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SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-10
IRS object ID
202232229349302113
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-08-10T15:28:00-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 SOUTH STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050259093EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCAREBusinessNameLine1Txt
Business Name Line2SYSTEM ENDOWMENTBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone4017828000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationRIStateAbbreviationCd
ZIP028794299ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS J BREENPersonNm
Person TitleVP AND CHIEF FINANCIAL OFFICERPersonTitleTxt
Phone4017828000PhoneNum
Signature2022-08-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMASPersonFirstNm
Person LastBREENPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTODD P TERESCOPreparerPersonNm
PTINP00247720PTIN
Phone6179881000PhoneNum
Preparation2022-07-26PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SYSTEM ENDOWMENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAARON S ROBINSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationRIStateAbbreviationCd
ZIP028794299ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,281,314GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOUTHCOUNTYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionPLANNING, MANAGEMENT & FUNDRAISING FOR SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,260,010PYContributionsGrantsAmt
CY Contributions Grants$3,623,749CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,461,247PYInvestmentIncomeAmt
CY Investment Income$901,369CYInvestmentIncomeAmt
PY Other Revenue$14,568PYOtherRevenueAmt
CY Other Revenue$9,707CYOtherRevenueAmt
PY Total Revenue$4,735,825PYTotalRevenueAmt
CY Total Revenue$4,534,825CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$441,602PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$651,509CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$206,795PYOtherExpensesAmt
CY Other Expenses$310,364CYOtherExpensesAmt
PY Total Expenses$648,397PYTotalExpensesAmt
CY Total Expenses$961,873CYTotalExpensesAmt
PY Revenues Less Expenses$4,087,428PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,572,952CYRevenuesLessExpensesAmt
Total Assets BOY$39,870,670TotalAssetsBOYAmt
Total Assets EOY$47,625,949TotalAssetsEOYAmt
Total Liabilities BOY$267,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$394,059TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,603,296NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,231,890NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND THE VNS HOMECARE, INC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$693,940ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2021, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT PROVIDED PLANNING, MANAGEMENT, AND FUNDRAISING ACTIVITIES FOR SOUTH COUNTY HOSPITAL AND SOUTH COUNTY HOME HEALTH. BY PROVIDING THESE SERVICES, THE HOSPITAL AND SOUTH COUNTY HOME HEALTH, WERE ABLE TO FOCUS THEIR ACTIVITIES MORE TOWARD PROVIDING HIGH-QUALITY MEDICAL SERVICES TO PERSONS IN SOUTHERN RHODE ISLAND. THE HEALTHCARE SYSTEM ENDOWMENT WAS INSTRUMENTAL IN HELPING RECRUIT NEW PHYSICIANS TO WORK FOR SOUTH COUNTY HOSPITAL, RAISE ADDITIONAL CHARITABLE DONATIONS FOR THE HOSPITAL SYSTEM AND PROMOTE THE HOSPITAL SYSTEM TO THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$132,884ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescDURING THE FISCAL YEAR ENDED SEPTERMBER 30, 2021, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT CONTINUED ITS COMPREHENSIVE CAMPAIGN TO RAISE MONEY FOR IMPROVEMENTS TO ITS CAMPUS, UNRESTRICTED MONEY FOR DAILY OPERATIONS AND RESTRICTED FUNDS FOR FUTURE NEEDS. THE CAPITAL NEEDS INCLUDED IN THIS CAMPAIGN ARE ADDITION OF A NEW OPERATING ROOM, ENDOSCOPY SUITE, ED IMPROVEMENTS, HEART AND VASCUALR CENTER OF EXCELLENCE, UPGRADE RADIATION THERAPY WITH A NEW LINAC, PARKING IMPROVEMENTS AND PLANS FOR A SKYBRIDGE. THE SYSTEM RECOGNIZED THESE ADDITIONS AND IMPROVEMENTS AS CRITICAL NEEDS FOR THE COMMUNITY AND THE GOAL IS FOR THE CAMPAIGN TO SUPLEMENT AT LEAST HALF THE COST OF THESE PROJECTS. AS OF SEPTEMBER 30, 2021, THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT HAS RAISED APPROXIMATELY XXXX OF ITS $25,000,000 GOAL.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Revenue$0RevenueAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$826,824TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCIA POLHEMUSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4017828000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02879ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AARON WEISBORD MD
TRUSTEE UNTIL 4/211.0041.00Yes (X)$0$429,511$31,095
NAVEH LEVY MD
PRESIDENT OF MED STAFF1.002.00Yes (X)$0$28,000$0
RICHARD DEL SESTO MD
TRUSTEE1.002.00Yes (X)$0$6,000$0
DENNIS LYNCH
CHAIRMAN UNTIL 4/211.002.00Yes (X)$0$0$0Yes (X)
JOSEPH MATTHEWS
CHAIRMAN AS OF 5/211.002.00Yes (X)$0$0$0Yes (X)
JAMES FARRELL
VICE CHAIRMAN1.002.00Yes (X)$0$0$0Yes (X)
BETTY RAMBUR PHD RN
SECRETARY1.002.00Yes (X)$0$0$0Yes (X)
VICTORIA A WICKS
TREASURER1.002.00Yes (X)$0$0$0Yes (X)
ROBERT BIERWIRTH MD
VP OF MED STAFF1.002.00Yes (X)$0$7,000$0
STEVE BLAZEJEWSKI
TRUSTEE1.002.00Yes (X)$0$0$0
TED ALMON
TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT BEAGLE
TRUSTEE1.002.00Yes (X)$0$0$0
SANDRA COLETTA
TRUSTEE AS OF 5/211.002.00Yes (X)$0$0$0
ROBERT DYER MD
TRUSTEE1.002.00Yes (X)$0$0$0
JOHN H HOWLAND
TRUSTEE1.002.00Yes (X)$0$0$0
ROGEAN MAKOWSKI
TRUSTEE1.002.00Yes (X)$0$0$0
JASON MARSHALL
TRUSTEE1.002.00Yes (X)$0$0$0
DAVID ROWE MD
TRUSTEE1.002.00Yes (X)$0$0$0
AUSTIN C SMITH
TRUSTEE1.002.00Yes (X)$0$0$0
DONNA D VANDERBACK
TRUSTEE1.002.00Yes (X)$0$0$0
JOHN WARDLE
TRUSTEE1.002.00Yes (X)$0$0$0
AARON S ROBINSON
PRESIDENT AND CEO1.0041.00$0$579,277$30,069Yes (X)
THOMAS J BREEN
VP AND CHIEF FINANCIAL OFFICER2.0041.00$0$416,269$26,767Yes (X)
LISA RAMEAKA
FORMER DIRECTOR0.0040.00$45,070$406,498$17,115Yes (X)
SALVATORE ABBRUZZESE JR DO
FORMER PRESIDENT MED STAFF0.0040.00$0$295,822$29,247Yes (X)
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN0.0040.00$0$163,242$14,133Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$45,070TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,331,619TotReportableCompRltdOrgAmt
Total Other Compensation$148,426TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$38,980FundraisingAmt
All Other Contributions$3,584,769AllOtherContributionsAmt
Noncash Contributions$40,330NoncashContributionsAmt
Total Contributions$3,623,749TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$698,668TotalRevenueColumnAmt
Exclusion$698,668ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,928,619SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,725,918SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$202,701SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$202,701TotalRevenueColumnAmt
Exclusion$202,701ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$16,370FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$38,980ContriRptFundraisingEventAmt
Fundraising Direct Expenses$16,370FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$13,908GrossSalesOfInventoryAmt
Cost Of Goods Sold$4,201CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,707TotalRevenueColumnAmt
Exclusion$9,707ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,534,825TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$911,076ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$530,879TotalAmt
Program Services$476,879ProgramServicesAmt
Management And General$54,000ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$120,630TotalAmt
Program Services$120,630ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,804TotalAmt
Management And General$3,804ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,119TotalAmt
Management And General$1,119ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$56,326TotalAmt
Management And General$56,326ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$110,747TotalAmt
Program Services$110,747ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,876TotalAmt
Program Services$6,876ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$57,486TotalAmt
Program Services$57,486ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$737TotalAmt
Program Services$737ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,077TotalAmt
Program Services$9,077ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,790TotalAmt
Program Services$1,790ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,800TotalAmt
Management And General$19,800ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DUES & LICENSES$25,350$25,350
CREDIT CARD FEES$7,541$7,541
CULTIVATION EVENTS$6,567$6,567
BANK SERVICE CHARGE$2,217$2,217

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$927TotalAmt
Program Services$927ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$961,873TotalAmt
Program Services$826,824ProgramServicesAmt
Management And General$135,049ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$376,431BOYAmt
EOY$166,834EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$409,593BOYAmt
EOY$790,138EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$192,987BOYAmt
EOY$1,155,635EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$566,962LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$560,976LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,360BOYAmt
EOY$5,986EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,192,938BOYAmt
EOY$17,026,111EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$24,695,361BOYAmt
EOY$28,481,244EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$39,870,670BOYAmt
EOY$47,625,949EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,233BOYAmt
EOY$3,475EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$242,141BOYAmt
EOY$390,584EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$267,374BOYAmt
EOY$394,059EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,931,724BOYAmt
EOY$33,800,422EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,671,572BOYAmt
EOY$13,431,468EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,603,296BOYAmt
EOY$47,231,890EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,870,670BOYAmt
EOY$47,625,949EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,572,952ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,076,783NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,021,141OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,047,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,479,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,307,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,260,010CurrentTaxYearMinus1YearAmt
Current Tax Year$3,623,749CurrentTaxYearAmt
Total$18,718,212TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,047,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,479,069CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,307,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,260,010CurrentTaxYearMinus1YearAmt
Current Tax Year$3,623,749CurrentTaxYearAmt
Total$18,718,212TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$5,427,723SubstantialContributorsTotAmt
Public Support Total170$13,290,489PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$840,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$456,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$330,456CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$420,523CurrentTaxYearMinus1YearAmt
Current Tax Year$698,323CurrentTaxYearAmt
Total$2,746,457TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$10,200CurrentTaxYearMinus3YearsAmt
Total$10,200TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,830CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,568CurrentTaxYearMinus1YearAmt
Current Tax Year$9,707CurrentTaxYearAmt
Total$156,976TotalAmt
FieldValueIRS element (for citing)
Total Support$21,631,845TotalSupportAmt
Public Support CY1700.61440PublicSupportCY170Pct
Public Support PY1700.63940PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$36,341,944BeginningYearBalanceAmt
Contributions$86,458ContributionsAmt
Investment Earnings Or Losses$6,227,012InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,000GrantsOrScholarshipsAmt
Other Expenditures$23,583OtherExpendituresAmt
End Year Balance$42,621,831EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,541,444BeginningYearBalanceAmt
Investment Earnings Or Losses$1,830,565InvestmentEarningsOrLossesAmt
Other Expenditures$30,065OtherExpendituresAmt
End Year Balance$36,341,944EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,194,542BeginningYearBalanceAmt
Contributions$20,126ContributionsAmt
Investment Earnings Or Losses$330,588InvestmentEarningsOrLossesAmt
Other Expenditures$3,812OtherExpendituresAmt
End Year Balance$34,541,444EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,000,372BeginningYearBalanceAmt
Contributions$4,001,736ContributionsAmt
Investment Earnings Or Losses$1,229,738InvestmentEarningsOrLossesAmt
Other Expenditures$37,304OtherExpendituresAmt
End Year Balance$34,194,542EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,091,622BeginningYearBalanceAmt
Contributions$85,454ContributionsAmt
Investment Earnings Or Losses$2,891,164InvestmentEarningsOrLossesAmt
Other Expenditures$67,868OtherExpendituresAmt
End Year Balance$29,000,372EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.77510BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.22000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00490TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$562,546OtherCostOrOtherBasisAmt
Depreciation$560,866DepreciationAmt
Book Value$1,680BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,416OtherCostOrOtherBasisAmt
Depreciation$110DepreciationAmt
Book Value$4,306BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,986TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ENDOWMENT POOLED INVESTMENTS$16,009,924F
ASSETS HELD IN TRUST$9,533,736F
DONOR RESTRICTED FUNDS$2,937,584F
FieldValueIRS element (for citing)
Total Book Value Securities$28,481,244TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
GIFT ANNUITY$195,486
DUE TO AFFILIATES$195,098
FieldValueIRS element (for citing)
Total Liability$390,584TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$8,554,712TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,076,783NetUnrealizedGainsInvstAmt
Other Revenue$266,016OtherRevenueAmt
Revenue Not Reported$5,342,799RevenueNotReportedAmt
Revenue Subtotal$3,211,913RevenueSubtotalAmt
Investment Expenses Not Incld$56,326InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,266,586OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,322,912RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,534,825TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$926,118TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$926,118ExpensesSubtotalAmt
Investment Expenses Not Incld2$56,326InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$20,571OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$35,755ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$961,873TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 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 HOSPITAL HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL AND SOUTH COUNTY HOME HEALTH) 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 CONROLLED 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 PROVISIONS IN EITHER 2021 OR 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED CHANGE IN EQUITY INTERESTS IN LP 296,016. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -30,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:TRANSFER FROM TRNA FOR CAPITAL EXPENDITURES 1,287,157. FUNDRAISING EXPENSES -16,370. COST OF GOODS SOLD -4,201.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -16,370. COST OF GOODS SOLD -4,201.
PART-V LINE-2SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT HAS ADOPTED FASB ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 20, 2021 AUDITED FINANCIAL STATEMENTS CLASSIFY THE NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTION, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF PART V, LINE 2, SOUTH COUNTY HOME HEALTH HAS REPORTED ITS YEAR END ENDOWMENT BALANCE SHEET WITHOUT DONOR RESTRICTIONS AS QUASI ENDOWMENT AND ITS YEAR END BALANCE WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT AND TERM RESTRICTED ENDOWMENT, RESPECTIVELY.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1INVITATIONALEvent1Nm
Gross Receipts Event1$55,350GrossReceiptsEvent1Amt
Charitable Contri Event1$38,980CharitableContriEvent1Amt
Gross Revenue Event1$16,370GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$15,680RentFacilityCostsEvent1Amt
Food And Beverage Event1$0FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$690OtherDirectExpensesEvent1Amt
Gross Receipts Total$55,350GrossReceiptsTotalAmt
Charitable Contributions Tot$38,980CharitableContributionsTotAmt
Gross Revenue Total Events$16,370GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$15,680RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$690OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$16,370DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AARON S ROBINSON
PRESIDENT AND CEO$0$465,606$0$102,689$0$10,982$0$9,975$0$20,094$0$609,346$0$0
LISA RAMEAKA
FORMER DIRECTOR$0$206,690$0$0$45,070$199,808$0$7,309$0$9,806$45,070$423,613$0$0
AARON WEISBORD MD
TRUSTEE UNTIL 4/21$0$228,420$0$195,658$0$5,433$0$9,975$0$21,120$0$460,606$0$0
THOMAS J BREEN
VP AND CHIEF FINANCIAL OFFICER$0$412,674$0$500$0$3,095$0$9,975$0$16,792$0$443,036$0$0
SALVATORE ABBRUZZESE JR DO
FORMER PRESIDENT MED STAFF$0$274,233$0$20,290$0$1,299$0$9,975$0$19,272$0$325,069$0$0
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN$0$127,068$0$35,361$0$813$0$5,724$0$8,409$0$177,375$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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.
PART I, LINE 4ALISA RAMEAKA RECEIVED SEVERANCE IN THE AMOUNT OF 199,500 DURING THE CALENDAR YEAR 2020 FROM SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM. UNDER THE TERMS OF HER AGREEMENT, SEVERANCE WAS PAID IN ONE LUMP SUM FOLLOWING HER TERMINATION IN JUNE 2020.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$40,330NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE AMOUNT REPORTED IN PART I, COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BSOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND ITS AFFILIATES (KNOWN AS SOUTH COUNTY HEALTH (SCH)) HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. ALL ENTITIES HAVE MIRROR BOARDS. 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 12CSCH HAS POLICIES AND 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 EXIST. IF A CONFLICT EXISTS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM THE DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
FORM 990, PART VI, SECTION B, LINE 15ASCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. THE BOARD OF TRUSTEES HAS THE ULTIMATE RESPONSIBILITY TO ENSURE THAT COMPENSATION OF THE EXECUTIVE LEADERSHIP OF SCH REFLECTS THE NORMS ESTABLISHED IN THE INDUSTRY, REWARDS AND REINFORCES THE VALUES AND LONG-RANGE GOALS OF THE SYSTEM, AND UPHOLDS THE BOARD'S RESPONSIBILITY TO THE COMMUNITY IT STEWARDS OF THE COMMUNITY'S ASSETS. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE PERFORMS A COMPENSATION REVIEW FOR THE CEO. THE VICE PRESIDENT OF HUMAN RESOURCES DOES A MARKET ANALYSIS OF DATA OF CEO POSITIONS IN COMPARABLE HOSPITALS INCLUDING THE USE OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS. THE EXECUTIVE COMMITTEE REVIEWS THE PACKET OF MATERIALS INCLUDING THE MARKET REVIEW OF COMPENSATION, A REVIEW OF CEO GOALS ATTAINMENT AND OTHER MATERIALS RELEVANT TO HIS OR HER PERFORMANCE. THE CEO PROVIDES THE EXECUTIVE COMMITTEE SUGGESTED COMPENSATION FOR THE CMO, CNO, AND CFO. THE EXECUTIVE COMMITTEE APPROVES ALL COMPENSATION DECISIONS AND CONTEMPOROUSLY DOCUMENTS THE DISCUSSION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 109,247. TOTAL EXPENSES 109,247. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,500. TOTAL EXPENSES 1,500.
FORM 990, PART XI, LINE 9:UNREALIZED CHANGE IN EQUITY INTERESTS IN LP 296,016. NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL EXPENDITURES -30,000. TRANSFER FROM TRNA TO UNRESTRICTED FUND EXPENDITURES -1,287,157.
FORM 990, PART XII, LINE 2CFINANCIAL 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1OCEAN VIEW HEALTH VENTUREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02879ZIPCd
FieldValueIRS element (for citing)
EIN853789537EIN
Primary ActivitiesLEASE OFFICE BUILDING/PROVIDE MEDICAL ACCESSPrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$5,505,657EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SC HOSPITALBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
100 KENYON AVENUEWAKEFIELDRI02879050445136HOSPITALRI501(C)(3)3SCH ENDOWMNTYes (1)
SOUTH COUNTY HOME HEALTH
14 WOODRUFF AVENUENARRAGANSETTRI02882056033975HEALTHCARERI501(C)(3)10SC HOSPITALYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPANYRISCH HEALTHCAREC1.00000Yes (1)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313PERSONAL CARERISSHC MANAGEMENTC1.00000Yes (1)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937MEDICAL EQUIPMENTRISSHC MANAGEMENTC1.00000Yes (1)
CHARITABLE REMAINDER TRUSTS (3)
RI0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
B$1,317,158FMV
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
O$651,509FMV
SOUTH COUNTY HOME HEALTH
B$60,000FMV