SOUTH COUNTY HOSPITAL HEALTHCARE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SOUTH COUNTY HOSPITAL HEALTHCARE (EIN 05-0445136)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-14
IRS object ID: 202012279349301446
Schema version: 2018v3.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-14T09:56:15-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	050445136	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% MARCIA POLHEMUS	InCareOfNm
Business Name Control	SOUT	BusinessNameControlTxt
Phone	4017828000	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS J BREEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4017881794	PhoneNum
Signature	2020-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY HANINK	PreparerPersonNm
PTIN	P01244578	PTIN
Phone	6179881000	PhoneNum
Preparation	2020-08-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	199.206.0.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	06014420202275000003	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	8001E3F5C0B281282B875A3F3B370410C27F5604	AtSubmissionCreationDeviceId
At Submission Filing Device Id	0FE6547678D73A32AB99C8D6CFA61E5F3D690727	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS J BREEN	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$212,484,073	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SOUTHCOUNTYHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1920	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	TO OPERATE AN INDEPENDENT, NON-PROFIT, ACUTE CARE HOSPITAL COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1599	TotalEmployeeCnt
Total Volunteers	282	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$915,510	PYContributionsGrantsAmt
CY Contributions Grants	$1,547,770	CYContributionsGrantsAmt
PY Program Service Revenue	$181,944,370	PYProgramServiceRevenueAmt
CY Program Service Revenue	$200,731,673	CYProgramServiceRevenueAmt
PY Investment Income	$988,153	PYInvestmentIncomeAmt
CY Investment Income	$1,143,052	CYInvestmentIncomeAmt
PY Other Revenue	$967,768	PYOtherRevenueAmt
CY Other Revenue	$578,221	CYOtherRevenueAmt
PY Total Revenue	$184,815,801	PYTotalRevenueAmt
CY Total Revenue	$204,000,716	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$92,761,749	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$103,577,997	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$88,756,740	PYOtherExpensesAmt
CY Other Expenses	$98,714,105	CYOtherExpensesAmt
PY Total Expenses	$181,518,489	PYTotalExpensesAmt
CY Total Expenses	$202,292,102	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,297,312	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,708,614	CYRevenuesLessExpensesAmt
Total Assets BOY	$144,244,332	TotalAssetsBOYAmt
Total Assets EOY	$149,328,980	TotalAssetsEOYAmt
Total Liabilities BOY	$94,575,174	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$109,863,251	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$49,669,158	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$39,465,729	NetAssetsOrFundBalancesEOYAmt
Mission	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS. FOR MORE INFORMATION, SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$171,602,511	ExpenseAmt
Revenue	$200,902,240	RevenueAmt
Desc	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE. FOR MORE INFORMATION, SEE SCHEDULE O.	Desc
Total Program Service Expenses	$171,602,511	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	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	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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	132	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1599	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	false	QuidProQuoContributionsInd
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	false	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	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MARCIA POLHEMUS	PersonNm
Phone	4017828000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TED ALMON
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT BEAGLE
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
STEPHANIE CHAFEE RN MBA
TRUSTEE UNTIL 4/2019	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT DYER
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
ELEANOR C FERGUSON
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
JOHN H HOWLAND
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
ROGEAN MAKOWSKI
TRUSTEE AS OF 5/2019	1.0	2.0	Yes (X)	$0	$0	$0
JASON MARSHALL
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT PANOFF
TRUSTEE UNTIL 4/2019	1.0	2.0	Yes (X)	$0	$0	$0
DAVID ROWE MD
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
RICHARD DEL SESTO MD
TRUSTEE	1.0	2.0	Yes (X)	$4,800	$0	$0
AUSTIN C SMITH
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
DONNA D VANDERBECK
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
SALVATORE ABBRUZZESE JR DO
PRESIDENT OF THE MEDICAL STAFF	40.0	2.0	Yes (X)	$285,408	$0	$29,316
AARON WEISBORD MD
PRES MED STAFF UNTIL 10/2018	40.0	2.0	Yes (X)	$445,327	$0	$29,678
DENNIS LYNCH
CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
JAMES FARRELL
VICE CHAIRMAN	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
NEVEH LEVY MD
VP OF MED STAFF AS OF 10/2018	1.0	2.0	Yes (X)	$5,599	$0	$0
BETTY RAMBUR PHD
SECRETARY	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
VICTORIA A WICKS
TREASURER	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
AARON ROBINSON
PRESIDENT AND CEO AS OF 4/2019	40.0	2.0		$0	$0	$0	Yes (X)
LOUIS R GIANCOLA
PRESIDENT AND CEO UNTIL 4/2019	40.0	2.0		$446,696	$0	$26,533	Yes (X)
THOMAS J BREEN
CHIEF FINANCIAL OFFICER	40.0	3.0		$400,403	$0	$25,770	Yes (X)
ANNE SCHMIDT
VP OF PATIENT CARE SERVICES	40.0	0.0		$240,969	$0	$9,722		Yes (X)
JAMES CORCORAN
VP OF MED AFFAIRS	40.0	0.0		$294,115	$0	$12,441		Yes (X)
KIMBERLY O'CONNELL
VP, CHIEF STRATEGY OFFICER	40.0	0.0		$288,214	$0	$25,562		Yes (X)
LISA RAMEAKA
CMO & VPMA	40.0	0.0		$343,228	$0	$29,176		Yes (X)
DAVID BADER
PHYSICIAN	40.0	0.0		$470,539	$0	$30,278			Yes (X)
DAVID BROZA
PHYSICIAN	40.0	0.0		$416,249	$0	$18,679			Yes (X)
GERALD COLVIN
PHYSICIAN	40.0	0.0		$525,197	$0	$29,824			Yes (X)
NEIL BRANDON
PHYSICIAN	40.0	0.0		$428,661	$0	$30,278			Yes (X)
STEVEN FERA
PHYSICIAN	40.0	0.0		$357,412	$0	$26,306			Yes (X)
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN	40.0	0.0		$215,233	$0	$16,243				Yes (X)
WILLIAM SABINA MD FACEP
FORMER PRES OF MED STAFF	10.0	2.0		$35,000	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,203,050	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$339,806	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	101	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
SOUTHERN RI PULMONARY CRITICAL CA
25 BURNS WAY	EAST GREENWICH	RI	02818	PULMONARY SERVICES	$838,120
ORTHOPEDIC SPECIALTY CONSULTING
ONE HIGH STREET	WAKEFIELD	RI	02879	ORTHOPEDICS & PT	$435,000
ORTHOPEDICS RHODE ISLAND
10 DORRANCE ST	PROVIDENCE	RI	02903	ORTHOPEDICS & PT	$374,600
SOUTH COUNTY ANESTHESIA ASSOCIATES
1342 BELMONT STREET SUITE 205	BROCKTON	MA	02301	ANESTHESIA SERVICES	$180,306
SOUTH COUNTY PULMONARY MEDICINE INC
360 KINGSTOWN ROAD SUITE 207	NARRAGANSETT	RI	02882	PULMONARY EVALUATION	$153,720

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Government Grants	$694,065	GovernmentGrantsAmt
All Other Contributions	$853,705	AllOtherContributionsAmt
Total Contributions	$1,547,770	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER PROGRAM REVENUE	622110	$1,097,235	$1,097,235
PATIENT SERVICE REVENUE	900099	$199,634,438	$199,634,438

Field	Value	IRS element (for citing)
Total Program Service Revenue	$200,731,673	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$448,352	TotalRevenueColumnAmt
Exclusion	$448,352	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	$812,121	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,076,054	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,263,933	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,263,933	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,263,933	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,101,253	SecuritiesAmt
Other	$750	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$6,407,303	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$693,950	SecuritiesAmt
Other	$750	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$694,700	TotalRevenueColumnAmt
Exclusion	$694,700	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
REVENUE FROM JOINT VENTURES	621512	$764,448	$764,448
SELF INSURED TRUST		$315,513	$315,513
CAFETERIA	722212	$407,650		$407,650

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$354,543	TotalRevenueColumnAmt
Related Or Exempt Func Income	$354,543	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,842,154	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$204,000,716	TotalRevenueColumnAmt
Related Or Exempt Func Income	$200,902,244	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,550,702	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

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	$3,096,676	TotalAmt
Program Services	$834,252	ProgramServicesAmt
Management And General	$2,262,424	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$80,607,721	TotalAmt
Program Services	$68,716,806	ProgramServicesAmt
Management And General	$11,890,915	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,211,425	TotalAmt
Program Services	$1,835,521	ProgramServicesAmt
Management And General	$375,904	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,262,614	TotalAmt
Program Services	$10,178,181	ProgramServicesAmt
Management And General	$2,084,433	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,399,561	TotalAmt
Program Services	$4,481,729	ProgramServicesAmt
Management And General	$917,832	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$624,248	TotalAmt
Management And General	$624,248	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$78,693	TotalAmt
Management And General	$78,693	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$60,479	TotalAmt
Management And General	$60,479	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$67,775	TotalAmt
Management And General	$67,775	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,937,420	TotalAmt
Program Services	$8,065,082	ProgramServicesAmt
Management And General	$2,872,338	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$863,967	TotalAmt
Program Services	$635,861	ProgramServicesAmt
Management And General	$228,106	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,111,328	TotalAmt
Program Services	$4,497,813	ProgramServicesAmt
Management And General	$1,613,515	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,396,886	TotalAmt
Program Services	$1,764,059	ProgramServicesAmt
Management And General	$632,827	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,785,703	TotalAmt
Program Services	$2,050,220	ProgramServicesAmt
Management And General	$735,483	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$82,837	TotalAmt
Program Services	$60,965	ProgramServicesAmt
Management And General	$21,872	ManagementAndGeneralAmt

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	$170,131	TotalAmt
Program Services	$125,215	ProgramServicesAmt
Management And General	$44,916	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,969,253	TotalAmt
Management And General	$1,969,253	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,277,240	TotalAmt
Program Services	$6,827,857	ProgramServicesAmt
Management And General	$2,449,383	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,413,078	TotalAmt
Program Services	$3,983,911	ProgramServicesAmt
Management And General	$1,429,167	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$45,703,296	$45,703,296
STATE LICENSE FEE	$5,760,112	$5,760,112
BAD DEBT EXPENSES	$5,161,647	$5,161,647
MAINTENANCE & REPAIRS	$466,799	$343,555	$123,244

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$783,213	TotalAmt
Program Services	$576,429	ProgramServicesAmt
Management And General	$206,784	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$202,292,102	TotalAmt
Program Services	$171,602,511	ProgramServicesAmt
Management And General	$30,689,591	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,100	BOYAmt
EOY	$8,650	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,371,059	BOYAmt
EOY	$13,340,414	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,925,266	BOYAmt
EOY	$17,629,657	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	$3,238,290	BOYAmt
EOY	$3,790,504	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,415,373	BOYAmt
EOY	$3,714,647	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$189,281,521	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,134,205	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$65,104,574	BOYAmt
EOY	$63,147,316	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$24,900,352	BOYAmt
EOY	$25,435,117	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$18,783,555	BOYAmt
EOY	$20,504,282	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,184,730	BOYAmt
EOY	$1,254,767	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,313,033	BOYAmt
EOY	$503,626	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$144,244,332	BOYAmt
EOY	$149,328,980	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,652,295	BOYAmt
EOY	$25,300,192	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	$36,814,627	BOYAmt
EOY	$35,982,010	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	$2,453,347	BOYAmt
EOY	$491,630	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	$32,654,905	BOYAmt
EOY	$48,089,419	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$94,575,174	BOYAmt
EOY	$109,863,251	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$49,624,158	BOYAmt
EOY	$39,420,729	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$49,669,158	BOYAmt
EOY	$39,465,729	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$144,244,332	BOYAmt
EOY	$149,328,980	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,708,614	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$185,449	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,097,492	OtherChangesInNetAssetsAmt
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	false	FederalGrantAuditRequiredInd

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	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$60,479	OtherActivitiesAmt
Total Lobbying Expenditures	$60,479	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

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	$43,683,907	BeginningYearBalanceAmt
Contributions	$1,241,439	ContributionsAmt
Investment Earnings Or Losses	$1,395,553	InvestmentEarningsOrLossesAmt
Other Expenditures	$381,500	OtherExpendituresAmt
End Year Balance	$45,939,399	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,867,856	BeginningYearBalanceAmt
Contributions	$1,285,852	ContributionsAmt
Investment Earnings Or Losses	$1,680,199	InvestmentEarningsOrLossesAmt
Other Expenditures	$150,000	OtherExpendituresAmt
End Year Balance	$43,683,907	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,410,321	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,013,956	InvestmentEarningsOrLossesAmt
Other Expenditures	$556,421	OtherExpendituresAmt
End Year Balance	$40,867,856	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$33,592,284	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,144,062	InvestmentEarningsOrLossesAmt
Other Expenditures	$326,025	OtherExpendituresAmt
End Year Balance	$36,410,321	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,559,384	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,355,121	InvestmentEarningsOrLossesAmt
Other Expenditures	$611,979	OtherExpendituresAmt
End Year Balance	$33,592,284	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.99900	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00100	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,928,782	OtherCostOrOtherBasisAmt
Depreciation	$38,579,045	DepreciationAmt
Book Value	$17,349,737	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,575,803	OtherCostOrOtherBasisAmt
Depreciation	$2,063,943	DepreciationAmt
Book Value	$1,511,860	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$124,570,536	OtherCostOrOtherBasisAmt
Depreciation	$82,759,952	DepreciationAmt
Book Value	$41,810,584	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,733,279	OtherCostOrOtherBasisAmt
Depreciation	$2,731,265	DepreciationAmt
Book Value	$2,002,014	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$63,147,316	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWMENT ASSETS	$8,571,879	F
ASSETS HELD IN TRUST	$9,901,710	F
DONOR RESTRICTED FUNDS	$2,030,693	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$20,504,282	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$22,491,464
FAIR VALUE OF SWAP AGREEMENTS	$7,768,286
UNPAID LOSS RESERVE	$10,072,233
ESTIMATED THIRD-PARTY PAYOR	$4,132,025
ACCRUED RETIREMENT PLAN	$1,769,731
ACCRUED INSURED LOSSES	$1,254,767
POSTRETIREMENT BENEFIT OBLIGATION	$235,563
ACRO LIABILITY	$345,665
SECURITY DEPOSITS	$19,685

Field	Value	IRS element (for citing)
Total Liability	$48,089,419	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$188,935,305	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$185,449	NetUnrealizedGainsInvstAmt
Other Revenue	-$12,097,492	OtherRevenueAmt
Revenue Not Reported	-$11,912,043	RevenueNotReportedAmt
Revenue Subtotal	$200,847,348	RevenueSubtotalAmt
Investment Expenses Not Incld	$67,775	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$3,085,593	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,153,368	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$204,000,716	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$199,138,734	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$199,138,734	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$67,775	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$3,085,593	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,153,368	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$202,292,102	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 2	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM HAS ADOPTED FASB ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2019 AUDITED FINANCIAL STATEMENTS CLASSIFY THE NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF PART V, LINE 2, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM HAS REPORTED ITS YEAR END ENDOWMENT BALANCE WITHOUT DONOR RESTRICTIONS AS QUASI-ENDOWMENT AND ITS YEAR END BALANCE WITH DONOR RESTRICTIONS AS PERMANENTLY RESTRICTED ENDOWMENT, RESPECTIVELY. PART V, LINE 4 THE HOSPITAL'S ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES. THE AMOUNT OF $(381,500) ON LINE 1E REPRESENTS A TRANSFER FROM OPERATIONS. THERE WERE NO CONTRIBUTIONS RECEIVED FOR THE YEAR ENDED SEPTEMBER 30, 2019. RECEIVED FOR THE YEAR ENDED SEPTEMBER 30, 2019.
PART X, LINE 2	THE FOOTNOTE BELOW IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL AND SOUTH COUNTY HOME HEALTH) OPERATE AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX PROVISIONS AND RELATED LIABILITIES FOR SILVER SPRING HEALTH CARE MANAGEMENT WHICH IS A TAXABLE ENTITY CONTROLLED BY THE HOSPITAL ARE NOT SIGNIFICANT. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2019 OR 2018.
PART XI, LINE 2D - OTHER ADJUSTMENTS	CHANGE IN FUND STATUS OF EMPLOYEE BENEFIT PLAN (8,837,689) UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP (3,281,588) NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 571,335 UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. (214,521) FORGIVENESS OF SCSS INTERCOMPANY LOAN (335,029) ----------- TOTAL TO SCHEDULE D, PART XI, LINE 2D (12,097,492)
PART XI, LINE 4B - OTHER ADJUSTMENTS	BAD DEBT EXPENSE 5,161,647 RENTAL EXPENSES (2,076,054) ----------- TOTAL 3,085,593 PART XII, LINE 4B - OTHER ADJUSTMENTS BAD DEBT EXPENSE 5,161,647 RENTAL EXPENSES (2,076,054) ----------- TOTAL 3,085,593

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$5,625,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,147,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,477,456	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,202,704	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,124,552	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,152	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,352,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,859,930	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,492,273	NetCommunityBenefitExpnsAmt
Total Expense	0.02220	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,180,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,132,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,047,881	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$763,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$331,948	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$432,042	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,389	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$159,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,144	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,144	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,032,188	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$401,337	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$630,851	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,212,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,533,794	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,678,732	NetCommunityBenefitExpnsAmt
Total Expense	0.03300	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$8,602,745	BadDebtExpenseAmt
Reimbursed By Medicare	$43,519,008	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$52,571,894	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,052,886	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct
SOUTH COUNTY

RADIATION THERAPY

LLC
RADIATION ONCOLOGY	0.35

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.SOUTHCOUNTYHEALTH.ORG	WebsiteAddressTxt
State License	H0S00114	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	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	18	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 SUPPLEMENTAL INFORMATION	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 SUPPLEMENTAL INFORMATION	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	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (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
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SUPPLEMENTAL INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SUPPLEMENTAL INFORMATION	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	Facilitated discussions with community stakeholders were held in April 2019 across Washington County. Community stakeholders included senior living providers, senior residents, and social service providers, among others. Discussion topics focused on the needs of seniors, but also highlighted youth health concerns. The goals of the community conversations were to define barriers to accessing healthcare services; identify existing assets, gaps in services, challenges and successes in achieving outcomes; and to explore future opportunities to advance community health improvement.
PART V, SECTION B, LINE 6A	The other hospital facilities that South County Hospital partnered with for the completion of the CHNA were: Care New England Health Systems, Chartercare, Landmark Medical Center, and the L&M Westerly Hospital.
PART V, SECTION B, LINE 6B	The other organizations that South County Hospital partnered with for the completion of the CHNA were: The Hospital Association of Rhode Island, and the Rhode Island Department of Health.
PART V, SECTION B, LINE 7A	https://www.southcountyhealth.org/about-south-county-health/community-heal th-needs-assessment PART V, SECTION B, LINE 7D The hospital also participated in a statewide comprehensive CHNA led by the Hospital Association of Rhode Island (HARI) and its member hospitals and engaged Baker Tilly. PART V, SECTION B, LINE 10 https://www.southcountyhealth.org/about-south-county-health/community-heal th-needs-assessment
PART V, SECTION B, LINE 11	The 2019 community needs identified for Washington County were behavioral health (including mental health and substance abuse), senior health needs (including health and social needs), youth and adolescent health needs (including behavioral health, respiratory disease and adverse childhood experiences), and health equity. Substance abuse, particularly alcohol and opioid use, is prevalent in the community. Consistent with the state, the drug-induced death rate for Washington County is 50% higher than the national rate. In determining the issues on which to focus efforts over the next three-year cycle, South County Health and its CHNA hospital partners solicited input from community partners and stakeholders to align efforts with existing initiatives headed by the Rhode Island Department of Health, the HEZs, and other community partnerships. Qualitative feedback was considered in conjunction with statistical health and socioeconomic data to identify trends and the impact of social determinants of health. Using this information, the CHNA Steering Committee adopted statewide community health priorities to be addressed independently and collaboratively by each hospital. In line with the CHNA Steering Committee recommendations South County Hospital will focus on the following health priorities for the 2019-2022 reporting cycle: behavioral health, chronic disease and maternal and child health. PART V, SECTION B, LINE 16A https://www.southcountyhealth.org/patients-visitors/financial-assistance PART V, SECTION B, LINE 16B https://www.southcountyhealth.org/media/documents/financial-assistance/eli gibility-screening-questionnaire-appendix-2.pdf PART V, SECTION B, LINE 16C https://www.southcountyhealth.org/media/documents/financial-assistance/fin ancial-assistance-2018.pdf
PART V, SECTION B, LINE 22D	South County Hospital provides free care to all individuals eligible for financial assistance.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SOUTH COUNTY HOSPITAL	PART I, LINE 6A THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE.
PART I, LINE 7, COLUMN (F)	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $5,161,647.
PART II, COMMUNITY BUILDING ACTIVITIES	SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUPS, WELLNESS SCREENINGS, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY.
PART III, LINE 2 & 3	SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF-PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES. PART III, LINE 4 THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGE 10 FN #2(E) AND PAGE 24 & 25 FN #8.
PART III, LINE 8	SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF IT'S MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITAL'S CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY 2019 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES.
PART III, LINE 9B	PER THE HOSPITAL'S POLICY, PRIOR TO THE PATIENT'S DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT. SOUTH COUNTY HOSPITAL'S BILLING AND COLLECTION POLICY PROVIDES THE HOSPITAL CAN REFER AN ACCOUNT TO AN OUTSIDE AGENCY FOR COLLECTION BUT WILL NOT REFER ANY ACCOUNTS WHERE A PATIENT APPLIED FOR FINANCIAL ASSISTANCE AND HAS NOT BEEN NOTIFIED OF THE DECISION. BEFORE ENGAGING IN EXTRA ORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT THE AMOUNT DUE.
PART VI, LINE 2	SOUTH COUNTY HOSPITAL IDENTIFIES ITS COMMUNITY'S HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS. QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURRENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITAL'S COMMUNITY.
PART VI, LINE 3	SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID, ETC.) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF-PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY.
PART VI, LINE 4	The primary service area includes all of Washington County, RI commonly known as South County. The secondary service area includes the population from adjoining communities in Kent County (East Greenwich and West Greenwich). Based on the demographic information analyzed for the CHNA obtained from ESRI Business Analyst, 2018 and the US Census Bureau, The housing units within the South County Hospital service area include 72.4%, which are owner-occupied, and 27.6, which are renter-occupied. The median household income is $78,882. Approximately 2.8% of residents in the workforce are unemployed, which is lower than the state and national averages. The majority of the residents in the workforce hold white-collar positions (66%). The percentage of residents living in poverty within South County Hospitals service area is 9.6%, 10.1% of which are children living in poverty. Their percentages are lower than the state (13.4% and 18.9%, respectively). The CHNA assessment completed in 2019 provides additional information on the community served by the hospital and is available on the hospital website at the following link: www.southcountyhealth.org.
PART VI, LINE 5	SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY'S HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATION'S NEEDS. THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL: 1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES. 2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY LOCAL MULTIDISCIPLINARY TEAMS AND CHRONIC CARE SERVICES. 3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING. EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDINATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY. THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES. THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITAL'S CONTINUED COMMITMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 6	THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM KNOWN AS SOUTH COUNTY HEALTH OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, SOUTH COUNTY HOME HEALTH, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.
PART VI, LINE 7	LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: RI

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SALVATORE ABBRUZZESE JR DO
PRESIDENT OF THE MEDICAL STAFF	$273,262	$0	$10,995	$0	$1,151	$0	$9,625	$0	$19,691	$0	$314,724	$0	$0	$0
AARON WEISBORD MD
PRES MED STAFF UNTIL 10/2018	$229,828	$0	$215,248	$0	$251	$0	$9,625	$0	$20,053	$0	$475,005	$0	$0	$0
LOUIS R GIANCOLA
PRESIDENT AND CEO UNTIL 4/2019	$434,126	$0	$0	$0	$12,570	$0	$9,625	$0	$16,908	$0	$473,229	$0	$0	$0
THOMAS J BREEN
CHIEF FINANCIAL OFFICER	$397,430	$0	$0	$0	$2,973	$0	$9,625	$0	$16,145	$0	$426,173	$0	$0	$0
ANNE SCHMIDT
VP OF PATIENT CARE SERVICES	$239,156	$0	$0	$0	$1,813	$0	$8,388	$0	$1,334	$0	$250,691	$0	$0	$0
JAMES CORCORAN
VP OF MED AFFAIRS	$293,263	$0	$0	$0	$852	$0	$4,090	$0	$8,351	$0	$306,556	$0	$0	$0
KIMBERLY O'CONNELL
VP, CHIEF STRATEGY OFFICER	$287,478	$0	$0	$0	$736	$0	$9,625	$0	$15,937	$0	$313,776	$0	$0	$0
LISA RAMEAKA
CMO & VPMA	$342,684	$0	$0	$0	$544	$0	$9,625	$0	$19,551	$0	$372,404	$0	$0	$0
DAVID BADER
PHYSICIAN	$194,842	$0	$275,312	$0	$385	$0	$9,625	$0	$20,653	$0	$500,817	$0	$0	$0
DAVID BROZA
PHYSICIAN	$189,485	$0	$226,044	$0	$720	$0	$9,625	$0	$9,054	$0	$434,928	$0	$0	$0
GERALD COLVIN
PHYSICIAN	$382,770	$0	$140,875	$0	$1,552	$0	$9,625	$0	$20,199	$0	$555,021	$0	$0	$0
NEIL BRANDON
PHYSICIAN	$193,048	$0	$234,508	$0	$1,105	$0	$9,625	$0	$20,653	$0	$458,939	$0	$0	$0
STEVEN FERA
PHYSICIAN	$193,616	$0	$162,691	$0	$1,105	$0	$9,625	$0	$16,681	$0	$383,718	$0	$0	$0
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN	$168,897	$0	$45,306	$0	$1,030	$0	$7,560	$0	$8,683	$0	$231,476	$0	$0	$0
WILLIAM SABINA MD FACEP
FORMER PRES OF MED STAFF	$35,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$35,000	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J. PART I, LINE 4A	FormAndLineReferenceDesc
Explanation	JAMES CORCORAN RECEIVED SEVERANCE IN THE AMOUNT OF 181,420 DURING THE FISCAL YEAR 2019. UNDER THE TERMS OF HIS AGREEMENT, SEVERANCE WAS PAID FOR ONE YEAR FOLLOWING HIS TERMINATION IN MAY 2018. THIS AMOUNT WAS REPORTED ON SCHEDULE J, PART II, COLUMN B(II).	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	$10,600,000	$0	$45,545,000	$0	$0	$0	$0	$0	$0	$0	$45,545,000	$0	2015	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$10,100,000	$0	$0	$0	$0	$0	$0	$0	$1,542,651	$8,557,349		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	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	false	false	false	false
B	false	false	Yes (true)	Yes (true)	false	0	false	false	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
MERRILL LYNCH CAPITA
A	false	Yes (true)	false	false	Yes (true)	Yes (true)	30.	false	false	false	0	false	false
CITIZENS BANK NA
B	false	Yes (true)	false	false	Yes (true)	Yes (true)	10.	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	WILLIAM SABINA	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FORMER TRUSTEE &	RelationshipDescriptionTxt
Transaction	$35,000	TransactionAmt
Transaction	ADMIN CLINICAL SUPPORT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, LINE 4A SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2019, THE HOSPITAL REPORTED 6,250 DISCHARGES AND 20,337 INPATIENT DAYS. THE DISCHARGES INCLUDED 683 DELIVERIES AND 2,407 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 230,099 OUTPATIENT VISITS; INCLUDING 23,066 OUTPATIENT EMERGENCY ROOM VISITS AND 27,520 URGENT CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 140,742 VISITS.
FORM 990, PART VI, SECTION B, LINE 11	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND AFFILIATES (KNOWN AS SOUTH COUNTY HEALTH (SCH)) HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. ALL ENTITIES HAVE MIRROR BOARDS. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AT A BOARD MEETING PRIOR TO THE FILING DEADLINE.
FORM 990, PART VI, SECTION B, LINE 12C	SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 15A	THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION, THE ORGANIZATION USES FORM 990 OF OTHER ORGANIZATIONS AND A COMPENSATION SURVEY. THE REVIEW IS DONE BY INDEPENDENT INDIVIDUALS OF THE GOVERNING BODY AND ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 16B	THE HOSPITAL'S JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE. THE HOSPITAL DOES NOT HAVE A FORMAL POLICY BUT IN PRACTICE ALL JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE THE JOINT VENTURE DOES NOT JEOPARDIZE THE TAX STATUS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS	CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS (8,837,689) UNREALIZED GAIN ON INTEREST RATE SWAP (3,281,588) NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 571,335 UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. (214,521) FORGIVENESS OF SCSS INTERCOMPANY LOAN (335,029) ---------- TOTAL TO FORM 990, PART XI, LINE 9 (12,097,492)
FORM 990, PART XII, LINE 2C	FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS.
FORM 990, PART X, LINE 27, 28 & 29	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM HAS ADOPTED FASB ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2019 AUDITED FINANCIAL STATEMENTS CLASSIFY THE NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF PART X, LINE 27, 28, AND 29, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM HAS REPORTED ITS YEAR END ENDOWMENT BALANCE WITHOUT DONOR RESTRICTIONS AS UNRESTRICTED NET ASSETS AND ITS YEAR END BALANCE WITH DONOR RESTRICTIONS AS PERMANENTLY RESTRICTED ENDOWMENT, RESPECTIVELY.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
ENDOWMENT 100 KENYON AVE	WAKEFIELD	RI	02879	050259093	HEALTHCARE	RI	501(C)(3)	7	NA	false
SOUTH COUNTY HOME HEALTH
14 WOODRUFF AVENUE	NARRAGANSETT	RI	02882	056033975	HEALTHCARE	RI	501(C)(3)	10	SC HOSPITAL	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SILVER SPRING HEALTHCARE MANAGEMENT
100 KENYON AVENUE	WAKEFIELD	RI	02879	050459095	HOLDING COMPANY	RI	SCH HEALTHCARE	C Corp	-$1,350	$361,723	1.00000	Yes (true)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUE	WAKEFIELD	RI	02879	050491313	PERSONAL CARE	RI	SCH HEALTHCARE	C Corp	$0	$43,858	1.00000	Yes (true)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUE	WAKEFILED	RI	02879	050478937	RETAIL OF MED EQP	RI	SCH HEALTHCARE	C Corp	-$116,288	$678,047	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
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	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
SSHM SURGICAL SUPPLY INC
o	$887,014
SOUTH COUNTY HOME HEALTH
o	$632,119