TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KEITH HOVAN PRESIDENT&CEO/TRUSTEE/EX-OFFICIO	40.00	X	X	847,750	31,355
(2) MWAJID BAIG MD TRUSTEE	1.00	X		0	0
(3) DOUGLAS BEATON TRUSTEE	1.00	X		0	0
(4) RWILLIAM BLASDALE TRUSTEE	1.00	X		0	0
(5) PETER BULLARD ESQ TRUSTEE	1.00	X		0	0
(6) EILEEN FARLEY TRUSTEE	1.00	X		0	0
(7) ELIZABETH O'NEILL LASTAITI CLERK	1.00	X	X	0	0
(8) JEAN MACCORMACK TRUSTEE	1.00	X		0	0
(9) ELIZABETH KUNZ ESQ VICE CHAIR	1.00	X	X	0	0
(10) PAMELA MCNAMARA TRUSTEE	1.00	X		0	0
(11) STEVEN MENDES MD EX-OFFICIO	1.00	X		6,125	0
(12) CARL RIBEIRO CHAIR	1.00	X	X	0	0
(13) GILBERT SHAPIRO MD TRUSTEE	1.00	X		0	0
(14) ROBERT TRIPP JR DO TRUSTEE	1.00	X		0	0
(15) MAUREEN SYLVIA ARMSTRONG TRUSTEE	1.00	X		0	0
(16) CARL TABER TRUSTEE	1.00	X		0	0
(17) WILLIAM GRIGG EXECUTIVE VP&CFO/TREASURER	40.00		X	493,203	29,462

(A) Name and business address	(B) Description of services	(C) Compensation
GILBANE BUILDING COMPANY 155 FEDERAL ST SUITE 400 BOSTON,MA02110	CONSTRUCTION CONTRACTOR	14,859,890
SLH EMERGENCY ASSOCIATES C/O EDELSTEIN CO LLP PO BOX 7 N DARTMOUTH,MA02747	EMERGENCY ROOM PHYSICIAN SERVICES	10,940,804
FIRST PHYSICIANS CORP C/O 363 HIGHLAND AVENUE FALL RIVER,MA02720	EMERGENCY ROOM PHYSICIAN SERVICES	9,128,281
TOBEY EMERGENCY ASSOCIATES PC PO BOX 53 WAREHAM,MA02571	EMERGENCY ROOM PHYSICIAN SERVICES	4,150,453
ANESTHESIA ASSOCIATES INC 460 ENTERPRISE ST SAN MARCOS,CA98069	ANESTHESIA SERVICES	3,680,399
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 81

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	3,682,406	1,844,266	1,838,140
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	215,121	107,561	107,560
7	Other salaries and wages	297,061,531	284,943,824	11,675,474	442,233
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	16,999,291	16,198,345	775,975	24,971
9	Other employee benefits .......	47,430,784	44,876,496	2,488,439	65,849
10	Payroll taxes ...........	21,176,530	20,178,768	966,655	31,107
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,046,848	236,882	1,807,100	2,866
c	Accounting ...........	408,009		408,009
d	Lobbying ...........	338,313	338,313
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	808,795		808,795
g	Other ..........	69,396,301	66,497,546	2,863,384	35,371
12	Advertising and promotion ....	2,985,726	2,985,726
13	Office expenses .......	15,428,198	14,817,186	571,949	39,063
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	10,164,583	10,123,554	41,029
17	Travel ............	496,448	496,448
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,341,931	1,201,671	126,080	14,180
20	Interest ...........	5,729,771	5,729,771
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	35,014,660	35,014,660
23	Insurance ..............
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	MED SUPPLIES/LINENS	63,290,213	63,209,037	74,503	6,673
b	PHARMACEUTICALS	23,873,864	23,873,864	0	0
c	FOOD SERVICE	6,378,486	6,368,077	0	10,409
d	PARTS AND REPAIRS	3,320,108	3,318,691	1,352	65
e		0	0	0	0
f	All other expenses	8,407,654	7,639,868	767,757	29
25	Total functional expenses. Add lines 1 through 24f	635,995,571	610,000,554	25,322,201	672,816
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	0	1	0
2	Savings and temporary cash investments .......	7,883,059	2	28,199,635
3	Pledges and grants receivable, net .........	1,888,284	3	6,832,921
4	Accounts receivable, net .........	62,884,611	4	60,186,063
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............		8
9	Prepaid expenses and deferred charges ............	18,731,191	9	16,675,544
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	591,216,795
b	Less: accumulated depreciation. .....	10b	351,276,005	216,296,482	10c	239,940,790
11	Investments—publicly traded securities ..........	350,390,293	11	354,639,258
12	Investments—other securities. See Part IV, line 11 ......	29,565,184	12	34,603,169
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	5,025,125	15	10,637,343
16	Total assets. Add lines 1 through 15 (must equal line 34)...	692,664,229	16	751,714,723
	17	Accounts payable and accrued expenses .	98,796,779	17	108,520,947
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	162,898,704	20	158,757,419
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	8,548,234	23	27,447,049
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	44,343,898	25	45,749,903
26	Total liabilities. Add lines 17 through 25.....	314,587,615	26	340,475,318
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	310,369,970	27	338,805,108
28	Temporarily restricted net assets .....	28,139,973	28	30,560,588
29	Permanently restricted net assets .....	39,566,671	29	41,873,709
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	378,076,614	33	411,239,405
34	Total liabilities and net assets/fund balances .....	692,664,229	34	751,714,723

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization SOUTHCOAST HOSPITALS GROUP INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization SOUTHCOAST HOSPITALS GROUP INC
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

338,313

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

338,313

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
PART IV, SUPPLEMENTAL INFORMATION:		PART II-B, LINE 1G: DURING FISCAL YEAR 2011 HIRED CONSULTANTS MONITORED AND ADVOCATED FOR SOUTHCOAST CONCERNS BEFORE THE SOUTHEASTERN MASSACHUSETTS STATE LEGISLATIVE DELEGATION THROUGHOUT THE BUDGET PROCESS, BEGINNING WITH HOUSE 1 (GOVERNOR'S BUDGET RECOMMENDATION) THROUGH HB3400 - THE HOUSE'S RECOMMENDATION & SB3 - THE SENATE'S BUDGET, TO THE CONFERENCED BUDGET, HB3535. HIRED CONSULTANTS ALSO MONITORED AND ADVOCATED SOUTHCOAST CONCERNS TO THIS SAME LEGISLATIVE DELEGATION REGARDING THE GOVERNOR'S HEALTH CARE PAYMENT REFORM LEGISLATION, HB1849, AN ACT IMPROVING THE QUALITY OF HEALTH CARE AND CONTROLLING COST BY REFORMING THE HEALTH SYSTEMS AND PAYMENTS AND THE MAINTENANCE AND SUPPORT OF MEDICAID RATES OF PAYMENT THROUGHOUT THE BUDGET PROCESS, INCLUDING THE GOVERNOR'S HOUSE 1 BUDGET, THE HOUSE'S BUDGET PROPOSAL - HB3400, THE SENATE'S PROPOSAL - SB3, AND THE FINAL BUDGET, HB3535. HIRED CONSULTANTS SOUGHT INFORMATION AND ADVICE FROM THE SOUTHEASTERN MASSACHUSETTS DELEGATION RELATIVE TO PURSUING REMAINING FUNDING FROM THE JUNE 2010 1115 MEDICAID WAIVER EXTENSION AGREEMENT FOR GROUP B HOSPITALS.

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	61,852,448	60,230,362	63,772,624
b	Contributions ........	2,307,038	171,211	83,724
c	Investment earnings or losses ...	112,603	4,211,863	-984,990
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	2,288,009	2,680,564	2,573,502
f	Administrative expenses ....	68,504	80,424	67,494
g	End of year balance ......	61,915,576	61,852,448	60,230,362

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

100.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	9,946,269		9,946,269
b	Buildings ................	299,341,462	163,741,090	135,600,372
c	Leasehold improvements ............	2,151,799	999,408	1,152,391
d	Equipment ................	274,572,897	183,674,746	90,898,151
e	Other .................	5,204,368	2,860,761	2,343,607
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				239,940,790

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
NON PENSION POST RETIREMENT BENEFIT		11,510,950
LONG TERM INSURANCE RESERVES		14,366,228
LONG TERM GENERAL RESERVE		10,728,360
DEFERRED COMPENSATION 457B PLAN		1,361,656
SWAP AGREEMENT LIABILITY		3,586,108
ASSET RETIREMENT OBLIGATION(FIN 47)		3,050,878
OTHER LONG TERM LIABILITIES		1,145,723


Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		45,749,903
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	SHG'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT SHG'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN SHG'S SERVICE AREA.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.

Activites per Region. (Use Part V if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees or agents in region or independent contractors	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for region/investments in region
	CENTRAL AMERICA/CARRIBEAN	0	6	PROGRAM SERVICES	CAPTIVE INSURANCE	1,123,930
















3a	Sub-total .....	0	6			1,123,930
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	6			1,123,930

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010

Schedule F (Form 990) 2010

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,

Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet

Use Part V if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ..... MediumBullet

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2010

Schedule F (Form 990) 2010Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Use Part V if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2010

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2010

Page 5

Part V

Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization
SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.

(i) Name and address of individual or entity (fundraiser)	(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
Total .................

List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2010

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.

		(a) Event #1 SC GOLF TOURNAMENT (event type)	(b) Event #2 TH GOLF TOURNAMENT (event type)	(c) Other Events 3 (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	346,518	119,992	54,662	521,172
2	Less: Charitable contributions . . .	300,003	105,499	50,112	455,614
3	Gross income (line 1 minus line 2) . . .	46,515	14,493	4,550	65,558
4	Cash prizes . . .
5	Non-cash prizes . .	32,029	17,484	6,591	56,104
6	Rent/facility costs . .	32,676			32,676
7	Food and beverages . .	23,940	10,300	3,507	37,747
8	Entertainment . . .
9	Other direct expenses .	3,817	469		4,286
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				130,813
11	Net income summary. Combine lines 3 and 10 in column (d)............				-65,255

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ...........................

YesNo

Schedule G (Form 990 or 990-EZ) 2010

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)

Identifier	ReturnReference	Explanation

Schedule G (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..			17,781,687	11,298,275	6,483,412	1.020 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .			106,998,528	97,220,435	9,778,093	1.540 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....			124,780,215	108,518,710	16,261,505	2.560 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....			251,506		251,506	0.040 %
f Health professions education (from Worksheet 5) ..	15	89	465,817		465,817	0.070 %
g Subsidized health services (from Worksheet 6) ..			10,933,020	9,808,007	1,125,013	0.180 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..			188,536		188,536	0.030 %
jTotal Other Benefits ...	15	89	11,838,879	9,808,007	2,030,872	0.320 %
kTotal. Add lines 7d and 7j. ..	15	89	136,619,094	118,326,717	18,292,377	2.880 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	2
2	Economic development
3	Community support	3	700	66,293	66,293	0.010 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	8		48,000	48,000	0.010 %
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	13	700	114,293	114,293	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

6,300,039

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

273,591,095

Enter Medicare allowable costs of care relating to payments on line 5.....

302,472,180

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-28,881,085

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?3 Name and address		Other (Describe)
1	SHG INC DBA CHARLTON MEMORIAL HOSPITAL 363 HIGHLAND AVE FALL RIVER,MA02720	X	X	X	ACUTE CARE HOSPITAL
2	SHG INC DBA ST LUKE'S HOSPITAL 101 PAGE ST NEW BEDFORD,MA02740	X	X	X	ACUTE CARE HOSPITAL
3	SHG INC DBA TOBEY HOSPITAL 43 HIGH ST WAREHAM,MA02571	X	X	X	ACUTE CARE HOSPITAL

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:NA

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

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Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

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Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		PART I, LINE 6A: SOUTHCOAST PREPARES ANNUAL COMMUNITY BENEFIT REPORTS IN COMPLIANCE WITH THE VOLUNTARY MASSACHUSETTS ATTORNEY GENERAL'S COMMUNITY BENEFITS PROGRAM GUIDELINES. THESE GUIDELINES ARE UNIQUE, VOLUNTARY AND NON-REGULATORY AND CALLS UPON HOSPITALS SITUATED IN MASSACHUSETTS TO IDENTIFY AND RESPOND TO UNMMET AND UNDERSERVED COMMUNITY HEALTH NEEDS BY FORMALIZING AN APPROACH TO COMMUNITY BENEFITS PLANNING AND COLLABORATING WITH THE COMMUNITIES IN WHICH IT SERVES TO IDENTIFY AND CREATE PROGRAMS AND SERVICES TO ADDRESS THOSE NEEDS AND ISSUING ANNUAL REPORTS ON THEIR EFFORTS. SOUTHCOAST HAS VOLUNTARILY PARTICIPATED IN THE MASSACHUSETTS ATTORNEY GENERAL'S COMMUNITY BENEFITS PROGRAM SINCE ITS INCEPTION IN 1994.
		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 REVENUE ASSOCIATED WITH SOUTHCOAST'S LEVEL II NURSERY, INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES AND INPATIENT REHABILITATIVE SERVICES. SOUTHCOAST IS THE SOLE PROVIDER OF THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED.
		PART II: SOUTHCOAST STAFF MENTORED CHILDREN, TEENS AND YOUNG ADULTS BY PARTICIPATING IN JUNIOR ACHIEVEMENT, SMILES AND OTHER SIMILAR PROGRAMS GEARED TO PREPARE THESE YOUTHS WITH PROGRAMS THAT FOSTER WORK READINESS, ENTREPRENEURSHIP, FINANCIAL LITERACY SKILLS AND USE EXPERIENTIAL LEARNING TO INSPIRE KIDS TO DREAM BIG AND REACH THEIR POTENTIAL. SOUTHCOAST STAFF ALSO CREATED AND SUPERVISED A COMMUNITY GARDEN IN WAREHAM AND WORKED WITH LOW INCOME CHILDREN AT THE LOCAL WAREHAM BOYS & GIRLS CLUB AND PROVIDED NUTRITION EDUCATION TO THE COMMUNITY AT LARGE.
		PART III, LINE 4: FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SHG RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED BY THE POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF THE SYSTEM'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SHG RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
		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 SHG IS REQUIRED TO PROVIDE SERVICES TO ALL REGARDLESS OF THEIR 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 CO-PAYMENTS OR DEDUCTIBLES FOR MASSHEALTH AND MASSHEALTH MANAGED CARE RECIPIENTS WILL BE CONSIDERED CHARITY CARE IF UNRESOLVED AT THE CONCLUSION OF THE 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 CO-PAYMENTS 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 PROCEEDINGS AND WILL NOT CHARGE INTEREST ON AN OVERDUE BALANCE OF A LOW INCOME PATIENT.
	PART V, SECTION B, LINE 3	SOUTHCOAST CONTRACTED WITH AN OUTSIDE CONSULTANT TO CONDUCT A MULTI-PHASE ASSESSMENT OF COMMUNITY HEALTH NEEDS WHICH INCLUDED (1) SECONDARY RESEARCH, INCLUDING A BROAD-BASED DEMOGRAPHIC SCAN; (2) IN-DEPTH INTERVIEWS WITH KEY INFORMANTS; AND (3) FOCUS GROUPS WITH AREA RESIDENTS LIVING IN THE COMMUNITIES SERVED BY SOUTHCOAST; AND (4) DETAILED FINDINGS FROM PRIMARY QUALITATIVE RESEARCH. THE OVERALL STUDY BEGAN WITH A MEETING WITH REPRESENTATIVES OF SOUTHCOAST TO CLARIFY THE RESEARCH OBJECTIVES AND TO OBTAIN BACKGROUND INFORMATION ABOUT SOUTHCOAST'S HEALTH SYSTEM.
	PART V, SECTION B, LINE 4	SOUTHCOAST IS COMPRISED OF THREE ACUTE CARE HOSPITALS: CHARLTON MEMORIAL HOSPITAL, ST. LUKE'S HOSPITAL AND TOBEY HOSPITAL SITUATED IN MASSACHUSETTS IN THE CITIES OF FALL RIVER, NEW BEDFORD AND WAREHAM. THE NEEDS ASSESSMENT WAS CONDUCTED FOR ALL THREE HOSPITAL SITES OF SOUTHCOAST.
	PART V, SECTION B, LINE 15(E)	TELEPHONE CONTACT IS INITIATED WITHIN THE FIRST 30 DAYS OF SELF PAY LIABILITY FOR ALL BALANCES $500 AND OVER, REQUESTING PAYMENT IN FULL WITH FURTHER FOLLOW UP BY THE COLLECTOR AT A MINIMUM OF 120 DAYS IN THE FORM OF TELEPHONE CONTACT WHENEVER POSSIBLE, ISSUANCE OF STATEMENTS AND/OR LETTERS. PATIENTS INTERESTED IN APPLYING FOR FINANCIAL ASSISTANCE ARE REFERRED TO SOUTHCOAST'S PATIENT FINANCIAL SERVICES DEPARTMENT. IN ADDITION TO THE COLLECTOR'S EFFORTS, PATIENTS RECEIVE A MINIMUM OF THREE STATEMENTS AT 30 DAY INTERVALS UNTIL THE ACCOUNT IS PAID IN FULL OR WRITTEN OFF AS BAD DEBT. FOR ALL EMERGENCY ROOM BALANCES $1,000 AND OVER, A FINAL NOTICE WILL BE SENT CERTIFIED MAIL. SOUTHCOAST SHALL NOT SEEK LEGAL EXECUTION AGAINST THE PERSONAL RESIDENCE OR MOTOR VEHICLE OF A PATIENT OR GUARANTOR WITHOUT THE EXPRESS WRITTEN APPROVAL OF THE SOUTHCOAST BOARD OF TRUSTEES. SUCH BOARD APPROVALS MUST BE MADE ON A CASE BY CASE BASIS.
	PART V, SECTION B, LINE 19(D)	QUALIFYING PATIENTS, DEFINED AS PATIENTS WHO ARE NOT ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE WHO ARE UNINSURED FOR MEDICALLY NECESSARY HOSPITAL SERVICES ARE OFFERED A DISCOUNT OF 25% OF THE TOTAL CHARGES AT THE TIME OF INITIAL BILLING. ADDITIONAL DICOUNTS MAY BE POSSIBLE BASED ON THE SIZE OF THE BALANCE, TIMELINESS OF PAYMENT AND FINANCIAL NEED.
		PART VI, LINE 2: NEEDS ASSESSMENT:IN FISCAL 2009 SOUTHCOAST COMPLETED A MAJOR COMMUNITY HEALTH NEEDS ASSESSMENT COVERING THE ENTIRE SOUTH COAST AREA. THIS ASSESSMENT CONSISTED OF A RETROSPECTIVE REVIEW OF DEPARTMENT OF PUBLIC HEALTH AND OTHER NATIONAL AND REGIONAL HEALTH AND DEMOGRAPHIC DATA ALONG WITH INTERVIEWS OF KEY COMMUNITY LEADERS AND A SERIES OF THREE FOCUS GROUPS INCLUDING SEVERAL THAT TARGETED UNDERSERVED MEMBERS IN ITS COMMUNITIES. DURING FISCAL 2011 SOUTHCOAST COLLABORATED WITH A NUMBER OF COMMUNITY PARTNERS TO UPDATE AND BUILD UPON A COMPREHENSIVE HEALTH NEEDS ASSESSMENT OF THE COMMUNITIES IT SERVES. THIS INCLUDED ADDITIONAL FOCUS GROUPS AND KEY INFORMANT INTERVIEWS CONDUCTED IN COLLABORATION WITH THE GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS. SOUTHCOAST'S NEEDS ASSESSMENT IS REGULARLY SHARED WITH COMMUNITY PARTNERS AND COMMUNITY MEMBERS AND IS OFTEN UTILIZED IN PLANNING AND FUNDING APPLICATIONS BY A NUMBER OF COMMUNITY ORGANIZATIONS AND IS POSTED ONLINE FOR THE PUBLIC. DURING FISCAL 2011 SOUTHCOAST EXPANDED ITS NEEDS ASSESSMENT THROUGH PARTICIPATION IN A NUMBER OF COLLABORATIVE NEEDS ASSESSMENT PROJECTS. THE GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS (CHNA 26) UNDERTOOK A COMPREHENSIVE REGIONAL HEALTH NEEDS ASSESSMENT THAT IS BASED ON THE 2009 COMMUNITY HEALTH NEEDS ASSESSMENT. WORKING COLLABORATIVELY WITH THE CHNA, SOUTHCOAST FURTHER BROADENED ITS ASSESSMENT TO INCLUDE AN ADDITIONAL 20 KEY INFORMANT INTERVIEWS AND 4 ADDITIONAL FOCUS GROUPS THAT TARGETED AT-RISK LOCAL YOUTH AND ELDERS. CHNA MEMBERS, INCLUDING SEVERAL SOUTHCOAST STAFF, RECEIVED SPECIAL TRAINING TO CONDUCT THE INTERVIEWS, EXPANDING BOTH ITS CAPACITY AND CHNA'S CAPACITY TO ENGAGE IN ONGOING DIALOGUE WITH ITS COMMUNITIES. AS A RESULT OF THIS COLLABORATION SOUTHCOAST IS ABLE TO SHARE ITS RESULTS AT MONTHLY ASSESSMENT SUBCOMMITTEE MEETINGS AND WITH THE LARGER CHNA MEMBERSHIP WHICH HAS RESULTED IN A STRONGER AND MORE COLLABORATIVE AND STRATEGIC PLANNING PROCESS THAT TRULY REFLECTS THE NEEDS OF THE COMMUNITIES SERVED BY SOUTHCOAST. SOUTHCOAST'S COMMUNITY BENEFITS MANAGER PRESENTED THE SOUTHCOAST NEEDS ASSESSMENT ACTIVITIES AT A NUMBER OF REGIONAL FORUMS INCLUDING A STATEWIDE PREVENTION CONFERENCE BY THE DEPARTMENT OF PUBLIC HEALTH, A STATEWIDE CONFERENCE FOR LOCAL BOARDS OF HEALTH, AND A REGIONAL INTER-CHNA CONFERENCE. SOUTHCOAST'S NEEDS ASSESSMENT DATA WAS SHARED WITH AND UTILIZED BY: GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS (CHNA 26), PARTNERS FOR A HEALTHIER COMMUNITY (CHNA 25), WAREHAM COMMUNITY SERVICES COLLABORATIVE, "VOICES FOR A HEALTHY SOUTHCOAST", WAREHAM BOYS AND GIRLS CLUB, NEW BEDFORD HEALTH DEPARTMENT, NEW BEDFORD HOUSING AUTHORITY, WAREHAM HEALTH DEPARTMENT, WAREHAM PUBLIC SCHOOLS NEW FAMILY COUNCIL PROJECT AND YMCA SOUTHCOAST. HIGHLIGHTS OF SOUTHCOAST'S NEEDS ASSESSMENT INCLUDE: (1) SIGNIFICANT DEMOGRAPHIC ISSUES INPACTING RESIDENTS' HEALTH, PARTICULARLY IN THE TWO MAJOR URBAN COMMUNITIES IN THE REGION, FALL RIVER AND NEW BEDFORD. RESIDENTS IN THESE COMMUNITIES GENERALLY HAVE LOWER INCOMES, LOWER EDUCATIONAL LEVELS AND HIGHER UNEMPLOYMENT THAN BOTH THE STATE AND REGION. RESIDENTS ALSO HAVE WORSE HEALTH INDICATORS IN A NUMBER OF AREAS PARTICULARLY CHRONIC DISEASES SUCH AS HEART DISEASE, DIABETES AND ASTHMA AND MATERNAL/CHILD HEALTH ISSUES INCLUDING HIGH RATES OF TEEN PREGNANCY. HIGH RATES OF CHRONIC DISEASE ARE RELATED TO RISK FACTORS SUCH AS AN EXTREMELY HIGH RATE OF OBESITY AND SMOKING. THE MAJORITY OF KEY INFORMANT INTERVIEWS AND FOCUS GROUP PARTICIPANTS EXPRESSED THE OPINION THAT HEALTH ISSUES IN THE REGION ARE DIRECTLY RELATED TO SOCIO-ECONOMIC ISSUES AND THAT HEALTH DISPARITIES EXIST AMONG RESIDENTS WHO EXPERIENCE POVERTY, LACK OF EDUCATION AND CULTURAL DIFFERENCES. (2) ACCESS TO HEALTH CARE IS A MAJOR ISSUE AS SEVERAL OF SOUTHCOAST'S COMMUNITIES HAVE SUFFERED DISPROPORTIONATELY WITH THE ECONOMIC DOWNTURN AND UNEMPLOYMENT IN COMMUNITIES LIKE FALL RIVER AND NEW BEDFORD IS MUCH HIGHER THAN THE REST OF THE STATE (12.5% VS 8% FOR THE STATE). THIS HAS RESULTED IN A NUMBER OF RESIDENTS LOSING THEIR HEALTH INSURANCE. DATA FROM THE BEHAVIORAL RISK FACTOR STATEWIDE SURVEY (BFRSS) INDICATES FEWER RESIDENTS IN SOUTHCOAST'S COMMUNITIES HAVE HEALTH INSURANCE THAN THE STATE AS A WHOLE (11.6% VS 7.6% FOR THE STATE). ALSO, A HIGHER PERCENTAGE OF RESIDENTS REPORT THE INABILITY TO SEE A PHYSICIAN DUE TO COST (10.5% VS 8% FOR THE STATE). (3) THE OVERALL CRIME RATE IN SOUTHCOAST'S COMMUNITIES WAS HIGHER THAN THE STATE, PARTICULARLY FOR VIOLENT CRIMES SUCH AS RAPE, AGGRAVATED ASSAULT AND BURGLARY WITH FALL RIVER AND NEW BEDFORD REPORTING SOME OF THE HIGHEST CRIME RATES IN THE STATE. NEW BEDFORD HAS THE HIGHEST RATE OF GUNSHOT/STABBING ASSAULTS IN THE STATE AND HAS A HIGHER FIREARMS-RELATED DEATH RATE THAN THE STATE (8.0 DEATHS PER 100,000 POPULATION VS 3.2 DEATHS FOR THE STATE). (4) SOUTHCOAST COMMUNITIES HAVE A HIGHER ADMISSION RATE FOR SUBSTANCE ABUSE THAN THE REST OF THE STATE, WITH FALL RIVER HAVING ONE OF THE HIGHEST RATES IN MASSACHUSETTS, AND A HIGHER PROPORTION OF OPIOID-RELATED EMERGENCY ROOM VISITS AND FATAL OVERDOSES (195.7% VS 181.1% FOR THE STATE) THAN THE STATE AS A WHOLE. IN TERMS OF RACE AND ETHNICITY, WHITE NON-HISPANIC RESIDENTS ARE MORE LIKELY THAN THOSE IN THE STATE OVERALL TO HAVE AN OPIOID-RELATED ER VISIT. SOUTHCOAST COMMUNITIES HAVE A HIGHER RATE OF SMOKING (22.8% VS 15.8%) THAN THE STATE, THE RESULT BEING HIGH RATES OF LUNG AND SMOKING RELATED CANCERS. (5) SOUTHCOAST COMMUNITIES REPORT HIGHER RATES OF CHRONIC DISEASES SUCH AS ASTHMA, DIABETES, HEART DISEASE, HIGH BLOOD PRESSURE. SOUTHCOAST'S ONGOING NEEDS ASSESSMENT PROCESS IS THE FOUNDATION OF A COMPREHENSIVE COMMUNITY BENEFITS PLAN THAT TARGETS AT RISK POPULATIONS IN THE SOUTHCOAST'S REGION WITH SERVICES AND COLLABORATIVE PROGRAMMING TO MAKE LASTING IMPROVEMENTS TO THE REGION'S HEALTH.
		PART VI, LINE 3: FINANCIAL ASSISTANCE POLICY:SOUTHCOAST'S PATIENT FINANCIAL SERVICES (PFS) DEPARTMENT INFORMS AND EDUCATES, IN SEVERAL LANGUAGES APPROPRIATE TO ITS COMMUNITIES, ITS PATIENTS AND OTHER COMMUNITY RESIDENTS ABOUT THE TYPES OF ASSISTANCE AVAILABLE TO THEM. PFS STAFF PARTICIPATE IN NUMEROUS COMMUNITY OUTREACH PROJECTS AND EVENTS. PATIENTS PRESENTING FOR ANY TYPE OF SERVICE AT ANY POINT OF REGISTRATION WITHIN THE ORGANIZATION ARE PROVIDED WITH A FLYER INFORMING THEM WHERE TO CALL FOR FULL OR PARTIAL ASSISTANCE WITH THEIR BILLS. SIGNAGE IN THE MOST COMMON LANGUAGES IN SOUTHCOAST'S SERVICE AREAS ARE POSTED AT ALL POINTS OF REGISTRATION. IN ADDITION, THERE IS A NOTATION PRINTED ON PATIENT BILLS INFORMING THEM WHERE TO CALL FOR ASSISTANCE WITH THEIR BILL. ALSO, PFS STAFF IS LOCATED IN THE EMERGENCY DEPARTMENTS IN AN EFFORT TO REACH OUT TO UNINSURED AND UNDERINSURED PATIENTS THAT PRESENT TO THE EMERGENCY DEPARTMENT. PFS REPRESENTATIVES ALSO VISIT INPATIENTS, INSURED OR UNINSURED, WHO HAVE EXPRESSED THE INABILITY TO MAKE PAYMENT. ALL PATIENTS SCHEDULED FOR ELECTIVE SURGERY ARE REFERRED TO THE PFS DEPARTMENT BY SOUTHCOAST PRE-REGISTRATION STAFF IF THE PATIENT HAS EXPRESSED AN INABILITY TO PAY.
		PART VI, LINE 4: COMMUNITY INFORMATION:SOUTHCOAST SERVES A DIVERSE REGION STRETCHING FROM THE SOUTHERN COAST OF MASSACHUSETTS, FROM RHODE ISLAND TO CAPE COD. THE REGION INCLUDES TWO LARGE, ECONOMICALLY DEPRESSED CITIES, FALL RIVER AND NEW BEDFORD, AND ALSO A LARGE TOWN, WAREHAM, WHICH EXPERIENCES MANY OF THE PROBLEMS OF THE TWO CITIES. SOUTHCOAST'S COMMUNITIES HAVE SIGNIFICANT ETHNIC DIVERSITY, MAINLY PORTUGUESE AND HISPANIC, WITH SUB-GROUPS OF AZOREAN, BRAZILIAN PORTUGUESE, PUERTO RICAN AND SOUTH AMERICAN HISPANIC IMMIGRANTS, INCLUDING A LARGE POPULATION OF MAYAN INDIAN IMMIGRANTS FROM GUATAMALA WITH A DIALECT THAT IS ENTIRELY ORAL IN TRADITION AND DOES NOT HAVE A WRITTEN ALPHABET. THE REGION HAS RACIAL DIVERSITY: 20% OF RESIDENTS IN NEW BEDFORD AND 14% OF RESIDENTS IN WAREHAM ARE AFRICAN AMERICAN, HISPANIC OR ASIAN. NEW BEDFORD HAS A HIGHER PERCENTAGE OF HISPANIC RESIDENTS THAN THE STATE. THE PERCENTAGE OF MINORITY RESIDENTS (HISPANIC, AFRICAN AMERICAN, AND ASIAN) IS PROJECTED TO GROW IN THE NEXT DECADE. A SIGNIFICANT NUMBER OF RESIDENTS IN THE REGION ARE UNDOCUMENTED IMMIGRANTS. THE DEMOGRAPHICS OF THE REGION ARE CHALLENGING. FALL RIVER AND NEW BEDFORD HAVE EXTREMELY HIGH PERCENTAGES OF RESIDENTS WHO NEVER GRADUATED FROM HIGH SCHOOL (39.2% AND 42.7% VS 37.8 FOR THE STATE), UNEMPLOYMENT RATES (11.7% AND 11.9%) THAT ARE SIGNIFICANTLY ABOVE THE STATE AVERAGE AND LOWER MEDIAN INCOMES IN FALL RIVER AND NEW BEDFORD. THE REGION'S LOWER EDUCATIONAL ATTAINMENT IS EXACERBATED BY A VERY HIGH HIGH SCHOOL DROPOUT RATE WHICH EXCEEDS 50% IN FALL RIVER AND NEW BEDFORD. PERSONS LIVING BELOW THE POVERTY LINE IN SOUTHCOAST'S COMMUNITIES FALL RIVER (21.3%), NEW BEDFORD (22.5%) AND WAREHAM (11.9%) EXCEED THE STATE AVERAGE (11.1%). THE PERCENTAGE OF MEDICAID RECIPIENTS IN SOUTHCOAST'S COMMUNITIES EXCEEDS THE STATE AVERAGE FOR PERSONS AGED 10-14 (17.9%) AND 15-19 (46.4%) AND THE PERCENTAGE OF MEDICAID RECIPIENTS IN FALL RIVER IS 31.8% AND 20.5%, IN NEW BEDFORD 44.8% AND 50% AND IN WAREHAM 24.8% AND 16.2% RESPECTIVELY.
		PART VI, LINE 6: PROMOTION OF COMMUNITY HEALTH:THE MAJORITY OF SOUTHCOAST'S BOARD OF TRUSTEES IS COMPRISED OF PERSONS RESIDING IN SOUTHCOAST'S SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SOUTHCOAST. OF THE 16 BOARD MEMBERS, 15 ARE INDEPENDENT MEMBERS. SOUTHCOAST'S MEDICAL STAFF IS COMPRISED OF PHYSICIANS LOCATED IN 3 GEOGRAPHIC DIVISIONS: A FALL RIVER DIVISION, A NEW BEDFORD DIVISION AND A WAREHAM DIVISION. LOCATED IN EACH DIVISION IS AN ACUTE CARE HOSPITAL SITE: CHARLTON MEMORIAL IN FALL RIVER, ST. LUKE'S IN NEW BEDFORD AND TOBEY IN WAREHAM, COLLECTIVELY SOUTHCOAST. ANY PHYSICIAN LICENSED TO PRACTICE UNDER THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS AS A PHYSICIAN AND WHO HAS OTHERWISE QUALIFIED UNDER THE REQUIREMENTS OF THE SOUTHCOAST BYLAWS AND CORRESPONDING RULES AND REGULATIONS OF ITS MEDICAL-DENTAL STAFF OF THE APPLICABLE AFOREMENTIONED DIVISION OF SOUTHCOAST SHALL BE ELIGIBLE TO BE CONSIDERED BY THE BOARD OR TRUSTEES FOR MEMBERSHIP ON THE MEDICAL STAFF OF SOUTHCOAST. APPOINTMENT TO A DIVISION SHALL ENTITLE THE APPOINTEE TO PRIVELEGES ONLY AT SOUTHCOAST'S FACILTIES LOCATED IN THAT DIVISION. IN RECOGNITION OF SOUTHCOAST'S COMMITMENT TO IMPROVING THE HEALTH STATUS OF THE COMMUNITIES IT SERVES, ITS BOARD ESTABLISHED A COMMUNITY BENEFITS COMMITTEE TO ASSIST IN THE PROCESS OF: IDENTIFYING UNMET HEALTH NEEDS OF ITS COMMUNITIES BY WORKING IN COLLABORATION WITH THE RELEVANT COMMUNITY HEALTH NETWORKS ESTABLISHED BY THE MASSACHUSETTS DEPARTMENT OF HEALTH AND OTHER COMMUNITY REPRESENTATIVES AND PROVIDERS. PRIORITIZING THE IDENTIFIED HEALTH NEEDS, UTILIZING CRITERIA INCLUSIVE OF THE SEVERITY OF THE PROBLEM, THE AVAILABILITY OF ALTERNATIVE RESOURCES TO ADDRESS THE ISSUE, THE BENEFIT TO BE DERIVED AND THE POTENTIAL OF COLLABORATION WITH OTHERS TO ADDRESS THE NEED. IDENTIFYING WHICH NEEDS CAN MOST EFFECTIVELY BE MET THROUGH THE RESOURCES OF SOUTHCOAST, AND ITS AFFILIATED CORPORATIONS, PARTICULARLY THE NEEDS OF THE UNINSURED AND THE MEDICALLY UNDERSERVED NEEDING ENHANCED ACCESS TO CARE. COLLABORATING WITH LOCAL HEALTH PROVIDERS, HUMAN SERVICES AGENCIES,ADVOCACY GROUPS AND OTHER TO DEVELOP COOPERATIVE PLANS AND PROGRAMS TO ADDRESS PRESSING COMMUNITY HEALTH NEEDS. PROVIDING EDUCATIONAL RESOURCES TO EDUCATE THE COMMUNITY REGARDING HEALTH PROMOTION AND WELLNESS, PARTICULARLY TO ADDRESS HEALTH ISSUES THAT DISPROPORTIONATELY AFFECT THE SOUTH COAST. EDUCATIONAL INITIATIVES SHALL INCORPORATE RECOGNITION OF THE LINGUISTIC, CULTURAL AND DEMOGRAPHIC ASPECTS OF ACCESSING THE HEALTH CARE SYSTEM. RECOMMENDING TO THE SOUTHCOAST BOARD THE ADOPTION OF MEANINGFUL PROGRAMS AND SERVICES TO ADDRESS SPECIFICALLY UNMET NEEDS AND TO IMPROVE THE HEALTH OF THE COMMUNITY.
		PART VI, LINE 7: AFFILIATED HEALTH CARE SYSTEM:SOUTHCOAST'S PARENT CORPORATION, SOUTHCOAST HEALTH SYSTEM, INC., (SYSTEM) IS A MASSACHUSETTS NON-PROFIT ORGANIZATION THAT OVERSEES AND COORDINATES A SERIES OF AFFILIATED CORPORATIONS THAT PROVIDE A VERY BROAD RANGE OF HEALTH CARE AND RELATED SERVICES TO THE COMMUNITIES OF SOUTHEASTERN MASSACHUSETTS AND ADJOINING COMMUNITIES IN RHODE ISLAND. THE SYSTEM'S PURPOSE IS TO IMPROVE THE HEALTH AND WELFARE OF THE SOUTHCOAST COMMUNITIES AND IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS CHARITABLE AFFILIATES. SOUTHCOAST CURRENTLY OPERATES THREE ACUTE CARE HOSPITALS UNDER A SINGLE LICENSE IN FALL RIVER, NEW BEDFORD AND WAREHAM, MASSACHUSETTS. SOUTHCOAST PROVIDES A FULL RANGE OF INPATIENT AND OUTPATIENT, PRIMARY AND SECONDARY AND TERTIARY HEALTH CARE SERVICES.
REPORTS FILED WITH STATES	PART VI, LINE 7	MA

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) KEITH HOVAN	(i) (ii)	640,000 0	174,281 0	33,469 0	14,700 0	16,655 0	879,105 0	0 0
(2) WILLIAM GRIGG	(i) (ii)	400,540 0	77,504 0	15,159 0	14,700 0	14,762 0	522,665 0	0 0
(3) JOHN DAY	(i) (ii)	738,000 0	200,000 0	192,215 0	14,700 0	15,693 0	1,160,608 0	0 0
(4) LINDA BODENMANN	(i) (ii)	412,549 0	79,828 0	11,450 0	14,700 0	17,605 0	536,132 0	0 0
(5) DAVID DEJESUS JR	(i) (ii)	237,505 0	45,957 0	6,827 0	14,700 0	1,026 0	306,015 0	0 0
(6) GEORGE BEAUREGARD	(i) (ii)	360,000 0	0 0	0 0	0 0	16,655 0	376,655 0	0 0
(7) BARBARA MULVILLE	(i) (ii)	239,821 0	46,405 0	39,437 0	14,700 0	5,783 0	346,146 0	0 0
(8) CHRISTOPHER BALDWIN	(i) (ii)	249,600 0	53,664 0	4,542 0	14,700 0	16,626 0	339,132 0	0 0
(9) RONALD LAFLEUR	(i) (ii)	224,023 0	30,343 0	38,170 0	14,700 0	6,702 0	313,938 0	0 0
(10) CAROL CONLEY	(i) (ii)	241,667 0	29,122 0	4,338 0	9,519 0	1,027 0	285,673 0	0 0
(11) RONALD GOODSPEED MD	(i) (ii)	0 0	0 0	215,121 0	0 0	0 0	215,121 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	PART I, LINE 1A	THE CEO OF SHS AND THE FORMER PRESIDENT & CEO OF SOUTHCOAST ELECTED LOAN REGIME TREATMENT OF THEIR SPLIT-DOLLAR POLICIES. ANNUAL IMPUTED INCOME IS REPORTED ON EACH EXECUTIVE'S FORM W-2 AND IS SUBJECT TO FICA. THE CEO OF SHS IS PROVIDED WITH AN ANNUAL BONUS (CASH BONUS SUBJECT TO ALL EMPLOYMENT TAX WITHHOLDINGS) TO COVER THE INCOME TAXES ON THE IMPUTED INTEREST AMOUNT. THE FORMER PRESIDENT & CEO OF SOUTHCOAST RECEIVES A GROSSED UP AMOUNT TO COVER THE TAXES ON THE IMPUTED INTEREST AMOUNT.
	PART I, LINE 4B	OFFICERS, DIRECTORS AND TRUSTEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON - QUALIFIED RETIREMENT PLAN. ONLY UPON TERMINATION OF EMPLOYMENT DO FULLY VESTED PARTICIPANTS RECEIVE DISTRIBUTIONS FROM THE PLAN. NO DISTRIBUTIONS FROM THE PLAN WERE MADE IN FISCAL 2011.
	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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
SOUTHCOAST HOSPITALS GROUP INC

Employer identification number
22-2592333

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	MASS HEALTH & EDUCATIONAL FACILITIES AUTHORITY	04-2456011	57586CDK8	06-09-2008	47,365,000	EXTINGUISH BRIDGE LOAN WITH BANK		X		X		X
B	MASS HEALTH & EDUCATIONAL FACILITIES AUTHORITY	04-2456011	57586C3S2	10-07-2009	56,122,025	CONSTRUCTION/RENOVATION ONCOLOGY CENTERS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired. . . . .
2 Amount of bonds defeased . . . .
3 Total proceeds of issue . . . .	47,365,000		56,122,025
4 Gross proceeds in reserve funds . .
5 Capitalized interest from proceeds.
6 Proceeds in refunding escrow. . . . .
7 Issuance costs from proceeds . . .	621,954		1,064,650
8 Credit enhancement from proceeds.
9 Working capital expenditures from proceeds . .	46,743,046
10 Capital expenditures from proceeds . .	56,122,025		56,122,025
11 Other spent proceeds . .
12 Other unspent proceeds. . .
13 Year of substantial completion . . .	2011		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue?		X		X
15 Were the bonds issued as part of an advance refunding issue?		X		X
16 Has the final allocation of proceeds been made? . .		X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .		X	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2010

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use?		X		X
b Are there any research agreements that may result in private business use of bond-financed property? . .		X		X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? .	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . .	0.040 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .	0.210 %
6 Total of lines 4 and 5 . . .. . . . . .	0.250 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities?	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X
2 Is the bond issue a variable rate issue?	X			X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?	X			X
b Name of provider .	GOLDMAN SACHS
c Term of hedge . .	29.000000000000
d Was the hedge superintegrated? .		X
e Was a hedge terminated? .		X
4a Were gross proceeds invested in a GIC? .		X		X
b Name of provider .
c Term of GIC . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .
5 Were any gross proceeds invested beyond an available temporary period? .		X		X
6 Did the bond issue qualify for an exception to rebate? . . .	X		X

Schedule K (Form 990) 2010

Page 3

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
PART II, LINE 9A	WORKING CAPITAL EXPENDITURES FROM PROCEEDS	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 BONDS.

Schedule K (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) WILLIAM KASDON MD	FORMER TRUSTEE	9,128,281	SHAREHOLDER		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
		SOUTHCOAST ENGAGED THE SERVICES OF FIRST PHYSICIAN CORPORATION, A PROVIDER OF CONTRACTED EMERGENCY ROOM PHYSICIAN SERVICES. THE TOTAL AMOUNT PAID DURING CALENDAR YEAR 2010 WAS $9,128,281 WAS BASED ON THE CONTRACT AGREEMENT BEWTEEN SOUTHCOAST AND THIS GROUP WHICH WAS AT ARM'S LENGTH. WILLIAM KASDON, MD IS A FORMER TRUSTEE OF SOUTHCOAST AND IS A SHAREHOLDER IN FIRST PHYSICIAN CORPORATION.

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Types of Property

	(a) Check if applicable	(b) Number of Contributions or items contributed	(c) Contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	13	1,503,128	COST / SELLING PRICE
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( OTHER: ADVERTISING )	X	1	5,000	COST / SELLING PRICE
26 Other ( EVENT ITEMS )	X	510	99,166	COST / SELLING PRICE
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it

must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash

contributions? ............................

32a

If "Yes," describe in Part II.

If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) 2010

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule M (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Identifier	Return Reference	Explanation
	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. LUKE'S HOSPITAL IN NEW BEDFORD AND TOBEY HOSPITAL IN WAREHAM, MA. SHG SERVES AS THE SAFETY NET PROVIDER TO A CULTURALLY DIVERSE AND ECONOMICALLY CHALLENGED REGION WITH GOVERNMENT SPONSORED PROGRAMS COVERING APPROXIMATELY 70% OF ITS PATIENTS. IN SOME COMMUNITIES, SHG IS THE SOLE PROVIDER OF HOSPITAL SERVICES AND IN ITS REGION THE SOLE PROVIDER OF ADVANCED CLINICAL SERVICES SUCH AS OPEN HEART SURGERY AND OTHER ADVANCED CARDIAC SERVICES, INPATIENT PSYCHIATRIC, MATERNITY AND NEONATAL INTENSIVE CARE SERVICES. SHG PROVIDES ADVANCED EMERGENCY CARE 24 HOURS PER DAY 7 DAYS A WEEK AT ALL THREE HOSPITALS.
CHANGES IN PROGRAM SERVICES	FORM 990, PART III, LINE 3	DURING FISCAL 2011 SOUTHCOAST TRANSFERRED ITS HOSPICE AND HOME CARE LINE OF BUSINESS TO ITS AFFILIATE, SOUTHCOAST VISITING NURSE ASSOCIATION, INC., FORMERLY KNOWN AS VISITING NURSE ASSOCIATION OF SOUTHEASTERN MASSACHUSETTS, INC. REASONS FOR THE CONSOLIDATION WERE GROWTH, COST SAVINGS BY REDUCING DUPLICATIONS, ELIMINATING THE COMPETITION BETWEEN THESE RELATED NOT FOR PROFIT ORGANIZATIONS AND SERVICE AREA EXPANSION.
FORM 990, PART VI, SECTION A, LINE 1		MEMBERS OF THE BOARD WITH THE DESIGNATION OF PRESIDENT EMERITUS OR TRUSTEES EMERITUS ARE NOT ENTITLED TO VOTE OR BE CONSIDERED FOR THE PURPOSES OF ESTABLISHING A QUORUM AT ANY MEETING OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 4		AMENDED AND RESTATED BYLAWS FOR SHG WERE APPROVED AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES OF SHG ON DECEMBER 14, 2010. A COPY OF THE AMENDED AND RESTATED BYLAWS ARE ATTACHED.
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 11		FORM 990 AND ITS SCHEDULES ARE PRESENTED TO THE SOUTHCOAST BOARD DURING A REGULARLY SCHEDULED BOARD MEETING AND TRUSTEES ARE PROVIDED WITH A COMPLETE COPY WITH SUFFICIENT TIME TO REVIEW, MAKE INQUIRIES AND HAVE ANY ADJUSTMENTS MADE PRIOR TO FILING.
	FORM 990, PART VI, SECTION B, LINE 12C	SHS HAS A CONFLICT OF INTEREST, LEGAL COMPLIANCE AND CODE OF CONDUCT POLICIES THAT APPLY TO ALL TRUSTEES, OFFICERS, DIRECTORS AND VOLUNTEERS (REFERRED TO AS "MEMBERS"). THE PRESIDENT OF SHS IS RESPONSIBLE FOR INFORMING ALL MEMBERS OF THIS POLICY. THE CHAIRPERSON OF SHS'S BOARD IS RESPONSIBLE FOR MAKING AN INITIAL DETERMINATION AS TO WHETHER A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO ANY TRUSTEE, OFFICER OR DIRECTOR OF SHS OR ANY OF ITS AFFILIATES. THE PRESIDENT OF SHS IS RESPONSIBLE FOR MAKING AN INITIAL DETERMINATION AS TO WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS AS TO ANY MEMBER OTHER THAN A TRUSTEE OR DIRECTOR. IN THE EVENT OF A POTENTIAL CONFLICT RELATING TO THE CHAIRPERSON OF SHS, THE MATTER IS TO BE REPORTED TO THE PRESIDENT OF SHS AND REFERRED AUTOMATICALLY TO SHS'S GOVERNANCE COMMITTEE FOR DETERMINATION AS TO WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS. IN THE EVENT THE AFFECTED MEMBER DISAGREES WITH THE INITIAL DETERMINATION OF THE CHAIRPERSON OR PRESIDENT, AS APPLICABLE, THEN UPON REQUEST, HE OR SHE MAY BE AFFORDED THE OPPORTUNITY TO DISCUSS THE ISSUE WITH THE SHS GOVERNANCE COMMITTEE WHICH WILL HAVE FINAL AUTHORITY IN ITS SOLE DISCRETION TO DETERMINE WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS. THE AFFECTED MEMBER, IF A MEMBER OF THE GOVERNANCE COMMITTEE, MUST REMOVE HIMSELF FROM THE ROOM DURING ANY DISCUSSION OF THE MATTER (AFTER HIS INITIAL PRESENTATION) AND REFRAIN FROM PARTICIPATING IN ANY VOTE OR OTHER DECISION MAKING REGARDING THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A FULL AND ACCURATE DISCLOSURE WAS MADE, THAT THE MEMBER ABSTAINED FROM VOTING OR DECISION MAKING AND THAT A QUORUM WAS OTHERWISE PRESENT. VIOLATION OF THIS POLICY MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM OFFICE. THE CONFLICT OF INTEREST POLICY IS TO BE REVIEWED ANNUALLY BY THE BOARD AND IS TO BE ADVISED OF THE POLICY PRIOR TO SELECTION AS A MEMBER AND IS REQUIRED TO BE FILED WITHIN 30 DAYS THEREAFTER, THE CONFLICT OF INTEREST DISCLOSURE STATEMENT OR QUESTIONNAIRE.
	FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR ALL VICE PRESIDENTS AND 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 RESOURCES 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 BY PROVIDING THEM UPON REQUEST.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -17,653,317. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL FAS 158 POSTRETIREMENT ADJUSTMENT 188,644. TRANSFERS TO AFFILIATE -450,337. CONTRIBUTIONS NEW PERPETUAL TRUSTS 3,619,664. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS -887,959. INVESTMENT INCOME AND REALIZED GAINS 2,219,170. TOTAL TO FORM 990, PART XI, LINE 5: -12,964,135.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

SOUTHCOAST HOSPITALS GROUP INC

Employer identification number

22-2592333

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) SOUTHCOAST HEALTH SYSTEM INC 101 PAGE ST NEW BEDFORD,MA02740 04-2794625	SUPPORT SHG	MA	501(C)(3)	LINE 11, TYPE I: 509	N/A		No
(2) SOUTHCOAST PHYSICIAN SERVICES INC 200 MILL RD STE 180 FARIHAVEN,MA02719 22-2703314	PHYSICIAN SVCS	MA	501(C)(3)	LINE 9: 509(A)(2)	N/A		No
(3) SOUTHCOAST PRIMARY CARE INC 200 MILL RD STE 180 FARIHAVEN,MA02719 04-2985225	PHYSICIAN SVCS	MA	501(C)(3)	LINE 9: 509(A)(2)	N/A		No
(4) SOUTHCOAST VENTURESINC 101 PAGE ST NEW BEDFORD,MA02740 04-3003172	PHYSICIAN SVCS, HEALTHCARE	MA	501(C)(3)	LINE 11, TYPE I: 509	N/A		No
(5) CHARLTON LONG TERM CARE SERVICES INC 363 HIGHLAND AVE FALL RIVER,MA02720 04-3109579	SUPPORT SHG	MA	501(C)(3)	LINE 11, TYPE I: 509	N/A		No
(6) SOUTHCOAST VISITING NURSE ASSOCIATIONINC 200 MILL RD FAIRHAVEN,MA02719 04-2105745	HOME CARE SVCS	MA	501(C)(3)	LINE 9: 509(A)(2)	N/A		No
(7) SAINT LUKE'S NURSING HOME INC 101 PAGE ST NEW BEDFORD,MA02740 04-2984542	INACTIVE	MA	501(C)(3)	LINE 11, TYPE I: 509	N/A		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) COASTLINE PROFESSIONAL ASSURANCE CORP LTD PO BOX 1085 CAYMAN ISLANDS,GRAND CAYMAN ISLANDS CJ 98-0445031	INSURANCE	CJ	NO	C
(2) SOUTHCOAST PHYSICIAN NETWORK INC 101 PAGE ST NEW BEDFORD,MA02740 45-0568782	IPA	MA	NO	C
(3) HEALTH MANAGEMENT INITIATIVES INC 363 HIGHLAND AVE FALL RIVER,MA02720 04-2998712	COMM RENTALS	MA	NO	C

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	15
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	6,284
6	Total number of volunteers (estimate if necessary) ....	6	550
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	34,213,499
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	-52,707

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,753,714	12,880,463
9	Program service revenue (Part VIII, line 2g) .........	632,859,308	653,516,593
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,802,775	16,074,682
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	-651,198	-349,241
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	647,764,599	682,122,497
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	376,320,971	386,565,663
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 672,816
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	243,046,952	249,429,908
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	619,367,923	635,995,571
19	Revenue less expenses. Subtract line 18 from line 12......	28,396,676	46,126,926
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	692,664,229	751,714,723
21	Total liabilities (Part X, line 26)............	314,587,615	340,475,318
22	Net assets or fund balances. Subtract line 21 from line 20 .....	378,076,614	411,239,405

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 610,000,554 including grants of $ ) (Revenue $ 619,303,094 )
	SOUTHCOAST PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO IMPROVE THE HEALTH AND WELLNESS OF INDIVIDUALS IN SOUTHCOAST'S COMMUNITIES. SOUTHCOAST RECORDED 210,955 INPATIENT DAYS, PERFORMED 21,530 SURGERIES, 11,113 ENDOSCOPIES, PROVIDED 2,916,259 LABORATORY TESTS, PERFORMED 389,757 RADIOLOGICAL PROCEDURES, 170,036 PHYSICAL MEDICINE VISITS, 649 PCI CORONARY INTERVENTIONS, 2,241 DIAGNOSTIC CATHERIZATIONS, 294 OPEN HEART SURGERIES, 167 ELECTROPHYSIOLOGY CASES, 578 CORONARY DEVICE IMPLANTS, 3,162 NEWBORN ADMISSIONS, MADE 47,959 HOME HEALTH CARE VISITS, PERFORMED 7,011 RADIATION ONCOLOGY SERVICES AND 9,267 CHEMOTHERAPY TREATMENTS AND CARED FOR 181,205 EMERGENCY ROOM PATIENTS 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF ABILITY TO PAY FOR SUCH SERVICES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 610,000,554

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JOHN DAY CEO SHS	40.00	X			1,130,215	0	30,393
(19) LINDA BODENMANN EXECUTIVE VP & COO	40.00	X			503,827	0	32,305
(20) DAVID DEJESUS JR SR,VP HUMAN RESOURCES	40.00	X			290,289	0	15,726
(21) GEORGE BEAUREGARD PRES. SPN	40.00		X		360,000	0	16,655
(22) BARBARA MULVILLE VP EXTERNAL AFFAIRS	40.00		X		325,663	0	20,483
(23) CHRISTOPHER BALDWIN VP INFORMATION SYSTEMS	40.00		X		307,806	0	31,326
(24) RONALD LAFLEUR VP HOSP REVENUE SYSTEMS	40.00		X		292,536	0	21,402
(25) CAROL CONLEY VP PATIENT SERVICES	40.00		X		275,127	0	10,546
(26) RONALD GOODSPEED MD FORMER OFFICER	0.00			X	215,121	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,047,662	0	239,653

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		455,614
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		12,424,849
g	Noncash contributions included in lines 1a-1f:$ 1,607,294
h	Total. Add lines 1a-1f.......			12,880,463
			Business Code
2a	PATIENT SERVICE REVENU		621,500	642,489,596	609,333,800	33,155,796
b	HEALTH CARE SERVICE RE		446,110	10,206,256	9,969,294	236,962
c	PARTNERSHIP INCOME		525,900	348,492		348,492
d	OUTPATIENT CARE CENTER		621,400	265,307		265,307
e	SATELLITE LOCATION CAF		722,210	206,942		206,942
f	All other program service revenue .
g	Total. Add lines 2a–2f........			653,516,593
3	Investment income (including dividends, interest
	and other similar amounts).....			5,448,117			5,448,117
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	787,618
b	Less: rental expenses	1,300,920
c	Rental income or (loss)	-513,302
d	Net rental income or (loss).......			-513,302			-513,302
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	187,793,761	1,127,887
b	Less: cost or other basis and sales expenses	177,289,495	1,005,588
c	Gain or (loss)	10,504,266	122,299
d	Net gain or (loss)..........			10,626,565			10,626,565
8a	Gross income from fundraising events (not including $ 455,614 of contributions reported on line 1c). See Part IV, line 18 ...
	a		65,558
b	Less: direct expenses ...b		130,813
c	Net income or (loss) from fundraising events..			-65,255			-65,255
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	GIFT SHOP INCOME		900,099	191,563			191,563
b	SALES OF SCRAP		900,099	37,753			37,753
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			229,316
12	Total revenue. See Instructions....			682,122,497	619,303,094	34,213,499	15,725,441


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			0	1	0
2	Savings and temporary cash investments .......			7,883,059	2	28,199,635
3	Pledges and grants receivable, net .........			1,888,284	3	6,832,921
4	Accounts receivable, net .........			62,884,611	4	60,186,063
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............				8
9	Prepaid expenses and deferred charges ............			18,731,191	9	16,675,544
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	591,216,795
b	Less: accumulated depreciation. .....	10b	351,276,005	216,296,482	10c	239,940,790
11	Investments—publicly traded securities ..........			350,390,293	11	354,639,258
12	Investments—other securities. See Part IV, line 11 ......			29,565,184	12	34,603,169
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			5,025,125	15	10,637,343
16	Total assets. Add lines 1 through 15 (must equal line 34)...			692,664,229	16	751,714,723
17	Accounts payable and accrued expenses .			98,796,779	17	108,520,947
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			162,898,704	20	158,757,419
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			8,548,234	23	27,447,049
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			44,343,898	25	45,749,903
26	Total liabilities. Add lines 17 through 25.....			314,587,615	26	340,475,318
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			310,369,970	27	338,805,108
28	Temporarily restricted net assets .....			28,139,973	28	30,560,588
29	Permanently restricted net assets .....			39,566,671	29	41,873,709
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			378,076,614	33	411,239,405
34	Total liabilities and net assets/fund balances .....			692,664,229	34	751,714,723

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................	Yes	No