SOUTH COUNTY HOSPITAL HEALTHCARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SOUTH COUNTY HOSPITAL HEALTHCARE (EIN 05-0445136)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-15
IRS object ID: 201942279349303209
Schema version: 2017v2.3
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	2019-08-15T15:33:31-05:00	ReturnTs
Tax Period End	2018-09-30	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	One Financial Plaza	AddressLine1Txt
City	Hartford	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	061032608	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	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	2019-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY-EVELYN ANTONETTI	PreparerPersonNm
PTIN	P00431862	PTIN
Phone	8605223200	PhoneNum
Preparation	2019-08-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	06014420192275000007	FederalOriginalSubmissionId
Federal Original Submission Id	2019-08-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9C37FB02EE77A6FF00EC66693955615721E3AD8A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A21694BA91A4D647CC19866B1C0F5A62244E0DB8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	$187,191,697	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	18	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	1474	TotalEmployeeCnt
Total Volunteers	296	TotalVolunteersCnt
Total Gross UBI	$10,235	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$760,324	PYContributionsGrantsAmt
CY Contributions Grants	$915,510	CYContributionsGrantsAmt
PY Program Service Revenue	$173,390,569	PYProgramServiceRevenueAmt
CY Program Service Revenue	$181,944,370	CYProgramServiceRevenueAmt
PY Investment Income	$431,540	PYInvestmentIncomeAmt
CY Investment Income	$988,153	CYInvestmentIncomeAmt
PY Other Revenue	$1,062,560	PYOtherRevenueAmt
CY Other Revenue	$967,768	CYOtherRevenueAmt
PY Total Revenue	$175,644,993	PYTotalRevenueAmt
CY Total Revenue	$184,815,801	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	$90,024,237	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$92,761,749	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$84,152,257	PYOtherExpensesAmt
CY Other Expenses	$88,756,740	CYOtherExpensesAmt
PY Total Expenses	$174,176,494	PYTotalExpensesAmt
CY Total Expenses	$181,518,489	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,468,499	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,297,312	CYRevenuesLessExpensesAmt
Total Assets BOY	$133,960,075	TotalAssetsBOYAmt
Total Assets EOY	$144,244,334	TotalAssetsEOYAmt
Total Liabilities BOY	$96,135,152	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$94,575,174	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$37,824,923	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$49,669,160	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$151,637,785	ExpenseAmt
Revenue	$182,497,907	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	$151,637,785	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	135	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1474	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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 (33 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	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
JASON MARSHALL
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT PANOFF
TRUSTEE	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
AARON WEISBORD MD
PRESIDENT OF THE MEDICAL STAFF	40.0	2.0	Yes (X)	$419,607	$0	$29,103
EVE KEENAN RN EDD
CHAIRPERSON UNTIL 5/2018	1.0	2.0	Yes (X)	$0	$0	$0
M BEVERLY SWAN PHD
VICE CHAIRPERSON UNTIL 5/2018	1.0	2.0	Yes (X)	$0	$0	$0
JAMES FARRELL
VICE CHAIRMAN AS OF 5/2018	1.0	2.0	Yes (X)	$0	$0	$0
DENNIS LYNCH
CHAIRMAN AS OF 5/2018	1.0	2.0	Yes (X)	$0	$0	$0
SALVATORE ABBRUZZESE JR DO
VP OF THE MEDICAL STAFF	40.0	2.0	Yes (X)	$248,483	$2,875	$27,487
BETTY RAMBUR PHD
SECRETARY AS OF 5/2018	1.0	2.0	Yes (X)	$0	$0	$0
VICTORIA A WICKS
TREASURER AS OF 5/2018	1.0	2.0	Yes (X)	$0	$0	$0
ROBERT DYER
TRUSTEE AS OF 7/2018	1.0	2.0	Yes (X)	$0	$0	$0
LOUIS R GIANCOLA
PRESIDENT AND CEO	40.0	2.0		$392,300	$0	$26,348	Yes (X)
THOMAS J BREEN
CHIEF FINANCIAL OFFICER	40.0	3.0		$393,731	$0	$26,218	Yes (X)
JAMES CORCORAN
VP OF MED AFFAIRS UNTIL 5/2018	40.0	0.0		$275,349	$0	$29,271		Yes (X)
ANNE SCHMIDT
VP OF PATIENT CARE SERVICES	40.0	0.0		$229,442	$0	$9,674		Yes (X)
KIMBERLY O'CONNELL
VP, CHIEF STRATEGY OFFICER	40.0	0.0		$282,130	$0	$20,686		Yes (X)
LISA RAMEAKA
CMO & VPMA BEGIN 6/2018	40.0	0.0		$331,187	$0	$28,913		Yes (X)
DAVID BADER
PHYSICIAN	40.0	0.0		$448,498	$0	$29,409			Yes (X)
NEIL BRANDON
PHYSICIAN	40.0	0.0		$452,503	$0	$29,425			Yes (X)
DAVID BROZA
PHYSICIAN	40.0	0.0		$415,153	$0	$18,263			Yes (X)
STEVEN FERA
PHYSICIAN	40.0	0.0		$367,659	$0	$25,577			Yes (X)
GERALD COLVIN
PHYSICIAN	40.0	0.0		$548,519	$0	$28,992			Yes (X)
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN	40.0	0.0		$196,455	$0	$15,369				Yes (X)
WILLIAM SABINA MD FACEP
FORMER PRES OF MED STAFF 10/16	10.0	2.0		$35,000	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,040,816	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,875	TotReportableCompRltdOrgAmt
Total Other Compensation	$344,735	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	109	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	$694,971
ORTHOPEDICS RHODE ISLAND
10 DORRANCE STREET	PROVIDENCE	RI	02903	ORTHOPEDICS & PT	$623,890
INTEGRA COMMUNTIY CARE NETWORK
45 WILLARD AVENUE	PROVIDENCE	RI	02905	ACCOUNTABLE CARE ORG	$334,617
BENTLEY BUILDERS LLC
250 SCRABBLETOWN ROAD	NORTH KINGSTOWN	RI	02852	CONSTRUCTION	$175,046
SOUTH COUNTY PULMONARY MEDICINE INC
360 KINGSTOWN ROAD SUITE 207	NARRAGANSETT	RI	02882	PULMONARY EVALUATION	$145,970

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$256,333	GovernmentGrantsAmt
All Other Contributions	$659,177	AllOtherContributionsAmt
Total Contributions	$915,510	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	622110	$180,951,311	$180,951,311
OTHER PROGRAM REVENUE	900099	$993,059	$993,059

Field	Value	IRS element (for citing)
Total Program Service Revenue	$181,944,370	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$651,897	TotalRevenueColumnAmt
Exclusion	$651,897	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	$880,249	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,058,431	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,178,182	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,178,182	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,178,182	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$644,146	SecuritiesAmt
Other	$9,575	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$317,465	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$326,681	SecuritiesAmt
Other	$9,575	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$336,256	TotalRevenueColumnAmt
Exclusion	$336,256	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	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
REVENUE FROM JOINT VENTURES	621512	$969,875	$959,640	$10,235
SELF INSURED TRUST	900099	$372,730	$372,730
CAFETERIA	722212	$403,996			$403,996

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$399,349	TotalRevenueColumnAmt
Related Or Exempt Func Income	$399,349	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,145,950	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$184,815,801	TotalRevenueColumnAmt
Related Or Exempt Func Income	$182,497,907	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$10,235	UnrelatedBusinessRevenueAmt
Exclusion	$1,392,149	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	$2,902,247	TotalAmt
Program Services	$770,916	ProgramServicesAmt
Management And General	$2,131,331	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	$71,750,331	TotalAmt
Program Services	$60,057,431	ProgramServicesAmt
Management And General	$11,692,900	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,094,489	TotalAmt
Program Services	$1,706,630	ProgramServicesAmt
Management And General	$387,859	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,179,118	TotalAmt
Program Services	$9,108,958	ProgramServicesAmt
Management And General	$2,070,160	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,835,564	TotalAmt
Program Services	$3,940,110	ProgramServicesAmt
Management And General	$895,454	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$576,714	TotalAmt
Management And General	$576,714	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$104,802	TotalAmt
Management And General	$104,802	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$54,345	TotalAmt
Management And General	$54,345	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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	$67,983	TotalAmt
Management And General	$67,983	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,340,577	TotalAmt
Program Services	$6,762,234	ProgramServicesAmt
Management And General	$2,578,343	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$864,704	TotalAmt
Program Services	$624,587	ProgramServicesAmt
Management And General	$240,117	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,266,996	TotalAmt
Program Services	$3,804,418	ProgramServicesAmt
Management And General	$1,462,578	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,390,183	TotalAmt
Program Services	$1,726,459	ProgramServicesAmt
Management And General	$663,724	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,749,591	TotalAmt
Program Services	$1,986,064	ProgramServicesAmt
Management And General	$763,527	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$71,314	TotalAmt
Program Services	$51,511	ProgramServicesAmt
Management And General	$19,803	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$209,049	TotalAmt
Program Services	$151,000	ProgramServicesAmt
Management And General	$58,049	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,959,010	TotalAmt
Management And General	$1,959,010	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,605,621	TotalAmt
Program Services	$6,938,261	ProgramServicesAmt
Management And General	$2,667,360	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,162,971	TotalAmt
Program Services	$2,284,654	ProgramServicesAmt
Management And General	$878,317	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	FundraisingFundraisingAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$40,665,123	$40,665,123	$0
STATE LICENSE FEE	$5,272,110	$5,272,110	$0
BAD DEBT EXPENSE	$4,204,953	$4,204,953	$0
MAINTENANCE & REPAIRS	$532,649	$384,739	$0	$147,910

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,658,045	TotalAmt
Program Services	$1,197,627	ProgramServicesAmt
Management And General	$460,418	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$181,518,489	TotalAmt
Program Services	$151,637,785	ProgramServicesAmt
Management And General	$29,880,704	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,580	BOYAmt
EOY	$8,100	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,234,330	BOYAmt
EOY	$11,371,059	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	$13,542,506	BOYAmt
EOY	$14,925,266	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	$3,319,268	BOYAmt
EOY	$3,238,290	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,555,782	BOYAmt
EOY	$3,415,373	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$181,978,105	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$116,873,531	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$66,495,704	BOYAmt
EOY	$65,104,574	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$23,752,058	BOYAmt
EOY	$24,900,352	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$17,115,798	BOYAmt
EOY	$18,783,555	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	$1,116,503	BOYAmt
EOY	$1,184,730	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$820,546	BOYAmt
EOY	$1,313,035	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,960,075	BOYAmt
EOY	$144,244,334	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,377,431	BOYAmt
EOY	$22,652,295	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	$38,960,954	BOYAmt
EOY	$36,814,627	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	$0	BOYAmt
EOY	$2,453,347	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	$36,796,767	BOYAmt
EOY	$32,654,905	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,135,152	BOYAmt
EOY	$94,575,174	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,779,923	BOYAmt
EOY	$49,624,160	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	$37,824,923	BOYAmt
EOY	$49,669,160	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$133,960,075	BOYAmt
EOY	$144,244,334	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,297,312	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$159,299	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$8,387,626	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

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	$54,345	OtherActivitiesAmt
Total Lobbying Expenditures	$54,345	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$33,440,630	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,269,181	InvestmentEarningsOrLossesAmt
Other Expenditures	$150,427	OtherExpendituresAmt
End Year Balance	$35,559,384	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	$53,399,170	OtherCostOrOtherBasisAmt
Depreciation	$36,411,713	DepreciationAmt
Book Value	$16,987,457	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,347,711	OtherCostOrOtherBasisAmt
Depreciation	$1,713,025	DepreciationAmt
Book Value	$1,634,686	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$119,179,835	OtherCostOrOtherBasisAmt
Depreciation	$76,074,390	DepreciationAmt
Book Value	$43,105,445	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,578,268	OtherCostOrOtherBasisAmt
Depreciation	$2,674,403	DepreciationAmt
Book Value	$2,903,865	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$65,104,574	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWMENT ASSETS	$7,386,021	F
ASSETS HELD IN TRUST	$9,652,443	F
DONOR RESTRICTED FUNDS	$1,745,091	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$18,783,555	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
ACCRUED PENSION COSTS	$13,663,750
FAIR VALUE OF SWAP AGREEMENTS	$4,486,698
UNPAID LOSS RESERVE	$6,895,774
ESTIMATED THIRD-PARTY PAYOR	$4,278,688
ACCRUED RETIREMENT PLAN	$1,482,383
ACCRUED INSURED LOSSES	$1,184,730
POSTRETIREMENT BENEFIT OBLIGATION	$317,096
ACRO LIABILITY	$326,100
SECURITY DEPOSITS	$19,686

Field	Value	IRS element (for citing)
Total Liability	$32,654,905	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$191,148,221	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$159,299	NetUnrealizedGainsInvstAmt
Other Revenue	$10,446,057	OtherRevenueAmt
Revenue Not Reported	$10,605,356	RevenueNotReportedAmt
Revenue Subtotal	$180,542,865	RevenueSubtotalAmt
Investment Expenses Not Incld	$67,983	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$4,204,953	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$4,272,936	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$184,815,801	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$179,303,984	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,058,431	OtherExpensesIncludedAmt
Expenses Not Reported	$2,058,431	ExpensesNotReportedAmt
Expenses Subtotal	$177,245,553	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$67,983	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$4,204,953	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,272,936	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$181,518,489	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4	THE HOSPITAL'S ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES. THE AMOUNT OF $(135,852) ON LINE 1E REPRESENTS A TRANSFER FROM OPERATIONS. THERE WERE NO CONTRIBUTIONS RECEIVED FOR THE YEAR ENDED SEPTEMBER 30, 2018.
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 VNS HOMECARE, INC.) 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 2018 OR 2017. ON DECEMBER 22, 2017, THE PRESIDENT SIGNED INTO LAW H.R. 1, ORIGINAL KNOWN AS THE TAX CUTS AND JOBS ACT. THE NEW LAW INCLUDES SEVERAL PROVISIONS THAT RESULT IN SUBSTANTIAL CHANGES TO THE TAX TREATMENT OF TAX-EXEMPT ORGANIZATIONS AND THEIR DONORS. THE HOSPITAL HAS REVIEWED THESE PROVISIONS AND THE POTENTIAL IMPACT AND CONCLUDED THE ENACTMENT OF HR. 1 WILL NOT HAVE A MATERIAL EFFECT ON THE OPERATIONS OF THE ORGANIZATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS	CHANGE IN FUND STATUS OF EMPLOYEE BENEFIT PLAN 4,406,803 UNREALIZED GAIN ON INTEREST RATE SWAP 2,532,625 RENTAL EXPENSES 2,058,431 NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,237,352 UNREALIZED CHANGE IN EQUITY INTERESTS IN LP 210,846 ------------ TOTAL TO SCHEDULE D, PART XI, LINE 2D 10,446,057
PART XI, LINE 4B - OTHER ADJUSTMENTS	PROVISION FOR BAD DEBTS 4,204,953 PART XII, LINE 2D - OTHER ADJUSTMENTS RENTAL EXPENSES 2,058,431 PART XII, LINE 4B - OTHER ADJUSTMENTS PROVISION FOR BAD DEBTS 4,204,953

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	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,935,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,405,314	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,530,566	NetCommunityBenefitExpnsAmt
Total Expense	0.00860	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,832,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,537,194	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$295,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,905,507	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,487,194	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,418,313	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,673,731	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,429,702	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,244,029	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$760,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$306,205	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$454,626	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,680	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$177,946	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$77,797	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,068,308	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$357,939	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$710,369	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,742,039	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,787,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,954,398	NetCommunityBenefitExpnsAmt
Total Expense	0.02790	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$7,008,255	BadDebtExpenseAmt
Reimbursed By Medicare	$41,102,954	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$47,748,549	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,645,595	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	16	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	WWW.SOUTHCOUNTYHEALTH.ORG	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.SOUTHCOUNTYHEALTH.ORG	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	WWW.SOUTHCOUNTYHEALTH.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SOUTHCOUNTYHEALTH.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SOUTHCOUNTYHEALTH.ORG	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	TO ENSURE THE CHNA REFLECTED THE NEEDS OF THE COMMUNITY SERVED BY SOUTH COUNTY HOSPITAL (THE HOSPITAL), IN ADDITION TO PARTICIPATION IN THE STATEWIDE HARI CHNA; THE HOSPITAL AND L&M WESTERLY HOSPITAL, ANOTHER HOSPITAL SERVING THE COUNTY, HELD A COUNTY-WIDE PARTNER FORUM ON OCTOBER 2015. THE FORUM INCLUDED 21 PARTNERS FROM THE COMMUNITY. THE OBJECTIVE OF THE FORUM WAS TO SOLICIT FEEDBACK FOR REPRESENTATIVES OF KEY STAKEHOLDER GROUPS, FACILITATE COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS, AND ALIGN COMMUNITY HEALTH IMPROVEMENT EFFORTS BETWEEN THE HARI CHNA, THE RI DOH, AND THE LOCAL HEALTH EQUITY ZONES (HEZ). THE PARTICIPANTS OF THE FORUM ARE IDENTIFIED IN THE HOSPITALS CHNA APPROVED IN AUGUST 2016 BY THE HOSPITALS BOARD AND IMPLEMENTATION PLAN DATED JANUARY 30, 2017.
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 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 AND CREATED A WEBSITE (WWW.RHODEISLANDHEALTHCAREMATTERS.ORG). THE SITE PROVIDED ACCESS TO HEALTH STATISTICS AND INDICATORS FROM SECONDARY DATA SOURCES THAT ARE SPECIFIC TO LOCAL GEOGRAPHIES IN RI AND ALSO IS A COMMUNICATION VENUE FOR SHARING BEST PRACTICES AND RELEVANT HEALTH INFORMATION.
PART V, SECTION B, LINE 11	The 2016 community needs identified for Washington County were behavioral health (including mental health and substance abuse), incidence of cancer, chronic diseases (high cholesterol, diabetes). For Washington County, incidence of suicide, audit binge drinking, DUI related driving deaths, drug poisoning deaths were all above the state average. South County Hospital and The L&M Westerly Hospital held a county-wide Partner Forum on October 27, 2015 to solicit feedback from representative of key state holder groups, facilitate collaboration to address community health needs, and align community health improvement efforts among the HARI CHNA, the RI DOH , and the local Health Equity Zones. Based upon the CHNA and the feedback from the Washington County community South County Hospitals Board of Trustees has set behavioral health as the key focus and priority. By aligning community health activities with local and statewide priorities, in conjunction with the fact that twenty-five (25%) of South County Health inpatients with a chronic condition also have a behavioral health diagnosis, South County Hospital will take a comprehensive approach to addressing the most urgent needs in the community. As with all programs and services, the hospital system will continue to monitor community needs and adjust programming and services accordingly. Other organizations in the community are focusing on the remainder of the health needs.
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 WEB SITE.
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 $4,204,953.
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 PRINCIPALS (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 9 FN #2(E) AND PAGE 22 & 23 FN #8.
PART III, LINE 8	SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF ITS MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITALS CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY2017 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES.
PART III, LINE 9B	After our patients have received services, it is the policy of South County Hospital to bill patients and their applicable payers on a timely and accurate basis. During this billing and collection process, staff will be committed to providing quality customer service and timely follow-up on all outstanding accounts. It is the goal of this policy to provide clear and consistent guidelines for conducting billing and collections functions in a manner that promotes compliance, patient satisfaction, and efficiency. Though the use of billing statements, written correspondence, and phone calls, South County Hospital; will make diligent efforts to inform patients of their financial responsibilities and available financial assistance options, as well as follow up with patients regarding outstanding accounts. Additionally, this policy requires South County Hospital to make reasonable efforts to determine a patients eligibility for financial assistance under South County Hospitals financial assistance policy before engaging in extraordinary collections actions to obtain payment.
PART VI, LINE 2	SOUTH COUNTY HOSPITAL IDENTIFIES ITS COMMUNITIES 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 OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITALS 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 HOSPITALS 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 TOWNS THAT COMPRISE THE SECONDARY SERVICE ARE INCLUDE THE TOWNS OF BLOCK ISLAND, HOPKINTON, RICHMOND, WESTERLY AS WELL AS, THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH). BASED ON THE DEMOGRAPHIC INFORMATION ANALYZED FOR THE CHNA OBTAINED FROM 2015 THE NIELSON COMPNAY AND 2009-2013 UNITED STATES CENSUS THE SOUTH COUNTY HOSPITAL SERVICE ARE ENCOMPASSES 77,947 HOUSING UNITS, 74.5% ARE OWNER-OCCUPIED AND 25.5% ARE RENTER-OCCUPIED. THE MEDIAN HOUSEHOLD INCOME IS $71,495: HOWEVER, INCOME VARIES BY RACE. THE MEDIAN INCOME FOR BLACKS/AFRICAN AMERICANS IS $33,333. APPROXIMATELY 67% OF RESIDENT'S AGE 16 YEARS OR OVER ARE IN THE WORKFORCE AND 5.2% ARE UNEMPLOYED, WHICH IS LOWER THAN THE STATE AND NATIONAL AVERAGES. THE MAJORITY OF RESIDENTS IN THE WORKFORCE ARE FOR-PROFIT PRIVATE WORKERS (62%) AND HOLD WHITE COLLAR POSITIONS (65.7%). THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY WITH IN SOUTH COUNTY HOSPITAL'S SERVICE ARE IS 8.3%; 9.7% OF WHICH ARE CHILDREN LIVING IN POVERTY. THEIR PERCENTAGES ARE LOWER THAN THE STATE (13.6% AND 19.5%, REPECTIVELY). THE CHNA ASSESSMENT COMPLETED IN 2016 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 COMMUNITYS 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 POPULATIONS 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 HOSPITALS CONTINUED COMMITTMENT 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, VNS HOME HEALTH SERVCES, 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
AARON WEISBORD MD
PRESIDENT OF THE MEDICAL STAFF	$215,114	$0	$204,242	$0	$251	$0	$9,450	$0	$19,653	$0	$448,710	$0	$0	$0
SALVATORE ABBRUZZESE JR DO
VP OF THE MEDICAL STAFF	$234,769	$2,875	$13,375	$0	$339	$0	$8,737	$0	$18,750	$0	$275,970	$2,875	$0	$0
LOUIS R GIANCOLA
PRESIDENT AND CEO	$367,088	$0	$0	$0	$25,212	$0	$9,450	$0	$16,898	$0	$418,648	$0	$0	$0
THOMAS J BREEN
CHIEF FINANCIAL OFFICER	$390,814	$0	$0	$0	$2,917	$0	$9,450	$0	$16,768	$0	$419,949	$0	$0	$0
JAMES CORCORAN
VP OF MED AFFAIRS UNTIL 5/2018	$275,349	$0	$0	$0	$0	$0	$9,450	$0	$19,821	$0	$304,620	$0	$0	$0
ANNE SCHMIDT
VP OF PATIENT CARE SERVICES	$229,442	$0	$0	$0	$0	$0	$7,985	$0	$1,689	$0	$239,116	$0	$0	$0
KIMBERLY O'CONNELL
VP, CHIEF STRATEGY OFFICER	$282,130	$0	$0	$0	$0	$0	$4,220	$0	$16,466	$0	$302,816	$0	$0	$0
LISA RAMEAKA
CMO & VPMA BEGIN 6/2018	$330,666	$0	$0	$0	$521	$0	$9,450	$0	$19,463	$0	$360,100	$0	$0	$0
DAVID BADER
PHYSICIAN	$190,046	$0	$258,452	$0	$0	$0	$9,474	$0	$19,935	$0	$477,907	$0	$0	$0
NEIL BRANDON
PHYSICIAN	$203,098	$0	$249,405	$0	$0	$0	$9,490	$0	$19,935	$0	$481,928	$0	$0	$0
DAVID BROZA
PHYSICIAN	$189,877	$0	$225,276	$0	$0	$0	$9,470	$0	$8,793	$0	$433,416	$0	$0	$0
STEVEN FERA
PHYSICIAN	$194,722	$0	$172,937	$0	$0	$0	$9,477	$0	$16,100	$0	$393,236	$0	$0	$0
GERALD COLVIN
PHYSICIAN	$385,373	$0	$163,146	$0	$0	$0	$9,450	$0	$19,542	$0	$577,511	$0	$0	$0
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN	$160,760	$0	$35,695	$0	$0	$0	$6,879	$0	$8,490	$0	$211,824	$0	$0	$0
WILLIAM SABINA MD FACEP
FORMER PRES OF MED STAFF 10/16	$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	SEVERANCE PAYMENTS	FormAndLineReferenceDesc
Explanation	PART I, LINE 4A JAMES CORCORAN RECEIVED SEVERANCE IN THE AMOUNT OF 104,293 DURING THE FISCAL YEAR 2018. UNDER THE TERMS OF HIS AGREEMENT SEVERANCE WAS PAID FOR ONE YEAR FOLLOWING HIS TERMINATION IN MAY 2018.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	RI HEALTH & EDUCATION BLDG CORP SERIES 2015	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	521300173	BondIssuerEIN
Bond Issued	2015-08-12	BondIssuedDt
Issue Price	$45,545,000	IssuePriceAmt
Purpose	REFINANCE 2012 BOND ISSUE	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,315,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$45,545,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$45,545,000	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	MERRILL LYNCH CAPITA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of Hedge	0.3	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

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 & PRESIDENT OF THE MEDICAL STAFF	RelationshipDescriptionTxt
Transaction	$35,000	TransactionAmt
Transaction	ADMIN CLINICAL SUPPORT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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, 2018, THE HOSPITAL REPORTED 5,817 DISCHARGES AND 18,427 INPATIENT DAYS. THE DISCHARGES INCLUDED 678 DELIVERIES AND 2,359 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 219,634 OUTPATIENT VISITS; INCLUDING 23,554 OUTPATIENT EMERGENCY ROOM VISITS AND 24,811 URGENT CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 106,154 VISITS.
FORM 990, PART VI, SECTION B, LINE 11	SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND ITS AFFILIATED ENTITIES ARE KNOWN AS SOUTH COUNTY HEALTH ("SCH") WHICH 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. SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND ITS AFFILIATED ENTITIES ARE KNOWN AS SOUTH COUNTY HEALTH ("SCH") WHICH 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 THE 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' SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION THE ORGANIZATION USES FORM 990 OF OTHER ORGANIZATIONS, 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 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 4,406,803 UNREALIZED GAIN ON INTEREST RATE SWAP 2,532,625 NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,237,352 UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. 210,846 ---------- TOTAL TO FORM 990, PART XI, LINE 9 8,387,626
FORM 990, PART XII, LINE 2C	FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATIONS AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATIONS FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATIONS FINANCIAL STATEMENTS.

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	$317,568	1.00000	Yes (true)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUE	WAKEFIELD	RI	02879	050491313	PERSONAL CARE	RI	SCH HEALTHCARE	C Corp	$0	$43,859	1.00000	Yes (true)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUE	WAKEFILED	RI	02879	050478937	RETAIL OF MED EQP	RI	SCH HEALTHCARE	C Corp	-$383,989	$729,460	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	$899,844
SOUTH COUNTY HOME HEALTH
o	$618,472