2011-08-11T10:39:10-05:00 2010-09-30 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2009-10-01 050259093 South County Hospital Healthcare System Endowment SOUT 4017828000 100 Kenyon Avenue Wakefield RI 02879 Louis Giancola 4017828000 2011-08-02 1 8605498500 2009 2016-02-24 21:20:13Z Louis Giancola 100 Kenyon Avenue Wakefield RI 02879 3179638 0 X N/A X 1989 RI Planning, management & fundraising for hospital system. 23 19 0 0 0 0 1530184 1787543 0 -1167383 638202 -59435 -48510 303366 2377235 3979050 26569 0 537302 0 0 844071 375303 4823121 939174 -4519755 1438061 26063274 25811305 537353 443435 25525921 25367870 Planning, fundraising and management activities to support the mission of South County Hospital and the VNS Homecare Inc. 0 0 695529 During 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. 695529 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 1 10 0 1 0 0 1 NT VI CJ 0 0 0 1 1 0 0 0 23 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI X X Marcia Polhemus 4017828000 100 Kenyon Avenue Wakefield RI 02879 X Irwin M Birnbaum Esq 1.00 X 0 0 0 Kathleen Cassin MD 1.00 X 0 500 0 Edward M Cimilluca 1.00 X 0 0 0 Duncan Cocroft 1.00 X 0 0 0 Stephanie Chafee RN MBA 1.00 X 0 0 0 Nitin S Damle MD 1.00 X 0 11360 0 Laura Harris 1.00 X 0 0 0 John P Heffernan MD 1.00 X 0 0 0 Eve Keenan 1.00 X X 0 0 0 Susan Kermes 1.00 X X 0 0 0 Joseph Matthews 1.00 X X 0 0 0 Maureen W Moakley 1.00 X 0 0 0 Robert Panoff 1.00 X 0 0 0 Henry D Sharpe III 1.00 X 0 0 0 Russell R Shippee 1.00 X 0 0 0 James L Smythe MD 1.00 X 0 35253 0 James F Stone 1.00 X X 0 0 0 M Beverly Swan 1.00 X 0 0 0 The Honorable Ernest C Torres 1.00 X 0 0 0 Paula Viau 1.00 X 0 0 0 Claire Wilcox 1.00 X 0 0 0 Leon D Puppi 1.00 X 0 159650 0 Thomas Warcup DO 1.00 X 0 10000 0 Louis R Giancola 40.00 X 0 236485 86359 Thomas J Breen 40.00 X 0 297724 34324 Donna M Neville 40.00 X 0 105857 11343 0 856829 132026 0 0 1 0 0 356175 1431368 178805 1787543 780402 780402 548299 690499 -142200 -142200 -142200 59560 356175 111904 -52344 -52344 Other revenue 900099 3834 3834 3834 2377235 0 0 589692 26569 26569 419767 419767 117535 117535 1347 1347 18645 18645 186421 186421 8815 8815 5000 5000 64668 64668 3322 3322 30774 30774 37232 37232 debt forgiveness 9889 9889 Miscellaneous 8985 8985 Dues & licenses 205 205 939174 695529 243645 0 211205 519772 911936 1822513 3949 96572 59805 562546 405454 844717 157092 22162155 22291346 2748625 44892 26063274 25811305 27669 128083 509684 315352 537353 443435 X 14419806 14404350 4421555 3861443 6684560 7102077 25525921 25367870 26063274 25811305 X 0 1 1 X 0 X 6615178 4510003 1719971 1530184 1787543 16162879 6615178 4510003 1719971 1530184 1787543 16162879 1734770 14428109 1208301 454223 769771 279149 780402 3491846 44072 63394 107466 19762191 0.73010 0.70550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20874078 769347 1640399 0 992478 22291346 27397418 2785668 -1510588 0 7798420 20874078 0.62000 0.32000 0.06000 1 0 562546 405454 157092 157092 endowment pooled investments 13789408 F permanently restricted trust fund 7062077 F temporary restricted trust fund 1439861 F 22291346 Due to Affiliates 26709 Other Liabilities (gift annuity) 288643 315352 2377235 939174 1438061 136625 -1732737 -1596112 -158051 2439343 136625 111904 248529 2190814 186421 186421 2377235 864657 111904 111904 752753 186421 186421 939174 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. 2010 Dinner Dance 338725 301225 37500 36953 46346 2010 Invitational 48350 34750 13600 6758 7411 280 1 28660 20200 8460 160 13996 415735 356175 59560 6918 44364 60622 111904 -52344 1 VNS Homecare Inc 14 Woodruff Ave Narragansett RI 02882 056033975 501(c)(3) 10078 Book N/A support operations South County Quality Care 14 Woodruff Ave Narragansett RI 02882 050491313 16491 Book N/A support operations 1 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. 0 1 0 0 0 0 0 0 0 Leon D Puppi 0 0 0 0 0 159650 0 0 0 0 0 159650 0 0 Louis R Giancola 0 233991 0 0 0 2494 0 70191 0 16168 0 322844 0 0 Thomas J Breen 0 297724 0 0 0 0 0 15419 0 18905 0 332048 0 0 Part I, Line 4b: Louis Giancola - Deferred Compensation Plan - $44,048 Thomas Breen - Deferred Compensation Plan - $17,619 leon puppi X 20000 3949 0 1 1 3949 X 6 178805 fair market value 0 0 0 0 Form 990, Part VI, Section B, line 11 The Form 990 is provided to the organization's audit committee approximately 30 days prior to the filing deadline. The audit committee then reviews the Form 990 and provides questions and comments to the organization's accounting department. Before it is filed, a copy of the final Form 990, including required schedules, is provided to the members of the Board of Trustees for review and discussion with the Chairman of the Audit Committee at a Board meeting prior to the filing deadline. Form 990, Part VI, Section B, line 12c Members of the governing body, officers, and key employees are required to complete a conflict of interest statement annually. It is periodically reviewed and discussed at board meetings. Form 990, Part VI, Section B, line 15a The organization's CEO's compensation is determined by the governing body. The CEO's salary is compared to other CEO's salaries of similar organizations. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part 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. South County Hospital Healthcare System 100 Kenyon Avenue Wakefield RI 02879 050445136 Hospital RI 501(c)(3) 3 N/A VNS Homecare Inc 14 Woodruff Avenue Wakefield RI 02879 056033975 To provide health care RI 501(c)(3) 9 South County Hospital Healthcare System Silver Spring Health Care Management 100 Kenyon Avenue Wakefield RI 02879 050459095 Holding company RI South County Hospital Healthcare C South County Quality Care 100 Kenyon Avenue Wakefield RI 02879 050491313 Home based personal care RI Silver Spring Health Care Management C SSHM Surgical Supply Inc 100 Kenyon Avenue Wakefield RI 02879 050478937 retail provider of medical equipment RI Silver Spring Health Care Management C 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 South County Hospital Healthcare System N 608302