2019-08-15T15:33:31-05:00 2018-09-30 KPMG LLP One Financial Plaza Hartford CT 061032608 990 2017-10-01 050445136 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM % MARCIA POLHEMUS SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN CFO 4017881794 2019-08-15 true MARY-EVELYN ANTONETTI P00431862 8605223200 2019-08-14 167.68.102.5 06014420192275000007 2019-08-15 P 9C37FB02EE77A6FF00EC66693955615721E3AD8A A21694BA91A4D647CC19866B1C0F5A62244E0DB8 2017 2019-02-21 02:37:17Z THOMAS J BREEN 100 KENYON AVENUE WAKEFIELD RI 02879 187191697 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. 18 16 1474 296 10235 0 760324 915510 173390569 181944370 431540 988153 1062560 967768 175644993 184815801 0 0 0 0 90024237 92761749 0 0 0 84152257 88756740 174176494 181518489 1468499 3297312 133960075 144244334 96135152 94575174 37824923 49669160 X 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 151637785 182497907 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. 151637785 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 135 0 true 1474 true true true false false false false false false false false false X 18 16 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 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 JASON MARSHALL TRUSTEE 1.0 2.0 X 0 0 0 ROBERT PANOFF TRUSTEE 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 AARON WEISBORD MD PRESIDENT OF THE MEDICAL STAFF 40.0 2.0 X 419607 0 29103 EVE KEENAN RN EDD CHAIRPERSON UNTIL 5/2018 1.0 2.0 X 0 0 0 M BEVERLY SWAN PHD VICE CHAIRPERSON UNTIL 5/2018 1.0 2.0 X 0 0 0 JAMES FARRELL VICE CHAIRMAN AS OF 5/2018 1.0 2.0 X 0 0 0 DENNIS LYNCH CHAIRMAN AS OF 5/2018 1.0 2.0 X 0 0 0 SALVATORE ABBRUZZESE JR DO VP OF THE MEDICAL STAFF 40.0 2.0 X 248483 2875 27487 BETTY RAMBUR PHD SECRETARY AS OF 5/2018 1.0 2.0 X 0 0 0 VICTORIA A WICKS TREASURER AS OF 5/2018 1.0 2.0 X 0 0 0 ROBERT DYER TRUSTEE AS OF 7/2018 1.0 2.0 X 0 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO 40.0 2.0 X 392300 0 26348 THOMAS J BREEN CHIEF FINANCIAL OFFICER 40.0 3.0 X 393731 0 26218 JAMES CORCORAN VP OF MED AFFAIRS UNTIL 5/2018 40.0 0.0 X 275349 0 29271 ANNE SCHMIDT VP OF PATIENT CARE SERVICES 40.0 0.0 X 229442 0 9674 KIMBERLY O'CONNELL VP, CHIEF STRATEGY OFFICER 40.0 0.0 X 282130 0 20686 LISA RAMEAKA CMO & VPMA BEGIN 6/2018 40.0 0.0 X 331187 0 28913 DAVID BADER PHYSICIAN 40.0 0.0 X 448498 0 29409 NEIL BRANDON PHYSICIAN 40.0 0.0 X 452503 0 29425 DAVID BROZA PHYSICIAN 40.0 0.0 X 415153 0 18263 STEVEN FERA PHYSICIAN 40.0 0.0 X 367659 0 25577 GERALD COLVIN PHYSICIAN 40.0 0.0 X 548519 0 28992 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 40.0 0.0 X 196455 0 15369 WILLIAM SABINA MD FACEP FORMER PRES OF MED STAFF 10/16 10.0 2.0 X 35000 0 0 5040816 2875 344735 109 true true false SOUTHERN RI PULMONARY CRITICAL CA 25 BURNS WAY EAST GREENWICH RI 02818 PULMONARY SERVICES 694971 ORTHOPEDICS RHODE ISLAND 10 DORRANCE STREET PROVIDENCE RI 02903 ORTHOPEDICS & PT 623890 INTEGRA COMMUNTIY CARE NETWORK 45 WILLARD AVENUE PROVIDENCE RI 02905 ACCOUNTABLE CARE ORG 334617 BENTLEY BUILDERS LLC 250 SCRABBLETOWN ROAD NORTH KINGSTOWN RI 02852 CONSTRUCTION 175046 SOUTH COUNTY PULMONARY MEDICINE INC 360 KINGSTOWN ROAD SUITE 207 NARRAGANSETT RI 02882 PULMONARY EVALUATION 145970 14 256333 659177 915510 PATIENT SERVICE REVENUE 622110 180951311 180951311 OTHER PROGRAM REVENUE 900099 993059 993059 181944370 651897 651897 0 0 880249 2058431 -1178182 0 -1178182 -1178182 644146 9575 317465 326681 9575 336256 336256 0 0 0 0 0 0 0 0 0 REVENUE FROM JOINT VENTURES 621512 969875 959640 10235 SELF INSURED TRUST 900099 372730 372730 CAFETERIA 722212 403996 403996 399349 399349 2145950 184815801 182497907 10235 1392149 0 0 0 0 2902247 770916 2131331 0 0 71750331 60057431 11692900 0 2094489 1706630 387859 0 11179118 9108958 2070160 0 4835564 3940110 895454 0 0 576714 576714 0 104802 104802 0 54345 54345 0 0 67983 67983 0 9340577 6762234 2578343 864704 624587 240117 0 5266996 3804418 1462578 0 2390183 1726459 663724 0 0 2749591 1986064 763527 0 71314 51511 19803 0 0 209049 151000 58049 0 1959010 1959010 0 0 9605621 6938261 2667360 0 3162971 2284654 878317 0 MEDICAL SUPPLIES & DRUG 40665123 40665123 0 STATE LICENSE FEE 5272110 5272110 0 BAD DEBT EXPENSE 4204953 4204953 0 MAINTENANCE & REPAIRS 532649 384739 147910 0 1658045 1197627 460418 181518489 151637785 29880704 0 7580 8100 5234330 11371059 0 0 13542506 14925266 0 0 0 0 0 0 3319268 3238290 2555782 3415373 181978105 116873531 66495704 65104574 23752058 24900352 17115798 18783555 0 0 1116503 1184730 820546 1313035 133960075 144244334 20377431 22652295 0 0 0 0 38960954 36814627 0 0 0 0 0 2453347 0 0 36796767 32654905 96135152 94575174 X 37779923 49624160 0 0 45000 45000 37824923 49669160 133960075 144244334 X 3297312 159299 8387626 X false true X true false X false false false false false false false false true 54345 54345 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. 40867856 1285852 1680199 150000 43683907 36410321 5013956 556421 40867856 33592284 3144062 326025 36410321 35559384 -1355121 611979 33592284 33440630 2269181 150427 35559384 0.99900 0.00100 true false 473121 473121 53399170 36411713 16987457 3347711 1713025 1634686 119179835 76074390 43105445 5578268 2674403 2903865 65104574 ENDOWMENT ASSETS 7386021 F ASSETS HELD IN TRUST 9652443 F DONOR RESTRICTED FUNDS 1745091 F 18783555 0 ACCRUED PENSION COSTS 13663750 FAIR VALUE OF SWAP AGREEMENTS 4486698 UNPAID LOSS RESERVE 6895774 ESTIMATED THIRD-PARTY PAYOR 4278688 ACCRUED RETIREMENT PLAN 1482383 ACCRUED INSURED LOSSES 1184730 POSTRETIREMENT BENEFIT OBLIGATION 317096 ACRO LIABILITY 326100 SECURITY DEPOSITS 19686 32654905 X 191148221 159299 10446057 10605356 180542865 67983 4204953 4272936 184815801 179303984 2058431 2058431 177245553 67983 4204953 4272936 181518489 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 true true true X false true true true false false 4935880 3405314 1530566 0.00860 1832344 1537194 295150 0.00170 12905507 10487194 2418313 0.01360 19673731 15429702 4244029 0.02390 760831 306205 454626 0.00260 229680 51734 177946 0.00100 77797 77797 0.00040 1068308 357939 710369 0.00400 20742039 15787641 4954398 0.02790 false 7008255 41102954 47748549 -6645595 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 16 true true true true X WWW.SOUTHCOUNTYHEALTH.ORG X X true 16 true WWW.SOUTHCOUNTYHEALTH.ORG false true X 200. 0. X X X X true true X X X true X WWW.SOUTHCOUNTYHEALTH.ORG X WWW.SOUTHCOUNTYHEALTH.ORG X WWW.SOUTHCOUNTYHEALTH.ORG X X X X X X true X false X X X X true X false false 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. 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 X X X X true false false false false false false false false AARON WEISBORD MD PRESIDENT OF THE MEDICAL STAFF 215114 0 204242 0 251 0 9450 0 19653 0 448710 0 0 0 SALVATORE ABBRUZZESE JR DO VP OF THE MEDICAL STAFF 234769 2875 13375 0 339 0 8737 0 18750 0 275970 2875 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO 367088 0 0 0 25212 0 9450 0 16898 0 418648 0 0 0 THOMAS J BREEN CHIEF FINANCIAL OFFICER 390814 0 0 0 2917 0 9450 0 16768 0 419949 0 0 0 JAMES CORCORAN VP OF MED AFFAIRS UNTIL 5/2018 275349 0 0 0 0 0 9450 0 19821 0 304620 0 0 0 ANNE SCHMIDT VP OF PATIENT CARE SERVICES 229442 0 0 0 0 0 7985 0 1689 0 239116 0 0 0 KIMBERLY O'CONNELL VP, CHIEF STRATEGY OFFICER 282130 0 0 0 0 0 4220 0 16466 0 302816 0 0 0 LISA RAMEAKA CMO & VPMA BEGIN 6/2018 330666 0 0 0 521 0 9450 0 19463 0 360100 0 0 0 DAVID BADER PHYSICIAN 190046 0 258452 0 0 0 9474 0 19935 0 477907 0 0 0 NEIL BRANDON PHYSICIAN 203098 0 249405 0 0 0 9490 0 19935 0 481928 0 0 0 DAVID BROZA PHYSICIAN 189877 0 225276 0 0 0 9470 0 8793 0 433416 0 0 0 STEVEN FERA PHYSICIAN 194722 0 172937 0 0 0 9477 0 16100 0 393236 0 0 0 GERALD COLVIN PHYSICIAN 385373 0 163146 0 0 0 9450 0 19542 0 577511 0 0 0 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 160760 0 35695 0 0 0 6879 0 8490 0 211824 0 0 0 WILLIAM SABINA MD FACEP FORMER PRES OF MED STAFF 10/16 35000 0 0 0 0 0 0 0 0 0 35000 0 0 0 SEVERANCE PAYMENTS 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. A RI HEALTH & EDUCATION BLDG CORP SERIES 2015 521300173 2015-08-12 45545000 REFINANCE 2012 BOND ISSUE false false false A 8315000 0 45545000 0 0 0 0 0 0 0 45545000 0 2015 true false true true A false false true true false 0 false false false false A false true false false true true MERRILL LYNCH CAPITA 0.3 false false false 0 false false A 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 & PRESIDENT OF THE MEDICAL STAFF 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, 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. 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 317568 1.00000 true SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 PERSONAL CARE RI SCH HEALTHCARE C Corp 0 43859 1.00000 true SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFILED RI 02879 050478937 RETAIL OF MED EQP RI SCH HEALTHCARE C Corp -383989 729460 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 899844 SOUTH COUNTY HOME HEALTH o 618472