Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 10-01-2012 , 2012, and ending 09-30-2013
BCheck if applicable:
CName of organization
Southcoast Hospitals Group Inc
 
Doing Business As
Charlton memSt Luke's&Tobey hosp
 
Number and street (or P.O. box if mail is not delivered to street address)
101 Page Street
Suite
Room/suite
City or town, state or country, and ZIP + 4
New Bedford, MA02740
D Employer identification number

22-2592333
E Telephone number

G Gross receipts $ 866,989,019
F Name and address of principal officer:
KEITH HOVAN
101 PAGE STREET
New Bedford,MA02740
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.southcoast.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1986
M State of legal domicile: MA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 17
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 2011 (Part V, line 2a) ...... 5 6,618
6 Total number of volunteers (estimate if necessary) ............. 6 595
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 6,107,177
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 302,715
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,628,636 2,213,673
9 Program service revenue (Part VIII, line 2g) ......... 686,760,078 705,624,585
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 12,987,034 14,745,896
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,018,540 445,887
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 704,394,288 723,030,041
Expenses; 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) 397,162,202 415,364,272
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet814,633    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 257,973,007 284,161,395
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 655,135,209 699,525,667
19 Revenue less expenses. Subtract line 18 from line 12....... 49,259,079 23,504,374
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 827,965,507 936,942,163
21 Total liabilities (Part X, line 26)............. 339,423,427 411,572,421
22 Net assets or fund balances. Subtract line 21 from line 20..... 488,542,080 525,369,742
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 665,221,333 including grants of $   ) (Revenue $ 705,624,585 )
SOUTHCOAST PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO IMPROVE THE HEALTH AND WELLNESS OF INDIVIDUALS IN ITS COMMUNITIES. SOUTHCOAST RECORDED 191,250 INPATIENT DAYS, PERFORMED 17,932 SURGERIES AND 11,961 ENDOSCOPIES, PROVIDED 3,005,561 LABORATORY TESTS, PERFORMED 384,512 RADIOLOGICAL PROCEDURES, 163,784 PHYSICAL MEDICINE VISITS, 659 PCI CORONARY INTERVENTIONS, 2,231 DIAGNOSTIC CATHERIZATIONS, 298 OPEN HEART SURGERIES, 507 ELECTROPHYSIOLOGY CASES, 312 CORONARY DEVICE IMPANTS, 3,181 NEWBORN ADMISSIONS, PERFORMED 19,806 RADIATION AND MEDICAL CHEMOTHERAPY TREATMENTS AND CARED FOR 188,556 EMERGENCY ROOM PATIENTS 24 HOURS A DAY 7 DAYS A WEEK REGARDLESS OF THEIR 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 expensesMediumBullet665,221,333
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III
Click to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions).... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H.... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............. Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
528
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
6
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,618
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
17
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
15
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletLINDA BODENMANN101 Page StreetNew BedfordMA02740 (508) 961-5000
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) KEITH HOVAN........................................................................
PRESIDENT&CEO/TRUSTE
60.0
.......................1.0
X   X       1,359,880   336,950
(2) M WAJID BAIG MD........................................................................
TRUSTEE
1.0
.......................1.0
X                
(3) DOUGLAS BEATON........................................................................
TRUSTEE
1.0
.......................1.0
X                
(4) R WILLIAM BLASDALE........................................................................
TRUSTEE
1.0
.......................1.0
X                
(5) PETER BULLARD ESQ........................................................................
CLERK
1.0
.......................1.0
X   X            
(6) CHRISTOPHER CHENEYMD........................................................................
TRUSTEE
1.0
.......................1.0
X                
(7) JEAN MACCORMACK........................................................................
VICE CHAIR
1.0
.......................1.0
X   X            
(8) ELIZABETH KUNZ ESQ........................................................................
CHAIR
1.0
.......................1.0
X   X            
(9) PAMELA MCNAMARA........................................................................
TRUSTEE
1.0
.......................1.0
X                
(10) CARL RIBEIRO........................................................................
TRUSTEE
1.0
.......................1.0
X                
(11) ROBERT TRIPP JR DO........................................................................
TRUSTEE
1.0
.......................1.0
X                
(12) MAUREEN SYLVIA ARMSTRONG........................................................................
TRUSTEE
1.0
.......................1.0
X                
(13) CARL TABER........................................................................
TRUSTEE
1.0
.......................1.0
X                
(14) JASON RUA........................................................................
TRUSTEE
1.0
.......................1.0
X           0 0 0
(15) LOUIS CABRAL........................................................................
Trustee (since dec 2012)
1.0
.......................1.0
X                
(16) JAMES JEROME COOGAN........................................................................
Trustee (since dec 2012)
1.0
.......................1.0
X                
(17) CURTIS MELLO MD........................................................................
EX-OFFICIO (since dec 2012)
1.0
.......................1.0
X           15,000    
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(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
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ELIZABETH LASTAITI........................................................................
TRUSTEE (UNTIL DEC 2012)
1.0
.......................1.0
X                
(19) STEVEN MENDES........................................................................
TRUSTEE (UNTIL DEC 2012)
1.0
.......................1.0
X                
(20) GILBERT SHAPIRO........................................................................
TRUSTEE (UNTIL DEC 2012)
1.0
.......................1.0
X                
(21) LINDA BODENMANN........................................................................
EXECUTIVE VP&COO
60.0
.......................1.0
    X       981,891   187,076
(22) GARY CONNER........................................................................
EVP&CFO
60.0
.......................1.0
    X       229,460   24,110
(23) GEORGE BEAUREGARD........................................................................
PRESIDENT SPN
50.0
.......................  
      X     419,042   83,449
(24) DAVID DEJESUS JR........................................................................
SVP CHRO
60.0
.......................  
      X     432,162   62,930
(25) ELLEN BANACH........................................................................
SVP STRATEGIC SVCS
60.0
.......................1.0
      X     368,938   68,731
(26) ROBERT CALDAS MD........................................................................
Senior VP & CMO
60.0
.......................  
      X     513,970   109,397
(27) CHRISTOPHER BALDWIN........................................................................
VP INFO SYS (UNTIL OCT 2012)
50.0
.......................  
        X   505,932   72,614
(28) PAUL IANNINI........................................................................
PHYS. IN CHIEF, MED
60.0
.......................1.0
        X   858,152   13,901
(29) CAROL CONLEY........................................................................
VP & CNO
60.0
.......................  
        X   421,911   63,684
(30) BARBARA MULVILLE........................................................................
Senior VP EXT AFFAIRS
50.0
.......................  
        X   354,024   21,494
(31) RONALD LAFLEUR........................................................................
VP REVENUE SYSTEMS
50.0
.......................  
        X   356,187   28,901
(32) WILLIAM GRIGG........................................................................
EX. VP&CFO/TREASURER
 
.......................  
          X 106,228   7,826
(33) JOHN DAY........................................................................
Former Officer
 
.......................  
          X 182,769   160,000
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,105,546 0 1,241,063
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet451
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SLH Emergency Associates, Edelstein CoLLP c/o Maureen PeteNo DartmouthMA02747 Emergency Room 10,623,642
First Physicians Corp, 1342 Belmont St Suite 205BROCKTONMA02301 Emergency Room 8,992,196
Anesthesia Associates Inc, 460 Enterprise StSan MarcosCA98069 Anesthesia serv 5,245,720
Tobey Emergency Associates PC, PO Box 53WarehamMA02571 Emergency Room 4,599,143
Quest Diagnostics, PO Box 740709ATLANTAGA30374 Laboratory testing 3,216,765
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet89
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 661,408
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
1,552,265
g Noncash contributions included in lines
1a-1f:$
81,533
h Total. Add lines 1a-1f.......MediumBullet 2,213,673
 Program Service Revenue Business Code
2a PATIENT SVC REVENUE 621500 687,744,382 683,128,235 4,616,147  
b HEALTHCARE SVC REVENUE 446110 16,404,424 15,852,823 551,601  
c UTILITY COOPERATIVE 900099 677,066 0 677,066  
d OUTPATIENT CARE CENTER 621400 96,968 96,968    
e SATELLITE CAFETERIA 900099 262,363 0 262,363  
f All other program service revenue . 439,382     439,382
g Total. Add lines 2a–2f........MediumBullet 705,624,585
 Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 7,944,163     7,944,163
4 Income from investment of tax-exempt bond proceeds..MediumBullet 80,238     80,238
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 907,267  
b Less: rental expenses 480,097  
c Rental income or (loss) 427,170 0
d Net rental income or (loss).......MediumBullet 427,170     427,170
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 149,669,201 385,663
b Less: cost or other basis and sales expenses 142,538,936 794,433
c Gain or (loss) 7,130,265 -408,770
d Net gain or (loss)..........MediumBullet 6,721,495     6,721,495
8a Gross income from fundraising events (not including
$ 661,408
of contributions reported on line 1c). See Part IV, line 18 ..
a 147,824
b Less: direct expenses ...b 145,512
c Net income or (loss) from fundraising events..MediumBullet 2,312   2,312
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...MediumBullet 0      
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..MediumBullet 0      
Miscellaneous Revenue Business Code
11a SALES OF SCRAP & OTHER 900099 16,405     16,405
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 16,405
12 Total revenue. See Instructions......MediumBullet 723,030,041 699,078,026 6,107,177 15,631,165
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
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 United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 6,496,501 3,120,737 3,120,737 255,027
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 317,837,013 304,549,034 13,010,740 277,239
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 17,325,998 16,435,846 861,719 28,433
9 Other employee benefits ....... 50,342,198 47,254,824 3,009,273 78,101
10 Payroll taxes ........... 23,362,562 22,162,272 1,161,951 38,339
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,747,806 478,617 1,269,189  
c Accounting ........... 455,212   455,212  
d Lobbying ........... 308,963 308,963    
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 1,365,566   1,365,566  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 90,694,590 82,971,318 7,675,079 48,193
12 Advertising and promotion .... 3,777,388 3,777,388    
13 Office expenses ....... 17,275,508 16,713,869 509,876 51,763
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 11,871,612 11,834,998 36,614  
17 Travel ............ 461,697 461,697    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 1,266,007 1,091,880 163,213 10,914
20 Interest ........... 4,994,851 4,994,851    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 41,841,861 41,841,861    
23 Insurance .............. 0      
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a PHARMACEUTICALS 24,912,928 24,912,928    
b FOOD SERVICE 6,468,456 6,445,423   23,033
c Parts and Repairs 3,341,160 3,339,622 1,538  
d MEDICAL SUPPLIES/LINENS 66,010,033 65,935,234 71,208 3,591
e All other expenses 7,367,757 6,589,971 777,786  
25 Total functional expenses. Add lines 1 through 24e 699,525,667 665,221,333 33,489,701 814,633
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 0 1 0
2 Savings and temporary cash investments ......... 12,958,163 2 6,685,361
3 Pledges and grants receivable, net ........... 4,054,000 3 3,101,162
4 Accounts receivable, net ............. 66,394,165 4 75,728,004
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 0 7 0
8 Inventories for sale or use .............. 0 8 9,601,716
9 Prepaid expenses and deferred charges .......... 17,939,660 9 21,132,897
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 731,611,813
b Less: accumulated depreciation ..... 10b 418,278,577 268,385,990 10c 313,333,236
11 Investments—publicly traded securities .......... 380,182,472 11 424,602,840
12 Investments—other securities. See Part IV, line 11 ..... 47,092,668 12 54,138,635
13 Investments—program-related. See Part IV, line 11 ..... 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 30,958,389 15 28,618,312
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 827,965,507 16 936,942,163
Liabilities 17 Accounts payable and accrued expenses ......... 105,927,559 17 136,376,060
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 147,842,831 20 204,094,189
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 23,649,599 23 19,480,192
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 62,003,438 25 51,621,980
26 Total liabilities. Add lines 17 through 25......... 339,423,427 26 411,572,421
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 411,629,954 27 444,937,630
28 Temporarily restricted net assets ........... 30,861,847 28 32,470,815
29 Permanently restricted net assets ........... 46,050,279 29 47,961,297
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 488,542,080 33 525,369,742
34 Total liabilities and net assets/fund balances ........ 827,965,507 34 936,942,163
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
723,030,041
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
699,525,667
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
23,504,374
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
488,542,080
5
Net unrealized gains (losses) on investments ...............
5
18,602,035
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-5,278,747
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
525,369,742
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2012
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of 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)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (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 monetary support
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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) right arrow (a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) 2012 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2012
Name of the organization
Southcoast Hospitals Group Inc
 
Employer identification number

22-2592333
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 2
Name of organization
Southcoast Hospitals Group Inc
 
Employer identification number

22-2592333
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  


(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 3
Name of organization
Southcoast Hospitals Group Inc
 
Employer identification number

22-2592333
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
     
(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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
Page 4
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
that total 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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I
(b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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) (2012)

Additional Data


Software ID:  
Software Version:  
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
2012
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 35c (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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012

Schedule C (Form 990 or 990-EZ) 2012
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ......................................

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) 2009 (b) 2010 (c) 2011 (d) 2012 (e) Total
             
2a Lobbying nontaxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
         
             
c Total lobbying expenditures          
             
d Grassroots nontaxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
         
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2012


Schedule C (Form 990 or 990-EZ) 2012
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)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
12
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
308,951
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
 
No
 
j
Total. Add lines 1c through 1i ...............................
308,963
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier Return Reference Explanation
PART I-A, LINE 1   SOUTHCOAST DOES NOT ENGAGE IN ANY DIRECT OR INDIRECT POLITICAL CAMPAIGNS OR ACTIVITIES.
PART II-B, LINE 1, LOBBYING ACTIVITIES   DURING FISCAL YEAR 2013 HIRED CONSULTANTS MONITORED AND ADVOCATED FOR SOUTHCOAST CONCERNS BEFORE THE STATE AND FEDERAL LEGISLATORS. OF CONCERN AT THE STATE LEVEL WAS THE STATE BUDGET AND HEALTHCARE PAYMENT REFORM. ALSO OF PARTICULAR CONCERN WAS MEDICAID REIMBURSEMENT RATES. HIRED CONSULTANTS FOR FEDERAL MATTERS ADVOCATED WITH OUR FEDERAL DELEGATION ON SUCH ISSUES SUCH AS MEDICARE DSH FUNDING, SEQUESTRATION CUTS, BAD DEBT REIMBURSEMENT AND RURAL FLOOR WAGE INDEX CONCERNS.
PART II-B, LINE 1G   DURING FISCAL 2013, HIRED CONSULTANTS MONITORED AND ADVOCATED FOR SOUTHCOAST CONCERNS BEFORE THE SOUTHEASTERN MASSACHUSETTS STATE LEGISLATIVE DELEGATION THROUGHOUT THE STATE BUDGET PROCESS. HIRED CONSULTANTS ALSO MONITORED AND/OR ADVOCATED SOUTHCOAST'S POSITIONS TO THIS SAME LEGISLATIVE DELEGATION ON ISSUES SUCH AS HEALTHCARE PAYMENT REFORM, THE INAPPROPRIATE DENIALS OF MEDICALLY NECESSARY SERVICES, INSURER RESERVE REQUIREMENTS, IMPLEMENTING THE AFFORDABLE CARE ACT, PROVIDING FURTHER ACCESS TO AFFORDABLE CARE, AND DEFINING THE USE OF OBSERVATION SERVICES. FURTHER, HIRED CONSULTANTS ALSO SOUGHT INFORMATION AND ADVICE FROM THE SOUTHEASTERN MASSACHUSETTS DELEGATION IN SUPPORT OF EXPANDING COVERAGE AND ACCESS TO BEHAVIORAL HEALTH SERVICES, PROTECTING HEALTH CARE REFORM FUNDING, AND THE COLLECTION OF HEALTH CARE CO-INSURANCE AND DEDUCTIBLES.
Schedule C (Form 990 or 990EZ) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
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 ........    
5
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? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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 $  
2
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 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 68,832,097 61,915,576 61,852,448 60,230,362 63,772,624
b Contributions ........ 31,658 4,176,570 2,307,038 171,211 83,724
c Net investment earnings, gains, and losses 6,063,491 4,839,232 112,603 4,211,863 -984,990
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........
1,913,133 2,031,155 2,288,009 2,680,564 2,573,502
f Administrative expenses .... 101,990 68,126 68,504 80,424 67,494
g End of year balance ...... 72,912,123 68,832,097 61,915,576 61,852,448 60,230,362
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet100.000 %
b
Permanent endowment SchDMd Bullet0 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   10,721,874 10,721,874
b Buildings ................   357,362,965 185,010,987 172,351,978
c Leasehold improvements ............   2,134,948 411,781 1,723,167
d Equipment ................   338,701,345 232,855,809 105,845,536
e Other .................   22,690,681   22,690,681
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 313,333,236
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other 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    
(3)Other
(A) ALTERNATIVE INVESTMENTS
13,723,875 F

(B) ALTERNATIVE INVESTMENTS
40,414,760 C







Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 54,138,635
Part VIII
Investments—Program 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) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
OTHER LONG-TERM LIABILITIES 9,279,289
NON-PENSION POST RETIREMENT BENEFITS 9,565,163
LONG-TERM INSURANCE RESERVES 32,777,528






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 51,621,980
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI 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 XIII.) ............ 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 XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII 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 XIII.) ............ 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 XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
PART V, LINE 4   SOUTHCOAST'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE A SOURCE OF INCOME TO SUPPORT SOUTHCOAST'S TAX EXEMPT PURPOSE OF PROVIDING QUALITY HEALTH CARE SERVICES TO PEOPLE IN SOUTHCOAST'S SERVICE AREA.
Schedule D (Form 990) 2012

Additional Data


Software ID:  
Software Version:  




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. Form 990-EZ filers are not required to complete this part. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
OMB No. 1545-0047
2012
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.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
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?
b
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.
(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
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
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 Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Golf Tournament
(event type)
(b) Event #2

Golf Tournament
(event type)
(c) Other events

4
(total number)
(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 528,039 162,567 118,626 809,232
2 Less: Contributions . . 424,783 143,624 93,001 661,408
3 Gross income (line 1
minus line 2) . . .
103,256 18,943 25,625 147,824
VerticalDirectExpenses 4 Cash prizes . . . 500 750   1,250
5 Noncash prizes . . 32,732 15,337   48,069
6 Rent/facility costs . . 27,775 19,264 1,500 48,539
7 Food and beverages . 17,226 14,811 4,834 36,871
8 Entertainment . . .     1,550 1,550
9 Other direct expenses . 4,865 3,308 1,060 9,233
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 145,512
11 Net income summary. Combine line 3, column (d), and line 10. .......... right arrow 2,312
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.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2012
Schedule G (Form 990 or 990-EZ) 2012
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
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? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
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 $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
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
Supplemental Information. Complete this part to provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Identifier Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2012
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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
2012
Open to Public Inspection
Name of the organization
Southcoast Hospitals Group Inc
 
Employer identification number

22-2592333
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(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 Financial Assistance at cost
(from Worksheet 1) ..
  300,000 20,707,483 13,891,179 6,816,304 0.970 %
b Medicaid (from Worksheet 3,
column a) ....
    123,288,733 102,379,289 20,909,444 2.990 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) .
    19,368,618 18,174,296 1,193,692 0.170 %
d Total Financial Assistance
and Means-Tested
Government Programs .
  300,000 163,364,834 134,444,764 28,919,440 4.130 %
Other Benefits
  300,000 4,886,649 0 4,886,649 0.700 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) ..
14 5,000 252,850 0 252,850 0.040 %
g Subsidized health services
(from Worksheet 6) ..
    3,680,928 2,976,337 704,591 0.100 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8)
    230,776 0 230,776 0.030 %
j Total. Other Benefits .. 14 305,000 9,051,203 2,976,337 6,074,866 0.870 %
k Total. Add lines 7d and 7j . 14 605,000 172,416,037 137,421,101 34,994,306 5.000 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 1 4,600 85,000   85,000 0.010 %
4 Environmental improvements            
5 Leadership development and training for community members 6   56,227   56,227 0.010 %
6 Coalition building 9   66,945   66,945 0.010 %
7 Community health improvement advocacy 3   4,000   4,000 0 %
8 Workforce development     3,062   3,062 0 %
9 Other            
10 Total 19 4,600 215,234   215,234 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
16,322,296
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
8,737,376
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
306,816,634
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
324,094,211
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-17,277,577
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, and primary website address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 SHG INC
101 PAGE STREET
NEW BEDFORD,MA02740
X X         X   ACUTE CARE HOSPITAL  
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SHG INC
Name of hospital facility or facility reporting group  
For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)  
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If “Yes,” indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 12
3 In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................ 4   No
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If “Yes,” indicate how the CHNA report was made widely available (check all that apply):
a
b
c
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7 Yes  
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a   No
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b    
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10   No
If "Yes," indicate the FPG family income limit for eligibility for free care: 400.%
If "No," explain in Part VI the criteria the hospital facility used.
11 Used FPG to determine eligibility for providing discounted care?................. 11   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a
b
c
d
e
17 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 17   No
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If “No,” indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................ 21   No
If “Yes,” explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2012
Schedule H (Form 990) 2012
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care 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) 2012
Schedule H (Form 990) 2012
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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.
8 Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
Identifier ReturnReference Explanation
PART I, LINE 3C   DISCOUNTS ARE AFFORDED TO A "QUALIFYING PATIENT" - PATIENT WHO IS NOT ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE AND WHO IS UNINSURED FOR MEDICALLY NECESSARY HOSPITAL SERVICES. ELIGIBLE BALANCES ARE THOSE AMOUNTS FOR WHICH QUALIFYING PATIENTS HAVE FULL RESPONSIBILITY DUE TO LACK OF INSURANCE. OBLIGATIONS DO NOT INCLUDE CO-INSURANCE, DEDUCTIBLES OR BALANCES DUE AFTER INSURANCE OR OUT-OF-NETWORK SERVICES. A DISCOUNT OF 25% OF THE TOTAL CHARGES WILL BE APPLIED AT THE TIME OF INITIAL BILLING. ADDITIONAL DISCOUNTS MAY BE POSSIBLE BASED ON THE SIZE OF THE BALANCE, TIMELINESS OF PAYMENT AND FINANCIAL NEED. THESE ARE GIVEN INDIVIDUAL CONSIDERATION. SOUTHCOAST WILL SEEK TO ADVISE QUALIFYING PATIENTS WITH RESPECT TO AVAILABILITY OF DISCOUNT PURSUANT TO THIS POLICY AS WELL AS THE AVAILABILITY OF LOW INCOME AND MASSHEALTH BENEFITS.
PART I, LINE 7   ACTUAL COST FOR ALL SOUTHCOAST PATIENT SEGMENTS WAS USED TO CALCULATE THE VALUE OF CHARITY CARE.
PART I, LINE 7G   INCLUDED IN SUBSIDIZED HEALTH SERVICES AT COST ARE COSTS AND OFFSETTING REVENUES ASSOCIATED WITH SOUTHCOAST'S LEVEL II NURSERY, INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES AND INPATIENT REHABILITATIVE SERVICES. SOUTHCOAST IS THE SOLE PROVIDER 0F THESE SERVICES IN ITS COMMUNITIES AND PROVIDES SUCH SERVICES AS A COMMUNITY BENEFIT DESPITE THE LOSSES INCURRED.
PART II (1)   SOUTHCOAST'S COMMUNITY BUILDING ACTIVITIES INCLUDED PURCHASE OF NEEDED AMBULANCE MONITORING EQUIPMENT FOR ONE OF ITS SMALL RURAL TOWNS, ROCHESTER, AND SUPPORT OF THE CONSTRUCTION OF A HOMELESS SHELTER IN NEW BEDFORD. MANY OF SOUTHCOAST'S CITIES AND TOWNS ARE CHALLENGED IN UPGRADING EMERGENCY HEALTH SYSTEMS AND EQUIPMENT AND SOUTHCOAST PERIODICALLY ASSISTS WITH THAT. SOUTHCOAST ALSO INVESTED FUNDS AND SERVED IN A LEADERSHIP ROLE IN SEVERAL COMMUNITY COALITIONS THAT ENGAGE IN "SYSTEM AND ENVIRONMENT" CHANGE TO CREATE HEALTHY LIFESTYLE OPTIONS FOR RESIDENTS. THIS INCLUDED A LEADERSHIP ROLE WITH PARKS ADVOCATES IN FALL RIVER TO IMPROVE AN URBAN PARK AND WORK WITH THE REGIONAL COALITION, VOICES FOR A HEALTHY SOUTHCOAST, WHICH FOCUSED ON CREATION OF A REGIONAL BIKE PATH THAT LINKS THE ENTIRE SOUTH COAST.
PART III, LINE 4   FOR PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, SOUTHCOAST RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED BY POLICY. ON THE BASIS OF HISTORICAL EXPERIENCE, A PORTION OF SOUTHCOAST'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, SOUTHCOAST RECORDS A PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 8   THE COST ACCOUNTING METHODOLOGY USED IS THE SAME METHODOLGY USED FOR THE MEDICARE SHORTFALL. THE MEDICARE SHORTFALL SHOULD BE RECOGNIZED AS A COMMUNITY BENEFIT SINCE SOUTHCOAST IS REQUIRED TO PROVIDE SERVICES TO ALL REGARDLESS OF THE ABILITY TO PAY FOR SUCH SERVICES.
PART III, LINE 9B   SOUTHCOAST'S CREDIT AND COLLECTION POLICY CONTAINS PROVISIONS REGARDING COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE. FOR INDIVIDUALS DETERMINED TO BE LOW INCOME PATIENTS ANY SERVICES PROVIDED PRIOR TO SUCH DETERMINATION DATE AND NOT COVERED UNDER THE SAFETY NET (HSN) WILL BE WRITTEN OFF AS CHARITY CARE. ANY SERVICE DENIED BY THE HSN FOR THE MEDICALLY NECESSARY WILL ALSO BE CONSIDERED CHARITY CARE ANY COPAYMENTS OR DEDUCTIBLES FOR MASSHEALTH AND MASSHEALTH MANAGED CARE RECIPIENTS WILL BE CONSIDERED CHARITY CARE IF UNRESOLVED AT THE CONCLUSION OF SOUTHCOAST'S COLLECTION PROCESS. THE FOLLOWING ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: 1. PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, EXCEPT SOUTHCOAST MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM FOR THEIR REQUIRED COPAYMENTS AND DEDUCTIBLES AS SET FORTH IN EACH PLAN; 2. SOUTHCOAST MAY INITIATE BILLING AND COLLECTION FOR A PATIENT ALLEGING TO PARTICIPATE IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF SOUTHCOAST SERVICES BUT FAILS TO PROVIDE PROOF OF PARTICIPATION; 3. SOUTHCOAST MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME DETERMINATION, HOWEVER, COLLECTION ACTION WILL CEASE ONCE ELIGIBILITY IS DETERMINED; AND 4. SOUTHCOAST WILL NOT SEEK COLLECTION FROM AN INDIVIDUAL WHO HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HSN WITH RESPECT TO THE AMOUNT OF THE BILL EXCEEDING THE MEDICAL HARDSHIP CONTRIBUTION. SOUTHCOAST WILL NOT PURSUE COLLECTION FROM A PATIENT INVOLVED IN BANKRUPTCY PROCEEDING AND WILL NOT CHARGE INTEREST IN AN OVERDUE BALANCE OF A LOW INCOME PATIENT.
PART V, SECTION B, LINE 1   WORKING COLLABORATIVELY WITH COMMUNITY PARTNERS, SOUTHCOAST'S COMMUNITY HEALTH NEEDS ASSESSMENT HAS ASSISTED IN SETTING MEASUREABLE GOALS IN ADDRESSING PRESSING COMMUNITY HEALTH NEEDS. OUR HEALTH NEEDS ASSESSMENT AIDS US IN TRACKING AND ADJUSTING THESE GOALS ON AN ANNUAL BASIS.
PART V, SECTION B, LINE 3   SOUTHCOAST CONTINUOUSLY WORKS WITH COMMUNITY PARTNERS TO ASSESS HEALTH NEEDS IN AN ONGOING WAY. WE WORK CLOSELY WITH THREE MAJOR HEALTH AND HUMAN SERVICES COALITIONS, PARTNERS FOR A HEALTHIER COMMUNITY IN FALL RIVER, GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS IN NEW BEDFORD AND THE WAREHAM COMMUNITY SERVICES COLLABORATIVE, TO ORGANIZE FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND OTHER NEEDS ASSESSMENT OUTREACH. WE ALSO WORKED IN 2013 WITH THE WAREHAM COUNCIL ON HOMELESSNESS, TO CONDUCT NEEDS ASSESSMENT IN THE HOMELESS COMMUNITY AND ALSO AMONG AGENCIES THAT SERVE THEM. THIS PAST YEAR SOUTHCOAST ALSO WORKED WITH THE SOUTHCOAST HEALTH HOUSING AND WORKPLACE INITIATIVE TO CONDUCT RESEARCH ON HEALTH HABITS AMONG PUBLIC HOUSING RESIDENTS. WE ALSO WORKED RECENTLY WITH THE DEPARTMENT OF PUBLIC HEALTH ON LOCAL RESEARCH EXAMINING CANCER DISPARITIES.
PART V, SECTION B, LINE 5   WE SHARE RESULTS OF OUR NEEDS ASSESSMENT WIDELY WITH COMMUNITY PARTNERS. THIS PAST YEAR, IT WAS USED IN COALITION BUILDING FOR A MAJOR GRANT FROM THE MASSACHUSETTS PREVENTION AND WELLNESS TRUST FUND AND ALSO AS A MAJOR PART OF A NEEDS ASSESSMENT FOR PARTNERS FOR A HEALTHIER COMMUNITY. SOUTHCOAST IS PARTNERING WITH A NUMBER OF COMMUNITY GROUPS TO FORM A NEW NEEDS ASSESSMENT COLLABORATIVE THAT WILL PRODUCE A NEW WEB SITE THAT WILL BE HOUSED AT THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH URBAN INSTITUTE. THIS DATABASE, WHICH WILL HOUSE NEEDS ASSESSMENTS PERFORMED THROUGHOUT THE SOUTH COAST, WILL BE AVAILABLE FOR ACCESS BY LOCAL AGENCIES AND THE COMMUNITY AS A WHOLE.
PART V, SECTION B, LINE 7   WE HAVE DEVELOPED PLANS AND MEASURABLE GOALS FOR ADDRESSING ALL OF THE NEEDS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. ALTHOUGH WE MAY NOT ATTAIN ALL OF THESE GOALS WE ARE WORKING TO HAVE A POSITIVE IMPACT ON ALL OF THE IDENTIFIED NEEDS.
PART V, SECTION B, LINE 11   DISCOUNTS ARE AFFORDED TO A "QUALIFYING PATIENT" - A PATIENT WHO IS NOT ELIGIBLE FOR OTHER FINANCIAL ASSISTANCE AND WHO IS UNINSURED FOR MEDICALLY NECESSARY HOSPITAL SERVICES. ELIGIBLE BALANCES ARE THOSE AMOUNTS FOR WHICH QUALIFYING PATIENTS HAVE FULL RESPONSIBILITY DUE TO LACK OF INSURANCE. OBLIGATIONS DO NOT INCLUDE CO-INSURANCE, DEDUCTIBLES OR BALANCES DUE AFTER INSURANCE OR OUT - OF - NETWORK SERVICES. A DISC0UNT OF 25 % 0F THE TOTAL CHARGES WILL BE APPLIED AT THE TIME OF INITIAL BILLING. ADDITIONAL DISCOUNTS MAY BE POSSIBLE BASED ON THE SIZE OF THE BALANCE, TIMELINESS OF PAYMENT AND FINANCIAL NEED. THESE ARE GIVEN INDIVIDUAL CONSIDERATION. SOUTHCOAST WILL SEEK TO ADVISE QUALIFYING PATIENTS WITH RESPECT TO AVAILABILITY OF DISCOUNTS PURSUANT TO THIS POLICY, AS WELL AS THE AVAILABILITY OF LOW INCOME AND MASSHEALTH BENEFITS.
PART V, SECTION B, LINE 20D   SOUTHCOAST USED THE FINANCIAL GUIDELINES ESTABLISHED BY THE COMMONWEALTH OF MASSACHUSETTS FOR DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, INCLUDING MASSHEALTH AND THE HEALTH SAFETY NET.
PART VI, LINE 2   SOUTHCOAST COMPLETED ITS FIRST COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN 1998 AND THIS HAS BEEN UPDATED AND EXPANDED UPON ON AN ANNUAL BASIS THROUGH REGULAR ANALYSIS OF PUBLIC HEALTH DATA, PRIMARY DISEASE RATE DATA AVAILABLE THROUGH OUR HEALTH SYSTEM, AND PERIODIC FOCUS GROUPS, INTERVIEWS AND NEEDS ASSESSMENT MEETINGS WITH COLLABORATIVE PARTNERS. IN FY 2013, WE WORKED WITH THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH PUBLIC POLICY INSTITUTE TO CONDUCT A COMPREHENSIVE AND EXTENSIVE UPDATE AND ANALYSIS OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT. THE HIGHLIGHTS OF THIS NEEDS ASSESSMENT ARE SHARED ON A REGULAR BASIS WITH COMMUNITY GROUPS AND ARE USED FOR PLANNING PURPOSES BY LOCAL AND REGIONAL COALITIONS. IN 2014, OUR MOST RECENT NEEDS ASSESSMENT WILL BECOME PART OF A REGIONAL HEALTH AND HUMAN SERVICES NEEDS ASSESSMENT DASHBOARD, HOUSED AS PART OF THE URBAN INITIATIVES WEB SITE AT UMASS DARTMOUTH. THIS COMPREHENSIVE NEW TOOL WILL INCLUDE A WIDE RANGE OF HEALTH, SOCIAL AND DEMOGRAPHIC DATA FROM MANY PARTNERS ON THE SOUTH COAST. FOR FISCAL YEAR 2013, SOURCES FOR OUR NEEDS ASSESSMENT INCLUDED: - A COMPREHENSIVE REVIEW AND ANALYSIS OF REGIONAL HEALTH DATA, WITH THE ASSISTANCE OF THE UNIVERSITY OF MASSACHUSETTS-DARTMOUTH, CENTER FOR POLICY ANALYSIS. - ETHNIC FOCUS GROUPS IN COLLABORATION WITH THE IMMIGRANTS ASSISTANCE CENTER, WHICH WORKS WITH IMMIGRANT POPULATIONS THROUGHOUT THE SOUTH COAST REGION, AND THE GREATER NEW BEDFORD COMMUNITY HEALTH CENTER, THE MAJOR PRIMARY HEALTH PROVIDER FOR HISPANIC RESIDENTS IN OUR REGION. THESE FOCUS GROUPS HIGHLIGHTED LANGUAGE AND CULTURAL BARRIERS THAT ETHNIC RESIDENTS ENCOUNTER WHEN ACCESSING HEALTH SERVICES IN OUR REGION. - NEEDS ASSESSMENT MEETINGS WITH THE MASSACHUSETTS FISHING PARTNERSHIP - FOCUS GROUPS AND KEY INFORMANT INTERVIEWS CONDUCTED IN COLLABORATION WITH VOICES FOR A HEALTHY SOUTHCOAST CONCERNING CANCER DISPARITIES. - SURVEY DATA ON HEALTH HABITS OF PUBLIC HOUSING RESIDENTS IN NEW BEDFORD, FALL RIVER AND WAREHAM, INCLUDING SMOKING, NUTRITION AND EXERCISE HABITS. THIS SURVEY WAS CONDUCTED IN PARTNERSHIP WITH VOICES FOR A HEALTHY SOUTHCOAST AND THE SOUTHCOAST HEALTHY HOUSING AND WORKPLACE INITIATIVE. - SURVEY OF DRUG AND ALCOHOL HABITS OF 18 TO 24 YEAR OLDS AT BRISTOL COMMUNITY COLLEGE, CONDUCTED AS PART OF A PRESCRIPTION DRUG EDUCATION PROGRAM THROUGH THE BOLD COALITION. - FOCUS GROUPS WITH PARENTS OF STUDENTS INVOLVED IN SOUTHCOAST RAPPP YOUTH RISK BEHAVIORS PROGRAM. - DEVELOPMENTAL ASSETS SURVEY DATA CONDUCTED IN 11 MIDDLE AND HIGH SCHOOLS ON THE SOUTH COAST - YOUTH RISK FACTOR BEHAVIOR SURVEY FALL RIVER - KEY INFORMANT INTERVIEWS AND FOCUS GROUPS CONDUCTED AS PART OF A REGIONAL NEEDS ASSESSMENT THROUGH THE GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS. - KEY INFORMANT INTERVIEWS CONDUCTED BY PARTNERS FOR A HEALTHIER COMMUNITY, FALL RIVER. IN FISCAL YEAR 2012-2013, OUR NEEDS ASSESSMENT DATA WAS SHARED WITH AND UTILIZED BY: - GREATER NEW BEDFORD ALLIES FOR HEALTH AND WELLNESS (CHNA 26). - PARTNERS FOR A HEALTHIER COMMUNITY (CHNA25). - WAREHAM COMMUNITY SERVICES COLLABORATIVE. - VOICES FOR A HEALTH SOUTHCOAST. - WAREHAM BOYS AND GIRLS CLUB. - NEW BEDFORD HEALTH DEPARTMENT. - NEW BEDFORD HOUSING AUTHORITY. - WAREHAM HEALTH DEPARTMENT. - WAREHAM PUBLIC SCHOOLS FAMILY COUNCIL PROJECT. - YMCA SOUTHCOAST. OUR NEEDS ASSESSMENT IS POSTED ON THE SOUTHCOAST WEBSITE AND COMMUNITY MEMBERS ARE ENCOURAGED TO ENGAGE IN DIALOGUE CONCERNING THE FINDINGS. <WWW.SOUTHCOAST.ORG/NEWS/BENEFITS/#NEEDSASSESSMENT>
PART VI, LINE 3   SOUTHCOAST'S PATIENT FINANCIAL SERVICES DEPARTMENT (PFS) INFORMS AND EDUCATES, IN SEVERAL LANGUAGES APPROPRIATE TO ITS COMMUNITIES, ITS PATIENTS AND OTHER COMMUNITY RESIDENTS ABOUT THE TYPES OF ASSISTANCE AVAILABLE TO THEM, AND THE 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 AREA 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. 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 STAFF ALSO VISIT PATIENTS, INSURED OR UNINSURED, WHO HAVE EXPRESSED THE INABILITY TO MAKE A PAYMENT. ALL PATIENTS SCHEDULED FOR ELECTIVE SURGERY ARE REFERRED TO THE PFS DEPARTMENT BY SOUTHCOAST PRE-REGISTRATION STAFF IF THE PATIENT HAS EXPRESSSED AN INABILITY TO PAY.
PART VI, LINE 4   THE SOUTHCOAST HAS A POPULATION OF 340,312, WITH FALL RIVER AND NEW BEDFORD, THE REGIONS TWO CITIES, ACCOUNTING FOR 54.1% OF THE TOTAL. WHILE THE SOUTHCOASTS POPULATION GREW IN EACH OF THE PREVIOUS FOUR DECADES, ITS RATE OF GROWTH IS SLOWING; BETWEEN 2000 AND 2010, THE REGIONS POPULATION INCREASED BY ONLY 1.4%, WHILE IT INCREASED BY 3.1% STATEWIDE (SEE TABLE 1). POPULATION IS LIKELY TO CONTINUE TO GROW SLOWLY IN THE REGION OVER THE NEXT DECADE, PARTICULARLY DUE TO POOR ECONOMIC CONDITIONS IN THE REGIONS CITIES. THE POPULATION IS LESS DIVERSE IN THE SOUTHCOAST THAN IT IS STATEWIDE; 79.5% OF SOUTHCOAST RESIDENTS ARE WHITE NON-HISPANIC, COMPARED TO 70.8% OF RESIDENTS ACROSS THE STATE (SEE FIGURE 9). ADDITIONALLY, 7.3% OF SOUTHCOAST RESIDENTS ARE HISPANIC, 3.5% ARE AFRICAN AMERICAN, 0.5% ARE AMERICAN INDIAN, 1.4% ARE ASIAN, 0.03% ARE PACIFIC ISLANDER, 4.6% ARE SOME OTHER RACE, AND 3.1% ARE TWO OR MORE RACES. NEW BEDFORD IS THE MOST RACIALLY DIVERSE OF THE REGIONS COMMUNITIES, WITH 42.3% OF ITS POPULATION BEING NON-WHITE. THIS COMPARES TO 20.3% OF RESIDENTS IN FALL RIVER AND 15.8% OF RESIDENTS IN WAREHAM. THE RACIAL MAKEUP IN THE SOUTHCOAST IS CHANGING; FROM 2000 TO 2010 THE MINORITY POPULATION INCREASED BY 5.6 PERCENTAGE POINTS REGION-WIDE, 8.2 PERCENTAGE POINTS IN FALL RIVER, AND 11.0 PERCENTAGE POINTS IN NEW BEDFORD (SEE FIGURE 11). HISPANICS ACCOUNT FOR A SIGNIFICANT PORTION OF THIS CHANGE; THE NUMBER OF HISPANICS INCREASED BY 7.3 PERCENTAGE POINTS REGION-WIDE FROM 2000 TO 2010, AND BY 4.1 PERCENTAGE POINTS IN FALL RIVER AND 6.5 PERCENTAGE POINTS IN NEW BEDFORD. BOTH CITIES ALSO HAVE POCKETS OF UNDOCUMENTED IMMIGRANTS, INCLUDING SOUTH AND CENTRAL AMERICANS IN NEW BEDFORD. AGE COHORTS IN THE SOUTHCOAST ARE SIMILAR TO STATEWIDE AVERAGES, ALTHOUGH THE SOUTHCOAST HAS A SLIGHTLY HIGHER PERCENTAGE OF RESIDENTS AGE 65 AND OLDER IN COMPARISON TO THE STATE. FALL RIVER AND NEW BEDFORD CONTINUE TO LAG THE REGION IN MOST SOCIOECONOMIC METRICS, INCLUDING LOWER LEVELS OF EDUCATIONAL ATTAINMENT, HIGHER POVERTY LEVELS, AND HIGHER UNEMPLOYMENT, ALTHOUGH MANY OF THE REGIONS TOWNS ALSO STRUGGLE WITH THESE ISSUES, PARTICULARLY IN COMPARISON TO STATE AVERAGES.
PART VI, LINE 5   SOUTHCOAST HOSPITALS IN THIS PAST FISCAL YEAR INVESTED OVER $23 MILLION IN DIRECT SERVICES AND PROGRAMS THAT ARE DESIGNED TO ADDRESS PRESSING HEALTH ISSUES IN OUR REGION AND IMPROVE OUR COMMUNITIES HEALTH. WE WORK WITH LITERALLY HUNDREDS OF COMMUNITY PARTNERS TO ADOPT BEST PRACTICES IN COMMUNITY BENEFITS NEEDS ASSESSMENT AND PLANNING AND IMPLEMENT OUR PROGRAMS TO REACH THOSE WHO NEED THEM MOST. OUR COMMUNITY BENEFITS PRIORITIES THIS PAST YEAR INCLUDED: - REDUCTION OF THE HIGH RATE OF CARDIOVASCULAR DISEASE IN OUR REGION, AS WELL AS OTHER CHRONIC DISEASES, SUCH AS DIABETES AND ASTHMA. - REDUCTION IN THE INCIDENCE OF YOUTH RISK BEHAVIORS SUCH AS TEEN VIOLENCE, HIGH RATES OF TEEN PREGNANCY AND SUBSTANCE ABUSE. - IMPROVING ACCESS TO HEALTH CARE. - EXPANDING CANCER SCREENING AND EDUCATION, WITH A PARTICULAR FOCUS ON REDUCING - ADDRESSING HEALTH DISPARITIES THAT EXIST IN OUR REGION AMONG CERTAIN RACIAL, ETHNIC AND DEMOGRAPHIC GROUPS. - ADVOCACY AND PROGRAM DVELOPMENT THAT ADDRESSES "SYSTEM AND ENVIRONMNET CHANGE", BOTH AT OUR HOSPITALS AND IN THE COMMUNITY, THAT IS DESIGNED TO INCREASE HEALTHY LIFESTYLE OPTIONS AND DECREASE RISK FACTORS, SUCH AS A HIGH RATE OF SMOKING, LACK OF ACCESS TO HEALTHY FOODS AND PHYSICAL INACTIVITY. OUR EFFORTS FOCUS ON VULNERABLE POPULATIONS THAT FACE CONSIDERABLE BARRIERS TO ADOPTING A HEALTHY LIFESTYLE. - ADDRESSING HOMELESSNESS IN ONE OF OUR MAJOR TOWNS, WAREHAM, WHERE THE COUNTS OF UNSHELTERED HOMELESS APPROACH THOSE IN THE MUCH LARGER CITIES IN OUR REGION. - BEHAVIORAL HEALTH ISSUES THAT INCLUDE SUBSTANCE ABUSE AND MENTAL HEALTH. SOUTHCOAST SERVES A LARGE POPULATION WITH BEHAVIORAL HEALTH ISSUES WHICH IMPACT OUR EMERGENCY DEPARTMENTS AND THE REGIONS ONLY INPATIENT PSYCHIATRIC UNIT. ALSO, OUR REGIONAL BEHAVIORAL HEALTH SYSTEM IS FRAGMENTED AND POORLY COORDINATED. OUR COMMUNITY BENEFITS ACTIVITIES IN 2013 INCLUDED: - A MAJOR HEALTH NEEDS ASSESSMENT, CONDUCTED WITH THE ASSISTANCE OF THE UNIVERSITY OF MASSACHUSETTS DARTMOUTH CENTER FOR POLICY ANALYSIS, WHICH PROVIDED A COMPREHENSIVE ANALYSIS OF OUR REGIONS DEMOGRAPHICS AND MOST PRESSING HEALTH NEEDS. THIS WAS SHARED WIDELY WITH COMMUNITY PARTNERS AND INCLUDED INPUT FROM BROAD SECTIONS OF OUR COMMUNITIES. IT WILL HELP BOTH SOUTHCOAST AND OUR PARTNERS ENGAGE IN MEANINGFUL AND COLLABORATIVE INTERVENTIONS. - PROGRAMMING THAT REACHED HUNDREDS OF THOUSANDS OF RESIDENTS. HIGHLIGHTS INCLUDE: * OVER 30,000 HEALTH SCREENINGS THAT REACHED MORE THAN 13,000 PEOPLE. THIS INCLUDED SCREENINGS FOR CARDIOVASCULAR DISEASE, CANCER, DIABETES AND STROKE AND MADE SPECIAL EFFORTS TO REACH OUR MOST VULNERABLE AND UNDER-SERVED POPULATIONS. * EDUCATION ON TEEN PREGNANCY AND OTHER YOUTH RISK FACTORS THAT REACHED OVER 2000 TEENS IN 12 AREA SCHOOLS. WE ALSO REACHED OVER 2000 TEENS WITH AN AFTER SCHOOL DROP IN CENTER AT OUR RAPPP OFFICES. * TARGETED OUTREACH THAT HELPED OVER 10,000 RESIDENTS OBTAIN OR KEEP THEIR HEALTH INSURANCE. * COALITION BUILDING THAT HELPED MAKE MEANINGFUL NEW CONNECTIONS ACROSS BOTH COMMUNITIES AND OUR REGION. * EXTENSIVE AND COLLABORATIVE WORK ON SMOKING CESSATION AND PREVENTION THAT ENCOMPASSED REGULATORY SYSTEM AND ENVIRONMENT CHANGE ALONG WITH EDUCATION AND CLINICAL SUPPORT FOR SMOKING CESSATION. AS A RESULT, WE HAVE HUNDREDS OF AREA RESIDENTS MAKING QUIT ATTEMPTS-- MANY WHO HAVE SMOKED FOR DECADES AND PUT THEMSELVES AT GREAT RISK FOR A WHOLE RANGE OF HEALTH PROBLEMS SOUTHCOAST HOSPITALS GROUP, INCLUDING CHARLTON MEMORIAL HOSPITAL, ST. LUKES HOSPITAL AND TOBEY HOSPITAL, IS COMMITTED TO IMPROVING THE HEALTH STATUS OF THE COMMUNITIES WE SERVE, BY IDENTIFYING PRESSING HEALTH NEEDS AND COLLABORATING WITH COMMUNITY PARTNERS TO PRIORITIZE AND MEET THOSE NEEDS. WE ACCOMPLISH THIS THROUGH: - IDENTIFYING THE UNMET HEALTH NEEDS OF THE COMMUNITY THROUGH A NEEDS ASSESSMENT PROCESS THAT INCLUDES COLLABORATION WITH RELEVANT COMMUNITY HEALTH COALITIONS AND NETWORKS AND OTHER COMMUNITY REPRESENTATIVES AND PROVIDERS. - PRIORITIZING HEALTH NEEDS AND IDENTIFYING WHICH NEEDS CAN MOST EFFECTIVELY BE MET THROUGH THE RESOURCES OF SOUTHCOAST HOSPITALS GROUP, 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 OTHERS TO DEVELOP COOPERATIVE PLANS AND PROGRAMS TO ADDRESS PRESSING COMMUNITY HEALTH NEEDS. - DEVELOPING COMMUNITY BENEFITS PLANS THAT INCORPORATE THE SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, INCLUDING ENVIRONMENTAL, SOCIAL AND OTHER DEMOGRAPHIC FACTORS THAT MAY INFLUENCE HEALTH STATUS. - RECOMMENDING TO THE SOUTHCOAST HOSPITALS GROUP BOARD OF TRUSTEES THE ADOPTION OF MEANINGFUL PROGRAMS AND SERVICES TO ADDRESS SPECIFICALLY UNMET NEEDS AND TO IMPROVE THE HEALTH OF ALL MEMBERS OF OUR COMMUNITY. OUR TARGET POPULATION IS DETERMINED BY OUR COMPREHENSIVE HEALTH NEEDS ASSESSMENT AND IS REVIEWED ON AN ANNUAL BASIS. OUR TARGET POPULATIONS INCLUDE: - SOUTH COAST RESIDENTS WHO SUFFER DISPROPORTIONATELY FROM CHRONIC DISEASE SUCH AS CARDIOVASCULAR DISEASE, DIABETES, CANCER AND RESPIRATORY DISEASE. PARTICULAR FOCUS IS GIVEN TO RESIDENTS WHO EXPERIENCE BARRIERS TO CARE DUE TO LANGUAGE, CULTURE, RACE, INCOME OR EDUCATION. - AREA YOUTH WHO ARE AT HIGH RISK FOR PROBLEMS SUCH AS TEEN PREGNANCY, VIOLENCE, SUBSTANCE ABUSE AND OTHER RISKY BEHAVIORS THAT IMPACT HEALTH AND WELLBEING. THIS INCLUDES GAY/LESBIAN/BISEXUAL/TRANSGENDER (GLBT) YOUTH. - RESIDENTS WHO LACK ACCESS TO REGULAR PRIMARY HEALTH CARE DUE TO LACK OF HEALTH INSURANCE OR OTHER BARRIERS. - RESIDENTS AND THEIR FAMILIES WHO ARE AFFECTED BY SUBSTANCE ABUSE. - RESIDENTS AND THEIR FAMILIES WHO ARE IMPACTED BY MENTAL/BEHAVIORAL HEALTH ISSUES, PARTICULARLY THOSE WHO EXPERIENCE BARRIERS TO CARE ARE FORCED TO RELY ON THE SOUTHCOAST EMERGENCY DEPARTMENT FOR REGULAR CARE. - AREA BOARDS OF HEALTH, EMERGENCY MEDICAL SERVICES AND OTHER MUNICIPAL AGENCIES WHOSE PROGRAMS IMPACT A NUMBER OF ASPECTS OF HEALTH FOR THEIR RESIDENTS, AND WHO HAVE EXPERIENCED SEVERE BUDGET CUTS THAT HAVE IMPACTED THESE PROGRAMS, WHICH MAY INCLUDE SMOKING CESSATION AND PREVENTION, CHRONIC DISEASE MANAGEMENT AND EMERGENCY PREPAREDNESS. - PUBLIC HOUSING RESIDENTS, WHO SUFFER DISPROPORTIONATELY FROM HEALTH DISPARITIES AND HAVE HIGH RATES OF UNHEALTHY RISK FACTORS INCLUDING SMOKING, OBESITY, HYPERTENSION, ETC,. - HOMELESS RESIDENTS IN THE TOWN OF WAREHAM, WHERE THE RATE OF UNSHELTERED HOMELESSNESS EXCEEDS OTHER TOWNS IN THE REGION AND APPROACHES SOUTHCOAST CITIES THAT HAVE FIVE TIMES THE POPULATION. - THOSE IN OUR COMMUNITIES WHO EXPERIENCE HEALTH DISPARITIES DUE TO RACIAL, ETHNIC OR ECONOMIC FACTORS. THESE INCLUDE RESIDENTS FOR WHOM ENGLISH IS NOT A FIRST LANGUAGE, ESPECIALLY UNDOCUMENTED IMMIGRANTS. - THE FISHING COMMUNITY IN NEW BEDFORD, WHO EXPERIENCE HIGHER RATES OF CHRONIC HEALTH ISSUES DUE TO BARRIERS TO HEALTH ACCESS. THE SOUTHCOAST COMMUNITY BENEFITS PROGRAM IS UNDER THE OVERALL DIRECTION OF A COMMUNITY BENEFITS COMMITTEE THAT MEETS REGULARLY TO REVIEW AND AUTHORIZE ACTIVITIES AND EXPENDITURES RELATED TO COMMUNITY BENEFITS. THIS COMMITTEE REPORTS TO THE SOUTHCOAST HOSPITALS GROUP BOARD OF TRUSTEES AND IS CHAIRED BY A TRUSTEE. THE COMMITTEE INCLUDES SOUTHCOAST LEADERSHIP AND STAFF, ALONG WITH REPRESENTATIVES FROM THE VARIOUS COMMUNITIES SERVED BY SOUTHCOAST HOSPITALS. MANY OF OUR COMMUNITY MEMBERS HAVE EXPERTISE IN MATTERS CONCERNING THE HEALTH AND WELFARE OF THE COMMUNITY AND ARE ACTIVE MEMBERS OF LOCAL AND REGIONAL COALITIONS. THIS BOARD REPRESENTS THE DIVERSITY OF OUR REGION, WITH MEMBERS WHO ARE ACTIVE LEADERS IN MINORITY COMMUNITIES INCLUDING THE CAPE VERDEAN, HISPANIC AND PORTUGUESE COMMUNITIES. ADVISORY GROUPS, COMPRISED OF COMMUNITY MEMBERS AND HOSPITAL STAFF, PLAN AND CARRY OUT ACTIVITIES RELATED TO SOUTHCOASTS MAJOR COMMUNITY BENEFITS INITIATIVES. ALSO, A NUMBER OF SOUTHCOAST STAFF PARTICIPATE AND PROVIDE LEADERSHIP IN LOCAL AND REGIONAL COALITIONS, INCLUDING COMMUNITY HEALTH NETWORK AREAS (CHNA) IN FALL RIVER AND NEW BEDFORD, THE WAREHAM COMMUNITY SERVICES COLLABORATIVE, REGIONAL COALITIONS SUCH AS VOICES FOR A HEALTHY SOUTHCOAST AND MASS IN MOTION, A REGIONAL WORKSITE WELLNESS COLLABORATIVE, HEALTH ACCESS, HEALTH EQUITY AND YOUTH EMPOWERMENT TASK FORCES IN GREATER NEW BEDFORD AND FALL RIVER, A SUBSTANCE ABUSE COALITION, AND A REGIONAL FOOD COUNCIL. COMMUNITY BENEFITS ACTIVITIES BY SOUTHCOAST STAFF ARE ORGANIZED THROUGH AN INTERNAL COMMUNITY BENEFITS TASK FORCE THAT MEETS MONTHLY TO PLAN AND COORDINATE PROGRAMS AND ACTIVITIES. THIS TEAM CONSISTS OF REPRESENTATIVES FROM DEPARTMENTS THAT REGULARLY ENGAGE IN OUTREACH IN THE COMMUNITY, INCLUDING STAFF FROM OUR SOUTHCOAST HEALTH VAN, SOCIAL SERVICES, STROKE OUTREACH, DIABETES MANAGEMENT PROGRAM, PATIENT FINANCIAL SERVICES, CANCER OUTREACH, OUR CARDIAC PREVENTION TEAM, SMOKING CESSATION, TEEN PREGNANCY OUTREACH AND OTHERS.
SENIOR MANAGEMENT RESPONSIBILITY FOR THE COMMUNITY BENEFITS PROGRAM   RESTS WITH SOUTHCOASTS PRESIDENT AND CHIEF EXECUTIVE OFFICER, WHO ALSO SERVES AS A MEMBER OF THE COMMUNITY BENEFITS COMMITTEE. THE COMMUNITY BENEFITS MANAGER, WHO REPORTS TO THE CEO, MANAGES SOUTHCOASTS DAY-TO-DAY COMMUNITY BENEFITS ACTIVITIES AND LEADS THE INTERNAL COMMUNITY BENEFITS TASK FORCE. SOUTHCOAST ALSO CONDUCTS REGULAR UPDATES AND PRESENTATIONS ON COMMUNITY BENEFITS ACTIVITIES TO SOUTHCOAST LEADERSHIP THROUGH DIRECTORS AND MANAGERS/SUPERVISORS MEETINGS AT ALL THREE HOSPITAL SITES ALONG WITH PRESENTATIONS ON COMMUNITY BENEFIT ACTIVITIES WHICH ARE PERIODICALLY MADE TO ALL LEVELS OF EMPLOYEES. INFORMATION IS ALSO PRESENTED THROUGH ARTICLES IN OUR INTERNAL HOSPITAL PUBLICATIONS, COASTLINES AND THE WAVE, IN A COMMUNITY NEWSLETTER, YOUR HEALTH MATTERS, AND IN OUR MONTHLY COMMUNITY ELECTRONIC NEWSLETTER, SOUTHCOAST ENEWS. INFORMATION IS REGULARLY SHARED WITH THE COMMUNITY THROUGH COLLABORATIVE MEETINGS AND FORUMS. PART VI, LINE 6 SOUTHCOAST'S PARENT CORPORATION, SOUTHCOAST HEALTH SYSTEM, INC. (SHS) IS A MASSACHUSETTS NON-PROFIT ORGANIZATION THAT OVERSEES AND COORDINATES A SERIES OF AFFILIATED ORGANIZATIONS THAT PROVIDE A VERY BROAD RANGE OF HEALTH CARE AND RELATED SERVICES TO THE COMMUNITIES OF SOUTHEASTERN MASSACHUSETTS AND ADJOINING COMMUNITIES IN RHODE ISLAND. SHS'S PURPOSE IS TO IMPROVE THE HEALTH AND WELFARE OF THE SOUTHCOAST COMMUNITIES AND IS OPERATED EXCLUSIVELY FOR THE BENEFIT OF ITS CHARITABLE AFFILIATES. SOUTRHCOAST CURRETNLY 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.
PART VI, LINE 7   MASSACHUSETTS
Schedule H (Form 990) 2012
Additional Data


Software ID:  
Software Version:  
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
2012
Open to Public Inspection
Name of the organization
Southcoast Hospitals Group Inc
 
Employer identification number

22-2592333
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
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? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)CHRISTOPHER BALDWINVP INFO SYS (UNTIL OCT 2012) (i)
(ii)
211,968
 
39,125
 
254,839
 
55,440
 
17,174
 
578,546
 
 
 
(2)PAUL IANNINIPHYS. IN CHIEF, MED (i)
(ii)
539,000
 
205,367
 
113,785
 
 
 
13,901
 
872,053
 
 
 
(3)CAROL CONLEYVP & CNO (i)
(ii)
265,000
 
112,306
 
44,605
 
62,388
 
1,296
 
485,595
 
 
 
(4)BARBARA MULVILLESenior VP EXT AFFAIRS (i)
(ii)
255,100
 
51,021
 
47,903
 
15,000
 
6,494
 
375,518
 
 
 
(5)RONALD LAFLEURVP REVENUE SYSTEMS (i)
(ii)
242,775
 
71,367
 
42,045
 
15,000
 
13,901
 
385,088
 
 
 
(6)KEITH HOVANPRESIDENT&CEO/TRUSTE (i)
(ii)
772,000
 
479,265
 
108,615
 
319,776
 
17,174
 
1,696,830
 
 
 
(7)WILLIAM GRIGGEX. VP&CFO/TREASURER (i)
(ii)
26,447
 
79,781
 
 
 
6,395
 
1,431
 
114,054
 
 
 
(8)LINDA BODENMANNEXECUTIVE VP&COO (i)
(ii)
454,200
 
213,221
 
314,470
 
173,175
 
13,901
 
1,168,967
 
 
 
(9)GARY CONNEREVP&CFO (i)
(ii)
138,542
 
50,000
 
40,918
 
20,635
 
3,475
 
253,570
 
 
 
(10)GEORGE BEAUREGARDPRESIDENT SPN (i)
(ii)
240,667
 
61,250
 
117,125
 
72,000
 
11,449
 
502,491
 
 
 
(11)DAVID DEJESUS JRSVP CHRO (i)
(ii)
277,000
 
108,376
 
46,786
 
61,634
 
1,296
 
495,092
 
 
 
(12)ELLEN BANACHSVP STRATEGIC SVCS (i)
(ii)
231,000
 
107,066
 
30,872
 
53,174
 
15,557
 
437,669
 
 
 
(13)ROBERT CALDAS MDSenior VP & CMO (i)
(ii)
415,000
 
84,556
 
14,414
 
92,223
 
17,174
 
623,367
 
 
 
(14)JOHN DAYFormer Officer (i)
(ii)
 
 
 
 
182,769
 
160,000
 
 
 
342,769
 
 
 
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
PART I, LINE 1A   THE FORMER CEO OF SHS ELECTED LOAN REGIME TREATMENT OF HIS SPLIT-DOLLLAR POLICY. THE ANNUAL IMPUTED INCOME IS REPORTED ON THIS EXECUTIVE'S FORM W-2 AND IS SUBJECT TO FICA. THIS EXECUTIVE RECEIVED A GROSSED UP AMOUNT TO COVER THE TAXES ON THE IMPUTED INTEREST AMOUNT. THE GROSSED UP AMOUNT WAS TREATED AS TAXABLE INCOME.
PART I, LINE 4A   CHRISTOPHER BALDWIN, VP INFORMATION SYSTEMS, RECEIVED $57,632 IN SEVERANCE COMPENSATION DURING CALENDAR YEAR 2012. PART I, LINE 4B OFFICERS, DIRECTORS AND TRUSTEES WHO ARE EMPLOYEES OF SOUTHCOAST PARTICIPATE IN SOUTHCOAST'S 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. CONTRIBUTION CREDITS UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART, II, COLUMN (C). ONLY UPON TERMINATIONS OF EMPLOYMENT DO FULLY VESTED PARTICIPANTS RECEIVE DISTRIBUTIONS FROM THE PLAN. CONTRIBUTIONS VEST THE EARLIER OF: JULY 1 OF THE 3RD CALENDAR YEAR FOLLOWING THE CALENDAR YEAR IN WHICH THE CONTRIBUTION CREDIT IS MADE; UPON REACHING AGE 62; DEATH; DISABILITY; OR INVOLUNTARY SEPARATION. THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES THE VESTED PORTION OF CONTRIBUTIONS MADE TO THE PLAN WHICH ARE NO LONGER SUBJECT TO THE RISK OF FORFEITURE. KEITH HOVAN - $99,408 LINDA BODENMANN - $101,448 CHRISTOPHER BALDWIN - $197,395 PAUL IANNINI - $80,850 GEORGE BEAUREGARD - $117,125 IN ADDITION TO THE ABOVE OUTLINED PLAN, THE FOLLOWING INDIVIDUALS ALSO HAVE SEPARATE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. KEITH HOVAN SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF KEITH HOVAN. UNDER THE TERMS OF THE PLAN, A CONTRIBUTION CREDIT, INCLUDED IN SCHEDULE J, PART I, COLUMN (C) IS CREDITED TO HIS ACCOUNT ON A YEARLY BASIS. THE ACCOUNT BALANCE VESTS AS FOLLOWS: JUNE 30, 2013 -50%; JUNE 30, 2016 75% AND JUNE 30, 2018 100%. LINDA BODENMANN - SOUTHCOAST HOSPITAL GROUP, INC. ESTABLISHED AN EXECUTIVE BENEFIT PLAN FOR THE BENEFIT OF LINDA BODENMANN. UNDER THE TERMS OF THE PLAN, A CONTRIBUTION CREDIT, INCLUDED IN SCHEDULE J, PART I, COLUMN (C) IS CREDITED TO HER ACCOUNT ON A YEARLY BASIS. THE ACCOUNT BALANCE VESTS AS FOLLOWS: DECEMBER 31, 2012 50%; DECEMBER 31, 2015 75%; AND THE DATE THE PARTICIPANT ATTAINS AGE 62 AND COMPLETES 3 YEARS OF FULL SERVICE WITH THE EMPLOYER BEGINNING ON JANUARY 1, 2008 100%. PURSUANT TO THE PLAN, $204,781 WAS INCLUDED IN MS. BODENMANN 2012 FORM W-2 AND SCH J, PART I, COLUMN (B)(III). JOHN DAY - IN 2002 SOUTHCOAST HOSPITAL GROUP, INC. (SHG) ESTABLISHED A SPLIT DOLLAR ARRANGEMENT FOR JOHN DAY. THE PREMIUMS PAID INTO THE POLICY BY SHG ARE DEEMED TO BE LOANED TO MR. DAY AND MR. DAY IS THEREFORE SUBJECT TO INCOME TAX ON THE IMPUTED INTEREST ASSOCIATED WITH THE LOANS. MR. DAY IS PROVIDED WITH AN ANNUAL GROSS UP TO COVER THE INCOME TAXES DUE ON THE IMPUTED INTEREST AMOUNT. THESE AMOUNTS ARE REPORTED IN PART II, COLUMN B(III). THE ANNUAL PREMIUM PAID BY SHG IS REFLECTED IN PART II, COLUMN C AND REPRESENTS THE BENEFIT THAT WILL BE RECEIVED BY MR. DAY WHEN MOST OF THE LOAN IS FORGIVEN UPON REACHING AGE 65.
PART I, LINE 7   A PORTION OF EXECUTIVE'S CASH COMPENSATION IS AT RISK AND PAID VIA AN INCENTIVE PLAN IN WHICH EXECUTIVE AND ORGANIZATIONAL PERFORMANCE IS ASSESSED BY THE BOARD OF TRUSTEES AGAINST PRE-DETERMINED MEASURES. Historically all executive bonuses are paid out in January of the following year therefore all executives received their bonuses for 2011 in January 2012. However, uncertainty regarding tax reform led to all executives receiving their bonuses for 2012 in December of 2012. As a result the bonus amounts listed on this returns reflect two annual bonus amounts paid. SEE LINE 4B REGARDING JOHN DAY'S SPLIT DOLLAR ARRANGEMENT.
Schedule J (Form 990) 2012

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2012
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
Yes No Yes No Yes No
A Mass Health and Educational Facilities Authority
 
04-2456011 57586C6T7 06-09-2008 47,365,000 Extinguish bridge bank loan   X   X   X
B Mass Health and Educational Facilities Authority
 
04-2456011 57586ELV1 10-07-2009 56,122,025 Construct/renovate oncology center   X   X   X
C Mass Development Finance Agency
 
04-3431814   01-31-2012 46,965,000 Refinancing   X   X   X
D Mass Development Finance Agency
 
04-3431814 57583UTY4 02-14-2013 60,879,456 Construct/renovate care centers   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 0 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 47,365,000 56,122,025 46,965,000 60,879,456
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 621,954 1,064,650 353,035 759,501
8 Credit enhancement from proceeds . . . . . . . . . . . 11,724 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 46,731,322 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 0 55,057,375 0 35,773,988
11 Other spent proceeds . . . . . . . . . . . . . . 0 0 46,611,965 0
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 24,345,967
13 Year of substantial completion . . . . . . . . . . . . 2008 2011 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X   X X     X
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X     X   X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X     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   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X X     X
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
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 of bond-financed property? . . . . . . . . . . . .   X   X X     X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . . X       X      
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
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 . . SchKMediumBullet 0% 0.00000% 0% 0.00000%
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 . . . . . . . SchKMediumBullet 0% 0.00000% 0% 0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . . 0% 0.00000% 0% 0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .                
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.   %   %   %   %
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .   X   X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T? . . . . . X     X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . . X   X   X   X  
b Exception to rebate? . . . . . . . .                
c No rebate due? . . . . . . . . . .
               
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . . X     X   X   X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? X     X   X   X
b Name of provider . . . . . . . . . Goldman Sachs
 
0
 
0
 
 
 
c Term of hedge . . . . . . . . . . 29.      
d Was the hedge superintegrated? . . . . . .   X            
e Was a hedge terminated? . . . . . . .   X            
Schedule K (Form 990) 2012
Schedule K (Form 990) 2012
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
 
0
 
0
 
0
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K SUPPLEMENTAL INFORMATION 0 PART II, LINE 9, COLUMN A WORKING CAPITAL EXPENDITURES FROM PROCEEDS OF THE SERIES C BONDS WERE ISSUED FOR THE PURPOSE OF REPAYING A BRIDGE LOAN FROM A COMMERCIAL BANK MADE TO REFINANCE SOUTHCOAST'S SERIES B BOND ISSUE.
Schedule K (Form 990) 2012

Additional Data


Software ID:  
Software Version:  

SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2012
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)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash 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 6 15,133 Mean Value
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 Right pointing arrow large image ( event items ) X 206 66,400 cost/sales price
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
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
...
29
 
Yes
No
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
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2012)
Schedule M (Form 990) (2012)
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Identifier Return Reference Explanation
PART I, COLUMN (B)   THE AMOUNT REPORTED IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS.
Schedule M (Form 990) (2012)
Additional Data


Software ID:  
Software Version:  
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
2012
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 LUKES HOSPITAL IN NEW BEDFORD AND TOBEY HOSPITAL IN WAREHAM, MA. SOUTHCOAST SERVES AS THE SAFETY NET PROVIDER TO A CULTURALLY DIVERSE AND ECONOMICALLY CHALLENGED REGION WITH GOVERNMENT SPONSORED PROGRAMS COVERING APPROXIMATELY 70% OF ITS PATIENTS. IN SOME COMMUNITIES, SOUTHCOAST IS THE SOLE PROVIDER OF HOSPITAL SERVICES AND IN ITS REGION THE SOLE PROVIDER OF ADVANCED CLINICAL SERVICES SUCH AS OPEN HEART SURGERY AND OTHER ADVANCED CARDIAC SERVICES, INPATIENT PSYCHIATRIC, MATERNITY AND NEONATAL INTENSIVE CARE SERVICES. SOUTHCOAST PROVIDES ADVANCED EMERGENCY CARE 24 HOURS PER DAY 7 DAYS A WEEK AT ALL THREE HOSPITALS.
FORM 990, PART VI, SECTION A, LINE 1   TRUSTEE EMERITUS AND PRESIDENT EMERITUS AND HONORARY TRUSTEE DESIGNEES ARE NOT ENTITLED TO VOTE OR BE CONSIDERED FOR PURPOSES OF ESTABLISHING A QUORUM AT ANY MEETING OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL, EXCEPT AS PROHIBITED BY LAW OR LIMITED BY THE BOARD, HAVE ALL THE POWERS OF THE BOARD IN CONNECTION WITH THE MANAGEMENT AND OPERATION OF SOUTHCOAST BETWEEN MEETINGS OF THE BOARD RELATED TO URGENT MATTERS WHICH THE COMMITTEE DETERMINES CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED BOARD MEETING, INCLUDING DELEGATION OF AUTHORITY, EXCEPT IN REMOVING ANY MEMBER OF THE MEDICAL STAFF. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE FULLY REPORTED TO THE BOARD AT ITS NEXT MEETING.
FORM 990, PART VI, SECTION A, LINE 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, LlNE 7A   TRUSTEES ARE ELECTED AND REMOVED AND SHALL OTHERWISE SERVE AS SET FORTH IN THE BYLAWS OF ITS SOLE CORPORATE MEMBER, SHS.
FORM 990, PART VI, SECTION A, LINE 7B   THE GOVERNANCE OF SOUTHCOAST IS VESTED IN THE BOARD OF TRUSTEES AND IT MAY EXERCISE ALL POWERS OF THE CORPORATION EXCEPT THOSE POWERS RESERVED TO SHS BY LAW, THE ARTICLES OF ORGANIZATION, OR SOUTHCOAST'S BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B   THE ORGANIZATION PREPARES THE FORM 990 WITH THE ASSISTANCE OF A PAID PREPARER. A DRAFT OF THE FORM 990 IS PRESENTED TO THE MANAGEMENT FOR REVIEW AND COMMENT. A DRAFT OF THE FORM 990 IS ALSO PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE FOR REVIEW. A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. AN OFFICER OF THE ORGANIZATION AND ITS PAID PREPARER, RESPECTIVELY, SIGN THE FINAL FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C   SHS HAS CONFLICT OF INTEREST, LEGAL COMPLIANCE AND CODE OF CONDUCT POLICIES THAT APPLY TO ALL TRUSTEES, OFFICERS, DIRECTORS AND EMPLOYEES (REFERRED TO AS "MEMBERS"). ON AN ANNUAL BASIS, EACH MEMBER WILL COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE WHICH AFFIRMS THAT EACH PERSON HAS: (1) RECEIVED A COPY OF THE POLICY; (2) READ AND UNDERSTOOD THE POLICY; (3) AGREED TO COMPLY WITH THE POLICY, AND (4) UNDERSTOOD THAT THE SYSTEM ENTITIES ARE CHARITABLE ORGANIZATIONS AND THAT TO MAINTAIN THEIR FEDERAL TAX EXEMPTION, SUCH ENTITIES MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. TO ENSURE THE SYSTEM OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES, DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL TAXATION, AND IN CONNECTION WITH ITS COMPLIANCE PROGRAM, SYSTEM'S MANAGEMENT SHALL CONDUCT PERIODIC REVIEWS OF THE CONFLICT OF INTEREST POLICY AND THE OPERATION AND APPLICATION OF IT. MEMBERS SHALL DISCLOSE ANY INTERESTS OR ACTIVITIES IN WHICH THEY ARE INVOLVED OR BECOME INVOLVED THAT DO RESULT, OR MAY APPEAR TO RESULT IN A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND SHALL COMPLY WITH, AND MAKE ALL REQUIRED DISCLOSURES UNDER THE CONFLICT OF INTEREST POLICY PRIOR TO COMMENCING, CONTINUING, OR CONSUMMATING ANY ACTIVITY OR TRANSACTION WHICH RAISES A CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST. EACH MEMBER IS UNDER AN ONGOING DUTY TO UPDATE AND KEEP CURRENT THE INFORMATION CONTAINED IN THEIR QUESTIONNAIRE. AT LEAST ANNUALLY, OR AS NECESSARY BASED ON DISLCOSURES, THE GENERAL COUNSEL WILL SUMMARIZE AND REPORT ALL DISCLOSURES TO THE PRESIDENT AND CEO AND THE CHAIRMAN OF THE BOARD OF TRUSTEES (OR HIS/HER DESIGNEE). UPON DISCLOSURE OF FINANCIAL OR NON-FINANCIAL INTERESTS ("INTERESTS") AND ALL MATERIAL FACTS RELATED THERETO BY MEMBER OR AN INTERESTED PERSON, THE CHAIR OF THE SYSTEM'S GOVERNANCE COMMITTEE SHALL DETERMINE IN CONJUNCTION WITH THE GENERAL COUNSEL WHETHER A CONFLICT OF INTERESTS EXISTS. THE GOVERNANCE COMMITTEE CAN CONTINUE TO DISCUSS THE ISSUE WITH THE MEMBER OR INTERESTED PERSON TO CLARIFY OR OBTAIN ADDITIONAL INFORMATION. HOWEVER, BEFORE THE GOVERNANCE COMMITTEE DISCUSSES OR DETERMINES WHETHER THE MEMBER OR OTHER INTERESTED PERSON'S INTERESTS CONSTITUTE A CONFLICT OF INTEREST, THE MEMBER OR INTERESTED PERSON MUST LEAVE THE MEETING. IN THE EVENT THE INTEREST INVOLVES THE CHAIR OR CEO, THE REMIAING GOVERNANCE COMMITTEE MEMBERS SHALL APPOINT ONE OR MORE DISINTERESTED TRUSTEES TO MAKE SUCH A DETERMINATION. ONCE THE DETERMINATION OF THE CONFLICT OF INTEREST IS MADE BY THE GOVERNANCE COMMITTEE, SUCH DETERMINATION, ALONG WITH APPROPRIATE MITIGATION PLANS, WILL BE SUBMITTED BY THE GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. IF ANY BOARD OR BOARD COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH A MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE IT. IF, AFTER HEARING THE RESPONSE OF SUCH PERSON AND MAKING FURTHER INQUIRY OR INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR BOARD COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISLCOSE AN ACTUAL CONFLICT OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST, THE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN.
FORM 990, PART VI, SECTION B, LINE 15   COMPENSATION FOR ALL VICE PRESIDENTS AND THE SENIOR EXECUTIVE TEAM (SET) IS ESTABLISHED USING THE FOLLOWING PROCEDURES:(1) REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF SHS WITHOUT THE INVOLVEMENT OF PERSONS WITH CONFLICT OF INTEREST IN RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE; (2) USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED HEALTH SYSTEMS. THE COMPENSATION COMMITTEE ENGAGED THE SERVICES OF AN INDEPENDENT HUMAN RESOURCE CONSULTING FIRM ("CONSULTANT") TO PROVIDE UPDATED COMPENSATION DATA AND ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO SOUTHCOAST EXECUTIVES. THIS INCLUDED RELATIVE COMPETITIVE MARKET PRACTICE INFORMATION FOR THE NORTHEAST REGION MARKET OBTAINED FROM TWO HEALTHCARE EXECUTIVE COMPENSATION SURVEYS THAT WERE PREPARED BY INDEPENDENT FIRMS. THE CONSULTANT ALSO COMPILED NATIONAL MARKET DATA FROM THREE COMMERCIALLY AVAILABLE HEALTHCARE EXECUTIVE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS: AND (3) CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 19   SOUTHCOAST MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9   DONATIONS USED FOR CAPITAL PURCHASES $3,247,743 TRANSFERS TO AFFILIATES $(9,911,414) OTHER CHANGES IN NET ASSETS $691,635 INTEREST RATE SWAP $(549,682) CHANGE IN VALUATION OF SWAP $1,242,971 ____________ TOTAL $(5,278,747)
FORM 990, PART XII, LINE 2A & 2B   FINANCIAL RESULTS FOR SOUTHCOAST ARE INCLUDED IN THE SOUTHCOAST HEALTH SYSTEM, INC AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS AS OF AND FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012 WHICH WERE ISSUED WITH AN INDEPENDENT AUDITOR'S REPORT WITH AN UNQUALIFIED AUDIT OPINION. INCLUDED IN THESE AUDITED FINANCIAL STATEMENTS IS SUPPLEMENTAL CONSOLIDATED INFORMATION FOR THE YEAR ENDED SEPTEMBER 30, 2013. NO STAND ALONE AUDITED FINANCIAL STATEMENTS WERE ISSUED FOR SOUTHCOAST FOR THE YEAR ENDED SEPTEMBER 30,2013.
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:ADVISORY AND CONSULTING FEES TOTAL FEES:14363722
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN RECRUITING FEES TOTAL FEES:801978
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:ER SERVICE FEES TOTAL FEES:74762760
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:BILLING AND COLLECTION FEES TOTAL FEES:766130
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
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" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) 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" to 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 entity?
Yes No
(1) SOUTHCOAST HEALTH SYSTEM INC

101 PAGE ST

NEW BEDFORD,MA02740
04-2794625
SUPP. SHG MA 501(c)(3) 11, Type 1 NA
 
 
No
(2) SOUTHCOAST PHYSICIANS GROUP INC

200 MILL RD STE 180

FARIHAVEN,MA02719
22-2703314
PHYS. SVCS. MA 501(c)(3) 9 SHS
 
Yes
 
(3) SOUTHCOAST VENTURESINC

101 PAGE ST

NEW BEDFORD,MA02740
04-3003172
PHYS. SVCS. MA 501(c)(3) 11, Type I SHS
 
Yes
 
(4) CHARLTON LONG TERM CARE SVCS INC

363 HIGHLAND AVE

FALL RIVER,MA02720
04-3109579
SUPP. SHG MA 501(c)(3) 11, Type I SHS
 
Yes
 
(5) SOUTHCOAST VISITING NURSE ASSOC

200 MILL RD

FAIRHAVEN,MA02719
04-2105745
HOME CARE MA 501(c)(3) 9 SHS
 
Yes
 
(6) Saint Luke's Nursing Home Inc

101 Page St

NEW BEDFORD,MA02740
04-2984542
Inactive MA 501(c)(3) 11, Type I SHS
 
Yes
 


For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) COASTLINE PROFESSIONAL ASSURANCE CO

PO BOX 1085
CAYMAN ISLANDS,Grand Cayman IslaCJ
CJ
98-0445031
INSURANCE CJ NO
 
Corp         No
(2) SOUTHCOAST PHYSICIANS NETWORK INC

101 PAGE ST
NEW BEDFORD,MA02740
45-0568782
IPA MA NO
 
Corp         No
(3) HEALTH MANAGEMENT INITIATIVES INC

363 HIGHLAND AVE
FALL RIVER,MA02720
04-2998712
COMM RENTA MA NO
 
Corp         No








Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) SOUTHCOAST PHYSICIANS GROUP

R 5,384,282 CASH





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
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: