2026-08-17T15:42:46-05:00 2025-09-30 861065772 DELOITTE TAX LLP 2 JERICHO PLAZA JERICHO NY 11753 990 2024-10-01 042105745 SOUTHCOAST VISITING NURSE ASSOCIATION INC SOUT 5089733213 200 MILL ROAD SUITE 120 FAIRHAVEN MA 02719 MICHAEL BUSHELL EVP FINANCE & CFO 8089737013 2026-08-17 1 0 KRISTIN RUFFINI P00741491 5169187000 2024 2025-03-06 01:10:19Z DAVID MCCREADY 101 PAGE STREET NEW BEDFORD MA 02740 57810682 0 X WWW.SOUTHCOAST.ORG/VISITING-NURSE-ASSOCIATION X 1925 MA SEE SCHEDULE OTO FOSTER IMPROVEMENT AND MAINTENANCE OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND COMPASSIONATE END-OF-LIFE CARE IN THE HOME SETTING. 9 3 414 38 0 0 870032 568226 45786505 55790130 340518 476558 3640 -18154 47000695 56816760 0 0 0 0 34754168 37233844 0 0 1787 10918396 14909094 45672564 52142938 1328131 4673822 31317062 37585550 7807632 8656519 23509430 28929031 X TO FOSTER IMPROVEMENT AND MAINTENANCE OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND COMPASSIONATE END-OF-LIFE CARE IN THE HOME SETTING. (SEE SCHEDULE O) 0 0 21605952 29602220 HEALTHCARE - PROVIDES ACUTE HEALTHCARE TO PATIENTS AT HOME, BEREAVEMENT SUPPORT AND COUNSELING FOR GRIEVING LOVED ONES. DURING FISCAL YEAR 2025, VNA HAD 23,525 CARDIAC PROGRAM VISITS AND 55,527 REHAB VISITS, INCLUDING OCCUPATIONAL THERAPY, PHYSICAL THERAPY, AND SPEECH LANGUAGE PATHOLOGY. THERE WERE 75 BEHAVIORAL HEALTH VISITS, 102,706 HOME HEALTH VISITS, AND 6,899 MATERNAL CHILD HEALTH HOME VISITS. 22466669 26187910 HOSPICE CARE - PROVIDES A SPECIALIZED KIND OF CARE THAT OFFERS COMFORT AND SUPPORT TO PATIENTS WHO ARE NO LONGER SEEKING ACTIVE TREATMENT AND HAVE A LIFE EXPECTANCY OF MONTHS OR WEEKS. HOSPICE CARE IS A FORM OF PALLIATIVE CARE THAT AIMS TO IMPROVE THE QUALITY OF LIFE AND PROVIDE PAIN RELIEF AND OTHER COMFORT MEASURES FOR TERMINALLY ILL PEOPLE. DURING FISCAL 2025, VNA HAD 90,978 HOSPICE PROGRAM VISITS. 44072621 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 14 0 1 414 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 3 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X MICHAEL BUSHELL 5089735017 101 PAGE STREET NEW BEDFORD MA 02740 X DAVID MCCREADY EX-OFFICIO, PRESIDENT & CEO 3.50 70.50 X X 0 1594229 204389 RENEE CLARK TTEE, CLERK (AS OF 9/2025), EVP COO 8.50 64.00 X X 0 1221168 203192 WADE BROUGHMAN TREASURER (UNTIL 12/2024) 2.50 72.50 X X 0 1093225 40272 PATRICIA BUIOCCHI CLERK (UNTIL 7/25), VP SOUTHCOAST HEALTH AT HOME 32.50 33.00 X X 0 532144 25870 JAMES WITKOWSKI MD TRUSTEE 1.50 40.00 X 0 395746 44560 TRENT AINSWORTH DO TRUSTEE (AS OF 1/2025) 1.50 40.00 X 0 326863 10377 CHANDRA REDDIVARI MD TRUSTEE 1.50 40.00 X 0 269611 16430 MICHAEL BUSHELL TREASURER (AS OF 1/2025) 7.50 59.00 X X 0 174309 30055 DONALD GIUMETTI VICE CHAIR 2.50 12.50 X X 0 0 0 ELIZABETH HUIDEKOPER CHAIR 2.50 6.00 X X 0 0 0 JAY S SCHACHNE MD TRUSTEE 1.50 4.50 X 0 0 0 FERNANDA JOHNSON VP OF SOUTHCOAST HEALTH AT HOME 60.00 0.00 X 166009 0 28599 TRACY LAWLER D - SUPPORTIVE CARE SERVICES 40.00 0.00 X 169398 0 29497 PAMELA SWANSEY RN 40.00 0.00 X 174712 0 16294 SALLY CERQUEIRA-BONET RN 40.00 0.00 X 165353 0 24560 LORI CROWSHAW ED-HOME HEALTH CLINICAL SERVICE 40.00 0.00 X 180336 0 8510 ROXANE J FREDETTE NP PA SUPPORTIVE CARE HOSPICE 40.00 0.00 X 154340 0 6019 RAYFORD KRUGER FORMER PRESIDENT & EX-OFFICIO 0.00 0.00 X 0 1316776 32290 JEFFREY LAWRENCE MD FORMER VICE CHAIR 0.00 60.00 X 0 621977 41590 DIANE PATRICK FORMER VICE CHAIR 0.00 40.00 X 0 248369 38027 1010148 7794417 800531 83 1 1 0 GORDON OPERATING CO LLC 389 ALDEN ROAD FAIRHAVEN MA 02719 HOSPICE ROOM AND BOARD 726899 SARAH S BRAYTON NCC 4901 NORTH MAIN STREET FALL RIVER MA 02720 HOSPICE ROOM AND BOARD 229550 NEW BEDFORD JEWISH CONVALESCENT 200 HAWTHORN STREET NEW BEDFORD MA 02740 HOSPICE ROOM AND BOARD 220220 SACRED HEART HOME INC 359 SUMMER STREET NEW BEDFORD MA 02740 HOSPICE ROOM AND BOARD 191028 SYNERGI PARTNERS INC PO BOX 5599 FLORENCE SC 29502 CONSULTING 190338 11 291 109999 170 457766 568226 HOME HEALTH CARE 621610 29602220 29602220 HOSPICE 621610 26187910 26187910 55790130 283087 283087 1162729 969258 193471 193471 193471 6510 109999 24664 -18154 -18154 56816760 55790130 0 458404 217525 189026 28499 29264011 25816293 3447718 1145629 1011144 134485 4625774 3500838 1124936 1980905 1748367 232538 1408 1408 7692 7692 1659420 525175 1134245 25935 9243 16692 609231 270983 338248 626964 550326 76638 373146 373146 1237062 1222110 14952 41797 9156 32641 4688 3188 1500 224139 224139 HOSPICE ROOM AND BOARD 5702737 5702737 MEDICAL SUPPLIES 2289601 2276218 13383 HOSPICE GENERAL IP 1171752 1171752 INTERCO CONTRACTED SERV 797128 797128 136394 64657 69950 1787 52142938 44072621 8068530 1787 10861579 16372782 6307410 6133718 250075 148049 1786305 1783805 7188 2500 8812095 9900962 2397203 2448370 2681512 2579169 31317062 37585550 5318511 6063237 277600 500484 2211521 2092798 7807632 8656519 X 20764577 25889696 2744853 3039335 23509430 28929031 31317062 37585550 X 4673822 638337 107442 X 0 1 X 1 1 1 X 216182 1038343 341482 870032 568226 3034265 41836224 38975145 42998911 45786505 55790130 225386915 42052406 40013488 43340393 46656537 56358356 228421180 18000 40000 19000 522895 208568 808463 0 18000 40000 19000 522895 208568 808463 227612717 152996 240817 181622 239536 283087 1098058 152996 240817 181622 239536 283087 1098058 3640 3640 42205402 40254305 43522015 46899713 56641443 229522878 0.99170 0.99250 0.00480 0.00430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2744852 147176 238285 90979 3039334 2360965 95604 439774 151491 2744852 2229806 69390 176916 115147 2360965 2761704 78144 -526319 83723 2229806 2455150 -77493 409043 24996 2761704 0.00000 0.78000 0.22000 0 0 1037337 1037337 0 748968 746468 2500 2500 PRIVATE EQUITY 84336 F MULTISTRATEGY HEDGE FUNDS 505799 F BENEFICIAL INT. IN PERP. TRUSTS 1858235 F 2448370 RIGHT OF USE ASSETS OPERATING 1047320 DUE FROM AFFILIATES 359957 MALPRACTICE INSURANCE RECEIVABLE - AFFILIATE 1127885 DEFERRED COMP 457B 44007 2579169 DUE TO AFFILIATES 945574 LEASE LIABILITY - OPERATING 1103217 DEFERRED COMP 457B 44007 2092798 PART V, LINE 4: VNA'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT VNA'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN VNA'S SERVICE AREA. PART X, LINE 2 VNA HAS ADOPTED FIN 48. THERE IS NO FOOTNOTE DISCLOSURE IN SHS'S FISCAL SEPTEMBER 30, 2025 CONSOLIDATED AUDITED FINANCIAL STATEMENTS SINCE THE ADOPTION OF FIN 48 WAS NOT MATERIAL. HOPE TAKES FLIGHT DINNER 116509 109999 6510 2714 14399 7551 116509 109999 6510 2714 14399 7551 24664 -18154 X 1 1 1 1 0 0 0 0 0 0 0 DAVID MCCREADY EX-OFFICIO, PRESIDENT & CEO 0 1184674 0 330000 0 79555 0 180000 0 24389 0 1798618 0 0 RENEE CLARK TTEE, CLERK (AS OF 9/2025), EVP COO 0 776964 0 295800 0 148404 0 178803 0 24389 0 1424360 0 143760 RAYFORD KRUGER FORMER PRESIDENT & EX-OFFICIO 0 8355 0 705000 0 603421 0 30600 0 1690 0 1349066 0 476100 WADE BROUGHMAN TREASURER (UNTIL 12/2024) 0 730464 0 188500 0 174261 0 20700 0 19572 0 1133497 0 0 JEFFREY LAWRENCE MD FORMER VICE CHAIR 0 229919 0 0 0 392058 0 31520 0 10070 0 663567 0 0 PATRICIA BUIOCCHI CLERK (UNTIL 7/25), VP SOUTHCOAST HE 0 388644 0 143500 0 0 0 20700 0 5170 0 558014 0 0 JAMES WITKOWSKI MD TRUSTEE 0 370246 0 25000 0 500 0 20700 0 23860 0 440306 0 0 TRENT AINSWORTH DO TRUSTEE (AS OF 1/2025) 0 184920 0 141943 0 0 0 9613 0 764 0 337240 0 0 DIANE PATRICK FORMER VICE CHAIR 0 130208 0 117561 0 600 0 21262 0 16765 0 286396 0 0 CHANDRA REDDIVARI MD TRUSTEE 0 269611 0 0 0 0 0 15830 0 600 0 286041 0 0 MICHAEL BUSHELL TREASURER (AS OF 1/2025) 0 174309 0 0 0 0 0 25906 0 4149 0 204364 0 0 TRACY LAWLER D - SUPPORTIVE CARE SERVICES 165413 0 3485 0 500 0 3551 0 25946 0 198895 0 0 0 FERNANDA JOHNSON VP OF SOUTHCOAST HEALTH AT HOME 162227 0 3282 0 500 0 6893 0 21706 0 194608 0 0 0 PAMELA SWANSEY RN 168420 0 217 0 6075 0 7034 0 9260 0 191006 0 0 0 SALLY CERQUEIRA-BONET RN 161818 0 217 0 3318 0 5134 0 19426 0 189913 0 0 0 LORI CROWSHAW ED-HOME HEALTH CLINICAL SERVICE 175052 0 5284 0 0 0 7249 0 1261 0 188846 0 0 0 ROXANE J FREDETTE NP PA SUPPORTIVE CARE HOSPICE 154122 0 218 0 0 0 4846 0 1173 0 160359 0 0 0 PART I, LINE 1A VNA MADE PERFORMANCE PAYMENTS TO THREE HIGHLY COMPENSATED EMPLOYEES THAT INCLUDED TAX GROSS-UPS. TOTAL PAYMENTS WERE $651. PART I, LINE 3 VNA RELIED ON AFFILIATE SOUTHCOAST HOSPITALS GROUP (SHG), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR THE VNA PRESIDENT. SHG CHECKED THE FOLLOWING BOXES WHICH WERE USED BY SOUTHCOAST TO ESTABLISH COMPENSATION OF THE PRESIDENT: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B JEFFREY LAWRENCE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $391,827 FROM RELATED ORGANIZATION SOUTHCOAST PHYSICIANS GROUP, INC. PART I, LINE 4B: OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTION CREDITS UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (C). ONLY UPON TERMINATION 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. RENEE CLARK - $133,121 WADE BROUGHMAN - $158,103 PART II, COLUMN F OFFICERS, DIRECTORS, AND KEY EMPLOYEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. PRIOR YEAR CONTRIBUTION CREDITS INCLUDED AS DEFERRED IN A PRIOR YEAR AND AS W-2 COMPENSATION IN THE CURRENT YEAR ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (F). 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 F FOR THE FOLLOWING INDIVIDUALS INCLUDES THE ORIGINAL CONTRIBUTION CREDITS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE. RENEE CLARK - $143,760 FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE SOUTHCOAST VISITING NURSE ASSOCIATION, INC. ("VNA") IS COMMITTED TO PROVIDING HIGH QUALITY COMPREHENSIVE HEALTH AND HOSPICE SERVICES IN THE HOME SETTING AND COMMUNITY-BASED PROGRAMS WHICH FOSTER IMPROVEMENT AND MAINTENANCE OF HEALTH, PREVENTION OF DISEASE AND DISABILITY AND COMPASSIONATE END-OF-LIFE CARE. FORM 990, PART VI, SECTION A, LINE 2 PATRICIA BUIOCCHI HAD RELATIONSHIPS WITH WADE BROUGHMAN; MICHAEL BUSHELL; RAYFORD KRUGER; MD, AND DAVID MCCREADY WHO WERE EMPLOYED BY SOUTHCOAST HOSPITALS GROUP, INC. PATRICIA BUIOCCHI ALSO HAD A BUSINESS RELATIONSHIP WITH DONALD GIUMETTI. WADE BROUGHMAN; MICHAEL BUSHELL; RENEE CLARK; RAYFORD KRUGER, MD; AND DAVID MCCREADY HAD BUSINESS RELATIONSHIPS WITH DONALD GIUMETTI; ELIZABETH HUIDEKOPER; AND JAY SCHACHNE, MD. WADE BROUGHMAN; MICHAEL BUSHELL; RENEE CLARK; RAYFORD KRUGER, MD; AND DAVID MCCREADY HAD BUSINESS RELATIONSHIPS WITH JEFFREY LAWRENCE, MD WHO WAS EMPLOYED BY SOUTHCOAST PHYSICIANS GROUP, INC. FORM 990, PART VI, SECTION A, LINE 6 VNA'S PARENT CORPORATION, SOUTHCOAST HEALTH SYSTEM, INC. ("SHS"), SERVES AS THE SOLE CORPORATE MEMBER OF VNA. FORM 990, PART VI, SECTION A, LINE 7A VNA'S PARENT CORPORATION, SHS, ELECTS THE TRUSTEES OR DIRECTORS OF VNA, EXERCISES SPECIFIED RESERVE POWERS AND IS GOVERNED BY A BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE ROLE OF THE SHS BOARD IS TO MAINTAIN A SYSTEM PERSPECTIVE WITH A REGIONAL EMPHASIS AND A BROAD FOCUS ACROSS ALL ACTIVITIES IN THE ORGANIZATION. PRIMARY FUNCTIONS OF THE SHS BOARD INCLUDE STRATEGIC PLANNING, NETWORK GROWTH AND DEVELOPMENT, AND OVERALL FISCAL RESPONSIBILITIES. EACH AFFILIATE IS EXPECTED TO FOCUS ON ITS OWN ACTIVITIES ADDRESSING COMMUNITY NEEDS WITHIN ITS SCOPE OF SERVICE. THE TRUSTEES OF THE VNA SHALL HAVE CHARGE, CONTROL AND MANAGEMENT OF THE PROPERTY, AFFAIRS AND BUSINESS OF THE VNA AND SHALL HAVE THE POWER AND AUTHORITY TO DO AND PERFORM ALL ACTS AND FUNCTIONS NOT INCONSISTENT WITH ITS BYLAWS OR WITH ANY ACTION TAKEN BY IT, PROVIDED, HOWEVER, THAT THE AUTHORITY OF THE TRUSTEES TO EXERCISE CERTAIN POWERS IS CONDITIONED UPON APPROVAL OF THE SHS BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BOARD OF THE ASSOCIATION'S NOT-FOR-PROFIT PARENT, SHS, REVIEWS THE FORM 990 AND ALL OF ITS RELATED SCHEDULES PRIOR TO FILING. THE REVIEW IS PERFORMED BY THE GOVERNING BOARD AS IT PROVIDES OVERSIGHT FOR COMPENSATION AND CONFLICT OF INTEREST MATTERS ON ITS OWN BEHALF AND ON BEHALF OF ITS AFFILIATES ON A SYSTEM WIDE BASIS. A COMPLETE COPY OF THE FORM 990 AND ITS SCHEDULES ARE POSTED TO THE SOUTHCOAST HEALTH SYSTEM, INC. BOARD'S WEBSITE FOR ALL BOARD MEMBERS TO REVIEW, MAKE INQUIRIES, AND HAVE ANY ADJUSTMENTS MADE PRIOR TO FILING. 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, INCLUDING TRUSTEES, OFFICERS, DIRECTORS, AND EMPLOYEES OF VNA (REFERRED TO AS "MEMBERS"). ON AN ANNUAL BASIS, EACH MEMBER WILL COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE WHICH AFFIRMS THAT EACH PERSON HAS: (1) RECEIVED A COPY OF THE POLICY, (2) READ AND UNDERSTOOD THE POLICY, (3) AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTOOD THAT THE SYSTEM ENTITIES ARE CHARITABLE ORGANIZATIONS AND THAT TO MAINTAIN THEIR FEDERAL TAX EXEMPTION, SUCH ENTITIES MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE SYSTEM OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AND IN CONNECTION WITH ITS COMPLIANCE PROGRAM, SYSTEM'S MANAGEMENT SHALL CONDUCT PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND THE OPERATION AND APPLICATION OF IT. MEMBERS SHALL DISCLOSE ANY INTERESTS OR ACTIVITIES IN WHICH THEY ARE INVOLVED OR BECOME INVOLVED THAT DO RESULT, OR MAY APPEAR TO RESULT IN A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND SHALL COMPLY WITH, AND MAKE ALL REQUIRED DISCLOSURES UNDER THE CONFLICT OF INTEREST POLICY PRIOR TO COMMENCING, CONTINUING, OR CONSUMMATING ANY ACTIVITY OR TRANSACTION WHICH RAISES A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST. EACH MEMBER IS UNDER AN ONGOING DUTY TO UPDATE AND KEEP CURRENT THE INFORMATION CONTAINED IN THEIR QUESTIONNAIRE. AT LEAST ANNUALLY, OR AS NECESSARY BASED ON DISCLOSURES, THE GENERAL COUNSEL WILL SUMMARIZE AND REPORT ALL DISCLOSURES TO THE PRESIDENT AND CEO AND THE CHAIRMAN OF THE BOARD OF TRUSTEES (OR HIS/HER DESIGNEE). UPON DISCLOSURE OF FINANCIAL OR NON-FINANCIAL INTERESTS ("INTERESTS") AND ALL MATERIAL FACTS RELATED THERETO BY MEMBER OR AN INTERESTED PERSON, THE CHAIR OF THE SYSTEM'S GOVERNANCE COMMITTEE SHALL DETERMINE IN CONJUNCTION WITH THE GENERAL COUNSEL WHETHER A CONFLICT OF INTEREST EXISTS. THE GOVERNANCE COMMITTEE CAN CONTINUE TO DISCUSS THE ISSUE WITH THE MEMBER OR INTERESTED PERSON TO CLARIFY OR OBTAIN ADDITIONAL INFORMATION. HOWEVER, BEFORE THE GOVERNANCE COMMITTEE DISCUSSES OR DETERMINES WHETHER THE MEMBER OR OTHER INTERESTED PERSON'S INTERESTS CONSTITUTE A CONFLICT OF INTEREST, THE MEMBER OR INTERESTED PERSON MUST LEAVE THE MEETING. IN THE EVENT THE INTEREST INVOLVES THE CHAIR OR CEO, THE REMAINING GOVERNANCE COMMITTEE MEMBERS SHALL APPOINT ONE OR MORE DISINTERESTED TRUSTEES TO MAKE SUCH A DETERMINATION. ONCE THE DETERMINATION OF THE CONFLICT OF INTEREST IS MADE BY THE GOVERNANCE COMMITTEE, SUCH DETERMINATION, ALONG WITH APPROPRIATE MITIGATION PLANS, WILL BE SUBMITTED BY THE GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. IF 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 DISCLOSE 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 THE CEO, PRESIDENT & OFFICERS WAS ESTABLISHED BY SOUTHCOAST HOSPITALS GROUP, A RELATED ENTITY. COMPENSATION FOR ALL VICE PRESIDENTS AND HIGHER LEVEL EXECUTIVES WHO MAY SERVE AS OFFICERS AND DIRECTORS IS ESTABLISHED USING THE FOLLOWING PROCEDURE: 1. REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SOUTHCOAST HEALTH SYSTEM, WITHOUT THE INVOLVEMENT OF PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE. 2. USE OF DATA TO COMPARE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITONS AT SIMILARLY SITUATED ORGANIZATIONS. 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 SHS'S EXECUTIVES. THIS INCLUDED RELEVANT 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 ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 SVNA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: TRUSTEES AND OFFICERS ARE COMPENSATED FOR THEIR ROLES OUTSIDE OF THEIR CAPACITY AS TRUSTEES AND OFFICERS. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF PERPETUAL TRUSTS 138,081. ENDOWMENT TRANSFERS -30,639. SOUTHCOAST HEALTH SYSTEM INC 101 PAGE STREET NEW BEDFORD MA 02740 042794625 SUPPORT SHG, SPG, & SVNA MA 501(C)(3) 12C, III-FI N/A 0 SOUTHCOAST HOSPITALS GROUP INC 101 PAGE STREET NEW BEDFORD MA 02740 222592333 ACUTE CARE HOSPITALS MA 501(C)(3) 3 SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST PHYSICIANS GROUP INC 200 MILL RD SUITE 180 FAIRHAVEN MA 02719 222703314 PHYSICIAN SERVICES MA 501(C)(3) 10 SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST VENTURES INC 101 PAGE STREET NEW BEDFORD MA 02740 043003172 PHYSICIAN SERVICES/ HEALTHCARE MA 501(C)(3) 12A, I SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST LONG TERM CARE SERVICES INC 363 HIGHLAND AVE FALL RIVER MA 02720 043109579 OPERATE A LONG-TERM CARE FACILITY MA 501(C)(3) 10 SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST LONG TERM CARE PROPERTIES INC 101 PAGE STREET NEW BEDFORD MA 02740 042984542 SUPPORT SLTCS MA 501(C)(3) 12A, II SOUTHCOAST HEALTH SYSTEM INC 1 SOUTHCOAST HEALTH AMBASSADORS INC 363 HIGHLAND AVE FALL RIVER MA 02720 043583676 SUPPORT SHG MA 501(C)(3) 12A, I SOUTHCOAST HOSPITALS GROUP INC 1 COASTLINE PROFESSIONAL ASSURANCE CORP LTD PO BOX 1085 GRAND CAYMAN GRAND CAYMAN CJ CJKY1-1102 980445031 INSURANCE CJ N/A C 1 HEALTH MANAGEMENT INITIATIVES INC 363 HIGHLAND AVE FALL RIVER MA 02720 042998712 COMM RENTALS MA N/A C 1 SAME DAY SURGICARE OF NE INC 272 STANLEY STREET FALL RIVER MA 02720 042808359 MEDICAL SERVICES MA N/A S 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 SOUTHCOAST HOSPITALS GROUP INC O 303681 CASH SOUTHCOAST HOSPITALS GROUP INC P 1580255 CASH SOUTHCOAST HOSPITALS GROUP INC Q 249282 CASH SOUTHCOAST PHYSICIANS GROUP INC Q 1288760 CASH SOUTHCOAST PHYSICIANS GROUP INC P 292119 CASH SOUTHCOAST PHYSICIANS GROUP INC L 1788493 CASH COASTLINE PROFESSIONAL ASSURANCE CORP LTD P 177312 CASH SOUTHCOAST LONG TERM CARE SERVICES INC P 416330 CASH PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST: NAME OF RELATED ORGANIZATION: SAME DAY SURGICARE OF NE, INC. DIRECT CONTROLLING ENTITY: SOUTHCOAST HEALTH SURGICAL HOLDINGS, LLC