2021-08-16T12:24:24-05:00 2020-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2019-10-01 042794625 SOUTHCOAST HEALTH SYSTEM INC % WADE BROUGHMAN SOUT 5089732905 C/O ACCOUNTING DEPT 101 PAGE ST NEW BEDFORD MA 02740 WADE BROUGHMAN EXEC VP FIN & CFO 5089732905 2021-08-16 true PAUL J TANIS P01441612 6175305000 2021-08-04 2019 2022-09-23 18:48:47Z KEITH HOVAN C/O ACCTING DEPT 101 PAGE ST NEW BEDFORD MA 02740 98859755 false X WWW.SOUTHCOAST.ORG X 1986 MA THE MISSION OF SOUTHCOAST HEALTH SYSTEM (SHS) IS TO CARE FOR AND IMPROVE THE HEALTH AND PROMOTE THE WELLNESS OF THE INDIVIDUALS IN THE SHS COMMUNITIES. (SEE SCHEDULE O) 17 13 0 14 158416 0 0 0 14613076 27894794 6131795 8189204 0 33510 20744871 36117508 0 0 0 0 0 0 0 0 0 9550351 17767588 9550351 17767588 11194520 18349920 162131157 188009896 10140492 24664725 151990665 163345171 X THE MISSION OF SOUTHCOAST HEALTH SYSTEM (SHS) IS TO CARE FOR AND IMPROVE THE HEALTH AND PROMOTE THE WELLNESS OF THE INDIVIDUALS IN THE SHS COMMUNITIES. (SEE SCHEDULE O) true false 7247 0 0 ORGANIZATIONAL OVERSIGHT - PROGRAM EXPENSES WERE INCURRED IN THE OVERALL MANAGEMENT OF SHG AND ITS AFFILIATES. STRATEGIC PLANNING, DEVELOPMENT AND THE COORDINATION OF SERVICES INVOLVING MULTIPLE AFFILIATES AND THE DEVELOPMENT OF PHYSICIAN MANPOWER IN THE MEDICALLY UNDERSERVED AREA OF SOUTHEASTERN MASSACHUSETTS WERE THE PRIMARY SERVICES PROVIDED. 0 0 2382013 SOUTHCOAST BEHAVIORAL HEALTH - SOUTHCOAST HEALTH SYSTEM, THROUGH ITS INTEREST IN SOUTHCOAST BEHAVIORAL HEALTH (SBH), AIMS TO ADDRESS AN URGENT HEALTHCARE NEED OF THE COMMUNITY IT SERVES BY PROVIDING HIGH QUALITY MEDICAL CARE FOR COMMUNITY MEMBERS FACING BEHAVIORAL HEALTH ISSUES. 15220805 0 20889701 SOUTHCOAST HEALTH NETWORK - SOUTHCOAST HEALTH SYSTEM, THROUGH ITS INTEREST IN SOUTHCOAST HEALTH NETWORK (SHN), AIMS TO PROVIDE NETWORK MANAGEMENT AND SUPPORT SERVICES TO PHYSICIANS AND OTHER MEDICAL PROFESSIONALS ASSOCIATED WITH THE SYSTEM. 2311540 4623080 SOUTHCOAST ACCOUNTABLE CARE ORG - SEE SCHEDULE O 2311540 4623080 17539592 true false false false false false false false false false true false true false true false false true false true true false false false false false true true false false true false false false false false false false false false false false false true true true true false false true 26 0 true 0 true true true CJ false false false false false false false false false false X 17 13 true false false false false false false true true false false true true true true true true false false true true MA X WADE BROUGHMAN 5089732905 101 PAGE STREET NEW BEDFORD MA 02740 X KEITH HOVAN PRESIDENT & CEO 2.5 70.0 X X 0 2211564 342254 WADE BROUGHMAN TREASURER/ EVP FIN/ CFO 2.5 70.0 X 0 869813 139019 RENEE CLARK ASSISTANT CLERK/ EVP/ COO 2.5 70.0 X 0 829794 152556 RONNIE BROWNSWORTH PRESIDENT SHN (UNTIL 6/2020) 60.0 1.5 X 0 928485 38256 MICHAEL BARRETTI DO EX-OFFICIO (UNTIL 12/2019) 1.5 44.5 X 0 739028 29539 CHRISTOPHER CHENEY MD TRUSTEE (UNTIL 12/2019) 1.5 44.5 X 0 368041 16010 JAY S SCHACHNE MD TRUSTEE (AS OF 1/2020) 1.5 44.5 X 0 349891 23910 GEORGINA NOUAIME MD EX-OFFICIO (AS OF 1/2020) 1.5 46.0 X 0 331697 29856 MELISSA ROSE GERGEL VP OPS SHN (UNTIL 12/2019) 60.0 0.0 X 0 258542 37365 LORI DAKIN ED OF BEHAVIORAL HEALTH SVCS 40.0 0.0 X 0 189288 42742 PATRICK GANNON OPS DIRECTOR SHN 40.0 0.0 X 0 194398 30404 VALERIE MUROLO RN CARE MANAGER 40.0 0.0 X 0 123268 35475 DAWN DAVIDIAN RN MEDICAL CARE MGT 40.0 0.0 X 0 123063 32359 DOROTHY HOLMES RN CARE MANAGER 40.0 0.0 X 0 125880 15098 JOHN LENTINI MD TRUSTEE (UNTIL 12/2019) 1.5 4.5 X 0 6200 0 SALMAN BASHIR MD TRUSTEE 1.5 6.0 X 0 700 0 PAMELA MCNAMARA TRUSTEE (UNTIL 12/2019) 1.5 4.5 X 0 0 0 JASON RUA CHAIR(UNTIL 12/2019), TRUSTEE 1.5 7.0 X 0 0 0 ROBERT TRIPP DO TRUSTEE 1.5 4.5 X 0 0 0 LOUIS CABRAL CHAIR (AS OF 1/2020) 2.5 9.0 X X 0 0 0 JAMES JEROME COOGAN CLERK 2.5 7.5 X X 0 0 0 W HUGH M MORTON TRUSTEE 1.5 4.5 X 0 0 0 DENNIS J FUSCO TRUSTEE 1.5 4.5 X 0 0 0 DONALD G GIUMETTI VICE CHAIR (AS OF 1/2020) 2.5 10.0 X X 0 0 0 ELIZABETH HUIDEKOPER TRUSTEE 1.5 6.0 X 0 0 0 CHRISTOPHER HODGSON TRUSTEE 1.5 4.5 X 0 0 0 HELENA DASILVA HUGHES TRUSTEE 1.5 4.5 X 0 0 0 JONATHAN L ROUNDS TRUSTEE (AS OF 1/2020) 1.5 4.5 X 0 0 0 HEIDI A KOSTIN TRUSTEE (AS OF 1/2020) 1.5 4.5 X 0 0 0 CARMEN F SYLVESTER TRUSTEE (AS OF 1/2020) 1.5 4.5 X 0 0 0 0 7649652 964843 0 false true false 0 0 INTEREST IN SOUTHCOAST HEALTH NETWORK 561000 20889701 20889701 INTEREST IN SOUTHCOAST BEHAVIORAL HEALTH 621300 2382013 2382013 INTEREST IN SOUTHCOAST ACCOUNTABLE CARE ORGANIZATI 561000 4623080 4623080 27894794 2509324 158416 2350908 0 0 0 0 0 68422127 62742247 5679880 5679880 5679880 0 0 0 0 0 0 0 0 0 FEDERAL TAXES 900099 33510 33510 33510 36117508 27894794 158416 8064298 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 215701 215701 12150610 12150610 0 0 0 69277 63119 6158 0 20965 20965 0 281277 281277 17059 17059 0 1135 1135 0 0 196871 196871 0 INTERCOMPANY CONTRACTED 4805698 4803698 2000 0 PARTS, REPAIRS, & MAINT. 603 603 0 0 PROF. DEVELOPMENT & FEES 1902 1902 0 0 MISCELLANEOUS FEES 6290 2153 4137 0 200 200 17767588 17539592 227996 0 0 0 14691239 21271002 0 0 3694586 4479747 0 0 0 0 0 0 0 0 127808 95360 885858 502872 579857 382986 116533269 128174443 7661701 8896549 14548473 18284069 0 0 4294224 6425740 162131157 188009896 4158110 4267303 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5982382 20397422 10140492 24664725 X 151990665 163345171 0 0 151990665 163345171 162131157 188009896 X 18349920 -9026054 2030640 X X false true X true false X X 3 SOUTHCOAST HOSPITALS GROUP INC 222592333 3 true 0 0 SOUTHCOAST PHYSICIANS GROUP INC 222703314 10 false 47780216 0 SOUTHCOAST VISITING NURSE ASSOCIATION INC 042105745 10 false 0 0 3 47780216 false false false false false false false false false false false false false false false true false FORM 990, SCHEDULE A, PART IV, SECTION A, LINE 1 SOUTHCOAST HEALTH SYSTEMS' GOVERNING DOCUMENT STATES THAT IT SHALL OPERATE EXCLUSIVELY FOR THE BENEFIT OF SOUTHCOAST HOSPITALS GROUP, INC. AND ITS AFFILIATED ORGANIZATIONS, INCLUDING MEDICAL CENTERS, HEALTH CARE CENTERS, NURSING CENTERS, LABORATORIES, CLINICS, AND OTHER MEDICAL SURGICAL OR DENTAL FACILITIES, AND HOME HEALTH AGENCIES, IN THE CONDUCT OF THEIR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC FUNCTIONS. 161467 146743 14724 724391 356129 368262 382986 INVESTMENT IN CPAC 407999 C INVESTMENT IN JOINT VENTURE 11627972 C INVESTMENT IN HMI 3512548 C INVESTMENT IN MASS VALUE ALLIA 484930 C INVESTMENT IN PREMIER 2250620 C 18284069 0 DUE TO AFFILIATES 19596238 LEASE LIABILITY OPERATING 801184 20397422 PART X, LINE 2 SHS ADOPTED FIN48 IN FISCAL YEAR 2008. THERE IS NO FOOTNOTE DISCLOSURE IN ITS FISCAL SEPTEMBER 30, 2020 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL. Central America and the Caribbean 0 1 Program Services CAPTIVE INSURANCE 6727460 Central America and the Caribbean 0 0 Investments 407999 0 1 0 1 7135459 7135459 true false true true true false PART I EXPENDITURES PER REGION ARE REPORTED ON AN ACCRUAL BASIS, WHICH IS THE METHOD USED TO ACCOUNT FOR THEM IN THE ORGANIZATION'S BOOKS AND RECORDS. true true X true X true X true true true false true true 115630 115630 0.00520 3354082 3354082 0 0.00000 3469712 3354082 115630 0.00520 28363 0 28363 0.00130 28363 0 28363 0.00130 3498075 3354082 143993 0.00650 true 203761 138611 7770725 6409709 1361016 X true true 1 1 NORTHEAST BEHAVIORAL HEALTH LLC DBA SOUTHCOAST BEHAVIORAL HEALTH 581 Fa Corner Road Dartmouth MA 02747 http://www.southcoastbehavioral.com/ 1055 X PSYCHIATRIC HOSPITAL SOUTHCOAST BEHAVIORAL HEALTH (SBH) false false true X X X X X X X X X 19 true true true true X SEE SECTION C X SEE SECTION C X X true 19 true SEE SECTION C false true X 200. 350. X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 3 IN MARCH 2015, SOUTHCOAST HEALTH SYSTEM ACQUIRED A 25% INTEREST IN NORTHEAST BEHAVIORAL, LLC, THAT OWNS A 120-BED PSYCHIATRIC HOSPITAL IN DARTMOUTH, MA, DOING BUSINESS AS SOUTHCOAST BEHAVIORAL HEALTH (SBH). SBH IS PART OF AN AFFILIATED HEALTH SYSTEM, SOUTHCOAST HEALTH SYSTEM, WHICH INCLUDES SOUTHCOAST HOSPITAL GROUP(SHG). SHG HAS A JOINT CHNA WITH SBH THAT IDENTIFIES COMMUNITY HEALTH NEEDS, INCLUDING BEHAVIORAL HEALTH NEEDS. SOUTHCOAST HEALTH SYSTEM COMMUNITY BENEFITS PROGRAM COORDINATES ACTIVITIES ACROSS ITS VARIOUS AFFILIATES. PART V, SECTION B, LINE 5 SBH's CHNA is conducted with affiliate Southcoast Hospitals Group, Inc. (SHG). In October 2019, Southcoast completed the conduction of a major, three-year health needs assessment with a particular focus on addressing health equity issues in and around the communities that we serve. The CHNA documents the major demographic, socioeconomic, and health trends among South Coast residents, with a focus on health care access, the physical environment, health behaviors, children's health, and health disparities. The analysis is enhanced by qualitative data gathered through stakeholder interviews, focus groups, and surveys of community members and service providers. The goal of the assessment is to inform data-driven objectives and strategies that can be used to improve the overall health of South Coast residents. 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 31 stakeholder interviews with community partner and service providers, 6 focus groups, a survey for service providers in which 142 people working in a variety of healthcare settings and professions completed and a community member survey, which was completed by 430 residents of the South Coast and its neighboring communities. Stakeholder Interviews: Fall River EMS GateHouse Media New England Father Bill's and Mainspring New Bedford Fire Department New Bedford Police Department Wareham Police Department Community Economic Development Center New Bedford Fishing Partnership Comission for Citizens with Disabilities Cape Verdean Association Old Rochester Regional School District Plymouth County Distric Attorney's Office Achushnet Council on Aging Community Health Consultant Junior Achievement of Southeastern MA St. Luke's Hospital Steppingstone, Inc. Fall River WIc Children's Advocacy Center of Bristol County New Beginnings, Southcoast Health Southcoast Health Interchurch Council of Greater New Bedford Boys and Girls Club of New Bedford and Wareham Charlton Memorial Hospital Greater New Bedford Community Health Center United Neighbors of Fall River Focus Groups: 1. Consisted of Wareham-based service providers representing a wide range of care settings and health care professionals. 2. A support group for cancer survivors and their family members from across the region at the Southcoast Cancer Center in Fairhaven. 3. Conducted as part of the Mental Health Providers Network's regular meeting. Members include mental health professionals working in a variety of settings throughout the Greater New Bedford region. 4. Primary Spanish-speaking residents of the North end of New Bedford. Convened by the Community Economic Development Center of New Bedford. 5. Consisted of families who have engaged with programming provided by the United Way of Greater New Bedford's Family Resource & Development Center. The group was very racially and ethnically diverse and multigenerational. 6. Consisted of community members and service providers working in Greater Fall River. Convened by Representative Carole Fiola as part of her regular "Coffee with Carole" event. of settings throughout the Greater New Bedford region. PART V, SECTION B, LINE 6A THE CHNA FOR SBH WAS CONDUCTED JOINTLY WITH AFFILIATE SOUTHCOAST HOSPITALS GROUP, INC WHO OPERATES THREE HOSPITAL FACILITIES, ST LUKE'S HOSPITAL IN NEW BEDFORD, MA, CHARLTON MEMORIAL HOSPITAL IN FALL RIVER, MA, AND TOBEY HOSPITAL IN WAREHAM, MA. PART V, SECTION B, LINE 6B AFFILIATE SOUTHCOAST HOSPITALS GROUP, INC. COLLABORATES WITH UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY CENTER IN PREPARING THE CHNA. PART V, SECTION B, LINE 7A https://www.southcoastbehavioral.com/about/community-health-needs-assessme nt PART V, SECTION B, LINE 7C https://www.southcoast.org/community-benefits/community-benefits-reporting / 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 FY2020, 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), WAREHAM COMMUNITY SERVICES COLLABORATIVE, NEAR NORTH END ALLIANCE, BMC HEALHNET PLAN, COASTAL FOODSHED, LAUNDRY OF LOVE, LEADERSHIP SOUTHCOAST, HOMELESS SERVICE PROVIDERS NETWORK, AGE FRIENDLY NEW BEDFORD, BOYS AND GIRLS CLUB OF NEW BEDFORD AND WAREHAM, NEW BEDFORD HEALTH DEPARTMENT, NEW BEDFORD HOUSING AUTHORITY, SUBSTANCE EXPOSED NEWBORN COMMITTEE OF SEMA, GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, WAREHAM HEALTH DEPARTMENT, WAREHAM PUBLIC SCHOOLS' BEYOND SCHOOL TIME, YMCA SOUTHCOAST. PART V, SECTION B, LINE 10A https://www.southcoastbehavioral.com/about/community-health-needs-assessme nt PART V, SECTION B, LINE 11 Our current strategic action plan is based on the community health needs assessment completed in 2019 with affiliate SHG. Through the needs assessment process, Southcoast identified five priorities for 2020-2022 that will address the most pressing health needs of the community. These priorities are: 1. Chronic Disease, Prevention & Treatment: Reduction of the high rate of chronic disease (including diabetes, asthma, cancer, and other diseases) in our region. 2. Educational Attainment & Income: Enhancement of South Coast resident's employment skills, increased job opportunities and access to education. Minimization of the skills gap across all sectors through assisting adults continue or expand their educational attainment (ex. a high school diploma or certificate), and to assist adults further their skills/advance in their careers through additional job training and readiness skills. Increase early literacy by boosting enrollment and access to early head start and preschool programs. 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 and creating innovative approaches to population health, i.e. improving health and wellness for defined populations such as specific demographic or geographic groups. 3. Housing & Homelessness: 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. Behavioral Health: Behavioral health issues that include substance abuse and mental health, including improved coordination of behavioral health providers and systems. Maternal and Children's Health, including fetal and infant health, abuse and neglect, hospitalizations, substance abuse, healthy weight, and mortality. 5. Environmental Health & Wellness: 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. Reduction in the incidence of youth risk behaviors such as teen violence, high rates of teen pregnancy and substance abuse. Increasing Emergency Preparedness in our cities and towns, including basic infrastructure equipment. All activities of Community Benefits are completed along with affiliate SHG 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: 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, Coalition to End and Prevent Homelessness, Behavioral Health/Substance Use Intervention, Healthy Systems & Environment Change. To address needs, target populations are determined by our comprehensive health needs assessment and are reviewed on an annual basis. Our 2020 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 health insurance or other barriers. - Residents and their families who are impacted by mental/behavioral health 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. - 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 13H SBH GRANTS FAP ELIGIBILITY FOR PERSONS WITH ANY TYPE OF MEDICAID. PART V, SECTION B, LINE 16A http://www.southcoastbehavioral.com/admissions/financial-assistance-policy PART V, SECTION B, LINE 16B http://www.southcoastbehavioral.com/admissions/financial-assistance-policy PART V, SECTION B, LINE 16C http://www.southcoastbehavioral.com/admissions/financial-assistance-policy PART V, SECTION B, LINE 16J THE HOSPITAL EMPLOYED FINANCIAL COUNSELOR MEETS WITH EVERY PATIENT THAT IS IDENTIFIED THAT MAY HAVE A FINANCIAL OBLIGATION, AND REVIEWS THE POLICY AND OFFERS FINANCIAL ASSISTANCE TO ALL PATIENTS TO DETERMINE IF THEY QUALIFY FOR CHARITY. PART I, LINE 3C In furtherance of its charitable purposes, the Hospital will provide both (i) emergency treatment to any person requiring such care; and (ii) medically necessary behavioral healthcare services to patients who are permanent residents of the Commonwealth of Massachusetts (and others on a case-by-case basis) who meet the conditions and criteria set forth in the financial assistance policy; in each case, without regard to the patients' ability to pay for such care. It is the policy of the Hospital to provide financial assistance (care either for free or at discounted rates) to persons or families where: (i) there is limited or no health insurance available; (ii) the patient fails to qualify for governmental assistance (for example, Medicare or Medicaid); (iii) the patient cooperates with the Hospital in providing the requested information demonstrating financial need, or other facts and circumstances readily demonstrate financial need; and (iv) the Hospital makes an administrative determination that financial assistance is appropriate based on the patient's ability to pay (as established by family income or based on criteria demonstrating presumptive eligibility) and the size of the patient's medical bills. After the Hospital determines that a patient is eligible for financial assistance, the Hospital will determine the amount of financial assistance available to the patient by utilizing the Financial Assistance Guidelines. The Guidelines reflect family income levels tied to the most recent Federal Poverty Guidelines, and establish corresponding discount percentages. The Guidelines are adjusted annually to reflect the annual update to the Federal Poverty Guidelines, and to adjust the corresponding discount percentages to ensure that, in all cases, a patient determined to be eligible for financial assistance will not be billed more than the amounts generally billed by the Hospital for the same emergency or medically necessary behavioral health services to individuals who have insurance covering such care. In cases where third-party coverage (including private insurance or payment by governmental program) is nonexistent or likely to be inadequate, the Financial Counselor will inform the patient of the availability of Financial Assistance. Patients seeking financial assistance will be asked to complete the Financial Assistance Application. Once a completed Financial Assistance Application is received, the Financial Counselor will review the application and forward it to the Business Office Director. Patients who are determined to be presumptively eligible will be processed for financial assistance without need for completion of the Financial Assistance Application. PART I, LINE 6a SOUTHCOAST HEALTH SYSTEM, INC., THROUGH ITS INTEREST IN SOUTHCOAST BEHAVIORAL HEALTH, JOINTLY CONDUCTED ITS CHNA WITH AFFILIATE SOUTHCOAST HOSPITALS GROUP, INC. PART I, LINE 7 AMOUNTS REPORTED IN PART I, LINE 7 WERE DERIVED USING THE ACTUAL COST OF SERVICES PROVIDED BASED ON THE TOTAL COST-TO-CHARGE RATIO DERIVED FROM SBH'S MEDICARE COST REPORT. PART I, LINE 7, COLUMN F IN MARCH 2015, THE SOUTHCOAST ACQUIRED A 25% INTEREST IN NORTHEAST BEHAVIORAL, LLC, WHICH OWNS A 120-BED PSYCHIATRIC HOSPITAL DOING BUSINESS AS SOUTHCOAST BEHAVIORAL HEALTH (SBH). SOUTHCOAST HEALTH SYSTEM'S INTEREST IN SBH IS RECORDED UNDER THE EQUITY METHOD OF ACCOUNTING IN SOUTHCOAST HEALTH SYSTEM'S CONSOLIDATED FINANCIAL STATEMENTS. AMOUNTS REPORTED IN PART I, LINE 7 REPRESENT SOUTHCOAST HEALTH SYSTEM'S ALLOCABLE SHARE OF SBH'S TOTAL COMMUNITY BENEFIT EXPENSES AND DIRECT OFFSETTING REVENUE. THE DENOMINATOR USED TO CALCULATE THE COMMUNITY BENEFIT PERCENT OF TOTAL EXPENSE IN PART I, LINE 7, COLUMN (F), REPRESENTS SOUTHCOAST HEALTH SYSTEM'S ALLOCABLE SHARE OF SBH'S TOTAL EXPENSE (EXCLUDING BAD DEBT EXPENSE), PLUS SOUTHCOAST HEALTH SYSTEM'S TOTAL FUNCTIONAL EXPENSE AS REPORTED IN PART IX. AMOUNTS REPORTED IN PART III REPRESENT SOUTHCOAST HEALTH SYSTEM'S ALLOCABLE SHARE OF SBH'S MEDICARE AND BAD DEBT AMOUNTS. PART III, LINE 2 BAD DEBT EXPENSE IS A COMBINATION OF RESERVES BASED ON THE AGE OF THE ACCOUNT, AND ACTUAL WRITE-OFFS OF BALANCES DETERMINED UNCOLLECTIBLE IN ACCORDANCE WITH THE BUSINESS OFFICE POLICIES OF SBH. AFDA IS RESERVED FOR AS FOLLOWS: 35% OF ALL MEDICARE DEDUCTIBLES/COINSURANCE, 33% OF 0-30 DAY SELF-PAY, 67% OF 31-60 DAY SELF-PAY, AND 100% THEREAFTER; 2% OF 0-30 DAY INSURANCE, 5% OF 31-90 DAY INSURANCE, 10% OF 91-120 DAY INSURANCE, 40% OF 121-150 DAY INSURANCE, 70% OF 151-180 DAY INSURANCE, AND 100% OF >180 DAY INSURANCE. ADDITIONALLY, 65% OF MEDICARE BAD DEBT WRITE OFFS ARE RECOVERABLE ON THE MEDICARE COST REPORT AND AS SUCH, THEY ARE RECORDED AS AN OFFSET TO BAD DEBT EXPENSE. PART III, LINE 3 PER SOUTHCOAST'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 SOUTHCOAST CONSIDERS THIS AMOUNT OF BAD DEBT AS A COMMUNITY BENEFIT EXPENSE. PART III, LINE 4 THE FOOTNOTE RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS STARTS ON PAGE 8 OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8 THE COSTING METHODOLOGY USED TO DETERMINE ALLOWABLE COSTS IS BASED ON THE ACTUAL COST OF SERVICES PROVIDED BASED ON THE TOTAL COST-TO-CHARGE RATIO DERIVED FROM SBH'S MEDICARE COST REPORT. PART III, LINE 9B IN THE EVENT THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE BUT FAILS TO TIMELY PAY ANY REMAINING BALANCE DUE (INCLUDING, IF APPLICABLE, PER THE TERMS OF THE AGREED-UPON PAYMENT PLAN), SOUTHCOAST MAY TAKE ANY OF THE ACTIONS SET FORTH IN THE HOSPITAL'S BILLING AND COLLECTION POLICY, INCLUDING SENDING REMAINING SELF-PAY BALANCES TO A THIRD PARTY COLLECTION AGENCY WITHIN 90-120 DAYS OF PATIENT'S DISCHARGE DATE. CONSISTENT WITH THE BILLING AND COLLECTION POLICY, THE HOSPITAL WILL NOT UNDERTAKE ANY EXTRAORDINARY COLLECTION ACTIONS (AS DEFINED IN THAT POLICY) WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PURSUANT TO THIS POLICY. PART VI, LINE 2 SOUTHCOAST HEALTH SYSTEM THROUGH ITS INTEREST IN SBH AIMS TO ADDRESS AN URGENT HEALTHCARE NEED OF THE COMMUNITY IT SERVES BY PROVIDING HIGH QUALITY MEDICAL CARE FOR COMMUNITY MEMBERS FACING BEHAVIORAL HEALTH ISSUES. SERVICES PROVIDED BY SBH ADDRESS NEEDS IDENTIFIED BY ITS AFFILIATE SOUTHCOAST HOSPITALS GROUP IN their joint COMMUNITY HEALTH NEEDS ASSESSMENT. PART VI, LINE 3 THE HOSPITAL EMPLOYED TWO FINANCIAL COUNSELORS THAT MEET WITH EVERY PATIENT THAT IS IDENTIFIED WHO MAY HAVE A FINANCIAL OBLIGATION, AND REVIEWS THE POLICY AND OFFERS FINANCIAL ASSISTANCE TO ALL PATIENTS TO DETERMINE IF THEY QUALIFY FOR CHARITY. 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. Overall, the South Coast's population increased by 2.8 percent since the beginning of the century and by 12.2 percent since 1970, both of which lag behind the statewide population growth rates for those periods. This gap appears to be mostly driven by long-term population declines in Fall River and New Bedford, although the population of New Bedford has increased slightly since 2010. 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 non-White residents account for 36.6 percent of the city's population. Communities throughout the South Coast are becoming more diverse. Between the 2006-2010 and 2013-2017 periods, the minority population in the region increased by 4.7 percent (16,945 people). Fall River experienced the largest percentage increase in its minority population (7.7% or 6,895 residents), followed by New Bedford (6.7% or 6,433 residents), Fairhaven (6.6% or 1,056 residents), and Wareham (5.4% or 1,329 residents). The schools of the South Coast are often more diverse than the communities as a whole. For example, New Bedford's public schools are now majority non-white with Hispanic and Black students representing 40.5 and 12.5 percent of the total student population, respectively. The higher share of minorities in the school system compared to the community is, in part, a product of the national trend of minority births exceeding white births. As this trend continues, the student population in the region will only grow more diverse. The South Coast has long been an attractive place to settle for immigrants, as evidenced by foreign-born residents representing 14.5 percent of the region's population. As Gateway Cities, New Bedford and Fall River have been traditional destinations for new arrivals to America since the late 18th century. During the 2013-2017 period, 18.7 percent of residents in Fall River and 20.0 percent of residents in New Bedford were born outside of the country. In both cities, Portuguese immigrants make up the majority of the foreign-born residents. However, as emigration from Europe to the U.S. has slowed, Latin American and Asian immigrants make up increasing shares of the populations in New Bedford and Fall River. As major destinations for the region's newly arrived immigrants, New Bedford and Fall River have the highest shares of residents reporting limited English proficiency, 14.0 percent and 17.5 percent, respectively. 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 region's 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. As a region, the South Coast has long struggled with low levels of educational attainment. Although the regional average is primarily driven by the low levels of educational attainment in Fall River and New Bedford, many of the region's towns also lag behind the state in educational attainment of post-secondary degrees. In both cities, the majority of the population 25 years of age or older has never attended a college or university. Additionally, when compared to the adult population statewide, both Fall River and New Bedford have nearly three times the percentage of adults who have not completed high school (27.9% and 27.3%, respectively) compared to the Commonwealth (9.7%). Inflation-adjusted median household income increased in seven South Coast communities from the 2006-2010 to the 2013-2017 periods. Seven South Coast communities have median incomes that are above the state average. Median incomes are particularly low in Fall River (4th lowest in Massachusetts) and New Bedford (7th lowest in Massachusetts). Acushnet, Fairhaven, Somerset, and Wareham also have median incomes below the state average. While the South Coast has a higher share of people living in poverty than the state, the region's cities are home to disproportionate shares of people in poverty. Over 20 percent (20.2%) of all people in Fall River and 23.1 percent of people in New Bedford live in households with annual incomes below the poverty level. This translates to 39,247 individuals living in poverty in just the cities of the South Coast alone. Poverty rates decreased in five South Coast communities between the 2008-2012 and 2013-2017 periods, while rates increased in eight communities. In Fall River and New Bedford, these measures of poverty are higher than the region and the state as a whole. For example, less than 10 percent of all families statewide live in poverty (7.8%), compared with 11.9 percent of all families in the South Coast and 17.5 percent of families in Fall River and 19.3 percent of families in New Bedford. In addition, the percentage of families with children living in poverty in Fall River and New Bedford is more than double the statewide percentage. The region's 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. A person's physical environment can profoundly affect health outcomes. Environmental factors that affect health outcomes include, but are not limited to, access to healthy food, air quality, water quality, and environmental contamination. In particular, exposure to contaminants through pathways from the air, water, soil, and food can lead to extreme health issues. 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 highest rate of food insecurity in southeastern Massachusetts, with 10.3 percent of all county residents lacking access, at times, to enough food for an active, healthy life. - Walkable communities allow residents to reduce or even eliminate their use of automobiles, typically the second largest household expense in the U.S. These communities also convey immediate benefits to the environment since, unlike motorized transportation, walking produces no pollutants. Walking has the potential to confer beneficial effects for health, personal finances, the environment and more. The South Coast cities of Fall River and New Bedford scored a WalkScore of 66 and 65 out of 100. This means they are characterized as "somewhat walkable" communities. However, the more rural town of Wareham, is much less walkable and scored a 48 out of 100, characterizing the town as "car-dependent". - The South Coast is home to a number of sites that contain and/or generate contaminants that can negatively affect residents' health. The South Coast is home to 57 of the state's 1,012 brownfield sites. Twelve of these are located in Fall River and 28 are located in New Bedford. On a per square mile and per 1,000 population basis, these cities have higher ratios of brownfield sites compared to the state. PART VI, LINE 5 THE OPERATING AGREEMENT OF SBH STATES: IT IS THE INTENTION OF THE PARTIES HERETO THAT THE COMPANY THROUGH THE BEHAVIORAL BUSINESS FURTHERS THE CHARITABLE AND COMMUNITY-BASED HEALTH CARE PURPOSES OF THE SOUTHCOAST MEMBER AND SOUTHCOAST BY PROMOTING HEALTH FOR A BROAD CROSS-SECTION OF THE COMMUNITY. IN FURTHERANCE OF THESE PURPOSES, THE SOUTHCOAST MEMBER MAY FROM TIME TO TIME FORMULATE AND IMPLEMENT (AND/OR DIRECTLY ASSIST THE OPERATIONS MANAGER AND/OR ANY AND ALL MANAGERS AND OFFICERS OF THE COMPANY IN THE IMPLEMENTATION OF), POLICIES AND PROCEDURES FOR OPERATION OF THE BEHAVIORAL BUSINESS AND THE COMPANY SHALL ADOPT AND IMPLEMENT SUCH POLICIES AND PROCEDURES ESTABLISHED BY THE SOUTHCOAST MEMBER TO PROMOTE THE PUBLIC HEALTH NEEDS OF THE COMMUNITY, INCLUDING POLICIES AND PROCEDURES REGARDING ADMISSION TO THE HOSPITAL, FINANCIAL ASSISTANCE ELIGIBILITY CRITERIA, INDIGENT AND CHARITY CARE RENDERED THROUGH THE BEHAVIORAL BUSINESS, PERFORMANCE OF COMMUNITY HEALTH NEEDS ASSESSMENTS, COMMUNITY EDUCATION ACTIVITIES AND OTHER COMMUNITY HEALTH CARE PROGRAMS MADE ACCESSIBLE THROUGH THE HOSPITAL TO THE PUBLIC. PART VI, LINE 6 The Southcoast Health Community Benefits program works with other Southcoast affiliates including, Southcoast Behavioral Health, 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. The 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 bi-monthly 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, Youth Risk Behaviors program, Urgent Care and the Southcoast Physicians Group. The Community Benefits Director oversees Southcoast's day-to-day community benefits activities and leads the internal Community Benefits Leadership Team and the external Community Benefits Advisory Council. 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 AFFILIATE SHG FILES AN ANNUAL REPORT WITH THE OFFICE OF THE MASSACHUSETTS ATTORNEY GENERAL. false true false false false false false false false KEITH HOVAN PRESIDENT & CEO 0 1170000 0 585000 0 456564 0 320798 0 21456 0 2553818 0 241828 WADE BROUGHMAN TREASURER/ EVP FIN/ CFO 0 613000 0 229900 0 26913 0 121069 0 17950 0 1008832 0 0 RENEE CLARK ASSISTANT CLERK/ EVP/ COO 0 575000 0 172500 0 82294 0 131100 0 21456 0 982350 0 75570 RONNIE BROWNSWORTH PRESIDENT SHN (UNTIL 6/2020) 0 585000 0 219400 0 124085 0 16800 0 21456 0 966741 0 0 MICHAEL BARRETTI DO EX-OFFICIO (UNTIL 12/2019) 0 425001 0 169847 0 144180 0 15600 0 13939 0 768567 0 0 CHRISTOPHER CHENEY MD TRUSTEE (UNTIL 12/2019) 0 228373 0 105830 0 33838 0 15600 0 410 0 384051 0 0 JAY S SCHACHNE MD TRUSTEE (AS OF 1/2020) 0 186879 0 136412 0 26600 0 15600 0 8310 0 373801 0 0 GEORGINA NOUAIME MD EX-OFFICIO (AS OF 1/2020) 0 253846 0 22000 0 55851 0 15600 0 14256 0 361553 0 0 MELISSA ROSE GERGEL VP OPS SHN (UNTIL 12/2019) 0 258542 0 0 0 0 0 15909 0 21456 0 295907 0 0 LORI DAKIN ED OF BEHAVIORAL HEALTH SVCS 0 188953 0 0 0 335 0 25000 0 17742 0 232030 0 0 PATRICK GANNON OPS DIRECTOR SHN 0 188546 0 5852 0 0 0 12054 0 18350 0 224802 0 0 VALERIE MUROLO RN CARE MANAGER 0 123268 0 0 0 0 0 19428 0 16047 0 158743 0 0 DAWN DAVIDIAN RN MEDICAL CARE MGT 0 123063 0 0 0 0 0 25000 0 7359 0 155422 0 0 PART I, LINE 1A SHS DOES NOT EMPLOY ANY INDIVIDUALS. OFFICERS AND TRUSTEES OF SHS RECEIVE NO COMPENSATION FOR THEIR ROLES IN THESE CAPACITIES. OFFICERS AND TRUSTEES (CURRENT OR FORMER) WITH REPORTABLE COMPENSATION ARE COMPENSATED BY A NON-PROFIT SUBSIDIARY ORGANIZATION'S PAYROLL FOR SERVICES RENDERED AS EMPLOYEES OF THE SUBSIDIARY. PART I, LINE 3 SOUTHCOAST HOSPITAL GROUP (SHG), A RELATED ORGANIZATION CHECKED THE FOLLOWING BOXES WHICH WERE USED BY SHG TO ESTABLISH COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE 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. KEITH HOVAN - $309,434 RENEE CLARK - $77,740 RONNIE BROWNSWORTH - $98,739 IN ADDITION TO THE ABOVE OUTLINED PLAN, THE FOLLOWING INDIVIDUAL ALSO HAS A SEPARATE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. KEITH HOVAN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF KEITH HOVAN. UNDER THE TERMS OF THE PLAN, MR. HOVAN BECAME FULLY VESTED AS OF JUNE 30, 2018. ANNUAL CREDITS TO THE PLAN ARE IMMEDIATELY VESTED AND INCLUDED IN SCH J, PART II, COLUMN (B)(III). PURSUANT TO THE PLAN $132,400 WAS INCLUDED IN MR. HOVAN'S 2019 FORM W-2 AND SCH J, PART II, COLUMN B(III). PART III, LINE I: THE MISSION OF SOUTHCOAST HEALTH SYSTEM, INC.(SHS) IS TO CARE FOR AND IMPROVE THE HEALTH AND PROMOTE THE WELLNESS OF THE INDIVIDUALS AND COMMUNITIES SERVED BY OPERATING EXCLUSIVELY FOR THE BENEFIT OF SOUTHCOAST HOSPITALS GROUP, INC (SHG), A SAFETY NET PROVIDER OF HOSPITAL SERVICES, AND ITS AFFILIATED ORGANIZATIONS THROUGH THE DEVELOPMENT OF A COMMUNITY OWNED SYSTEM WITH MULTIPLE ACCESS POINTS OFFERING AN INTEGRATED CONTINUUM OF HEALTH CARE SERVICES. PART III, LINE 4D: SOUTHCOAST ACCOUNTABLE CARE ORGANIZATION - SOUTHCOAST HEALTH SYSTEM, THROUGH ITS INTEREST IN SOUTHCOAST ACCOUNTABLE CARE ORGANIZATION, AIMS TO EXPAND THE DELIVERY OF HEALTHCARE SERVICES WITH A VARIETY OF PUBLIC AND PRIVATE PAYERS AND TO SUPPORT THE REDUCING OF COSTS OF CARE WHILE IMPROVING QUALITY AND PATIENT EXPERIENCE. PART VI, SECTION A, LINE 2: TRUSTEES AND OFFICERS OF SHS ARE ALSO TRUSTEES AND OFFICERS OF SHG, A RELATED ORGANIZATION. 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. PART VI, SECTION B, LINE 12C: SHS HAS CONFLICT OF INTEREST, LEGAL COMPLIANCE AND CODE OF CONDUCT POLICIES THAT APPLY TO ALL TRUSTEES, OFFICERS 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 DISCLOSURES, 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 INTEREST 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 THE BOARD OR ANY 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. PART VI, SECTION C, LINE 19: SHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART VII, SECTION A, LINE 1: TRUSTEES AND OFFICERS ARE COMPENSATED FOR THEIR ROLES OUTSIDE OF THEIR CAPACITY AS TRUSTEES AND OFFICERS. PART XI, LINE 9: OTHER CHANGES IN NET ASSETS OR FUND BALANCES: TRANSFERS AMONG AFFILIATES (13,539,505) OTHER CHANGES IN UNRESTRICTED NET ASSETS 15,570,145 -------------- TOTAL 2,030,640 PART XII, LINE 2A AND 2B: FINANCIAL RESULTS FOR SHS ARE INCLUDED IN THE SOUTHCOAST HEALTH SYSTEM, INC AND AFFILIATES AUDITED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS SEPTEMBER 30, 2019 AND 2020 WHICH WERE ISSUED WITH AN INDEPENDENT AUDITORS REPORT WITH AN UNQUALIFIED OPINION. INCLUDED IN THESE AUDITED FINANCIAL STATEMENTS IS SUPPLEMENTAL CONSOLIDATED INFORMATION AS OF AND FOR THE YEAR ENDED SEPTEMBER 30, 2020. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SHS FOR THE YEAR ENDED SEPTEMBER 30, 2020. FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING AND ADVISORY FEES TOTAL FEES:26097 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSOURCED SERVICES TOTAL FEES:1465724 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PHYSICIANS TOTAL FEES:182850 FORM 990 PART IX LINE 11G DESCRIPTION:PASS THRU QUALITY AND TME TOTAL FEES:10475939 Southcoast Accountable Care Org LLC 101 Page St New Bedford MA 02740 611577608 ACO MA 4623080 0 SHS INC SOUTHCOAST HEALTH NETWORK 200 MILL ROAD SUITE 190 FAIRHAVEN MA 02719 813430690 IPA MA 22045471 27360302 SHS INC Southcoast Hospitals Group Inc 101 Page St New Bedford MA 02740 222592333 acute care MA 501(c)(3) 3 SHS true Southcoast Physicians Group Inc 200 Mill Rd Ste 180 Fairhaven MA 02719 222703314 PHYS. SVCS. MA 501(c)(3) 10 SHS true Southcoast Ventures Inc 101 Page St New Bedford MA 02740 043003172 PHYS. SVCS. MA 501(c)(3) 12, Type I SHS true Charlton Long Term Care SVCS INC 363 Highland Ave Fall River MA 02720 043109579 SUPP. SHG MA 501(c)(3) 12, Type I SHS true Southcoast Visiting Nurse Assn InC 200 Mill Rd Fairhaven MA 02719 042105745 home care MA 501(c)(3) 10 SHS true Saint Luke's Nursing Home Inc 101 Page St New Bedford MA 02740 042984542 Inactive MA 501(c)(3) 12, Type I SHS true Coastline Professional Assurance Co PO Box 1085 GRAND CAYMAN CJ KY1-1102 980445031 Insurance CJ SHS C Corp 8484554 36624042 1.00000 true Southcoast Physicians Network Inc 101 Page St New Bedford MA 02740 450568782 IPA MA SHS C Corp 0 0 1.00000 true Health Management Initiatives Inc 363 Highland Ave Fall River MA 02720 042998712 COMM RENTAL MA SHS C Corp 199564 5977081 1.00000 true false false false false false false false false false false false true false false true true true true true Southcoast Physicians Group Inc R 47780216 CASH Southcoast Physicians Group Inc P 5839554 CASH Southcoast Physicians Group Inc O 62805 CASH Southcoast Physicians Group Inc L 1322938 CASH Southcoast Hospitals Group Inc Q 3325876 CASH Southcoast Hospitals Group Inc O 4774019 CASH Southcoast Hospitals Group Inc L 1548041 CASH Southcoast Hospitals Group Inc s 34143526 cash SOUTHCOAST VENTURES INC S 97185 CASH SCHEDULE R, PART I SHS IS THE SOLE MEMBER OF SOUTHCOAST ACCOUNTABLE CARE ORGANIZATION, LLC WHICH WAS ORGANIZED IN MASSACHUSETTS ON AUGUST 30, 2012. SCHEDULE R, PART V ALL TRANSACTIONS REPORTED WERE CASH TRANSACTIONS, THEREFORE, COST/ACTUAL CASH VALUE WAS THE METHOD USED.