2018-08-15T12:43:19-05:00 2017-09-30 KPMG LLP One Financial Plaza Hartford CT 061032608 990 2016-10-01 050445136 South County Hospital Healthcare System % MARCIA POLHEMUS SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN CFO 4017881974 2018-01-18 true MARY-EVELYN ANTONETTI P00431862 8605223200 2016 2022-09-23 18:48:47Z THOMAS J BREEN 100 KENYON AVENUE WAKEFIELD RI 02879 178128969 false X WWW.SOUTHCOUNTYHEALTH.ORG X 1920 RI TO OPERATE AN INDEPENDENT, NON-PROFIT, ACUTE CARE HOSPITAL COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE. 19 18 1519 291 6421 678753 760324 162871286 173390569 378801 431540 3354062 1062560 167282902 175644993 0 0 0 0 85235685 90024237 0 0 0 78478997 84152257 163714682 174176494 3568220 1468499 127984556 133960075 105571195 96135152 22413361 37824923 X SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS. FOR MORE INFORMATION, SEE SCHEDULE O. false false 144457145 174094448 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE. FOR MORE INFORMATION, SEE SCHEDULE O. 144457145 true true false true false false false false true true true false false true true false true false false false false false false false false true true false false true true false false false false false false false true false false false false false false false true true true false false true 130 0 true 1519 true true true false false false false false false false false false X 19 18 false false false false false false false true true false false true true true true true true true true true false RI X MARCIA POLHEMUS 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 TED ALMON TRUSTEE 1.0 2.0 X 0 0 0 ROBERT BEAGLE TRUSTEE 1.0 2.0 X 0 0 0 STEPHANIE CHAFEE RN MBA TRUSTEE 1.0 2.0 X 0 0 0 EDWARD CIMILLUCA TRUSTEE THRU 4/2017 1.0 2.0 X 0 0 0 ELEANOR C FERGUSON TRUSTEE 1.0 2.0 X 0 0 0 JOHN H HOWLAND TRUSTEE 1.0 2.0 X 0 0 0 JASON MARSHALL TRUSTEE 1.0 2.0 X 0 0 0 ROBERT PANOFF TRUSTEE 1.0 2.0 X 0 0 0 DAVID ROWE MD TRUSTEE 1.0 2.0 X 0 0 0 RICHARD DEL SESTO MD TRUSTEE 1.0 2.0 X 4800 0 0 AUSTIN C SMITH TRUSTEE 1.0 2.0 X 0 0 0 DONNA D VANDERBECK TRUSTEE 1.0 2.0 X 0 0 0 WILLIAM SABINA MD FACEP PRES OF MED STAFF THRU 10/16 10.0 2.0 X 55000 0 0 AARON WEISBORD MD PRES OF MED STAFF BEGIN 10/16 40.0 2.0 X 410217 0 27776 EVE KEENAN RN EDD CHAIRPERSON 1.0 2.0 X 0 0 0 M BEVERLY SWAN PHD VICE CHAIRPERSON 1.0 2.0 X 0 0 0 JAMES FARRELL TREASURER 1.0 2.0 X 0 0 0 DENNIS LYNCH SECRETARY 1.0 2.0 X 0 0 0 SALVATORE ABBRUZZESE JR DO VP OF MED STAFF BEGIN 10/16 40.0 2.0 X 240855 0 28485 BETTY RAMBUR PHD TRUSTEE BEGIN 4/2017 1.0 2.0 X 0 0 0 VICTORIA A WICKS TRUSTEE BEGIN 4/2017 1.0 2.0 X 0 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO 40.0 2.0 X 391780 0 25829 THOMAS J BREEN CHIEF FINANCIAL OFFICER 40.0 3.0 X 385684 0 25839 JAMES CORCORAN VP OF MEDICAL AFFAIRS 40.0 0.0 X 270272 0 29783 ANNE SCHMIDT VP OF PATIENT CARE SERVICE 40.0 0.0 X 218754 0 11287 DAVID BADER PHYSICIAN 40.0 0.0 X 419156 0 27752 NEIL BRANDON PHYSICIAN 40.0 0.0 X 424276 0 27736 DAVID BROZA PHYSICIAN 40.0 0.0 X 390684 0 17852 GERALD COLVIN PHYSICIAN 40.0 0.0 X 592672 0 28863 STEVEN FERA PHYSICIAN 40.0 0.0 X 387757 0 24329 LISA RAMEAKA FORMER DIRECTOR 40.0 0.0 X 319732 0 29158 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 40.0 0.0 X 213025 0 17524 4724664 0 322213 104 true true false SOUTHERN RI PULMONARY CRITICAL CA 25 BURNS WAY EAST GREENWICH RI 02818 PULMONARY SERVICES 690055 SOUTH COUNTY ORTHOPEDICS PHYS TH ONE HIGH STREET WAKEFIELD RI 02879 ORTHOPEDICS & PT 404869 PATRICIA ANN SEALING 1690 SAWYER LANE MECHANICSBURG PA 17050 HEALTHCARE CONSULT. 245026 SOUTH COUNTY PULMONARY MEDICINE IN 360 KINGSTOWN ROAD SUITE 207 NARRAGANSETT RI 02882 PULMONARY EVALUATION 153810 INNOVATIVE STERILIZATION TECH LLC 7625 PARAGON ROAD SUITE A DAYTON OH 45459 STERILIZATION SVCS 133894 8 356946 403378 760324 PATIENT SERVICE REVENUE 622110 172707691 172707691 OTHER PROGRAM REVENUE 900099 682878 682878 173390569 0 0 0 977492 2141656 -1164164 0 -1164163 -1164163 757739 16121 281162 61158 476577 -45037 431540 431540 0 0 0 0 0 0 0 0 0 REVENUE FROM JOINT VENTURES 621512 1034413 1034413 SELF INSURED TRUST 369289 369289 CAFETERIA 722212 358681 358681 464340 457919 6421 2226723 175644993 174088027 6421 790221 0 0 0 0 2159103 501641 1657462 0 70419642 58304756 12114886 1920505 1556075 364430 10817977 8765187 2052790 4707010 3813820 893190 0 621907 621907 74862 74862 50970 50970 0 81146 81146 8868339 6374025 2494314 846977 607525 239452 5269722 3779898 1489824 2177934 1562202 615732 0 2701639 1937848 763791 74911 53733 21178 0 158314 113557 44757 1947258 1947258 0 9101867 6528642 2573225 2279569 1635103 644466 MEDICAL SUPPLIES & DRUGS 39506952 39506952 STATE LICENSE FEE 4707337 4707337 BAD DEBT EXPENSE 3196672 3196672 MAINTENANCE AND REPAIRS 476669 341908 134761 2009212 1170264 838948 174176494 144457145 29719349 0 7738 7580 2215743 5234330 0 0 13305536 13542506 0 0 0 0 0 0 3335431 3319268 2389371 2555782 173812629 107316925 65789677 66495704 21009077 23752058 17431244 17115798 0 0 1630607 1116503 870132 820546 127984556 133960075 19236285 20377431 0 0 0 0 41585000 38960954 0 0 0 0 14223 0 0 0 44735687 36796767 105571195 96135152 X 22368361 37779923 0 0 45000 45000 22413361 37824923 127984556 133960075 X 1468499 3042517 10900546 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 50970 50970 false PART II-B, LINE 1, LOBBYING ACTIVITIES THE ORGANIZATION PAID BRADFORD GROUP FOR LOBBYING ACTIVITY. IN ADDITION, A PORTION OF THE DUES PAID TO THE HOSPITAL ASSOCIATION OF RHODE ISLAND WERE USED FOR LOBBYING. 36410321 5013956 556421 40867856 33592284 3144062 326025 36410321 35559384 -1355121 611979 33592284 33440630 2269181 150427 35559384 29841928 1596046 2002656 33440630 0.99890 0.00000 0.00110 true false 473121 473121 52952673 34110528 18842145 3347711 1321772 2025939 114026319 69271213 44755106 3012805 2613412 399393 66495704 ENDOWMENT ASSETS 6103882 F ASSETS HELD IN TRUST 9586072 F DONOR RESTRICTED FUNDS 1425844 F 17115798 0 ACCRUED PENSION COST 18048533 FAIR VALUE OF SWAP AGREEMENTS 7019323 UNPAID LOSS RESERVE 5434201 SETTLEMENTS 3330667 ACCRUED RETIREMENT PLAN 1162506 ACCRUED INSURED LOSSES 1094973 POSTRETIREMENT BENEFIT OBLIGATION 377992 ACRO LIABILITY 307641 SECURITY DEPOSITS 20931 36796767 X 188451893 3042517 13042201 16084718 172367175 81146 3196672 3277818 175644993 173040332 2141656 2141656 170898676 81146 3196672 3277818 174176494 PART V, LINE 4 THE HOSPITALS ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES. THE AMOUNT OF $443,579 ON LINE 1B REPRESENTS A TRANSFER FROM OPERATIONS. THERE WERE NO CONTRIBUTIONS RECEIVED FOR THE YEAR ENDED SEPTEMBER 30, 2017. PART X, LINE 2 THE FOOTNOTE BELOW IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT. THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL AND VNS HOMECARE, INC.) OPERATE AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A)OF THE CODE. THE TAX PROVISIONS AND RELATED LIABILITIES FOR SILVER SPRING HEALTH CARE MANAGEMENT WHICH IS A TAXABLE ENTITY CONTROLLED BY THE HOSPITAL ARE NOT SIGNIFICANT. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2017 OR 2016. PART XI, LINE 2D - OTHER ADJUSTMENTS CHANGE IN FUNED STATUS OF EMPLOYEE BENEFIT PLANS 5,709,964 UNREALIZED CHANGE IN EQUITY INTERESTS ON INTEREST RATE SWAP 3,344,942 RENTAL EXPENSES 2,141,655 NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,743,672 UNREALIZED CHANGE IN EQUITY INTERESTS IN LP 101,968 ---------- TOTAL TO SCHEDULE D, PART XI, LINE 2D 13,042,201 PART XI, LINE 4B - OTHER ADJUSTMENTS PROVISION FOR BAD DEBTS 3,196,672 PART XII, LINE 4B - OTHER ADJUSTMENTS PROVISION FOR BAD DEBTS 3,196,672 true true true X true X true true true false true true 4463941 3596615 867326 0.00510 1385586 1070806 314780 0.00180 14534088 9604270 4929817 0.02880 20383615 14271691 6111923 0.03570 928727 414212 514515 0.00300 728347 51424 676923 0.00400 71018 71018 0.00040 1728092 465636 1262456 0.00740 22111707 14737327 7374379 0.04310 false 5327787 37988956 41792970 -3804014 X true true 1 SOUTH COUNTY RADIATION THERAPY LLC RADIATION ONCOLOGY 0.35 1 1 SOUTH COUNTY HOSPITAL 100 KENYON AVE WAKEFIELD RI 02879 WWW.SOUTHCOUNTYHEALTH.ORG H0S00114 X SOUTH COUNTY HOSPITAL 1 false false true X X X X X X X X X 16 true true true true X WWW.SOUTHCOUNTYHEALTH.ORG X X true 16 true WWW.SOUTHCOUNTYHEALTH.ORG false false true X 200. 300. X X X X true true X X X true X WWW.SOUTHCOUNTYHEALTH.ORG X WWW.SOUTHCOUNTYHEALTH.ORG X WWW.SOUTHCOUNTYHEALTH.ORG X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 TO ENSURE THE CHNA REFLECTED THE NEEDS OF THE COMMUNITY SERVED BY SOUTH COUNTY HOSPITAL (THE HOSPITAL), IN ADDITION TO PARTICIPATION IN THE STATEWIDE HARI CHNA; THE HOSPITAL AND L&M WESTERLY HOSPITAL, ANOTHER HOSPITAL SERVING THE COUNTY, HELD A COUNTY-WIDE PARTNER FORUM ON OCTOBER 2015. THE FORUM INCLUDED 21 PARTNERS FROM THE COMMUNITY. THE OBJECTIVE OF THE FORUM WAS TO SOLICIT FEEDBACK FOR REPRESENTATIVES OF KEY STAKEHOLDER GROUPS, FACILITATE COLLABORATION TO ADDRESS COMMUNITY HEALTH NEEDS, AND ALIGN COMMUNITY HEALTH IMPROVEMENT EFFORTS BETWEEN THE HARI CHNA, THE RI DOH, AND THE LOCAL HEALTH EQUITY ZONES (HEZ). THE PARTICIPANTS OF THE FORUM ARE IDENTIFIED IN THE HOSPITALS CHNA APPROVED IN AUGUST 2016 BY THE HOSPITALS BOARD AND IMPLEMENTATION PLAN DATED JANUARY 30, 2017. PART V, SECTION B, LINE 6A THE OTHER HOSPITAL FACILITIES THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: CARE NEW ENGLAND HEALTH SYSTEMS, CHARTERCARE, LANDMARK MEDICAL CENTER, AND THE L&M WESTERLY HOSPITAL. PART V, SECTION B, LINE 6B THE OTHER ORGANIZATIONS THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: THE HOSPITAL ASSOCIATION OF RHODE ISLAND, AND THE RHODE ISLAND DEPARTMENT OF HEALTH. PART V, SECTION B, LINE 7D THE HOSPITAL ALSO PARTICIPATED IN A STATEWIDE COMPREHENSIVE CHNA LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS AND ENGAGED BAKER TILLY AND CREATED A WEBSITE (WWW.RHODEISLANDHEALTHCAREMATTERS.ORG). THE SITE PROVIDES ACCESS TO HEALTH STATISTICS AND INDICATORS FROM SECONDARY DATA SOURCES THAT ARE SPECIFIC TO LOCAL GEOGRAPHIES IN RI AND ALSO IS A COMMUNICATION VENUE FOR SHARING BEST PRACTICES AND RELEVANT HEALTH INFORMATION. PART V, SECTION B, LINE 11 THE STATEWIDE PRIORITIES WERE DETERMINED TO BE BEHAVIORAL HEALTH, CHRONIC DISEASE, AND MATERNAL AND CHILD HEALTH. EACH CHNA HOSPITAL PARTNERS ALIGNED WITH THE STATEWIDE PRIORITIES IN ADDRESSING THE PRIORITY NEEDS WITHIN THEIR SERVICE AREA. BASED ON THE PARTNER FORUM, THE HOSPITAL AND L&M WESTERLY HOSPITAL, TOGETHER WITH INPUT FROM THE COMMUNITY PARTNERS, ADOPTED BEHAVIORAL HEALTH AS A FOCUS FOR THE COUNTY-WIDE COMMUNITY HEALTH IMPROVEMENT EFFORTS OVER THE NEXT THREE YEARS. AS WITH ALL PROGRAMS AND SERVICES, THE HOSPITAL WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY. OTHER ORGANIZATIONS IN THE COMMUNITY ARE FOCUSING ON THE REMAINDER OF THE HEALTH NEEDS. PART V, SECTION B, LINE 22D SOUTH COUNTY HOSPITAL PROVIDES FREE CARE TO ALL INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE. SOUTH COUNTY HOSPITAL PART I, LINE 6A THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEB SITE. PART I, LINE 7, COLUMN (F) THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $3,196,672. PART II, COMMUNITY BUILDING ACTIVITIES SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUPS, WELLNESS SCREENINGS, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY. PART III, LINE 2 & 3 SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPALS (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES. PART III, LINE 4 THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGES 10 & 11 FN #2(I) AND PAGE 23 & 24 FN #8. PAGE 23 & 24 FN #8. PART III, LINE 8 SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF ITS MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITALS CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY2017 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES. PART III, LINE 9B PER THE HOSPITALS POLICY, PRIOR TO THE PATIENTS DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT. SOUTH COUNTY HOSPITAL'S BILLING AND COLLECTION POLICY PROVIDES THE HOSPITAL CAN REFER AN ACCOUNT TO AN OUTSIDE AGENCY FOR COLLECTION BUT WILL NOT REFER ANY ACCOUNTS WHERE A PATIENT APPLIED FOR FINANCIAL ASSISTANCE AND HAS NOT BEEN NOTIFIED OF THE DECISION. BEFORE ENGAGING IN EXTRA ORDINARY COLLECTION ACTIONS, THE HOSPITAL MAKES REASONABLE EFFORTS TO COLLECT THE AMOUNT DUE. PART VI, LINE 2 SOUTH COUNTY HOSPITAL IDENTIFIES ITS COMMUNITIES HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS. QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITALS COMMUNITY. PART VI, LINE 3 SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID, ETC) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITALS FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY. PART VI, LINE 4 THE CITIES AND TOWNS THAT COMPRISE THE PRIMARY SERVICE AREA OF SOUTH COUNTY HOSPITAL INCLUDE THE TOWNS OF CHARLESTOWN, EXETER, JAMESTOWN, NARRAGANSETT, NORTH KINGSTOWN, AND SOUTH KINGSTOWN. THE TOWNS THAT COMPRISE THE SECONDARY SERVICE AREA INCLUDE THE TOWNS OF BLOCK ISLAND, HOPKINTON, RICHMOND, WESTERLY, AS WELL AS, THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH). BASED ON THE DEMOGRAPHIC INFORMATION ANALYZED FOR THE CHNA OBTAINED FROM 2015 THE NIELSON COMPANY AND 2009-2013 UNITED STATES CENSUS THE SOUTH COUNTY HOSPITAL SERVICE AREA ENCOMPASSES 77,947 HOUSING UNITS, 74.5% ARE OWNER-OCCUPIED AND 25.5% ARE RENTER-OCCUPIED. THE MEDIAN HOUSEHOLD INCOME IS $71,495; HOWEVER, INCOME VARIES BY RACE. THE MEDIAN INCOME FOR BLACKS/AFRICAN AMERICANS IS $33,333. APPROXIMATELY 67% OF RESIDENTS AGE 16 YEARS OR OVER ARE IN THE WORKFORCE AND 5.2% ARE UNEMPLOYED, WHICH IS LOWER THAN THE STATE AND NATIONAL AVERAGES. THE MAJORITY OF RESIDENTS IN THE WORKFORCE ARE FOR-PROFIT PRIVATE WORKERS (62%) AND HOLD WHITE COLLAR POSITIONS (65.7%). THE PERCENTAGE OF RESIDENTS LIVING IN POVERTY WITHIN SOUTH COUNTY HOSPITAL SERVICE AREA IS 8.3%; 9.7% OF WHICH ARE CHILDREN LIVING IN POVERTY. THEIR PERCENTAGES ARE LOWER THAN THE STATE (13.6% AND 19.5%, RESPECTIVELY). THE CHNA ASSESSMENT COMPLETED IN 2016 PROVIDES ADDITIONAL INFORMATON ON THE COMMUNTIY SERVED BY THE HOSPITAL AND IS AVAILABLE ON THE HOSPITAL WEBSITE AT THE FOLLOWING LINK: WWW.SOUTHCOUNTYHEALTH.ORG. PART VI, LINE 5 SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITYS HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATIONS NEEDS. THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL: 1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES. 2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY LOCAL MULTIDISCIPLINARY TEAMS AND CHRONIC CARE SERVICES. 3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDINATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY. THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES. THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITALS CONTINUED COMMITTMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY. PART VI, LINE 6 THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, VNS HOME HEALTH SERVICES, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS. PART VI, LINE 7 LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: RI X X X X false false false false false false false false false LOUIS R GIANCOLA PRESIDENT AND CEO 389520 2260 9625 0 16204 0 417609 0 0 0 AARON WEISBORD MD PRES OF MED STAFF BEGIN 10/16 208088 202129 9625 0 18151 0 437993 0 0 0 JAMES CORCORAN VP OF MEDICAL AFFAIRS 270272 10968 0 18815 0 300055 0 0 0 ANNE SCHMIDT VP OF PATIENT CARE SERVICE 218754 9641 0 1646 0 230041 0 0 0 THOMAS J BREEN CHIEF FINANCIAL OFFICER 385684 9625 0 16214 0 411523 0 0 0 LISA RAMEAKA FORMER DIRECTOR 314732 5000 10010 0 19148 0 348890 0 0 0 KATHLEEN CASSIN MD FORMER TRUSTEE/PHYSICIAN 168824 44201 9277 0 8247 0 230549 0 0 0 DAVID BADER PHYSICIAN 190319 228837 9601 0 18151 0 446908 0 0 0 NEIL BRANDON PHYSICIAN 208227 216049 9585 0 18151 0 452012 0 0 0 DAVID BROZA PHYSICIAN 189997 200687 9605 0 8247 0 408536 0 0 0 GERALD COLVIN PHYSICIAN 382620 210052 9625 0 19238 0 621535 0 0 0 STEVEN FERA PHYSICIAN 194946 192811 9598 0 14731 0 412086 0 0 0 SALVATORE ABBRUZZESE JR DO VP OF MED STAFF BEGIN 10/16 227530 13325 10912 0 17573 0 269340 0 0 0 A RI HEALTH & EDUCATION BLDG CORP SERIES 2015 521300173 2015-08-12 45554000 REFINANCE 2012 BOND ISSUE false false false A 6110000 0 45545000 0 0 0 0 0 0 0 45545000 0 2015 true false true true A false false true false 0.00000 0.00000 false false false false A false true false false true true MERRILL LYNCH CAPITA 30. false false false 0 false false A false SCHEDULE K, PART II, LINE 11 BOND FUNDS WERE USED TO REFUND THE 10/1/2012 BOND ISSUE. SCHEDULE K, PART III, LINE 3A MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE: ANY MANAGEMENT OR SERVICE CONTRACTS THAT MAY RESULT IN PRIVATE BUSINESS USE OF BOND-FINANCED PROPERTY ARE INCIDENTAL AND FALL UNDER THE SAFE HARBOR PROVIDED. SCHEDULE K, PART III, LINE 9 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM MONITORS THEIR BOND FOR POST ISSUANCE BOND COMPLIANCE, BUT DOES NOT HAVE A SET OF WRITTEN PROCEDURES. THEY ARE IN THE PROCESS OF DEVELOPING WRITTEN PROCEDURES. WILLIAM SABINA TRUSTEE & PRESIDENT OF THE MEDICAL STAFF 55000 ADMIN CLINICAL SUPPORT false ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2017, THE HOSPITAL REPORTED 5,834 DISCHARGES AND 17,963 INPATIENT DAYS. THE DISCHARGES INCLUDED 660 DELIVERIES AND 2,504 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 219,761 OUTPATIENT VISITS; INCLUDING 23,894 OUTPATIENT EMERGENCY ROOM VISITS AND 22,730 URGENT CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 117,834 VISITS. FORM 990, PART VI, SECTION B, LINE 11 THE SOUTH COUNTY HEALTH ("SCH") HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. ALL ENTITIES HAVE MIRROR BOARDS. THE FORM 990 IS PROVIDED TO THE ORGANIZATIONS AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATIONS ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AT A BOARD MEETING PRIOR TO THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM THE DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO' SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION THE ORGANIZATION USES FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY. THE REVIEW IS DONE BY INDEPENDENT INDIVIDUALS OF THE GOVERNING BODY AND ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 16B THE HOSPITAL'S JOINT VENTURE AGREEMENTS ARE FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS 5,709,964 UNREALIZED GAIN ON INTEREST RATE SWAP 3,344,942 NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,743,672 UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 101,968 ---------- TOTAL TO FORM 990, PART XI, LINE 9 10,900,546 FORM 990, PART XII, LINE 2C FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATIONS AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATIONS FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATIONS FINANCIAL STATEMENTS. SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT 100 KENYON AVE WAKEFIELD RI 02879 050259093 HEALTHCARE RI 501(C)(3) 7 NA false SOUTH COUNTY HOME HEALTH 14 WOODRUFF AVE NARRAGANSETT RI 02882 056033975 HEALTHCARE RI 501(C)(3) 10 SC HOSPITAL true SILVER SPRING HEALTH CARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SCH HEALTHCARE C CORP -7474 196617 1.00000 true SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 PERSONAL CARE RI SCH HEALTHCARE C CORP 56198 43483 1.00000 true SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFIELD RI 02879 050478937 RETAIL OF MED EQP RI SCH HEALTHCARE C CORP -65062 1048918 1.00000 true false false true false false false false false false true false false true true true false true false false SSHM SURGICAL SUPPLY INC O 922014 SOUTH COUNTY HOME HEALTH O 518424