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SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-14
IRS object ID
201802269349301045
Schema version
2016v3.1
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)
Return2018-08-14T15:39:11-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

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 Begin2016-10-01TaxPeriodBeginDt

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
Signature2018-01-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone8605223200PhoneNum
Preparation2018-01-18PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$4,241,543GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionPLANNING, MANAGEMENT & FUNDRAISING FOR SOUTH COUNTY HEALTHCARE HOSPITAL SYSTEM.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,612,615PYContributionsGrantsAmt
CY Contributions Grants$2,916,252CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$282,860PYInvestmentIncomeAmt
CY Investment Income$350,220CYInvestmentIncomeAmt
PY Other Revenue$32,968PYOtherRevenueAmt
CY Other Revenue$46,443CYOtherRevenueAmt
PY Total Revenue$2,928,443PYTotalRevenueAmt
CY Total Revenue$3,312,915CYTotalRevenueAmt
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$571,251PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$611,866CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$363,611PYOtherExpensesAmt
CY Other Expenses$461,482CYOtherExpensesAmt
PY Total Expenses$934,862PYTotalExpensesAmt
CY Total Expenses$1,073,348CYTotalExpensesAmt
PY Revenues Less Expenses$1,993,581PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,239,567CYRevenuesLessExpensesAmt
Total Assets BOY$29,609,840TotalAssetsBOYAmt
Total Assets EOY$31,113,383TotalAssetsEOYAmt
Total Liabilities BOY$539,726TotalLiabilitiesBOYAmt
Total Liabilities EOY$304,561TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,070,114NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$30,808,822NetAssetsOrFundBalancesEOYAmt
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$585,280ExpenseAmt
DescDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2017, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT PROVIDING 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$26,184ExpenseAmt
DescDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2017, 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, 2017, THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT HAS RAISED APPROXIMATELY $6,398,672 OF ITS $6,500,000 GOAL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$611,464TotalProgramServiceExpensesAmt
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 Document15IRPDocumentCnt
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
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 (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EVE KEENAN RN EDD
CHAIRPERSON1.02.0Yes (X)Yes (X)$0$0$0
DENNIS LYNCH
VICE CHAIRPERSON1.02.0Yes (X)Yes (X)$0$0$0
M BEVERLY SWAN PHD
SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
JAMES FARRELL
TREASURER1.02.0Yes (X)Yes (X)$0$0$0
WILLIAM SABINA MD
PRES OF MED STAFF THRU 10/161.011.0Yes (X)$0$55,000$0
AARON WEISBORD MD
PRES OF MED STAFF BEGIN 10/161.041.0Yes (X)$0$410,217$27,776
SALVATORE ABBRUZZESE JR DO
VP OF MED STAFF BEGIN 10/161.041.0Yes (X)$0$240,855$28,485
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)Yes (X)$0$0$0
EDWARD CIMILLUCA
TRUSTEE THRU 4/20171.02.0Yes (X)$0$0$0
RICHARD DEL SESTO MD
TRUSTEE1.02.0Yes (X)$0$4,800$0
ELEANOR C FERGUSON
TRUSTEE1.02.0Yes (X)$0$0$0
JOHN H HOWLAND
TRUSTEE1.02.0Yes (X)$0$0$0
JASON MARSHALL
CHAIRPERSON1.02.0Yes (X)Yes (X)$0$0$0
ROBERT PANOFF
TRUSTEE1.02.0Yes (X)$0$0$0
DAVID ROWE MD
TRUSTEE1.02.0Yes (X)$0$0$0
AUSTIN C SMITH
TRUSTEE1.02.0Yes (X)$0$0$0
DONNA D VANDERBECK
TRUSTEE1.02.0Yes (X)$0$0$0
BETTY RAMBUR PHD
TRUSTEE BEGIN 4/20171.02.0Yes (X)$0$0$0
VICTORIA A WICKS
TRUSTEE BEGIN 4/20171.02.0Yes (X)$0$0$0
LOUIS R GIANCOLA
PRESIDENT AND CEO1.041.0Yes (X)$0$391,780$25,829
THOMAS J BREEN
CHIEF FINANCIAL OFFICER1.041.0Yes (X)$0$385,684$25,839
LISA RAMEAKA
FORMER DIRECTOR0.040.0$0$319,732$29,158Yes (X)
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN0.040.0$0$213,025$17,524Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,021,093TotReportableCompRltdOrgAmt
Total Other Compensation$154,611TotalOtherCompensationAmt
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$438,809FundraisingAmt
All Other Contributions$2,477,443AllOtherContributionsAmt
Noncash Contributions$21,832NoncashContributionsAmt
Total Contributions$2,916,252TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$840,816TotalRevenueColumnAmt
Exclusion$840,816ExclusionAmt

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$252,455SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$743,051SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$490,596SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$490,596TotalRevenueColumnAmt
Exclusion-$490,596ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$131,349FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$438,809ContriRptFundraisingEventAmt
Fundraising Direct Expenses$133,736FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,387TotalRevenueColumnAmt
Exclusion-$2,387ExclusionAmt
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$100,671GrossSalesOfInventoryAmt
Cost Of Goods Sold$51,841CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,830TotalRevenueColumnAmt
Exclusion$48,830ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,312,915TotalRevenueColumnAmt
Exclusion$396,663ExclusionAmt

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$538,361TotalAmt
Program Services$286,170ProgramServicesAmt
Management And General$252,191ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$73,505TotalAmt
Program Services$62,942ProgramServicesAmt
Management And General$10,563ManagementAndGeneralAmt

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$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,177TotalAmt
Management And General$31,177ManagementAndGeneralAmt

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$125,820TotalAmt
Management And General$125,820ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,753TotalAmt
Program Services$23,753ProgramServicesAmt

Advertising AdvertisingGrp

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

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$79,604TotalAmt
Program Services$78,456ProgramServicesAmt
Management And General$1,148ManagementAndGeneralAmt

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$238TotalAmt
Program Services$238ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,733TotalAmt
Program Services$12,733ProgramServicesAmt

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

Insurance InsuranceGrp

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

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DEBT FORGIVENESS$92,968$92,968
CULTIVATION EVENTS$25,971$25,971
CREDIT CARD FEES$8,332$8,332
BANK SERVICE CHARGE$5,645$5,645

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,883TotalAmt
Program Services$6,883ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,073,348TotalAmt
Program Services$611,464ProgramServicesAmt
Management And General$461,884ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$197,106BOYAmt
EOY$81,965EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$53,643BOYAmt
EOY$173,084EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,590,929BOYAmt
EOY$611,457EOYAmt

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$43,090BOYAmt
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$552,761LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,158BOYAmt
EOY$9,785EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,107,526BOYAmt
EOY$12,464,926EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,552,760BOYAmt
EOY$17,772,166EOYAmt

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$52,628BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,609,840BOYAmt
EOY$31,113,383EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY-$32EOYAmt

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$533,726BOYAmt
EOY$304,593EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$539,726BOYAmt
EOY$304,561EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,937,958BOYAmt
EOY$21,284,969EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,102,648BOYAmt
EOY$1,860,242EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,029,508BOYAmt
EOY$7,663,611EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,070,114BOYAmt
EOY$30,808,822EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,609,840BOYAmt
EOY$31,113,383EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,239,567ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,555,693NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,056,552OtherChangesInNetAssetsAmt
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$2,055,452CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,180,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,810,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,612,615CurrentTaxYearMinus1YearAmt
Current Tax Year$3,047,601CurrentTaxYearAmt
Total$16,705,772TotalAmt

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$2,055,452CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,180,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,810,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,612,615CurrentTaxYearMinus1YearAmt
Current Tax Year$3,047,601CurrentTaxYearAmt
Total$16,705,772TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$991,628SubstantialContributorsTotAmt
Public Support Total170$15,714,144PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$526,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$338,147CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$557,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$282,860CurrentTaxYearMinus1YearAmt
Current Tax Year$840,816CurrentTaxYearAmt
Total$2,545,620TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,379CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,935CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,998CurrentTaxYearMinus1YearAmt
Current Tax Year$48,830CurrentTaxYearAmt
Total$271,353TotalAmt
FieldValueIRS element (for citing)
Total Support$19,522,745TotalSupportAmt
Public Support CY1700.80492PublicSupportCY170Pct
Public Support PY1700.82400PublicSupportPY170Pct
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

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

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,231,221BeginningYearBalanceAmt
Contributions$9,415ContributionsAmt
Investment Earnings Or Losses$1,503,578InvestmentEarningsOrLossesAmt
Other Expenditures$605,260OtherExpendituresAmt
End Year Balance$25,138,954EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.72810BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.26430PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00760TermEndowmentBalanceEOYPct
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$552,761DepreciationAmt
Book Value$9,785BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp
EquipmentEquipmentGrp
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$9,785TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ENDOWMENT POOLED INVESTMENTS$8,651,634F
ASSETS HELD IN TRUST$7,864,517F
DONOR RESTRICTED FUNDS$1,256,015F
FieldValueIRS element (for citing)
Total Book Value Securities$17,772,166TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
GIFT ANNUITY$208,137
DUE TO AFFILIATES$96,456
FieldValueIRS element (for citing)
Total Liability$304,593TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,963,244TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,555,693NetUnrealizedGainsInvstAmt
Other Revenue$260,157OtherRevenueAmt
Revenue Not Reported$2,815,850RevenueNotReportedAmt
Revenue Subtotal$147,394RevenueSubtotalAmt
Investment Expenses Not Incld$125,820InvestmentExpensesNotIncldAmt
Other Revenues Not Included$3,039,701OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,165,521RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,312,915TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,224,536TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$277,008OtherExpensesIncludedAmt
Expenses Not Reported$277,008ExpensesNotReportedAmt
Expenses Subtotal$947,528ExpensesSubtotalAmt
Investment Expenses Not Incld2$125,820InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$125,820ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,073,348TotalExpensesPerForm990Amt

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 2017 OR 2016.
PART XI, LINE 2D - OTHER ADJUSTMENTSUNREALIZED CHANGE IN EQUITY INTERESTS IN LP 74,580 FUNDRAISING EXPENSES 133,736 COST OF GOODS SOLD 51,841 ---------- TOTAL TO SCHEDULE D, PART XI, LINE 2D 260,157
PART XI, LINE 4B - OTHER ADJUSTMENTSTRANSFER FROM TRNA FOR CAPITAL EXPENDITURES 3,039,701
PART XII, LINE 2D - OTHER ADJUSTMENTSFUNDRAISING EXPENSES 133,736 NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL EXPENDITURES 91,431 COST OF GOODS SOLD 51,841 -------- TOTAL TO SCHEDULE D, PART XII, LINE 2D 277,008

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event12017 GALAEvent1Nm
Gross Receipts Event1$366,073GrossReceiptsEvent1Amt
Charitable Contri Event1$280,206CharitableContriEvent1Amt
Gross Revenue Event1$85,867GrossRevenueEvent1Amt
Rent Facility Costs Event1$37,226RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$48,642OtherDirectExpensesEvent1Amt
Event22017 INVITATIONEvent2Nm
Gross Receipts Event2$122,407GrossReceiptsEvent2Amt
Charitable Contri Event2$88,153CharitableContriEvent2Amt
Gross Revenue Event2$34,254GrossRevenueEvent2Amt
Non Cash Prizes Event2$3,209NonCashPrizesEvent2Amt
Rent Facility Costs Event2$30,000RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$1,045OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$81,678GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$70,451CharitableContriOtherEventsAmt
Gross Revenue Other Events$11,227GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$11,235RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events$2,379OthDirectExpnssOtherEventsAmt
Gross Receipts Total$570,158GrossReceiptsTotalAmt
Charitable Contributions Tot$438,810CharitableContributionsTotAmt
Gross Revenue Total Events$131,348GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,209NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$78,461RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$52,066OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$133,736DirectExpenseSummaryEventsAmt
Net Income Summary-$2,388NetIncomeSummaryAmt

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 OrganizationsBonusRelatedOrganizationsAmtDeferred 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 OrgsCompReportPrior990RltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
AARON WEISBORD MD
PRES OF MED STAFF BEGIN 10/16$208,088$202,129$0$9,625$0$18,151$0$437,993$0$0
SALVATORE ABBRUZZESE JR DO
VP OF MED STAFF BEGIN 10/16$227,530$13,325$10,912$17,573$269,340
LOUIS R GIANCOLA
PRESIDENT AND CEO$389,520$0$9,625$0$16,204$0$417,609$0$0$2,260
THOMAS J BREEN
CHIEF FINANCIAL OFFICER$385,684$0$9,625$0$16,214$0$411,523$0$0
LISA RAMEAKA
FORMER DIRECTOR$314,732$5,000$0$10,010$0$19,148$0$348,890$0$0
KATHLEEN CASSIN MD
FORMER TRUSTEE/PHYSICIAN$168,824$44,201$0$9,277$0$8,247$0$230,549$0$0

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$56,118OriginalPrincipalAmt
Balance Due$45,070BalanceDueAmt
DefaultYes (true)DefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
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
Contribution13ContributionCnt
Noncash Contributions Rpt F990$21,832NoncashContributionsRptF990Amt
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 COMMITIEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY 0F 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 COMMITIEE 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 74,580 TRANSFER FROM TRNA FOR CAPITAL EXPENDITURES (3,309,701) NET ASSETS RELEASED FROM RESTRICTION FOR CAPITAL EXPENDITURES (91,431) ----------- TOTAL TO FORM 990, PART XI, LINE 9 (3,056,552)
FORM 990, PART XII, LINE 2CFINANCIAL STATEMENTS AND REPORTING THE ORGANIZATIONS AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATIONS FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATIONS 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 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 OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPANYRISCH HEALTHCAREC CORP-$7,474$196,6171.00000Yes (true)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313PERSONAL CARERISSHC MANAGEMENTC CORP$56,198$43,4831.00000Yes (true)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937MEDICAL EQUIPMENTRISSHC MANAGEMENTC CORP-$65,062$1,048,9181.00000Yes (true)
CHARITABLE REMAINDER TRUSTS (3)
N/A
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$3,351,042FMV
SOUTH COUNTY HOME HEALTH
B$50,000FMV
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
O$818,134FMV