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SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201102239349300045
Schema version
2009v1.7
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)
Timestamp2011-08-11T10:39:10-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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)
NameLouis GiancolaName
TitlePresident and CEOTitle
Phone4017828000Phone
Date Signed2011-08-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLouis GiancolaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 Kenyon AvenueAddressLine1
CityWakefieldCity
StateRIState
ZIP Code02879ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3179638GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Members19NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1530184ContributionsGrantsPriorYear
Contributions Grants Current Year1787543ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-1167383InvestmentIncomePriorYear
Investment Income Current Year638202InvestmentIncomeCurrentYear
Other Revenue Prior Year-59435OtherRevenuePriorYear
Other Revenue Current Year-48510OtherRevenueCurrentYear
Total Revenue Prior Year303366TotalRevenuePriorYear
Total Revenue Current Year2377235TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3979050GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY26569GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year537302SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year844071OtherExpensePriorYear
Other Expenses Current Year375303OtherExpensesCurrentYear
Total Expenses Prior Year4823121TotalExpensesPriorYear
Total Expenses Current Year939174TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4519755RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1438061RevenuesLessExpensesCY
Total Assets BOY26063274TotalAssetsBOY
Total Assets EOY25811305TotalAssetsEOY
Total Liabilities BOY537353TotalLiabilitiesBOY
Total Liabilities EOY443435TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25525921NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25367870NetAssetsOrFundBalancesEOY
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
Expense695529Expense
DescriptionDuring the fiscal year ended september 30, 2010, 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 Expense695529TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Organizations1GrantsToOrganizations
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryNTNameOfForeignCountry
Name Of Foreign CountryVINameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
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
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (26 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
trustee1.00X05000
Edward M Cimilluca
trustee1.00X000
Duncan Cocroft
trustee1.00X000
Stephanie Chafee RN MBA
trustee1.00X000
Nitin S Damle MD
trustee1.00X0113600
Laura Harris
trustee1.00X000
John P Heffernan MD
trustee1.00X000
Eve Keenan
vice chairperson1.00X000X
Susan Kermes
secretary1.00X000X
Joseph Matthews
treasurer1.00X000X
Maureen W Moakley
trustee1.00X000
Robert Panoff
trustee1.00X000
Henry D Sharpe III
trustee1.00X000
Russell R Shippee
trustee1.00X000
James L Smythe MD
trustee1.00X0352530
James F Stone
Chairman1.00X000X
M Beverly Swan
trustee1.00X000
The Honorable Ernest C Torres
trustee1.00X000
Paula Viau
trustee1.00X000
Claire Wilcox
trustee1.00X000
Leon D Puppi
Vice President of the Medical Staff1.00X01596500
Thomas Warcup DO
President of the Medical Staff1.00X0100000
Louis R Giancola
President and CEO40.00023648586359X
Thomas J Breen
Chief Financial Officer40.00029772434324X
Donna M Neville
VP of Development40.00010585711343X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs856829TotalReportableCompFrmRltdOrgs
Total Other Compensation132026TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events356175FundraisingEvents
All Other Contributions1431368AllOtherContributions
Noncash Contributions178805NoncashContributions
Total Contributions1787543TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column780402TotalRevenueColumn
Exclusion$780,402ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other548299Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other690499Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-142200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-142200TotalRevenueColumn
Exclusion-$142,200ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events59560GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events356175CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses111904FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-52344TotalRevenueColumn
Exclusion-$52,344ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther revenueDescription
Business Code900099BusinessCode
Total Revenue Column3834TotalRevenueColumn
Exclusion$3,834ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3834TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2377235TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$589,692ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total26569Total
Program Services26569ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total419767Total
Program Services419767ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total117535Total
Program Services117535ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1347Total
Management And General1347ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18645Total
Management And General18645ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total186421Total
Management And General186421ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8815Total
Program Services8815ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total64668Total
Program Services64668ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3322Total
Program Services3322ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30774Total
Program Services30774ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total37232Total
Management And General37232ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
debt forgiveness98899889
Miscellaneous89858985
Dues & licenses205205

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total939174Total
Program Services695529ProgramServices
Management And General243645ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY211205BOY
EOY519772EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY911936EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY1822513EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY3949EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96572BOY
EOY59805EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis562546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec405454LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY844717BOY
EOY157092EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY22162155BOY
EOY22291346EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2748625BOY
EOY44892EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26063274BOY
EOY25811305EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27669BOY
EOY128083EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY509684BOY
EOY315352EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY537353BOY
EOY443435EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14419806BOY
EOY14404350EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4421555BOY
EOY3861443EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6684560BOY
EOY7102077EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25525921BOY
EOY25367870EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26063274BOY
EOY25811305EOY
FieldValueIRS element (for citing)
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 Years6615178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4510003CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1719971CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1530184CurrentTaxYearMinus1Year
Current Tax Year1787543CurrentTaxYear
Total16162879Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6615178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4510003CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1719971CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1530184CurrentTaxYearMinus1Year
Current Tax Year1787543CurrentTaxYear
Total16162879Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1734770AmountsSubstContributorsTotal
Public Support Total17014428109PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1208301CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years454223CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years769771CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year279149CurrentTaxYearMinus1Year
Current Tax Year780402CurrentTaxYear
Total3491846Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year44072CurrentTaxYearMinus1Year
Current Tax Year63394CurrentTaxYear
Total107466Total
FieldValueIRS element (for citing)
Total Support19762191TotalSupport
Public Support Pertcentage1700.73010PublicSupportPertcentage170
Public Support Pertcent Prior Year0.70550PublicSupportPertcentPriorYear
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 Balance20874078BeginningOfYearBalance
Contributions769347Contributions
Investment Earnings Or Losses1640399InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures992478OtherExpenditures
End Of Year Balance22291346EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance27397418BeginningOfYearBalance
Contributions2785668Contributions
Investment Earnings Or Losses-1510588InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures7798420OtherExpenditures
End Of Year Balance20874078EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.62000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.32000PermanentEndowmentEOYBalance
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
Depreciation405454Depreciation
Book Value157092BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings157092TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
endowment pooled investments13789408F
permanently restricted trust fund7062077F
temporary restricted trust fund1439861F
FieldValueIRS element (for citing)
Total Of Book Value Securities22291346TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$26,709
Other Liabilities (gift annuity)$288,643
FieldValueIRS element (for citing)
Total Of Amounts315352TotalOfAmounts
Total Revenue2377235TotalRevenue
Total Expenses939174TotalExpenses
Excess Or Deficit For Year1438061ExcessOrDeficitForYear
Net Unrealized GL On Investments136625NetUnrealizedGLOnInvestments
Other-$1,732,737OtherAmount
Total Adjustments-1596112TotalAdjustments
Excess Or Deficit Per FS-158051ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2439343TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments136625NetUnrealizedGainsInvestments
Other Revenues111904OtherRevenues
Revenue Not Rptd F990248529RevenueNotRptdF990
Revenue Subtotal2190814RevenueSubtotal
Investment Expenses Not Included186421InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt186421RevenueNotRptdOnFinStmt
Total Revenue Per Form9902377235TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt864657TotExpensesEtcAuditedFinclStmt
Other Expenses Included111904OtherExpensesIncluded
Expenses Not Rptd F990111904ExpensesNotRptdF990
Expenses Subtotal752753ExpensesSubtotal
Investment Expenses Not Included2186421InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt186421ExpensesNotRptdOnFinStmt
Total Expenses Per Form990939174TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS: 307690. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS: 417517. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES: -1120990. NET ASSETS RELEASE FROM RESTRICTIONS: -1177060. CHANGE IN NET REALIZED AND UNREALIZED GAINS IN INVESTMENTS: -159894.
Part XII, Line 2d - Other Adjustments:FUNDRAISING EVENTS EXPENSE: 111904.
Part XIII, Line 2d - Other Adjustments:fundraising expenses: 111904.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event12010 Dinner DanceNameOfEvent1
Gross Receipts Event1338725GrossReceiptsEvent1
Charitable Contributions Event1301225CharitableContributionsEvent1
Gross Revenue Event137500GrossRevenueEvent1
Rent Facility Costs Event136953RentFacilityCostsEvent1
Other Direct Expenses Event146346OtherDirectExpensesEvent1
Name Of Event22010 InvitationalNameOfEvent2
Gross Receipts Event248350GrossReceiptsEvent2
Charitable Contributions Event234750CharitableContributionsEvent2
Gross Revenue Event213600GrossRevenueEvent2
Non Cash Prizes Event26758NonCashPrizesEvent2
Rent Facility Costs Event27411RentFacilityCostsEvent2
Other Direct Expenses Event2280OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events28660GrossReceiptsOtherEvents
Charitable Contrib Other Events20200CharitableContribOtherEvents
Gross Revenue Other Events8460GrossRevenueOtherEvents
Non Cash Prizes Other Events160NonCashPrizesOtherEvents
Other Direct Expenses Other Events13996OtherDirectExpensesOtherEvents
Gross Receipts Total415735GrossReceiptsTotal
Charitable Contributions Total356175CharitableContributionsTotal
Gross Revenue Total Events59560GrossRevenueTotalEvents
Non Cash Prizes Total Events6918NonCashPrizesTotalEvents
Rent Facility Costs Total Events44364RentFacilityCostsTotalEvents
Other Direct Expenses Total Events60622OtherDirectExpensesTotalEvents
Direct Expense Summary Events111904DirectExpenseSummaryEvents
Net Income Summary-52344NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
VNS Homecare Inc
14 Woodruff AveNarragansettRI02882056033975501(c)(3)10078BookN/Asupport operations
South County Quality Care
14 Woodruff AveNarragansettRI0288205049131316491BookN/Asupport operations
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The Endowment provides grants to its affiliate companies to support operations and for capital projects. These organizations share a common Board of Trustees as well as Senior Management. The amounts granted to the affiliate companies are governed by the Endowment's Investment policy. Management informs the Board of any amounts to be granted in accordance with policy.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
000001596500000015965000
Louis R Giancola
02339910002494070191016168032284400
Thomas J Breen
02977240000015419018905033204800

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4b:ReturnReference
ExplanationLouis Giancola - Deferred Compensation Plan - $44,048 Thomas Breen - Deferred Compensation Plan - $17,619Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name Personleon 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 Contributions6NumberOfContributions
Noncash Contribs Rptd F990178805NoncashContribsRptdF990
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 (6 entries)

IdentifierIdentifierExplanationExplanation
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 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.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNABusiness Name Line1DirectControllingEntityName/BusinessNameLine1
South County Hospital Healthcare System
100 Kenyon AvenueWakefieldRI02879050445136HospitalRI501(c)(3)3N/A
VNS Homecare Inc
14 Woodruff AvenueWakefieldRI02879056033975To provide health careRI501(c)(3)9South County Hospital Healthcare System

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 Org1GiftGrantOrCapContrToOtherOrg
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 Involved608302AmountInvolved