2016-08-15T10:15:00-05:00 2015-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2014-10-01 050259093 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN CHIEF FINANCIAL OFFICER 4017828000 2016-08-10 1 DOUGLAS FARRINGTON P00370668 8607600600 2014 2016-12-15 16:53:06Z THOMAS J BREEN 100 KENYON AVENUE WAKEFIELD RI 02879 5448749 0 X N/A X 1989 RI PLANNING, MANAGEMENT & FUNDRAISING FOR HOSPITAL SYSTEM. 18 16 0 0 0 0 4180062 4810042 0 0 338147 557531 215217 20102 4733426 5387675 0 0 0 0 656614 613783 0 0 0 502591 486182 1159205 1099965 3574221 4287710 30808950 31992340 525792 569074 30283158 31423266 PLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND THE VNS HOMECARE INC. 0 0 526144 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT PROVIDED PLANNING, MANAGEMENT, AND FUNDRAISING ACTIVITIES FOR SOUTH COUNTY HOSPITAL AND VNS HOMECARE, INC. BY PROVIDING THESE SERVICES, THE HOSPITAL AND VNS HOMECARE, INC. WERE ABLE TO FOCUS THEIR ACTIVITIES MORE TOWARD PROVIDING HIGH-QUALITY MEDICAL SERVICES TO PERSONS IN SOUTHERN RHODE ISLAND. THE HEALTHCARE SYSTEM ENDOWMENT WAS INSTRUMENTAL IN HELPING RECRUIT NEW PHYSICIANS TO WORK FOR SOUTH COUNTY HOSPITAL, RAISE ADDITIONAL CHARITABLE DONATIONS FOR THE HOSPITAL SYSTEM, AND TO PROMOTE THE HOSPITAL SYSTEM TO THE COMMUNITY. 459587 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015, SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT CONTINUED ITS CAPITAL CAMPAIGN TO RAISE MONEY FOR A CANCER CENTER. THE SYSTEM RECOGNIZED THIS AS 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, 2015, THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT HAS RAISED APPROXIMATELY FIVE AND A HALF MILLION OF ITS SIX AND A HALF MILLION DOLLAR GOAL. 985731 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 6 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI X X MARCIA POLHEMUS 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 TED ALMON TRUSTEE 1.00 1.00 X 0 0 0 ROBERT BEAGLE TRUSTEE 1.00 2.00 X 0 0 0 IRWIN BIRNBAUM ESQ TRUSTEE 1.00 1.00 X 0 0 0 KATHLEEN CASSIN MD TRUSTEE (TERM EXPIRED APR 2015) 1.00 40.00 X 0 204367 12929 STEPHANIE CHAFEE RN MBA TRUSTEE 1.00 1.00 X 0 0 0 EDWARD CIMILLUCA TRUSTEE 1.00 1.00 X 0 0 0 DUNCAN COCROFT TRUSTEE 1.00 1.00 X 0 0 0 RICHARD DEL SESTO MD TRUSTEE 1.00 1.00 X 0 0 0 JASON MARSHALL TRUSTEE 1.00 2.00 X 0 0 0 ROBERT PANOFF TRUSTEE 1.00 2.00 X 0 0 0 DAVID ROWE MD TRUSTEE 1.00 1.00 X 0 0 0 HENRY SHARPE III TRUSTEE 1.00 1.00 X 0 0 0 DONNA D VANDERBECK TRUSTEE 1.00 1.00 X 0 0 0 WILLIAM SABINA MD FACEP PRESIDENT OF THE MEDICAL STAFF 1.00 10.00 X 0 68750 0 AARON WEISBORD MD VP OF THE MEDICAL STAFF / PHYSICIAN 1.00 40.00 X 0 390297 26002 EVE KEENAN RN EDD CHAIRPERSON 1.00 2.00 X X 0 0 0 M BEVERLY SWAN PHD VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 DENNIS LYNCH SECRETARY 1.00 1.00 X X 0 0 0 JAMES FARRELL TREASURER 1.00 1.00 X X 0 0 0 JOSEPH MATTHEWS TREASURER (TERM EXPIRED APR 2015) 1.00 1.00 X X 0 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO 1.00 41.00 X 0 355577 24366 THOMAS J BREEN CHIEF FINANCIAL OFFICER 2.00 40.00 X 0 371240 24235 DONNA M NEVILLE VP OF DEVELOPMENT 40.00 0.00 X 0 123053 12150 LISA RAMEAKA FORMER DIRECTOR 0.00 40.00 X 0 318790 27830 0 1832074 127512 0 1 1 0 0 131603 4678439 135621 4810042 557531 557531 33937 131603 37272 -3335 -3335 40304 23802 16502 16502 OTHER REVENUE 900099 6935 6935 6935 5387675 0 0 577633 X 536286 536286 77497 77497 1400 1400 28157 28157 35851 35851 111279 111279 5000 5000 98367 86594 11773 240 240 17283 17283 26804 26804 37053 37053 DEBT FORGIVENESS 82050 82050 PUBLICATIONS 9593 9593 SPECIAL EVENTS EXPENSE 9439 9439 DEVELOPMENT EXPENSE 9301 9301 14365 14365 1099965 985731 114234 0 302614 204860 2465149 4657284 1818318 2243513 39503 41215 1190 0 562546 539473 49876 23073 26008202 24740904 124098 81491 30808950 31992340 463 37523 525329 531551 525792 569074 X 18406764 17300731 4313915 6847989 7562479 7274546 30283158 31423266 30808950 31992340 X 4287710 -1295794 -1851808 X X 0 1 X 1 0 X 1813160 2189608 2055452 4180062 4810042 15048324 1813160 2189608 2055452 4180062 4810042 15048324 584403 14463921 780317 537418 526266 338147 557531 2739679 10663 7211 203379 6935 228188 18016191 440024 0.80280 0.74400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26008203 -1093929 3000 170371 24740903 25138954 895 1157972 4000 285618 26008203 24231221 9415 1503578 605260 25138954 21414769 1350 3413491 598389 24231221 22291346 443020 -1141587 178010 21414769 0.69000 0.30000 0.01000 1 0 562546 539473 23073 23073 ENDOWMENT POOLED INVESTMENTS 17140372 F PERMANENTLY RESTRICTED TRUST FUND 7274546 F TEMPORARY RESTRICTED TRUST FUND 325986 F 24740904 DUE TO AFFILIATES 315549 OTHER LIABILITIES (GIFT ANNUITY) 216002 531551 X 4117104 -1295794 25223 -1270571 5387675 0 5387675 1125188 61074 61074 1064114 35851 35851 1099965 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND TO 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 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 2015 OR 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 37,272. INVENTORY COSTS OF GOODS SOLD 23,802. INVESTMENT EXPENSES -35,851. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 37,272. INVENTORY COSTS OF GOODS SOLD 23,802. 2015 INVITATIONAL 91610 68282 23328 8902 13625 450 2015 MEMORIAL 46223 45428 795 1145 967 1 27707 17893 9814 10844 1339 165540 131603 33937 8902 25614 2756 37272 -3335 0 0 0 0 0 0 0 0 0 KATHLEEN CASSIN MD TRUSTEE (TERM EXPIRED APR 2015) 0 147788 0 56579 0 0 0 4770 0 8159 0 217296 0 0 AARON WEISBORD MD VP OF THE MEDICAL STAFF / PHYSICIAN 0 199633 0 190664 0 0 0 7899 0 18103 0 416299 0 0 LOUIS R GIANCOLA PRESIDENT AND CEO 0 354266 0 0 0 1311 0 8925 0 15441 0 379943 0 0 THOMAS J BREEN CHIEF FINANCIAL OFFICER 0 371240 0 0 0 0 0 8925 0 15310 0 395475 0 0 LISA RAMEAKA FORMER DIRECTOR 0 288764 0 30026 0 0 0 8925 0 18905 0 346620 0 0 LISA RAMEAKA PHYSICIAN MIDWIFE PRACTICE PURCHASE X 56118 41215 1 1 1 41215 X 9 135621 FAIR MARKET VALUE 0 0 0 FORM 990, PART I, LINE 5 / FORM 990, PART VII & PART IX, LINES 7 & 9: THE 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 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AT A BOARD MEETING PRIOR TO THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15A THE 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CAPITAL CAMPAIGN CONSULTING: PROGRAM SERVICE EXPENSES 75,401. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,401. SERVICE CONTRACT: PROGRAM SERVICE EXPENSES 2,711. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,711. DEVELOPMENT CONSULTING: PROGRAM SERVICE EXPENSES 31,167. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,167. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,000. FORM 990, PART XI, LINE 9: UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 23,534. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS -287,933. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -18,576. NET ASSETS RELEASED FROM RESTRICTIONS -1,568,833. 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. SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 100 KENYON AVENUE WAKEFIELD RI 02879 050445136 HOSPITAL RI 501(C)(3) 3 SOUTH COUNTY HOSPITAL HC SYSTEM ENDOWMENT 1 VNS HOMECARE INC 14 WOODRUFF AVENUE WAKEFIELD RI 02879 056033975 TO PROVIDE HEALTH CARE RI 501(C)(3) 9 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 0 SILVER SPRING HEALTH CARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SOUTH COUNTY HOSPITAL HEALTHCARE C 0 SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 HOME BASED PERSONAL CARE RI SILVER SPRING HEALTH CARE MANAGEMENT C 0 SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFIELD RI 02879 050478937 RETAIL PROVIDER OF MEDICAL EQUIPMENT RI SILVER SPRING HEALTH CARE MANAGEMENT C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM O 800618 ACTUAL COST SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM B 60512