2020-08-14T09:56:15-05:00 2019-09-30 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2018-10-01 050445136 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM % MARCIA POLHEMUS SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN CFO 4017881794 2020-08-13 true MARY HANINK P01244578 6179881000 2020-08-12 199.206.0.5 06014420202275000003 2020-08-14 P 8001E3F5C0B281282B875A3F3B370410C27F5604 0FE6547678D73A32AB99C8D6CFA61E5F3D690727 2018 2020-09-23 17:36:50Z THOMAS J BREEN 100 KENYON AVENUE WAKEFIELD RI 02879 212484073 false X WWW.SOUTHCOUNTYHEALTH.ORG X 1920 RI 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. 17 15 1599 282 0 915510 1547770 181944370 200731673 988153 1143052 967768 578221 184815801 204000716 0 0 0 0 92761749 103577997 0 0 0 88756740 98714105 181518489 202292102 3297312 1708614 144244332 149328980 94575174 109863251 49669158 39465729 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. false false 171602511 200902240 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. 171602511 true true false true false false false false true true true false false true true false true false false false false false false false false true true false false true true false false false false false false false true false false false false false false false true true true false false true 132 0 true 1599 true true true false false false false false false false false false false false X 17 15 false false false false false false false true true false false true true true true true true true true true false RI X MARCIA POLHEMUS 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 TED ALMON TRUSTEE 1.0 2.0 X 0 0 0 ROBERT BEAGLE TRUSTEE 1.0 2.0 X 0 0 0 STEPHANIE CHAFEE RN MBA TRUSTEE UNTIL 4/2019 1.0 2.0 X 0 0 0 ROBERT DYER TRUSTEE 1.0 2.0 X 0 0 0 ELEANOR C FERGUSON TRUSTEE 1.0 2.0 X 0 0 0 JOHN H HOWLAND TRUSTEE 1.0 2.0 X 0 0 0 ROGEAN MAKOWSKI TRUSTEE AS OF 5/2019 1.0 2.0 X 0 0 0 JASON MARSHALL TRUSTEE 1.0 2.0 X 0 0 0 ROBERT PANOFF TRUSTEE UNTIL 4/2019 1.0 2.0 X 0 0 0 DAVID ROWE MD TRUSTEE 1.0 2.0 X 0 0 0 RICHARD DEL SESTO MD TRUSTEE 1.0 2.0 X 4800 0 0 AUSTIN C SMITH TRUSTEE 1.0 2.0 X 0 0 0 DONNA D VANDERBECK TRUSTEE 1.0 2.0 X 0 0 0 SALVATORE ABBRUZZESE JR DO PRESIDENT OF THE MEDICAL STAFF 40.0 2.0 X 285408 0 29316 AARON WEISBORD MD PRES MED STAFF UNTIL 10/2018 40.0 2.0 X 445327 0 29678 DENNIS LYNCH CHAIRMAN 1.0 2.0 X X 0 0 0 JAMES FARRELL VICE CHAIRMAN 1.0 2.0 X X 0 0 0 NEVEH LEVY MD VP OF MED STAFF AS OF 10/2018 1.0 2.0 X 5599 0 0 BETTY RAMBUR PHD SECRETARY 1.0 2.0 X X 0 0 0 VICTORIA A WICKS TREASURER 1.0 2.0 X X 0 0 0 AARON ROBINSON PRESIDENT AND CEO AS OF 4/2019 40.0 2.0 X 0 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO UNTIL 4/2019 40.0 2.0 X 446696 0 26533 THOMAS J BREEN CHIEF FINANCIAL OFFICER 40.0 3.0 X 400403 0 25770 ANNE SCHMIDT VP OF PATIENT CARE SERVICES 40.0 0.0 X 240969 0 9722 JAMES CORCORAN VP OF MED AFFAIRS 40.0 0.0 X 294115 0 12441 KIMBERLY O'CONNELL VP, CHIEF STRATEGY OFFICER 40.0 0.0 X 288214 0 25562 LISA RAMEAKA CMO & VPMA 40.0 0.0 X 343228 0 29176 DAVID BADER PHYSICIAN 40.0 0.0 X 470539 0 30278 DAVID BROZA PHYSICIAN 40.0 0.0 X 416249 0 18679 GERALD COLVIN PHYSICIAN 40.0 0.0 X 525197 0 29824 NEIL BRANDON PHYSICIAN 40.0 0.0 X 428661 0 30278 STEVEN FERA PHYSICIAN 40.0 0.0 X 357412 0 26306 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 40.0 0.0 X 215233 0 16243 WILLIAM SABINA MD FACEP FORMER PRES OF MED STAFF 10.0 2.0 X 35000 0 0 5203050 0 339806 101 true true false SOUTHERN RI PULMONARY CRITICAL CA 25 BURNS WAY EAST GREENWICH RI 02818 PULMONARY SERVICES 838120 ORTHOPEDIC SPECIALTY CONSULTING ONE HIGH STREET WAKEFIELD RI 02879 ORTHOPEDICS & PT 435000 ORTHOPEDICS RHODE ISLAND 10 DORRANCE ST PROVIDENCE RI 02903 ORTHOPEDICS & PT 374600 SOUTH COUNTY ANESTHESIA ASSOCIATES 1342 BELMONT STREET SUITE 205 BROCKTON MA 02301 ANESTHESIA SERVICES 180306 SOUTH COUNTY PULMONARY MEDICINE INC 360 KINGSTOWN ROAD SUITE 207 NARRAGANSETT RI 02882 PULMONARY EVALUATION 153720 13 694065 853705 1547770 OTHER PROGRAM REVENUE 622110 1097235 1097235 PATIENT SERVICE REVENUE 900099 199634438 199634438 200731673 448352 448352 0 0 812121 2076054 -1263933 0 -1263933 -1263933 7101253 750 6407303 693950 750 694700 694700 0 0 0 0 0 0 0 0 0 REVENUE FROM JOINT VENTURES 621512 764448 764448 SELF INSURED TRUST 315513 315513 CAFETERIA 722212 407650 407650 354543 354543 1842154 204000716 200902244 1550702 0 0 0 0 3096676 834252 2262424 0 0 80607721 68716806 11890915 2211425 1835521 375904 12262614 10178181 2084433 5399561 4481729 917832 0 624248 624248 78693 78693 60479 60479 0 67775 67775 10937420 8065082 2872338 863967 635861 228106 6111328 4497813 1613515 2396886 1764059 632827 0 2785703 2050220 735483 82837 60965 21872 0 170131 125215 44916 1969253 1969253 0 9277240 6827857 2449383 5413078 3983911 1429167 MEDICAL SUPPLIES & DRUG 45703296 45703296 STATE LICENSE FEE 5760112 5760112 BAD DEBT EXPENSES 5161647 5161647 MAINTENANCE & REPAIRS 466799 343555 123244 783213 576429 206784 202292102 171602511 30689591 0 8100 8650 11371059 13340414 0 0 14925266 17629657 0 0 0 0 0 0 3238290 3790504 3415373 3714647 189281521 126134205 65104574 63147316 24900352 25435117 18783555 20504282 0 0 1184730 1254767 1313033 503626 144244332 149328980 22652295 25300192 0 0 0 0 36814627 35982010 0 0 0 0 2453347 491630 0 0 32654905 48089419 94575174 109863251 X 49624158 39420729 0 0 45000 45000 49669158 39465729 144244332 149328980 X 1708614 185449 -12097492 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 60479 60479 false PART II-B, LINE 1, LOBBYING ACTIVITIES 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. 43683907 1241439 1395553 381500 45939399 40867856 1285852 1680199 150000 43683907 36410321 5013956 556421 40867856 33592284 3144062 326025 36410321 35559384 -1355121 611979 33592284 0.99900 0.00100 true false 473121 473121 55928782 38579045 17349737 3575803 2063943 1511860 124570536 82759952 41810584 4733279 2731265 2002014 63147316 ENDOWMENT ASSETS 8571879 F ASSETS HELD IN TRUST 9901710 F DONOR RESTRICTED FUNDS 2030693 F 20504282 0 ACCRUED PENSION COSTS 22491464 FAIR VALUE OF SWAP AGREEMENTS 7768286 UNPAID LOSS RESERVE 10072233 ESTIMATED THIRD-PARTY PAYOR 4132025 ACCRUED RETIREMENT PLAN 1769731 ACCRUED INSURED LOSSES 1254767 POSTRETIREMENT BENEFIT OBLIGATION 235563 ACRO LIABILITY 345665 SECURITY DEPOSITS 19685 48089419 X 188935305 185449 -12097492 -11912043 200847348 67775 3085593 3153368 204000716 199138734 199138734 67775 3085593 3153368 202292102 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 true true true X false true true true false true true 5625431 4147975 1477456 0.00730 1202704 1124552 78152 0.00040 14352203 9859930 4492273 0.02220 21180338 15132457 6047881 0.02990 763990 331948 432042 0.00210 229054 69389 159665 0.00080 39144 39144 0.00020 1032188 401337 630851 0.00310 22212526 15533794 6678732 0.03300 false 8602745 43519008 52571894 -9052886 X true true SOUTH COUNTY RADIATION THERAPY LLC RADIATION ONCOLOGY 0.35 1 1 SOUTH COUNTY HOSPITAL 100 KENYON AVENUE WAKEFIELD RI 02879 WWW.SOUTHCOUNTYHEALTH.ORG H0S00114 X SOUTH COUNTY HOSPITAL 1 false false true X X X X X X X X X 18 true true true true X SEE SUPPLEMENTAL INFORMATION X X true 19 true SEE SUPPLEMENTAL INFORMATION false true X 200. 0. X X X X true true X X X true X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X X X X X X true X false X X X X true X false false 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. 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 X X X X true false false false false false false false false SALVATORE ABBRUZZESE JR DO PRESIDENT OF THE MEDICAL STAFF 273262 0 10995 0 1151 0 9625 0 19691 0 314724 0 0 0 AARON WEISBORD MD PRES MED STAFF UNTIL 10/2018 229828 0 215248 0 251 0 9625 0 20053 0 475005 0 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO UNTIL 4/2019 434126 0 0 0 12570 0 9625 0 16908 0 473229 0 0 0 THOMAS J BREEN CHIEF FINANCIAL OFFICER 397430 0 0 0 2973 0 9625 0 16145 0 426173 0 0 0 ANNE SCHMIDT VP OF PATIENT CARE SERVICES 239156 0 0 0 1813 0 8388 0 1334 0 250691 0 0 0 JAMES CORCORAN VP OF MED AFFAIRS 293263 0 0 0 852 0 4090 0 8351 0 306556 0 0 0 KIMBERLY O'CONNELL VP, CHIEF STRATEGY OFFICER 287478 0 0 0 736 0 9625 0 15937 0 313776 0 0 0 LISA RAMEAKA CMO & VPMA 342684 0 0 0 544 0 9625 0 19551 0 372404 0 0 0 DAVID BADER PHYSICIAN 194842 0 275312 0 385 0 9625 0 20653 0 500817 0 0 0 DAVID BROZA PHYSICIAN 189485 0 226044 0 720 0 9625 0 9054 0 434928 0 0 0 GERALD COLVIN PHYSICIAN 382770 0 140875 0 1552 0 9625 0 20199 0 555021 0 0 0 NEIL BRANDON PHYSICIAN 193048 0 234508 0 1105 0 9625 0 20653 0 458939 0 0 0 STEVEN FERA PHYSICIAN 193616 0 162691 0 1105 0 9625 0 16681 0 383718 0 0 0 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 168897 0 45306 0 1030 0 7560 0 8683 0 231476 0 0 0 WILLIAM SABINA MD FACEP FORMER PRES OF MED STAFF 35000 0 0 0 0 0 0 0 0 0 35000 0 0 0 SCHEDULE J. PART I, LINE 4A 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). A RI HEALTH & EDUCATION BLDG CORP SERIES 2015 521300173 2015-08-12 45545000 REFINANCE 2012 BOND ISSUE false false false B RI HEATH & EDUCATION BLDG CORP SERIES 2018 521300173 2018-12-27 10100000 NEW CONSTRUCTION/EQUIPMENT false false false A 10600000 0 45545000 0 0 0 0 0 0 0 45545000 0 2015 true false true true B 0 0 10100000 0 0 0 0 0 0 0 1542651 8557349 false false false true A false false true true false 0 false false false false B false false true true false 0 false false false false A false true false false true true MERRILL LYNCH CAPITA 30. false false false 0 false false B false true false false true true CITIZENS BANK NA 10. false false false 0 false false A false B false 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. WILLIAM SABINA FORMER TRUSTEE & 35000 ADMIN CLINICAL SUPPORT false 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. 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 true SILVER SPRING HEALTHCARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SCH HEALTHCARE C Corp -1350 361723 1.00000 true SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 PERSONAL CARE RI SCH HEALTHCARE C Corp 0 43858 1.00000 true SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFILED RI 02879 050478937 RETAIL OF MED EQP RI SCH HEALTHCARE C Corp -116288 678047 1.00000 true false false true false false false false false false true false false true true true false true false false SSHM SURGICAL SUPPLY INC o 887014 SOUTH COUNTY HOME HEALTH o 632119