the Bristol County Regional Alliance to end the opioid crisis, which is a regional coalition focused on increasing communication and collaboration of all entities working to address the Opioid Epidemic across the South Coast Region. Southcoast leads and convenes collaborative groups and actively participates on numerous coalitions that have helped expand housing opportunities and support those who are homeless in the town of Wareham and the City of New Bedford. Southcoast is also lead implementation partner of The Basics, Southcoast initiative. 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. Southcoast has provided leadership training and support on health advocacy issues such as regulations to limit tobacco access and has worked to increase access to healthy food through food rescue programs, supporting local initiatives led by community partners, such as the Wareham Mobile Markets and by promoting weekly farmers markets and CSA programs in the South Coast region. Southcoast serves on 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. 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 (PAGE 7) OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE BAD DEBT EXPENSE. 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. Due to the impacts of COVID-19, in FY21 the community benefits impact grant program did not run, and will not be returning in FY22. A return date for the community benefits impact grant program is currently unknown. PART VI, LINE 3 Southcoast posts notifications of insurance eligibility in multiple languages throughout all of our inpatient and outpatient facilities, and provides information 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 on our Mobile Health Van. In FY21, our Patient Access Department assisted 15,228 unscheduled customers. PART VI, LINE 4 Southcoast Health system serves a diverse region along the South Coast Region of Massachusetts, including several urban centers with a number of demographic challenges, and rural and suburban towns. Overall, the South Coast's population increased by 2.8 percent since the beginning of the century and by 12.2 percent since 1970, both of which lag behind the statewide population growth rates for those periods. This gap appears to be mostly driven by long-term population declines in Fall River and New Bedford, although the population of New Bedford has increased slightly since 2010. 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 non-White residents account for 36.6 percent of the city's population. Communities throughout the South Coast are becoming more diverse. Between the 2006-2010 and 2013-2017 periods, the minority population in the region increased by 4.7 percent (16,945 people). Fall River experienced the largest percentage increase in its minority population (7.7% or 6,895 residents), followed by New Bedford (6.7% or 6,433 residents), Fairhaven (6.6% or 1,056 residents), and Wareham (5.4% or 1,329 residents). The schools of the South Coast are often more diverse than the communities as a whole. For example, New Bedford's public schools are now majority non-white with Hispanic and Black students representing 40.5 and 12.5 percent of the total student population, respectively. 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, as evidenced by foreign-born residents representing 14.5 percent of the region's population. As Gateway Cities, New Bedford and Fall River have been traditional destinations for new arrivals to America since the late 18th century. During the 2013-2017 period, 18.7 percent of residents in Fall River and 20.0 percent of residents in New Bedford were born outside of the country. In both cities, Portuguese immigrants make up the majority of the foreign-born residents. However, as emigration from Europe to the U.S. has slowed, Latin American and Asian immigrants make up increasing shares of the populations in New Bedford and Fall River. As major destinations for the region's newly arrived immigrants, New Bedford and Fall River have the highest shares of residents reporting limited English proficiency, 14.0 percent and 17.5 percent, respectively. 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. As a region, the South Coast has long struggled with low levels of educational attainment. Although the regional average is primarily driven by the low levels of educational attainment in Fall River and New Bedford, many of the region's towns also lag behind the state in educational attainment of post-secondary degrees. In both cities, the majority of the population 25 years of age or older has never attended a college or university. Additionally, when compared to the adult population statewide, both Fall River and New Bedford have nearly three times the percentage of adults who have not completed high school (27.9% and 27.3%, respectively) compared to the Commonwealth (9.7%). Inflation-adjusted median household income increased in seven South Coast communities from the 2006-2010 to the 2013-2017 periods. Seven South Coast communities have median incomes that are above the state average. Median incomes are particularly low in Fall River (4th lowest in Massachusetts) and New Bedford (7th lowest in Massachusetts). Acushnet, Fairhaven, Somerset, and Wareham also have median incomes below the state average. While the South Coast has a higher share of people living in poverty than the state, the region's cities are home to disproportionate shares of people in poverty. Over 20 percent (20.2%) of all people in Fall River and 23.1 percent of people in New Bedford live in households with annual incomes below the poverty level. This translates to 39,247 individuals living in poverty in just the cities of the South Coast alone. Poverty rates decreased in five South Coast communities between the 2008-2012 and 2013-2017 periods, while rates increased in eight communities. In Fall River and New Bedford, these measures of poverty are higher than the region and the state as a whole. For example, less than 10 percent of all families statewide live in poverty (7.8%), compared with 11.9 percent of all families in the South Coast and 17.5 percent of families in Fall River and 19.3 percent of families in New Bedford. In addition, the percentage of families with children living in poverty in Fall River and New Bedford is more than double the statewide percentage. The region's changing racial makeup and continued socioeconomic struggles place unique stresses on healthcare delivery, particularly in addressing health disparities based on race, income, and education. 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. The analysis shows that South Coast residents face environmental factors that may be a detriment to their health. For example: -Bristol County, which comprises most of the Southcoast Service area, has the highest rate of food insecurity in southeastern Massachusetts, with 10.3 percent of all county residents lacking access, at times, to enough food for an active, healthy life. -Walkable communities allow residents to reduce or even eliminate their use of automobiles, typically the second largest household expense in the U.S. These communities also convey immediate benefits to the environment since, unlike motorized transportation, walking produces no pollutants. Walking has the potential to confer beneficial effects for health, personal finances, the environment and more. The South Coast cities of Fall River and New Bedford scored a WalkScore of 66 and 65 out of 100. This means they are characterized as "somewhat walkable" communities. However, the more rural town of Wareham, is much less walkable and scored a 48 out of 100, characterizing the town as "car-dependent". -The South Coast is home to a number of sites that contain and/or generate contaminants that can negatively affect residents' health. The South Coast is home to 57 of the state's 1,012 brownfield sites. Twelve of these are located in Fall River and 28 are located in New Bedford. On a per square mile and per 1,000 population basis, these cities have higher ratios of brownfield sites compared to the state. PART VI, LINE 5 Southcoast Hospitals Group invests in direct services 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: Behavioral Health Needs: Continued utilized of the Southcoast Resource Connect platform, which has replaced the previously utilized Behavioral Health Connect platform. Southcoast Resource Connect is a resource directory for free or low-cost services that patients may need. There is a wide range of behavioral health and community resources to assist individuals and families who may be facing difficult life challenges. A number of our staff also played a leadership role in 12 local and regional coalitions to address the opioid crisis, including supporting the availability of Narcan in our region. Smoking Cessation: Continued work on smoking cessation and prevention that encompasses regulatory system and environment change along with education and clinical support for smoking cessation. The Southcoast Health Van continued work on a grant from the Thoracic Foundation to expand smoking cessation support for public housing residents throughout the region, as more municipal Housing Authorities in our region embrace smoke-free regulations and increase the age of which a person may purchase cigarettes or other tobacco products from 18 to 21 years old. Health Screenings: Outreach to vulnerable residents with a range of health screenings, referrals, and education. In FY21, the Southcoast Wellness Van was instrumental in bringing Covid-19 education, testing and vaccination opportunities to underserved populations in the community. The Southcoast Wellness Van administered 2,498 COVID-19 tests, and 1,633 doses of COVID-19 vaccine. The Southcoast Wellness Van also held several Pediatric Flu vaccine events, and vaccinated 212 children. Health Insurance: Targeted outreach that helped residents obtain health insurance. Due to COVID-19 circumstances, our patient access team did not conduct any outreach events, but assisted 15,228 unscheduled residents who lacked health insurance or had difficulty renewing their health insurance. Community Health Workers: Collaboration and programming to address health equity issues in our region by working to increase the capacity and training of community health workers, particularly those serving residents who face cultural, linguistic and economic barriers to health care. This past year we were able to expand CHW outreach for chronic disease management and helped organize supervisor and other CHW trainings. Collaboration: Coalition building and engagement that helped make meaningful connections across communities and our region. We participated over 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: Due to COVID-19 circumstances, we did not have our Community Benefits Impact Opporunity Grant Program. PART VI, LINE 6 The Southcoast Health Community Benefits program works with other Southcoast affiliates including, Southcoast Behavioral Health, Southcoast Visiting Nurses Association, Southcoast Physicians Group, Southcoast Health System and Southcoast Network, to coordinate all community benefit activities designed to address pressing health issues in our region and improve access to health care. The overall approach incorporates the social determinants of health framework, and takes into account environmental, social and other demographic factors that may influence health status. Representatives from affiliated systems participate as active members of an internal Community Benefits Leadership team that meets bi-monthly to share program information, discuss needs assessment, develop strategies, implementation process, evaluation and reporting of all community benefits programs. This team consists of individuals from departments that regularly engage in outreach in the community, including staff from our Southcoast Health Van, Social Services, Stroke Outreach, Diabetes Management, Behavioral Health Services, Patient Access Services, Cancer Outreach, Smoking Cessation, Urgent Care and the Southcoast Physicians Group. The Community Benefits Director oversees Southcoast's day-to-day community benefits activities and leads the internal Community Benefits Leadership Team and the external Community Benefits Advisory Council. Southcoast also shares regular updates and presentations on community benefits activities to all Southcoast Hospital staff and affiliates through leadership meetings, employee communications and in digital media campaigns. PART VI, LINE 7 YES, AN ANNUAL REPORT IS FILED WITH THE OFFICE OF THE MASSACHUSETTS ATTORNEY GENERAL. true CHILDREN'S ADVOCACY CNTR OF BRISTOL COUNTY 58 ARCH STREET FALL RIVER MA 02724 043135548 501(C)(3) 25000 COMMUNITY OUTREACH INTERCHURCH COUNCIL OF GREATER NEW BEDFORD 128 UNION STREET SUITE 100 NEW BEDFORD MA 02740 042171191 501(C)(3) 7500 COMMUNITY OUTREACH MASSACHUSETTS TAXPAYERS FOUNDATION 333 WASHINGTON STREET SUITE 853 BOSTON MA 02108 041590310 501(C)(3) 5495 MEMBERSHIP CONTRIBUTIONS FOR PROGRAM SUPPORT 3 0 SCHEDULE I, PART I, LINE 2 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. X true true X X X X true true false false false false false true false KEITH HOVAN PRESIDENT & CEO 1118333 640000 643146 319950 20466 2741895 235958 ROBERT CALDAS MD Former Senior VP & CMO 0 0 394274 0 16490 410764 0 WADE BROUGHMAN EVP FIN/CFO & Treasurer 586933 234000 366245 17100 16817 1221095 222934 RENEE CLARK SVP/COO (SHG)/ ASST. CLERK 565000 232500 101409 137400 20466 1056775 94242 ILANA FEINERMAN MD TRUSTEE (AS OF 1/2021) 417501 175000 78848 15600 11532 698481 0 LAUREN DESIMON JOHNSON SVP/ CHRO 391375 143500 48151 73321 20466 676813 0 MICHAEL COFONE SVP FINANCE 351000 126000 50724 83160 20466 631350 52500 JAMES FEEN SVP/CIO 401533 148800 3439 94728 20466 668966 0 STEPHEN CANESSA SVP CHIEF BRAND STRATEGY OFFCR 324968 129500 0 76470 20466 551404 4590 JAQUELINE SOMERVILLE SVP/CNO 389334 131300 0 0 17117 537751 0 JAY S SCHACHNE MD TRUSTEE 102781 103484 0 12376 1695 220336 0 GEORGINA NOUAIME MD TRUSTEE (UNTIL 12/2020) 284305 40000 61450 15600 12288 413643 0 STEPHEN PIRES SVP INSURANCE & RISK MGMT 247194 99800 0 17100 17717 381811 0 TONYA JOHNSON VP OPERATIONS 261087 75000 0 17100 20452 373639 0 JAMES WITKOWSKI MD TRUSTEE (AS OF 1/2021) 277115 40000 65168 35100 11561 428944 0 JOELY EDWARDS MD TRUSTEE (AS OF 1/2021) 200000 150966 93 15600 11561 378220 0 ROBERT TRIPP JR DO TRUSTEE (UNTIL 12/2020) 155527 9938 0 9928 6146 181539 0 SHERI WEINTRAUB CHEIF PHYSICIST 286895 1000 10056 19500 20166 337617 0 PHILIP OLIVEIRA VP SUPPORT SERVICES 223205 57500 0 17100 20466 318271 0 PART I, LINE 1A ONE KEY EMPLOYEE RECEIVED A GROSS UP FOR RELOCATION REIMBURSEMENTS. THIS BENEFIT WAS INCLUDED IN THEIR W-2 TAXABLE INCOME. PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERENCE PAYMENT FROM THE ORGANIZATION: ROBERT CALDAS - $394,274 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 - $268,697 RENEE CLARK - $97,897 MICHAEL COFONE - $54,391 STEPHEN CANESSA - $5,448 WADE BROUGHMAN - $353,897 JAQUELINE SOMERVILLE - $24,006 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 $360,800 WAS INCLUDED IN MR. HOVAN'S 2020 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. A Mass Development and Finance Agency 043431814 57584YH28 2021-02-04 104489523 REFINANCING & CONSTRUCTION/RENOVAT false false false B Mass Development and Finance Agency 043431814 999999999 2012-01-31 46965000 Refinancing false false false C Mass Development and Finance Agency 043431814 57583UTY4 2013-02-14 60879456 Construct/renovate care centers false false false D MASS DEVELOPMENT AND FINANCE AGENCY 043431814 999999999 2018-11-01 38480000 REFINANCING false false false A 0 0 104489523 0 0 0 1503621 0 0 36775496 42956226 23254180 true false false true B 0 0 49965000 0 0 0 254694 0 0 0 46710306 0 2012 true false true false C 0 0 60879456 0 0 0 759501 0 0 60119955 0 0 2014 false false true false D 0 0 38480000 0 0 0 198723 0 0 0 38281277 0 2018 true false true false A false false true true false 0 false false false true B false true true true false 0.00030 0.00130 0.00160 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true D false true true true false 0.00100 0.00060 0.00160 false false false true A false true false false false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true PART IV, LINE 2C REBATE COMPUTATIONS WERE PERFORMED ON THE FOLLOWING DATES: B - 02/10/2021 C - 10/16/2020 SHEPARD GROUP INC 35% CONTROLLED ENTITY 126346 SERVICES false PATRICK HIGHAM FAMILY MEMBER OF KEY EMPLOYEE 125501 COMPENSATION false LAUREN CALDAS HIGHAM FAMILY MEMBER OF KEY EMPLOYEE 67848 COMPENSATION false SHAWN MYERS FAMILY MEMBER OF OFFICER 82038 COMPENSATION false RELATED TO SUBSTANTIAL CONTRIBUTOR FAMILY MEMBER OF SUBSTANTIAL CONTRIBUTOR 229770 COMPENSATION false RELATED TO SUBSTANTIAL CONTRIBUTOR FAMILY MEMBER OF SUBSTANTIAL CONTRIBUTOR 100467 COMPENSATION false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 37770511 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 208133 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 7045167 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 305445 SUPPLIES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1489761 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1544393 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2547440 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 269453 COMPENSATION false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 333161 COMPENSATION false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4047113 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 162042 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1098003 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 624628 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 39162008 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2711128 SUPPLIES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3095686 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4717194 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3177456 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2616804 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 452963 SUPPLIES false X 3 61395 Market Value X event items 14 12604 cost/sales price X FOOD 3 12600 COST/SALES PRICE X OTHER 2 2750 COST/SALES PRICE X CLOTHING 1 3000 COST/SALES PRICE X STAFF APPRECIATION 5 2650 COST/SALES PRICE false true false PART I, COLUMN (B) THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. 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 LUKES 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 ORGANIZATIONS. INDIVIDUALS WITH REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS IN PART VII, SECTION A, COLUMN (E), ARE EMPLOYEES OF RELATED 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 ($86,924,555) POST RET. AND OTHER CHANGES IN NET ASSETS $ 3,665,918 CHANGE IN VALUE OF PERPETUAL TRUSTS $ 7,071,386 ENDOWMENT TRANSFERS $ 1,757,492 ______________ TOTAL ($74,429,759) 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, 2020 AND 2021 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, 2021. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SHG FOR THE YEAR ENDED SEPTEMBER 30, 2021. 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 true SOUTHCOAST VENTURESINC 101 PAGE ST NEW BEDFORD MA 02740 043003172 PHYS. SVCS. MA 501(c)(3) 12, Type I SHS true CHARLTON LONG TERM CARE SVCS INC 363 HIGHLAND AVE FALL RIVER MA 02720 043109579 SUPP. 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