2019-11-14T07:33:30-07:00 2018-12-31 990 2018-01-01 570314409 SCPH LEGACY CORPORATION SCPH 2166965560 2475 E 22nd St Cleveland OH 44115 Melissa Rogers Secretary/Treasurer 2166965560 2019-11-15 74.207.214.114 2018 2020-03-31 21:24:44Z Thomas Strauss 2475 E 22nd St Cleveland OH 44115 1738315 0 0928 X X 1938 SC To support the Sisters of Charity of St. Augustine in extending the healing ministry of Jesus. 5 3 0 0 0 0 208 6025 79792 0 217210 122332 0 0 297210 128357 0 0 0 0 66851 2379 0 0 0 3315644 1999999 3382495 2002378 -3085285 -1874021 20157887 18044227 19610442 15137988 547445 2906239 SCPH Legacy Corporation (Legacy), a ministry of the Sisters of Charity of St. Augustine, is dedicated to the charitable, educational, and religious purposes of the Sisters and the Roman Catholic Church. 0 0 1955938 0 0 Prior to February 2016 Legacy operated as Providence Hospital (Providence) providing quality medical care in South Carolina. Certain assets and liabilities of Providence were retained by Legacy whose primary function in 2018 related to the winding down of these obligations in support of the Sisters Ministry. 0 0 0 1955938 1 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 1 1 0 0 0 1 23 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 SC X X Sondra Haye 2166965560 2475 E 22nd St Cleveland OH 44115 Thomas Strauss President 1 40 X X 0 1130363 60590 Melissa Rogers Secretary/Treasurer 1 40 X X 0 559683 65242 Sister Judith Ann Karam Board Member 1 0 X 0 0 0 M Stevenson Smith Board Member 1 0 X 0 0 0 Peter Brown Board Member 1 0 X 0 0 0 0 1690046 125832 0 0 1 0 Nexsen Pruet 1230 Main St Ste 700 Columbia SC 29201 Legal fees 987575 Wyche PA 440 E Camperdown Way PO Box 728 Greenville SC 29602 Legal Services 521217 Barnes Alford Stork & Johnson LLP 1613 Main St Columbia SC 29201 Legal fees 189944 3 0 0 0 0 0 6025 0 6025 0 254611 254611 0 0 0 0 0 0 0 0 0 0 0 0 1477679 0 1609958 0 -132279 0 -132279 0 0 -132279 0 0 128357 254611 0 -132279 2379 2379 160813 160813 28709 28709 40771 40771 1613145 1613145 Member Assessment 150000 112500 37500 0 6561 6561 2002378 1955938 46440 0 249140 188943 2034099 1731583 2194615 2039155 15680033 14084546 20157887 18044227 3027470 3832085 16582972 11305903 19610442 15137988 X 91402 2479864 456043 426375 0 0 547445 2906239 20157887 18044227 X -1874021 29741 0 0 0 4203074 X 0 1 X 1 0 X X 1 The Sisters of Charity of St Augustine 340714763 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Accrued self insurance reserves 1071863 Estimated Third Party Settlements 1062390 Accrued SWAP Liability 9076675 Trust Obligation 94975 11305903 X Schedule D, Part X, Line 2 Management has analyzed the tax positions taken by the Organization and has concluded that, as of December 31, 2018, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the consolidated financial statements. X 1 1 X 0 1 0 0 0 0 0 0 0 Thomas Strauss President 0 1108266 0 0 0 22098 0 45865 0 14725 0 1190954 0 0 Melissa Rogers Secretary/Treasurer 0 430419 0 127065 0 2200 0 45842 0 19400 0 624926 0 0 Schedule J, Part I, Line 1a Dues to a social club are paid on behalf of Thomas Strauss Schedule J, Part I, Line 4 Thomas Strauss and Melissa Rogers received $18,500 for a Supplemental Executive Retirement Plan (SERP). Form 990, Part VI, Section A, Line 6 SCHS is the sole Member of Legacy. Reserved powers of the Member include the power and authority to borrow or lend money, the purchase and sale of certain property, the appointment and renewal of the Code of Regulations and Articles of Incorporation, the election of directors and the determination of corporate philosophy. Form 990, Part VI, Section A, Line 7a See explanation for Line 6 Form 990, Part VI, Section A, Line 7b See explanation for Line 6 Form 990, Part VI, Section B, Line 11b Legacy's Form 990 was prepared by management. A draft copy of the return was made available to all Board members prior to the filing date. Form 990, Part VI, Section B, Line 12c Conflicts of interest are addressed via annual questionnaires to all Directors, Officers and key employees. These are reviewed by the Deputy General Counsel/Chief Compliance Officer of SCHS. Form 990, Part VI, Section C, Line 19 Legacy makes its governing documents, conflict of interest policy and financial statements available to the public upon request Form 990, Part XI, Line 9 Reserve adjustment = $1,968,283 + unrealized gain on SWAP 2,234,791 Augustine Health Group LLC 2435 Forest Dr Columbia SC 29204 900074301 Physician Practices SC 0 0 Legacy Moore Orthopedic Clinic 2435 Forest Dr Columbia SC 29204 270743476 Orthopaedic Treatment SC 0 0 Legacy HealthTouch LLC 2435 Forest Dr Columbia SC 29204 570314409 Physical Therapy and Rehab SC 0 0 Legacy Providence Cardiology LLC 2435 Forest Dr Columbia SC 29204 452824804 Healthcare SC 0 0 Legacy Providence Health Network 2435 Forest Dr Columbia SC 29204 454046409 Healthcare SC 0 0 Legacy The Sisters of Charity of St Augustine 5232 Broadview Rd Richfield OH 44285 340714763 Religious order of women OH 501 (c) (3) 1 N/A 0 Providence Hospitals Development Foundation 2749 Laurel St Columbia SC 29204 271140183 Charitable Organization SC 501(c)(3) 12a Legacy 1 St Vincent Charity Medical Center (SVCMC) 2351 E 22nd St Cleveland OH 44115 340714756 Hospital OH 501(c)(3) 3 SCHS 1 St Vincent Development Foundation 2351 E 22nd St Cleveland OH 44115 271602445 Charitable Organizaiton OH 501(c)(3) 12a SVCMC 1 Mercy Medical Center (MMC) 1320 Mercy Dr NW Canton OH 44708 341893439 Hospital OH 501 (c) (3) 3 SCHS 1 Regina Health Center 5232 Broadview Rd Richfield OH 44286 341722394 Long Term Care OH 501(c)(3) 10 SCHS 1 Sisters of Charity Foundation of Canton (CAF) 400 Market Ave N 300 Canton OH 44702 341832697 Charitable Organization OH 501(c)(3) 12a SCHS 1 Mercy Development Foundation 1320 Mercy Dr NW Canton OH 44708 352408321 Charitable organizaiton OH 501 (c) (3) 12a MMC 1 Healthy Learners 2749 Laurel St Columbia SC 29204 571127197 Charitable organization OH 501 (c) (3) 12a SCHS 1 Joseph's Home 2412 Community College Ave Cleveland OH 44115 341901676 Charitable Organization OH 501 (c) (3) 10 SCHS 1 Sisters of Charity Foundation of South Carolina (SCF) 2711 Middleburg Dr Ste 115 Columbia SC 29204 570708391 Charitable Organization SC 501 (c) (3) 12a SCHS 1 Sisters of Charity Foundation of Cleveland 2475 E 22nd St 4th floor Cleveland OH 44115 341832698 Charitable Organization OH 501 (c) (3) 12a SCHS 1 Early Childhood Resource Center 1718 Cleveland Ave NW Canton OH 44702 340174462 Charitable Organization OH 501 (c) (3) 12a CAF 1 Sisters of Charity of St Augustine Health System 2475 E 22nd St Cleveland OH 44115 341379356 Charitable Organization OH 501 (c) (3) 1 N/A 0 South Carolina Center for Fathers & Families 2711 Middleburg Dr Columbia SC 29204 364506347 Charitable Organization SC 501 (c) (3) 7 SCF 1 Light of Hearts Villa 283 Union St Bedford OH 44146 341619270 Charitable Organization OH 501 (c) (3) 12a SCHS 1 St John Hospital 2475 E22nd St Cleveland OH 44115 340714504 Charitable Organization OH 501 (c) (3) 12a SCHS 1 Mercy Professional Care Corp 1330 Mercy Dr NW Ste 319 Canton OH 44708 341873008 Medical Services OH MMC C 1 1 St Vincent Medical Group 6701 Rockside Rd Independence OH 44131 341634990 Medical Services OH SVCMC C 1 1 SCHS Insurance Co Ltd 62 Forum Lane 3rd floor Grand Cayman CJ KY1-1203 980679825 Insurance CJ SCHS C 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0