2025-08-15T15:55:32-05:00 2024-09-30 861065772 DELOITTE TAX LLP 2 JERICHO PLAZA JERICHO NY 11753 990 2023-10-01 042105745 SOUTHCOAST VISITING NURSE ASSOCIATION INC SOUT 5089733213 200 MILL ROAD SUITE 120 FAIRHAVEN MA 02719 MICHAEL BUSHELL EVP FINANCE & CFO 8089737013 2025-08-13 1 0 KRISTIN RUFFINI P00741491 5169187000 2023 2025-03-06 01:10:19Z DAVID MCCREADY 101 PAGE STREET NEW BEDFORD MA 02740 48687361 0 X WWW.SOUTHCOAST.ORG/VISITING-NURSE-ASSOCIATION X 1925 MA SEE SCHEDULE OTO FOSTER IMPROVEMENT AND MAINTENANCE OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND COMPASSIONATE END-OF-LIFE CARE IN THE HOME SETTING. 9 3 385 38 0 0 341482 870032 42998911 45786505 113992 340518 -7708 3640 43446677 47000695 0 0 0 0 32822579 34754168 0 0 16980 9701442 10918396 42524021 45672564 922656 1328131 27576569 31317062 6947229 7807632 20629340 23509430 X TO FOSTER IMPROVEMENT AND MAINTENANCE OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND COMPASSIONATE END-OF-LIFE CARE IN THE HOME SETTING. (SEE SCHEDULE O) 0 0 20948461 0 26049228 HEALTHCARE - PROVIDES ACUTE HEALTHCARE TO PATIENTS AT HOME, BEREAVEMENT SUPPORT AND COUNSELING FOR GRIEVING LOVED ONES. DURING FISCAL YEAR 2024, VNA HAD 26,363 CARDIAC PROGRAM VISITS AND 41,078 REHAB VISITS, INCLUDING OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH LANGUAGE PATHOLOGY. THERE WERE 185 BEHAVIORAL HEALTH VISITS, 103,771 HOME HEALTH VISITS, AND 6,018 MATERNAL CHILD HEALTH HOME VISITS. 16573508 0 19737277 HOSPICE CARE - PROVIDES A SPECIALIZED KIND OF CARE THAT OFFERS COMFORT AND SUPPORT TO PATIENTS WHO ARE NO LONGER SEEKING ACTIVE TREATMENT AND HAVE A LIFE EXPECTANCY OF MONTHS OR WEEKS. HOSPICE CARE IS A FORM OF PALLIATIVE CARE THAT AIMS TO IMPROVE THE QUALITY OF LIFE AND PROVIDE PAIN RELIEF AND OTHER COMFORT MEASURES FOR TERMINALLY ILL PEOPLE. DURING FISCAL YEAR 2024, VNA HAD 66,138 HOSPICE PROGRAM VISITS. 37521969 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 25 0 1 385 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 3 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X MICHAEL BUSHELL 5089735017 101 PAGE STREET NEW BEDFORD MA 02740 X RAYFORD KRUGER MD PRESIDENT & EX-OFFICIO (UNTIL 1/24) 5.50 69.50 X X 0 1300999 310295 RENEE CLARK CHAIR (UNTIL 12/2023), TRUSTEE 2.50 70.00 X X 0 1121185 191393 WADE BROUGHMAN TREASURER OF BOARD/ EVP FIN/CFO 2.50 72.50 X X 0 1155114 39095 JEFFREY LAWRENCE MD VICE CHAIR (TO 12/23), TTE (TO 4/24) 2.50 60.00 X X 0 786359 132042 PATRICIA BUIOCCHI VP SOUTHCOAST HEALTH AT HOME & CLERK 32.50 30.00 X X 0 468274 678 JAMES WITKOWSKI MD TRUSTEE 1.50 40.00 X 0 410893 42323 DAVID MCCREADY EX-OFFICIO, PRES & CEO (AS OF 1/24) 3.50 70.50 X X 0 317489 51283 CHANDRA REDDIVARI MD TRUSTEE 1.50 40.00 X 0 267436 19053 DONALD G GIUMETTI VICE CHAIR (AS OF 1/2024) 2.50 12.50 X X 0 0 0 ELIZABETH HUIDEKOPER CHAIR (AS OF 1/2024) 2.50 6.00 X X 0 0 0 JAY SCHACHNE MD TRUSTEE (AS OF 1/2024) 1.50 4.50 X 0 0 0 PAMELA SWANSEY RN 40.00 0.00 X 170112 0 15560 FERNANDA JOHNSON CLINICAL MANAGER REHAB 40.00 0.00 X 156543 0 26953 LORI CROWSHAW ED-HOME HEALTH CLINICAL SERVICE 40.00 0.00 X 172075 0 8072 SALLY CERQUEIRA-BONET RN 40.00 0.00 X 161125 0 13584 SUSAN BULLOCK PHYSICAL THERAPIST 40.00 0.00 X 157069 0 14984 DIANE PATRICK FORMER VICE CHAIR 0.00 40.00 X 0 319992 33332 816924 6147741 898647 71 1 1 0 GORDON OPERATING CO LLC 389 ALDEN ROAD FAIRHAVEN MA 02719 HOSPICE ROOM AND BOARD 488823 SHC SERVICE INC PO BOX 677896 DALLAS TX 75267 STAFFING 291488 BERRY DUNN MCNEIL & PARKER LLC 1000 ELM STREET 4TH FLOOR MANCHESTER NH 03101 PROFESSIONAL SERVICES 196874 HEALTH RECOVERY SOLUTIONS INC 50 HARRISON STREET SUITE 310 HOBOKEN NJ 07030 IT SOLUTIONS 184846 SARAH S BRAYTON NCC 4901 NORTH MAIN STREET FALL RIVER MA 02720 HOSPICE ROOM AND BOARD 181669 13 61252 4313 41735 762732 13647 870032 HOME HEALTH CARE 621610 26049228 26049228 HOSPICE 621610 19737277 19737277 45786505 239536 239536 1787648 1686666 100982 100982 100982 3640 61252 0 3640 3640 47000695 45786505 0 344158 27517524 23395448 4122076 793566 674641 118925 4443795 3237976 1205819 1999283 1699667 299616 8012 8012 914965 472487 442478 17032 2309 9155 5568 485480 267078 218121 281 241861 79563 162298 364845 364845 1126736 1107656 19080 38338 4035 34303 21519 20019 1500 218778 218778 HOSPICE ROOM AND BOARD 3393539 3393539 MEDICAL SUPPLIES 2002563 1987137 15426 HOSPICE GENERAL IP 1110665 1110665 INTERCO CONTRACTED SERV 822355 822355 151708 69749 70828 11131 45672564 37521969 8133615 16980 8994104 10861579 6413667 6307410 57877 250075 1786305 1779117 28707 7188 7209497 8812095 2125175 2397203 2747542 2681512 27576569 31317062 4392592 5318511 307610 277600 2247027 2211521 6947229 7807632 X 18268374 20764577 2360966 2744853 20629340 23509430 27576569 31317062 X 1328131 1307125 -34437 279271 X 0 1 X 1 1 1 X 422040 216182 1038343 341482 870032 2888079 39425530 41836224 38975145 42998911 45786505 209022315 39847570 42052406 40013488 43340393 46656537 211910394 62291 18000 40000 19000 522895 662186 0 62291 18000 40000 19000 522895 662186 211248208 110172 152996 240817 181622 239536 925143 110172 152996 240817 181622 239536 925143 3640 3640 39957742 42205402 40254305 43522015 46899713 212839177 0.99250 0.99510 0.00430 0.00390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2360965 95604 439774 151491 2744852 2229806 69390 176916 115147 2360965 2761704 78144 -526319 83723 2229806 2455150 -77493 409043 24996 2761704 2225268 115627 114255 0 2455150 0.00000 0.82000 0.18000 0 0 1037337 1037337 0 748968 741780 7188 7188 PRIVATE EQUITY 100983 F MULTISTRATEGY HEDGE FUNDS 545426 F BENEFICIAL INT. IN PERP. TRUSTS 1750794 F 2397203 RIGHT OF USE ASSETS OPERATING 1257117 DUE FROM AFFILIATES 185751 MALPRAC. INS. RECEIV - AFFIL 1081743 OTHER RECEIVABLES 129497 DEFERRED COMP 457B 27404 2681512 DUE TO AFFILIATES 865845 LEASE LIABILITY - OPERATING 1318272 DEFERRED COMP 457B 27404 2211521 PART V, LINE 4: VNA'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT VNA'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN VNA'S SERVICE AREA. PART X, LINE 2 VNA HAS ADOPTED FIN 48. THERE IS NO FOOTNOTE DISCLOSURE IN SHS'S FISCAL SEPTEMBER 30, 2024 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL. HTF DINNER 64892 61252 3640 0 0 0 0 0 0 64892 61252 3640 3640 X 1 1 0 1 0 0 0 0 0 0 0 RAYFORD KRUGER MD PRESIDENT & EX-OFFICIO (UNTIL 1/24) 0 1291999 0 0 0 9000 0 291000 0 19295 0 1611294 0 0 RENEE CLARK CHAIR (UNTIL 12/2023), TRUSTEE 0 740190 0 242200 0 138795 0 168243 0 23150 0 1312578 0 120300 WADE BROUGHMAN TREASURER OF BOARD/ EVP FIN/CFO 0 743502 0 242200 0 169412 0 19800 0 19295 0 1194209 0 0 JEFFREY LAWRENCE MD VICE CHAIR (TO 12/23), TTE (TO 4/24) 0 613187 0 143800 0 29372 0 109519 0 22523 0 918401 0 0 PATRICIA BUIOCCHI VP SOUTHCOAST HEALTH AT HOME & CLERK 0 372500 0 95000 0 774 0 0 0 678 0 468952 0 0 JAMES WITKOWSKI MD TRUSTEE 0 370393 0 40000 0 500 0 19800 0 22523 0 453216 0 0 DAVID MCCREADY EX-OFFICIO, PRES & CEO (AS OF 1/24) 0 296244 0 0 0 21245 0 45370 0 5913 0 368772 0 0 DIANE PATRICK FORMER VICE CHAIR 0 181015 0 138477 0 500 0 15408 0 17924 0 353324 0 0 CHANDRA REDDIVARI MD TRUSTEE 0 267436 0 0 0 0 0 18553 0 500 0 286489 0 0 PAMELA SWANSEY RN 161272 0 217 0 8623 0 6846 0 8714 0 185672 0 0 0 FERNANDA JOHNSON CLINICAL MANAGER REHAB 152823 0 3220 0 500 0 6562 0 20391 0 183496 0 0 0 LORI CROWSHAW ED-HOME HEALTH CLINICAL SERVICE 166945 0 5130 0 0 0 6932 0 1140 0 180147 0 0 0 SALLY CERQUEIRA-BONET RN 153005 0 4217 0 3903 0 4902 0 8682 0 174709 0 0 0 SUSAN BULLOCK PHYSICAL THERAPIST 152804 0 217 0 4048 0 6265 0 8719 0 172053 0 0 0 PART I, LINE 1A VNA MADE PERFORMANCE PAYMENTS TO THREE HIGHLY COMPENSATED EMPLOYEES THAT INCLUDED TAX GROSS-UPS. TOTAL PAYMENTS WERE $652. PART I, LINE 3 VNA RELIED ON AFFILIATE SOUTHCOAST HOSPITALS GROUP (SHG), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR THE VNA PRESIDENT. SHG CHECKED THE FOLLOWING BOXES WHICH WERE USED BY SOUTHCOAST TO ESTABLISH COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTION CREDITS UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (C). ONLY UPON TERMINATION 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. RENEE CLARK - $124,038 WADE BROUGHMAN - $148,443 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. RENEE CLARK - $120,300 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE SOUTHCOAST VISITING NURSE ASSOCIATION, INC. ("VNA") IS COMMITTED TO PROVIDING HIGH QUALITY COMPREHENSIVE HEALTH AND HOSPICE SERVICES IN THE HOME SETTING AND COMMUNITY-BASED PROGRAMS WHICH FOSTER IMPROVEMENT AND MAINTENANCE OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND COMPASSIONATE END-OF-LIFE CARE. FORM 990, PART VI, SECTION A, LINE 2 DONALD GIUMETTI; ELIZABETH HUIDEKOPER; AND JAY SCHACHNE, MD HAD BUSINESS RELATIONSHIPS WITH DAVID MCCREADY; RAYFORD KRUGER, MD; RENEE CLARK; AND WADE BROUGHMAN, WHO WERE EMPLOYED BY SOUTHCOAST HOSPITALS GROUP, INC. DONALD GIUMETTI; ELIZABETH HUIDEKOPER; RAYFORD KRUGER, MD; RENEE CLARK; AND WADE BROUGHMAN HAD A BUSINESS RELATIONSHIP WITH JEFFREY LAWRENCE, MD, WHO WAS EMPLOYED BY SOUTHCOAST PHYSICIANS GROUP, INC. ADDITIONALLY, DAVID MCCREADY; RAYFORD KRUGER, MD; RENEE CLARK; AND WADE BROUGHMAN HAD A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 6 VNA'S PARENT CORPORATION, SOUTHCOAST HEALTH SYSTEM, INC. ("SHS"), SERVES AS THE SOLE CORPORATE MEMBER OF VNA. FORM 990, PART VI, SECTION A, LINE 7A VNA'S PARENT CORPORATION, SHS, ELECTS THE TRUSTEES OR DIRECTORS OF VNA, EXERCISES SPECIFIED RESERVE POWERS AND IS GOVERNED BY A BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE ROLE OF THE SHS BOARD IS TO MAINTAIN A SYSTEM PERSPECTIVE WITH A REGIONAL EMPHASIS AND A BROAD FOCUS ACROSS ALL ACTIVITIES IN THE ORGANIZATION. PRIMARY FUNCTIONS OF THE SHS BOARD INCLUDE STRATEGIC PLANNING, NETWORK GROWTH AND DEVELOPMENT, AND OVERALL FISCAL RESPONSIBILITIES. EACH AFFILIATE IS EXPECTED TO FOCUS ON ITS OWN ACTIVITIES ADDRESSING COMMUNITY NEEDS WITHIN ITS SCOPE OF SERVICE. THE TRUSTEES OF THE VNA SHALL HAVE CHARGE, CONTROL AND MANAGEMENT OF THE PROPERTY, AFFAIRS AND BUSINESS OF THE VNA AND SHALL HAVE THE POWER AND AUTHORITY TO DO AND PERFORM ALL ACTS AND FUNCTIONS NOT INCONSISTENT WITH ITS BYLAWS OR WITH ANY ACTION TAKEN BY IT, PROVIDED, HOWEVER, THAT THE AUTHORITY OF THE TRUSTEES TO EXERCISE CERTAIN POWERS IS CONDITIONED UPON APPROVAL OF THE SHS BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BOARD OF THE ASSOCIATION'S NOT-FOR-PROFIT PARENT, SHS, REVIEWS THE FORM 990 AND ALL OF ITS RELATED SCHEDULES PRIOR TO FILING. THE REVIEW IS PERFORMED BY THE GOVERNING BOARD AS IT PROVIDES OVERSIGHT FOR COMPENSATION AND CONFLICT OF INTEREST MATTERS ON ITS OWN BEHALF AND ON BEHALF OF ITS AFFILIATES ON A SYSTEM WIDE BASIS. A COMPLETE COPY OF THE FORM 990 AND ITS SCHEDULES ARE POSTED TO THE SOUTHCOAST HEALTH SYSTEM, INC. BOARD'S WEBSITE FOR ALL BOARD MEMBERS TO REVIEW, MAKE INQUIRIES, AND HAVE ANY ADJUSTMENTS MADE PRIOR TO FILING. 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, INCLUDING TRUSTEES, OFFICERS, DIRECTORS, AND EMPLOYEES OF VNA (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 DISCLOSURES, 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 INTEREST 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 DISCLOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO, PRESIDENT & OFFICERS WAS ESTABLISHED BY SOUTHCOAST HOSPITALS GROUP, A RELATED ENTITY. COMPENSATION FOR ALL VICE PRESIDENTS AND HIGHER LEVEL EXECUTIVES WHO MAY SERVE AS OFFICERS AND DIRECTORS IS ESTABLISHED USING THE FOLLOWING PROCEDURE: 1. REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SOUTHCOAST HEALTH SYSTEM, WITHOUT THE INVOLVEMENT OF PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE. 2. USE OF DATA TO COMPARE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITONS AT SIMILARLY SITUATED ORGANIZATIONS. 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 SHS'S EXECUTIVES. THIS INCLUDED RELEVANT 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 ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 SVNA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: TRUSTEES AND OFFICERS ARE COMPENSATED FOR THEIR ROLES OUTSIDE OF THEIR CAPACITY AS TRUSTEES AND OFFICERS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUSTS 279,271. SOUTHCOAST HEALTH SYSTEM INC 101 PAGE STREET NEW BEDFORD MA 02740 042794625 SUPPORT SHG, SPG, & SVNA MA 501(C)(3) 12C, III-FI N/A 0 SOUTHCOAST HOSPITALS GROUP INC 101 PAGE STREET NEW BEDFORD MA 02740 222592333 ACUTE CARE HOSPITALS MA 501(C)(3) 3 SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST PHYSICIANS GROUP INC 200 MILL RD SUITE 180 FAIRHAVEN MA 02719 222703314 PHYSICIAN SERVICES MA 501(C)(3) 10 SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST VENTURES INC 101 PAGE STREET NEW BEDFORD MA 02740 043003172 PHYSICIAN SERVICES/ HEALTHCARE MA 501(C)(3) 12A, I SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST LONG TERM CARE SERVICES INC 363 HIGHLAND AVE FALL RIVER MA 02720 043109579 SUPPORT SHG MA 501(C)(3) 12A, I SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST LONG TERM CARE PROPERTIES INC 101 PAGE STREET NEW BEDFORD MA 02740 042984542 INACTIVE MA 501(C)(3) 12A, I SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST HEALTH AMBASSADORS INC 363 HIGHLAND AVE FALL RIVER MA 02720 043583676 SUPPORT SHG MA 501(C)(3) 12A, I SOUTHCOAST HOSPITALS GROUP INC 1 COASTLINE PROFESSIONAL ASSURANCE CORP LTD PO BOX 1085 GRAND CAYMAN CJ KY1-1102 980445031 INSURANCE CJ N/A C 1 HEALTH MANAGEMENT INITIATIVES INC 363 HIGHLAND AVE FALL RIVER MA 02720 042998712 COMM RENTALS MA N/A C 1 SAME DAY SURGICARE OF NE INC 272 STANLEY STREET FALL RIVER MA 02720 042808359 MEDICAL SERVICES MA N/A S 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 SOUTHCOAST HOSPITALS GROUP INC O 261078 CASH SOUTHCOAST HOSPITALS GROUP INC P 1520344 CASH SOUTHCOAST PHYSICIANS GROUP INC Q 669429 CASH SOUTHCOAST PHYSICIANS GROUP INC P 297894 CASH SOUTHCOAST PHYSICIANS GROUP INC L 531112 CASH COASTLINE PROFESSIONAL ASSURANCE CORP LTD P 159462 CASH