2016-08-15T10:49:19-05:00 2015-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2014-10-01 222592333 Southcoast Hospitals Group Inc % ROBERT TAROLA SOUT 5089615000 101 Page Street New Bedford MA 02740 ROBERT M TAROLA EXECUTIVE VP AND CFO 5089615000 2016-08-15 true PRICEWATERHOUSECOOPERS LLP P01441612 6175305000 2014 2016-09-27 15:27:22Z KEITH HOVAN 101 PAGE STREET New Bedford MA 02740 905376580 false X www.southcoast.org X 1986 MA SEE SCHEDULE O 17 16 6365 500 2483949 463422 2480911 11515915 722345531 797596006 17097200 27159556 1275336 864250 743198978 837135727 0 0 0 0 404274667 415534832 0 0 1088238 284231391 326402488 688506058 741937320 54692920 95198407 892822175 944260336 388857358 446583202 503964817 497677134 X SEE SCHEDULE O false false 690938735 797596006 Southcoast provides inpatient and outpatient health care services to improve the health and wellness of individuals in its communities. Southcoast recorded 173,547 inpatient days, performed 17,149 surgeries and 11,625 endoscopies, provided 2,903,899 laboratory tests, performed 395,624 radilological procedures, 191,014 physical medicine visits,729 PCI coronary interventions, 2,391 diagnostic catherizations, 368 open heart surgeries, 458 electrophysiology cases, 404 coronary device impants, 3,171 newborn admissions, performed 22,334 radiation and medical chemotherapy treatments and cared for 194,060 emergency room patients 24 hours a day 7 days a week regardless of their ability to pay for such services. 690938735 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 false false true true false false false false false false false false false true true false false false false true true false false false true 449 0 true 6365 true true true false false false false true true false false false false X 17 16 false true false false true true true true true false false true true true true true true true true true true MA X ROBERT TAROLA 5089735016 101 PAGE STREET New Bedford MA 02740 X KEITH HOVAN PRESIDENT & CEO 60.0 1.0 X X 1429971 0 293807 M WAJID BAIG MD TRUSTEE 1.0 1.0 X 0 0 0 R WILLIAM BLASDALE TRUSTEE (UNTIL 12/31/14) 1.0 1.0 X 0 0 0 PETER BULLARD ESQ CLERK 1.0 1.0 X X 0 0 0 CHRISTOPHER CHENEYMD TRUSTEE 1.0 1.0 X 0 0 0 JEAN MACCORMACK CHAIR 1.0 1.0 X X 0 0 0 PAMELA MCNAMARA TRUSTEE 1.0 1.0 X 0 0 0 CARL RIBEIRO TRUSTEE 1.0 1.0 X 0 0 0 ROBERT TRIPP JR DO TRUSTEE 1.0 1.0 X 0 0 0 MAUREEN SYLVIA ARMSTRONG TRUSTEE 1.0 1.0 X 0 0 0 CARL TABER TRUSTEE 1.0 1.0 X 0 0 0 JASON RUA VICE CHAIR 1.0 1.0 X X 0 0 0 LOUIS CABRAL Trustee 1.0 1.0 X 0 0 0 JAMES JEROME COOGAN Trustee 1.0 1.0 X 0 0 0 BRIAN R BALSIS MD TRUSTEE (UNTIL 12/31/14) 1.0 1.0 X 0 0 0 JOSEPH A CIFFOLILLO Trustee 1.0 1.0 X 0 0 0 ELIZABETH KUNZ ESQ TRUSTEE 1.0 1.0 X 0 0 0 STEPHEN S KASPARIAN MD Ex-officio 1.0 1.0 X 0 0 0 W HUGH M MORTON Trustee 1.0 1.0 X 0 0 0 LINDA BODENMANN EVP&COO (SHS)/ASST CLERK 60.0 1.0 X 768498 0 164019 KRISTOFER LINDEMAN Treasurer 50.0 1.0 X 152832 0 12652 ROBERT TAROLA EXECUTIVE VP AND CFO 60.0 0.0 X 0 0 0 PAUL IANNINI PHYS. 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PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FISCAL YEAR 2015, SOUTHCOAST RETAINED SEPARATE CONSULTANTS AT THE STATE AND FEDERAL LEVELS TO MONITOR AND ADVOCATE FOR SOUTHCOAST ISSUES. AT THE STATE LEVEL OUR STATE CONSULTANT WORKED ON THE MASSACHUSETTS BUDGET, AND MEDICAID/DSH REIMBURSEMENT RATES WITH OUR STATE DELEGATION. OUR CONSULTANT FOR FEDERAL MATTERS WORKED ON MEDICARE DSH FUNDING, SGR PAYMENTS, SEQUESTRATION CUTS, READMISSION ADJUSTMENTS, BAD DEBT REIMBURSEMENT AND THE RURAL FLOOR WAGE INDEX WITH OUR FEDERAL DELEGATION. PART II-B, LINE 1G DURING FISCAL YEAR 2015, SOUTHCOAST STATE CONSULTANTS 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 AND REIMBURSEMENTS, AND BEHAVIORAL HEALTH NEEDS, INCLUDING FUNDING, ACCESS AND COVERAGE IN OUR REGION. false false false false false false 75434683 15995643 -4030250 7701920 79698156 72912123 93090 4449000 1920848 98682 75434683 68832097 31658 6063491 1913133 101990 72912123 61915576 4176570 4839232 2031155 68126 68832097 61852448 2307038 112603 2288009 68504 61915576 1.00000 0.00000 0.00000 false false 10721874 10721874 376823454 204141533 172681921 1910574 1078183 832391 393840759 254933523 138907236 54527112 54527112 377670534 ALTERNATIVE INVESTMENTS 40711195 F ALTERNATIVE INVESTMENTS 51583368 C 92294563 0 OTHER LONG-TERM LIABILITIES 9808987 NON-PENSION POST RETIREMENT BE 8483831 LONG-TERM INSURANCE RESERVES 30824446 DUE TO/FROM AFFILIATE 16616305 65733569 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. 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X X X X X true true X X X X true X X true X false true X false false PART V, SECTION B, LINE 5 Southcoast works with a number of community partners to obtain input on community needs, gaps in services and health disparities that exist within Southcoast communities. In 2015, Southcoast worked with the following: 1. Partners for a Healthier Community, a community coalition serving Greater Fall River, which undertook a community-wide needs assessment. Southcoast staff served on a number of needs assessment committees which solicited extensive community input through surveys, focus groups and community discussions. 2. Southcoast worked with the Wareham Coalition to Prevent and End Homelessness to conduct a series of Focus Groups on homelessness in the town of Wareham. These included meetings with homeless residents and agencies serving the homeless. 3. Southcoast solicited input from over 100 community agencies, faith-based organizations and community leaders who are involved in providing behavioral health services. The purpose of this needs assessment was to identify needs and gaps in a range of behavioral health services. This included surveys, key informant interviews and presentations to community groups. 4. Southcoast worked with the Greater New Bedford Allies for Health and Wellness (GNB Allies) Health Equity Committee to research and assess health inequities in the Greater New Bedford region, including the impact of social determinants of health. The result of this research was targeted outreach for programs such as cancer screenings, health insurance enrollment and other health issues. PART V, SECTION B, LINE 7A AND 10A https://www.southcoast.org/wp-content/uploads/2016/05/2015-southcoast-comm unity-benefits.pdf PART V, SECTION B, LINE 7D Southcoast shared its needs assessment with a regional coalition, Partners for a Healthier Community, which based a more localized, Fall River area needs assessment on Southcoast's broad health needs assessment findings. Southcoast also became part of Health Data Southcoast, housed at the University of Massachusetts - Dartmouth, which houses a range of health, demographic and social data on a web site that can be accessed by the public. Southcoast's regional health needs assessment is often used by a range of community agencies and other partners for grant proposals and joint planning for health and social programs. PART V, SECTION B, LINE 11 As part of Southcoast's annual Community Benefits process, Southcoast creates a community health improvement plan that is based on Southcoast's needs assessment and is formulated in collaboration with community partners. Southcoast identifies target audiences on an annual basis and also jointly prioritizes and coordinates services that will meet the specific needs of Southcoast communities. In 2015, in collaboration with Southcoast's partners, Southcoast jointly set 49 community health improvement goals and were able to reach 89 percent of these goals. Southcoast reports on it's progress annually and shares this report with the community. Southcoast also establishes a community benefits budget on an annual basis. PART V, SECTION B, LINE 22D SouthCoast used the financial guidelines established by the Commonwealth of Massachusetts for determining eligibility for financial assistance, including MassHealth and the Health Safety Net. For patients identified between 200-400% of the Federal Poverty Income Guidelines, SouthCoast provided a sliding scale discount. For those beyond 400%, SouthCoast provided a 25% discount from gross charges and informed them of the opportunity to apply for financial assistance. 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 0F THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED. PART II (1) 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. Southcoast has also provided leadership training and support on health advocacy issues such as regulations to limit tobacco access. Southcoast leads, or plays a key role, in a number of local coalitions that promote wellness and collectively work to address pressing health issues identified in Southcoast's needs assessment. Southcoast is the co-leader of a coaltion, Voices for a Healthy Southcoast, that works to promote and support system and environment change that addresses healthy nutrition, improved access to physical activity and a decrease in high rates of smoking. 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 INCLUDES 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 7-8) 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 THE MEDICALLY NECESSARY 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 SOUTHCOAST COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN 1998 AND THIS HAS BEEN UPDATED AND EXPANDED UPON ON AN ANNUAL BASIS THROUGH REGULAR ANALYSIS OF PUBLIC HEALTH DATA, PRIMARY DISEASE RATE DATA AVAILABLE THROUGH Southcoast's HEALTH SYSTEM, AND PERIODIC FOCUS GROUPS, INTERVIEWS AND NEEDS ASSESSMENT MEETINGS WITH COLLABORATIVE PARTNERS. IN FY 2015, Southcoast WORKED WITH THE UNIVERSITY OF MASSACHUSETTS - DARTMOUTH PUBLIC POLICY INSTITUTE TO CONDUCT A COMPREHENSIVE AND EXTENSIVE UPDATE AND ANALYSIS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE HIGHLIGHTS OF THIS NEEDS ASSESSMENT ARE SHARED ON A REGULAR BASIS WITH COMMUNITY GROUPS AND ARE USED FOR PLANNING PURPOSES BY LOCAL AND REGIONAL COALITIONS. IN 2015, Southcoast's MOST RECENT NEEDS ASSESSMENT WILL BECOME PART OF A REGIONAL HEALTH AND HUMAN SERVICES NEEDS ASSESSMENT DASHBOARD, HOUSED AS PART OF THE URBAN INITIATIVES WEB SITE AT UMASS DARTMOUTH. THIS COMPREHENSIVE NEW TOOL WILL INCLUDE A WIDE RANGE OF HEALTH, SOCIAL AND DEMOGRAPHIC DATA FROM MANY PARTNERS ON THE SOUTH COAST. FOR FISCAL YEAR 2015, SOURCES FOR Southcoast's NEEDS ASSESSMENT INCLUDED: -AN ONGOING AND COMPREHENSIVE REVIEW AND ANALYSIS OF REGIONAL HEALTH DATA, WITH THE ASSISTANCE OF THE UNIVERSITY OF MASSACHUSETTS-DARTMOUTH, CENTER FOR POLICY ANALYSIS. -ETHNIC FOCUS GROUPS IN COLLABORATION WITH THE IMMIGRANTS ASSISTANCE CENTER, WHICH WORKS WITH IMMIGRANT POPULATIONS THROUGHOUT THE SOUTH COAST REGION, AND THE GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, THE MAJOR PRIMARY HEALTH PROVIDER FOR HISPANIC RESIDENTS IN OUR REGION. THESE FOCUS GROUPS HIGHLIGHTED LANGUAGE AND CULTURAL BARRIERS THAT ETHNIC RESIDENTS ENCOUNTER WHEN ACCESSING HEALTH SERVICES IN the Southcoast REGION. -NEEDS ASSESSMENT MEETINGS WITH THE MASSACHUSETTS FISHING PARTNERSHIP. -FOCUS GROUPS AND KEY INFORMANT INTERVIEWS CONDUCTED IN COLLABORATION WITH VOICES FOR A HEALTHY SOUTHCOAST CONCERNING CANCER DISPARITIES. -SURVEY DATA ON HEALTH HABITS OF PUBLIC HOUSING RESIDENTS IN NEW BEDFORD, FALL RIVER AND WAREHAM, INCLUDING SMOKING, NUTRITION AND EXERCISE HABITS. THIS SURVEY WAS CONDUCTED IN PARTNERSHIP WITH VOICES FOR A HEALTHY SOUTHCOAST AND THE SOUTHCOAST HEALTHY HOUSING AND WORKPLACE INITIATIVE. -SURVEY OF DRUG AND ALCOHOL HABITS OF 18 TO 24 YEAR OLDS AT BRISTOL COMMUNITY COLLEGE, CONDUCTED AS PART OF A PRESCRIPTION DRUG EDUCATION PROGRAM THROUGH THE BOLD COALITION. -FOCUS GROUPS WITH PARENTS OF STUDENTS INVOLVED IN SOUTHCOAST RAPPP YOUTH RISK BEHAVIORS PROGRAM. -DEVELOPMENTAL ASSETS SURVEY DATA CONDUCTED IN 11 MIDDLE AND HIGH SCHOOLS ON THE SOUTH COAST. -YOUTH RISK FACTOR BEHAVIOR SURVEY FALL RIVER. -KEY INFORMANT INTERVIEWS AND FOCUS GROUPS CONDUCTED AS PART OF A REGIONAL NEEDS ASSESSMENT THROUGH THE GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS. -KEY INFORMANT INTERVIEWS AND FOCUS GROUPS CONDUCTED AS PART OF A COLLABORATIVE NEEDS ASSESSMENT OF GREATER FALL RIVER PARTNERS FOR A HEALTHIER COMMUNITY. IN FISCAL YEAR 2015, Southcoast's 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) WAREHAM COMMUNITY SERVICES COLLABORATIVE VOICES FOR A HEALTH SOUTHCOAST WAREHAM BOYS AND GIRLS CLUB NEW BEDFORD HEALTH DEPARTMENT NEW BEDFORD HOUSING AUTHORITY WAREHAM HEALTH DEPARTMENT WAREHAM PUBLIC SCHOOLS FAMILY COUNCIL PROJECT YMCA SOUTHCOAST Southcoast's NEEDS ASSESSMENT IS POSTED ON THE SOUTHCOAST WEBSITE AND COMMUNITY MEMBERS ARE ENCOURAGED TO ENGAGE IN DIALOGUE CONCERNING THE FINDINGS. <WWW.SOUTHCOAST.ORG/NEWS/BENEFITS/#NEEDSASSESSMENT> PART VI, LINE 3 Southcoast posts notifications of insurance eligibility in multiple languages throughout all of its inpatient and outpatient facilities. Southcoast also utilizes outreach brochures, displayed in our facilities and also distributed at a number of health inurance outreach events and also through regulary outreach on our Southcoast Health Van. In 2015, the Southcoast Patient Access Department provided outreach to tens of thousands of residents and enrolled over 7100 residents in health insurance and other subsidies. PART VI, LINE 4 Southcoast Health system serves a diverse region along the South Coast of Massachusetts, including several urban centers with a number of demographic challenges, and rural and suburban towns. Perhaps the most significant demographic trend in the region is its changing racial makeup; from 2000 to 2010 the minority population increased by 5.6 percentage points region-wide, 8.2 percentage points in Fall River, and 11.0 percentage points in New Bedford. Hispanics account for a significant portion of this change; the number of Hispanics increased by 7.3 percentage points region-wide from 2000 to 2010, and by 4.1 percentage points in Fall River and 6.5 percentage points in New Bedford. 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. Portuguese speakers are being supplanted by Spanish speakers in the regions cities, 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 Southcoast has one of the lowest levels of educational attainment of any region in Massachusetts. The urban areas of Fall River and New Bedford have particularly low rates of educational attainment, although many of the regions suburban towns also have average educational attainment levels that are below the state average. The region and its cities have made gains since 1980 in terms of the percentage of residents who have earned a high school diploma but still lag the state average considerably in terms of the percentage of residents with 4-year college degrees or above. 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 Southcoast residents face environmental factors that may be a detriment to their health. For example: -Residents of both Bristol and Plymouth counties have access to fewer grocery stores and supermarkets per capita as compared to Massachusetts as a whole (a combined rate of 17.5 per 100,000 residents, versus 19.8 statewide). -Significant portions of Fall River and New Bedford are classified as food deserts where most residents live over 0.5 miles away from a grocery store or supermarket, while several neighborhoods of Acushnet, Fairhaven and Wareham have no access to such amenities within one mile. -While fresh, healthy, affordable food can be hard for the regions residents to obtain, fast food options are abundant. In Bristol County, there are 65.6 fast food establishments per 100,000 residents and 60.0 per 100,000 in Plymouth County. While these rates are lower than that of the state (71.9), there are nevertheless far more fast food establishments than there are grocery stores and supermarkets. -Southcoast 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 Southcoast 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. Per capita and median household income levels in the region are below state averages and Fall River and New Bedford have some of the highest poverty rates in the state and account for the majority of the regions poor in absolute numbers. Poverty and income are reflected in wages; there exists a significant wage gap between the Southcoast and the state and this gap continues to widen. 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. PART VI, LINE 5 Southcoast each year invests millions in direct services and programs that are designed to address pressing health issues in the Southcoast region and improve the communities health. Southcoast works with hundreds of community partners to adopt best practices in community benefits needs assessment and planning and implementation. Southcoasts Community Benefits Strategic Action Plan was first formulated in 1998 as a result of an extensive needs assessment and is updated annually. Southcoast's current plan is based on it's most recent major needs assessment, which was conducted and completed in 2012-2013 and is updated on an annual basis. Southcoast action plan has traditionally focused on three regional priority health issues. -Reduction of the high rate of cardiovascular disease in the Southcoast region, as well as other chronic diseases, such as diabetes and asthma. -Reduction in the incidence of youth risk behaviors such as teen violence, high rates of teen pregnancy and substance abuse. -Improving access to health care. Additional areas of focus, as a result of recent needs assessment data, include: -Expanding cancer screening and education, with a particular focus on reducing health disparities. -Addressing health disparities that exist in the Southcoast region among certain racial, ethnic and demographic groups. -Advocacy and program development that addresses system and environment change, both at Southcoast hospitals and in the community. This advocacy aims to -increase healthy lifestyle options and decrease risk factors, such as a high rate of smoking, lack of access to healthy foods and physical inactivity. Southcoast's efforts focus on vulnerable populations that face considerable barriers to adopting a healthy lifestyle. -Addressing homelessness in Wareham, where the counts of unsheltered homeless approach those in the much larger cities in the Southcoast region. -Addressing behavioral health issues that include substance abuse and mental health. Southcoast serves a large population with behavioral health issues which impact Southcoast Emergency Departments and the regions only inpatient psychiatric unit. Also, Southcoast regional behavioral health system is fragmented and poorly coordinated. -Behavioral health issues that include substance abuse and mental health issues. Southcoast serves a large population with behavioral health issues and poorly coordinated care impacts Southcoast Emergency Departments and the regions only inpatient psychiatric unit located at Southcoast's St. Lukes site. Needs assessment shows Southcoast regional behavioral health system is fragmented and poorly coordinated. Southcoast community benefits activities in 2015 included: -Extensive and collaborative work on smoking cessation and prevention that encompassed regulatory system and environment change along with education and clinical support for smoking cessation. As a result, this year Southcoast witnessed a 10 percent reduction in smoking in Greater New Bedford. This is the first significant reduction in smoking in several decades. -Reaching vulnerable residents with over 21,000 health screenings for more than 3300 people. This included screenings for cardiovascular disease, cancer, diabetes and stroke and targeted our most vulnerable and under-served populations. -Education on teen pregnancy and other youth risk factors that reached over 4000 teens in 12 area schools and an after school drop in center at our RAPPP offices in New Bedford. -Targeted outreach that helped over 9000 residents obtain or keep their health insurance. -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. In addition to increasing capacity in our communities, we also worked to establish clinical to community linkages for CHWs and explore successful methods of integrating CHWs into clinical care teams. -Coalition building and engagement that helped make meaningful connections across both communities and our region. Programs that were part of our community benefits plan in 2015 include: Health access outreach. Health advocates (intervention for substance abuse.) Cardiac prevention and stroke outreach. Diabetes education and outreach. Smoking cessation and prevention. RAPPP (Responsible Attitudes Toward Pregnancy, Parenting and Prevention) and associated youth outreach programs. Maternal/child health outreach. Southcoast Health Van. Health Equity Project. Voices for a Healthy SouthCoast. Cancer screenings and outreach. Emergency preparedness. Wareham Leadership Council to End and Prevent Homelessness. Southcoast Healthy Housing and Workplace Initiative. The Southcoast Community Benefits Program is under the overall direction of a Community Benefits Committee that meets six times annually to review and advise on activities and expenditures related to community benefits. This committee reports to the Southcoast Hospitals Group Board of Trustees and is chaired by a trustee. The committee includes Southcoast leadership and staff, along with representatives from the various communities served by Southcoast Hospitals. Many of the Southcoast community members have expertise in matters concerning the health and welfare of the community and are active members of local and regional coalitions. This board represents the diversity of our region, with members who are active leaders in minority communities including the Cape Verdean, Hispanic and Portuguese communities. Advisory groups, comprised of community members and hospital staff, plan and carry out activities related to Southcoasts major community benefits initiatives. Also, a number of Southcoast staff participate and provide leadership in local and regional coalitions, including Community Health Network Areas (CHNAs) in Fall River and New Bedford, the Wareham Community Services Collaborative, regional coalitions such as Voices for a Healthy SouthCoast and Mass in Motion, a regional Worksite Wellness Collaborative, Health Access,Health Equity and Youth Empowerment Task Forces in Greater New Bedford and Fall River and substance abuse and mental health coalitions. Community benefits activities by Southcoast staff are organized through an internal Community Benefits Task Force that meets monthly to plan and coordinate programs and activities. This team consists of representatives 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. Senior management responsibility for the Community Benefits Program rests with Southcoasts Vice President of Marketing and Government Affairs, who also serves as a member of the Community Benefits Committee. The Community Benefits Manager, who reports to the Government Affairs, Strategy and Planning Division, manages Southcoasts day-to-day community benefits activities and leads the internal Community Benefits Task Force. Southcoast also conducts regular updates and presentations on community benefits activities to Southcoast leadership through Directors and Managers/Supervisors meetings at all three hospital sites along with presentations on community benefit activities which are periodically made to all levels of employees. Information is also presented through articles in our internal hospital publications, Coastlines and The Wave, in a community newsletter, Your Health Matters, and in our monthly community electronic newsletter, Southcoast eNews. Information is regularly shared with the community through collaborative meetings and forums. PART VI, LINE 6 SOUTHCOAST'S PARENT CORPORATION, SOUTHCOAST HEALTH SYSTEM, INC. (SHS) IS A MASSACHUSETTS NON-PROFIT ORGANIZATION THAT OVERSEES AND COORDINATES A SERIES OF AFFILIATED ORGANIZATIONS THAT PROVIDE A VERY BROAD RANGE OF HEALTH CARE AND RELATED SERVICES TO THE COMMUNITIES OF SOUTHEASTERN MASSACHUSETTS AND ADJOINING COMMUNITIES IN RHODE ISLAND. SHS'S PURPOSE IS TO IMPROVE THE HEALTH AND WELFARE OF THE SOUTHCOAST COMMUNITIES AND IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS CHARITABLE AFFILIATES. SOUTRHCOAST CURRENTLY OPERATES THREE ACUTE CARE HOSPITALS UNDER A SINGLE LICENSE IN FALL RIVER, NEW BEDFORD AND WAREHAM, MASSACHUSETTS. SOUTHCOAST PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT, PRIMARY AND SECONDARY AND TERTIARY HEALTH CARE SERVICES. PART VI, LINE 7 MASSACHUSETTS X X true true X X X X true true false false false false false true false PAUL IANNINI PHYS. IN CHIEF, MED 617024 0 110250 0 148243 0 15600 0 13911 0 905028 0 0 0 CAROL CONLEY VP & CNO 292191 0 35696 0 66692 0 63798 0 1306 0 459683 0 43189 0 RONALD LAFLEUR VP HOSPITAL REVENUE SYSTEMS 253100 0 27088 0 40068 0 15600 0 13911 0 349767 0 25350 0 KEITH HOVAN PRESIDENT & CEO 880553 0 236833 0 312585 0 276938 0 16869 0 1723778 0 173173 0 LINDA BODENMANN EVP&COO (SHS)/ASST CLERK 528340 0 83026 0 157132 0 150609 0 13410 0 932517 0 85769 0 GARY CONNER EVP&CFO/TREASURER(Term 8/8/14) 285425 0 75406 0 284479 0 73395 0 12606 0 731311 0 0 0 DAVID DEJESUS JR SVP & CHRO 307517 0 47625 0 64170 0 64709 0 16869 0 500890 0 41434 0 ELLEN BANACH SVP STRATEGIC SVCS 274675 0 42545 0 41806 0 58763 0 15197 0 432986 0 34053 0 ROBERT CALDAS MD Senior VP & CMO 434596 0 68263 0 36548 0 97105 0 16869 0 653381 0 15690 0 JOHN DAY Former Officer(Term 6/30/11) 0 0 0 0 203942 0 160000 0 0 0 363942 0 0 0 KRISTOFER LINDEMAN Treasurer 147832 0 5000 0 0 0 0 0 12652 0 165484 0 0 0 CYNTHIA WICKS President SPN 249520 0 49613 0 106536 0 47471 0 16869 0 470009 0 0 0 RENEE CLARK SVP/COO (SHG) 295170 0 42813 0 0 0 65569 0 16869 0 420421 0 0 0 JOAN MCFAUL SVP/CIO 308942 0 0 0 17555 0 0 0 6480 0 332977 0 0 0 JACK DRESSER SVP/CPO 258752 0 45500 0 18272 0 0 0 16869 0 339393 0 0 0 CYNTHIA MARLBOROUGH VP Network Dev 208992 0 23798 0 30725 0 47100 0 16869 0 327484 0 25350 0 PART I, LINE 1A THE FORMER CEO OF SHS ELECTED LOAN REGIME TREATMENT OF HIS SPLIT-DOLLLAR POLICY. THE ANNUAL IMPUTED INCOME IS REPORTED ON THIS EXECUTIVE'S FORM W-2 AND IS SUBJECT TO FICA. THIS EXECUTIVE RECEIVED A GROSSED UP AMOUNT TO COVER THE TAXES ON THE IMPUTED INTEREST AMOUNT. THE GROSSED UP AMOUNT WAS TREATED AS TAXABLE INCOME. HOUSING: ONE HIGHLY COMPENSATED INDIVIDUAL RECIEVED A HOUSING ALLOWANCE. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). PART I, LINE 4A THE FOLLOWING INDIVIDUALS SEPARATED FROM SOUTHCOAST IN 2014. PURSUANT TO THEIR AGREEMENTS AND CONTINGENT ON CERTAIN CONDITIONS, THEY ARE ENTITLED TO RECEIVE SEVERANCE PAYMENTS FOR SPECIFIED PERIODS BASED ON FINAL PAY RATES. IN CALENDAR YEAR 2014, THEY RECIEVED THE AMOUNTS BELOW AS SEVERANCE COMPENSATION. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): CYNTHIA WICKS - $50,480 GARY CONNER - $118,304 PART I, LINE 4B OFFICERS AND DIRECTORS 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 - $121,215 CAROL CONLEY - $57,825 RONALD LAFLEUR - $39,176 DAVID DEJESUS - $61,212 ELLEN BANACH - $41,806 KEITH HOVAN - $238,433 LINDA BODENMANN - $116,420 ROBERT CALDAS - $22,639 CYNTHIA MARLBOROUGH - $30,725 THE FOLLOWING INDIVIDUALS RECIEVED A DISTRIBUTION UNDER THIS PLAN: GARY CONNER - $151,711 CYNTHIA WICKS - $36,111 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 $54,800 WAS INCLUDED IN MR. HOVAN'S 2014 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, $32,500 WAS INCLUDED IN MS. BODENMANN'S 2014 FORM W-2 AND SHC, J, PART II, COLUMN (B) (III). JOHN DAY - IN 2002 SOUTHCOAST HOSPITAL GROUP, INC. (SHG) ESTABLISHED A SPLIT DOLLAR ARRANGEMENT FOR JOHN DAY. THE PREMIUMS PAID INTO THE POLICY BY SHG ARE DEEMED TO BE LOANED TO MR. DAY AND MR. DAY IS THEREFORE SUBJECT TO INCOME TAX ON THE IMPUTED INTEREST ASSOCIATED WITH THE LOANS. MR. DAY IS PROVIDED WITH AN ANNUAL GROSS UP TO COVER THE INCOME TAXES DUE ON THE IMPUTED INTEREST AMOUNT. THESE AMOUNTS ARE REPORTED IN PART II, COLUMN B(III). THE ANNUAL PREMIUM PAID BY SHG IS REFLECTED IN PART II, COLUMN C AND REPRESENTS THE BENEFIT THAT WILL BE RECEIVED BY MR. DAY WHEN MOST OF THE LOAN IS FORGIVEN UPON REACHING AGE 65. 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 46710036 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 0 false false false true A true true true Goldman Sachs 29. false false false 0 false true B false true false false 0 false 0 false true C false true false false 0 false 0 false true D false true 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 1219713 MANAGEMENT SERVICES false X 4 12838 Mean Value X event items 378 96822 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 TRUSTEE EMERITUS AND PRESIDENT EMERITUS AND HONORARY TRUSTEE DESIGNEES ARE NOT ENTITLED TO VOTE OR BE CONSIDERED FOR PURPOSES OF ESTABLISHING A QUORUM AT ANY MEETING OF THE BOARD OF TRUSTEES. 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 2015. 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 REMIAING 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 EXECUTIVE TEAM (SET) 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 $(71,264,000) POST RET. AND OTHER CHANGES IN NET ASSETS $1,769,000 CHANGE IN VALUE OF PERPETUAL TRUSTS $(2,423,000) ___________ TOTAL $(71,918,000) 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, 2015 AND 2014 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, 2015. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SOUTHCOAST FOR THE YEAR ENDED SEPTEMBER 30, 2015. SOUTHCOAST HEALTH SYSTEM INC 101 PAGE ST NEW BEDFORD MA 02740 042794625 SUPP. SHG MA 501(c)(3) 11, Type I NA false SOUTHCOAST PHYSICIANS GROUP INC 200 MILL RD STE 180 FARIHAVEN MA 02719 222703314 PHYS. SVCS. MA 501(c)(3) 9 SHS true SOUTHCOAST VENTURESINC 101 PAGE ST NEW BEDFORD MA 02740 043003172 PHYS. SVCS. 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