2014-08-13T13:51:46-05:00 2013-09-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2012-10-01 050259093 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN 4017828000 2014-08-08 1 DOUGLAS FARRINGTON P00370668 8605498500 2012 2015-11-30 17:44:51Z THOMAS J BREEN 100 KENYON AVENUE WAKEFIELD RI 02879 2701688 0 X N/A X 1989 RI PLANNING, MANAGEMENT & FUNDRAISING FOR HOSPITAL SYSTEM. 23 21 0 0 0 0 2189608 2055452 0 0 537418 526266 -31171 -23087 2695855 2558631 0 0 0 0 579557 608857 0 0 0 310089 384339 889646 993196 1806209 1565435 27064486 28256552 684463 779441 26380023 27477111 PLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND THE VNS HOMECARE INC. 0 0 878577 DURING 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. 878577 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 7 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 23 21 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 IRWIN M BIRNBAUM ESQ 1.00 1.00 X 0 0 0 KATHLEEN CASSIN MD 1.00 1.00 X 0 339 0 STEPHANIE CHAFEE RN MBA 1.00 1.00 X 0 0 0 EDWARD M CIMILLUCA 1.00 1.00 X 0 0 0 DUNCAN COCROFT 1.00 1.00 X 0 0 0 NITIN S DAMLE MD 1.00 1.00 X 0 0 0 JAMES FARRELL 1.00 1.00 X 0 0 0 LAURA HARRIS 1.00 2.00 X 0 0 0 JOHN P HEFFERNAN MD 1.00 0.00 X 0 0 0 SUSAN KERMES 1.00 2.00 X 0 0 0 DENNIS LYNCH 1.00 1.00 X X 0 0 0 MAUREEN W MOAKLEY 1.00 1.00 X 0 0 0 ROBERT PANOFF 1.00 2.00 X 0 0 0 HENRY D SHARPE III 1.00 1.00 X 0 0 0 RUSSELL R SHIPPEE 1.00 0.00 X 0 0 0 MEG SISCO 1.00 2.00 X 0 0 0 THE HONORABLE ERNEST C TORRES 1.00 1.00 X 0 0 0 LEON D PUPPI 1.00 1.00 X 0 192000 0 WILLIAM SABINA MD FACEP 1.00 1.00 X 0 26010 0 EVE KEENAN 1.00 2.00 X X 0 0 0 M BEVERLY SWAN 1.00 1.00 X X 0 0 0 JOSEPH MATTHEWS 1.00 1.00 X X 0 0 0 CLAIRE WILCOX 1.00 1.00 X X 0 0 0 LISA RAMEAKA 1.00 40.00 X 0 296598 26391 TED ALMON 1.00 1.00 X 0 0 0 RICHARD DEL SESTO MD 1.00 1.00 X 0 0 0 LOUIS R GIANCOLA 1.00 41.00 X 0 686265 23736 THOMAS J BREEN 2.00 40.00 X 0 414389 26327 DONNA M NEVILLE 40.00 0.00 X 0 112260 11477 0 1727861 87931 0 0 1 0 0 342193 1713259 171840 2055452 526266 526266 62196 342193 112008 -49812 -49812 50563 31049 19514 19514 OTHER REVENUE 900099 7211 7211 7211 2558631 0 0 503179 528427 528427 80430 80430 8107 8107 21572 21572 54730 54730 89550 89550 5000 5000 88918 88918 720 720 1923 1923 26804 26804 30210 30210 CAPITAL CAMPAIGN EXPENS 37360 37360 PUBLICATIONS 5011 5011 DEVELOPMENT EXPENSE 3971 3971 DUES & LICENSES 944 944 9519 9519 993196 878577 114619 0 423157 462434 1122893 1577441 1039317 802029 3949 30630 44980 35031 562546 485865 103484 76681 24231221 25138954 95485 133352 27064486 28256552 217457 273409 467006 506032 684463 779441 X 16309707 17603402 2627776 2413563 7442540 7460146 26380023 27477111 27064486 28256552 X 1565435 700686 -1169033 X X 0 1 X 1 0 X 1530184 1787543 1813160 2189608 2055452 9375947 1530184 1787543 1813160 2189608 2055452 9375947 58106 9317841 279149 780402 780317 537418 526266 2903552 10663 7211 17874 12297373 403155 0.75770 0.54600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 24231221 9415 1503578 605260 25138954 21414769 1350 3413491 598389 24231221 22291346 443020 -1141587 178010 21414769 20874078 769347 1640399 992478 22291346 27397418 2785668 -1510588 7798420 20874078 0.68000 0.30000 0.02000 1 0 562546 485865 76681 76681 ENDOWMENT POOLED INVESTMENTS 16971440 F PERMANENTLY RESTRICTED TRUST FUND 7460146 F TEMPORARY RESTRICTED TRUST FUND 707368 F 25138954 DUE TO AFFILIATES 90152 OTHER LIABILITIES (GIFT ANNUITY) 415880 506032 X 3347643 700685 143057 843742 2503901 54730 54730 2558631 1081523 143057 143057 938466 54730 54730 993196 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. 2013 DINNER DANCE 311617 269913 41704 0 0 29324 58883 2013 INVITATIONAL 56690 37746 18944 0 6785 9734 1274 1 36082 34534 1548 0 0 0 6008 404389 342193 62196 6785 39058 66165 112008 -49812 X X X X X 0 1 0 0 0 0 0 0 0 LEON D PUPPI 0 192000 0 0 0 0 0 0 0 0 0 192000 0 0 LISA RAMEAKA 0 265591 0 31007 0 0 0 8750 0 17641 0 322989 0 0 LOUIS R GIANCOLA 0 311168 0 0 0 375097 0 8750 0 14986 0 710001 0 275415 THOMAS J BREEN 0 342430 0 0 0 71959 0 8750 0 17577 0 440716 0 23750 PART I, LINE 4B LOUIS GIANCOLA AND THOMAS BREEN WERE PARTICIPANTS IN A DEFERRED COMPENSATION PLAN. THEY RECEIVED FINAL DISTRIBUTIONS JUNE 2012, AND THE PLAN WAS TERMINATED. LEON D PUPPI PRESIDENT - MEDICAL STAFF X 20000 3949 0 1 1 LISA RAMEAKA TRUSTEE X 57118 26681 1 1 1 30630 X 4 171840 FAIR MARKET VALUE 0 0 0 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. FORM 990, PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 100 KENYON AVENUE WAKEFIELD RI 02879 050445136 HOSPITAL RI 501(C)(3) 3 SOUTH COUNTY HOSPITAL HC SYSTEM ENDOWMENT 1 VNS HOMECARE INC 14 WOODRUFF AVENUE WAKEFIELD RI 02879 056033975 TO PROVIDE HEALTH CARE RI 501(C)(3) 9 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 0 SILVER SPRING HEALTH CARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SOUTH COUNTY HOSPITAL HEALTHCARE C 0 SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 HOME BASED PERSONAL CARE RI SILVER SPRING HEALTH CARE MANAGEMENT C 0 SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFIELD RI 02879 050478937 RETAIL PROVIDER OF MEDICAL EQUIPMENT RI SILVER SPRING HEALTH CARE MANAGEMENT C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM O 608857 ACTUAL COST