2022-08-10T15:28:00-05:00 2021-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2020-10-01 050445136 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 4017828000 2022-08-05 1 THOMAS BREEN 999009999 TODD P TERESCO P00247720 6179881000 2022-07-26 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z AARON S ROBINSON 100 KENYON AVENUE WAKEFIELD RI 02879 230670081 0 X WWW.SOUTHCOUNTYHEALTH.ORG X 1920 RI SEE SCHEDULE O 19 16 1631 91 5311 0 14086400 13916724 189123578 209724457 1941447 636587 1181696 150084 206333121 224427852 0 0 0 0 103690787 112355154 0 0 0 98480803 105652413 202171590 218007567 4161531 6420285 180477830 197555724 140451679 134948477 40026151 62607247 X SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE COMMUNITY MEMBERS AND VISITORS. FOR MORE INFORMATION, SEE SCHEDULE O. 0 0 195969202 209631619 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND, OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. FOR MORE INFORMATION, SEE SCHEDULE O. 195969202 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 132 0 1 1631 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 RI X MARCIA POLHEMUS 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 AARON WEISBORD MD TRUSTEE UNTIL 4/21 40.00 2.00 X 429511 0 31095 NAVEH LEVY MD PRESIDENT OF MED STAFF 1.00 2.00 X 28000 0 0 RICHARD DEL SESTO MD TRUSTEE 1.00 2.00 X 6000 0 0 DENNIS LYNCH CHAIRMAN UNTIL 4/21 1.00 2.00 X X 0 0 0 JOSEPH MATTHEWS CHAIRMAN AS OF 5/21 1.00 2.00 X X 0 0 0 JAMES FARRELL VICE CHAIRMAN 1.00 2.00 X X 0 0 0 BETTY RAMBUR PHD RN SECRETARY 1.00 2.00 X X 0 0 0 VICTORIA A WICKS TREASURER 1.00 2.00 X X 0 0 0 ROBERT BIERWIRTH MD VP OF MED STAFF 1.00 2.00 X 7000 0 0 STEVE BLAZEJEWSKI TRUSTEE 1.00 2.00 X 0 0 0 TED ALMON TRUSTEE 1.00 2.00 X 0 0 0 ROBERT BEAGLE TRUSTEE 1.00 2.00 X 0 0 0 SANDRA COLETTA TRUSTEE AS OF 5/21 1.00 2.00 X 0 0 0 ROBERT DYER MD TRUSTEE 1.00 2.00 X 0 0 0 JOHN H HOWLAND TRUSTEE 1.00 2.00 X 0 0 0 ROGEAN MAKOWSKI TRUSTEE 1.00 2.00 X 0 0 0 JASON MARSHALL TRUSTEE 1.00 2.00 X 0 0 0 DAVID ROWE MD TRUSTEE 1.00 2.00 X 0 0 0 AUSTIN C SMITH TRUSTEE 1.00 2.00 X 0 0 0 DONNA D VANDERBACK TRUSTEE 1.00 2.00 X 0 0 0 JOHN WARDLE TRUSTEE 1.00 2.00 X 0 0 0 AARON S ROBINSON PRESIDENT AND CEO 40.00 2.00 X 579277 0 30069 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 40.00 3.00 X 416269 0 26767 LISA RAMEAKA CMO & VPMA UNTIL 6/20 40.00 0.00 X 406498 45070 17115 GARY KUSNIERZ VP OPERATIONAL EXCELLENCE 40.00 0.00 X 331485 0 1850 ANETRIA GALMORE VP, COO/CNO AS OF 4/20 40.00 0.00 X 270063 0 6048 MARGARET REGAN THOMAS VP, CHIEF HR OFFICER 40.00 0.00 X 195023 0 24429 AARON HATTAWAY VP, CMO AS OF 9/20 40.00 0.00 X 151112 0 218 DAVID BADER PHYSICIAN 40.00 0.00 X 451102 0 31095 ARNOLD SARAZEN PHYSICIAN 40.00 0.00 X 434104 0 31194 JOHN HEFFERNAN PHYSICIAN 40.00 0.00 X 397994 0 30568 ANGELA TABER PHYSICIAN 40.00 0.00 X 450816 0 1326 JOHN MURPHY PHYSICIAN 40.00 0.00 X 402916 0 10696 SALVATORE ABBRUZZESE JR DO FORMER PRESIDENT MED STAFF 40.00 0.00 X 295822 0 29247 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 40.00 0.00 X 163242 0 14133 ANNE SCHMIDT FORMER VP PAT CARE SVC 40.00 0.00 X 160247 0 1503 5576481 45070 287353 118 1 1 0 SOUTHERN RI PULMONARY & CRITICAL CARE 25 BURNS WAY EAST GREENWICH RI 02818 PULMONARY SERVICES 812800 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 19182 SECURITY 756266 KAUFMAN HALL & ASSOCIATES LLC 8610 SOLUTIONS CENTER CHICAGO IL 60677 CONSULTING 719455 ORTHOPEDIC SPECIALTY CONSULTING LLC ONE HIGH STREET WAKEFIELD RI 02879 ORTHOPEDICS & PT 557500 ORTHOPEDICS RHODE ISLAND 200 CROSSING BLVD SUITE 310 WARWICK RI 02886 ORTHOPEDICS & PT 334583 16 13177901 738823 13916724 PATIENT SERVICE REVENUE 900099 208748696 208748696 OTHER PROGRAM REVENUE 622110 975761 975761 209724457 857314 5311 852003 618713 2098027 -1479314 -1479314 -1479314 3923475 3651917 492285 271558 -492285 -220727 -220727 REVENUE FROM JOINT VENTURES 621512 608462 608462 SELF INSURED TRUST 900099 420593 420593 CAFETERIA 722310 242922 242922 357421 357421 1629398 224427852 209631619 5311 874198 2989289 516889 2472400 89397273 80153398 9243875 2092810 1901213 191597 12156408 11043489 1112919 5719374 5195765 523609 843840 843840 141584 141584 64281 64281 75460 75460 12735343 11139076 1596267 340119 296914 43205 6985774 6098359 887415 3432922 2996830 436092 3216180 2807621 408559 60566 52874 7692 107243 93622 13621 1917777 1917777 9244447 8070109 1174338 4929216 4303047 626169 MEDICAL SUPPLIES & DRUG 50739294 50739294 STATE LICENSE FEE 5439030 5439030 BAD DEBT EXPENSE 3350808 3350808 MAINTENANCE & REPAIRS 628987 549085 79902 1399542 1221779 177763 218007567 195969202 22038365 0 8650 8600 40534897 31215508 0 0 17078544 16632008 0 0 0 0 0 98098 3623616 4297451 4225579 4713697 210477428 143580735 60967472 66896693 27048534 32452899 24817015 34150347 0 0 1352780 5802827 820743 1287596 180477830 197555724 28730678 33775793 0 0 0 0 37356053 38907325 0 0 0 0 147742 0 0 0 74217206 62265359 140451679 134948477 X 39981151 62562247 45000 45000 40026151 62607247 180477830 197555724 X 6420285 5781742 10379069 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 64281 64281 0 PART II-B, LINE 1: THE ORGANIZATION PAID BRADFORD GROUP FOR LOBBYING ACTIVITY. IN ADDITION, A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF RHODE ISLAND WERE USED FOR LOBBYING. 51725549 2549619 8622078 62897246 45939399 3042232 2743918 51725549 43683907 1241439 1395553 381500 45939399 40867856 1285852 1680199 150000 43683907 36410321 5013956 556421 40867856 0.99930 0.00070 0.00000 1 0 473121 473121 61570490 43047105 18523385 4847692 2718139 2129553 134825123 94971376 39853747 8761002 2844115 5916887 66896693 ENDOWMENT ASSETS 12677454 F ASSETS HELD IN TRUST 14500250 F DONOR RESTRICTED FUNDS 3266643 F EQUITY INVESTMENT IN JV 3706000 F 34150347 1545044 ACCRUED PENSION COSTS 18786501 FAIR VALUE OF SWAP AGREEMENTS 6635973 UNPAID LOSS RESERVE 13098829 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 17010706 ACCRUED RETIREMENT PLAN 3006827 ACCRUED INSURED LOSSES 1552827 POST RETIREMENT BENEFIT OBLIGATION 220577 ACRO LIABILITY 388390 SECURITY DEPOSITS 19685 62265359 X 239260422 5781742 10379069 16160811 223099611 75460 1252781 1328241 224427852 216679326 0 216679326 75460 1252781 1328241 218007567 PART V, LINE 4: THE HOSPITAL'S ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES. PART X, LINE 2: THE FOOTNOTE BELOW IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL AND SOUTH COUNTY HOME HEALTH) OPERATE AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX PROVISIONS AND RELATED LIABILITIES FOR SILVER SPRING HEALTHCARE MANAGEMENT WHICH IS A TAXABLE ENTITY CONTROLLED BY THE HOSPITAL ARE NOT SIGNIFICANT. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITIONS IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2021 OR 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 360,157. CHANGE IN FUND STATUS OF EMPLOYEE BENEFIT PLAN 7,478,377. UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP 2,566,419. UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. 888,497. FORGIVENESS OF SCSS INTERCOMPANY LOAN -310,668. NONSERVICE COST COMPONENTS OF NET PENSION COST -603,713. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,350,808. RENTAL EXPENSES -2,098,027. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 3,350,808. RENTAL EXPENSES -2,098,027. 1 1 1 X 0 1 1 0 1 1 5255249 4042314 1212935 0.00560 1023715 958359 65356 0.00030 16756051 13417151 3338900 0.01530 23035015 18417824 4617191 0.02120 4359901 2548785 1811116 0.00830 118208 65498 52710 0.00020 51689 51689 0.00020 4529798 2614283 1915515 0.00870 27564813 21032107 6532706 0.02990 0 5584680 44164005 53287011 -9123006 X 1 1 1 SOUTH COUNTY RADIATION THERAPY LLC RADIATION ONCOLOGY 1.00000 1 1 SOUTH COUNTY HOSPITAL 100 KENYON AVENUE WAKEFIELD RI 02879 WWW.SOUTHCOUNTYHEALTH.ORG HOS00114 X SOUTH COUNTY HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SUPPLEMENTAL INFORMATION X 1 19 1 SEE SUPPLEMENTAL INFORMATION 0 1 X 200.000000000000 0.000000000000 X X X X 1 1 X X X 1 X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFORMATION X SEE SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 5: FACILIATED DISCUSSIONS WITH COMMUNITY STAKEHOLDERS WERE HELD IN APRIL 2019 ACROSS WASHINGTON COUNTY. COMMUNITY STAKEHOLDERS INCLUDED SENIOR LIVING PROVIDERS, SENIOR RESIDENTS, AND SOCIAL SERVICE PROVIDERS, AMONG OTHERS. DISCUSSION TOPICS FOCUSED ON THE NEEDS OF SENIORS, BUT ALSO HIGHLIGHTED YOUTH HEALTH CONCERNS. THE GOALS OF THE COMMUNITY CONVERSATIONS WERE TO DEFINE BARRIERS TO ACCESSING HEALTHCARE SERVICES; IDENTIFY EXISTING ASSETS, GAPS IN SERVICES, CHALLENGES AND SUCCESSES IN ACHIEVING OUTCOMES; AND TO EXPLORE FUTURE OPPORTUNITIES TO ADVANCE COMMUNITY HEALTH IMPROVEMENT. SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: CARE NEW ENGLAND HEALTH SYSTEMS, CHARTER CARE, LANDMARK MEDICAL CENTER, AND THE L&M WESTERLY HOSPITAL. SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 6B: THE OTHER ORGANIZATIONS THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: THE HOSPITAL ASSOCIATION OF RHODE ISLAND, AND THE RHODE ISLAND DEPARTMENT OF HEALTH. SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 11: THE 2019 COMMUNITY NEEDS IDENTIFIED FOR WASHINGTON COUNTY WERE BEHAVIORAL HEALTH (INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE), SENIOR HEALTH NEEDS (INCLUDING HEALTH AND SOCIAL NEEDS), YOUTH AND ADOLESCENT HEALTH NEEDS (INCLUDING BEHAVIORAL HEALTH, RESPIRATORY DISEASE AND ADVERSE CHILDHOOD EXPERIENCES), AND HEALTH EQUITY. SUBSTANCE ABUSE, PARTICULARLY ALCOHOL AND OPIOID USE, IS PREVALENT IN THE COMMUNITY. CONSISTENT WITH THE STATE, THE DRUG-INDUCED DEATH RATE FOR WASHINGTON COUNTY IS 50% HIGHER THAN THE NATIONAL RATE. IN DETERMINING THE ISSUES ON WHICH TO FOCUS EFFORTS OVER THE NEXT THREE-YEAR CYCLE, SOUTH COUNTY HEALTH AND ITS CHNA HOSPITAL PARTNERS SOLICITED INPUT FROM COMMUNITY PARTNERS AND STAKEHOLDERS TO ALIGN EFFORTS WITH EXISTING INITIATIVES HEADED BY THE RHODE ISLAND DEPARTMENT OF HEALTH, THE HEZS, AND OTHER COMMUNITY PARTNERSHIPS. QUALITATIVE FEEDBACK WAS CONSIDERED IN CONJUNCTION WITH STATISTICAL HEALTH AND SOCIOECONOMIC DATA TO IDENTIFY TRENDS AND THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH. USING THIS INFORMATION, THE CHNA STEERING COMMITTEE ADOPTED STATEWIDE COMMUNITY HEALTH PRIORITIES TO BE ADDRESSED INDEPENDENTLY AND COLLABORATIVELY BY EACH HOSPITAL. IN LINE WITH THE CHNA STEERING COMMITTEE RECOMMENDATIONS SOUTH COUNTY HOSPITAL WILL FOCUS ON THE FOLLOWING HEALTH PRIORITIES FOR THE 2019-2021 REPORTING CYCLE: BEHAVIORAL HEALTH, CHRONIC DISEASE AND MATERNAL AND CHILD HEALTH. PART V, SECTION B, LINE 7A: HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 10: HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V, SECTION B, LINE 16A: HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 16B: HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/MEDIA/DOCUMENTS/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-2018.PDF PART V, SECTION B, LINE 16C: HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/MEDIA/DOCUMENTS/FINANCIAL-ASSISTANCE/ELIGIBILITY-SCREENING-QUESTIONNAIRE-APPENDIX-2.PDF PART V, SECTION B, LINE 22D: SOUTH COUNTY HOSPITAL PROVIDES FREE CARE TO ALL INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEBSITE. PART I, LINE 7: COLUMN (F)THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(C), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,350,808. PART I, LINE 7G: SOUTH COUNTY HOSPITAL'S COMMUNITY HEALTH DIVISION PROVIDES VARIOUS PROGRAMS FREE OF CHARGE TO THE COMMUNITY IT SERVES WHICH ARE PARTIALLY FUNDED WITH FEDERAL/STATE GRANTS, TOWN SUBSIDIES, AND DONATIONS. THESE PROGRAMS CAN BE SUMMARIZED AS FOLLOWS;RIDOH HEZ CORE: HEALTHY BODIES HEALTHY MINDS (HBHM) INFRASTRUCTURE TO FACILIATE RIDOH PROGRAMS.RIDOH HEZ RURAL HEALTH: INITIAL STAGES OF THE COMMUNITY PARAMEDIC PROGRAM. A FOCUS ON THE PRELIMINARY PERSONNEL TRAINING IN THE CRISIS INTERVENTION TEAM WITH EMPHASIS IN MENTAL HEALTH FROM AN EMS PERSPECTIVE.RIDOH HEZ CARES ACT: PROVIDES ENHANCED RESOURCES TO DEVELOP AND/OR EXPAND A COMMUNITY-LEVEL RESPONSE TO THE COVID-19 PANDEMIC THAT FOCUSES ON INCREASING AWARENESS AND COMPLIANCE WITH COMMUNITY MITIGATION GUIDELINES AND FOSTERING COMMUNITY RESILIENCE.RIDOH HEZ ELC: DEVELOP AND/OR EXPAND A COMMUNITY-LEVEL RESPONSE TO THE COVID-19 PANDEMIC THAT FOCUSES ON INCREASING TESTING, QUARANTINE AND ISOLATION RESOURCES, SYSTEM NAVIGATION SUPPORTS, COMPLIANCE WITH PREVENTION/MITIGATION GUIDELINES, AND COMMUNITY RESILIENCE.RIDOH PDG B-5: IMPLEMENTING INCREDIBLE YEARS PARENTING AND 5-2-1-0 HEALTHY EATING AND ACTIVE LIVING CONSULTATION.RIDOH MENTAL HEALTH FIRST AID TRAINING SERVICES (EMS): SCHEDULE AND PROVIDE MENTAL HEALTH FIRST AID TRAININGS FOR REFERRED EMS AGENCIES AND THEIR STAFF.SAMHSA MHAT: MENTAL HEALTH AWARENESS & TRAINING INITIATIVE (MHAT) AIMS TO IMPROVE PUBLIC AWARENESS OF MENTAL HEALTH INDICATORS AND RESPONSES BY TRAINING PUBLIC SERVICES PROVIDERS.SAMHSA ZERO SUICIDE: A 'POPULATION HEALTH' APPROACH TO ZERO SUICIDE BY IMPLEMENTING THE EVIDENCE-BASED FRAMEWORK IN 8 MAJOR HEALTHCARE ORGANIZATIONS IN WASHINGTON COUNTY. THE ZERO SUICIDE FRAMEWORK INCLUDES SEVEN ESSENTIAL ELEMENTS: LEAD, TRAIN, IDENTIFY, ENGAGE, TREAT, TRANSITION, AND IMPROVE.RIF FUND FOR A HEALTHY RI: TO IMPROVE ACCESS TO QUALITY BEHAVIORAL HEALTH SERVCES IN WASHINGTON COUNTY AND TO ADDRESS SOCIAL DETERMINANTS OF MENTAL HEALTH IN TWO SMALL COMMUNITIES WITH KNOWN DISPARITIES: BRADFORD AND DAVISVILLE.RIF THE GREATEST 8 (WCCC): THE GREATEST 8 TEXT MESSAGING SERVICE TO PROMOTE CHILDREN'S MENTAL HEALTH. PROVIDES WEEKLY TIPS/SUGGESTIONS TO PARENTS OF CHILDREN (AGES 0-8 YEARS OLD). HELP PARENTS INSTILL 8 KEY SKILLS IN THEIR CHILDREN FOR A LIFETIME OF MENTAL WELLNESS.WCCC: GENERAL WCCC FUNDING.RIDOH FIRST CONNECTIONS HOME VISITING: FIRST CONNECTIONS PROGRAM PROVIDED NURSING AND CHW SUPPORT FOR 1-3 VISITS FOR NEW MOMS AND BABIES TO SUPPORT EDUCATION AND REFERRAL TO OTHER APPROPRIATE PROGRAMS, AND CAPTA SUPPORT FOR DCYF BABIES AND CHILDREN. RIDOH FC-SOR HOME VISITING: FIRST CONNECTIONS INTERVENTIONS SPECIFICALLY SUPPORTING SUBSTANCE EFFECTED NEONATES.RIDOH HEALTHY FAMILIES: PARENTING DEVELOPMENT FROM PRENATAL TO 3 YEARS OF AGE INCLUDING CHILDHOOD SCREENING AND REFERRAL TO APPRORIATE PROGRAMMING.SCHH TELEHEALTH: TELEHEALTH MONITORING FOR CHRONIC DISEASE PATIENTS FOR VITAL SIGNS MONITORING TO SUPPORT REDUCED REHOSPITALIZATIONS. SCHH HOSPITALIZATION RATES OVERALL IS 8.71% WITH THOSE WHOM USES RESIDEO 15.4% AVERAGE.SCHH WELLNESS CLINICS: LIFESTYLE WELLNESS PROGRAM IS AN 8 WEEK EDUCATIONAL PROGRAM WITH FOCUS ON MANAGMENT OF CHRONIC DISEASE, COMMUNITY FLU CLINICS (14 ANNUALLY), HOME FLU PROGRAM AND BP CHECK IN BI AND SENIOR HOUSING CENTERS.SCHH PALLIATIVE CONSULTATION: NP/RN LIAISON WEEKLY REVIEW OF IDENTIFIED PATIENTS FOR SYMPTOM MANAGEMENT, GOALS OF CARE AND ADVANCED DIRECTIVES.SC CHT CARE TRANSFORMATION COLLABORATIVE OF RI (CTC-RI): SOCIAL WORKERS AND CHW THAT SUPPORT VULNERABLE COMMUNITY WITH PLACE BASED BH CARE AND BASIC NEEDS (SOCIAL DETERMINANTS OF HEALTH).SC CHT RI FOUNDATION: BEHAVIORAL HEALTH LICSW TO SUPPORT COMMUNITY WITH INCREASE IN BH NEEDS DURING COVID.SC CHT SCHH RIDOH FC-SOR: COMMUNITY HEALTH WORKER THAT SUPPORTS THE FIRST CONNECTION SOR PROGRAM CONNECTING NEW MOMS WITH SOCIAL SUPPORT SERVICES.SCSS WAVE VAN: TRANSPORTATION FOR COMMUNITY MEMBERS TO RECEIVE CARE AT THE CANCER CENTER, LAB, DI, COUMADIN, IN FOR SURGERY NOT HOME, AND PROVIDER APPOINTMENTS.SCH IN-PATIENT PALLIATIVE: MD/NP (HOPE HOSPICE) SUPPORTING INPATIENTS WITH CHRONIC DISEASE AND END OF LIFE WITH SYMPTOM MANAGEMENT, GOALS OF CARE, AND ADVANCED DIRECTIVES. EMPLOYED INTERFAITH CHAPLIAN FOR SPIRITUAL NEEDS. REFERRALS FOR ALL READMISSION TO SUPPORT REDUCTION GOALS.SCH CANCER CENTER PALLIATIVE CARE: NP TO SUPPORT SYMPTOM MANAGEMENT, GOALS OF CARE AND ADVANCED DIRECTIVES. PART II, COMMUNITY BUILDING ACTIVITIES: SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUP, WELLNESS SCREENING, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY. PART III, LINE 2: SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF-PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES. PART III, LINE 4: THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGE 10 FN #2(E) . PART III, LINE 8: SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF ITS MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITAL'S CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY 2021 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES. PART III, LINE 9B: PER THE HOSPITAL'S POLICY, PRIOR TO THE PATIENT'S DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT.SOUTH COUNTY HOSPITAL'S BILLING AND COLLECTION POLICY PROVIDES THE HOSPITAL CAN REFER AN ACCOUNT TO AN OUTSIDE AGENCY FOR COLLECTION BUT WILL NOT REFER ANY ACCOUNTS WHERE A PATIENT APPLIED FOR FINANCIAL ASSISTANCE AND HAS NOT BEEN NOTIFIED OF THE DECISION. BEFORE ENGAGING IN EXTRA ORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT THE AMOUNT DUE. PART VI, LINE 2: SOUTH COUNTY HOSPITAL IDENTIFIES ITS COMMUNITY'S HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS, QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITAL'S COMMUNITY. PART VI, LINE 3: SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID ETC.) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF-PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY. PART VI, LINE 4: THE PRIMARY SERVICE AREA INCLUDES ALL OF WASHINGTON COUNTY, RI COMMONLY KNOWN AS SOUTH COUNTY. THE SECONDARY SERVICE AREA INCLUDES THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH).BASED ON THE DEMOGRAPHIC INFORMATION ANALYZED FOR THE CHNA OBTAINED FROM ESRI BUSINESS ANALYST, 2018 AND THE US CENSUS BUREAU, THE HOUSING UNITS WITHIN THE SOUTH COUNTY HOSPITAL SERVICE AREA INCLUDE 72.4%, WHICH ARE OWNER-OCCUPIED, AND 27.6%, WHICH ARE RENTER-OCCUPIED. THE MEDIAN HOUSEHOLD INCOME IS $78,882. APROXIMATELY 2.8% OF RESIDENTS IN THE WORKFORCE ARE UNEMPLOYED, WHICH IS LOWER THAN THE STATE AND NATIONAL AVERAGES. THE MAJORITY OF THE RESIDENTS IN THE WORKFORCE HOLD WHITE-COLLAR POSITIONS (66%). THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY WITHIN SOUTH COUNTY HOSPITAL'S SERVICE AREA IS 9.6%, 10.1% OF WHICH ARE CHILDREN LIVING IN POVERTY. THEIR PERCENTAGES ARE LOWER THAN THE STATE (13.4% AND 18.9%, RESPECTIVELY).THE CHNA ASSESSMENT COMPLETED IN 2019 PROVIDES ADDITIONAL INFORMATION ON THE COMMUNITY SERVED BY THE HOSPITAL AND IS AVAILABLE ON THE HOSPITAL WEBSITE AT THE FOLLOWING LINK: HTTPS://WWW.SOUTHCOUNTYHEALTH.ORG/ABOUT-SOUTH-COUNTY-HEALTH/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART VI, LINE 5: SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY'S HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATION'S NEEDS. THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL:1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES.2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY MULTIDISCIPLINARY TEAMS AND CHRONIC ARE SERVICES.3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING. EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDIATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY. THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES. THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITAL'S CONTINUED COMMITMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.SOUTH COUNTY HOSPITAL WAS SUCCESSFUL AT UTILIZING RESOURCES EFFICIENTLY AND CONTINUED TO MAKE INVESTMENTS TO TREAT PATIENTS INFECTED WITH THE COVID-19 VIRUS AND MITIGATE THE SPREAD, INCLUDING RENOVATIONS TO THE EMERGENCY DEPARTMENT WHICH PROVIDED IMPROVED AIR QUALITY AND PATIENT THROUGHPUT FOR PREVENTION. PART VI, LINE 6: THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM KNOWN AS SOUTH COUNTY HEALTH OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, SOUTH COUNTY HOME HEALTH, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS. PART VI, LINE 7, REPORTS FILED WITH STATES RI X X X X 1 0 0 0 0 0 0 0 0 AARON S ROBINSON PRESIDENT AND CEO 465606 0 102689 0 10982 0 9975 0 20094 0 609346 0 0 0 DAVID BADER PHYSICIAN 185839 0 262354 0 2909 0 9975 0 21120 0 482197 0 0 0 LISA RAMEAKA CMO & VPMA UNTIL 6/20 206690 0 0 0 199808 45070 7309 0 9806 0 423613 45070 0 0 ARNOLD SARAZEN PHYSICIAN 198434 0 234810 0 860 0 9975 0 21219 0 465298 0 0 0 AARON WEISBORD MD TRUSTEE UNTIL 4/21 228420 0 195658 0 5433 0 9975 0 21120 0 460606 0 0 0 ANGELA TABER PHYSICIAN 438870 0 10457 0 1489 0 0 0 1326 0 452142 0 0 0 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 412674 0 500 0 3095 0 9975 0 16792 0 443036 0 0 0 JOHN HEFFERNAN PHYSICIAN 192857 0 200658 0 4479 0 9975 0 20593 0 428562 0 0 0 JOHN MURPHY PHYSICIAN 192501 0 209690 0 725 0 9975 0 721 0 413612 0 0 0 GARY KUSNIERZ VP OPERATIONAL EXCELLENCE 275221 0 488 0 55776 0 1535 0 315 0 333335 0 0 0 SALVATORE ABBRUZZESE JR DO FORMER PRESIDENT MED STAFF 274233 0 20290 0 1299 0 9975 0 19272 0 325069 0 0 0 ANETRIA GALMORE VP, COO/CNO AS OF 4/20 231507 0 38012 0 544 0 0 0 6048 0 276111 0 0 0 MARGARET REGAN THOMAS VP, CHIEF HR OFFICER 188543 0 500 0 5980 0 6933 0 17496 0 219452 0 0 0 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 127068 0 35361 0 813 0 5724 0 8409 0 177375 0 0 0 ANNE SCHMIDT FORMER VP PAT CARE SVC 42945 0 0 0 117302 0 1503 0 0 0 161750 0 0 0 AARON HATTAWAY VP, CMO AS OF 9/20 115386 0 35651 0 75 0 0 0 218 0 151330 0 0 0 PART I, LINE 4A LISA RAMEAKA RECEIVED SEVERANCE IN THE AMOUNT OF 199,500 DURING THE CALENDAR YEAR 2020. UNDER THE TERMS OF HER AGREEMENT, SEVERANCE WAS PAID IN ONE LUMP SUM FOLLOWING HER TERMINATION IN JUNE 2020. ANNE SCHMIDT RECEIVED SEVERANCE IN THE AMOUNT OF 117,302 DURING THE CALENDAR YEAR 2020. UNDER THE TERMS OF HER AGREEMENT, SEVERANCE WAS TO BE PAID FOR UP TO NINE MONTHS FOLLOWING HER TERMINATION IN DECEMBER 2019. IN THE EVENT NEW EMPLOYMENT COMMENCED DURING THIS PERIOD, SEVERANCE WAS TO END AFTER SIX MONTHS. A RI HEALTH & EDUCATION BLDG CORP SERIES 2015 521300173 2015-08-12 45545000 REFINANCE 2012 BOND ISSUE 0 0 0 B RI HEALTH & EDUCATION BLDG CORP SERIES 2018 521300173 2018-12-27 10100000 NEW CONSTRUCTION/ EQUIPMENT 0 0 0 A 15435000 45545000 45545000 2015 1 0 1 1 B 946875 10100000 10100000 2020 0 0 1 1 A 0 0 1 1 0 0 0 0 B 0 0 1 1 0 0 0 0 A 0 1 0 0 1 1 MERRILL LYNCH CAPITA 30.000000000000 0 0 0 0 0 B 0 1 0 0 1 1 CITIZENS BANK NA 10.000000000000 0 0 0 0 0 A 0 B 0 SCHEDULE K, PART II, LINE 11: BOND FUNDS WERE USED TO REFUND THE 10/1/2012 BOND ISSUE. SCHEDULE K, PART III, LINE 3A: MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE: ANY MANAGEMENT OR SERVICE CONTRACTS THAT RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY ARE INCIDENTAL AND FALL UNDER THE SAFE HARBOR PROVIDED. SCHEDULE K, PART III, LINE 9: SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM MONITORS THEIR BOND FOR POST ISSUANCE BOND COMPLIANCE, BUT DOES NOT HAVE A SET OF WRITTEN PROCEDURES. THEY ARE IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: TO OPERATE AN INDEPENDENT, NON-PROFIT, ACUTE CARE HOSPITAL COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF INTEGRITY, CARING, RESPECT, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: SOUTH COUNTY HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS. FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF INTEGRITY, CARING, RESPECT, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2021, THE HOSPITAL REPORTED 6,518 DISCHARGES AND 20,569 INPATIENT DAYS. THE DISCHARGES INCLUDED 734 DELIVERIES AND 2,141 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 232,000 OUTPATIENT VISITS; INCLUDING 19,918 OUTPATIENT EMERGENCY ROOM VISITS AND 26,332 EXPRESS CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 145,444 VISITS. WHILE PATIENT VOLUMES IMPROVED OVER FY2020, THE HOSPITAL DID NOT EXPERIENCE THE RETURN TO PRE-PANDEMIC LEVELS AS ANTICIPATED; RESULTING IN SIGNIFICANT REVENUE SHORTFALLS. ADDITIONAL CHALLENGES DURING FY2021 WERE REALIZED FROM INCREASED LABOR COSTS BROUGHT BY THE INDUSTRY-WIDE SHORTAGE OF CLINICAL PERSONNEL AND THE RESULTING NEED FOR MORE EXPENSIVE CONTRACT LABOR, INCENTIVE PAY AND WAGE INCREASES ABOVE INFLATION TO BE ABLE TO RETAIN/RECRUIT STAFF. AT THE ONSET OF THE COVID-19 PANDEMIC, SOUTH COUNTY HOSPITAL OPENED THE BORDA UNIT, AN 11-BED UNIT DEDICATED TO THE GROWING NUMBER OF COVID-19 PATIENTS. THE UNIT WAS EQUIPPED WITH NEGATIVE PRESSURE ROOMS, PERSONAL PROTECTIVE EQUIPMENT, AND EMERGENCY MEDICAL MANAGEMENT SUPPLIES. THE FLOOR WAS ALSO STAFFED WITH A DEVOTED GROUP OF NURSES, RESPIRATORY THERAPISTS, AND PATIENT CARE TECHNICIANS, WITH SECRETARIAL SUPPORT. WE ARE PROUD THAT WE HAVE CONTINUED TO SUPPORT THE SOUTH COUNTY COMMUNITY THROUGHOUT THE PANDEMIC THROUGH TREATMENT AND PREVENTION. ON DECEMBER 18, 2020, SOUTH COUNTY HOSPITAL DELIVERED ITS FIRST DOSE OF COVID VACCINE TO STAFF. ALTHOUGH VACCINES WERE SCARCE, THE CENTERS FOR DISEASE CONTROL AND THE RHODE ISLAND DEPARTMENT OF HEALTH ENSURED THAT OUR HEALTHCARE WORKERS RECEIVED INITIAL DOSES. AS A COMMUNITY PARTNER, SOUTH COUNTY HOSPITAL ALSO EXTENDED DOSES TO OTHERS IN THE COMMUNITY AND TO OUR MOST VULNERABLE PATIENTS. WE ALSO PLAYED A KEY ROLE IN COMMUNITY HEALTH EDUCATION WHEN, IN MARCH OF 2021, SOUTH COUNTY HEALTH HELD ITS FIRST VIRTUAL PUBLIC TOWN HALL MEETING. MEMBERS OF THE COMMUNITY WERE INVITED TO PARTICIPATE IN DISCUSSIONS ON COVID, THE VACCINE, AND SOUTH COUNTY HEALTH'S FUTURE GROWTH AND SUCCESS - ALL VIA VIRTUAL TECHNOLOGY TO ENSURE THE SAFETY OF THOSE PARTICIPATING. FORM 990, PART VI, SECTION B, LINE 11B SOUTH COUNTY HOSPTIAL HEALTHCARE SYSTEM AND ITS AFFILIATED ENTITIES ARE KNOWN AS SOUTH COUNTY HEALTH ("SCH") WHICH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. ALL ENTITIES HAVE MIRROR BOARDS. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMEBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AT A BOARD MEETING PRIOR TO THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISITS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION, THE ORGANIZATION USES FORM 990 OF OTHER ORGANIZATIONS AND A COMPENSATION SURVEY. THE REVIEW IS DONE BY INDEPENDENT INDIVIDUALS OF THE GOVERNING BODY AND ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 16B: THE HOSPITAL'S JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE. THE HOSPITAL DOES NOT HAVE A FORMAL POLICY BUT IN PRACTICE ALL JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE THE JOINT VENTURE DOES NOT JEOPARDIZE THE TAX STATUS OF THE ORGANIZATION. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS 7,478,377. UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP 2,566,419. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 360,157. UNREALIZED CHANGE IN EQUITY INTERESTS IN L.P. 888,497. NET SERVICE COST COMPONENTS OF NET PENSION COST -603,713. FORGIVENESS OF SCSS INTERCOMPANY LOAN -310,668. FORM 990, PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. OCEAN VIEW HEALTH VENTURE LLC 100 KENYON AVENUE WAKEFIELD RI 02879 853789537 LEASE OFFICE BUILDING/PROVIDE MEDICAL ACCESS RI 0 5505657 SC HOSPITAL SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050259093 HEALTHCARE RI 501(C)(3) 7 N/A 0 SOUTH COUNTY HOME HEALTH 14 WOODRUFF AVENUE NARRAGANSETT RI 02882 056033975 HEALTHCARE RI 501(C)(3) 10 SC HOSPITAL 1 SILVER SPRING HEALTHCARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SCH HEALTHCARE C 1 SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 PERSONAL CARE RI SCH HEALTHCARE C 1 SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFIELD RI 02879 050478937 RETAIL OF MED EQP RI SCH HEALTHCARE C 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 SSHM SURGICAL SUPPLY INC O 754206 FMV SOUTH COUNTY HOME HEALTH O 526692 FMV OCEAN VIEW HEALTH VENTURE LLC R 3706000 FMV