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SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201212269349300716
Schema version
2010v3.4
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)
Timestamp2012-08-13T08:49:44-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts2647357GrossReceipts
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 Year1787543ContributionsGrantsPriorYear
Contributions Grants Current Year1813160ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year638202InvestmentIncomePriorYear
Investment Income Current Year780317InvestmentIncomeCurrentYear
Other Revenue Prior Year-48510OtherRevenuePriorYear
Other Revenue Current Year-42009OtherRevenueCurrentYear
Total Revenue Prior Year2377235TotalRevenuePriorYear
Total Revenue Current Year2551468TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year26569GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year537302SalariesEtcPriorYear
Salaries Etc Current Year551167SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year375303OtherExpensePriorYear
Other Expenses Current Year374168OtherExpensesCurrentYear
Total Expenses Prior Year939174TotalExpensesPriorYear
Total Expenses Current Year925335TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1438061RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1626133RevenuesLessExpensesCY
Total Assets BOY25811305TotalAssetsBOY
Total Assets EOY23683808TotalAssetsEOY
Total Liabilities BOY443435TotalLiabilitiesBOY
Total Liabilities EOY588090TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25367870NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23095718NetAssetsOrFundBalancesEOY
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
Expense671508Expense
DescriptionDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011, 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 Expense671508TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
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 Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
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 (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
IRWIN M BIRNBAUM ESQ
TRUSTEE1.00X000
KATHLEEN CASSIN MD
TRUSTEE1.00X000
STEPHANIE CHAFEE RN MBA
TRUSTEE1.00X000
EDWARD M CIMILLUCA
TRUSTEE1.00X000
DUNCAN COCROFT
TRUSTEE1.00X000
NITIN S DAMLE MD
TRUSTEE1.00X000
LAURA HARRIS
TRUSTEE1.00X000
JOHN P HEFFERNAN MD
TRUSTEE1.00X000
SUSAN KERMES
TRUSTEE1.00X000
DORIS MANGANARO
TRUSTEE1.00X000
MAUREEN W MOAKLEY
TRUSTEE1.00X000
ROBERT PANOFF
TRUSTEE1.00X000
HENRY D SHARPE III
TRUSTEE1.00X000
RUSSELL R SHIPPEE
TRUSTEE1.00X000
MEG SISCO
TRUSTEE1.00X000
JAMES F STONE
TRUSTEE1.00X000
BARBARA TATE
TRUSTEE1.00X000
THE HONORABLE ERNEST C TORRES
TRUSTEE1.00X000
PAULA VIAU
TRUSTEE1.00X000
THOMAS WARCUP DO
PRESIDENT OF THE MEDICAL STAFF1.00X0150000
LEON D PUPPI
VICE PRESIDENT OF THE MEDICAL STAFF1.00X01687500
EVE KEENAN
CHAIRPERSON1.00X000X
M BEVERLY SWAN
VICE CHAIRPERSON1.00X000X
CLAIRE WILCOX
SECRETARY1.00X000X
JOSEPH MATTHEWS
TREASURER1.00X000X
LOUIS R GIANCOLA
PRESIDENT AND CEO40.00028170360504X
THOMAS J BREEN
CHIEF FINANCIAL OFFICER40.00031861441927X
DONNA M NEVILLE
VP OF DEVELOPMENT40.00010910211572X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs893169TotalReportableCompFrmRltdOrgs
Total Other Compensation114003TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events331980FundraisingEvents
All Other Contributions1481180AllOtherContributions
Noncash Contributions28425NoncashContributions
Total Contributions1813160TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column780317TotalRevenueColumn
Exclusion$780,317ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events53880GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events331980CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses95889FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-42009TotalRevenueColumn
Exclusion-$42,009ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2551468TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$738,308ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total433224Total
Program Services433224ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total117943Total
Program Services117943ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2380Total
Management And General2380ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31650Total
Management And General31650ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total182209Total
Management And General182209ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24700Total
Program Services24700ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52890Total
Program Services52890ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total639Total
Program Services639ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total706Total
Program Services706ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26804Total
Program Services26804ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total37588Total
Management And General37588ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MISCELLANEOUS91479147
DUES & LICENSES455455

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total925335Total
Program Services671508ProgramServices
Management And General253827ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY519772BOY
EOY686677EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY911936BOY
EOY481857EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1822513BOY
EOY839838EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY3949BOY
EOY3949EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY59805BOY
EOY66193EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis562546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec432258LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY157092BOY
EOY130288EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY22291346BOY
EOY21414769EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY44892BOY
EOY60237EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25811305BOY
EOY23683808EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY128083BOY
EOY201899EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY315352BOY
EOY386191EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY443435BOY
EOY588090EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14404350BOY
EOY14208099EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3861443BOY
EOY2277180EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7102077BOY
EOY6610439EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25367870BOY
EOY23095718EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25811305BOY
EOY23683808EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1626133ReconcilationRevenueExpenses
Reconcilation Other Changes-3898285ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years4510003CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1719971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1530184CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1787543CurrentTaxYearMinus1Year
Current Tax Year1813160CurrentTaxYear
Total11360861Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4510003CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1719971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1530184CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1787543CurrentTaxYearMinus1Year
Current Tax Year1813160CurrentTaxYear
Total11360861Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2045339AmountsSubstContributorsTotal
Public Support Total1709315522PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years454223CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years769771CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years279149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year780402CurrentTaxYearMinus1Year
Current Tax Year780317CurrentTaxYear
Total3063862Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years44072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year63394CurrentTaxYearMinus1Year
Current Tax Year53880CurrentTaxYear
Total161346Total
FieldValueIRS element (for citing)
Total Support14586069TotalSupport
Public Support Pertcentage1700.63870PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73010PublicSupportPertcentPriorYear
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 Balance22291346BeginningOfYearBalance
Contributions443020Contributions
Investment Earnings Or Losses-1141587InvestmentEarningsOrLosses
Other Expenditures178010OtherExpenditures
End Of Year Balance21414769EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.63000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.31000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.06000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis562546OtherCostOrOtherBasis
Depreciation432258Depreciation
Book Value130288BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings130288TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ENDOWMENT POOLED INVESTMENTS13464653F
PERMANENTLY RESTRICTED TRUST FUND6610439F
TEMPORARY RESTRICTED TRUST FUND1339677F
FieldValueIRS element (for citing)
Total Of Book Value Securities21414769TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$2,000
OTHER LIABILITIES (GIFT ANNUITY)$384,191
FieldValueIRS element (for citing)
Total Of Amounts386191TotalOfAmounts
Total Revenue2551468TotalRevenue
Total Expenses925335TotalExpenses
Excess Or Deficit For Year1626133ExcessOrDeficitForYear
Net Unrealized GL On Investments-963988NetUnrealizedGLOnInvestments
Other-$2,934,297OtherAmount
Total Adjustments-3898285TotalAdjustments
Excess Or Deficit Per FS-2272152ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1501160TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-963988NetUnrealizedGainsInvestments
Other Revenues95889OtherRevenues
Revenue Not Rptd F990-868099RevenueNotRptdF990
Revenue Subtotal2369259RevenueSubtotal
Investment Expenses Not Included182209InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt182209RevenueNotRptdOnFinStmt
Total Revenue Per Form9902551468TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt839015TotExpensesEtcAuditedFinclStmt
Other Expenses Included95889OtherExpensesIncluded
Expenses Not Rptd F99095889ExpensesNotRptdF990
Expenses Subtotal743126ExpensesSubtotal
Investment Expenses Not Included2182209InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt182209ExpensesNotRptdOnFinStmt
Total Expenses Per Form990925335TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS -198,890. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS -491,638. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -26,264. NET ASSETS RELEASED FROM RESTRICTIONS -2,185,981. CHANGE IN NET REALIZED AND UNREALIZED GAINS IN INVESTMENTS -31,524.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS EXPENSE 95,889.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS EXPENSE 95,889.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event12011 DINNER DANCENameOfEvent1
Gross Receipts Event1296805GrossReceiptsEvent1
Charitable Contributions Event1265305CharitableContributionsEvent1
Gross Revenue Event131500GrossRevenueEvent1
Rent Facility Costs Event131387RentFacilityCostsEvent1
Other Direct Expenses Event134328OtherDirectExpensesEvent1
Name Of Event22011 INVITATIONALNameOfEvent2
Gross Receipts Event253810GrossReceiptsEvent2
Charitable Contributions Event241210CharitableContributionsEvent2
Gross Revenue Event212600GrossRevenueEvent2
Non Cash Prizes Event26243NonCashPrizesEvent2
Rent Facility Costs Event210841RentFacilityCostsEvent2
Other Direct Expenses Event22116OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events35245GrossReceiptsOtherEvents
Charitable Contrib Other Events25465CharitableContribOtherEvents
Gross Revenue Other Events9780GrossRevenueOtherEvents
Non Cash Prizes Other Events203NonCashPrizesOtherEvents
Other Direct Expenses Other Events10771OtherDirectExpensesOtherEvents
Gross Receipts Total385860GrossReceiptsTotal
Charitable Contributions Total331980CharitableContributionsTotal
Gross Revenue Total Events53880GrossRevenueTotalEvents
Non Cash Prizes Total Events6446NonCashPrizesTotalEvents
Rent Facility Costs Total Events42228RentFacilityCostsTotalEvents
Other Direct Expenses Total Events47215OtherDirectExpensesTotalEvents
Direct Expense Summary Events95889DirectExpenseSummaryEvents
Net Income Summary-42009NetIncomeSummary

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 (3 entries)

Base 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
000001687500000016875000
LOUIS R GIANCOLA
02792090002494043694016810034220700
THOMAS J BREEN
03186140000022622019305036054100

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationLOUIS GIANCOLA - DEFERRED COMPENSATION PLAN - $14,286 THOMAS BREEN - DEFERRED COMPENSATION PLAN - $5,714Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonLEON D PUPPINamePerson
Loan From OrganizationXLoanFromOrganization
Original Principal$20,000OriginalPrincipalAmount
Balance Due3949BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement1WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due3949TotalBalanceDue

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99028425NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
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 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 IX ARE REIMBURSED BY THE ENDOWMENT TO SOUTH COUNTY HOSPITAL.
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 11
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 5:NET UNREALIZED LOSSES ON INVESTMENTS: -963,988. UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS -198,890. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS -491,638. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -26,264. NET ASSETS RELEASED FROM RESTRICTIONS -2,185,981. CHANGE IN NET REALIZED AND UNREALIZED GAINS IN INVESTMENTS -31,524. TOTAL TO FORM 990, PART XI, LINE 5: -3,898,285.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 EntityTypeOfEntity
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPANYRISOUTH COUNTY HOSPITAL HEALTHCAREC
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313HOME BASED PERSONAL CARERISILVER SPRING HEALTH CARE MANAGEMENTC
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937RETAIL PROVIDER OF MEDICAL EQUIPMENTRISILVER SPRING HEALTH CARE MANAGEMENTC
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
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 TypeNTransactionType
Amount Involved551166AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination