2017-08-14T19:01:21-05:00 2016-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2015-10-01 222592333 Southcoast Hospitals Group Inc % ROBERT TAROLA SOUT 5089615000 101 Page Street New Bedford MA 02740 MICHAEL COFONE SVP & CONTROLLER 5089615000 2017-08-14 true PAUL J TANIS P01441612 6175305000 2015 2021-01-29 14:40:06Z KEITH HOVAN 101 PAGE STREET New Bedford MA 02740 1112686178 false X www.southcoast.org X 1986 MA SEE SCHEDULE O 17 16 6611 521 2020748 600729 11515915 6959491 797596006 808230952 27159556 14347020 864250 539456 837135727 830076919 0 71000 0 0 415534832 411786417 0 0 1085749 326402488 340744255 741937320 752601672 95198407 77475247 944260336 927270784 446583202 405406269 497677134 521864515 X SEE SCHEDULE O false false 719078905 0 808230952 Southcoast provides inpatient and outpatient health care services to improve the health and wellness of individuals in its communities. Southcoast recorded 186,650 inpatient days, performed 18,171 surgeries and 10,005 endoscopies, provided 2,926,582 laboratory tests, performed 387,038 radilological procedures, 178,683 physical medicine visits, 804 PCI coronary interventions, 2,404 diagnostic catherizations, 377 open heart surgeries, 907 electrophysiology cases, 840 coronary device implants, 3,101 newborn admissions, performed 24,264 radiation and medical chemotherapy treatments, and cared for 191,125 emergency room patients 24 hours a day 7 days a week regardless of their ability to pay for such services. 719078905 true true false true false false false false false true true true false false true false false true false false false false false false true false true true true false true true false false false false false false false false false true true false false false false true true false false false true 407 0 true 6611 true true true false false false false true true false false false false X 17 16 false true false false true true true true true false false true true true true true true true true true true MA X ROBERT TAROLA 5089735016 101 PAGE STREET New Bedford MA 02740 X KEITH HOVAN PRESIDENT & CEO 60.0 1.0 X X 1255306 0 274728 M WAJID BAIG MD TRUSTEE 1.0 1.0 X 0 0 0 CHRISTOPHER CHENEYMD TRUSTEE 1.0 1.0 X 0 0 0 JEAN MACCORMACK CHAIR 1.0 1.0 X X 0 0 0 PAMELA MCNAMARA TRUSTEE 1.0 1.0 X 0 0 0 CARL RIBEIRO TRUSTEE 1.0 1.0 X 0 0 0 ROBERT TRIPP JR DO TRUSTEE 1.0 1.0 X 0 0 0 MAUREEN SYLVIA ARMSTRONG TRUSTEE 1.0 1.0 X 0 0 0 CARL TABER TRUSTEE 1.0 1.0 X 0 0 0 JASON RUA VICE CHAIR 1.0 1.0 X X 0 0 0 LOUIS CABRAL Trustee 1.0 1.0 X 0 0 0 PETER BULLARD CLERK (UNTIL 12/15) 1.0 1.0 X X 0 0 0 JAMES JEROME COOGAN CLERK (AS OF 12/15) 1.0 1.0 X X 0 0 0 JOSEPH A CIFFOLILLO Trustee 1.0 1.0 X 0 0 0 W HUGH M MORTON Trustee 1.0 1.0 X 0 0 0 DENNIS J FUSCO TRUSTEE (AS OF 12/15) 1.0 1.0 X 0 0 0 DONALD G GIUMETTI TRUSTEE (AS OF 12/15) 1.0 1.0 X 0 0 0 SALMAN BASHIR MD EX-OFFICIO (AS OF 12/15) 1.0 1.0 X 0 0 0 ELIZABETH KUNZ ESQ TRUSTEE (UNTIL 12/15) 1.0 1.0 X 0 0 0 STEPHEN KASPARIAN EX-OFFICIO (UNTIL 12/15) 1.0 1.0 X 0 0 0 LINDA BODENMANN EVP & COO (SHS)/ASST CLERK 60.0 1.0 X 884280 0 156100 KRISTOFER LINDEMAN Treasurer 50.0 1.0 X 210749 0 15715 ROBERT TAROLA EXECUTIVE VP AND CFO 60.0 0.0 X 0 0 0 PAUL IANNINI PHYS. IN CHIEF, MED 60.0 1.0 X 751888 0 25773 DAVID DEJESUS JR SVP & CHRO 60.0 0.0 X 372638 0 74850 ELLEN BANACH SVP STRATEGIC SVCS 60.0 1.0 X 490426 0 10994 ROBERT CALDAS MD Senior VP & CMO 60.0 0.0 X 545310 0 106008 RENEE CLARK SVP/COO (SHG) 60.0 0.0 X 330584 0 76534 CAROL CONLEY VP & CNO 60.0 0.0 X 533027 0 1469 JOAN MCFAUL SVP/CIO 60.0 0.0 X 338255 0 2175 JACK DRESSER SVP/CPO 60.0 0.0 X 267014 0 14599 CYNTHIA MARLBOROUGH VP Network Dev 60.0 0.0 X 347639 0 13209 LAURIE MULGREW VP CARDIAC SVCS 60.0 0.0 X 217039 0 10931 JOHN DAY Former Officer(Term 6/30/11) 0.0 0.0 X 205118 0 160000 CYNTHIA WICKS President SPN (TERM 10/24/14) 60.0 0.0 X 241100 0 10513 RONALD LAFLEUR VP HOSP REV SYS(TERM 12/31/14) 0.0 0.0 X 278794 0 9738 7269167 0 963336 643 true true false FIRST PHYSICIANS CORP 1342 BELMONT ST SUITE 205 BROCKTON MA 02301 Emrgncy Rm Phy Svcs 10127388 ANESTHESIA ASSOCIATES INC 460 ENTERPRISE ST SAN MARCOS CA 98069 ANESTHESIA SVCS 7106059 EPIC SYSTEMS CORPORATION 1979 MILEY WAY VERONA WI 53593 IT System Consultant 9718797 TOBEY EMERGENCY ASSOCIATES PC PO BOX 53 WAREHAM MA 02571 PHYSICIAN SERVICES 4756960 JK SCANLAN CO INC 15 RESEARCH ROAD EAST FALMOUTH MA 02536 CONTRACTOR 5912551 83 1032850 5926641 100750 6959491 PATIENT SVC REVENUE 621500 751267300 751014161 253139 HEALTHCARE SVC REVENUE 446110 55959114 54823658 1135456 PARTNERSHIP INCOME 525920 91093 91093 OUTPATIENT CARE CENTER 621400 124754 124754 SATELLITE CAFETERIA 722210 541060 541060 247631 247631 808230952 5790581 5790581 0 0 1188447 522161 666286 0 666286 666286 290246480 281690041 8556439 8556439 8556439 265728 1032850 397057 -131329 -131329 0 0 SALES OF SCRAP & OTHER 900099 4499 4499 4499 830076919 805962573 2020748 15134107 71000 71000 0 0 0 5086282 4806808 269739 9735 0 315054712 297743476 16708205 603031 14112994 13337531 748450 27013 54300167 51316549 2879685 103933 23232262 21955724 1232070 44468 0 3510629 92448 3418181 791633 791633 643471 643471 0 758045 758045 66775644 63734166 2989172 52306 3192581 3192581 23092561 21906425 1142512 43624 0 0 11671463 11640526 30937 565716 565716 0 776156 681699 88175 6282 7967099 7967099 4876824 4876824 56210554 56210554 0 PHARMACEUTICALS 33589187 33589187 FOOD SERVICE 6529592 6414504 42634 72454 PARTS AND REPAIRS 3319658 3317819 1839 MEDICAL SUPPLIES/LINENS 111223622 111166465 52855 4302 5249820 3848333 1282886 118601 752601672 719078905 32437018 1085749 0 0 65763095 9405673 7378875 4097763 86877423 91399686 0 0 0 0 0 0 10692423 13174959 26113759 27333862 887543822 516038557 377670534 371505265 236670587 293732031 92294563 82345579 0 0 0 0 40799077 34275966 944260336 927270784 116680694 99407953 0 0 0 0 192350595 186221907 0 0 0 0 71818344 65983234 0 0 65733569 53793175 446583202 405406269 X 415284998 451026308 34965490 21569799 47426646 49268408 497677134 521864515 944260336 927270784 X 77475247 12774134 -66062000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 643471 false false 643471 false PART I-A, LINE 1 SOUTHCOAST DOES NOT ENGAGE IN ANY DIRECT OR INDIRECT POLITICAL CAMPAIGNS OR ACTIVITIES. PART II-B, LINE 1, LOBBYING ACTIVITIES DURING FISCAL YEAR 2016, SOUTHCOAST RETATINED SEPARATE CONSULTANTS AT THE STATE AND FEDERAL LEVELS TO MONITOR HEALTH CARE RELATED ISSUES AND ADVOCATE FOR SOUTHCOAST. AT THE STATE LEVEL OUR STATE CONSULTANT WORKED WITH OUR STATE DELEGATION ON LEGISLATIVE BUDGET AMENDMENTS, REGULATORY CHANGES AND MEDICAID/DSH REIMBURSEMENT RATES. OUR CONSULTANT FOR FEDERAL MATTERS WORKED WITH OUR FEDERAL DELEGATION ON MEDICARE DSH FUNDING, SGR PAYMENTS, SEQUESTRATION CUTS, READMISSION ADJUSTMENTS, BAD DEBT REIMBURSEMENT, THE RURAL FLOOR WAGE INDEX AND CHANGES TO THE AFFORDABLE CARE ACT. PART II-B, LINE 1G DURING FISCAL YEAR 2016, SHS STATE CONSULTANT MONITORED AND COMMUNICATED WITH OUR STATE LEGISLATIVE DELEGATION REGARDING THE STATE BUDGET. THEY ALSO MONITORED AND/OR SHARED SOUTHCOASTS CONCERNS ON TOPICAL HEALTHCARE ISSUES SUCH AS MEDICAID FUNDING/REIMBURSEMENTS, AND BEHAVIORAL HEALTH NEEDS, INCLUDING FUNDING, ACCESS AND COVERAGE IN OUR REGION. false false false 79698156 5812416 2564977 7820623 80254926 75434683 15995643 -4030250 7701920 79698156 72912123 93090 4449000 1920848 98682 75434683 68832097 31658 6063491 1913133 101990 72912123 61915576 4176570 4839232 2031155 68126 68832097 1.00000 0.00000 0.00000 false false 9859862 9859862 403067119 217092278 185974841 1902537 1152315 750222 466402658 297793964 168608694 6311646 6311646 371505265 ALTERNATIVE INVESTMENTS 42711048 F ALTERNATIVE INVESTMENTS 39634531 C 82345579 0 OTHER LONG-TERM LIABILITIES 9046444 NON-PENSION POST RETIREMENT BE 8734855 LONG-TERM INSURANCE RESERVES 30216543 DUE TO/FROM AFFILIATE 5795333 53793175 PART V, LINE 4 SOUTHCOAST'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT SOUTHCOAST'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN SOUTHCOAST'S SERVICE AREA. Golf Tournam-TO 636905 493454 143451 80891 144879 74787 1926 Golf Tournam-S 147013 106591 40422 17308 19264 15401 1041 8 514660 432805 81855 7597 0 15169 18794 1298578 1032850 265728 105796 164143 105357 21761 397057 -131329 true true X true X true X true true false true true 14340453 7426626 6913827 0.00920 158450738 147614496 10836242 0.01440 172791191 155041122 17750069 0.02360 29 500000 4233641 0 4233641 0.00560 150 6000 3225515 0 3225515 0.00430 1042813 1022855 19958 0.00000 77 0 325231 0 325231 0.00040 256 506000 8827200 1022855 7804345 0.01030 256 506000 181618391 156063977 25554414 0.03390 15000 15000 232009 232009 0.00030 10260 10260 19845 19845 277114 277114 0.00030 true 4737981 0 338638857 339316915 -678058 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 SHG INC false false true X X X X X X X X X 15 true false true true X SEE SCHEDULE H, PART V, SECTION C X X true 12 true SEE SCH H, PART V, SECT C false false true X 150. 300. X 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 true X false true X false false PART V, SECTION B, LINE 5 Southcoast works with a number of community partners to obtain input on community needs, gaps in services and health disparities that exist within Southcoast communities. In 2015, Southcoast worked with the following: 1. Partners for a Healthier Community, a community coalition serving Greater Fall River, which undertook a community-wide needs assessment. Southcoast staff served on a number of needs assessment committees which solicited extensive community input through surveys, focus groups and community discussions. 2. Southcoast worked with the Wareham Coalition to Prevent and End Homelessness to conduct a series of Focus Groups on homelessness in the town of Wareham. These included meetings with homeless residents and agencies serving the homeless. 3. Southcoast solicited input from over 100 community agencies, faith-based organizations and community leaders who are involved in providing behavioral health services. The purpose of this needs assessment was to identify needs and gaps in a range of behavioral health services. This included surveys, key informant interviews and presentations to community groups. 4. Southcoast worked with the Greater New Bedford Allies for Health and Wellness (GNB Allies) Health Equity Committee to research and assess health inequities in the Greater New Bedford region, including the impact of social determinants of health. The result of this research was targeted outreach for programs such as cancer screenings, health insurance enrollment and other health issues. PART V, SECTION B, LINE 6B SOUTHCOAST HOSPITALS GROUP, INC. COLLABORATES WITH TEH DARTMOUTH PUBLIC POLICY INSTITUTE. PART V, SECTION B, LINE 7A AND 10A https://www.southcoast.org/wp-content/uploads/2016/05/2017-Community-Benef its-Report-FINAL.pdf PART V, SECTION B, LINE 7D Southcoast shared its needs assessment with a regional coalition, Partners for a Healthier Community, which based a more localized, Fall River area needs assessment on Southcoast's broad health needs assessment findings. Southcoast also became part of Health Data Southcoast, housed at the University of Massachusetts - Dartmouth, which houses a range of health, demographic and social data on a web site that can be accessed by the public. Southcoast's regional health needs assessment is often used by a range of community agencies and other partners for grant proposals and joint planning for health and social programs. PART V, SECTION B, LINE 11 As part of Southcoast's annual Community Benefits process, Southcoast creates a community health improvement plan that is based on Southcoast's needs assessment and is formulated in collaboration with community partners. Southcoast identifies target audiences on an annual basis and also jointly prioritizes and coordinates services that will meet the specific needs of Southcoast communities. In 2016, in collaboration with Southcoast's partners, Southcoast jointly set 49 community health improvement goals and were able to reach 89 percent of these goals. Southcoast reports on it's progress annually and shares this report with the community. Southcoast also establishes a community benefits budget on an annual basis. PART V, SECTION B, LINE 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 22D SOUTHCOAST used the financial guidelines established by the Commonwealth of Massachusetts for determining eligibility for financial assistance, including MassHealth and the Health Safety Net. For patients identified between 151-300% of the Federal Poverty Income Guidelines, we provided a sliding scale. For those beyond 300%, or those who did not provide any financial income information, SOUTHCOAST provided a 25% discount from gross charges and informed them of the opportunity to apply for financial assistance. PART I, LINE 3C DISCOUNTS ARE AFFORDED TO A "QUALIFYING PATIENT" - PATIENT WHO IS NOT ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE AND WHO IS UNINSURED FOR MEDICALLY NECESSARY HOSPITAL SERVICES. ELIGIBLE BALANCES ARE THOSE AMOUNTS FOR WHICH QUALIFYING PATIENTS HAVE FULL RESPONSIBILITY DUE TO LACK OF INSURANCE. OBLIGATIONS DO NOT INCLUDE CO-INSURANCE, DEDUCTIBLES OR BALANCES DUE AFTER INSURANCE OR OUT-OF-NETWORK SERVICES. A DISCOUNT OF 25% OF THE TOTAL CHARGES WILL BE APPLIED AT THE TIME OF INITIAL BILLING. ADDITIONAL DISCOUNTS MAY BE POSSIBLE BASED ON THE SIZE OF THE BALANCE, TIMELINESS OF PAYMENT AND FINANCIAL NEED. THESE ARE GIVEN INDIVIDUAL CONSIDERATION. SOUTHCOAST WILL SEEK TO ADVISE QUALIFYING PATIENTS WITH RESPECT TO AVAILABILITY OF DISCOUNT PURSUANT TO THIS POLICY AS WELL AS THE AVAILABILITY OF LOW INCOME AND MASSHEALTH BENEFITS. PART I, LINE 7 ACTUAL COST FOR ALL SOUTHCOAST PATIENT SEGMENTS WAS USED TO CALCULATE THE VALUE OF CHARITY CARE. PART I, LINE 7G INCLUDED IN SUBSIDIZED HEALTH SERVICES AT COST ARE COSTS AND OFFSETTING REVENUES ASSOCIATED WITH SOUTHCOAST'S LEVEL II NURSERY, INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES AND INPATIENT REHABILITATIVE SERVICES. SOUTHCOAST IS THE SOLE PROVIDER 0F THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED. PART II Southcoast engages in a number of community building activities that promote infrastructure improvement in communities and the development of policies and programs that address social determinants of health such as housing, education and workforce development. Southcoast has provided financial contributions to support infrastructure improvements in community parks, that help improve easy access to physical activity. Southcoast has also provided leadership training and support on health advocacy issues such as regulations to limit tobacco access. Southcoast leads, or plays a key role, in a number of local coalitions that promote wellness and collectively work to address pressing health issues identified in Southcoast's needs assessment. Southcoast is the co-leader of a coaltion, Voices for a Healthy Southcoast, that works to promote and support system and environment change that addresses healthy nutrition, improved access to physical activity and a decrease in high rates of smoking. PART III, LINE 2 THE COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 WAS BASED ON A RATIO OF COST TO CHARGE METHODOLOGY. DISCOUNTS AND PAYMENTS ON ACCOUNTS CONSIDERED AS BAD DEBT OFFSET THE TOTAL BAD DEBT EXPENSE RECORDED. PART III, LINE 3 PER SHG'S ASSESSMENT OF THE COMMUNITY IT SERVES, A CERTAIN PERCENTAGE OF THE POPULATION WOULD QUALIFY FOR FINANCIAL ASSISTANCE BUT DO NOT APPLY. DUE TO THIS SHG INCLUDES THIS AMOUNT OF BAD DEBT AS A COMMUNITY BENEFIT EXPENSE. PART III, LINE 4 FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SOUTHCOAST RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SOUTHCOAST'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SOUTHCOAST RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. FOOTNOTE 1 (PAGES 8-9) OF THE AUDITED FINANCIAL STATEMENTS DESCRIBES THE BAD DEBT EXPENSE. PART III, LINE 8 THE COST ACCOUNTING METHODOLOGY USED IS THE SAME METHODOLGY USED FOR THE MEDICARE SHORTFALL. THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT SINCE SOUTHCOAST IS REQUIRED TO PROVIDE SERVICES TO ALL REGARDLESS OF THE ABILITY TO PAY FOR SUCH SERVICES. PART III, LINE 9B SOUTHCOAST'S CREDIT AND COLLECTION POLICY CONTAINS PROVISIONS REGARDING COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. FOR INDIVIDUALS DETERMINED TO BE LOW INCOME PATIENTS ANY SERVICES PROVIDED PRIOR TO SUCH DETERMINATION DATE AND NOT COVERED UNDER THE SAFETY NET (HSN) WILL BE WRITTEN OFF AS CHARITY CARE. ANY SERVICE DENIED BY THE HSN FOR THE MEDICALLY NECESSARY WILL ALSO BE CONSIDERED CHARITY CARE. ANY COPAYMENTS OR DEDUCTIBLES FOR MASSHEALTH AND MASSHEALTH MANAGED CARE RECIPIENTS WILL BE CONSIDERED CHARITY CARE IF UNRESOLVED AT THE CONCLUSION OF SOUTHCOAST'S COLLECTION PROCESS. THE FOLLOWING ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: 1. PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, EXCEPT SOUTHCOAST MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM FOR THEIR REQUIRED COPAYMENTS AND DEDUCTIBLES AS SET FORTH IN EACH PLAN; 2. SOUTHCOAST MAY INITIATE BILLING AND COLLECTION FOR A PATIENT ALLEGING TO PARTICIPATE IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF SOUTHCOAST SERVICES BUT FAILS TO PROVIDE PROOF OF PARTICIPATION; 3. SOUTHCOAST MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME DETERMINATION, HOWEVER, COLLECTION ACTION WILL CEASE ONCE ELIGIBILITY IS DETERMINED; AND 4. SOUTHCOAST WILL NOT SEEK COLLECTION FROM AN INDIVIDUAL WHO HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HSN WITH RESPECT TO THE AMOUNT OF THE BILL EXCEEDING THE MEDICAL HARDSHIP CONTRIBUTION. SOUTHCOAST WILL NOT PURSUE COLLECTION FROM A PATIENT INVOLVED IN BANKRUPTCY PROCEEDING AND WILL NOT CHARGE INTEREST IN AN OVERDUE BALANCE OF A LOW INCOME PATIENT. PART VI, LINE 2 SOUTHCOAST COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN 1998 AND THIS HAS BEEN UPDATED AND EXPANDED UPON ON AN ANNUAL BASIS THROUGH REGULAR ANALYSIS OF PUBLIC HEALTH DATA, PRIMARY DISEASE RATE DATA AVAILABLE THROUGH SOUTHCOASTS HEALTH SYSTEM, AND PERIODIC FOCUS GROUPS, INTERVIEWS AND NEEDS ASSESSMENT MEETINGS WITH COLLABORATIVE PARTNERS. IN 2016, SOUTHCOAST WORKED WITH THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY INSTITUTE TO CONDUCT A COMPREHENSIVE AND EXTENSIVE UPDATE AND ANALYSIS OF SOUTHCOASTS COMMUNITY HEALTH NEEDS ASSESSMENT WITH A PARTICULAR FOCUS ON IDENTIFYING AND ADDRESING HEALTH DISPARITIES THAT EXIST IN SOUTHCOASTS REGION. THE HIGHLIGHTS OF THIS NEEDS ASSESSMENT ARE SHARED ON A REGULAR BASIS WITH COMMUNITY GROUPS AND ARE USED FOR PLANNING PURPOSES BY LOCAL AND REGIONAL COALITIONS. FOR FISCAL YEAR 2016, SOURCES FOR SOUTHCOASTS NEEDS ASSESSMENT INCLUDED: - UPDATES OF A COMPREHENSIVE REVIEW AND ANALYSIS OF REGIONAL HEALTH DATA. - OVER 30 KEY INFORMANT INTERVIEWS OF COMMUNITY LEADERS AND RESIDENTS THROUGHOUT THE REGION. - A CANCER DISPARITIES STUDY IN GREATER NEW BEDFORD THAT INCLUDED OVER 100 KEY INFORMANT INTERVIEWS, EIGHT FOCUS GROUPS AND SURVEYS. - ETHNIC FOCUS GROUPS IN COLLABORATION WITH THE IMMIGRANTS ASSISTANCE CENTER, WHICH WORKS WITH IMMIGRANT POPULATIONS THROUGHOUT THE SOUTH COAST REGION, AND THE GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, THE MAJOR PRIMARY HEALTH PROVIDER FOR HISPANIC RESIDENTS IN SOUTHCOASTS REGION. - FOCUS GROUPS AND SURVEYS CONDUCTED IN COLLABORATION WITH VOICES FOR A HEALTHY SOUTHCOAST. - SURVEY DATA ON HEALTH HABITS OF PUBLIC HOUSING RESIDENTS IN NEW BEDFORD, FALL RIVER AND WAREHAM, INCLUDING SMOKING, NUTRITION AND EXERCISE HABITS. THIS SURVEY WAS CONDUCTED IN PARTNERSHIP WITH VOICES FOR A HEALTHY SOUTHCOAST AND THE SOUTHCOAST HEALTHY HOUSING AND WORKPLACE INITIATIVE. - FOCUS GROUPS WITH PARENTS OF STUDENTS INVOLVED IN SOUTHCOAST RAPPP YOUTH RISK BEHAVIORS PROGRAM. - DEVELOPMENTAL ASSETS SURVEY DATA CONDUCTED IN 12 MIDDLE AND HIGH SCHOOLS ON THE SOUTH COAST ALONG WITH YOUTH RISK BEHAVIORS SURVEY DATA FROM URBAN AND SUBURBAN SCHOOL SYSTEMS IN SOUTHCOASTS REGION. - PRIMARY SOUTHCOAST ADMISSIONS DATA ON SUBSTANCE MISUSE ALONG WITH DATA ON OVERDOSES FROM POLICE DEPARTMENTS THROUGHOUT THE REGION. Southcoast's NEEDS ASSESSMENT IS POSTED ON THE SOUTHCOAST WEBSITE AND COMMUNITY MEMBERS ARE ENCOURAGED TO ENGAGE IN DIALOGUE CONCERNING THE FINDINGS. <WWW.SOUTHCOAST.ORG/NEWS/BENEFITS/#NEEDSASSESSMENT> PART VI, LINE 3 SOUTHCOAST POSTS NOTIFICATIONS OF INSURANCE ELIGIBILITY IN MULTIPLE LANGUAGES THROUGHOUT ALL OF SOUTHCOASTS INPATIENT AND OUTPATIENT FACILITIES. SOUTHCOAST ALSO UTILIZES MULTILINGUAL OUTREACH BROCHURES, DISPLAYED IN OUR FACILITIES AND ALSO DISTRIBUTED AT A NUMBER OF HEALTH INURANCE OUTREACH EVENTS AND ALSO THROUGH REGULAR OUTREACH IN THE SOUTHCOAST HEALTH VAN. IN 2016, SOUTHCOASTS PATIENT ACCESS DEPARTMENT PROVIDED OUTREACH TO TENS OF THOUSANDS OF RESIDENTS AND ENROLLED OVER 437 MANUAL MASSHEALTH APPLICATIONS, 3,991 AFFORDABLE CARE ACT (ACA) APPLICATIONS, 34 DISABILITY & 81 LONG-TERM CARE APPLICATIONS, AND 8 VIRTUAL GATEWAY APPLICATIONS. PART VI, LINE 4 SOUTHCOAST HEALTH SYSTEM SERVES A DIVERSE REGION ALONG THE SOUTH COAST OF MASSACHUSETTS, INCLUDING SEVERAL URBAN CENTERS WITH A NUMBER OF DEMOGRAPHIC CHALLENGES, AND RURAL AND SUBURBAN TOWNS. ALTHOUGH THE OVERALL POPULATION HAS GROWN, ACCORDING TO DATA FROM SOUTHCOASTS 2016 NEEDS ASSESSMENT, MOST OF THIS GROWTH HAS OCCURRED IN THE REGION'S TOWNS WHILE THE URBAN POPULATION IN THE CITIES OF FALL RIVER AND NEW BEDFORD IS SHRINKING. 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 HISPANIC OR LATINO RESIDENTS ACCOUNT FOR 17.5 PERCENT OF ALL RESIDENTS, MUCH HIGHER THAN THE STATE AVERAGE. SINCE 2009, COMMUNITIES THROUGHOUT THE SOUTHCOAST HAVE BECOME MORE DIVERSE. FROM 2009 TO 2014, THE MINORITY POPULATION IN THE REGION INCREASED BY 22.4 PERCENT (10,797 PEOPLE). WAREHAM SAW THE LARGEST PERCENT INCREASE IN ITS MINORITY POPULATION (49.3% OR 1,011 PEOPLE), AND NEW BEDFORD SAW THE LARGEST NOMINAL INCREASE (4,678 PEOPLE OR 17.5%). ADDITIONALLY, AFRICAN-AMERICAN RESIDENTS COMPROMISE A LARGER SHARE OF NEW BEDFORDS POPULATION THAN ELSEWHERE IN THE SOUTHCOAST. INDEED, NON-WHITE RESIDENTS ACCOUNT FOR ONE-THIRD (33.0%) OF NEW BEDFORDS TOTAL POPULATION. AS MAJOR DESTINATIONS FOR THE REGIONS NEWLY ARRIVED IMMIGRANTS, NEW BEDFORD AND FALL RIVER HAVE THE HIGHEST SHARES OF RESIDENTS REPORTING LIMITED PROFICIENCY, 13.7 AND 17.3 PERCENT, RESPECTIVELY. BOTH CITIES ALSO HAVE POCKETS OF UNDOCUMENTED IMMIGRANTS, INCLUDING SOUTH AND CENTRAL AMERICANS IN NEW BEDFORD, ALTHOUGH ESTIMATES VARY WIDELY AS TO THE SIZE OF THESE GROUPS. PORTUGUESE SPEAKERS ARE BEING SUPPLANTED BY SPANISH SPEAKERS IN THE REGIONS CITIES, ALTHOUGH SOME PORTUGUESE-ONLY SPEAKERS REMAIN, PARTICULARLY IN FALL RIVER AND NEW BEDFORD BUT ALSO IN SOME OF THE REGIONS SUBURBS SUCH AS ACUSHNET, DARTMOUTH, FAIRHAVEN, AND WESTPORT. THE AGE COHORTS IN THE SOUTHCOAST 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 REGIONS 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 SOUTHCOAST OVERALL. SOUTHCOAST HAS LONG STRUGGLED WITH LOW LEVELS OF EDUCATIONAL ATTAINMENT. WITHIN THE REGION, FALL RIVER AND NEW BEDFORD HAVE PARTICULARLY LOW LEVELS OF EDUCATIONAL ATTAINMENT. IN BOTH CITIES, LESS THAN HALF OF THE POPULATION 25 YEARS OF AGE OR OLDER HAS EVER ATTENDED COLLEGE. ADDITIONALLY, WHEN COMPARED TO THE ADULT POPULATION STATEWIDE, FALL RIVER AND NEW BEDFORD HAVE MORE THAN TWICE THE PERCENTAGE OF ADULTS WHO HAVE NOT COMPLETED HIGH SCHOOL 29.7 PERCENT IN FALL RIVER AND 28.9 PERCENT IN NEW BEDFORD, COMPARED TO 10.5 PERCENT ACROSS THE COMMONWEALTH. MANY SOUTHCOAST COMMUNITIES HAVE SEEN MEDIAN HOUSEHOLD INCOMES EITHER STAGNATE OR DECLINE FROM 2009 TO 2014. EXAMINING THE 2014 MEDIAN INCOMES FOR SOUTHCOAST COMMUNITIES REVEALS A TREND SIMILAR TO THE PER CAPITA INCOMES THE MAJORITY OF THE REGIONS TOWNS HAVE MEDIAN HOUSEHOLD INCOMES ABOVE THE STATE AVERAGE. ONLY FOUR COMMUNITIES (FALL RIVER, NEW BEDFORD, FAIRHAVEN, AND WAREHAM) HAVE MEDIAN HOUSEHOLD INCOMES BELOW THE STATE MEDIAN. IN PARTICULAR, FALL RIVERS MEDIAN HOUSEHOLD INCOME IS LESS THAN HALF THAT OF THE COMMONWEALTH AS A WHOLE. THE SOUTHCOAST IN GENERAL HAS HIGHER POVERTY RATES FOR ALL FAMILIES, FOR FAMILIES LED BY A FEMALE WITH NO SPOUSE PRESENT, AND FOR FAMILIES WITH CHILDREN. IN FALL RIVER AND NEW BEDFORD, THESE MEASURES OF POVERTY ARE HIGHER THAN THE REGION. FOR EXAMPLE, LESS THAN 10 PERCENT OF ALL FAMILIES STATEWIDE LIVE IN POVERTY (8.3%), COMPARED WITH 12.6 PERCENT OF ALL FAMILIES IN THE SOUTHCOAST AND APPROXIMATELY 20 PERCENT OF ALL FAMILIES IN FALL RIVER (19.6%) AND NEW BEDFORD (20.6%). IN NEW BEDFORD IN PARTICULAR, THE SHARE OF FEMALE-LED FAMILIES LIVING IN POVERTY IS NEARLY DOUBLE THE RATE STATEWIDE 41.0 PERCENT COMPARED WITH 25.9 PERCENT. HIGH RATES OF POVERTY AMONG FEMALE-LED FAMILIES HAVE SERIOUS IMPLICATIONS FOR THE HEALTH OUTCOMES OF THESE WOMEN AND THEIR CHILDREN, SINCE THERE IS NO SPOUSE TO SHARE HEALTHCARE RESPONSIBILITIES AND COSTS. THE REGIONS CHANGING RACIAL MAKEUP AND CONTINUED SOCIOECONOMIC STRUGGLES PLACE UNIQUE STRESSES ON HEALTHCARE DELIVERY, PARTICULARLY IN ADDRESSING HEALTH DISPARITIES BASED ON RACE, INCOME, AND EDUCATION. THE REGION'S HEALTH IS AFFECTED BY THE PHYSICAL CONDITIONS OF THE SOUTH COAST. THIS INCLUDES ACCESS TO AMENITIES THAT FACILITATE HEALTHY EATING AND ACTIVE LIVING, AIR QUALITY, AND SOURCES OF ENVIRONMENTAL CONTAMINATION. THE ANALYSIS SHOWS THAT SOUTHCOAST RESIDENTS FACE ENVIRONMENTAL FACTORS THAT MAY BE A DETRIMENT TO THEIR HEALTH. FOR EXAMPLE: - BRISTOL COUNTY, WHICH COMPRISES MOST OF THE SOUTHCOAST SERVICES AREA, HAS THE SECOND LOWEST FOOD ENVIRONMENT INDEX IN THE STATE, INDICATING SIGNIFICANT BARRIERS TO HEALTHY FOOD ACCESS. - SOUTHCOAST RESIDENTS ALSO HAVE LESS ACCESS TO RECREATION AND FITNESS FACILITIES THAN MASSACHUSETTS RESIDENTS AS A WHOLE. IN BRISTOL COUNTY THERE ARE 13.7 SUCH FACILITIES PER 100,000 RESIDENTS VERSUS 15.9 STATEWIDE. PLYMOUTH COUNTY RESIDENTS HAVE COMPARATIVELY BETTER ACCESS WITH 18.0 FACILITIES FOR EVERY 100,000 RESIDENTS. - THE SOUTHCOAST IS HOME TO A NUMBER OF SITES THAT CONTAIN AND/OR GENERATE CONTAMINANTS THAT CAN NEGATIVELY AFFECT RESIDENTS HEALTH. FALL RIVER IS HOME TO 427 CONTAMINATED SITES, 71 OF WHICH PRESENT SUFFICIENT HAZARDS AS TO LIMIT ACTIVITY ON AND USE OF THESE PARCELS; IN NEW BEDFORD, 78 OUT OF 583 BROWNFIELD SITES ARE SO LIMITED. PART VI, LINE 5 SOUTHCOAST HOSPITALS GROUP IN 2016 INVESTED IN DIRECT SERVICES AND PROGRAMS THAT ARE DESIGNED TO ADDRESS PRESSING HEALTH ISSUES IN SOUTHCOAST REGION. SOUTHCOAST COLLABORATED WITH HUNDREDS OF COMMUNITY PARTNERS TO ADOPT BEST PRACTICES IN COMMUNITY BENEFITS NEEDS ASSESSMENT AND PLANNING AND IMPLEMENTATION, WITH THE SHARED GOAL OF IMPROVING THE HEALTH OF SOUTHCOASTS COMMUNITIES. COMMUNITY BENEFITS PRIORITIES THIS PAST YEAR INCLUDED: - REDUCTION OF THE HIGH RATE OF CHRONIC DISEASE IN SOUTHCOASTS REGION INCLUDING HEART DISEASE, DIABETES AND ASTHMA THROUGH HEALTH EDUCATION OUTREACH AND PROGRAMMING. - REDUCTION IN THE INCIDENCE OF YOUTH RISK BEHAVIORS SUCH AS HIGH RATES OF TEEN PREGNANCY AND SUBSTANCE ABUSE, YOUTH VIOLENCE AND LOW RATES OF EDUCATIONAL ATTAINMENT. ONE PROGRAM HAD A SPECIAL FOCUS ON MINORITY YOUTH IN GREATER NEW BEDFORD, THROUGH EFFORTS TO ENCOURAGE HEALTHY BEHAVIORS, ACADEMIC SUCCESS AND LIFE SKILLS. - IMPROVING ACCESS TO HEALTH CARE, PARTICULARLY ENROLLMENT IN HEALTH INSURANCE AS A RESULT OF THE AFFORDABLE CARE ACT. - EXPANDING CANCER SCREENING AND EDUCATION, WITH A PARTICULAR FOCUS ON REDUCING DISPARITIES IN ACCESS TO PREVENTIVE AND COMPREHENSIVE CARE. SOUTHCOAST WAS ABLE TO MAKE STRIDES IN EARLY SCREENINGS FOR COLON CANCER AMONG ETHNIC POPULATIONS WHO HAD LOW SCREENING RATES. - ADDRESSING OVERALL HEALTH DISPARITIES THAT EXIST IN SOUTHCOASTS REGION AMONG CERTAIN RACIAL, ETHNIC AND DEMOGRAPHIC GROUPS. - ADVOCACY AND PROGRAM DEVELOPMENT THAT ADDRESSES "SYSTEM AND ENVIRONMENT CHANGE" DESIGNED TO INCREASE HEALTHY LIFESTYLE OPTIONS AND DECREASE RISK FACTORS, SUCH AS A HIGH RATE OF SMOKING, LACK OF ACCESS TO HEALTHY FOODS AND PHYSICAL INACTIVITY. THIS PAST YEAR SOUTHCOAST SUPPORTED TARGETED RESIDENT RESEARCH PROJECTS IN TWO OF THE MOST VULNERABLE NEIGHBORHOODS. - ADDRESSING HOMELESSNESS IN SOUTHCOASTS REGION, PARTICULARLY IN WAREHAM, WHERE THE COUNTS OF UNSHELTERED HOMELESS APPROACH THOSE IN THE MUCH LARGER CITIES IN SOUTHCOASTS REGION. SOUTHCOAST HELPED LEAD A LOCAL COALITION WHICH HAS SUCCEEDED IN SECURITY HOUSING FOR 33 CHRONICALLY HOMELESS RESIDENTS IN THE PAST SEVERAL YEARS. SOUTHCOAST ALSO BECAME AN ACTIVE MEMBER OF THE NEW BEDFORD HOMELESS SERVICE PROVIDERS NETWORK AND JOINED A COMMUNITY CRISIS INTERVENTION TEAM IN NEW BEDFORD THAT LINKS HEALTH AND HUMAN SERVICES PROVIDERS IN CASE MANAGEMENT EFFORTS FOR VULNERABLE RESIDENTS. THESE RESIDENTS MAY BE AT RISK FOR HOMELESSNESS OR NEED ASSISTANCE IN OVERCOMING SOCIAL DETERMINANTS OF HEALTH BARRIERS. - BEHAVIORAL HEALTH ISSUES THAT INCLUDE SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES. SOUTHCOAST SERVES A LARGE POPULATION WITH BEHAVIORAL HEALTH ISSUES AND POORLY COORDINATED CARE IMPACTS SOUTHCOASTS EMERGENCY DEPARTMENTS. NEEDS ASSESSMENT SHOWS SOUTHCOASTS REGIONAL BEHAVIORAL HEALTH SYSTEM IS FRAGMENTED AND POORLY COORDINATED. SOUTHCOAST PROVIDES AN ONLINE RESOURCE DATABASE, BEHAVIORAL HEALTH CONNECT, WHICH WAS UTILIZED BY AN AVERAGE OF 811 COMMUNITY PARTNERS AND RESIDENTS EACH MONTH. TARGETED ACTIVITIES INCLUDED: BEHAVIORAL HEALTH ISSUES INCREASED USE OF SOUTHCOASTS BEHAVIORAL HEALTH CONNECT DATABASE WHICH LINKS PROVIDERS AND RESIDENTS WITH UP-TO-DATE RESOURCES FOR BEHAVIORAL HEALTH SERVICES. A NUMBER OF SOUTHCOASTS STAFF ALSO PLAYED A LEADERSHIP ROLE IN 10 LOCAL AND REGIONAL COALITIONS TO ADDRESS THE OPIOID CRISIS, INCLUDING SEVERAL WHICH EXPANDED THE AVAILABILITY OF NARCAN IN SOUTHCOASTS 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 THIS PAST YEAR SECURED A GRANT FROM THE THORACIC FOUNDATION TO EXPAND SMOKING CESSATION SUPPORT FOR PUBLIC HOUSING RESIDENTS THROUGHOUT THE REGION, AS MORE MUNICIPAL HOUSING AUTHORITIES IN SOUTHCOASTS REGION EMBRACE SMOKE-FREE REGULATIONS. HEALTH SCREENINGS OUTREACH TO VULNERABLE RESIDENTS WITH A RANGE OF HEALTH SCREENINGS AND REFERRALS. OVER 7,368 RESIDENTS VISITED SOUTHCOASTS HEALTH VAN, A 76% INCREASE OVER THE PAST YEAR. VAN STAFF PROVIDED OVER 11,566 SCREENINGS AND 598 VACCINATIONS. THIS INCLUDED SCREENINGS FOR CARDIOVASCULAR DISEASE, CANCER, DIABETES AND STROKE AND TARGETED SOUTHCOASTS MOST VULNERABLE AND UNDER-SERVED POPULATIONS. YOUTH RISK BEHAVIORS EDUCATION ON TEEN PREGNANCY AND OTHER YOUTH RISK FACTORS THAT REACHED OVER 3,210 TEENS IN 11 AREA SCHOOLS AND OVER 1,600 TEENS AT AN AFTER SCHOOL DROP-IN CENTER AT SOUTHCOASTS RAPPP OFFICES IN NEW BEDFORD. SOUTHCOAST ALSO REACHED OVER 3,300 INMATES IN THE BRISTOL COUNTY HOUSE OF CORRECTION WITH PARENTING EDUCATION. AN INTENSIVE, AFTER-SCHOOL PROGRAM REGULARLY SERVED OVER 50 MINORITY YOUNG MEN. HEALTH INSURANCE TARGETED OUTREACH THAT HELPED OVER 4,470 RESIDENTS OBTAIN HEALTH INSURANCE. SOUTHCOASTS PATIENT ACCESS TEAM CONDUCTED OVER 20 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 SOUTHCOASTS 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 SOUTHCOAST WAS ABLE TO EXPAND CHW OUTREACH FOR CHRONIC DISEASE MANAGEMENT AND ALSO HELP ORGANIZE SUPERVISOR AND OTHER CHW TRAININGS. COLLABORATION COALITION BUILDING AND ENGAGEMENT THAT HELPED MAKE MEANINGFUL CONNECTIONS ACROSS COMMUNITIES AND SOUTHCOASTS REGION. SOUTHCOAST PARTICIPATED IN OVER 10 COALITIONS TO ADDRESS THE PRESSING ISSUE OF OPIOID ABUSE AND ALSO HELPED LEAD ACTIVITIES THAT TARGETED TWO OF SOUTHCOASTS MOST VULNERABLE NEIGHBORHOODS IN THE SOUTH END OF NEW BEDFORD AND THE FLINT NEIGHBORHOOD IN FALL RIVER. GRANT SUPPORT THIS PAST YEAR SOUTHCOAST INTRODUCED A NEW COMMUNITY BENEFITS IMPACT GRANT PROGRAM TO PROVIDE FUNDING WHICH BETTER ALIGNS SOUTHCOAST COMMUNITY BENEFITS PRIORITIES WITH PROJECTS UNDERTAKEN BY COMMUNITY PARTNERS. SOUTHCOAST SUPPORTED 25 COMMUNITY PARTNERS WITH OVER $135,000 IN FUNDING FOR PROJECTS RANGING FROM OUTREACH TO THE HOMELESS TO PROVIDING OPPORTUNITIES FOR PHYSCICAL 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 SOUTHCOASTS COMMUNITY PARTNERS. PART VI, LINE 6 SOUTHCOAST HEALTH COMMUNITY BENEFITS PROGRAM COORDINATES ACTIVITES ACROSS VARIOUS AFFILIATES. SOUTHCOAST HOSPITALS EACH YEAR INVESTS MILLIONS IN DIRECT SERVICES AND PROGRAMS THAT ARE DESIGNED TO ADDRESS PRESSING HEALTH ISSUES IN SOUTHCOASTS REGION AND IMPROVE SOUTHCOASTS COMMUNITIES HEALTH. THE SOUTHCOAST COMMUNITY BENEFITS PROGRAM IS UNDER THE OVERALL DIRECTION OF A COMMUNITY BENEFITS COMMITTEE THAT MEETS SIX TIMES ANNUALLY TO REVIEW AND ADVISE ON ACTIVITIES AND EXPENDITURES RELATED TO COMMUNITY BENEFITS. THIS COMMITTEE REPORTS TO THE SOUTHCOAST HOSPITALS GROUP BOARD OF TRUSTEES AND IS CHAIRED BY A TRUSTEE. THE COMMITTEE INCLUDES SOUTHCOAST LEADERSHIP AND STAFF, ALONG WITH REPRESENTATIVES FROM THE VARIOUS COMMUNITIES SERVED BY SOUTHCOAST HOSPITALS. MANY OF SOUTHCOASTS COMMUNITY MEMBERS HAVE EXPERTISE IN MATTERS CONCERNING THE HEALTH AND WELFARE OF THE COMMUNITY AND ARE ACTIVE MEMBERS OF LOCAL AND REGIONAL COALITIONS. THIS BOARD REPRESENTS THE DIVERSITY OF SOUTHCOASTS REGION, WITH MEMBERS WHO ARE ACTIVE LEADERS IN MINORITY COMMUNITIES INCLUDING THE CAPE VERDEAN, HISPANIC AND PORTUGUESE COMMUNITIES. A NUMBER OF SOUTHCOAST STAFF PARTICIPATE AND PROVIDE LEADERSHIP IN LOCAL AND REGIONAL COALITIONS, INCLUDING COMMUNITY HEALTH NETWORK AREAS (CHNAS) IN FALL RIVER AND NEW BEDFORD, THE WAREHAM COMMUNITY SERVICES COLLABORATIVE, VOICES FOR A HEALTHY SOUTHCOAST AND MASS IN MOTION, A REGIONAL WORKSITE WELLNESS COLLABORATIVE, HEALTH ACCESS, HEALTH EQUITY AND YOUTH EMPOWERMENT TASK FORCES IN GREATER NEW BEDFORD AND FALL RIVER, HOMELESS COALITIONS IN WAREHAM AND NEW BEDFORD AND SUBSTANCE MISUSE AND MENTAL HEALTH COALITIONS. ALSO, A NUMBER OF SOUTHCOASTS PHYSICIANS LEAD HEALTHY ACTIVITIES SUCH AS MONTHLY WALKS THAT ARE OPEN TO COMMUNITY MEMBERS. COMMUNITY BENEFITS ACTIVITIES BY SOUTHCOAST STAFF ARE ORGANIZED THROUGH AN INTERNAL COMMUNITY BENEFITS TASK FORCE THAT MEETS BI-MONTHLY TO PLAN AND COORDINATE PROGRAMS AND ACTIVITIES. THIS TEAM CONSISTS OF REPRESENTATIVES FROM DEPARTMENTS THAT REGULARLY ENGAGE IN OUTREACH IN THE COMMUNITY, INCLUDING STAFF FROM SOUTHCOASTS SOUTHCOAST HEALTH VAN, SOCIAL SERVICES, STROKE OUTREACH, DIABETES MANAGEMENT, BEHAVIORAL HEALTH SERVICES, PATIENT ACCESS SERVICES, CANCER OUTREACH, SMOKING CESSATION, SOUTHCOASTS YOUTH RISK BEHAVIORS PROGRAM AND OTHERS. SENIOR MANAGEMENT RESPONSIBILITY FOR THE COMMUNITY BENEFITS PROGRAM RESTS WITH SOUTHCOASTS SENIOR VICE PRESIDENT, CHIEF BRAND AND STRATEGY OFFICER, WHO ALSO SERVES AS A MEMBER OF THE COMMUNITY BENEFITS COMMITTEE. THE COMMUNITY BENEFITS MANAGER, WHO REPORTS TO THE GOVERNMENT AFFAIRS DIVISION, MANAGES SOUTHCOASTS DAY-TO-DAY COMMUNITY BENEFITS ACTIVITIES AND LEADS THE INTERNAL COMMUNITY BENEFITS TASK FORCE. SOUTHCOAST ALSO CONDUCTS REGULAR UPDATES AND PRESENTATIONS ON COMMUNITY BENEFITS ACTIVITIES TO SOUTHCOAST LEADERSHIP THROUGH DIRECTORS AND MANAGERS/SUPERVISORS MEETINGS AT ALL THREE HOSPITAL SITES ALONG WITH PRESENTATIONS ON COMMUNITY BENEFIT ACTIVITIES WHICH ARE PERIODICALLY MADE TO ALL LEVELS OF EMPLOYEES. INFORMATION IS ALSO PRESENTED THROUGH ARTICLES IN SOUTHCOASTS INTERNAL HOSPITAL PUBLICATIONS AND IN A COMMUNITY NEWSLETTER. INFORMATION IS REGULARLY SHARED WITH THE COMMUNITY THROUGH COLLABORATIVE MEETINGS AND FORUMS. PART VI, LINE 7 MASSACHUSETTS true COASTLINE ELDERLY SERVICES 1646 PURCHASE STREET NEW BEDFORD MA 02740 042622121 501(C)(3) 10000 PATIENT SERVICES The Inter-Church Council of Greater New Bedford 412 COUNTRY STREET NEW BEDFORD MA 02740 042171191 501(C)(3) 9000 PATIENT SERVICES Greater New Bedford Community Health Center 874 Purchase Street WAREHAM MA 02740 042675800 501(C)(3) 10000 COMMUNITY OUTREACH Immigrants Assistance Center INC 58 Crapo Street NEW BEDFORD MA 02740 042530908 501(C)(3) 8500 COMMUNITY OUTREACH LEARN TO COPE INC 4 Court Street TAUNTON MA 02780 260236431 501(C)(3) 10000 SUPPORT GROUP PEOPLE INCORPORATED 4 South Main Street FALL RIVER MA 02721 042447216 501(C)(3) 8000 SUPPORT SERVICES YMCA SOUTHCOAST 25 South Water Street NEW BEDFORD MA 02740 042104749 501(C)(3) 7500 SUPPORT SERVICES YWCA of Southeastern Massachusetts 20 South Sixth Street NEW BEDFORD MA 02740 042104747 501(C)(3) 8000 EDUCATION SERVICES 8 0 SCHEDULE I, PART I, LINE 2 Southcoast Community Benefits Department requires all grantees to submit six and 12 month reports on project results including results of SMART goals that are a requirement of the grant application. Southcoast also maintains communication with grantees during the grant period to determine opportunities for collaboration with other community benefits programming. X true true X X X X true true false false false false false true false PAUL IANNINI PHYS. IN CHIEF, MED 611072 0 0 0 140816 0 15600 0 10173 0 777661 0 0 0 CAROL CONLEY VP & CNO 28134 0 0 0 504893 0 1440 0 29 0 534496 0 140136 0 RONALD LAFLEUR VP HOSP REV SYS(TERM 12/31/14) 0 0 50067 0 228727 0 0 0 9738 0 288532 0 0 0 KEITH HOVAN PRESIDENT & CEO 872059 0 10000 0 373247 0 262428 0 12300 0 1530034 0 195176 0 LINDA BODENMANN EVP & COO (SHS)/ASST CLERK 538700 0 0 0 345580 0 145327 0 10773 0 1040380 0 93175 0 DAVID DEJESUS JR SVP & CHRO 304550 0 0 0 68088 0 61551 0 13299 0 447488 0 46634 0 ELLEN BANACH SVP STRATEGIC SVCS 25574 0 0 0 464852 0 1354 0 9640 0 501420 0 120577 0 ROBERT CALDAS MD Senior VP & CMO 425187 0 0 0 120123 0 92709 0 13299 0 651318 0 77223 0 JOHN DAY Former Officer(Term 6/30/11) 0 0 0 0 205118 0 160000 0 0 0 365118 0 0 0 KRISTOFER LINDEMAN Treasurer 210749 0 0 0 0 0 0 0 15715 0 226464 0 0 0 CYNTHIA WICKS President SPN (TERM 10/24/14) 0 0 0 0 241100 0 0 0 10513 0 251613 0 0 0 RENEE CLARK SVP/COO (SHG) 298101 0 30000 0 2483 0 63235 0 13299 0 407118 0 0 0 JOAN MCFAUL SVP/CIO 319167 0 0 0 19088 0 1825 0 350 0 340430 0 0 0 JACK DRESSER SVP/CPO 251514 0 15500 0 0 0 1300 0 13299 0 281613 0 0 0 CYNTHIA MARLBOROUGH VP Network Dev 17164 0 106479 0 223996 0 1030 0 12179 0 360848 0 25350 0 LAURIE MULGREW VP CARDIAC SVCS 17981 0 0 0 199058 0 1079 0 9852 0 227970 0 0 0 PART I, LINE 1A THE FORMER CEO OF SHS ELECTED LOAN REGIME TREATMENT OF HIS SPLIT-DOLLLAR POLICY. THE ANNUAL IMPUTED INCOME IS REPORTED ON THIS EXECUTIVE'S FORM W-2 AND IS SUBJECT TO FICA. THIS EXECUTIVE RECEIVED A GROSSED UP AMOUNT TO COVER THE TAXES ON THE IMPUTED INTEREST AMOUNT. THE GROSSED UP AMOUNT WAS TREATED AS TAXABLE INCOME. PART I, LINE 4A THE FOLLOWING INDIVIDUALS SEPARATED FROM SOUTHCOAST IN 2014. PURSUANT TO THEIR AGREEMENTS AND CONTINGENT ON CERTAIN CONDITIONS, THEY ARE ENTITLED TO RECEIVE SEVERANCE PAYMENTS FOR SPECIFIED PERIODS BASED ON FINAL PAY RATES. IN CALENDAR YEAR 2015, THEY RECIEVED THE AMOUNTS BELOW AS SEVERANCE COMPENSATION. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): CYNTHIA WICKS - $241,100 RONALD LAFLEUR - $228,727 THE FOLLOWING INDIVIDUALS SEPARATED FROM SOUTHCOAST IN 2015. PURSUANT TO THEIR AGREEMENTS AND CONTINGENT ON CERTAIN CONDITIONS, THEY ARE ENTITLED TO RECEIVE SEVERANCE PAYMENTS FOR SPECIFIED PERIODS BASED ON FINAL PAY RATES. IN CALENDAR YEAR 2015, THEY RECIEVED THE AMOUNTS BELOW AS SEVERANCE COMPENSATION. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): ELLEN BANACH - $253,000 CAROL CONLEY - $269,133 CYNTHIA MARLBOROUGH - $189,931 LAURIE MULGREW - $199,058 PART I, LINE 4B OFFICERS AND DIRECTORS WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTION CREDITS UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (C). ONLY UPON TERMINATIONS OF EMPLOYMENT DO FULLY VESTED PARTICIPANTS RECEIVE DISTRIBUTIONS FROM THE PLAN. CONTRIBUTIONS VEST THE EARLIER OF: JULY 1 OF THE 3RD CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE CONTRIBUTION CREDIT IS MADE; UPON REACHING AGE 62; DEATH; DISABILITY; OR INVOLUNTARY SEPARATION. THE AMOUNT REFLECTED IN SCHEDULE, J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES THE VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE. PAUL IANNINI - $114,300 DAVID DEJESUS - $65,277 KEITH HOVAN - $303,825 LINDA BODENMANN - $129,684 ROBERT CALDAS - $117,415 CYNTHIA MARLBOROUGH - $32,881 THE FOLLOWING INDIVIDUALS RECIEVED A DISTRIBUTION UNDER THIS PLAN: ELLEN BANACH - $171,590 CAROL CONLEY - $189,793 IN ADDITION TO THE ABOVE OUTLINED PLAN, THE FOLLOWING INDIVIDUALS ALSO HAVE SEPARATE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. KEITH HOVAN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF KEITH HOVAN. UNDER THE TERMS OF THE PLAN, A CONTRIBUTION CREDIT, INCLUDED IN SCHEDULE J, PART I, COLUMN (C) IS CREDITED TO HIS ACCOUNT ON A YEARLY BASIS. THE ACCOUNT BALANCE VESTS AS FOLLOWS: JUNE 30, 2013 -50%; JUNE 30, 2016 - 75% AND JUNE 30, 2018 - 100%. PURSUANT TO THE PLAN $54,800 WAS INCLUDED IN MR. HOVAN'S 2015 FORM W-2 AND SCH J, PART II, COLUMN B(III). LINDA BODENMANN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF LINDA BODENMANN. UNDER THE TERMS OF THE PLAN, A CONTRIBUTION CREDIT, INCLUDED IN SCHEDULE J, PART I, COLUMN (C) IS CREDITED TO HER ACCOUNT ON A YEARLY BASIS. THE ACCOUNT BALANCE VESTS AS FOLLOWS: DECEMBER 31, 2012 - 50%; DECEMBER 31, 2015 -75 %; AND THE DATE THE PARTICIPANT ATTAINS AGE 62 AND COMPLETES 3 YEARS OF FULL SERVICE WITH THE EMPLOYER BEGINNING ON JANUARY 1, 2008 - 100%. PURSUANT TO THE PLAN, $207,519 WAS INCLUDED IN MS. BODENMANN'S 2015 FORM W-2 AND SHC, J, PART II, COLUMN (B) (III). JOHN DAY - IN 2002 SOUTHCOAST HOSPITAL GROUP, INC. (SHG) ESTABLISHED A SPLIT DOLLAR ARRANGEMENT FOR JOHN DAY. THE PREMIUMS PAID INTO THE POLICY BY SHG ARE DEEMED TO BE LOANED TO MR. DAY AND MR. DAY IS THEREFORE SUBJECT TO INCOME TAX ON THE IMPUTED INTEREST ASSOCIATED WITH THE LOANS. MR. DAY IS PROVIDED WITH AN ANNUAL GROSS UP TO COVER THE INCOME TAXES DUE ON THE IMPUTED INTEREST AMOUNT. THESE AMOUNTS ARE REPORTED IN PART II, COLUMN B(III). THE ANNUAL PREMIUM PAID BY SHG IS REFLECTED IN PART II, COLUMN C AND REPRESENTS THE BENEFIT THAT WILL BE RECEIVED BY MR. DAY WHEN MOST OF THE LOAN IS FORGIVEN UPON REACHING AGE 65. PART I, LINE 7 A PORTION OF EXECUTIVE'S CASH COMPENSATION IS AT RISK AND PAID VIA AN INCENTIVE PLAN IN WHICH EXECUTIVE AND ORGANIZATIONAL PERFORMANCE IS ASSESSED BY THE BOARD OF TRUSTEES AGAINST PRE-DETERMINED MEASURES. A Mass Health and Educational Facilities Authority 042456011 57586C6T7 2008-06-09 47365000 Extinguish bridge bank loan false false false B Mass Health and Educational Facilities Authority 042456011 57586ELV1 2009-10-07 56122025 Construct/renovate oncology center false false false C Mass Development Finance Agency 043431814 999999999 2012-01-31 46965000 Refinancing false false false D Mass Development Finance Agency 043431814 57583UTY4 2013-02-14 60879456 Construct/renovate care centers false false false A 0 0 47365000 0 0 0 621954 11724 46731322 0 0 0 2008 false false true true B 0 0 56122025 0 0 0 1064650 0 0 55057375 0 0 2011 false false true true C 0 0 46965000 0 0 0 254694 0 0 0 46710306 0 2012 true false true true D 0 0 60879456 0 0 0 759501 0 0 60119955 0 0 2014 false false true true A false false false false 0.00100 0.00060 0.00160 false false false true B false false false false 0 false false false true C false true true true false 0.00030 0.00130 0.00160 false false false true D false false false false true 0 false false false true A true true true Goldman Sachs 29. false false false 0 false true B false false true false false false 0 false 0 false true C false false true false false false 0 false 0 false true D false false true false false false 0 false 0 false true A true B true C true D true SCHEDULE K SUPPLEMENTAL INFORMATION PART II, LINE 9, COLUMN A WORKING CAPITAL EXPENDITURES FROM PROCEEDS OF THE SERIES C BONDS WERE ISSUED FOR THE PURPOSE OF REPAYING A BRIDGE LOAN FROM A COMMERCIAL BANK MADE TO REFINANCE SOUTHCOAST'S SERIES B BOND ISSUE. 0 RIGHT ADVISORY 35% CONTROLLED ENTITY 1209464 MANAGEMENT SERVICES false X 4 30606 Mean Value X event items 197 70144 cost/sales price false true false PART I, COLUMN (B) THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, LINE 1 AND PART III, LINE 1 SHG OWNS AND OPERATES THREE COMMUNITY BASED ACUTE CARE HOSPITALS - CHARLTON MEMORIAL HOSPITAL IN FALL RIVER, ST LUKES HOSPITAL IN NEW BEDFORD AND TOBEY HOSPITAL IN WAREHAM, MA. SOUTHCOAST SERVES AS THE SAFETY NET PROVIDER TO A CULTURALLY DIVERSE AND ECONOMICALLY CHALLENGED REGION WITH GOVERNMENT SPONSORED PROGRAMS COVERING APPROXIMATELY 70% OF ITS PATIENTS. IN SOME COMMUNITIES, SOUTHCOAST IS THE SOLE PROVIDER OF HOSPITAL SERVICES AND IN ITS REGION THE SOLE PROVIDER OF ADVANCED CLINICAL SERVICES SUCH AS OPEN HEART SURGERY AND OTHER ADVANCED CARDIAC SERVICES, INPATIENT PSYCHIATRIC, MATERNITY AND NEONATAL INTENSIVE CARE SERVICES. SOUTHCOAST PROVIDES ADVANCED EMERGENCY CARE 24 HOURS PER DAY, 7 DAYS A WEEK AT ALL THREE HOSPITALS. FORM 990, PART VI, SECTION A, LINE 1 TRUSTEE EMERITUS AND PRESIDENT EMERITUS AND HONORARY TRUSTEE DESIGNEES ARE NOT ENTITLED TO VOTE OR BE CONSIDERED FOR PURPOSES OF ESTABLISHING A QUORUM AT ANY MEETING OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL, EXCEPT AS PROHIBITED BY LAW OR LIMITED BY THE BOARD, HAVE ALL THE POWERS OF THE BOARD IN CONNECTION WITH THE MANAGEMENT AND OPERATION OF SOUTHCOAST BETWEEN MEETINGS OF THE BOARD RELATED TO URGENT MATTERS WHICH THE COMMITTEE DETERMINES CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING, INCLUDING DELEGATION OF AUTHORITY, EXCEPT IN REMOVING ANY MEMBER OF THE MEDICAL STAFF. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE FULLY REPORTED TO THE BOARD AT ITS NEXT MEETING. FORM 990, PART VI, SECTION A, LINE 3 SHG HAS ENGAGED RIGHT ADVISORY TO PROVIDE MANAGEMENT SERVICES. RIGHT ADVISORY PROVIDED CFO SERVICES TO SHG IN FISCAL YEAR 2016. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SOUTHCOAST IS SOUTHCOAST HEALTH SYSTEM, INC (SHS), A CHARITABLE ORGANIZATION ACTING THROUGH ITS BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE ELECTED AND REMOVED AND SHALL OTHERWISE SERVE AS SET FORTH IN THE BYLAWS OF ITS SOLE CORPORATE MEMBER, SHS. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNANCE OF SOUTHCOAST IS VESTED IN THE BOARD OF TRUSTEES AND IT MAY EXERCISE ALL POWERS OF THE CORPORATION EXCEPT THOSE POWERS RESERVED TO SHS BY LAW, THE ARTICLES OF ORGANIZATION, OR SOUTHCOAST'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PREPARES THE FORM 990 WITH THE ASSISTANCE OF A PAID PREPARER. A DRAFT OF THE FORM 990 IS PRESENTED TO THE MANAGEMENT FOR REVIEW AND COMMENT. A DRAFT OF THE FORM 990 IS ALSO PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW. A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. AN OFFICER OF THE ORGANIZATION AND ITS PAID PREPARER, RESPECTIVELY, SIGN THE FINAL FORM 990. FORM 990, PART VI, SECTION B, LINE 12C SHS HAS CONFLICT OF INTEREST, LEGAL COMPLIANCE AND CODE OF CONDUCT POLICIES THAT APPLY TO ALL TRUSTEES, OFFICERS, DIRECTORS AND EMPLOYEES (REFERRED TO AS "MEMBERS"). ON AN ANNUAL BASIS, EACH MEMBER WILL COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE WHICH AFFIRMS THAT EACH PERSON HAS: (1) RECEIVED A COPY OF THE POLICY; (2) READ AND UNDERSTOOD THE POLICY; (3) AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTOOD THAT THE SYSTEM ENTITIES ARE CHARITABLE ORGANIZATIONS AND THAT TO MAINTAIN THEIR FEDERAL TAX EXEMPTION, SUCH ENTITIES MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE SYSTEM OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AND IN CONNECTION WITH ITS COMPLIANCE PROGRAM, SYSTEM'S MANAGEMENT SHALL CONDUCT PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND THE OPERATION AND APPLICATION OF IT. MEMBERS SHALL DISCLOSE ANY INTERESTS OR ACTIVITIES IN WHICH THEY ARE INVOLVED OR BECOME INVOLVED THAT DO RESULT, OR MAY APPEAR TO RESULT IN A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND SHALL COMPLY WITH, AND MAKE ALL REQUIRED DISCLOSURES UNDER THE CONFLICT OF INTEREST POLICY PRIOR TO COMMENCING, CONTINUING, OR CONSUMMATING ANY ACTIVITY OR TRANSACTION WHICH RAISES A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST. EACH MEMBER IS UNDER AN ONGOING DUTY TO UPDATE AND KEEP CURRENT THE INFORMATION CONTAINED IN THEIR QUESTIONNAIRE. AT LEAST ANNUALLY, OR AS NECESSARY BASED ON DISLCOSURES, THE GENERAL COUNSEL WILL SUMMARIZE AND REPORT ALL DISCLOSURES TO THE PRESIDENT AND CEO AND THE CHAIRMAN OF THE BOARD OF TRUSTEES (OR HIS/HER DESIGNEE). UPON DISCLOSURE OF FINANCIAL OR NON-FINANCIAL INTERESTS ("INTERESTS") AND ALL MATERIAL FACTS RELATED THERETO BY MEMBER OR AN INTERESTED PERSON, THE CHAIR OF THE SYSTEM'S GOVERNANCE COMMITTEE SHALL DETERMINE IN CONJUNCTION WITH THE GENERAL COUNSEL WHETHER A CONFLICT OF INTERESTS EXISTS. THE GOVERNANCE COMMITTEE CAN CONTINUE TO DISCUSS THE ISSUE WITH THE MEMBER OR INTERESTED PERSON TO CLARIFY OR OBTAIN ADDITIONAL INFORMATION. HOWEVER, BEFORE THE GOVERNANCE COMMITTEE DISCUSSES OR DETERMINES WHETHER THE MEMBER OR OTHER INTERESTED PERSON'S INTERESTS CONSTITUTE A CONFLICT OF INTEREST, THE MEMBER OR INTERESTED PERSON MUST LEAVE THE MEETING. IN THE EVENT THE INTEREST INVOLVES THE CHAIR OR CEO, THE 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. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR ALL VICE PRESIDENTS AND THE SENIOR EXECUTIVE TEAM (SET) IS ESTABLISHED USING THE FOLLOWING PROCEDURES:(1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SHS WITHOUT THE INVOLVEMENT OF PERSONS WITH CONFLICT OF INTEREST IN RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE; (2) USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ENGAGED THE SERVICES OF AN INDEPENDENT HUMAN RESOURCE CONSULTING FIRM ("CONSULTANT") TO PROVIDE UPDATED COMPENSATION DATA AND ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO SOUTHCOAST EXECUTIVES. THIS INCLUDED RELATIVE COMPETITIVE MARKET PRACTICE INFORMATION FOR THE NORTHEAST REGION MARKET OBTAINED FROM TWO HEALTHCARE EXECUTIVE COMPENSATION SURVEYS THAT WERE PREPARED BY INDEPENDENT FIRMS. THE CONSULTANT ALSO COMPILED NATIONAL MARKET DATA FROM THREE COMMERCIALLY AVAILABLE HEALTHCARE EXECUTIVE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS: AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 SOUTHCOAST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 TRANSFERS AMONG AFFILIATES ($67,569,000) POST RET. AND OTHER CHANGES IN NET ASSETS ($435,000) CHANGE IN VALUE OF PERPETUAL TRUSTS $1,942,000 ______________ TOTAL ($66,062,000) FORM 990, PART XII, LINE 2A & 2B FINANCIAL RESULTS FOR SOUTHCOAST ARE INCLUDED IN THE SOUTHCOAST HEALTH SYSTEM, INC AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015 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, 2016. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SOUTHCOAST FOR THE YEAR ENDED SEPTEMBER 30, 2016. SOUTHCOAST HEALTH SYSTEM INC 101 PAGE ST NEW BEDFORD MA 02740 042794625 SUPP. SHG MA 501(c)(3) 11, Type I NA false SOUTHCOAST PHYSICIANS GROUP INC 200 MILL RD STE 180 FARIHAVEN MA 02719 222703314 PHYS. SVCS. MA 501(c)(3) 9 SHS true SOUTHCOAST VENTURESINC 101 PAGE ST NEW BEDFORD MA 02740 043003172 PHYS. SVCS. MA 501(c)(3) 11, TYPE I SHS true CHARLTON LONG TERM CARE SVCS INC 363 HIGHLAND AVE FALL RIVER MA 02720 043109579 SUPP. SHG MA 501(c)(3) 11, Type I SHS true SOUTHCOAST VISITING NURSE ASSOC 200 MILL RD FAIRHAVEN MA 02719 042105745 HOME CARE MA 501(c)(3) 9 SHS true Saint Luke's Nursing Home Inc 101 Page St NEW BEDFORD MA 02740 042984542 Inactive MA 501(c)(3) 11, Type I SHS true COASTLINE PROFESSIONAL ASSURANCE CO PO Box Grand Cayman Grand Cayman CJ 980445031 INSURANCE CJ SHS Corp true SOUTHCOAST PHYSICIANS NETWORK INC 101 PAGE ST NEW BEDFORD MA 02740 450568782 IPA MA NA Corp true HEALTH MANAGEMENT INITIATIVES INC 363 HIGHLAND AVE FALL RIVER MA 02720 042998712 COMM RENTAL MA NA Corp true false false false false false false false false false true true false false false true true true true false Southcoast Physicians Group Inc J 1619933 CASH Southcoast Physicians Group Inc O 1302016 CASH Southcoast Physicians Group Inc P 24564192 CASH Southcoast Physicians Group Inc Q 4316904 CASH Southcoast Physicians Network O 2117083 CASH Southcoast Visiting Nurses Assoc Inc O 448254 CASH Southcoast Visiting Nurses Assoc Inc Q 598342 CASH Coastline Professional Assurance Corp P 1544932 CASH