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SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201432259349302093
Schema version
2012v2.1
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)
Timestamp2014-08-13T13:51:46-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN111986323EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1CITY PLACE II 185 ASYLUM STREETAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050259093EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone4017828000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS J BREENName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4017828000Phone
Date Signed2014-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS FARRINGTONName
PTINP00370668PTIN
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS J BREENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2701688GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionPLANNING, MANAGEMENT & FUNDRAISING FOR HOSPITAL SYSTEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2189608ContributionsGrantsPriorYear
Contributions Grants Current Year2055452ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year537418InvestmentIncomePriorYear
Investment Income Current Year526266InvestmentIncomeCurrentYear
Other Revenue Prior Year-31171OtherRevenuePriorYear
Other Revenue Current Year-23087OtherRevenueCurrentYear
Total Revenue Prior Year2695855TotalRevenuePriorYear
Total Revenue Current Year2558631TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year579557SalariesEtcPriorYear
Salaries Etc Current Year608857SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year310089OtherExpensePriorYear
Other Expenses Current Year384339OtherExpensesCurrentYear
Total Expenses Prior Year889646TotalExpensesPriorYear
Total Expenses Current Year993196TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1806209RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1565435RevenuesLessExpensesCY
Total Assets BOY27064486TotalAssetsBOY
Total Assets EOY28256552TotalAssetsEOY
Total Liabilities BOY684463TotalLiabilitiesBOY
Total Liabilities EOY779441TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26380023NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27477111NetAssetsOrFundBalancesEOY
Mission DescriptionPLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND THE VNS HOMECARE INC.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense878577Expense
DescriptionDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, 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.Description
Total Program Service Expense878577TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARCIA POLHEMUSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4017828000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
IRWIN M BIRNBAUM ESQ
TRUSTEE1.001.00X000
KATHLEEN CASSIN MD
TRUSTEE1.001.00X03390
STEPHANIE CHAFEE RN MBA
TRUSTEE1.001.00X000
EDWARD M CIMILLUCA
TRUSTEE1.001.00X000
DUNCAN COCROFT
TRUSTEE1.001.00X000
NITIN S DAMLE MD
TRUSTEE1.001.00X000
JAMES FARRELL
TRUSTEE1.001.00X000
LAURA HARRIS
TRUSTEE1.002.00X000
JOHN P HEFFERNAN MD
TRUSTEE1.000.00X000
SUSAN KERMES
TRUSTEE1.002.00X000
DENNIS LYNCH
SECRETARY1.001.00X000X
MAUREEN W MOAKLEY
TRUSTEE1.001.00X000
ROBERT PANOFF
TRUSTEE1.002.00X000
HENRY D SHARPE III
TRUSTEE1.001.00X000
RUSSELL R SHIPPEE
TRUSTEE1.000.00X000
MEG SISCO
TRUSTEE1.002.00X000
THE HONORABLE ERNEST C TORRES
TRUSTEE1.001.00X000
LEON D PUPPI
PRESIDENT OF THE MEDICAL S1.001.00X01920000
WILLIAM SABINA MD FACEP
VICE PRESIDENT OF THE MEDI1.001.00X0260100
EVE KEENAN
CHAIRPERSON1.002.00X000X
M BEVERLY SWAN
VICE CHAIRPERSON1.001.00X000X
JOSEPH MATTHEWS
TREASURER1.001.00X000X
CLAIRE WILCOX
SECRETARY1.001.00X000X
LISA RAMEAKA
VICE PRESIDENT OF THE MEDICAL STAFF1.0040.00X029659826391
TED ALMON
TRUSTEE1.001.00X000
RICHARD DEL SESTO MD
TRUSTEE1.001.00X000
LOUIS R GIANCOLA
PRESIDENT AND CEO1.0041.00068626523736X
THOMAS J BREEN
CHIEF FINANCIAL OFFICER2.0040.00041438926327X
DONNA M NEVILLE
VP OF DEVELOPMENT40.000.00011226011477X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1727861TotalReportableCompFrmRltdOrgs
Total Other Compensation87931TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events342193FundraisingEvents
All Other Contributions1713259AllOtherContributions
Noncash Contributions171840NoncashContributions
Total Contributions2055452TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column526266TotalRevenueColumn
Exclusion$526,266ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events62196GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events342193CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses112008FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-49812TotalRevenueColumn
Exclusion-$49,812ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory50563GrossSalesOfInventory
Cost Of Goods Sold31049CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column19514TotalRevenueColumn
Exclusion$19,514ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column7211TotalRevenueColumn
Exclusion$7,211ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7211TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2558631TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$503,179ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total528427Total
Program Services528427ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total80430Total
Program Services80430ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8107Total
Management And General8107ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21572Total
Management And General21572ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total54730Total
Management And General54730ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total89550Total
Program Services89550ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total88918Total
Program Services88918ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total720Total
Program Services720ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1923Total
Program Services1923ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26804Total
Program Services26804ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total30210Total
Management And General30210ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CAPITAL CAMPAIGN EXPENS3736037360
PUBLICATIONS50115011
DEVELOPMENT EXPENSE39713971
DUES & LICENSES944944

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9519Total
Program Services9519ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total993196Total
Program Services878577ProgramServices
Management And General114619ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY423157BOY
EOY462434EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1122893BOY
EOY1577441EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1039317BOY
EOY802029EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY3949BOY
EOY30630EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY44980BOY
EOY35031EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis562546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec485865LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY103484BOY
EOY76681EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY24231221BOY
EOY25138954EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY95485BOY
EOY133352EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27064486BOY
EOY28256552EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY217457BOY
EOY273409EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY467006BOY
EOY506032EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY684463BOY
EOY779441EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16309707BOY
EOY17603402EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2627776BOY
EOY2413563EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7442540BOY
EOY7460146EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26380023BOY
EOY27477111EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27064486BOY
EOY28256552EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1565435ReconcilationRevenueExpenses
Reconciliation Unrealized Invest700686ReconciliationUnrealizedInvest
Reconcilation Other Changes-1169033ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1530184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1787543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1813160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2189608CurrentTaxYearMinus1Year
Current Tax Year2055452CurrentTaxYear
Total9375947Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1530184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1787543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1813160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2189608CurrentTaxYearMinus1Year
Current Tax Year2055452CurrentTaxYear
Total9375947Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total58106AmountsSubstContributorsTotal
Public Support Total1709317841PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years780402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years780317CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year537418CurrentTaxYearMinus1Year
Current Tax Year526266CurrentTaxYear
Total2903552Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year10663CurrentTaxYearMinus1Year
Current Tax Year7211CurrentTaxYear
Total17874Total
FieldValueIRS element (for citing)
Total Support12297373TotalSupport
Gross Receipts From Admissions Etc403155GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.75770PublicSupportPertcentage170
Public Support Pertcent Prior Year0.54600PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance24231221BeginningOfYearBalance
Contributions9415Contributions
Investment Earnings Or Losses1503578InvestmentEarningsOrLosses
Other Expenditures605260OtherExpenditures
End Of Year Balance25138954EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance21414769BeginningOfYearBalance
Contributions1350Contributions
Investment Earnings Or Losses3413491InvestmentEarningsOrLosses
Other Expenditures598389OtherExpenditures
End Of Year Balance24231221EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22291346BeginningOfYearBalance
Contributions443020Contributions
Investment Earnings Or Losses-1141587InvestmentEarningsOrLosses
Other Expenditures178010OtherExpenditures
End Of Year Balance21414769EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20874078BeginningOfYearBalance
Contributions769347Contributions
Investment Earnings Or Losses1640399InvestmentEarningsOrLosses
Other Expenditures992478OtherExpenditures
End Of Year Balance22291346EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance27397418BeginningOfYearBalance
Contributions2785668Contributions
Investment Earnings Or Losses-1510588InvestmentEarningsOrLosses
Other Expenditures7798420OtherExpenditures
End Of Year Balance20874078EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.68000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.30000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis562546OtherCostOrOtherBasis
Depreciation485865Depreciation
Book Value76681BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings76681TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ENDOWMENT POOLED INVESTMENTS16971440F
PERMANENTLY RESTRICTED TRUST FUND7460146F
TEMPORARY RESTRICTED TRUST FUND707368F
FieldValueIRS element (for citing)
Total Of Book Value Securities25138954TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$90,152
OTHER LIABILITIES (GIFT ANNUITY)$415,880
FieldValueIRS element (for citing)
Total Of Amounts506032TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt3347643TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments700685NetUnrealizedGainsInvestments
Other Revenues143057OtherRevenues
Revenue Not Rptd F990843742RevenueNotRptdF990
Revenue Subtotal2503901RevenueSubtotal
Investment Expenses Not Included54730InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt54730RevenueNotRptdOnFinStmt
Total Revenue Per Form9902558631TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1081523TotExpensesEtcAuditedFinclStmt
Other Expenses Included143057OtherExpensesIncluded
Expenses Not Rptd F990143057ExpensesNotRptdF990
Expenses Subtotal938466ExpensesSubtotal
Investment Expenses Not Included254730InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt54730ExpensesNotRptdOnFinStmt
Total Expenses Per Form990993196TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND TO FUND CAPITAL EXPENDITURES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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 2013 OR 2012.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS EXPENSE 112,007. INVENTORY COSTS OF GOODS SOLD 31,050.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS EXPENSE 112,007. INVENTORY COSTS OF GOODS SOLD 31,050.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event12013 DINNER DANCENameOfEvent1
Gross Receipts Event1311617GrossReceiptsEvent1
Charitable Contributions Event1269913CharitableContributionsEvent1
Gross Revenue Event141704GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event129324RentFacilityCostsEvent1
Other Direct Expenses Event158883OtherDirectExpensesEvent1
Name Of Event22013 INVITATIONALNameOfEvent2
Gross Receipts Event256690GrossReceiptsEvent2
Charitable Contributions Event237746CharitableContributionsEvent2
Gross Revenue Event218944GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event26785NonCashPrizesEvent2
Rent Facility Costs Event29734RentFacilityCostsEvent2
Other Direct Expenses Event21274OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events36082GrossReceiptsOtherEvents
Charitable Contrib Other Events34534CharitableContribOtherEvents
Gross Revenue Other Events1548GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Other Direct Expenses Other Events6008OtherDirectExpensesOtherEvents
Gross Receipts Total404389GrossReceiptsTotal
Charitable Contributions Total342193CharitableContributionsTotal
Gross Revenue Total Events62196GrossRevenueTotalEvents
Non Cash Prizes Total Events6785NonCashPrizesTotalEvents
Rent Facility Costs Total Events39058RentFacilityCostsTotalEvents
Other Direct Expenses Total Events66165OtherDirectExpensesTotalEvents
Direct Expense Summary Events112008DirectExpenseSummaryEvents
Net Income Summary-49812NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LEON D PUPPI
PRESIDENT OF THE MEDICAL S019200000000000019200000
LISA RAMEAKA
VICE PRESIDENT OF THE MEDICAL STAFF02655910310070008750017641032298900
LOUIS R GIANCOLA
PRESIDENT AND CEO03111680003750970875001498607100010275415
THOMAS J BREEN
CHIEF FINANCIAL OFFICER034243000071959087500175770440716023750

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationLOUIS GIANCOLA AND THOMAS BREEN WERE PARTICIPANTS IN A DEFERRED COMPENSATION PLAN. THEY RECEIVED FINAL DISTRIBUTIONS JUNE 2012, AND THE PLAN WAS TERMINATED.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Relationship With OrganizationRelationshipWithOrganizationLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
LEON D PUPPI
PRESIDENT - MEDICAL STAFFX$20,0003949011
LISA RAMEAKA
TRUSTEEX$57,11826681111
FieldValueIRS element (for citing)
Total Balance Due30630TotalBalanceDue

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F990171840NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 5 / FORM 990, PART VII & PART IX, LINE 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 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 15ATHE 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 XI, LINE 9:UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 227,862. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS 17,607. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -576,811. NET ASSETS RELEASED FROM RESTRICTIONS -837,691.CHANGES IN NET ASSETS OR FUND BALANCES:
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

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
100 KENYON AVENUEWAKEFIELDRI02879050445136HOSPITALRI501(C)(3)3SOUTH COUNTY HOSPITAL HC SYSTEM ENDOWMENT1
VNS HOMECARE INC
14 WOODRUFF AVENUEWAKEFIELDRI02879056033975TO PROVIDE HEALTH CARERI501(C)(3)9SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPANYRISOUTH COUNTY HOSPITAL HEALTHCAREC0
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313HOME BASED PERSONAL CARERISILVER SPRING HEALTH CARE MANAGEMENTC0
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937RETAIL PROVIDER OF MEDICAL EQUIPMENTRISILVER SPRING HEALTH CARE MANAGEMENTC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved608857AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination