2020-08-17T15:02:56-05:00 2019-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2018-10-01 222592333 Southcoast Hospitals Group Inc % WADE BROUGHMAN SOUT 5089615000 101 Page Street New Bedford MA 02740 WADE BROUGHMAN EXEC VP FIN & CFO 5089615000 2020-08-17 true PAUL TANIS P01441612 6175305000 2020-08-17 155.201.38.20 04363820202305000050 2020-08-17 P 3B584E6C6EC03F54C23492763082C94E75791172 F0B88FBBB3C0F8725084F2D7C7BBF09C882F2265 2018 2020-09-23 17:36:50Z KEITH HOVAN 101 PAGE STREET New Bedford MA 02740 1019866573 false X www.southcoast.org X 1986 MA TO PROMOTE THE OPTIMAL HEALTH AND WELL- BEING OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES SERVED BY SOUTHCOAST HOSPITALS GROUP (SHG).(SEE SCHEDULE O) 16 11 6698 553 584000 505844 4036570 1840686 825701857 879351128 21415998 15939874 795646 210473 851950071 897342161 311505 196750 0 0 422165335 429289873 100000 100000 1770103 354998585 393109637 777575425 822696260 74374646 74645901 958188756 965442251 401744211 390128567 556444545 575313684 X TO PROMOTE THE OPTIMAL HEALTH AND WELL-BEING OF THE INDIVIDUALS AND FAMILIES IN THE COMMUNITIES SERVED BY SOUTHCOAST HOSPITALS GROUP (SHG). (SEE SCHEDULE O) false false 621299681 196750 879351128 SOUTHCOAST PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELLNESS OF INDIVIDUALS IN ITS COMMUNITIES. SOUTHCOAST RECORDED 193,776 INPATIENT DAYS, PERFORMED 17,994 SURGERIES AND 10,856 ENDOSCOPIES, PROVIDED 3,140,319 LABORATORY TESTS, PERFORMED 426,088 RADIOLOGICAL PROCEDURES, 194,003 PHYSICAL MEDICINE VISITS, 912 PCI CORONARY INTERVENTIONS, 2,479 DIAGNOSTIC CATHERIZATIONS, 320 OPEN HEART SURGERIES, 1,188 ELECTROPHYSIOLOGY CASES, 624 CORONARY DEVICE IMPLANTS, 3,135 NEWBORN ADMISSIONS, PERFORMED 30,760 RADIATION AND MEDICAL CHEMOTHERAPY TREATMENTS AND CARED FOR 189,239 EMERGENCY ROOM PATIENTS 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH SERVICES. 621299681 true true false true false false false false false true true true false false true false false true false false false false false true true false true true true false true true false false false false false false false false true true true false false false false true true true false false true 320 2 true 6698 true true true false false false false true true false false false false false false X 16 11 true false false false true true true true true false false true true true true true true true true true true MA X WADE BROUGHMAN 5089732905 101 PAGE STREET New Bedford MA 02740 X KEITH HOVAN PRESIDENT & CEO/ Ex-Officio 60.0 12.5 X X 2382050 0 302501 CHRISTOPHER CHENEYMD TRUSTEE 1.5 44.5 X 0 508460 26564 PAMELA MCNAMARA TRUSTEE 1.5 4.5 X 0 0 0 CARL RIBEIRO TRUSTEE (UNTIL 12/2018) 1.5 6.0 X 0 0 0 ROBERT TRIPP JR DO TRUSTEE 1.5 4.5 X 0 0 0 MAUREEN SYLVIA ARMSTRONG TRUSTEE (UNTIL 12/2018) 1.5 4.5 X 0 0 0 JASON RUA CHAIR 2.5 10.0 X X 0 0 0 LOUIS CABRAL VICE CHAIR 2.5 10.0 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 Trustee 1.5 6.0 X 0 0 0 SALMAN BASHIR MD TRUSTEE 1.5 6.0 X 15500 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 JOHN LENTINI MD TRUSTEE 1.5 4.5 X 7900 0 0 DANIEL SOUSA MD EX-OFFICIO (UNTIL 12/2018) 1.5 44.5 X 0 459970 29757 MICHAEL BARRETTI DO EX-OFFICIO 1.5 44.5 X 0 706724 29757 RENEE CLARK EVP/COO (SHG)/ ASST. CLERK 60.0 12.5 X 782669 0 147552 WADE BROUGHMAN EVP FIN/CFO & Treasurer 60.0 12.5 X 758015 0 100260 PAUL IANNINI PHYS. IN CHIEF, MED 60.0 0.0 X 178378 0 0 DAVID DEJESUS JR SVP & CHRO (UNTIL 6/2018) 60.0 0.0 X 541324 0 24220 ROBERT CALDAS MD Senior VP & CMO 60.0 0.0 X 627731 0 126226 MICHAEL COFONE SVP FINANCE 60.0 0.0 X 490550 0 100733 JAMES FEEN SVP/CIO 60.0 0.0 X 432275 0 31897 STEPHEN CANESSA SVP CHIEF BRAND STRATEGY OFFCR 60.0 0.0 X 349345 0 85486 TIMOTHY EIXENBERGER CNO (UNTIL 03/2019) 60.0 0.0 X 332305 0 34260 JACK DRESSER SVP/ CPO (UNTIL 10/2019) 60.0 0.0 X 313864 0 34260 LINDA BODENMANN FORMER EVP/COO/ASST CLERK 0.0 0.0 X 831928 0 9133 KRISTOFER LINDEMAN FORMER Treasurer 60.0 1.5 X 234598 0 33065 8278432 1675154 1115671 656 true true false EPIC SYSTEMS CORPORATION 1979 MILEY WAY VERONA WI 53593 IT SYSTEM CONSULTANT 5385699 NORTH AMERICAN PARTNERS IN ANESTHES PO BOX 511 GLENWOOD LANDING NY 11547 ANESTHESIA SERVICES 4995900 HUB TECHNICAL SERVICES LLC 44 NORFOLK AVE SOUTH EASTON MA 02375 IT SOLUTIONS 3037992 ROBINSON COLE LLP 280 TRUMBULL STREET HARTFORD CT 06103 LEGAL SERVICES 3353158 GILBANE BUILDING COMPANY PO BOX 6128 PROVIDENCE RI 02903 CONSTRUCTION 3586946 168 215483 1625203 100392 1840686 PATIENT SVC REVENUE 621500 819176538 819112937 63601 HEALTHCARE SVC REVENUE 446110 49101208 49100220 988 PARTNERSHIP INCOME 525990 4232283 3712872 519411 GIFT SHOP INCOME 621400 315187 315187 CAFETERIA 722210 4524013 4524013 2001899 2001899 879351128 5616126 5616126 0 0 479087 203019 276068 0 276068 276068 132300956 212360 122189568 0 10111388 212360 10323748 10323748 66230 215483 131825 -65595 -65595 0 0 0 0 0 0 0 897342161 876450042 584000 18467433 196750 196750 0 0 0 4638526 3604976 1022290 11260 263667 205416 58251 338941562 263418568 74699554 823440 15309886 11898558 3374162 37166 45412038 35293390 10008408 110240 24724194 19215183 5448992 60019 0 3624673 33182 3591491 695752 5000 690752 584114 584114 100000 100000 1193089 1193089 76895684 60970288 15923636 1760 3474381 65139 3407244 1998 7958738 3486828 4376671 95239 12153452 1785328 10340825 27299 0 15973487 4289389 11684098 0 1074632 693257 371534 9841 0 147139 36312 100818 10009 7792649 7640014 152635 0 0 53413468 16152231 37238713 22524 2460171 0 2460171 0 PHARMACEUTICALS 44840436 44840436 0 0 HEALTH SAFETY NET ASSESSMENT 8832695 8832695 0 0 PARTS, REPAIRS, MAINT 14282159 3178491 11103668 0 MEDICAL SUPPLIES/LINENS 120729462 120658404 61204 9854 16983456 14215732 2318270 449454 822696260 621299681 199626476 1770103 0 0 28859306 43221048 4246528 2666656 92474572 94997684 0 0 0 0 0 0 12556773 14533382 10219172 11556297 980521957 628280441 358767584 352241516 339118545 337651657 70901309 64863106 0 0 0 0 41044967 43710905 958188756 965442251 142763385 137854816 0 0 0 0 173334529 166518353 0 0 0 0 55357940 51487266 0 0 30288357 34268132 401744211 390128567 X 475003091 496506079 27777426 25426641 53664028 53380964 556444545 575313684 958188756 965442251 X 74645901 -2976528 -52800234 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 75 false false true 584539 false false 584614 false PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FISCAL YEAR 2019, SOUTHCOAST RETATINED SEPARATE CONSULTANTS AT THE STATE AND FEDERAL LEVEL TO MONITOR HEALTH CARE RELATED ISSUES AND ADVOCATE ON BEHALF OF SOUTHCOAST HEALTH. AT THE STATE LEVEL, OUR STATE CONSULTANTS WORKED WITH OUR LEGISLATIVE DELEGATION ON THE SENATE AND HOUSE HEALTH CARE REFORM BILL, THE STATE BUDGET AND BUDGET AMENDMENTS, REGULATORY CHANGES, MEDICAID/DSH REIMBURSEMENT RATES, PRICE VARIATION EQUITY AND THE SOCIAL DETERMINANTS OF HEALTH. OUR CONSULTANT FOR FEDERAL MATTERS WORKED WITH OUR FEDERAL DELEGATION ON THE OPIOID ISSUE, MEDICARE DSH FUNDING, READMISSION ADJUSTMENTS, BAD DEBT REIMBURSEMENT, THE RURAL FLOOR WAGE INDEX, CHANGES TO THE AFFORDABLE CARE ACT AND MEDICARE CUTS. PART II-B, LINE 1D DURING FISCAL YEAR 2019, ALL MAILINGS WERE SENT ELECTRONICALLY VIA EMAIL. THERE WERE NO PAPER MAILINGS SENT OUT. PART II-B, LINE 1G DURING FISCAL YEAR 2019, OUR STATE CONSULTANTS MONITORED AND COMMUNICATED WITH OUR STATE LEGISLATIVE DELEGATION REGARDING THE SENATE AND HOUSE HEALTH CARE REFORM BILLS, AND THE STATE BUDGET AND BUDGET AMENDMENTS. THEY ALSO MONITORED AND/OR SHARED SOUTHCOAST'S CONCERNS ON TOPICAL HEALTHCARE ISSUES SUCH AS THE OPIOID ISSUE, MEDICAID FUNDING/REIMBURSEMENTS, AND BEHAVIORAL HEALTH NEEDS, INCLUDING FUNDING, ACCESS AND COVERAGE IN OUR REGION. 81439334 937387 2768034 6339270 78805485 76126866 4163541 4588968 3440041 81439334 80254926 129289 2670207 6927556 76126866 79698156 5812416 2564977 7820623 80254926 75434683 15995643 -4030250 7701920 79698156 0.00000 0.68000 0.32000 true false 10196962 10196962 418877307 260198712 158678595 2410769 1373689 1037080 526057584 366708040 159349544 22979335 0 22979335 352241516 CASH INVESTMENTS 1799533 F PRIVATE EQUITY 5244221 F MULTISTRATEGY HEDGE FUNDS 15822416 F BENEFICIAL INT IN PERP TRUSTS 41996936 F 64863106 0 OTHER LONG-TERM LIABILITIES 12785360 NON-PENSION POST RETIREMENT BE 7209909 DUE TO/FROM AFFILIATE 15749104 UNAMORTIZED BIC -2580627 ACCUMULATED AMORT BIC 1104386 34268132 PART V, LINE 4 SHG'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT SHG'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN SHG'S SERVICE AREA. PART X, LINE 2 SHG ADOPTED FIN48 IN FISCAL YEAR 2008. THERE IS NO FOOTNOTE DISCLOSURE IN SHS' FISCAL SEPTEMBER 30, 2019 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL. X X X X X X X true HANOVER RESEARCH COUNCIL 4401 WILSON BLVD ARLINGTON VA 22203 GRANT WRITING false 0 100000 0 0 100000 0 MA SPORTING EVENT 31450 0 31450 5440 12480 9872 3330 DINNER EVENT 165100 130320 34780 2336 2427 59995 7836 7583 1 85163 85163 4419 6440 5627 4040 281713 215483 66230 12195 21347 75494 7836 14953 131825 -65595 true true X true X true X true true false true true 9464410 4271140 5193270 0.00800 176247623 167434371 8813252 0.01360 0 0 0 0.00000 185712033 171705511 14006522 0.02160 13628241 537095 13091146 0.02010 5376289 0 5376289 0.00830 4068696 636399 3432297 0.00530 418071 0 418071 0.00060 23491297 1173494 22317803 0.03430 209203330 172879005 36324325 0.05590 1 2353 2353 9 25650 25650 5 25223 25223 2 59380 59380 0.00010 17 112606 112606 0.00010 true 10065681 4561188 395311097 402706548 -7395451 X true true 1 1 SOUTHCOAST HOSPITALS GROUP INC 101 Page Street New Bedford MA 02740 http://www.southcoast.org/ V113 X X X ACUTE CARE HOSPITAL SOUTHCOAST HOSPITALS GROUP INC false false true X X X X X X X X X 16 true false true true X SEE SCHEDULE H, PART V, SECTION C X X true 16 true SEE SCHEDULE H, PART V, SECTION C false true X 150. 300. X X X X X true true X X X X true X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X SEE SCH H, PART V, SECT C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 3e As a community-based health delivery system, Southcoast Health System continually strives to identify the priority health needs of the community and to ensure that its services are aligned with these needs. The Community Needs Assessment assists with this goal by documenting the major demographic, socioeconomic, and health trends among Southcoast residents and by engaging the community to develop information-driven priorities and strategies that can be implemented to improve the overall health of Southcoast residents. All significant health needs are identified in the CHNA. PART V, SECTION B, LINE 5 SHG, IN 2016, CONDUCTED A MAJOR, THREE-YEAR HEALTH NEEDS ASSESSMENT WITH A PARTICULAR FOCUS ON ADDRESSING HEALTH EQUITY ISSUES IN AND AROUND THE COMMUNITIES THAT WE SERVE. AS PART OF THIS NEEDS ASSESSMENT, WE REVIEWED FOCUS GROUP, INTERVIEW AND OTHER DATA FROM VULNERABLE RESIDENTS IN OUR COMMUNITIES INCLUDING BOTH QUANTITATIVE AND QUALITATIVE DATA. WE ALSO HELPED LEAD A PARTICIPATORY RESEARCH PROJECT, IN COLLABORATION WITH THE COALITION, VOICES FOR A HEALTHY SOUTHCOAST, THAT UTILIZED NEIGHBORHOOD RESIDENTS FROM TWO VULNERABLE NEIGHBORHOODS IN OUR REGION, THE SOUTH END OF NEW BEDFORD AND THE FLINT NEIGHBORHOOD IN FALL RIVER, TO ASSESS OTHER RESIDENTS' ATTITUDES TOWARD HEALTH. OUR NEEDS ASSESSMENT WAS CONDUCTED IN COLLABORATION WITH THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY CENTER, WHO COMPLETED A RETROSPECTIVE ANALYSIS OF LOCAL, REGIONAL AND NATIONAL HEALTH AND DEMOGRAPHIC DATA. IN ADDITION TO HEALTH DATA ANALYSIS, WE ALSO CONDUCTED OVER 30 KEY INFORMANT INTERVIEWS WITH BOTH SERVICE PROVIDERS AND CONSUMERS. INTERVIEWS INCLUDED: GREATER NEW BEDFORD COMMUNITY HEALTH CENTER; COMMUNITY HEALTH WORKERS; PUBLIC HEALTH NURSE, MATTAPOISETT; PUBLIC HEALTH NURSE, MARION; STANLEY STREET RESOURCE AND TREATMENT CENTER; HEALTH FIRST COMMUNITY HEALTH CENTER; GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS; SEVEN HILLS BEHAVIORAL HEALTH; POSITIVE ACTION AGAINST CHEMICAL ADDICTION; HIGH POINT TREATMENT CENTER; SOUTH SHORE MENTAL HEALTH; STEPPING STONE INC.; CHILD & FAMILY SERVICES; WAREHAM SUPERINTENDENT OF SCHOOLS; ASST. SUPERINTENDENT, NEW BEDFORD SCHOOLS; SCHOOL ADJUSTMENT COUNSELORS, FALL RIVER PUBLIC SCHOOLS; FAMILY RESOURCE COORDINATOR, WAREHAM SCHOOLS; SCHOOL NURSE, FALL RIVER; NORTH STAR LEARNING CENTER; INTERCHURCH COUNCIL OF GREATER NEW BEDFORD; WAREHAM AREA CLERGY COUNCIL; MAYA COMMUNITY OUTREACH; PARTNERS FOR A HEALTHIER COMMUNITY, FALL RIVER; UNITED NEIGHBORS, FALL RIVER; YWCA OF SOUTHEASTERN MASSACHUSETTS; IMMIGRANTS ASSISTANCE CENTER; SOUTHCOAST COMMUNITY HEALTH WORKER COLLABORATIVE; UNITED WAY GREATER NEW BEDFORD; COMMUNITY ECONOMIC DEVELOPMENT CORPORATION - NEW BEDFORD; CHILDREN'S ADVOCACY CENTER OF BRISTOL COUNTY; FATHER BILL'S AND MAINSPRING; NEW BEDFORD HOUSING AUTHORITY; CATHOLIC SOCIAL SERVICES, WOODS AT WAREHAM; WAREHAM HEALTH DEPARTMENT; FALL RIVER HEALTH DEPARTMENT; WAREHAM SELECTBOARD; MAYOR'S OFFICE NEW BEDFORD; DOG TAG NAVIGATORS, REGIONAL; VETERAN AGENT FALL RIVER; VETERAN AGENT NEW BEDFORD; TRIPS FOR KIDS; DARTMOUTH YOUTH SERVICES; FALL RIVER YOUTH SERVICES; COASTLINE ELDERLY SERVICES PART V, SECTION B, LINE 6B SOUTHCOAST HOSPITALS GROUP, INC. COLLABORATES WITH THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY CENTER. PART V, SECTION B, LINE 7A HTTPS://WWW.SOUTHCOAST.ORG/WP-CONTENT/UPLOADS/2016/05/SOUTH-COAST-CHNA-201 6-FINAL.PDF PART V, SECTION B, LINES 7D Our needs assessment is widely shared with community partners and is often used in grant writing and collaborative strategic planning. In FY 2019, our needs assessment data was shared with and utilized by: Greater New Bedford Allies for Health and Wellness (CHNA 26) Partners for a Healthier Community (CHNA 25) United Way South End Engaged Initiative Wareham Community Services Collaborative BMC Healthnet Plan Coastal Foodshed Laundry of Love Boys and Girls Club of New Bedford and Wareham New Bedford Health Department New Bedford Housing Authority Substance exposed newborn committee of SEMA Wareham Health Department Wareham Public Schools' Beyond School Time YMCA Southcoast. PART V, SECTION B, LINE 10A https://www.southcoast.org/community-benefits/community-benefits-reporting / PART V, SECTION B, LINE 11 Southcoast's Community Benefits Strategic Action Plan was first formulated in 1998 as the result of an extensive needs assessment and since is updated annually. Our current plan is based on the community health needs assessment completed in 2016. Through the needs assessment process, Southcoast identified nine priorities for 2019 to address the most pressing health needs of the community. These priorities were: 1. Reduction of the high rate of chronic disease (including diabetes, asthma, cancer and other diseases) in our region. 2. Reducing Health Disparities including racial and ethnic disparities, income-based disparities, and education-based disparities. One other aspect of this is increasing access to health care for vulnerable populations through insurance enrollment and outreach. 3. The development of programs and services that support the reduction of homelessness in our region including strategies for increased collaboration among agencies serving homeless residents. 4. Innovative approaches to population health, i.e. improving health and wellness for defined populations such as specific demographic or geographic groups. 5. Reduction in the incidence of youth risk behaviors such as teen violence, high rates of teen pregnancy and substance abuse. 6. Behavioral health issues that include substance abuse and mental health, including improved coordination of behavioral health providers and systems. 7. Development of healthy "System and Environment" change, including healthy food options, increased access to free and low-cost opportunities for active living, such as public parks, bike trails etc., and reduction in the high rate of smoking in our communities. 8. Maternal and Children's Health, including fetal and infant health, abuse and neglect, hospitalizations, substance abuse, healthy weight, and mortality. 9. Increasing Emergency Preparedness in our cities and towns, including basic infrastructure equipment. All activities of Community Benefits are completed in accordance with these priorities and include: conducting ongoing community health needs assessments, awarding Community Benefits Impact Opportunity Grants to community organizations working on projects aligned with CHNA priorities, coalition-building, and collaborating with community partners in the planning, implementing, monitoring and evaluating of Community Benefits programs as described below. Responsible Attitudes Towards Pregnancy, Parenting and Prevention (RAPPP) Youth Program, Smoking Cessation and Prevention Community Health Worker Projects, Maternal Child Health Education and Outreach, Cancer Screenings and Outreach, Mobile Health Van, Health Access Outreach, Emergency Preparedness, Council to End and Prevent Homelessness, Behavioral Health Connect, Substance Use Prevention Education, Health Advocates, Cardiac Prevention and Stroke Outreach, Diabetes Education and Outreach. To address needs, target populations are determined by our comprehensive health needs assessment and are reviewed on an annual basis. Our 2019 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. In 2019, we focused resources on residents who are at risk for or suffer from disparities in cancer prevention and treatment. - The fishing community in New Bedford, who experience higher rates of chronic health issues due to barriers to health access and care. PART V, SECTION B, LINE 16A HTTPS://WWW.SOUTHCOAST.ORG/WP-CONTENT/UPLOADS/2016/09/CREDIT-COLL-POL-2016 -FAP-FINAL.PDF PART V, SECTION B, LINE 16B HTTPS://WWW.SOUTHCOAST.ORG/WP-CONTENT/UPLOADS/2016/09/APPLICATION-FOR-FINA NCIAL-ASSISTANCE-ACA-3-ENGLISH-4.16-1.PDF PART V, SECTION B, LINE 16C HTTPS://WWW.SOUTHCOAST.ORG/WP-CONTENT/UPLOADS/2016/09/PLAIN-LANGUAGE-SUMMA RY-FAP-OVERVIEW-2016-1.PDF PART V, SECTION B, LINE 20A-D SHG DID NOT ENGAGE IN ANY OF THE ACTIONS IN LINE 19 IN FY2019. 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. SHG 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 SHG 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 SHG'S LEVEL II NURSERY AND INPATIENT REHABILITATIVE SERVICES. SHG IS THE SOLE PROVIDER OF THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED. PART II Southcoast engages in a number of community building activities that promote infrastructure improvement in communities and the development of policies and programs that address social determinants of health such as housing, behavioral health, education and workforce development. Southcoast is the co-leader of the Bristol County Opioid Alliance, a regional coalition focused on increasing communication and collaboration of all entities working to address the Opioid Epidemic across the South Coast Region. We also lead collaborative groups that have helped expand housing options in the town of Wareham and the city of New Bedford and address groups that address other social conditions that influence health. Southcoast has provided leadership training and support on health advocacy issues such as regulations to limit tobacco access and has worked to increase access to healthy food through food rescue programs, supporting local initiatives led by community partners and by hosting weekly farm stands at our three Hospital sites each summer that are open to our employees and community members. PART III, LINE 2 THE COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 WAS BASED ON A RATIO OF COST TO CHARGE METHODOLOGY. DISCOUNTS AND PAYMENTS ON ACCOUNTS CONSIDERED AS BAD DEBT OFFSET THE TOTAL BAD DEBT EXPENSE RECORDED. PART III, LINE 3 PER SHG'S ASSESSMENT OF THE COMMUNITY IT SERVES, A CERTAIN PERCENTAGE OF THE POPULATION WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DO NOT APPLY. DUE TO THIS SHG CONSIDERS THIS AMOUNT OF BAD DEBT AS A COMMUNITY BENEFIT EXPENSE. PART III, LINE 4 FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SHG RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SHG'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SHG RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. FOOTNOTE 2 BEGINNING ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS DISCUSSES BAD DEBT EXPENSE. PART III, LINE 8 THE COST ACCOUNTING METHODOLOGY USED IS THE SAME METHODOLOGY USED FOR THE MEDICARE SHORTFALL. THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT SINCE SHG IS REQUIRED TO PROVIDE SERVICES TO ALL REGARDLESS OF THE ABILITY TO PAY FOR SUCH SERVICES. PART III, LINE 9B SHG'S CREDIT AND COLLECTION POLICY CONTAINS PROVISIONS REGARDING COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. FOR INDIVIDUALS DETERMINED TO BE LOW INCOME PATIENTS ANY SERVICES PROVIDED PRIOR TO SUCH DETERMINATION DATE AND NOT COVERED UNDER THE SAFETY NET (HSN) WILL BE WRITTEN OFF AS CHARITY CARE. ANY SERVICE DENIED BY THE HSN FOR MEDICALLY NECESSARY SERVICES WILL ALSO BE CONSIDERED CHARITY CARE. ANY COPAYMENTS OR DEDUCTIBLES FOR MASSHEALTH AND MASSHEALTH MANAGED CARE RECIPIENTS WILL BE CONSIDERED CHARITY CARE IF UNRESOLVED AT THE CONCLUSION OF SHG'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 SHG 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. SHG MAY INITIATE BILLING AND COLLECTION FOR A PATIENT ALLEGING TO PARTICIPATE IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF SHG SERVICES BUT FAILS TO PROVIDE PROOF OF PARTICIPATION; 3. SHG 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. SHG 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. SHG WILL NOT PURSUE COLLECTION FROM A PATIENT INVOLVED IN BANKRUPTCY PROCEEDING AND WILL NOT CHARGE INTEREST IN AN OVERDUE BALANCE OF A LOW INCOME PATIENT. PART VI, LINE 2 In addition to completing a comprehensive, regional community health needs assessment every three years, Southcoast participates in and leads over 30 community coalitions and actively participates in a number of projects every year that collect and analyze information about the social and health care needs of the residents living in the South Coast Region. These activities include tracking hospital data such as the number of patients reporting homelessness, overdose data, and food insecurity; to working with coalition partners to conduct outreach/surveys and focus groups on a number of topics (aligning with our priorities). We meet regularly to discuss the success of these projects and to make sure that we are having the desired impact within the community. In 2019, Southcoast Health completed its fourth Community Benefits Impact Opportunity grant program. This is a competitive grant process focused on addressing unmet health needs on the South Coast. The grant proposals aligned with the nine priority areas, previously identified through the 2016 Community Health Needs Assessment. We received 45 applications and awarded 18 grants for a total of $150,000 plus in-kind donations. Grantees are expected to set at least 2 SMART goals and evaluate the success of their programs, submitting data at six months and one year. Finally, through community benefits programs, such as the Mobile Health Van, we are able to document and track pressing health needs as reported by staff conducting outreach and through the patients served. PART VI, LINE 3 Southcoast posts notifications of insurance eligibility in multiple languages throughout all of our inpatient and outpatient facilities, and provides information on our website. Southcoast also utilizes multilingual outreach brochures, displayed in our facilities and also distributed at a number of health insurance outreach events and also through regular outreach on our Mobile Health Van. In 2019, our Patient Access Department held 48 community outreach events, which is 41% increase over FY18. The department served 15,858 patients, which is a 20% increase over FY18. 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. 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 Southcoast Hospitals Group invests in direct services and programs designed to address pressing health issues across our region. We collaborate with hundreds of community partners to adopt best practices in community benefits needs assessment, planning and implementation, with the shared goal of improving the health of our communities. Targeted activities included: Behavioral Health Issues Expanded usage of our Behavioral Health Connect database (by over 34%), which links providers and residents with up-to-date resources for behavioral health services. A number of our staff also played a leadership role in 12 local and regional coalitions to address the opioid crisis, including supporting the availability of Narcan in our region. Smoking Cessation Continued work on smoking cessation and prevention that encompasses regulatory system and environment change along with education and clinical support for smoking cessation. The Southcoast Health Van continued work on a grant from the Thoracic Foundation to expand smoking cessation support for public housing residents throughout the region, as more municipal Housing Authorities in our region embrace smoke-free regulations and increase the age of which a person may purchase cigarettes or other tobacco products from 18 to 21 years old. Health Screenings Outreach to vulnerable residents with a range of health screenings and referrals. Over 5,000 residents visited our health van and staff provided over 20,000 screenings and vaccinations. This included screenings for cardiovascular disease, cancer, diabetes and stroke and targeted our most vulnerable and under-served populations. In FY19, in partnership with the New Bedford Health Department and New Bedford Public Schools, the Mobile Health Van assisted in 13 pediatric clinics that assisted students to receive school vaccinations. Overall, 178 students received vaccinations for a total number of 456 vaccinations given. Youth Risk Behaviors Due to unfortunate circumstances, the Youth Risk Behaviors program was canceled in June 2019. Health Insurance Targeted outreach that helped residents obtain health insurance, staff assisted 15,858 patients with applications in 2019. Our patient access team conducted over 48 outreach events that reached thousands of vulnerable residents who still lack health insurance or have difficulty renewing their health insurance. Community Health Workers Collaboration and programming to address health equity issues in our region by working to increase the capacity and training of community health workers, particularly those serving residents who face cultural, linguistic and economic barriers to health care. This past year we were able to expand CHW outreach for chronic disease management and helped organize supervisor and other CHW trainings. Collaboration Coalition building and engagement that helped make meaningful connections across communities and our region. We participated over 30 coalitions region wide to address the pressing social conditions that impact health including access to safe and affordable housing, transportation, food security, educational attainment, employment, environmental justice and mental health and substance use disorders. Grant Support This past year we offered a Community Benefits Impact grant program to provide funding which better aligns Southcoast community benefits priorities with projects undertaken by community partners. We supported 18 community partners with $150,000 in funding for projects ranging from outreach to the homeless to providing opportunities for physical activities for inner city youth. This program has not only supported worthwhile projects in the community but also has enhanced collaboration and common goal setting with our community partners. PART VI, LINE 6 The Southcoast Health Community Benefits program works with other Southcoast affiliates including, Southcoast 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. Overall approach incorporates the social determinants of health framework, and takes into account environmental, social and other demographic factors that may influence health status. Representatives from affiliated systems participate as active members of an internal Community Benefits Leadership team that meets bimonthly to share program information, discuss needs assessment, develop strategies, implementation process, evaluation and reporting of all community benefits programs. This team consists of individuals from departments that regularly engage in outreach in the community, including staff from our Southcoast Health Van, Social Services, Stroke Outreach, Diabetes Management, Behavioral Health Services, Patient Access Services, Cancer Outreach, Smoking Cessation, Youth Risk Behaviors program, Urgent Care and the Southcoast Physicians Group. The Community Benefits Manager oversees Southcoast's day-to-day community benefits activities and leads the internal Community Benefits Task Force. Southcoast also shares regular updates and presentations on community benefits activities to all Southcoast Hospital staff and affiliates through leadership meetings, employee communications and in digital media campaigns. PART VI, LINE 7 YES, AN ANNUAL REPORT IS FILED WITH THE OFFICE OF THE MASSACHUSETTS ATTORNEY GENERAL. true Inter-Church Council of Greater New Bedford 128 UNION STREET STE 100 NEW BEDFORD MA 02740 042171191 501(C)(3) 20000 COMMUNITY OUTREACH GREATER NEW BEDFORD COMMUNITY HEALTH CENTER 135 MARION ROAD WAREHAM MA 02571 042675800 501(C)(3) 20000 COMMUNITY OUTREACH BUZZARDS BAY COALITION INC 114 FRONT STREET NEW BEDFORD MA 02740 042971978 501(C)(3) 20000 COMMUNITY OUTREACH CHILDREN'S ADVOCACY CNTR OF BRISTOL COUNTY 58 ARCH STREET FALL RIVER MA 02724 043135548 501(C)(3) 15000 COMMUNITY OUTREACH CITY OF NEW BEDFORD 133 WILLIAM STREET NEW BEDFORD MA 02740 046001402 501(C)(3) 20000 COMMUNITY OUTREACH FATHER BILL'S & MAINSPRING INC 430 BELMONT STREET BROCKTON MA 02301 222538039 501(C)(3) 20000 COMMUNITY OUTREACH IMMIGRANTS ASSISTANCE CENTER 58 CRAPO STREET NEW BEDFORD MA 02740 042171191 501(C)(3) 20000 COMMUNITY OUTREACH UNITED NEIGHBORS OF FALL RIVER 209 BEDFORD ST STE 303 FALL RIVER MA 02720 042491918 501(C)(3) 6000 COMMUNITY OUTREACH 8 0 SCHEDULE I, PART I, LINE 2 SOUTHCOAST COMMUNITY BENEFITS DEPARTMENT REQUIRES ALL GRANTEES TO SUBMIT SIX ANY 12 MONTH REPORTS ON PROJECT RESULTS INCLUDING RESULTS OF "SMART" GOALS THAT ARE A REQUIREMENT OF THE GRANT APPLICATION. SHG ALSO MAINTAINS COMMUNICATION WITH GRANTEES DURING THE GRANT PERIOD TO DETERMINE OPPORTUNITIES FOR COLLABORATION WITH OTHER COMMUNITY BENEFITS PROGRAMMING. X X X X true true false false false false false true false PAUL IANNINI PHYS. IN CHIEF, MED 0 0 0 0 178378 0 0 0 0 0 178378 0 0 0 KEITH HOVAN PRESIDENT & CEO/ Ex-Officio 1112250 0 442800 0 827000 0 281493 0 21008 0 2684551 0 616826 0 CHRISTOPHER CHENEYMD TRUSTEE 0 508460 0 0 0 0 0 15600 0 10964 0 535024 0 0 LINDA BODENMANN FORMER EVP/COO/ASST CLERK 11865 0 115000 0 705063 0 7670 0 1463 0 841061 0 640765 0 DAVID DEJESUS JR SVP & CHRO (UNTIL 6/2018) 184000 0 82800 0 274524 0 11040 0 13180 0 565544 0 0 0 ROBERT CALDAS MD Senior VP & CMO 481000 0 60125 0 86606 0 104618 0 21608 0 753957 0 77109 0 KRISTOFER LINDEMAN FORMER Treasurer 227584 0 7014 0 0 0 12057 0 21008 0 267663 0 0 0 RENEE CLARK EVP/COO (SHG)/ ASST. CLERK 552083 0 175313 0 55273 0 126144 0 21408 0 930221 0 47100 0 MICHAEL COFONE SVP FINANCE 350833 0 96250 0 43467 0 79325 0 21408 0 591283 0 34808 0 WADE BROUGHMAN EVP FIN/CFO & Treasurer 555250 0 175313 0 27452 0 82500 0 17760 0 858275 0 0 0 JAMES FEEN SVP/CIO 353525 0 78750 0 0 0 11000 0 20897 0 464172 0 0 0 DANIEL SOUSA MD EX-OFFICIO (UNTIL 12/2018) 0 345671 0 15000 0 99299 0 15600 0 14157 0 489727 0 0 MICHAEL BARRETTI DO EX-OFFICIO 0 425001 0 113889 0 167834 0 15600 0 14157 0 736481 0 0 STEPHEN CANESSA SVP CHIEF BRAND STRATEGY OFFCR 284545 0 64800 0 0 0 64478 0 21008 0 434831 0 0 0 TIMOTHY EIXENBERGER CNO (UNTIL 03/2019) 308830 0 23475 0 0 0 16500 0 17760 0 366565 0 0 0 JACK DRESSER SVP/ CPO (UNTIL 10/2019) 278451 0 35413 0 0 0 16500 0 17760 0 348124 0 0 0 PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM THE ORG: DAVID DEJESUS - RECEIVED SEVERANCE OF $184,000 PART I, LINE 4B OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SHG PARTICIPATE IN SHG'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 - $255,587 ROBERT CALDAS - $77,906 RENEE CLARK - $48,128 MICHAEL COFONE - $35,199 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 $557,198 WAS INCLUDED IN MR. HOVAN'S 2018 FORM W-2 AND SCH J, PART II, COLUMN B(III). PLUS THE FOLLOWING INDIVIDUALS RECEIVED DEFERRED COMPENSATION PLAN LIQUIDATION PAYOUTS THAT ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III). PETER IANNINI - $178,378 LINDA BODENMANN - $705,718 DAVID DEJESUS, JR - $94,249 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 57586ELV1 2009-10-07 56122025 Construct/renovate oncology center false false false B Mass Development Finance Agency 043431814 999999999 2012-01-31 46965000 Refinancing false false false C Mass Development Finance Agency 043431814 57583UTY4 2013-02-14 60879456 Construct/renovate care centers false false false D MASS DEVELOPMENT AND FINANCE AGENCY 043431814 999999999 2018-11-01 38480000 REFINANCING false false false A 0 0 56122025 0 0 0 1064650 0 0 55057375 0 0 2011 false false true true B 0 0 46965000 0 0 0 254694 0 0 0 46710306 0 2012 true false true false C 0 0 60879456 0 0 0 759501 0 0 60119955 0 0 2014 false false true false D 0 0 38480000 0 0 0 198723 0 0 0 38281277 0 2018 true false true false A false false false false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00030 0.00130 0.00160 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true D false true true true false 0.00100 0.00060 0.00160 false false false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true PART IV, LINE 2C REBATE COMPUTATIONS WERE PERFORMED ON THE FOLLOWING DATES: A - 09/30/2017 B - 01/31/2019 C - 09/30/2018 SHEPARD GROUP INC 35% CONTROLLED ENTITY OF TRUSTEE 216228 SERVICES false PATRICK HIGHAM FAMILY MEMBER OF KEY EMPLOYEE 63414 COMPENSATION OF EMPLOYEE false LAUREN CALDAS HIGHAM FAMILY MEMBER OF KEY EMPLOYEE 67495 COMPENSATION OF EMPLOYEE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 175830 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 407246 SUPPLIES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 21168874 SUPPLIES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3458084 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 38681262 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1891115 NUTRITION false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 335633 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 179660 SERVICES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 183322 SERVICES false X 4 67964 MARKET Value X event items 29 32428 cost/sales price 0 false true false PART I, COLUMN (B) THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. PART I, LINE 1 AND PART III, LINE 1: SOUTHCOAST HOSPITALS GROUP (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. SHG 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, SHG 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, MATERNITY AND NEONATAL INTENSIVE CARE SERVICES. SOUTHCOAST PROVIDES ADVANCED EMERGENCY CARE 24 HOURS PER DAY, 7 DAYS A WEEK AT ALL THREE HOSPITALS. PART VI, SECTION A, LINE 1: THE EXECUTIVE COMMITTEE SHALL, EXCEPT AS PROHIBITED BY LAW OR LIMITED BY THE BOARD, HAVE ALL THE POWERS OF THE BOARD IN CONNECTION WITH THE MANAGEMENT AND OPERATION OF SHG 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. PART VI, SECTION A, LINE 2: CERTAIN OFFICERS AND TRUSTEES OF SHG ARE OFFICERS OR TRUSTEES OF RELATED ORGANIZATIONS. INDIVIDUALS WITH REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS IN PART VII, SECTION A, COLUMN (E), ARE EMPLOYEES OF RELATED ORGANIZATIONS. PART VI, SECTION A, LINE 6: THE SOLE MEMBER OF SHG IS SOUTHCOAST HEALTH SYSTEM, INC (SHS), A CHARITABLE ORGANIZATION ACTING THROUGH ITS BOARD OF TRUSTEES. 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. PART VI, SECTION A, LINE 7B: THE GOVERNANCE OF SHG 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 SHG'S BYLAWS. 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, DIRECTORS AND EMPLOYEES (REFERRED TO AS "MEMBERS"). ON AN ANNUAL BASIS, EACH MEMBER WILL COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE WHICH AFFIRMS THAT EACH PERSON HAS: (1) RECEIVED A COPY OF THE POLICY; (2) READ AND UNDERSTOOD THE POLICY; (3) AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTOOD THAT THE SYSTEM ENTITIES ARE CHARITABLE ORGANIZATIONS AND THAT TO MAINTAIN THEIR FEDERAL TAX EXEMPTION, SUCH ENTITIES MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE SYSTEM OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AND IN CONNECTION WITH ITS COMPLIANCE PROGRAM, SYSTEM'S MANAGEMENT SHALL CONDUCT PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND THE OPERATION AND APPLICATION OF IT. MEMBERS SHALL DISCLOSE ANY INTERESTS OR ACTIVITIES IN WHICH THEY ARE INVOLVED OR BECOME INVOLVED THAT DO RESULT, OR MAY APPEAR TO RESULT IN A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND SHALL COMPLY WITH, AND MAKE ALL REQUIRED DISCLOSURES UNDER THE CONFLICT OF INTEREST POLICY PRIOR TO COMMENCING, CONTINUING, OR CONSUMMATING ANY ACTIVITY OR TRANSACTION WHICH RAISES A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST. EACH MEMBER IS UNDER AN ONGOING DUTY TO UPDATE AND KEEP CURRENT THE INFORMATION CONTAINED IN THEIR QUESTIONNAIRE. AT LEAST ANNUALLY, OR AS NECESSARY BASED ON DISLCOSURES, THE GENERAL COUNSEL WILL SUMMARIZE AND REPORT ALL DISCLOSURES TO THE PRESIDENT AND CEO AND THE CHAIRMAN OF THE BOARD OF TRUSTEES (OR HIS/HER DESIGNEE). UPON DISCLOSURE OF FINANCIAL OR NON-FINANCIAL INTERESTS ("INTERESTS") AND ALL MATERIAL FACTS RELATED THERETO BY MEMBER OR AN INTERESTED PERSON, THE CHAIR OF THE SYSTEM'S GOVERNANCE COMMITTEE SHALL DETERMINE IN CONJUNCTION WITH THE GENERAL COUNSEL WHETHER A CONFLICT OF INTERESTS EXISTS. THE GOVERNANCE COMMITTEE CAN CONTINUE TO DISCUSS THE ISSUE WITH THE MEMBER OR INTERESTED PERSON TO CLARIFY OR OBTAIN ADDITIONAL INFORMATION. HOWEVER, BEFORE THE GOVERNANCE COMMITTEE DISCUSSES OR DETERMINES WHETHER THE MEMBER OR OTHER INTERESTED PERSON'S INTERESTS CONSTITUTE A CONFLICT OF INTEREST, THE MEMBER OR INTERESTED PERSON MUST LEAVE THE MEETING. IN THE EVENT THE INTEREST INVOLVES THE CHAIR OR CEO, THE REMAINING GOVERNANCE COMMITTEE MEMBERS SHALL APPOINT ONE OR MORE DISINTERESTED TRUSTEES TO MAKE SUCH A DETERMINATION. ONCE THE DETERMINATION OF THE CONFLICT OF INTEREST IS MADE BY THE GOVERNANCE COMMITTEE, SUCH DETERMINATION, ALONG WITH APPROPRIATE MITIGATION PLANS, WILL BE SUBMITTED BY THE GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. IF ANY BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH A MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IT. IF, AFTER HEARING THE RESPONSE OF SUCH PERSON AND MAKING FURTHER INQUIRY OR INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR BOARD COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISLCOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN. PART VI, SECTION B, LINE 15: COMPENSATION FOR ALL VICE PRESIDENTS AND THE SENIOR LEADERSHIP TEAM (SLT) IS ESTABLISHED USING THE FOLLOWING PROCEDURES:(1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SHS WITHOUT THE INVOLVEMENT OF PERSONS WITH CONFLICT OF INTEREST IN RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE; (2) USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ENGAGED THE SERVICES OF AN INDEPENDENT HUMAN RESOURCE CONSULTING FIRM ("CONSULTANT") TO PROVIDE UPDATED COMPENSATION DATA AND ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO SHG 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. PART VI, SECTION C, LINE 19: SHG 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: TRANSFERS AMONG AFFILIATES ($53,951,913) OTHER CHANGES IN NET ASSETS $1,464,743 CHANGE IN VALUE OF PERPETUAL TRUSTS ($313,064) ______________ TOTAL ($52,800,234) PART XII, LINE 2A & 2B: FINANCIAL RESULTS FOR SHG ARE INCLUDED IN THE SOUTHCOAST HEALTH SYSTEM, INC AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018 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, 2019. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SHG FOR THE YEAR ENDED SEPTEMBER 30, 2019. SOUTHCOAST HEALTH SYSTEM INC 101 PAGE ST NEW BEDFORD MA 02740 042794625 SUPP. 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