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SOUTH COUNTY HOSPITAL HEALTHCARE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE (EIN 05-0445136)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201602289349302700
Schema version
2014v6.0
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)
Return2016-08-15T10:13:14-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050445136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone4017828000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS J BREENPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone4017828000PhoneNum
Signature2016-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDOUGLAS FARRINGTONPreparerPersonNm
PTINP00370668PTIN
Phone8607600600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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
ZIP02879ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$154,269,157GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSCHOSPITAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTO OPERATE A NOT FOR PROFIT HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1372TotalEmployeeCnt
Total Volunteers293TotalVolunteersCnt
Total Gross UBI$406,815TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$280,879NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$29,100PYContributionsGrantsAmt
CY Contributions Grants$413,682CYContributionsGrantsAmt
PY Program Service Revenue$140,898,179PYProgramServiceRevenueAmt
CY Program Service Revenue$149,529,613CYProgramServiceRevenueAmt
PY Investment Income$461,639PYInvestmentIncomeAmt
CY Investment Income$770,434CYInvestmentIncomeAmt
PY Other Revenue$4,700,994PYOtherRevenueAmt
CY Other Revenue$3,555,428CYOtherRevenueAmt
PY Total Revenue$146,089,912PYTotalRevenueAmt
CY Total Revenue$154,269,157CYTotalRevenueAmt
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$73,174,630PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$77,083,781CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$66,580,456PYOtherExpensesAmt
CY Other Expenses$73,656,217CYOtherExpensesAmt
PY Total Expenses$139,755,086PYTotalExpensesAmt
CY Total Expenses$150,739,998CYTotalExpensesAmt
PY Revenues Less Expenses$6,334,826PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,529,159CYRevenuesLessExpensesAmt
Total Assets BOY$121,197,595TotalAssetsBOYAmt
Total Assets EOY$119,185,188TotalAssetsEOYAmt
Total Liabilities BOY$96,559,258TotalLiabilitiesBOYAmt
Total Liabilities EOY$100,917,440TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,638,337NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,267,748NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$119,415,796ExpenseAmt
Revenue$151,904,914RevenueAmt
DescSOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM (THE HOSPITAL) IS AN INDEPENDENT, NON-PROFIT, ACUTE-CARE HOSPITAL, SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND OFFERING THE LATEST ADVANCES IN TECHNOLOGY AND A COMPREHENSIVE RANGE OF MEDICAL AND SURGICAL SERVICES DELIVERED BY EXPERT PHYSICIANS AND HIGHLY TRAINED STAFF. THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM IS COMMITTED TO ITS COMMUNITY AND GUIDED BY THE VALUES OF CARING, RESPECT, INTEGRITY, COLLABORATION AND EXCELLENCE. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015, THE HOSPITAL REPORTED 5,122 DISCHARGES AND 16,371 INPATIENT DAYS. THE DISCHARGES INCLUDED 632 DELIVERIES AND 1,920 INPATIENT SURGERIES. THE HOSPITAL PROVIDED 194,246 OUTPATIENT VISITS; INCLUDING 24,541 OUTPATIENT EMERGENCY ROOM VISITS AND 11,529 URGENT CARE VISITS. THE PROVIDERS IN THE HOSPITAL MEDICAL GROUP PROVIDED 100,832 VISITS.Desc
Total Program Service Expenses$119,415,796TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document94IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1372EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TED ALMON
TRUSTEE1.001.00Yes (X)$0$0$0
ROBERT BEAGLE
TRUSTEE1.002.00Yes (X)$0$0$0
IRWIN BIRNBAUM ESQ
TRUSTEE1.001.00Yes (X)$0$0$0
KATHLEEN CASSIN MD
TRUSTEE (TERM EXPIRED APR 2015)40.001.00Yes (X)$204,367$0$12,929
STEPHANIE CHAFEE RN MBA
TRUSTEE1.001.00Yes (X)$0$0$0
EDWARD CIMILLUCA
TRUSTEE1.001.00Yes (X)$0$0$0
DUNCAN COCROFT
TRUSTEE1.001.00Yes (X)$0$0$0
RICHARD DEL SESTO MD
TRUSTEE1.001.00Yes (X)$0$0$0
JASON MARSHALL
TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT PANOFF
TRUSTEE1.002.00Yes (X)$0$0$0
DAVID ROWE MD
TRUSTEE1.001.00Yes (X)$0$0$0
HENRY SHARPE III
TRUSTEE1.001.00Yes (X)$0$0$0
DONNA D VANDERBECK
TRUSTEE1.001.00Yes (X)$0$0$0
WILLIAM SABINA MD FACEP
PRESIDENT OF THE MEDICAL STAFF10.001.00Yes (X)$68,750$0$0
AARON WEISBORD MD
VP OF THE MEDICAL STAFF / PHYSICIAN40.001.00Yes (X)$390,297$0$26,002
EVE KEENAN RN EDD
CHAIRPERSON1.002.00Yes (X)$0$0$0Yes (X)
M BEVERLY SWAN PHD
VICE CHAIRPERSON1.001.00Yes (X)$0$0$0Yes (X)
DENNIS LYNCH
SECRETARY1.001.00Yes (X)$0$0$0Yes (X)
JAMES FARRELL
TREASURER1.001.00Yes (X)$0$0$0Yes (X)
JOSEPH MATTHEWS
TREASURER (TERM EXPIRED APR 2015)1.001.00Yes (X)$0$0$0Yes (X)
LOUIS R GIANCOLA
PRESIDENT AND CEO40.002.00$355,577$0$24,366Yes (X)
THOMAS J BREEN
CHIEF FINANCIAL OFFICER40.002.00$371,240$0$24,235Yes (X)
ANNE SCHMIDT
VP OF PATIENT CARE SERVICE40.00$197,054$0$8,142Yes (X)
DAVID BADER
PHYSICIAN40.00$421,686$0$25,802Yes (X)
NEIL BRANDON
PHYSICIAN40.00$415,530$0$26,498Yes (X)
DAVID BROZA
PHYSICIAN40.00$400,882$0$15,726Yes (X)
STEVEN FERA
PHYSICIAN40.00$400,176$0$22,184Yes (X)
GERALD COLVIN
PHYSICIAN40.00$359,543$0$20,376Yes (X)
LISA RAMEAKA
FORMER DIRECTOR40.00$318,790$0$27,830Yes (X)
BARBARA SEAGRAVE
FORMER VP OF PATIENT CARE SERVICES0.00$148,322$0$8,109Yes (X)
FREDERICK A BROWNE
FORMER DIRECTOR40.00$258,424$0$13,038Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,310,638TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$255,237TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K78IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SOUTH COUNTY ORTHOPEDICS & PHYSICAL THER
1 HIGH STWAKEFIELDRI02879ORTHOPEDICS AND PHYSICAL THERAPY$398,030
ANNE M HEBERT MD
PO BOX 628WEST KINGSTONRI02892PULMONARY SERVICES AND SLEEP STUDIES$189,800
SOUTH COUNTY PULMONARY MEDICINE INC
360 KINGSTOWN ROADNARRAGANSETTRI02882PULMONARY EVALUATION$165,980
CHACE RUTTENBERG & FREEDMAN LLP
ONE PARK ROWPROVIDENCERI02903LEGAL SERVICES$152,900
SOUTHERN RI PULMONARY & CRITICAL CARE LL
100 KENYON AVENUEWAKEFIELDRI02879PULMONARY SERVICES$140,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$413,682GovernmentGrantsAmt
Total Contributions$413,682TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business622110BusinessCd
Total Revenue Column$149,529,613TotalRevenueColumnAmt
Related Or Exempt Func Income$149,125,373RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$404,240UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$149,529,613TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$763,703TotalRevenueColumnAmt
Exclusion$763,703ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$785,456RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$785,456RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$785,456TotalRevenueColumnAmt
Exclusion$785,456ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$6,731OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$6,731OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,731TotalRevenueColumnAmt
Exclusion$6,731ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEANINGFUL USE REVENUE900099$1,094,047$1,094,047
CAFETERIA722212$392,096$392,096
JV RADIATION621512$272,709$272,709

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,011,120TotalRevenueColumnAmt
Related Or Exempt Func Income$1,008,545RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,575UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,769,972OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,269,157TotalRevenueColumnAmt
Related Or Exempt Func Income$151,500,674RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$406,815UnrelatedBusinessRevenueAmt
Exclusion$1,947,986ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,733,002TotalAmt
Program Services$726,182ProgramServicesAmt
Management And General$1,006,820ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$60,540,751TotalAmt
Program Services$48,000,301ProgramServicesAmt
Management And General$12,540,450ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,724,797TotalAmt
Program Services$1,366,761ProgramServicesAmt
Management And General$358,036ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,890,778TotalAmt
Program Services$6,981,202ProgramServicesAmt
Management And General$1,909,576ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,194,453TotalAmt
Program Services$3,284,378ProgramServicesAmt
Management And General$910,075ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$399,377TotalAmt
Management And General$399,377ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$188,768TotalAmt
Program Services$1,370ProgramServicesAmt
Management And General$187,398ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$47,557TotalAmt
Management And General$47,557ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$48,793TotalAmt
Management And General$48,793ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,631,724TotalAmt
Program Services$5,074,653ProgramServicesAmt
Management And General$4,557,071ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$900,565TotalAmt
Program Services$884ProgramServicesAmt
Management And General$899,681ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,054,030TotalAmt
Program Services$3,115,117ProgramServicesAmt
Management And General$938,913ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,722,067TotalAmt
Program Services$1,323,236ProgramServicesAmt
Management And General$398,831ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,005,754TotalAmt
Program Services$3,078,021ProgramServicesAmt
Management And General$927,733ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$58,890TotalAmt
Program Services$26,712ProgramServicesAmt
Management And General$32,178ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$384,432TotalAmt
Program Services$160,718ProgramServicesAmt
Management And General$223,714ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,494,456TotalAmt
Management And General$2,494,456ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,227,936TotalAmt
Program Services$5,553,946ProgramServicesAmt
Management And General$1,673,990ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,136,626TotalAmt
Program Services$1,977,585ProgramServicesAmt
Management And General$159,041ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
STATE CORPORATE TAX$12,320$12,320
MEDICAL SUPPLIES & DRUG$28,701,660$28,701,660
STATE LICENSE FEE$4,136,613$4,136,613
PROVISION FOR BAD DEBTS$3,278,052$3,278,052

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,226,597TotalAmt
Program Services$2,628,405ProgramServicesAmt
Management And General$1,598,192ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$150,739,998TotalAmt
Program Services$119,415,796ProgramServicesAmt
Management And General$31,324,202ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,560BOYAmt
EOY$6,784EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$13,732,577BOYAmt
EOY$11,460,020EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,690,100BOYAmt
EOY$11,446,909EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,467,974BOYAmt
EOY$3,006,974EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,910,785BOYAmt
EOY$2,309,288EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$146,718,820LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$92,187,797LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$53,173,633BOYAmt
EOY$54,531,023EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$35,559,384BOYAmt
EOY$33,592,284EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,889,093BOYAmt
EOY$1,905,928EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$767,489BOYAmt
EOY$925,978EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$121,197,595BOYAmt
EOY$119,185,188EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,269,551BOYAmt
EOY$18,559,115EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,409,846BOYAmt
EOY$43,620,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$87,567BOYAmt
EOY$52,542EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,792,294BOYAmt
EOY$38,685,783EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,559,258BOYAmt
EOY$100,917,440EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,593,337BOYAmt
EOY$18,222,748EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,000BOYAmt
EOY$45,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,638,337BOYAmt
EOY$18,267,748EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$121,197,595BOYAmt
EOY$119,185,188EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,529,159ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,521,308NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$7,378,440OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$47,557OtherActivitiesAmt
Total Lobbying Expenditures$47,557TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID OUTSIDE VENDORS FOR THE PERFORMANCE OF LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,559,384BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,355,121InvestmentEarningsOrLossesAmt
Other Expenditures$611,979OtherExpendituresAmt
End Year Balance$33,592,284EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$33,440,630BeginningYearBalanceAmt
Investment Earnings Or Losses$2,269,181InvestmentEarningsOrLossesAmt
Other Expenditures$150,427OtherExpendituresAmt
End Year Balance$35,559,384EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$29,841,928BeginningYearBalanceAmt
Contributions$1,596,046ContributionsAmt
Investment Earnings Or Losses$2,002,656InvestmentEarningsOrLossesAmt
End Year Balance$33,440,630EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,013,653BeginningYearBalanceAmt
Contributions$1,735,368ContributionsAmt
Investment Earnings Or Losses$3,192,907InvestmentEarningsOrLossesAmt
Other Expenditures$100,000OtherExpendituresAmt
End Year Balance$29,841,928EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,755,158BeginningYearBalanceAmt
Contributions$8,167,639ContributionsAmt
Investment Earnings Or Losses-$1,709,144InvestmentEarningsOrLossesAmt
Other Expenditures$200,000OtherExpendituresAmt
End Year Balance$25,013,653EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99870BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00130PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$266,821OtherCostOrOtherBasisAmt
Book Value$266,821BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,872,950OtherCostOrOtherBasisAmt
Depreciation$29,767,193DepreciationAmt
Book Value$25,105,757BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,245,150OtherCostOrOtherBasisAmt
Depreciation$645,555DepreciationAmt
Book Value$599,595BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,010,498OtherCostOrOtherBasisAmt
Depreciation$59,291,404DepreciationAmt
Book Value$24,719,094BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,323,401OtherCostOrOtherBasisAmt
Depreciation$2,483,645DepreciationAmt
Book Value$3,839,756BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$54,531,023TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
UNITS OF POOLED ENDOWMENT INVESTMENTS$24,048,907F
ASSETS HELD IN SELF INSURANCE TRUST$9,543,377F
FieldValueIRS element (for citing)
Total Book Value Securities$33,592,284TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
OTHER CURRENT LIABILITIES$20,931
POSTRETIREMENT BENEFIT OBLIGATION$719,445
ACCRUED PENSION COST$18,196,922
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$1,972,276
OTHER LIABILITIES$8,499,266
FAIR VALUE OF SWAP AGREEMENTS$9,276,943
FieldValueIRS element (for citing)
Total Liability$38,685,783TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$151,699,056TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,521,308NetUnrealizedGainsInvstAmt
Other Revenue-$48,793OtherRevenueAmt
Revenue Not Reported-$2,570,101RevenueNotReportedAmt
Revenue Subtotal$154,269,157RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$154,269,157TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$150,691,205TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$150,691,205ExpensesSubtotalAmt
Investment Expenses Not Incld2$48,793InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$48,793ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$150,739,998TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HOSPITAL'S ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES.
PART X, LINE 2:THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL AND VNS HOMECARE, INC.) OPERATE AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE TAX PROVISIONS AND RELATED LIABILITIES FOR SILVER SPRING HEALTH CARE MANAGEMENT WHICH IS A TAXABLE ENTITY CONTROLLED BY THE HOSPITAL ARE NOT SIGNIFICANT. THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2015 OR 2014.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INVESTMENT EXPENSES -48,793.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,956,172TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,989,825DirectOffsettingRevenueAmt
Net Community Benefit Expns$966,347NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,494,895TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,172,038DirectOffsettingRevenueAmt
Net Community Benefit Expns$322,857NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,677,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,175,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,502,044NetCommunityBenefitExpnsAmt
Total Expense0.02370TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,128,773TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,337,525DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,791,248NetCommunityBenefitExpnsAmt
Total Expense0.03250TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,629,423TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$783,351DirectOffsettingRevenueAmt
Net Community Benefit Expns$846,072NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$592,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$233,555DirectOffsettingRevenueAmt
Net Community Benefit Expns$359,257NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$78,100NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,300,335TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,016,906DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,283,429NetCommunityBenefitExpnsAmt
Total Expense0.00860TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,429,108TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,354,431DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,074,677NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$1,971,660BadDebtExpenseAmt
Reimbursed By Medicare$33,003,684ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$45,532,924CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,529,240MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 SOUTH COUNTY RADIATION THERAPY LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesRADIATION ONCOLOGYPrimaryActivitiesTxt
Org Profit Or Ownership0.35000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.00000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVEAddressLine1Txt
CityWAKEFIELDCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02879ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SCHOSPITAL.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.SCHOSPITAL.COMOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.SCHOSPITAL.COMStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.SCHOSPITAL.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.SCHOSPITAL.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.SCHOSPITAL.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SOUTH COUNTY HOSPITALPART V, SECTION B, LINE 5: TO ENSURE THE CHNA REFLECTED THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL, APPROXIMATLEY 25 INDIVIDUALS REPRESENTING THE HOSPITAL AND HEALTH-RELATED ORGANIZATIONS FROM THE COMMUNITY MEET TO REVIEW THE RESULTS OF THE CHNA. THE GOAL OF THE MEETING WAS TO DISCUSS AND PRIORITIZE KEY FINDINGS AND SET THE STAGE FOR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGY. THE LIST OF THE ATTENDEES IS INCLUDED IN APPENDIX A OF THE ATTACHED SCHHS IMPLEMENTATION PLAN DATED AUGUST 26, 2013.
SOUTH COUNTY HOSPITALPART V, SECTION B, LINE 6A: THE OTHER HOSPITAL FACILITIES THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: CARE NEW ENGLAND HEALTH SYSTEMS, CHARTERCARE, LANDMARK MEDICAL CENTER, AND THE WESTERLY HOSPITAL.
SOUTH COUNTY HOSPITALPART V, SECTION B, LINE 6B: THE OTHER ORGANIZATIONS THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: THE HOSPITAL ASSOCIATION OF RHODE ISLAND, AND THE RHODE ISLAND DEPARTMENT OF HEALTH.
SOUTH COUNTY HOSPITALPART V, SECTION B, LINE 7D: THE HOSPITAL ALSO PARTICIPATED IN A STATEWIDE COMPREHENSIVE CHNA LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS AND ENGAGED THE HEALTH COMMUNITIES INSTITUTE (HCI) AND CREATED A WEB SITE (WWW.RIHEALTHMATTERS.ORG). THE SITE PROVIDES ACCESS TO HEALTH STATISTICS AND INDICATORS FROM SECONDARY DATA SOURCES THAT ARE SPECIFIC TO LOCAL GEOGRAPHIES IN RI AND ALSO IS A COMMUNICATION VENUE FOR SHARING BEST PRACTICES AND RELEVANT HEALTH INFORMATION.
SOUTH COUNTY HOSPITALPART V, SECTION B, LINE 11: BY ALIGNING COMMUNITY HEALTH ACTIVITIES WITH THE LOCAL AND STATEWIDE PRIORITIES OF MENTAL HEALTH AND SUBSTANCE ABUSE, HEART DISEASE, DIABETES, AND CANCER, THE HOSPITAL WILL TAKE A COMPREHENSIVE APPROACH TO ADDRESSING THE MOST URGENT NEEDS IN THE COMMUNITY IT SERVES. AS WITH ALL PROGRAMS AND SERVICES, THE HOSPITAL WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY.
SOUTH COUNTY HOSPITALPART V, SECTION B, LINE 22D: CHARGES ARE UNIFORMLY SET FOR ALL PATIENTS REGARDLESS OF PAYOR. CHARGES FOR PATIENTS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UPON DISCHARGE ARE ADJUSTED PER POLICY PRIOR TO BILLING. CHARGES FOR PATIENTS IDENIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER INITIAL BILLING ARE ADJUSTED PER POLICY.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:WWW.SCHOSPITAL.COM
SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:WWW.SCHOSPITAL.COM
SOUTH COUNTY HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:WWW.SCHOSPITAL.COM

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEB SITE.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,278,052.
PART II, COMMUNITY BUILDING ACTIVITIES:SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUPS, WELLNESS SCREENINGS, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THESE PROGRAMS ARE PROVIDED TO THE COMMUNITY EITHER FREE OF CHARGE OR FOR A NOMINAL FEE. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY.
PART III, LINE 4:THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGES 9 & 10 FN #2 AND PAGE 25 FN #8.
PART III, LINE 8:SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF IT'S MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITAL'S CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY2013 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES.
PART III, LINE 9B:PER THE HOSPITAL'S POLICY, PRIOR TO THE PATIENT'S DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT.
PART III, LINE 2SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPALS (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES.
PART VI, LINE 2:SOUTH COUNTY HOSPITAL IDENTIFIES IT'S COMMUNITIES HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS. QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITAL'S COMMUNITY.
PART VI, LINE 3:SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID, ETC) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY.
PART VI, LINE 4:THE CITIES AND TOWNS THAT COMPRISE THE PRIMARY SERVICE AREA OF SOUTH COUNTY HOSPITAL INCLUDE THE TOWNS OF CHARLESTOWN, EXETER, JAMESTOWN, NARRAGANSETT, NORTH KINGSTOWN, AND SOUTH KINGSTOWN. THE TOWNS THAT COMPRISE THE SECONDARY SERVICE AREA INCLUDE THE TOWNS OF BLOCK ISLAND, HOPKINTON, RICHMOND, WESTERLY, AS WELL AS, THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH).THE 2000 TOTAL POPULATION FOR THE APPLICANT'S PRIMARY AND SECONDARY SERVICE AREA FOR ALL AGES, TAKEN FROM THE 2000 CENSUS IS 147,201. THE SERVICE AREA POPULATION IS EXPECTED TO CONTINUE TO GROW TO 163,063 (10.8%) BY THE YEAR 2015. THIS PROJECTION IS BASED ON INFORMATION IN THE STATEWIDE PLANNING PROGRAM TECHNICAL PAPER, NUMBER 154, DATED AUGUST 2004. THE RI STATEWIDE PLANNING PROGRAM TECHNICAL PAPER IDENTIFIES AN IMPORTANT DEMOGRAPHIC TREND THAT WILL HAVE A POTENTIAL IMPACT ON SOUTH COUNTY HOSPITAL - THE AGING POPULATION IN ITS PRIMARY AND SECONDARY SERVICE AREA. THE NUMBER OF INDIVIDUALS IN THE PRIMARY AND SECONDARY SERVICE AREA THAT ARE 65 YEARS AND OLDER IS PROJECTED TO INCREASE FROM 18,709 RECORDED IN THE 2000 CENSUS TO 24,761 BY 2015, WHICH REPRESENTS A 32.3% INCREASE. IN 2000, THE PERCENT OF INDIVIDUALS OVER 65 YEARS OF AGE COMPARED TO THE TOTAL NUMBER OF INDIVIDUALS IN THE PRIMARY AND SECONDARY SERVICE AREA WAS 12.7% (18,709/147,201). IN 2015, THIS PERCENTAGE IS PROJECTED TO INCREASE TO 15.2% (24,761/163,063). INDIVIDUALS 65 YEARS AND OLDER TEND TO UTILIZE HEALTHCARE SERVICES AT A RATE HIGHER THAN INDIVIDUALS 64 YEARS AND YOUNGER.THE CHNA ASSESSMENT COMPLETED IN 2013 PROVIDES ADDITIONAL INFORMATON ON THE COMMUNTIY SERVED BY THE HOSPITAL AND IS AVAILABLE ON THE HOSPITAL WEB SITE AT THE FOLLOWING LINK: WWW.SCHOSPITAL.COM
PART VI, LINE 5:SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY'S HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATIONS NEEDS.THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL:1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES.2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY LOCAL MULTIDISCIPLINARY TEAMS AND CHRONIC CARE SERVICES.3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDINATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY.THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES.THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITALS CONTINUED COMMITTMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 6:THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, VNS HOME HEALTH SERVICES, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.
PART VI, LINE 7, REPORTS FILED WITH STATESRI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHLEEN CASSIN MD
TRUSTEE (TERM EXPIRED APR 2015)$147,788$0$56,579$0$0$0$4,770$0$8,159$0$217,296$0$0$0
AARON WEISBORD MD
VP OF THE MEDICAL STAFF / PHYSICIAN$199,633$0$190,664$0$0$0$7,899$0$18,103$0$416,299$0$0$0
LOUIS R GIANCOLA
PRESIDENT AND CEO$354,266$0$0$0$1,311$0$8,925$0$15,441$0$379,943$0$0$0
THOMAS J BREEN
CHIEF FINANCIAL OFFICER$371,240$0$0$0$0$0$8,925$0$15,310$0$395,475$0$0$0
ANNE SCHMIDT
VP OF PATIENT CARE SERVICE$197,054$0$0$0$0$0$6,756$0$1,386$0$205,196$0$0$0
DAVID BADER
PHYSICIAN$190,209$0$231,477$0$0$0$7,699$0$18,103$0$447,488$0$0$0
NEIL BRANDON
PHYSICIAN$212,235$0$203,295$0$0$0$8,579$0$17,919$0$442,028$0$0$0
DAVID BROZA
PHYSICIAN$189,876$0$211,006$0$0$0$7,515$0$8,211$0$416,608$0$0$0
STEVEN FERA
PHYSICIAN$194,401$0$205,775$0$0$0$7,497$0$14,687$0$422,360$0$0$0
GERALD COLVIN
PHYSICIAN$358,955$0$588$0$0$0$2,029$0$18,347$0$379,919$0$0$0
LISA RAMEAKA
FORMER DIRECTOR$288,764$0$30,026$0$0$0$8,925$0$18,905$0$346,620$0$0$0
BARBARA SEAGRAVE
FORMER VP OF PATIENT CARE SERVICES$0$0$0$0$148,322$0$4,957$0$3,152$0$156,431$0$0$0
FREDERICK A BROWNE
FORMER DIRECTOR$258,424$0$0$0$0$0$7,953$0$5,085$0$271,462$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationFORMER CNO BARBARA SEAGRAVE WAS GIVEN HER ANNUAL SALARY, $184,100, AS A SEVERANCE. THE SEVERANCE AGREEMENT WAS FROM SEPTEMBER 23, 2013 UNTIL SEPTEMBER 24, 2014.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line12015 RI HEALTH & EDUCATION BLDG CORPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521300173BondIssuerEIN
Bond Issued2015-08-12BondIssuedDt
Issue Price$45,545,000IssuePriceAmt
PurposeBLDG CONSTRUCTION/MEDICAL EQUIPMENT/REFINANCE EXISTING BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,925,000RetiredAmt
Total Proceeds$45,545,000TotalProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.02000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.02000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1MERRILL LYNCHBusinessNameLine1Txt
Business Name Line2CAPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Term Of Hedge30.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonWILLIAM SABINAPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionTRUSTEE & PRESIDENT OF THE MEDICAL STAFFRelationshipDescriptionTxt
Transaction$68,750TransactionAmt
TransactionWILLIAM SABINA PROVIDES ADMINISTRATIVE CLINICAL SUPPORT TO SOUTH COUNTY HOSPITAL AND IS THE PRESIDENT OF THE MEDICAL STAFF.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CMEMBERS 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.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS.
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 VI, SECTION B, LINE 16B:THE HOSPITAL'S JOINT VENTURE WITH 21ST CENTURY ONCOLOGY TO PROVIDE FULL SPECTRUM OF PREMIER RADIATION THERAPIES IN THE COMMUNITY WAS FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE.
FORM 990, PART XI, LINE 9:CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS -5,952,879. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 60,512. UNREALIZED LOSS ON INTEREST RATE SWAP -1,571,494. UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 85,421.
FORM 990, PART XII, LINE 2C:FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT
100 KENYON AVEWAKEFIELDRI02879050259093TO SUPPORT ADVANCEMENT OF MEDICINE AND HEALTH CARERI501(C)(3)7N/A0
VNS HOMECARE INC
14 WOODRUFF AVENARRAGANSETTRI02882056033975TO PROVIDE HEALTH CARERI501(C)(3)9Yes (1)SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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 COMPANYRISOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMC-$5,665$1,460,6611.00000Yes (1)
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313HOME BASED PERSONAL CARERISOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMC$214,316$430,4711.00000Yes (1)
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937RETAIL PROVIDER OF MEDICAL EQUIPMENTRISOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMC-$112,457$798,0181.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
SSHM SURGICAL SUPPLY INC
O$852,625
SOUTH COUNTY QUALITY CARE
R$341,913