2018-08-15T12:55:16-05:00 2017-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2016-10-01 222592333 Southcoast Hospitals Group Inc % WADE BROUGHMAN SOUT 5089615000 101 Page Street New Bedford MA 02740 WADE BROUGHMAN EXEC VP FIN & CFO 5089615000 2018-08-14 true PAUL TANIS P01441612 6175305000 2016 2022-09-23 18:48:47Z KEITH HOVAN 101 PAGE STREET New Bedford MA 02740 1129280950 false X www.southcoast.org X 1986 MA SEE SCHEDULE O 12 10 6675 202 1311091 -400097 6959491 2507651 808230952 797310585 14347020 13817579 539456 784875 830076919 814420690 71000 89000 0 0 411786417 424106195 0 0 1087877 340744255 339308790 752601672 763503985 77475247 50916705 927270784 948353765 405406269 400064894 521864515 548288871 X SEE SCHEDULE O false false 727388153 0 797310585 Southcoast provides inpatient and outpatient health care services to improve the health and wellness of individuals in its communities. Southcoast recorded 189,891 inpatient days, performed 17,487 surgeries and 10,874 endoscopies, provided 2,977,352 laboratory tests, performed 397,572 radiological procedures, 179,110 physical medicine visits, 824 PCI coronary interventions, 2,285 diagnostic catherizations, 327 open heart surgeries, 1,091 electrophysiology cases, 709 coronary device implants, 3,144 newborn admissions, performed 26,617 radiation and medical chemotherapy treatments and cared for 191,714 emergency room patients 24 hours a day 7 days a week regardless of their ability to pay for such services. 727388153 true true false true false false false false false true true true false false true false false true false false false false false false true false true true true false true true false false false false false false false false false true true false false false false true true false false false true 346 0 true 6675 true true true false false false false true true false false false false X 12 10 false true false false true true true true true false false true true true true true true true true true true MA X WADE BROUGHMAN 5089732908 101 PAGE STREET New Bedford MA 02740 X KEITH HOVAN PRESIDENT & CEO 60.0 4.5 X X 1899162 0 310532 M WAJID BAIG MD TRUSTEE (Until 12/16) 1.0 2.5 X 0 0 0 CHRISTOPHER CHENEYMD TRUSTEE 1.0 2.5 X 0 0 0 JEAN MACCORMACK Chair (UNTIL 12/16)/TRUSTEE 1.0 3.5 X X 0 0 0 PAMELA MCNAMARA TRUSTEE 1.0 2.5 X 0 0 0 CARL RIBEIRO TRUSTEE (Until 12/16) 1.0 3.5 X 0 0 0 ROBERT TRIPP JR DO TRUSTEE 1.0 2.5 X 0 0 0 MAUREEN SYLVIA ARMSTRONG TRUSTEE (Until 12/16) 1.0 2.5 X 0 0 0 CARL TABER TRUSTEE (Until 12/16) 1.0 2.5 X 0 0 0 JASON RUA CHAIR (AS OF 12/16) 1.0 3.5 X X 0 0 0 LOUIS CABRAL VICE CHAIR (AS OF 12/16) 1.0 2.5 X X 0 0 0 JAMES JEROME COOGAN Clerk 1.0 2.5 X X 0 0 0 JOSEPH A CIFFOLILLO Trustee (Until 12/16) 1.0 2.5 X 0 0 0 W HUGH M MORTON Trustee 1.0 2.5 X 0 0 0 DENNIS J FUSCO Trustee 1.0 2.5 X 0 0 0 DONALD G GIUMETTI Trustee 1.0 2.5 X 0 0 0 SALMAN BASHIR MD Ex-Officio 1.0 2.5 X 0 0 0 LINDA BODENMANN EVP & COO (SHS)/ASST CLERK 60.0 4.5 X 901239 0 165807 KRISTOFER LINDEMAN Treasurer (UNTIL 9/17) 40.0 4.5 X 223262 0 27353 ROBERT TAROLA EXECUTIVE VP & CFO(UNTIL 7/17) 60.0 0.0 X 0 0 0 WADE BROUGHMAN EXEC VP FIN/CFO (AS OF 9/17) 60.0 4.5 X 0 0 0 PAUL IANNINI PHYS. IN CHIEF, MED 60.0 1.0 X 866614 0 32190 DAVID DEJESUS JR SVP & CHRO 60.0 0.0 X 640326 0 36304 ROBERT CALDAS MD Senior VP & CMO 60.0 0.0 X 631609 0 122774 RENEE CLARK SVP/COO (SHG) 60.0 0.0 X 541395 0 111374 JOAN MCFAUL SVP/CIO 60.0 0.0 X 445635 0 23230 JACK DRESSER SVP/CPO 60.0 0.0 X 328597 0 36304 MICHAEL COFONE SVP & CONTROLLER 60.0 0.0 X 361296 0 72404 TIMOTHY EIXENBERGER CNO 60.0 0.0 X 299627 0 7630 MELISSA ROSE GERGEL VP CONTRACTING/REIMBURSEMENT 60.0 0.0 X 274151 0 35804 7412913 0 981706 673 false true false FIRST PHYSICIANS CORP 1342 BELMONT ST SUITE 205 BROCKTON MA 02301 ER PHYSICIAN SERVICE 9762935 EPIC SYSTEMS CORPORATION 1979 MILEY WAY VERONA WI 53593 IT SYSTEM CONSULTANT 6388285 ANESTHESIA ASSOCIATES INC 460 ENTERPRISE ST SAN MARCOS CA 98069 ANESTHESIA SERVICES 7323659 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 SOFTWARE DEVELOPMENT 4900922 TOBEY EMERGENCY ASSOCIATES PC PO BOX 53 WAREHAM MA 02571 ER PHYSICIAN SERVICE 4516909 76 929737 1577914 85520 2507651 PATIENT SVC REVENUE 621500 743935546 743742185 193361 HEALTHCARE SVC REVENUE 446110 52475990 51938821 537169 PARTNERSHIP INCOME 525920 75079 75079 GIFT SHOP INCOME 621400 318488 318488 SATELLITE CAFETERIA 722210 505482 505482 797310585 5437998 5437998 0 0 1221371 447062 774309 0 774309 774309 322401348 314021767 8379581 8379581 8379581 374999 929737 391431 -16432 -16432 0 0 0 0 0 0 SALES OF SCRAP & OTHER 900099 26998 26998 26998 814420690 795681006 1311091 14920942 89000 89000 0 0 0 5702878 5389790 302253 10835 0 324954937 307114911 17222612 617414 14421550 13629807 764342 27401 55357787 52318644 2933963 105180 23669043 22369613 1254459 44971 0 3887947 102253 3785694 935024 935024 602362 602362 0 391765 391765 53649267 49514994 4055855 78418 3208137 3208137 29198515 27595517 1547521 55477 0 0 11978940 11566559 412381 771924 771924 0 800546 703147 90911 6488 7923502 7923502 5270047 5270047 53883870 53883870 0 PHARMACEUTICALS 35075926 35075926 FOOD SERVICE 6250768 6140754 40630 69384 PARTS AND REPAIRS 3092541 3090685 1856 MEDICAL SUPPLIES/LINENS 115590909 115535775 55134 6796800 5490936 1233555 72309 763503985 727388153 35027955 1087877 0 0 9405673 17179930 4097763 3672717 91399686 84518441 0 0 0 0 0 0 13174959 13583847 27333862 21371216 936632980 569884587 371505265 366748393 293732031 329718041 82345579 75221363 0 0 0 0 34275966 36339817 927270784 948353765 99407953 103140882 0 0 0 0 186221907 179878218 0 0 0 0 65983234 64034568 0 0 53793175 53011226 405406269 400064894 X 451026308 472159884 21569799 23911481 49268408 52217506 521864515 548288871 927270784 948353765 X 50916705 26455651 -50948000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 602562 false false 602562 false PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FISCAL YEAR 2017, SOUTHCOAST RETAINED SEPARATE CONSULTANTS AT THE STATE AND FEDERAL LEVELS TO MONITOR HEALTH CARE RELATED ISSUES AND ADVOCATE FOR SOUTHCOAST. AT THE STATE LEVEL OUR STATE CONSULTANT WORKED WITH OUR STATE DELEGATION ON LEGISLATIVE BUDGET AMENDMENTS, REGULATORY CHANGES AND MEDICAID/DSH REIMBURSEMENT RATES. OUR CONSULTANT FOR FEDERAL MATTERS WORKED WITH OUR FEDERAL DELEGATION ON MEDICARE DSH FUNDING, SGR PAYMENTS, SEQUESTRATION CUTS, READMISSION ADJUSTMENTS, BAD DEBT REIMBURSEMENT, THE RURAL FLOOR WAGE INDEX AND CHANGES TO THE AFFORDABLE CARE ACT. PART II-B, LINE 1G DURING FISCAL YEAR 2017, SHS STATE CONSULTANT MONITORED AND COMMUNICATED WITH OUR STATE LEGISLATIVE DELEGATION REGARDING THE STATE BUDGET. THEY ALSO MONITORED AND/OR SHARED SOUTHCOASTS CONCERNS ON TOPICAL HEALTHCARE ISSUES SUCH AS MEDICAID FUNDING/REIMBURSEMENTS, AND BEHAVIORAL HEALTH NEEDS, INCLUDING FUNDING, ACCESS AND COVERAGE IN OUR REGION. 80254926 129289 2670207 403607 82650815 79698156 5812416 2564977 7820623 80254926 75434683 15995643 -4030250 7701920 79698156 72912123 93090 4449000 1920848 98682 75434683 68832097 31658 6063491 1913133 101990 72912123 0.08000 0.29000 0.63000 false false 9859862 9859862 405862569 234527340 171335229 1902537 1226446 676091 480863488 334130801 146732687 38144524 38144524 366748393 ALTERNATIVE INVESTMENTS 44709282 F ALTERNATIVE INVESTMENTS 30512081 C 75221363 0 OTHER LONG-TERM LIABILITIES 13951597 NON-PENSION POST RETIREMENT BE 8098211 LONG TERM INSURANCE RESERVES 28259913 DUE TO/FROM AFFILIATE 4825074 UNAMORTIZED BIC -3327920 ACCUMULATED AMORT BIC 1204351 53011226 PART V, LINE 4 SOUTHCOAST'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT SOUTHCOAST'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN SOUTHCOAST'S SERVICE AREA. PART X, LINE 2 SHG ADOPTED FIN48 IN FISCAL YEAR 2008. THERE IS NO FOOTNOTE DISCLOSURE IN SHS' FISCAL SEPTEMBER 30, 2017 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL. GOLF TOURN - SC 431764 241310 190454 2000 17213 16125 2048 BEE GEES 226837 177542 49295 27833 8 646135 510885 135250 62324 151556 48003 64329 1304736 929737 374999 92157 168769 64128 66377 391431 -16432 true true X true X true X true true false true true 15688144 13061224 2626920 0.00440 159996912 156128341 3868571 0.00650 175685056 169189565 6495491 0.01090 11772106 11772106 0.01990 3904061 3904061 0.00660 2310520 1687113 623407 0.00110 332762 332762 0.00060 18319449 1687113 16632336 0.02820 194004505 170876678 23127827 0.03910 1 15000 15000 25 191810 191810 0.00030 6 5000 5000 30334 30334 33 242144 242144 0.00030 true 9645679 0 339367876 349709734 -10341858 X true true 1 1 SOUTHCOAST HOSPITALS GROUP INC 101 Page Street New Bedford MA 02740 http://www.southcoast.org/ V113 X X X ACUTE CARE HOSPITAL SHG INC false false true X X X X X X X X X 16 true false true true X SEE SCHEDULE H, PART V, SECTION C X X true 17 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 300. X X X X X true true X X X X true X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X X X X X X true X false X true X false false PART V, SECTION B, LINE 5 Southcoast in 2016 conducted a major, three-year health needs assessment with a particular focus on addressing health equity issues in and around the communities that we serve. As part of this needs assessment, we reviewed Focus Group, interview and other data from vulnerable residents in our communities including both quantitative and qualitative data. We also helped lead a participatory research project, in collaboration with the coalition, Voices for a Healthy Southcoast, that utilized neighborhood residents from two vulnerable neighborhoods in our region, the South End of New Bedford and the Flint neighborhood in Fall River, to assess other residents' attitudes toward health. Our needs assessment was conducted in collaboration with the University of Massachusetts Dartmouth Public Policy Center, who completed a retrospective analysis of local, regional and national health and demographic data. In addition to health data analysis, we also conducted over 30 key informant interviews with both service providers and consumers. Interviews included: Greater New Bedford Community Health Center; Community Health Workers; Public Health Nurse, Mattapoisett; Public Health Nurse, Marion; Stanley Street Resource and Treatment Center; Health First Community Health Center; Greater New Bedford Allies for Health and Wellness; Seven Hills Behavioral Health; Positive Action Against Chemical Addiction; High Point Treatment Center; South Shore Mental Health; Stepping Stone Inc.; Child & Family Services; Wareham Superintendent of Schools; Asst. Superintendent, New Bedford Schools; School Adjustment Counselors, Fall River Public Schools; Family Resource Coordinator, Wareham Schools; School Nurse, Fall River; North Star Learning Center; InterChurch Council of Greater New Bedford; Wareham Area Clergy Council; Maya community outreach; Partners for a Healthier Community, Fall River; United Neighbors, Fall River; YWCA of Southeastern Massachusetts; Immigrants Assistance Center; Southcoast Community Health Worker Collaborative; United Way Greater New Bedford; Community Economic Development Corporation New Bedford; Childrens Advocacy Center of Bristol County; Father Bills and Mainspring; New Bedford Housing Authority; Catholic Social Services, Woods at Wareham; Wareham Health Department; Fall River Health Department; Wareham selectboard; Mayors Office New Bedford; Dog Tag Navigators, Regional; Veteran Agent Fall River; Veteran Agent New Bedford; Trips for Kids; Dartmouth Youth Services; Fall River Youth Services; Coastline Elderly Services PART V, SECTION B, LINE 6B SOUTHCOAST HOSPITALS GROUP, INC. COLLABORATES WITH THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY CENTER. PART V, SECTION B, LINE 7A AND 10A https://www.southcoast.org/wp-content/uploads/2016/05/South-Coast-CHNA-201 6-Final.pdf PART V, SECTION B, LINE 7D Our needs assessment is widely shared with community partners and is often used in grant writing and collaborative strategic planning. In FY 2017, our needs assessment data was shared with and utilized by: Greater New Bedford Allies for Health and Wellness (CHNA 26), Partners for a Healthier Community (CHNA 25), United Way South End Engaged Initiative, Wareham Community Services Collaborative, Voices for a Healthy SouthCoast, Boys and Girls Club of New Bedford and Wareham, New Bedford Health Department, New Bedford Housing Authority, Wareham Health Department, Wareham Public Schools Family Council project, and YMCA Southcoast. PART V, SECTION B, LINE 11 Southcoasts Community Benefits Strategic Action Plan was first formulated in 1998 as the result of an extensive needs assessment and since is updated annually. Our current plan is based on the most recent community health needs assessment completed in 2016. Through the needs assessment process, Southcoast identified nine priorities for 2017 to address the most pressing health needs of the community. These priorities were: 1. Reduction of the high rate of chronic disease (including diabetes, asthma, cancer and other diseases) in our region. 2. Reducing Health Disparities including racial and ethnic disparities, income-based disparities, and education-based disparities. One other aspect of this is increasing access to health care for vulnerable populations through insurance enrollment and outreach. 3. The development of programs and services that support the reduction of homelessness in our region including strategies for increased collaboration among agencies serving homeless residents. 4. Innovative approaches to population health, i.e. improving health and wellness for defined populations such as specific demographic or geographic groups. 5. Reduction in the incidence of youth risk behaviors such as teen violence, high rates of teen pregnancy and substance abuse. 6. Behavioral health issues that include substance abuse and mental health, including improved coordination of behavioral health providers and systems. 7. Development of healthy "SYSTEM AND ENVIRONMENT" CHANGE, INCLUDING healthy food options, increased access to free and low-cost opportunities for active living, such as public parks, bike trails etc., and reduction in the high rate of smoking in our communities. 8. Maternal and Childrens Health, including fetal and infant health, abuse and neglect, hospitalizations, substance abuse, healthy weight, and mortality. 9. Increasing Emergency Preparedness in our cities and towns, including basic infrastructure equipment. All activities of Community Benefits are completed in accordance with these priorities and include: conducting ongoing community health needs assessments, awarding Community Benefits Impact Opportunity Grants to community organizations working on projects aligned with CHNA priorities, coalition-building, and collaborating with community partners in the planning, implementing, monitoring and evaluating of Community Benefits programs as described below. Responsible Attitudes Towards Pregnancy, Parenting and Prevention (RAPPP) Youth Program, Smoking Cessation and Prevention, Community Health Worker Projects, Maternal Child Health Education and Outreach, Cancer Screenings and Outreach, Mobile Health Van, Health Access Outreach, Emergency Preparedness, Council to End and Prevent Homelessness, Behavioral Health Connect, Substance Use Prevention Education, Health Advocates, Cardiac Prevention and Stroke Outreach, Diabetes Education and Outreach. To address needs, target populations are determined by our comprehensive health needs assessment and are reviewed on an annual basis. Our 2017 target populations included: * South Coast residents who suffer disproportionately from chronic disease such as cardiovascular disease, diabetes, cancer and respiratory disease. Particular focus is given to residents who experience barriers to care due to language, culture, race, income or education. * Area youth who are at high risk for problems such as teen pregnancy, violence, substance abuse, lack of educational attainment and other risky behaviors that affect health and wellbeing. This includes Gay/Lesbian/Bisexual/Transgender (GLBT) youth. * Residents who lack access to regular primary health care due to lack OF insurance or other barriers. * Residents and their families who are impacted by mental/behavioral issues, including substance use disorder, particularly those who experience barriers to or breaks in care and are forced to rely on the Southcoast Emergency Department for regular care. * Area Boards of Health, Emergency Medical Services and other municipal agencies whose programs impact a number of aspects of health for their residents, and who have experienced severe budget cuts that have impacted these programs. This may include smoking cessation and prevention, chronic disease management and emergency preparedness. * Public housing residents, who suffer disproportionately from health disparities and have high rates of unhealthy risk factors including smoking, obesity and hypertension. * Homeless residents on the South Coast, particularly in the town of Wareham, where the rate of unsheltered homeless exceeds other towns in the region and approaches South Coast cities that have five times the population. * Those in our communities who experience health disparities due to racial, ethnic or economic factors. These include residents for whom English is not a first language, especially undocumented immigrants. In FY 2017, we focused resources on residents who are at risk for or suffer from disparities in cancer prevention and treatment. * The fishing community in New Bedford, who experience higher rates of chronic health issues due to barriers to health access and care. PART V, SECTION B, LINE 16A https://www.southcoast.org/wp-content/uploads/2016/09/Credit-Coll-Pol-2016 -FAP-Final.pdf PART V, SECTION B, LINE 16B https://www.southcoast.org/wp-content/uploads/2016/09/Application-for-Fina ncial-Assistance-aca-3-english-4.16-1.pdf PART V, SECTION B, LINE 16C https://www.southcoast.org/wp-content/uploads/2016/09/Plain-Language-Summa ry-FAP-overview-2016-1.pdf PART V, SECTION B, LINES 20A-D SHG DID NOT ENGAGE IN ANY OF THE ACTIONS IN LINE 19 IN FY2017. PART I, LINE 3C DISCOUNTS ARE AFFORDED TO A "QUALIFYING PATIENT" - PATIENT WHO IS NOT ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE AND WHO IS UNINSURED FOR MEDICALLY NECESSARY HOSPITAL SERVICES. ELIGIBLE BALANCES ARE THOSE AMOUNTS FOR WHICH QUALIFYING PATIENTS HAVE FULL RESPONSIBILITY DUE TO LACK OF INSURANCE. OBLIGATIONS DO NOT INCLUDE CO-INSURANCE, DEDUCTIBLES OR BALANCES DUE AFTER INSURANCE OR OUT-OF-NETWORK SERVICES. A DISCOUNT OF 25% OF THE TOTAL CHARGES WILL BE APPLIED AT THE TIME OF INITIAL BILLING. ADDITIONAL DISCOUNTS MAY BE POSSIBLE BASED ON THE SIZE OF THE BALANCE, TIMELINESS OF PAYMENT AND FINANCIAL NEED. THESE ARE GIVEN INDIVIDUAL CONSIDERATION. SOUTHCOAST WILL SEEK TO ADVISE QUALIFYING PATIENTS WITH RESPECT TO AVAILABILITY OF DISCOUNT PURSUANT TO THIS POLICY AS WELL AS THE AVAILABILITY OF LOW INCOME AND MASSHEALTH BENEFITS. PART I, LINE 7 ACTUAL COST FOR ALL SOUTHCOAST PATIENT SEGMENTS WAS USED TO CALCULATE THE VALUE OF CHARITY CARE. PART I, LINE 7G INCLUDED IN SUBSIDIZED HEALTH SERVICES AT COST ARE COSTS AND OFFSETTING REVENUES ASSOCIATED WITH SOUTHCOAST'S LEVEL II NURSERY, INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES AND INPATIENT REHABILITATIVE SERVICES. SOUTHCOAST IS THE SOLE PROVIDER OF THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED. PART II Southcoast engages in a number of community building activities that promote infrastructure improvement in communities and the development of policies and programs that address social determinants of health such as housing, education and workforce development. Southcoast has provided financial contributions to support infrastructure improvements in community parks that help improve easy access to physical activity. In 2017, Southcoast donated funds to help construct an inclusion playground in New Bedford. Southcoast is the co-leader of Voices for a Healthy South Coast, a regional coalition that addresses healthy nutrition, improved access to physical activity and a decrease in high rates of smoking. We also lead collaborative groups that have helped expand housing options in the town of Wareham and the city of New Bedford. Southcoast has provided leadership training and support on health advocacy issues such as regulations to limit tobacco access and has worked to increase access to healthy food by hosting weekly farmers markets at four sites each summer that are open to our employees and community members. THROUGH community benefits programs, such as the Mobile Health Van, we are able to document and track pressing health needs as reported by staff conducting outreach and through the patients served. PART III, LINE 2 THE COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 WAS BASED ON A RATIO OF COST TO CHARGE METHODOLOGY. DISCOUNTS AND PAYMENTS ON ACCOUNTS CONSIDERED AS BAD DEBT OFFSET THE TOTAL BAD DEBT EXPENSE RECORDED. PART III, LINE 3 PER SHG'S ASSESSMENT OF THE COMMUNITY IT SERVES, A CERTAIN PERCENTAGE OF THE POPULATION WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DO NOT APPLY. DUE TO THIS SHG CONSIDERS THIS AMOUNT OF BAD DEBT AS A COMMUNITY BENEFIT EXPENSE. PART III, LINE 4 FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SOUTHCOAST RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SOUTHCOAST'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SOUTHCOAST RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. FOOTNOTE 1 (PAGES 8-9) OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE BAD DEBT EXPENSE. PART III, LINE 8 THE COST ACCOUNTING METHODOLOGY USED IS THE SAME METHODOLGY USED FOR THE MEDICARE SHORTFALL. THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT SINCE SOUTHCOAST IS REQUIRED TO PROVIDE SERVICES TO ALL REGARDLESS OF THE ABILITY TO PAY FOR SUCH SERVICES. PART III, LINE 9B SOUTHCOAST'S CREDIT AND COLLECTION POLICY CONTAINS PROVISIONS REGARDING COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. FOR INDIVIDUALS DETERMINED TO BE LOW INCOME PATIENTS ANY SERVICES PROVIDED PRIOR TO SUCH DETERMINATION DATE AND NOT COVERED UNDER THE SAFETY NET (HSN) WILL BE WRITTEN OFF AS CHARITY CARE. ANY SERVICE DENIED BY THE HSN FOR MEDICALLY NECESSARY SERVICES WILL ALSO BE CONSIDERED CHARITY CARE. ANY COPAYMENTS OR DEDUCTIBLES FOR MASSHEALTH AND MASSHEALTH MANAGED CARE RECIPIENTS WILL BE CONSIDERED CHARITY CARE IF UNRESOLVED AT THE CONCLUSION OF SOUTHCOAST'S COLLECTION PROCESS. THE FOLLOWING ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: 1. PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, EXCEPT SOUTHCOAST MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM FOR THEIR REQUIRED COPAYMENTS AND DEDUCTIBLES AS SET FORTH IN EACH PLAN; 2. SOUTHCOAST MAY INITIATE BILLING AND COLLECTION FOR A PATIENT ALLEGING TO PARTICIPATE IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF SOUTHCOAST SERVICES BUT FAILS TO PROVIDE PROOF OF PARTICIPATION; 3. SOUTHCOAST MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME DETERMINATION, HOWEVER, COLLECTION ACTION WILL CEASE ONCE ELIGIBILITY IS DETERMINED; AND 4. SOUTHCOAST WILL NOT SEEK COLLECTION FROM AN INDIVIDUAL WHO HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HSN WITH RESPECT TO THE AMOUNT OF THE BILL EXCEEDING THE MEDICAL HARDSHIP CONTRIBUTION. SOUTHCOAST WILL NOT PURSUE COLLECTION FROM A PATIENT INVOLVED IN BANKRUPTCY PROCEEDING AND WILL NOT CHARGE INTEREST IN AN OVERDUE BALANCE OF A LOW INCOME PATIENT. PART VI, LINE 2 In addition to completing a comprehensive, regional community health needs assessment every three years, Southcoast participates in and leads over 30 community coalitions and actively participates in a number of projects every year that collect and analyze information about the social and health care needs of the residents living in the South Coast Region. These activites include tracking hospital data such as the number of patients reporting homelessness, overdose data, and food insecurity; to working with coalition partners to conduct outreach/surveys and focus groups on a number of topics (aligning with our priorities). We meet regularly to discuss the success of these projects and to make sure that we are having the desired impact within the community. In FY17, Southcoast Health completed its second Community Benefits Impact Opportunity grant program. This is a competitive grant process focused on addressing unmet health needs on the South Coast. Grant proposals must align with the nine health priority areas as identified by the community health needs assessment. We received 35 applications and awarded 32 grants for a total of $89,000 plus in-kind donations. Grantees are expected to set at least 2 SMART goals and evaluate the success of their programs, submitting data at six months and one year. Finally, through community benefits programs, such as the Mobile Health Van, we are able to document and track pressing health needs as reported by staff conducting outreach and through the patients served. PART VI, LINE 3 Southcoast posts notifications of insurance eligibility in multiple languages throughout all of our inpatient and outpatient facilities, and provides information on our website. Southcoast also utilizes multilingual outreach brochures, displayed in our facilities and also distributed at a number of health inurance outreach events and also through regular outreach on our Mobile Health Van. In FY17, our Patient Access Department increased community outreach by 30% and filed 5,120 applications for public insurance, a 15% increase over FY16. PART VI, LINE 4 Southcoast Health system serves a diverse region along the South Coast Region of Massachusetts, including several urban centers with a number of demographic challenges, and rural and suburban towns. Although the overall population has grown slightly, according to data from our 2016 needs assessment, most of this growth has occurred in the region's towns while the urban population in the cities of Fall River and New Bedford is shrinking. Perhaps the most significant demographic trend in the region is its changing racial makeup. This is particularly true in the city of New Bedford, where Hispanic or Latino residents account for 17.5 percent of all residents, much higher than the state average. Since 2009, communities throughout the South Coast have become more diverse. From 2009 to 2014, the minority population in the region increased by 22.4 percent (10,797 people). Wareham saw the largest percent increase in its minority population (49.3% or 1,011 people), and New Bedford saw the largest nominal increase (4,678 people or 17.5%). Additionally, African-American residents compromise a larger share of New Bedfords population than elsewhere in the South Coast. Indeed, non-White residents account for one-third (33.0%) of New Bedfords total population. As major destinations for the regions newly arrived immigrants, New Bedford and Fall River have the highest shares of residents reporting limited proficiency, 13.7 and 17.3 percent, respectively. Both cities also have pockets of undocumented immigrants, including South and Central Americans in New Bedford, although estimates vary widely as to the size of these groups. Spanish speakers in the regions cities are supplanting Portuguese speakers, although some Portuguese-only speakers remain, particularly in Fall River and New Bedford but also in some of the regions suburbs such as Acushnet, Dartmouth, Fairhaven, and Westport. The age cohorts in the South Coast generally reflect their counterparts at the state level. However, the region has a slightly higher share of residents 65 years of age or older, which is more pronounced in the regions towns. Fall River and New Bedford have larger shares of the population under the age of 35 when compared to their metro areas and the South Coast overall. South Coast has long struggled with low levels of educational attainment. Within the region, Fall River and New Bedford have particularly low levels of educational attainment. In both cities, less than half of the population 25 years of age or older has ever attended college. Additionally, when compared to the adult population statewide, Fall River and New Bedford have more than twice the percentage of adults who have not completed high school 29.7 percent in Fall River and 28.9 percent in New Bedford, compared to 10.5 percent across the commonwealth. Many South Coast communities have seen median household incomes either stagnate or decline from 2009 to 2014. Examining the 2014 median incomes for Southcoast communities reveals a trend similar to the per capita incomes the majority of the regions towns have median household incomes above the state average. Only four communities (Fall River, New Bedford, Fairhaven, and Wareham) have median household incomes below the state median. In particular, Fall Rivers median household income is less than half that of the Commonwealth as a whole. In general, the region has higher poverty rates for all families, for families led by a female with no spouse present, and for families with children. In Fall River and New Bedford, these measures of poverty are higher than the region. For example, less than 10 percent of all families statewide live in poverty (8.3%), compared with 12.6 percent of all families in the South Coast and approximately 20 percent of all families in Fall River (19.6%) and New Bedford (20.6%). In New Bedford in particular, the share of female-led families living in poverty is nearly double the rate statewide 41.0 percent compared with 25.9 percent. High rates of poverty among female-led families have serious implications for the health outcomes of these women and their children, since there is no spouse to share healthcare responsibilities and costs. The regions changing racial makeup and continued socioeconomic struggles place unique stresses on healthcare delivery, particularly in addressing health disparities based on race, income, and education. The region's health is affected by the physical conditions of the South Coast. This includes access to amenities that facilitate healthy eating and active living, air quality, and sources of environmental contamination. The analysis shows that South Coast residents face environmental factors that may be a detriment to their health. For example: * Bristol County, which comprises most of the Southcoast Service area, has the second lowest food environment index in the state, indicating significant barriers to healthy food access. * South Coast residents also have less access to recreation and fitness facilities than Massachusetts residents as a whole. In Bristol County there are 13.7 such facilities per 100,000 residents versus 15.9 statewide. Plymouth County residents have comparatively better access with 18.0 facilities for every 100,000 residents. *The South Coast is home to a number of sites that contain and/or generate contaminants that can negatively affect residents health. Fall River is home to 427 contaminated sites, 71 of which present sufficient hazards as to limit activity on and use of these parcels; in New Bedford, 78 out of 583 brownfield sites are so limited. PART VI, LINE 5 Southcoast Hospitals Group invests in direct services and programs designed to address pressing health issues across our region. We collaborate with hundreds of community partners to adopt best practices in community benefits needs assessment, planning and implementation, with the shared goal of improving the health of our communities. Targeted activities included: Behavioral Health Issues Expanded useage of our Behavioral Health Connect database (by over 170%), which links providers and residents with up-to-date resources for behavioral health services. A number of our staff also played a leadership role in 12 local and regional coalitions to address the opioid crisis, including supporting the availability of Narcan in our region. Smoking Cessation Continued work on smoking cessation and prevention that encompasses regulatory system and environment change along with education and clinical support for smoking cessation. The Southcoast Health Van continued work on a grant from the Thoracic Foundation to expand smoking cessation support for public housing residents throughout the region, as more municipal Housing Authorities in our region embrace smoke-free regulations and increase the age of which a person may purchase cigarettes or other tobacco products from 18 to 21 years old. Health Screenings Outreach to vulnerable residents with a range of health screenings and referrals. Over 4,000 residents visited our health van and staff provided over 20,000 screenings and 465 vaccinations. This included screenings for cardiovascular disease, cancer, diabetes and stroke and targeted our most vulnerable and under-served populations. Youth Risk Behaviors Education on teen pregnancy and other youth risk factors that reached teens in 12 area schools and at an after school drop-in center at our RAPPP offices in New Bedford. We also provided inmates in the Bristol County House of Correction with parenting education. An intensive, after-school program regularly served over 50 minority young men. Health Insurance Targeted outreach that helped residents obtain health insurance, staff filed 5,120 applications for patients in FY17. Our patient access team conducted over 26 outreach events that reached thousands of vulnerable residents who still lack health insurance or have difficulty renewing their health insurance. Community Health Workers Collaboration and programming to address health equity issues in our region by working to increase the capacity and training of community health workers, particularly those serving residents who face cultural, linguistic and economic barriers to health care. This past year we were able to expand CHW outreach for chronic disease management and helped organize supervisor and other CHW trainings. Collaboration Coalition building and engagement that helped make meaningful connections across communities and our region. We participated over 10 coalitions to address the pressing issue of opioid abuse and helped lead activities that targeted two of our most vulnerable neighborhoods in the South End of New Bedford and the Flint neighborhood in Fall River. Grant Support This past year we offered a Community Benefits Impact grant program to provide funding which better aligns Southcoast community benefits priorities with projects undertaken by community partners. We supported 32 community partners with $132,500 in funding for projects ranging from outreach to the homeless to providing opportunities for physical activities for inner city youth. This program has not only supported worthwhile projects in the community but also has enhanced collaboration and common goal setting with our community partners. PART VI, LINE 6 The Southcoast Health Community Benefits program works with other Southcoast affiliates including, Southcoast Visiting Nurses Association, Southcoast Physicians Group, Southcoast Health System and Southcoast Network, to coordinate all community benefit activities designed to address pressing health issues in our region and improve access to health care. Overall approach incorporates the social determinants of health framework, and takes into account environmental, social and other demographic factors that may influence health status. Representatives from affiliated systems participate as active members of an internal Community Benefits Leadership team that meets bimonthly to share program information, discuss needs assessment, develop strategies, implementation process, evaluation and reporting of all community benefits programs. This team consists of individuals from departments that regularly engage in outreach in the community, including staff from our Southcoast Health Van, Social Services, Stroke Outreach, Diabetes Management, Behavioral Health Services, Patient Access Services, Cancer Outreach, Smoking Cessation, our Youth Risk Behaviors program and others. The Community Benefits Manager oversees Southcoasts day-to-day community benefits activities and leads the internal Community Benefits Task Force. Southcoast also shares regular updates and presentations on community benefits activities to all Southcoast Hospital staff and affiliates through leadership meetings, employee communications and in digital media campaigns. PART VI, LINE 7 MASSACHUSETTS true CITIZENS FOR CITIZENS 264 GRIFFEN STREET FALL RIVER MA 02724 046134724 501(C)(3) 6000 COMMUNITY OUTREACH The Inter-Church Council of Greater New Bedford 412 COUNTY STREET NEW BEDFORD MA 02740 042171191 501(C)(3) 8000 COMMUNITY OUTREACH SOUTHEAST FAMILY SERVICES 72 Kilburn Street NEW BEDFORD MA 02740 043718347 501(C)(3) 6000 COMMUNITY OUTREACH UNITED NEIGHBORS OF FALL RIVER 209 Bedford Street FALL RIVER MA 02720 042104026 501(C)(3) 6000 COMMUNITY OUTREACH STEPPINGSTONE INCORPORATED 522 N MAIN STREET FALL RIVER MA 02720 042505146 501(C)(3) 8000 PATIENT SERVICES 5 0 SCHEDULE I, PART I, LINE 2 Southcoast Community Benefits Department requires all grantees to submit six and 12 month reports on project results including results of SMART goals that are a requirement of the grant application. Southcoast also maintains communication with grantees during the grant period to determine opportunities for collaboration with other community benefits programming. X X X X false true false false false false false true false PAUL IANNINI PHYS. IN CHIEF, MED 620000 0 100000 0 146614 0 15900 0 16290 0 898804 0 0 0 KEITH HOVAN PRESIDENT & CEO 1012000 0 331800 0 555362 0 290828 0 19704 0 2209694 0 186565 0 LINDA BODENMANN EVP & COO (SHS)/ASST CLERK 599000 0 127941 0 174298 0 149717 0 16090 0 1067046 0 94530 0 DAVID DEJESUS JR SVP & CHRO 351000 0 73388 0 215938 0 15900 0 20404 0 676630 0 44661 0 ROBERT CALDAS MD Senior VP & CMO 467000 0 80000 0 84609 0 102870 0 19904 0 754383 0 75000 0 KRISTOFER LINDEMAN Treasurer (UNTIL 9/17) 215737 0 7525 0 0 0 7187 0 20166 0 250615 0 0 0 RENEE CLARK SVP/COO (SHG) 407000 0 100000 0 34395 0 91470 0 19904 0 652769 0 37500 0 JOAN MCFAUL SVP/CIO 362947 0 82688 0 0 0 15900 0 7330 0 468865 0 0 0 JACK DRESSER SVP/CPO 270097 0 58500 0 0 0 15900 0 20404 0 364901 0 0 0 MICHAEL COFONE SVP & CONTROLLER 350000 0 0 0 11296 0 52500 0 19904 0 433700 0 0 0 TIMOTHY EIXENBERGER CNO 280000 0 0 0 19627 0 0 0 7630 0 307257 0 0 0 MELISSA ROSE GERGEL VP CONTRACTING/REIMBURSEMENT 236046 0 38105 0 0 0 15900 0 19904 0 309955 0 0 0 PART I, LINE 4B OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTION CREDITS UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (C). ONLY UPON TERMINATIONS OF EMPLOYMENT DO FULLY VESTED PARTICIPANTS RECEIVE DISTRIBUTIONS FROM THE PLAN. CONTRIBUTIONS VEST THE EARLIER OF: JULY 1 OF THE 3RD CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE CONTRIBUTION CREDIT IS MADE; UPON REACHING AGE 62; DEATH; DISABILITY; OR INVOLUNTARY SEPARATION. THE AMOUNT REFLECTED IN SCHEDULE, J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES THE VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE. PAUL IANNINI - $120,300 DAVID DEJESUS - $213,562 KEITH HOVAN - $184,107 LINDA BODENMANN - $118,433 ROBERT CALDAS - $75,023 RENEE CLARK - $38,769 IN ADDITION TO THE ABOVE OUTLINED PLAN, THE FOLLOWING INDIVIDUALS ALSO HAVE SEPARATE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. KEITH HOVAN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF KEITH HOVAN. UNDER THE TERMS OF THE PLAN, A CONTRIBUTION CREDIT, INCLUDED IN SCHEDULE J, PART I, COLUMN (C) IS CREDITED TO HIS ACCOUNT ON A YEARLY BASIS. THE ACCOUNT BALANCE VESTS AS FOLLOWS: JUNE 30, 2013 -50%; JUNE 30, 2016 - 75% AND JUNE 30, 2018 - 100%. PURSUANT TO THE PLAN $359,089 WAS INCLUDED IN MR. HOVAN'S 2016 FORM W-2 AND SCH J, PART II, COLUMN B(III). LINDA BODENMANN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF LINDA BODENMANN. UNDER THE TERMS OF THE PLAN, A CONTRIBUTION CREDIT, INCLUDED IN SCHEDULE J, PART I, COLUMN (C) IS CREDITED TO HER ACCOUNT ON A YEARLY BASIS. THE ACCOUNT BALANCE VESTS AS FOLLOWS: DECEMBER 31, 2012 - 50%; DECEMBER 31, 2015 -75 %; AND THE DATE THE PARTICIPANT ATTAINS AGE 62 AND COMPLETES 3 YEARS OF FULL SERVICE WITH THE EMPLOYER BEGINNING ON JANUARY 1, 2008 - 100%. PURSUANT TO THE PLAN, $48,750 WAS INCLUDED IN MS. BODENMANN'S 2016 FORM W-2 AND SHC, J, PART II, COLUMN (B) (III). PART I, LINE 7 A PORTION OF EXECUTIVE'S CASH COMPENSATION IS AT RISK AND PAID VIA AN INCENTIVE PLAN IN WHICH EXECUTIVE AND ORGANIZATIONAL PERFORMANCE IS ASSESSED BY THE BOARD OF TRUSTEES AGAINST PRE-DETERMINED MEASURES. A Mass Health and Educational Facilities Authority 042456011 57586C6T7 2008-06-09 47365000 Extinguish Bridge Bank Loan false false false B Mass Health and Educational Facilities Authority 042456011 57586ELV1 2009-10-07 56122025 Construct/renovate oncology center false false false C Mass Development Finance Agency 043431814 999999999 2012-01-31 46965000 Refinancing false false false D Mass Development Finance Agency 043431814 57583UTY4 2013-02-14 60879456 Construct/renovate care centers false false false A 0 0 47365000 0 0 0 621954 11724 46731322 0 0 0 2008 false false true true B 0 0 56122025 0 0 0 1064650 0 0 55057375 0 0 2011 false false true true C 0 0 46965000 0 0 0 254694 0 0 0 46710306 0 2012 true false true true D 0 0 60879456 0 0 0 759501 0 0 60119955 0 0 2014 false false true true A false false false false 0.00100 0.00060 0.00160 false false false true B false false false false 0 false false false true C false true true true false 0.00030 0.00130 0.00160 false false false true D false false false false true 0 false false false true A true true true Goldman Sachs 29. false false false 0 false true B false false true false false false 0 false 0 false true C false false true false false false 0 false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true SCHEDULE K SUPPLEMENTAL INFORMATION PART II, LINE 9, COLUMN A WORKING CAPITAL EXPENDITURES FROM PROCEEDS OF THE SERIES C BONDS WERE ISSUED FOR THE PURPOSE OF REPAYING A BRIDGE LOAN FROM A COMMERCIAL BANK MADE TO REFINANCE SOUTHCOAST'S SERIES B BOND ISSUE. RIGHT ADVISORY 35% CONTROLLED ENTITY 1209464 SERVICES false SHEPARD GROUP INC 35% CONTROLLED ENTITY 310471 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 7094659 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 234258 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 18571848 SUPPLIES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 3636205 NUTRITION false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 367395 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 150000 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 644474 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 309697 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL DONOR 2366112 SERVICES false X 3 11948 Mean Value X event items 236 73572 cost/sales price false true false PART I, COLUMN (B) THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, LINE 1 AND PART III, LINE 1 SHG OWNS AND OPERATES THREE COMMUNITY BASED ACUTE CARE HOSPITALS - CHARLTON MEMORIAL HOSPITAL IN FALL RIVER, ST LUKES HOSPITAL IN NEW BEDFORD AND TOBEY HOSPITAL IN WAREHAM, MA. SOUTHCOAST SERVES AS THE SAFETY NET PROVIDER TO A CULTURALLY DIVERSE AND ECONOMICALLY CHALLENGED REGION WITH GOVERNMENT SPONSORED PROGRAMS COVERING APPROXIMATELY 70% OF ITS PATIENTS. IN SOME COMMUNITIES, SOUTHCOAST IS THE SOLE PROVIDER OF HOSPITAL SERVICES AND IN ITS REGION THE SOLE PROVIDER OF ADVANCED CLINICAL SERVICES SUCH AS OPEN HEART SURGERY AND OTHER ADVANCED CARDIAC SERVICES, INPATIENT PSYCHIATRIC, MATERNITY AND NEONATAL INTENSIVE CARE SERVICES. SOUTHCOAST PROVIDES ADVANCED EMERGENCY CARE 24 HOURS PER DAY, 7 DAYS A WEEK AT ALL THREE HOSPITALS. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL, EXCEPT AS PROHIBITED BY LAW OR LIMITED BY THE BOARD, HAVE ALL THE POWERS OF THE BOARD IN CONNECTION WITH THE MANAGEMENT AND OPERATION OF SOUTHCOAST BETWEEN MEETINGS OF THE BOARD RELATED TO URGENT MATTERS WHICH THE COMMITTEE DETERMINES CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING, INCLUDING DELEGATION OF AUTHORITY, EXCEPT IN REMOVING ANY MEMBER OF THE MEDICAL STAFF. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE FULLY REPORTED TO THE BOARD AT ITS NEXT MEETING. FORM 990, PART VI, SECTION A, LINE 3 SHG HAS ENGAGED RIGHT ADVISORY TO PROVIDE MANAGEMENT SERVICES. RIGHT ADVISORY PROVIDED CFO SERVICES TO SHG IN FISCAL YEAR 2017. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SOUTHCOAST IS SOUTHCOAST HEALTH SYSTEM, INC (SHS), A CHARITABLE ORGANIZATION ACTING THROUGH ITS BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE ELECTED AND REMOVED AND SHALL OTHERWISE SERVE AS SET FORTH IN THE BYLAWS OF ITS SOLE CORPORATE MEMBER, SHS. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNANCE OF SOUTHCOAST IS VESTED IN THE BOARD OF TRUSTEES AND IT MAY EXERCISE ALL POWERS OF THE CORPORATION EXCEPT THOSE POWERS RESERVED TO SHS BY LAW, THE ARTICLES OF ORGANIZATION, OR SOUTHCOAST'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PREPARES THE FORM 990 WITH THE ASSISTANCE OF A PAID PREPARER. A DRAFT OF THE FORM 990 IS PRESENTED TO THE MANAGEMENT FOR REVIEW AND COMMENT. A DRAFT OF THE FORM 990 IS ALSO PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW. A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. AN OFFICER OF THE ORGANIZATION AND ITS PAID PREPARER, RESPECTIVELY, SIGN THE FINAL FORM 990. FORM 990, PART VI, SECTION B, LINE 12C SHS HAS CONFLICT OF INTEREST, LEGAL COMPLIANCE AND CODE OF CONDUCT POLICIES THAT APPLY TO ALL TRUSTEES, OFFICERS, DIRECTORS AND EMPLOYEES (REFERRED TO AS "MEMBERS"). ON AN ANNUAL BASIS, EACH MEMBER WILL COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE WHICH AFFIRMS THAT EACH PERSON HAS: (1) RECEIVED A COPY OF THE POLICY; (2) READ AND UNDERSTOOD THE POLICY; (3) AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTOOD THAT THE SYSTEM ENTITIES ARE CHARITABLE ORGANIZATIONS AND THAT TO MAINTAIN THEIR FEDERAL TAX EXEMPTION, SUCH ENTITIES MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE SYSTEM OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AND IN CONNECTION WITH ITS COMPLIANCE PROGRAM, SYSTEM'S MANAGEMENT SHALL CONDUCT PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND THE OPERATION AND APPLICATION OF IT. MEMBERS SHALL DISCLOSE ANY INTERESTS OR ACTIVITIES IN WHICH THEY ARE INVOLVED OR BECOME INVOLVED THAT DO RESULT, OR MAY APPEAR TO RESULT IN A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND SHALL COMPLY WITH, AND MAKE ALL REQUIRED DISCLOSURES UNDER THE CONFLICT OF INTEREST POLICY PRIOR TO COMMENCING, CONTINUING, OR CONSUMMATING ANY ACTIVITY OR TRANSACTION WHICH RAISES A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST. EACH MEMBER IS UNDER AN ONGOING DUTY TO UPDATE AND KEEP CURRENT THE INFORMATION CONTAINED IN THEIR QUESTIONNAIRE. AT LEAST ANNUALLY, OR AS NECESSARY BASED ON DISLCOSURES, THE GENERAL COUNSEL WILL SUMMARIZE AND REPORT ALL DISCLOSURES TO THE PRESIDENT AND CEO AND THE CHAIRMAN OF THE BOARD OF TRUSTEES (OR HIS/HER DESIGNEE). UPON DISCLOSURE OF FINANCIAL OR NON-FINANCIAL INTERESTS ("INTERESTS") AND ALL MATERIAL FACTS RELATED THERETO BY MEMBER OR AN INTERESTED PERSON, THE CHAIR OF THE SYSTEM'S GOVERNANCE COMMITTEE SHALL DETERMINE IN CONJUNCTION WITH THE GENERAL COUNSEL WHETHER A CONFLICT OF INTERESTS EXISTS. THE GOVERNANCE COMMITTEE CAN CONTINUE TO DISCUSS THE ISSUE WITH THE MEMBER OR INTERESTED PERSON TO CLARIFY OR OBTAIN ADDITIONAL INFORMATION. HOWEVER, BEFORE THE GOVERNANCE COMMITTEE DISCUSSES OR DETERMINES WHETHER THE MEMBER OR OTHER INTERESTED PERSON'S INTERESTS CONSTITUTE A CONFLICT OF INTEREST, THE MEMBER OR INTERESTED PERSON MUST LEAVE THE MEETING. IN THE EVENT THE INTEREST INVOLVES THE CHAIR OR CEO, THE REMAINING GOVERNANCE COMMITTEE MEMBERS SHALL APPOINT ONE OR MORE DISINTERESTED TRUSTEES TO MAKE SUCH A DETERMINATION. ONCE THE DETERMINATION OF THE CONFLICT OF INTEREST IS MADE BY THE GOVERNANCE COMMITTEE, SUCH DETERMINATION, ALONG WITH APPROPRIATE MITIGATION PLANS, WILL BE SUBMITTED BY THE GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. IF ANY BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH A MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IT. IF, AFTER HEARING THE RESPONSE OF SUCH PERSON AND MAKING FURTHER INQUIRY OR INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR BOARD COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISLCOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR ALL VICE PRESIDENTS AND THE SENIOR LEADERSHIP TEAM (SLT) IS ESTABLISHED USING THE FOLLOWING PROCEDURES:(1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SHS WITHOUT THE INVOLVEMENT OF PERSONS WITH CONFLICT OF INTEREST IN RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE; (2) USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ENGAGED THE SERVICES OF AN INDEPENDENT HUMAN RESOURCE CONSULTING FIRM ("CONSULTANT") TO PROVIDE UPDATED COMPENSATION DATA AND ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO SOUTHCOAST EXECUTIVES. THIS INCLUDED RELATIVE COMPETITIVE MARKET PRACTICE INFORMATION FOR THE NORTHEAST REGION MARKET OBTAINED FROM TWO HEALTHCARE EXECUTIVE COMPENSATION SURVEYS THAT WERE PREPARED BY INDEPENDENT FIRMS. THE CONSULTANT ALSO COMPILED NATIONAL MARKET DATA FROM THREE COMMERCIALLY AVAILABLE HEALTHCARE EXECUTIVE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS: AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 SOUTHCOAST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 TRANSFERS AMONG AFFILIATES (55,100,000) POST RET. AND OTHER CHANGES IN NET ASSETS $1,203,000 CHANGE IN VALUE OF PERPETUAL TRUSTS $2,949,000 ______________ TOTAL ($50,948,000) FORM 990, PART XII, LINE 2A & 2B FINANCIAL RESULTS FOR SOUTHCOAST ARE INCLUDED IN THE SOUTHCOAST HEALTH SYSTEM, INC AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2017 AND 2016 WHICH WERE ISSUED WITH AN INDEPENDENT AUDITOR'S REPORT WITH AN UNQUALIFIED AUDIT OPINION. INCLUDED IN THESE AUDITED FINANCIAL STATEMENTS IS SUPPLEMENTAL CONSOLIDATED INFORMATION FOR THE YEAR ENDED SEPTEMBER 30, 2017. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SOUTHCOAST FOR THE YEAR ENDED SEPTEMBER 30, 2017. SOUTHCOAST HEALTH SYSTEM INC 101 PAGE ST NEW BEDFORD MA 02740 042794625 SUPP. SHG MA 501(c)(3) 12, Type I NA false SOUTHCOAST PHYSICIANS GROUP INC 200 MILL RD STE 180 FARIHAVEN MA 02719 222703314 PHYS. SVCS. MA 501(c)(3) 10 SHS true SOUTHCOAST VENTURESINC 101 PAGE ST NEW BEDFORD MA 02740 043003172 PHYS. SVCS. 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