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SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201922279349303077
Schema version
2017v2.3
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)
Return2019-08-15T15:39:07-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1One Financial PlazaAddressLine1Txt
CityHartfordCityNm
State AbbreviationCTStateAbbreviationCd
ZIP061032608ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

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)
In Care Of% MARCIA POLHEMUSInCareOfNm
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 TitleCFOPersonTitleTxt
Phone4017881974PhoneNum
Signature2019-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone8605223200PhoneNum
Preparation2019-08-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id06014420192275000010FederalOriginalSubmissionId
Federal Original Submission Id2019-08-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9C37FB02EE77A6FF00EC66693955615721E3AD8AAtSubmissionCreationDeviceId
At Submission Filing Device Id93284FDDF646EB87F938684DE2A1C682925E78BCAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS J BREENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationRIStateAbbreviationCd
ZIP028794299ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,559,294GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SOUTHCOUTYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionPLANNING, MANAGEMENT & FUNDRAISING FOR SOUTH COUNTY HOSPITAL HEALTHCARE SYTSEM.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,916,252PYContributionsGrantsAmt
CY Contributions Grants$6,479,069CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$350,220PYInvestmentIncomeAmt
CY Investment Income$691,755CYInvestmentIncomeAmt
PY Other Revenue$46,443PYOtherRevenueAmt
CY Other Revenue$52,645CYOtherRevenueAmt
PY Total Revenue$3,312,915PYTotalRevenueAmt
CY Total Revenue$7,223,469CYTotalRevenueAmt
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$611,866PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$640,136CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$461,482PYOtherExpensesAmt
CY Other Expenses$241,927CYOtherExpensesAmt
PY Total Expenses$1,073,348PYTotalExpensesAmt
CY Total Expenses$882,063CYTotalExpensesAmt
PY Revenues Less Expenses$2,239,567PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,341,406CYRevenuesLessExpensesAmt
Total Assets BOY$31,113,383TotalAssetsBOYAmt
Total Assets EOY$36,424,517TotalAssetsEOYAmt
Total Liabilities BOY$304,561TotalLiabilitiesBOYAmt
Total Liabilities EOY$754,813TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$30,808,822NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,669,704NetAssetsOrFundBalancesEOYAmt
MissionPLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND THE VNS HOMECARE, INC.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$488,361ExpenseAmt
DescDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT PROVIDED PLANNING, MANAGEMENT, AND FUNDRAISING ACTIVITIES FOR SOUTH COUNTY HOSPITAL AND VNS HOMECARE, INC. BY PROVIDING THESE SERVICES, THE HOSPITAL AND VNS HOMECARE, INC. 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 TO PROMOTE THE HOSPITAL SYSTEM TO THE COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,850ExpenseAmt
DescDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT CONTINUED ITS CAPITAL CAMPAIGN TO RAISE MONEY FOR A CANCER CENTER. THE SYSTEM RECOGNIZED THIS AS A NEED FOR THE COMMUNITY AND THE GOAL IS FOR THE CAPITAL CAMPAIGN TO ALLOW THE SYSTEM TO BUILD A CANCER CENTER WITHOUT USING ITS OPERATING CASH AND INVESTMENTS. AS OF SEPTEMBER 30, 2018, THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT HAS RAISED APPROXIMATELY $6,594,846 WHICH IS OVER ITS $6,500,000 GOAL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$495,211TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARCIA POLHEMUSPersonNm
Phone4017828000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TED ALMON
TRUSTEE1.02.0Yes (X)$0$0$0
ROBERT BEAGLE
TRUSTEE1.02.0Yes (X)$0$0$0
STEPHANIE CHAFEE RN MBA
TRUSTEE1.02.0Yes (X)$0$0$0
ELEANOR C FERGUSON
TRUSTEE1.02.0Yes (X)$0$0$0
JOHN H HOWLAND
TRUSTEE1.02.0Yes (X)$0$0$0
JASON MARSHALL
TRUSTEE1.02.0Yes (X)$0$0$0
ROBERT PANOFF
TRUSTEE1.02.0Yes (X)$0$0$0
DAVID ROWE MD
TRUSTEE1.02.0Yes (X)$0$0$0
RICHARD DEL SESTO MD
TRUSTEE1.02.0Yes (X)$0$4,800$0
AUSTIN C SMITH
TRUSTEE1.02.0Yes (X)$0$0$0
DONNA D VANDERBECK
TRUSTEE1.02.0Yes (X)$0$0$0
AARON WEISBORD MD
PRES OF THE MED STAFF1.041.0Yes (X)$0$419,607$29,103
EVE KEENAN RN EDD
CHAIRPERSON UNTIL 5/20181.02.0Yes (X)$0$0$0
M BEVERLY SWAN PDD
VICE CHAIRPERSON UNTIL 5/20181.02.0Yes (X)$0$0$0
JAMES FARRELL
VICE CHAIRMAN AS OF 5/20181.02.0Yes (X)$0$0$0Yes (X)
DENNIS LYNCH
CHAIRMAN AS OF 5/20181.02.0Yes (X)$0$0$0
SALVATORE ABBRUZZESE JR DO
VP OF MED STAFF1.041.0Yes (X)$0$248,483$27,487
BETTY RAMBUR PHD
SECRETARY AS OF 5/20181.02.0Yes (X)$0$0$0
VICTORIA A WICKS
TREASURER AS OF 5/20181.02.0Yes (X)$0$0$0
ROBERT DYER
TRUSTEE AS OF 07/20181.02.0Yes (X)$0$0$0
LOUIS R GIANCOLA
PRESIDENT AND CEO1.041.0$0$392,300$26,348Yes (X)
THOMAS J BREEN
CHIEF FINANCIAL OFFICER2.042.0$0$393,731$26,218Yes (X)
LISA RAMEAKA
FORMER DIRECTOR0.040.0$0$331,187$28,913Yes (X)
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN0.040.0$0$196,455$15,369Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,986,563TotReportableCompRltdOrgAmt
Total Other Compensation$153,438TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonNONEPersonNm
FieldValueIRS element (for citing)
Contractor AddressContractorAddress
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$164,196FundraisingAmt
All Other Contributions$6,314,873AllOtherContributionsAmt
Noncash Contributions$149,397NoncashContributionsAmt
Total Contributions$6,479,069TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$456,339TotalRevenueColumnAmt
Exclusion$456,339ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$460,553SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$225,137SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$235,416SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$235,416TotalRevenueColumnAmt
Exclusion$235,416ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$67,109FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$164,196ContriRptFundraisingEventAmt
Fundraising Direct Expenses$56,909FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,200TotalRevenueColumnAmt
Exclusion$10,200ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$96,224GrossSalesOfInventoryAmt
Cost Of Goods Sold$53,779CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,445TotalRevenueColumnAmt
Exclusion$42,445ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,223,469TotalRevenueColumnAmt
Exclusion$744,400ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$559,396TotalAmt
Program Services$301,428ProgramServicesAmt
Management And General$257,968ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$80,740TotalAmt
Program Services$69,397ProgramServicesAmt
Management And General$11,343ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,020TotalAmt
Management And General$10,020ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,967TotalAmt
Management And General$23,967ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$48,122TotalAmt
Management And General$48,122ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$51,848TotalAmt
Program Services$51,848ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,398TotalAmt
Program Services$18,350ProgramServicesAmt
Management And General$48ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$307TotalAmt
Program Services$307ProgramServicesAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,037TotalAmt
Program Services$1,037ProgramServicesAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,373TotalAmt
Program Services$2,373ProgramServicesAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,985TotalAmt
Management And General$30,985ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CULTIVATION EVENTS$26,481$26,481$0
CREDIT CARD FEES$12,303$12,303$0
MINOR EQUIPMENT$4,399$0$4,399
BANK SERVICE CHARGE$3,886$3,886$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,801TotalAmt
Program Services$2,801ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$882,063TotalAmt
Program Services$495,211ProgramServicesAmt
Management And General$386,852ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$81,965BOYAmt
EOY$10,457EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$173,084BOYAmt
EOY$811,291EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$611,457BOYAmt
EOY$261,074EOYAmt

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$562,546LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$555,133LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,785BOYAmt
EOY$7,413EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,464,926BOYAmt
EOY$13,071,122EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$17,772,166BOYAmt
EOY$22,263,160EOYAmt

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$31,113,383BOYAmt
EOY$36,424,517EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY-$32BOYAmt
EOY$4,344EOYAmt

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$304,593BOYAmt
EOY$750,469EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$304,561BOYAmt
EOY$754,813EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,284,969BOYAmt
EOY$26,417,379EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,860,242BOYAmt
EOY$1,381,219EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,663,611BOYAmt
EOY$7,871,106EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,808,822BOYAmt
EOY$35,669,704EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,113,383BOYAmt
EOY$36,424,517EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,341,406ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$441,663NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,922,187OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$4,180,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,810,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,612,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,047,601CurrentTaxYearMinus1YearAmt
Current Tax Year$6,479,069CurrentTaxYearAmt
Total$21,129,389TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,180,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,810,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,612,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,047,601CurrentTaxYearMinus1YearAmt
Current Tax Year$6,479,069CurrentTaxYearAmt
Total$21,129,389TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$4,067,223SubstantialContributorsTotAmt
Public Support Total170$17,062,166PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$338,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$557,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$282,860CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$840,816CurrentTaxYearMinus1YearAmt
Current Tax Year$456,339CurrentTaxYearAmt
Total$2,475,693TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$10,200CurrentTaxYearAmt
Total$10,200TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$203,379CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,935CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,830CurrentTaxYearMinus1YearAmt
Current Tax Year$42,445CurrentTaxYearAmt
Total$339,033TotalAmt
FieldValueIRS element (for citing)
Total Support$23,954,315TotalSupportAmt
Public Support CY1700.71228PublicSupportCY170Pct
Public Support PY1700.80490PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,740,903BeginningYearBalanceAmt
Investment Earnings Or Losses$1,359,465InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,000GrantsOrScholarshipsAmt
Other Expenditures$7,746OtherExpendituresAmt
End Year Balance$26,091,622EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,008,203BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,093,929InvestmentEarningsOrLossesAmt
Grants Or Scholarships$3,000GrantsOrScholarshipsAmt
Other Expenditures$170,371OtherExpendituresAmt
End Year Balance$24,740,903EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,138,954BeginningYearBalanceAmt
Contributions$895ContributionsAmt
Investment Earnings Or Losses$1,157,972InvestmentEarningsOrLossesAmt
Grants Or Scholarships$4,000GrantsOrScholarshipsAmt
Other Expenditures$285,618OtherExpendituresAmt
End Year Balance$26,008,203EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.76450BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.23020PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00530TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$562,546OtherCostOrOtherBasisAmt
Depreciation$555,133DepreciationAmt
Book Value$7,413BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$7,413TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ASSETS HELD IN TRUST$8,033,080F
ENDOWMENT POOLED INVESTMENTS$13,069,943F
DONOR RESTRICTED FUNDS$1,160,137F
FieldValueIRS element (for citing)
Total Book Value Securities$22,263,160TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
GIFT ANNUITY$201,966
DUE TO AFFILIATES$548,503
FieldValueIRS element (for citing)
Total Liability$750,469TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,925,511TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$441,663NetUnrealizedGainsInvstAmt
Other Revenue$154,211OtherRevenueAmt
Revenue Not Reported$595,874RevenueNotReportedAmt
Revenue Subtotal$5,329,637RevenueSubtotalAmt
Investment Expenses Not Incld$48,122InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,845,710OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,893,832RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,223,469TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,064,629TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$230,688OtherExpensesIncludedAmt
Expenses Not Reported$230,688ExpensesNotReportedAmt
Expenses Subtotal$833,941ExpensesSubtotalAmt
Investment Expenses Not Incld2$48,122InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$48,122ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$882,063TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND ARE TO FUND CAPITAL EXPENDITURES.
PART X, LINE 2THE 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 AND SOUTH COUNTY HOME HEALTH) OPERATE AS DESCRIBED IN SECTION 501(C)(3) 0F 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 WHICH IS 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 JUDGMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2018 OR 2017. ON DECEMBER 22, 2017, THE PRESIDENT SIGNED INTO LAW H.R. 1, ORIGINAL KNOWN AS THE TAX CUTS AND JOBS ACT. THE NEW LAW INCLUDES SEVERAL PROVISIONS THAT RESULT IN SUBSTANTIAL CHANGES TO THE TAX TREATMENT OF TAX-EXEMPT ORGANIZATIONS AND THEIR DONORS. THE HOSPITAL HAS REVIEWED THESE PROVISIONS AND THE POTENTIAL IMPACT AND CONCLUDED THE ENACTMENT OF HR. 1 WILL NOT HAVE A MATERIAL EFFECT ON THE OPERATIONS OF THE ORGANIZATION.
PART XI, LINE 2D - OTHER ADJUSTMENTSUNREALIZED CHANGE IN EQUITY INTERESTS IN LP 154,211
PART XI, LINE 4B - OTHER ADJUSTMENTSTRANSFER FROM TRNA FOR CAPITAL EXPENDITURES 1,956,398 FUNDRAISING EXPENSES (56,909) COST OF GOODS SOLD (53,779) ---------- TOTAL TO SCHEDULE D, PART XI, LINE 4B 1,845,710
PART XII, LINE 2D - OTHER ADJUSTMENTSFUNDRAISING EXPENSES 56,909 NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL EXPENDITURES 120,000 COST OF GOODS SOLD 53,779 -------- TOTAL TO SCHEDULE D, PART XII, LINE 2D 230,688

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12018 INVITATIONEvent1Nm
Gross Receipts Event1$139,200GrossReceiptsEvent1Amt
Charitable Contri Event1$96,321CharitableContriEvent1Amt
Gross Revenue Event1$42,879GrossRevenueEvent1Amt
Non Cash Prizes Event1$3,920NonCashPrizesEvent1Amt
Rent Facility Costs Event1$36,908RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$2,051OtherDirectExpensesEvent1Amt
Event22018 MEMORIALEvent2Nm
Gross Receipts Event2$48,746GrossReceiptsEvent2Amt
Charitable Contri Event2$47,250CharitableContriEvent2Amt
Gross Revenue Event2$1,496GrossRevenueEvent2Amt
Rent Facility Costs Event2$595RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$901OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$43,359GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$20,625CharitableContriOtherEventsAmt
Gross Revenue Other Events$22,734GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$10,608RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events$1,926OthDirectExpnssOtherEventsAmt
Gross Receipts Total$231,305GrossReceiptsTotalAmt
Charitable Contributions Tot$164,196CharitableContributionsTotAmt
Gross Revenue Total Events$67,109GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,920NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$48,111RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$4,878OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$56,909DirectExpenseSummaryEventsAmt
Net Income Summary$10,200NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
AARON WEISBORD MD
PRES OF THE MED STAFF$215,114$204,242$251$9,450$19,653$448,710
SALVATORE ABBRUZZESE JR DO
VP OF MED STAFF$234,769$13,375$339$8,737$18,750$275,970
LOUIS R GIANCOLA
PRESIDENT AND CEO$367,088$25,212$9,450$16,898$418,648
THOMAS J BREEN
CHIEF FINANCIAL OFFICER$390,814$2,917$9,450$16,768$419,949
LISA RAMEAKA
FORMER DIRECTOR$330,666$521$9,450$19,463$360,100
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN$160,760$35,695$6,879$8,490$211,824

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonLISA RAMEAKAPersonNm
Relationship With OrgPHYSICIANRelationshipWithOrgTxt
Loan PurposeMIDWIFE PRACTICE PURLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$38,115OriginalPrincipalAmt
Balance Due$45,070BalanceDueAmt
DefaultYes (true)DefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$45,070TotalBalanceDueAmt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$149,397NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

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 I, Line 5, Part VII & Part IX, Lines 7 & 9The South County Hospital Healthcare system endowment does not have any employees. They share employees with south county hospital. The salaries and employee benefits reported in Part VII & Part IX are reimbursed by the endowment to South County Hospital.
Form 990, Part VI, Section B, Line 11The 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 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 exists. 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 contemporaneously 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 XI, LINE 9UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 154,211 TRANSFER FROM TRNA FOR CAPITAL EXPENDITURES (1,956,398) NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL EXPENDITURES (120,000) ----------- TOTAL TO FORM 990, PART XI, LINE 9 (1,922,187)
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 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 (true)
SOUTH COUNTY HOME HEALTH
14 WOODRUFF AVENUEWAKEFIELDRI02879056033975HEALTHCARERI501(C)(3)10SC HOSPITALYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPNAYRISCH HEALTHCAREC Corp-$1,350$317,5681.00000Yes (true)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313PERSONAL CARERISSHC MANAGEMENTC Corp$0$43,8591.00000Yes (true)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937MEDICAL EQUIPMENTRISSCH MANAGEMENTC Corp-$383,989$729,4601.00000Yes (true)
CHARITABLE REMAINDER TRUSTS (3)
NA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
b$2,051,398FMV
SOUTH COUNTY HOME HEALTH
b$25,000FMV
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
o$848,789FMV