2024-08-14T12:21:55-05:00 2023-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2022-10-01 056033975 SOUTH COUNTY HOME HEALTH SOUT 4017828000 14 WOODRUFF AVENUE NARRAGANSETT RI 028824299 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 4017882000 2024-08-12 1 0 SHYAMALEE JOSEPH P01085371 6179881000 2024-08-12 2022 2024-08-08 14:25:15Z AARON S ROBINSON 14 WOODRUFF AVENUE NARRAGANSETT RI 028824299 12264174 0 X N/A X 1967 RI TO PROVIDE HEALTHCARE AND SUPPORT SERVICES TO MEMBERS OF THE COMMUNITY. 15 14 133 14 0 0 852866 241365 12134574 11937037 59294 20070 23334 53393 13070068 12251865 0 0 0 0 10587098 10112690 0 0 0 2351787 2400672 12938885 12513362 131183 -261497 6457839 7575983 1709371 3084765 4748468 4491218 TO PROVIDE HEALTHCARE, EDUCATION, OTHER THERAPEUTIC AND SUPPORT SERVICES TO MEMBERS OF THE COMMUNITY WITHOUT REGARD TO RACE, COLOR, CREED, OR THE ABILITY TO PAY. 0 0 8721626 11990011 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, SOUTH COUNTY HOME HEALTH PROVIDED 70,458 VISITS TO 4,981 CLIENTS IN THEIR HOMES. IN ADDITION, SOUTH COUNTY HOME HEALTH ALSO PROVIDES, AT NO CHARGE, BLOOD PRESSURE CHECKS AT HEALTHCARE CLINICS AROUND THE SOUTH COUNTY COMMUNITY. OTHER SERVICES, SUCH AS CHOLESTEROL SCREENINGS, ARE PROVIDED AT A NOMINAL CHARGE. 8721626 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 133 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI X THOMAS J BREEN 4017828000 14 WOODRUFF AVE NARRAGANSETT RI 02882 CHRISTOPHER JALBERT VP OF MED STAFF 1.00 42.00 X 0 256907 29118 JOSEPH MATTHEWS CHAIRMAN 1.00 3.00 X X 0 0 0 JAMES FARRELL VICE CHAIRMAN 1.00 3.00 X X 0 0 0 NOAH BENEDICT SECRETARY (AS OF 4/23) 1.00 3.00 X X 0 0 0 BETTY RAMBUR PHD RN TREASURER (AS OF 4/23) 1.00 3.00 X X 0 0 0 VICTORIA A WICKS TRUSTEE, TREASURER (UNTIL 4/23) 1.00 3.00 X X 0 0 0 ROBERT BIERWIRTH MD PRESIDENT OF MED STAFF 1.00 3.00 X 0 0 0 STEVE BLAZEJEWSKI TRUSTEE (THRU 4/23) 1.00 3.00 X 0 0 0 SANDRA COLETTA TRUSTEE 1.00 3.00 X 0 0 0 ROBERT DYER MD TRUSTEE 1.00 3.00 X 0 0 0 JOHN H HOWLAND TRUSTEE 1.00 3.00 X 0 0 0 ROGEAN MAKOWSKI TRUSTEE 1.00 3.00 X 0 0 0 JASON MARSHALL TRUSTEE 1.00 3.00 X 0 0 0 RICK NORBERG TRUSTEE (AS OF 4/23) 1.00 3.00 X 0 0 0 AUSTIN C SMITH TRUSTEE 1.00 3.00 X 0 0 0 JOHN WARDLE TRUSTEE (THRU 4/23) 1.00 3.00 X 0 0 0 BARBARA WOLFE TRUSTEE (AS OF 4/23) 1.00 3.00 X 0 0 0 AARON S ROBINSON PRESIDENT AND CEO 1.00 42.00 X 0 854719 30846 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 1.00 44.00 X 0 432344 27071 ANSJE GERSHKOFF DIRECTOR CLINICAL SERVICES 40.00 0.00 X 113728 0 12875 RAYMOND CARROLL III PT/PTA CASE MANAGER 40.00 0.00 X 110135 0 10442 PATRICIA GRIMES OCCUPATIONAL THERAPIST 40.00 0.00 X 108982 0 2066 ANDREW MIKKELSEN PT/PTA CASE MANAGER 40.00 0.00 X 106660 0 21421 JULIE WILLIAMS PT/PTA CASE MANAGER 40.00 0.00 X 105410 0 3271 AARON WEISBORD MD FORMER TRUSTEE 0.00 40.00 X 0 432413 30822 SALVATORE ABBRUZZESE JR DO FORMER PRESIDENT OF MED STAFF 0.00 40.00 X 0 249950 28972 544915 2226333 196904 11 1 1 0 0 238665 2700 241365 MEDICARE/MEDICAID 900099 7023909 7023909 PATIENT SERVICE REVENUE 621610 4913128 4913128 11937037 32379 32379 12309 -12309 -12309 -12309 OTHER REVENUE 900099 38436 38436 LIFELINE PRODUCTS REVENUE 900099 14538 14538 RECOVERY OF BAD DEBT 900099 419 419 53393 12251865 11990011 0 20489 8017948 6414358 1603590 150930 120744 30186 1399724 1119778 279946 544088 435270 108818 27465 27465 10908 10908 2123 2123 964320 49437 914883 58668 58668 76251 76251 93720 93720 367404 367404 355281 346337 8944 1267 1267 72435 72435 119964 119964 MEDICAL SUPPLIES 191647 191647 PROVISION FOR BAD DEBTS 24891 24891 DUES AND LICENSES 22061 17897 4164 BANK CHARGES 5048 5048 7219 7219 12513362 8721626 3791736 0 2507350 1911085 115795 1422744 1323230 24625 54736 2044123 1764018 155589 280105 1106012 1245989 875613 942217 250111 1818621 6457839 7575983 1225991 723406 483380 2361359 1709371 3084765 X 3552947 3311294 1195521 1179924 4748468 4491218 6457839 7575983 X -261497 105978 -101731 X X 0 1 X 1 0 X 595159 1041005 741821 852866 241365 3472216 10778606 10435366 11504113 12134574 11937037 56789696 11373765 11476371 12245934 12987440 12178402 60261912 0 0 0 60261912 9995 7951 29913 60689 32379 140927 9995 7951 29913 60689 32379 140927 81277 32052 28740 23334 53393 218796 11465037 11516374 12304587 13071463 12264174 60621635 0.99410 0.99420 0.00230 0.00210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: LIFELINE PRODUCTS REVENUE - 2018 AMOUNT: $ 77,420. 2019 AMOUNT: $ 30,901. 2020 AMOUNT: $ 11,009. 2021 AMOUNT: $ 9,171. 2022 AMOUNT: $ 14,538. OTHER REVENUE - 2018 AMOUNT: $ 3,460. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 13,791. 2021 AMOUNT: $ 13,693. 2022 AMOUNT: $ 38,436. RECOVERY OF BAD DEBT - 2018 AMOUNT: $ 397. 2019 AMOUNT: $ 1,151. 2020 AMOUNT: $ 3,940. 2021 AMOUNT: $ 470. 2022 AMOUNT: $ 419. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1981625 206581 2188206 2471829 -490204 1981625 2080313 391516 2471829 1967380 112933 2080313 1973135 -5755 1967380 0.46080 0.10860 0.43060 0 0 180581 6897 173684 1863542 1757121 106421 280105 TUW T DE COPPETT ARTICLE EIGHT 671953 F A.G. HAZARD BENEFICIENT FUNDS 270264 F 942217 RIGHT OF USE ASSETS 1818621 1818621 ESTIMATED THIRD PARTY PAYER SE 305160 DUE TO AFFILIATES 227697 OPERATING LEASE LIABILITY 1828502 2361359 X 12229098 105978 -126622 -20644 12249742 2123 2123 12251865 12486348 0 12486348 2123 24891 27014 12513362 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED TO SUPPORT OPERATIONS AND ARE TO FUND CAPITAL EXPENDITURES. PART X, LINE 2: THE FOOTNOTE BELOW IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT. THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL, SOUTH COUNTY HOME HEALTH AND SOUTH COUNTY HEALTH FOUNDATION) OPERATE AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX PROVISIONS AND RELATED LIABILITIES FOR SILVER SPRING HEALTH CARE MANAGEMENT WHICH IS A TAXABLE ENTITY CONTROLLED BY THE HOSPITAL ARE NOT SIGNIFICANT. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2023 OR 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED CHANGE IN EQUITY INTEREST IN LP 5,953. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUST 66,603. NET ASSETS RELEASED FROM RESTRICTIONS -95,395. FORGIVENESS OF INTERCOMPANY LOAN -78,892. BAD DEBT EXPENSE -24,891. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBTS EXPENSE 24,891. PART V, LINE 2: SOUTH COUNTY HOME HEALTH HAS ADOPTED FASB ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2023 AUDITED FINANCIAL STATEMENTS CLASSIFY THE NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF PART V, LINE 2, SOUTH COUNTY HOME HEALTH HAS REPORTED ITS YEAR END ENDOWMENT BALANCE WITHOUT DONOR RESTRICTIONS AS QUASI-ENDOWMENT AND ITS YEAR END BALANCE WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT AND TEMP RESTRICTED ENDOWMENT, RESPECTIVELY. 0 0 0 0 0 0 0 0 0 AARON S ROBINSON PRESIDENT AND CEO 0 712259 0 130625 0 11835 0 10675 0 20171 0 885565 0 0 AARON WEISBORD MD FORMER TRUSTEE 0 211823 0 214358 0 6232 0 10150 0 20672 0 463235 0 0 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 0 426151 0 0 0 6193 0 10675 0 16396 0 459415 0 0 CHRISTOPHER JALBERT VP OF MED STAFF 0 248495 0 8013 0 399 0 9321 0 19797 0 286025 0 0 SALVATORE ABBRUZZESE JR DO FORMER PRESIDENT OF MED STAFF 0 232198 0 15825 0 1927 0 9322 0 19650 0 278922 0 0 PART I, LINE 3 THE COMPENSATION OF THE CEO IS DETERMINED BY SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM WHICH USES THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B THE SOUTH COUNTY HEALTH ("SCH") HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AT A BOARD MEETING PRIOR TO THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C SCH HAS POLICIES AN PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISITS. IF A CONFLICT EXISTS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM THE DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. IN DETERMINING COMPENSATION THE ORGANZIATION USES FORM 990 OF OTHER ORGANIZATIONS AND A COMPENSATION SURVEY. THE REVIEW IS DONE BY INDEPENDENT INDIVIDUALS OF THE GOVERNING BODY AND ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED CHANGE IN EQUITY IN LP 5,953. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUST 66,603. NET ASSETS RELEASED FROM RESTRICTIONS -95,395. FORGIVENESS OF INTERCOMPANY LOAN -78,892. FORM 990, PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. SCH HEALTHCARE SYSTEM ENDOWMENT 100 KENYON AVE WAKEFIELD RI 02879 050259093 SUPPORT RI 501(C)(3) 7 N/A 0 SOUTH COUNTY HEALTH FOUNDATION 100 KENYON AVE WAKEFIELD RI 02879 854028860 SUPPORT RI 501(C)(3) 7 SCH HEALTHCARE 1 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 100 KENYON AVE WAKEFIELD RI 02879 050445136 HOSPITAL RI 501(C)(3) 3 SCH ENDOWMENT 1 SILVER SPRING HEALTH CARE MANAGEMENT 100 KENYON AVE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SCH HEALTH CARE C 1.00000 1 SOUTH COUNTY QUALITY CARE 100 KENYON AVE WAKEFIELD RI 02879 050491313 PERSONAL CARE RI SS HEALTHCARE C 1.00000 1 SSHM SURGICAL SUPPLY INC 100 KENYON AVE WAKEFIELD RI 02879 050478937 RETAIL OF MED EQP RI SS HEALTHCARE C 1.00000 1 CHARITABLE REMAINDER TRUSTS (3) CHARITABLE TRUST RI N/A T 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0