FURP.ORG / PUBLIC DATA EXPLORER

SOUTH COUNTY HOSPITAL HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE (EIN 05-0445136)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201442259349302364
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)
Timestamp2014-08-13T13:49:59-05:00Timestamp
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)
EIN050445136EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMBusinessNameLine1
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 Signed2014-08-11DateSigned
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 Receipts129142493GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSCHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1920YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO OPERATE A NOT FOR PROFIT HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees1184TotalNbrEmployees
Total Nbr Volunteers313TotalNbrVolunteers
Total Gross UBI847375TotalGrossUBI
Net Unrelated Business Txbl Income-23183NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year50271ContributionsGrantsPriorYear
Contributions Grants Current Year29135ContributionsGrantsCurrentYear
Program Service Revenue Prior Year117620025ProgramServiceRevenuePriorYear
Program Service Revenue CY124001594ProgramServiceRevenueCY
Investment Income Prior Year923652InvestmentIncomePriorYear
Investment Income Current Year674549InvestmentIncomeCurrentYear
Other Revenue Prior Year6506061OtherRevenuePriorYear
Other Revenue Current Year4425479OtherRevenueCurrentYear
Total Revenue Prior Year125100009TotalRevenuePriorYear
Total Revenue Current Year129130757TotalRevenueCurrentYear
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 Year55812360SalariesEtcPriorYear
Salaries Etc Current Year62637289SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year64960294OtherExpensePriorYear
Other Expenses Current Year62300520OtherExpensesCurrentYear
Total Expenses Prior Year120772654TotalExpensesPriorYear
Total Expenses Current Year124937809TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4327355RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4192948RevenuesLessExpensesCY
Total Assets BOY111220908TotalAssetsBOY
Total Assets EOY115062718TotalAssetsEOY
Total Liabilities BOY112022220TotalLiabilitiesBOY
Total Liabilities EOY96534404TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-801312NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18528314NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM PROVIDES COMPREHENSIVE MEDICAL SERVICES TO SOUTHERN RHODE ISLAND WITHOUT REGARD TO RACE, COLOR, CREED OR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense94982146Expense
Revenue127214131Revenue
DescriptionPATIENT CARE SERVICESSOUTH COUNTY HOSPITAL IS A COMMUNITY HOSPITAL SERVING THE COMMUNITIES OF SOUTHERN RHODE ISLAND. ONE OF THE LARGEST PROGRAMS IN SOUTH COUNTY HOSPITAL IS THE INPATIENT CARE PROGRAM WHICH HAD PATIENT DAYS IN THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 OF 16,262 AND DISCHARGES OF 4,989. SPREAD ACROSS SEVERAL NURSING UNITS, THE HOSPITAL IS ABLE TO PROVIDE A HIGH LEVEL OF CARE TO PATIENTS WITH VARIOUS DIFFERENT NEEDS. THE THREE MEDICAL SURGICAL UNITS ARE IN A RELATIVELY NEW STATE OF THE ART BED TOWER. THE HOSPITAL ALSO HAS A DEDICATED STATE OF THE ART ORTHOPEDIC UNIT THAT PROVIDES FOR EXCELLENT CARE FOR ORTHOPEDIC PATIENTS. THE HOSPITAL ROUTINE CARE PROGRAM ALSO INCLUDES A WOMEN'S WING WITH 521 DELIVERIES IN FISCAL YEAR ENDING SEPTEMBER 30, 2013.SOUTH COUNTY HOSPITAL ALSO HAS AN INTENSIVE CARE UNIT THAT PROVIDES FOR PATIENTS WITH MORE SERIOUS CONDITIONS. IN ADDITION TO THE INPATIENT CARE PROGRAM, THE HOSPITAL'S SURGICAL SERVICES ENCOMPASS A WIDE RANGE OF PROCEDURES RANGING FROM COMPLEX PROCEDURES TO MINOR PROCEDURES. THE HOSPITAL HAS A SURGICAL PAVILION INCLUDING A SAME DAY SURGERY UNIT, CAPABLE OF APPLYING THE LATEST TECHNOLOGY TO PERFORM A BROAD RANGE OF PROCEDURES. THE SURGICAL SERVICES PROGRAM PERFORMED 9,127 PROCEDURES IN FISCAL YEAR ENDING SEPTEMBER 30, 2013. THE HOSPITAL'S LABORATORY SERVICES ARE A MAJOR PROGRAM WITHIN SOUTH COUNTY HOSPITAL. WITH A MAIN LAB WITHIN THE HOSPITAL AS WELL AS FOUR SATELLITE LABS IN SURROUNDING TOWNS THE LAB IS ABLE TO EXTEND BEYOND THE HOSPITAL AND HAVE A CONVENIENT PRESENCE IN A NUMBER OF LOCAL COMMUNITIES. THE HOSPITAL'S LABORATORY IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGIST, THE AMERICAN ASSOCIATION OF BLOOD BANKS, AND THE U.S. HEALTH CARE FINANCING ADMINISTRATION. OTHER PROGRAM SERVICES INCLUDE ALL OTHER SERVICES INVOLVED IN OPERATING A NOT-FOR-PROFIT COMMUNITY HOSPITAL. SUCH SERVICES INCLUDE: EMERGENCY ROOM CARE, PHARMACY SERVICES, DIAGNOSTIC IMAGING SERVICES, AND OTHER ANCILLARY AND OUTPATIENT SERVICES.Description
Total Program Service Expense94982146TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
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 With109682NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1184NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
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 Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
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 (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TED ALMON
TRUSTEE1.001.00X000
IRWIN M BIRNBAUM ESQ
TRUSTEE1.001.00X000
KATHLEEN CASSIN MD
TRUSTEE1.001.00X33900
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
SUSAN KERMES
TRUSTEE1.002.00X000
MAUREEN W MOAKLEY
TRUSTEE1.001.00X000
ROBERT PANOFF
TRUSTEE1.002.00X000
RICHARD DEL SESTO MD
TRUSTEE1.001.00X000
HENRY D SHARPE III
TRUSTEE1.001.00X000
MEG SISCO
TRUSTEE1.002.00X000
THE HONORABLE ERNEST C TORRES
TRUSTEE1.001.00X000
LISA RAMEAKA
VP OF THE MEDICAL STAFF / PHYSICIAN40.001.00X296598026391
WILLIAM SABINA MD FACEP
VP OF THE MEDICAL STAFF1.001.00X2601000
LEON D PUPPI
VP OF THE MEDICAL STAFF1.001.00X19200000
EVE KEENAN
CHAIRPERSON1.002.00X000X
M BEVERLY SWAN
VICE CHAIRPERSON1.001.00X000X
CLAIRE WILCOX
SECRETARY1.001.00X000X
DENNIS LYNCH
SECRETARY1.001.00X000X
JOSEPH MATTHEWS
TREASURER1.001.00X000X
LOUIS R GIANCOLA
PRESIDENT AND CEO40.002.00686265023736X
THOMAS J BREEN
CHIEF FINANCIAL OFFICER40.002.00414389026327X
BARBARA SEAGRAVE
VP OF PATIENT CARE SERVICES40.000.00184436020524X
FREDERICK A BROWNE
VP OF MEDICAL AFFAIRS40.000.00195364010156X
JAMES L SMYTHE
PHYSICIAN40.000.00338018025486X
MATTHEW JONES
PHYSICIAN40.000.00313761022735X
JEFFREY F JOSEPH
PHYSICIAN40.000.00296548026391X
STEVEN H SCHNEIDER
PHYSICIAN40.000.00286086026391X
JILL SAMALE
PHYSICIAN40.000.00255979025610X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3485793TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation233747TotalOtherCompensation
Number Individuals GT100 K38NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SCOT GROUP
110-112 TIERNAN AVEWARWICKRI02886HOUSEKEEPING SERVICES749890
TEAM HEALTH EAST
307 SO EVERGREEN AVEWOODBURYNJ08096ER PHYSICIANS686530
SOUTH COUNTY ORTHOPEDICS & PT
1 HIGH STWAKEFIELDRI02879ORTHOPEDICS AND PHYSICAL THERAPY367289
SOUTH COUNTY PULMONARY MEDICINE
360 KINGSTOWN RDNARRAGANSETTRI02882PULMONARY SERVICES- PULMONARY EVALUATION193740
LEON PUPPI MD
22 LEONARD BODWELL DRNARRAGANSETTRI02882PULMONARY INTENSIVIST SERVICES192000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants29135GovernmentGrants
Total Contributions29135TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621500BusinessCode
Total Revenue Column124001594TotalRevenueColumn
Related Or Exempt Function Income123185868RelatedOrExemptFunctionIncome
Unrelated Business Revenue815726UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue124001594TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column667982TotalRevenueColumn
Exclusion$667,982ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real819481Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real819481Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column819481TotalRevenueColumn
Exclusion$819,481ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other18303Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other11736Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6567Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6567TotalRevenueColumn
Exclusion$6,567ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
HOSPITALIST62150014077791407779
CAFETERIA621500361812$361,812
JV RADIATION621500323573323573

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1512834TotalRevenueColumn
Related Or Exempt Function Income1481185RelatedOrExemptFunctionIncome
Unrelated Business Revenue31649UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue3605998TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column129130757TotalRevenueColumn
Related Or Exempt Function Income126398405RelatedOrExemptFunctionIncome
Unrelated Business Revenue847375UnrelatedBusinessRevenue
Exclusion$1,855,842ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1662986Total
Program Services26349ProgramServices
Management And General1636637ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total49161296Total
Program Services38332512ProgramServices
Management And General10828784ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1512822Total
Program Services1172277ProgramServices
Management And General340545ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6871045Total
Program Services5251346ProgramServices
Management And General1619699ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3429140Total
Program Services2593281ProgramServices
Management And General835859ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total404267Total
Management And General404267ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total168648Total
Management And General168648ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total38702Total
Management And General38702ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total53949Total
Management And General53949ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6457442Total
Program Services3892574ProgramServices
Management And General2564868ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total608709Total
Program Services1168ProgramServices
Management And General607541ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3591140Total
Program Services2759432ProgramServices
Management And General831708ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1440144Total
Program Services1106607ProgramServices
Management And General333537ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3267352Total
Program Services2510633ProgramServices
Management And General756719ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total59661Total
Program Services27881ProgramServices
Management And General31780ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total283103Total
Program Services102211ProgramServices
Management And General180892ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2720753Total
Management And General2720753ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6667770Total
Program Services5123514ProgramServices
Management And General1544256ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2248291Total
Program Services572241ProgramServices
Management And General1676050ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUG2527217124516688755483
STATE LICENSE FEE33510003351000
PROVISION FOR BAD DEBTS30907153090715
PHYSICIAN ADMIN13055151650001140515

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1271188Total
Program Services386717ProgramServices
Management And General884471ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total124937809Total
Program Services94982146ProgramServices
Management And General29955663ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9774BOY
EOY4896EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4374776BOY
EOY8641269EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9896794BOY
EOY11122364EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1985491BOY
EOY2140919EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2266710BOY
EOY2019969EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis140104771LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec86400906LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY55509664BOY
EOY53703865EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY29841928BOY
EOY33440629EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3914577BOY
EOY3562101EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3421194BOY
EOY426706EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY111220908BOY
EOY115062718EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13721080BOY
EOY15563585EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY48920430BOY
EOY47217637EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY160203BOY
EOY119582EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49220507BOY
EOY33633600EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112022220BOY
EOY96534404EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-846312BOY
EOY18483314EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45000BOY
EOY45000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-801312BOY
EOY18528314EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111220908BOY
EOY115062718EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4192948ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1385481ReconciliationUnrealizedInvest
Reconcilation Other Changes13751197ReconcilationOtherChanges
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)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$38,702OtherActivitiesAmount
Total Lobbying Expenditures IIB38702TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE ORGANIZATION PAID OUTSIDE VENDORS FOR THE PERFORMANCE OF LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance29841928BeginningOfYearBalance
Contributions1596046Contributions
Investment Earnings Or Losses2002656InvestmentEarningsOrLosses
End Of Year Balance33440630EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance25013653BeginningOfYearBalance
Contributions1735368Contributions
Investment Earnings Or Losses3192907InvestmentEarningsOrLosses
Other Expenditures100000OtherExpenditures
End Of Year Balance29841928EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18755158BeginningOfYearBalance
Contributions8167639Contributions
Investment Earnings Or Losses-1709144InvestmentEarningsOrLosses
Other Expenditures200000OtherExpenditures
End Of Year Balance25013653EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11068232BeginningOfYearBalance
Contributions6539170Contributions
Investment Earnings Or Losses1147756InvestmentEarningsOrLosses
End Of Year Balance18755158EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.99870BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00130PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis266821OtherCostOrOtherBasis
Book Value266821BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53966551OtherCostOrOtherBasis
Depreciation25851486Depreciation
Book Value28115065BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis684936OtherCostOrOtherBasis
Depreciation361656Depreciation
Book Value323280BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis79765646OtherCostOrOtherBasis
Depreciation57829013Depreciation
Book Value21936633BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5420817OtherCostOrOtherBasis
Depreciation2358751Depreciation
Book Value3062066BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings53703865TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
UNITS OF POOLED ENDOWMENT INVESTMENTS22751437F
ASSETS HELD IN SELF INSURANCE TRUST10471895F
HELD IN TRUST UNDER BOND INDENTURE217297F
FieldValueIRS element (for citing)
Total Of Book Value Securities33440629TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
OTHER CURRENT LIABILITIES$27,139
POSTRETIREMENT BENEFIT OBLIGATION$678,511
ACCRUED PENSION COST$11,673,360
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$4,418,964
OTHER LIABILITIES$9,559,823
FAIR VALUE OF SWAP AGREEMENTS$7,275,803
FieldValueIRS element (for citing)
Total Of Amounts33633600TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt130437695TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1385481NetUnrealizedGainsInvestments
Revenue Not Rptd F9901385481RevenueNotRptdF990
Revenue Subtotal129052214RevenueSubtotal
Investment Expenses Not Included53949InvestmentExpensesNotIncluded
Other Revenues Not Included24594OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt78543RevenueNotRptdOnFinStmt
Total Revenue Per Form990129130757TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt124883860TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal124883860ExpensesSubtotal
Investment Expenses Not Included253949InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt53949ExpensesNotRptdOnFinStmt
Total Expenses Per Form990124937809TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE HOSPITAL'S ENDOWMENT FUNDS ARE USED PRIMARILY TO SUPPORT OPERATIONS AND FUND CAPITAL EXPENDITURES. PART V, LINE 1B: THE AMOUNT OF $1,596,046 ON LINE 1B REPRESENTS A TRANSFER FROM OPERATIONS. THERE WERE NO CONTRIBUTIONS RECEIVED FOR THE YEAR ENDED SEPTEMBER 30, 2013.
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 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 4B - OTHER ADJUSTMENTS:YANKEE ALLIANCE SUPPLY CHAIN SOLUTIONS, LLC 24,594.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3813865TotalCommunityBenefitExpense
Direct Offsetting Revenue2097813DirectOffsettingRevenue
Net Community Benefit Expense1716052NetCommunityBenefitExpense
Percent Of Total Expense0.01410PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1204873TotalCommunityBenefitExpense
Direct Offsetting Revenue648490DirectOffsettingRevenue
Net Community Benefit Expense556383NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense5460221TotalCommunityBenefitExpense
Direct Offsetting Revenue3587031DirectOffsettingRevenue
Net Community Benefit Expense1873190NetCommunityBenefitExpense
Percent Of Total Expense0.01540PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10478959TotalCommunityBenefitExpense
Direct Offsetting Revenue6333334DirectOffsettingRevenue
Net Community Benefit Expense4145625NetCommunityBenefitExpense
Percent Of Total Expense0.03400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1016033TotalCommunityBenefitExpense
Direct Offsetting Revenue542240DirectOffsettingRevenue
Net Community Benefit Expense473793NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense526316TotalCommunityBenefitExpense
Direct Offsetting Revenue250593DirectOffsettingRevenue
Net Community Benefit Expense275723NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense40510TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense40510NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1582859TotalCommunityBenefitExpense
Direct Offsetting Revenue792833DirectOffsettingRevenue
Net Community Benefit Expense790026NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12061818TotalCommunityBenefitExpense
Direct Offsetting Revenue7126167DirectOffsettingRevenue
Net Community Benefit Expense4935651NetCommunityBenefitExpense
Percent Of Total Expense0.04050PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,854,429BadDebtExpenseAmount
Amount Reimbursed By Medicare26998068AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare34251843CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-7253775MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 SOUTH COUNTY RADIATION THERAPY LLCBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityRADIATION ONCOLOGYDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.35000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 KENYON AVEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.SCHOSPITAL.COMWebsiteAddress
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 6A: THE ORGANIZATION PREPARES AN ANNUAL REPORT DETAILING MAJOR ACCOMPLISHMENTS AND COMMUNITY BENEFITS. IN ADDITION, THE ORGANIZATION MAINTAINS A COMPREHENSIVE WEBSITE INCLUDING INFORMATION ON AVAILABLE SERVICES, RESULTS OF VARIOUS QUALITY SURVEYS, AND GENERAL HEALTH EDUCATIONAL INFORMATION FOR THE COMMUNITY. THE HOSPITAL COMPLETED A CHNA WHICH IS AVAILABLE ON THE HOSPITAL WEB SITE.
PART II: SOUTH COUNTY HOSPITAL PROVIDES VARIOUS PROGRAMS FREE OF CHARGE OR FOR A NOMINAL FEE TO PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. THESE PROGRAMS INCLUDE FREQUENT SUPPORT GROUPS, WELLNESS SCREENINGS, LECTURES, SEMINARS AND PRESENTATIONS ON VARIOUS HEALTH TOPICS. A NUMBER OF THE PROGRAMS FOCUS ON CHRONIC DISEASE MANAGEMENT. THESE PROGRAMS ARE PROVIDED TO THE COMMUNITY EITHER FREE OF CHARGE OR FOR A NOMINAL FEE. THE HOSPITAL HAS CREATED A PATIENT CENTERED MEDICAL COMMUNITY AS DESCRIBED BELOW.
PART III, LINE 4: THE FOOTNOTE REFERENCES TO BAD DEBT EXPENSE ARE ON THE FOLLOWING PAGES IN THE ATTACHED AUDITED FINANCIAL STATEMENTS: PAGE 15 FN #1 (X) AND PAGE 27 FN #8.
PART III, LINE 8: SOUTH COUNTY HOSPITAL SERVES THE MEDICARE POPULATION IN THE COMMUNITY AS PART OF IT'S MISSION WITH THE KNOWLEDGE OF THE SIGNIFICANT DIFFERENTIAL BETWEEN PAYMENT AND COST. THIS SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS IS THE HOSPITAL'S CHARITY CARE AND BAD DEBT. THE HOSPITAL UTILIZED THE COST TO CHARGES RATIO AS REPORTED IN THE FY2013 MEDICARE COST REPORT FOR INPATIENT AND OUTPATIENT CHARGES.
PART III, LINE 9B: PER THE HOSPITAL'S POLICY, PRIOR TO THE PATIENT'S DISCHARGE, REASONABLE EFFORTS ARE TAKEN BY STAFF TO COMPLETE THE REQUIRED DOCUMENTATION FOR THOSE PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THESE EFFORTS CONTINUE AFTER DISCHARGE INCLUDING INFORMATION PROVIDED ON THE BILLING STATEMENT.
PART III, LINE 2: SOUTH COUNTY HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPALS (GAAP). A COST TO CHARGE RATIO WAS USED AS A COSTING METHOD FOR THE AMOUNTS REPORTED IN LINES 2 AND 3. THE HOSPITAL PROVIDES AN AUTOMATIC 40% SELF PAY DISCOUNT. THE AMOUNT REPORTED ON THE HOSPITAL'S AUDITED STATEMENTS WAS UNDERSTATED BY THIS DISCOUNT OF THE GROSS CHARGES AND THE APPLICATION OF A COST TO CHARGE RATIO BASED ON GROSS CHARGES NOT NET CHARGES.
PART V, SECTION B, LINE 3: TO ENSURE THE CHNA REFLECTED THE NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL, APPROXIMATLEY 25 INDIVIDUALS REPRESENTING THE HOSPITAL AND HEALTH-RELATED ORGANIZATIONS FROM THE COMMUNITY MEET TO REVIEW THE RESULTS OF THE CHNA. THE GOAL OF THE MEETING WAS TO DISCUSS AND PRIORITIZE KEY FINDINGS AND SET THE STAGE FOR COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGY. THE LIST OF THE ATTENDEES IS INCLUDED IN APPENDIX A OF THE ATTACHED SCHHS IMPLEMENTATION PLAN DATED AUGUST 26, 2013.SOUTH COUNTY HOSPITAL
PART V, SECTION B, LINE 4: THE OTHER ORGANIZATIONS AND HOSPITAL FACILITIES THAT SOUTH COUNTY HOSPITAL PARTNERED WITH FOR THE COMPLETION OF THE CHNA WERE: THE HOSPITAL ASSOCIATION OF RHODE ISLAND, CARE NEW ENGLAND HEALTH SYSTEMS, CHARTERCARE, LANDMARK MEDICAL CENTER, THE WESTERLY HOSPITAL AND THE RHODE ISLAND DEPARTMENT OF HEALTH.SOUTH COUNTY HOSPITAL
PART V, SECTION B, LINE 5C: IN ADDITION TO THE CHNA FOR ITS LOCAL COMMUNITY, SOUTH COUNTY HOSPITAL PARTICIPATED IN A STATEWIDE COMPREHENSIVE CHNA LED BY THE HOSPITAL ASSOCIATION OF RHODE ISLAND (HARI) AND ITS MEMBER HOSPITALS. THE HARI HOSPITALS ALSO ENGAGED THE HEALTH COMMUNITIES INSTITUTE (HCI) AND CREATED A WEB SITE (WWW.RIHEALTHMATTERS.ORG). THE WEB SITE PROVIDES ACCESS TO HEALTH STATISTICS AND INDICATORS FROM SECONDARY DATA SOURCES THAT ARE SPECIFIC TO LOCAL GEOGRAPHIES IN RI AND ALSO IS A COMMUNICATION VENUE FOR SHARING BEST PRACTICES AND RELEVANT HEALTH INFORMATION. THE REPORT CENTER ON THE WEB SITE PROVIDES ACCESS TO ALL HARI MEMBER CHNAS.SOUTH COUNTY HOSPITAL
PART V, SECTION B, LINE 7: BY ALIGNING COMMUNITY HEALTH ACTIVITIES WITH THE LOCAL AND STATEWIDE PRIORITIES OF MENTAL HEALTH AND SUBSTANCE ABUSE, HEART DISEASE, DIABETES, AND CANCER, THE HOSPITAL WILL TAKE A COMPREHENSIVE APPROACH TO ADDRESSING THE MOST URGENT NEEDS IN THE COMMUNITY IT SERVES. AS WITH ALL PROGRAMS AND SERVICES, THE HOSPITAL WILL CONTINUE TO MONITOR COMMUNITY NEEDS AND ADJUST PROGRAMMING AND SERVICES ACCORDINGLY.SOUTH COUNTY HOSPITAL
PART V, SECTION B, LINE 20D: CHARGES ARE UNIFORMLY SET FOR ALL PATIENTS REGARDLESS OF PAYOR. CHARGES FOR PATIENTS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UPON DISCHARGE ARE ADJUSTED PER POLICY PRIOR TO BILLING. CHARGES FOR PATIENTS IDENIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER INITIAL BILLING ARE ADJUSTED PER POLICY.SOUTH COUNTY HOSPITAL
PART V, SECTION B, LINE 22: CHARGES ARE UNIFORMLY SET FOR ALL PATIENTS REGARDLESS OF PAYOR THE HOSPITAL PROVIDE AN AUTOMATE 40% DISCOUNTS TO ALL SELF PAY PATIENTS. CHARGES FOR PATIENTS IDENTIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE UPON DISCHARGE ARE ADJUSTED PER POLICY PRIOR TO BILLING. CHARGES FOR PATIENTS IDENIFIED AS ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER INITIAL BILLING ARE ADJUSTED PER POLICY.SOUTH COUNTY HOSPITAL
PART VI, LINE 2: SOUTH COUNTY HOSPITAL IDENTIFIES IT'S COMMUNITIES HEALTH NEEDS BY PARTICIPATION IN COMMUNITY AND STATE COALITIONS, BOARDS, COMMITTEES, COMMISSIONS, PANELS AND ADVISORY GROUPS INCLUDING INPUT FROM COMMUNITY MEMBERS AND PROVIDERS. QUARTERLY (OR AS AVAILABLE) INTERNAL PATIENT SURVEYS AND PUBLICLY AVAILABLE DATA ON THE COMMUNITY INCLUDING DEMOGRAPHICS AND UTILIZATION ARE ANALYZED. THE HOSPITAL PARTICIPATES WITH OTHER HEALTH CARE PROVIDERS AND ORGANIZATIONS IN THE STATE FOR THE COMPLETION OF A CHNA. THE RHODE ISLAND DEPARTMENT OF HEALTH SERVES AS AN IMPORTANT SOURCE OF INFORMATION AND POPULATION BASED DISEASE OCCURENCE AND HEALTHCARE NEEDS FOR THE STATE AND THE HOSPITAL'S COMMUNITY.
PART VI, LINE 3: SOUTH COUNTY HOSPITAL COMMUNICATES WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS BY PROVIDING FINANCIAL COUNSELING TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL ASSISTANCE POLICIES AND EXTERNAL PROGRAMS (INCLUDING MEDICAID, ETC) THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES. IN RESPONSE TO PATIENTS SEEKING FINANCIAL ASSISTANCE, THE SAME INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAMS IS PROVIDED BY ONSITE PATIENT FINANCIAL SERVICES STAFF IN BOTH INPATIENT AND OUTPATIENT DEPARTMENTS INCLUDING THE EMERGENCY DEPARTMENT. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS PROVIDED ON THE HOSPITAL WEB SITE AND POSTED IN VARIOUS DEPARTMENTS. THE SELF PAY BILLING STATEMENTS ADVISE PATIENTS TO CONTACT THE HOSPITAL REGARDING FINANCIAL ASSISTANCE ELIGIBILITY.
PART VI, LINE 4: THE CITIES AND TOWNS THAT COMPRISE THE PRIMARY SERVICE AREA OF SOUTH COUNTY HOSPITAL INCLUDE THE TOWNS OF CHARLESTOWN, EXETER, JAMESTOWN, NARRAGANSETT, NORTH KINGSTOWN, AND SOUTH KINGSTOWN. THE TOWNS THAT COMPRISE THE SECONDARY SERVICE AREA INCLUDE THE TOWNS OF BLOCK ISLAND, HOPKINTON, RICHMOND, WESTERLY, AS WELL AS, THE POPULATION FROM ADJOINING COMMUNITIES IN KENT COUNTY (EAST GREENWICH AND WEST GREENWICH).THE 2000 TOTAL POPULATION FOR THE APPLICANT'S PRIMARY AND SECONDARY SERVICE AREA FOR ALL AGES, TAKEN FROM THE 2000 CENSUS IS 147,201. THE SERVICE AREA POPULATION IS EXPECTED TO CONTINUE TO GROW TO 163,063 (10.8%) BY THE YEAR 2015. THIS PROJECTION IS BASED ON INFORMATION IN THE STATEWIDE PLANNING PROGRAM TECHNICAL PAPER, NUMBER 154, DATED AUGUST 2004. THE RI STATEWIDE PLANNING PROGRAM TECHNICAL PAPER IDENTIFIES AN IMPORTANT DEMOGRAPHIC TREND THAT WILL HAVE A POTENTIAL IMPACT ON SOUTH COUNTY HOSPITAL - THE AGING POPULATION IN ITS PRIMARY AND SECONDARY SERVICE AREA. THE NUMBER OF INDIVIDUALS IN THE PRIMARY AND SECONDARY SERVICE AREA THAT ARE 65 YEARS AND OLDER IS PROJECTED TO INCREASE FROM 18,709 RECORDED IN THE 2000 CENSUS TO 24,761 BY 2015, WHICH REPRESENTS A 32.3% INCREASE. IN 2000, THE PERCENT OF INDIVIDUALS OVER 65 YEARS OF AGE COMPARED TO THE TOTAL NUMBER OF INDIVIDUALS IN THE PRIMARY AND SECONDARY SERVICE AREA WAS 12.7% (18,709/147,201). IN 2015, THIS PERCENTAGE IS PROJECTED TO INCREASE TO 15.2% (24,761/163,063). INDIVIDUALS 65 YEARS AND OLDER TEND TO UTILIZE HEALTHCARE SERVICES AT A RATE HIGHER THAN INDIVIDUALS 64 YEARS AND YOUNGER.THE CHNA ASSESSMENT COMPLETED IN 2013 PROVIDES ADDITIONAL INFORMATON ON THE COMMUNTIY SERVED BY THE HOSPITAL AND IS AVAILABLE ON THE HOSPITAL WEB SITE AT THE FOLLOWING LINK: WWW.SCHOSPITAL.COM
PART VI, LINE 5: SOUTH COUNTY HOSPITAL IS COMMITTED TO SERVING THE COMMUNITY'S HEALTH NEEDS BY CONTINUED INVESTMENT OF FUNDS INTO THE FACILITIES, EQUIPMENT, AND SERVICES PROVIDED. THE HOSPITAL IS COMMITTED TO PROVIDING FUNDS TO RECRUIT AND MAINTAIN PHYSICIANS IN THE COMMUNITY TO MEET THE POPULATIONS NEEDS.THE HOSPITAL AND ITS PHYSICIAN AND COMMUNITY PARTNERS HAVE EMBARKED ON THE CREATION OF A "PATIENT CENTERED MEDICAL COMMUNITY." THE PATIENT CENTERED MEDICAL COMMUNITY (PCMC) WILL OFFER AN INTEGRATED SYSTEM OF CARE THAT IMPROVES THE HEALTH STATUS OF THE POPULATION WE SERVE, PARTICULARLY THOSE WITH AND AT RISK FOR CHRONIC CONDITIONS. TO ACHIEVE THIS VISION, THE PCMC WILL:1. BE BUILT UPON A FOUNDATION OF STRONG PRIMARY CARE PRACTICES WITH ENHANCED LINKAGES TO THE HOSPITAL, SPECIALISTS AND COMMUNITY-BASED RESOURCES.2. ADOPT AND IMPLEMENT THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL BASED ON THE NCQA RECOGNITION STANDARDS AND GUIDELINES, SUPPORTED BY LOCAL MULTIDISCIPLINARY TEAMS AND CHRONIC CARE SERVICES.3. FACILITATE ADOPTION OF HEALTH INFORMATION TECHNOLOGY TO ENSURE ELECTRONIC INFORMATION SHARING EIGHTEEN (18) PRIMARY CARE PHYSICIANS IN SEVEN (7) SOUTH COUNTY BASED PRACTICES HAVE ADOPTED AND IMPLEMENTED THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL. THE SOUTH COUNTY "MEDICAL COMMUNITY" INITIATIVE (PCMC) WILL ADVANCE THAT CONCEPT INTO A BROADER SYSTEM OF COMMUNITY-BASED HEALTHCARE THAT LINKS PRIMARY CARE PHYSICIANS AND THEIR PATIENTS TO DISEASE MANAGEMENT SERVICES, SPECIALISTS, EMERGENCY SERVICES AND INPATIENT HOSPITAL SERVICES, SO THAT CARE IS OPTIMALLY COORDINATED AND INFORMATION FLOWS TO SUPPORT THE BEST OUTCOMES FOR PATIENTS AND SYSTEM EFFICIENCY.THE SOUTH COUNTY CONTINGENT IS A PARTICIPANT IN THE RI CHRONIC CARE SUSTAINABILITY INITIATIVE (CSI) WHICH IS A DEMONSTRATION PILOT OF THE PCMH MODEL. THIS PROVIDES A FOUNDATION BASED ON AN INTEGRATED COLLABORATIVE APPROACH THAT WILL ASSIST PHYSICIAN PRACTICES AND THE HOSPITAL TOWARD ENHANCING THE MANAGEMENT OF PATIENTS WITH CHRONIC DISEASES.THE CHNA IMPLEMENTATION PLAN, INCLUDED WITH THIS RETURN, PROVIDES ADDITIONAL DETAILS OF THE HOSPITALS CONTINUED COMMITTMENT TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.
PART VI, LINE 6: THE HOSPITAL IS PART OF AN AFFILIATED HEALTHCARE SYSTEM OFFERING A COMPREHENSIVE RANGE OF ADVANCED INPATIENT, OUTPATIENT, AND HOME HEALTH SERVICES. ACCREDITED BY THE JOINT COMMISSION, THE HEALTHCARE SYSTEM IS MADE UP OF THE HOSPITAL, VNS HOME HEALTH SERVICES, SOUTH COUNTY QUALITY CARE, AND SOUTH COUNTY SURGICAL SUPPLY. THE HOSPITAL IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTHCARE PROVIDERS AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS.

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 Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
LISA RAMEAKA
VP OF THE MEDICAL STAFF / PHYSICIAN26559103100700087500176410322989000
LEON D PUPPI
VP OF THE MEDICAL STAFF192000000000000192000000
LOUIS R GIANCOLA
PRESIDENT AND CEO31116800037509708750014986071000102754150
THOMAS J BREEN
CHIEF FINANCIAL OFFICER342430000719590875001757704407160237500
BARBARA SEAGRAVE
VP OF PATIENT CARE SERVICES1844360000060370144870204960000
FREDERICK A BROWNE
VP OF MEDICAL AFFAIRS195364000001948082080205520000
JAMES L SMYTHE
PHYSICIAN3380180000077240177620363504000
MATTHEW JONES
PHYSICIAN3137610000050080177270336496000
JEFFREY F JOSEPH
PHYSICIAN26863702791100087500176410322939000
STEVEN H SCHNEIDER
PHYSICIAN26061102547500087500176410312477000
JILL SAMALE
PHYSICIAN23000402597500079690176410281589000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BLOUIS GIANCOLA AND THOMAS BREEN WERE PARTICIPANTS IN A DEFERRED COMPENSATION PLAN. THEY RECEIVED FINAL DISTRIBUTIONS JUNE 2012, AND THE PLAN WAS TERMINATED.
PART I, LINE 6THE BONUS PLAN FOR THREE OF THE FIVE PHYSICIANS LISTED (RAMEAKA, JOSEPH, & SCHNEIDER) IS CONTINGENT UPON THE NET EARNINGS OF THE OBGYN PRACTICE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
2006 RI HEALTH & EDUCATION BUILDING CORP
A521300173762243ST12009-09-1544950000BLDG CONSTRUCTION/MEDICAL EQUIPMENT/REFINANCE EXISTING BONDS000
2012 A RI HEALTH & EDUCATION BLDG
B521300173762243EF62012-10-016280000BLDG CONSTRUCTION/MEDICAL EQUIPMENT/REFINANCE EXISTING BONDS000
2012 B RI HEALTH & EDUCATION BLDG
C521300173762243EG42012-10-015430000BLDG CONSTRUCTION/MEDICAL EQUIPMENT/REFINANCE EXISTING BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A89550004495000020090111
B185000628000019990111
C160000543000019970111

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00100001
B0000001
C0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
MERRILL LYNCH
A010011CAPITAL SERVICES30.00000000000000001
(no name)
B010010001
(no name)
C010010001

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
LEON D PUPPI
TRUSTEE & VICE PRESIDENT OF THE MEDICAL STAFF192000LEON D. PUPPI PROVIDES PULMONARY INTENSIVIST PHYSICIAN SERVICES TO SOUTH COUNTY HOSPITAL AND IS THE VICE PRESIDENT OF THE MEDICAL STAFF.0
SUSAN KERMES
TRUSTEE217796SUSAN KERMES IS MARRIED TO KEN KERMES, A TRUSTEE OF HOME & HOSPICE CARE OF RHODE ISLAND. HOME & HOSPICE CARE OF RI UTILIZES TWO ROOMS IN THE HOSPITAL TO PROVIDE INPATIENT HOSPICE CARE.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 15THE 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 VI, SECTION B, LINE 16B:THE HOSPITAL'S JOINT VENTURE WITH 21ST CENTURY ONCOLOGY TO PROVIDE FULL SPECTRUM OF PREMIER RADIATION THERAPIES IN THE COMMUNITY WAS FULLY REVIEWED BY HOSPITAL LEGAL COUNSEL TO ASSURE FULL TAX COMPLIANCE.
FORM 990, PART XI, LINE 9:CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS 7,773,729. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 1,214,019. UNREALIZED GAIN ON INTEREST RATE SWAP 4,485,598. UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 302,445. YANKEE ALLIANCE SUPPLY CHAIN SOLUTIONS, LLC -24,594.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.
FORM 990, PART III, LINE 1:SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ("THE HOSPITAL") IS DEDICATED TO ENRICHING THE QUALITY OF LIFE OF SOUTHERN RHODE ISLAND COMMUNITY MEMBERS AND VISITORS THROUGH THE DELIVERY OF QUALITY HEALTHCARE SERVICES, THE DEVELOPMENT OF COOPERATIVE RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS, AND THE PROMOTION OF WELLNESS THROUGH HEALTH EDUCATION AND AWARENESS. GUIDED BY THIS MISSION, IT IS THE HOSPITAL'S HIGHEST AIM TO BENEFIT THE COMMUNITY. THE HOSPITAL IS MAKING EVERY EFFORT TO:(1) PROVIDE EXCELLENT MEDICAL CARE WITH DIGNITY AND RESPECT IN A TIMELY AND COST-EFFECTIVE MANNER; (2) RESPOND WITH INNOVATION TO THE CHANGING NEEDS OF OUR GOVERNING COMMUNITY; (3) ENCOURAGE TRUSTING PARTNERSHIPS WITH EMPLOYEES, PHYSICIANS, TRUSTEES, VOLUNTEERS, AND OTHERS THROUGHOUT OUR COMMUNITY. THE HOSPITAL IS FULLY ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE HOSPITAL'S FACILITIES AND PROGRAMS ARE LICENSED BY THE STATE OF RHODE ISLAND. THE HOSPITAL'S LABORATORY IS ALSO ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS AND THE AMERICAN ASSOCIATION OF BLOOD BANKS. THE ULTRASOUND, MAMMOGRAPHY, AND MRI SERVICES OF SOUTH COUNTY HOSPITAL ARE ALSO ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY. THE CT SCAN SERVICES AND CANCER PROGRAM ARE ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2013, THE HOSPITAL ADMITTED 4,981 ADULT AND PEDIATRIC PATIENTS; HAD 23,796 OUTPATIENT EMERGENCY ROOM VISITS, AND 10,493 URGENT CARE VISITS. THE HOSPITAL ALSO PROVIDED $5,243,000 OF FREE CHARITY CARE AND UNCOMPENSATED CARE TO INDIVIDUALS WHO WERE UNABLE TO PAY THE HOSPITAL FOR ITS SERVICES AS PRESENTED IN THE AUDITED FINANCIAL STATEMENTS. THE HOSPITALS MODERN FACILITIES INCLUDE: - NURSING UNITS PROVIDING MEDICAL AND SURGICAL SERVICES INCLUDING GENERAL MEDICINE, CARDIOLOGY, GASTROENTEROLOGY, PULMONARY, UROLOGY, GYNECOLOGY AND OTHERS AS WELL AS THOSE OFFERING SPECIALIZED SERVICES SUCH AS MATERNITY, INTENSIVE CARE, ORTHOPEDICS, AND CHEMOTHERAPY TREATMENT FOR CANCER PATIENTS. THE NEW 3 STORY 60 PRIVATE INPATIENT ROOMS INCLUDING 2 HOSPICE ROOMS OPENED JANUARY 2008. THE COMPLETION OF THE BED REPLACEMENT TOWERS ALLOWS THE HOSPITAL TO OPERATE ALL 100 LICENSED BEDS, MAKING AN ADDITIONAL 22 BEDS AVAILABLE TO THE REGION TO MEET THE DEMAND PROJECTED IN A PREVIOUSLY PUBLISHED STATE PLANNING ASSESSMENT STUDY. THE RENOVATIONS TO THE EMERGENCY ROOM, DIAGNOSTIC IMAGING, LAB AND THE BED TOWER WERE DESIGNED TO PROVIDE EFFICIENCIES TO THE PATIENT CARE AND ENHANCED PRIVACY. - A TEN-BED INPATIENT CARE UNIT (INCLUDED IN THE 100 BEDS ABOVE) DEVOTED TO ORTHOPEDIC PATIENTS TO MEET THE NEEDS OF THE PATIENT POPULATION. THIS UNIT OFFERS A "HOSPITAL WITHIN A HOSPITAL" CONCEPT AND WAS DEVELOPED IN COLLABORATION WITH THE ORTHOPEDIC SURGEONS AND CARE GIVERS. THE HOSPITAL WAS THE FIRST HOSPITAL IN RHODE ISLAND TO OFFER FDA APPROVED BIRMINGHAM HIP RESURFACING PROCEDURES AND THE FIRST HOSPITAL TO OFFER GENDER SPECIFIC KNEE IMPLANTS. ALSO, THIS UNIT IS THE STATE'S ONLY AIRBORNE INFECTION ISOLATION UNIT (AIIU) AND RESPONDS TO THE DOH IMPERATIVE TO IDENTIFY A 10-BED AIIU FOR THE STATE. - A SURGICAL PAVILION INCLUDING A SAME-DAY SURGERY UNIT, CAPABLE OF APPLYING THE LATEST TECHNOLOGY TO PERFORM A BROAD RANGE OF PROCEDURES. WITH SUCH INNOVATIONS AS LAPAROSCOPIC SURGERY AND NO-STITCH CATARACT SURGERY, PATIENTS' HOSPITALIZATION RECOVERY PERIODS HAVE BEEN SHORTENED DRAMATICALLY. - THE HOSPITAL'S MEDICAL STAFF INCLUDES MORE THAN 230 BOARD CERTIFIED AND BOARD ELIGIBLE PHYSICIANS REPRESENTING MORE THAN 40 SPECIALTIES. - LABORATORY, NEWLY RENOVATED IN THE SPRING OF 2006, AND DIAGNOSTIC IMAGING CENTER, NEW FACILITY COMPLETED IN FEBRUARY 2004, SERVING INPATIENTS AND OUTPATIENTS WITH THE CAPACITY TO PERFORM A WIDE VARIETY OF SOPHISTICATED PROCEDURES, INCLUDING MAGNETIC RESONANCE IMAGING (MRI), CT SCANS, X-RAY, ECHOCARDIOGRAPHY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE, DIGITAL IMAGING, DIGITAL MAMMOGRAPHY, POSITION EMISSION TOMOGRAPHY SCANNER AND STATE-OF-THE-ART DEXA BONE DENSITOMETER. - A DIAGNOSTIC CARDIAC CATHETERIZATION SERVICE, OPENED IN JANUARY 2009, LOCATED WITHIN THE DIAGNOSTIC IMAGING CENTER. THE SERVICE WAS ADDED TO MEET THE NEEDS OF THE PATIENTS IN THE SERVICE AREA. THE PROGRAM WAS ESTABLISHED IN COLLABORATION WITH RHODE ISLAND HOSPITAL AND IS AFFILIATED WITH ITS CARDIOVASCULAR LABORATORY SERVICES. - OTHER OUTPATIENT SERVICES INCLUDE A WELL EQUIPPED REHABILITATION FACILITY INCLUDING A PHYSICAL THERAPY UNIT AND SPECIAL REHABILITATION PROGRAMS FOR CARDIAC PATIENTS AND DISABLED WORKERS; WOUND CARE CENTER WHICH PROVIDES THE MOST ADVANCED TREATMENTS AND THERAPIES AVAILABLE FOR NON-HEALING WOUNDS CAUSED BY DIABETES, POOR CIRCULATION, PRESSURE OR SURGICAL INCISIONS; SLEEP DISORDER LABORATORY, ANTICOAGULATION MANAGEMENT SERVICE CLINIC, WHICH OFFERS THE VERY LATEST IN ANTICOAGULATION THERAPY; ONCOLOGY AND INFUSION THERAPY, DIABETES & NUTRITION CONSULTING SERVICES, COLONOSCOPY CENTER, AND LYME DISEASE CLINIC. - AN EMERGENCY ROOM FACILITY WITH 24-HOUR AVAILABILITY. THE EMERGENCY DEPARTMENT WAS RENOVATED IN 2003 TO 22 TREATMENT ROOMS, A FOUR-BED OBSERVATION AREA AND A DECONTAMINATION ROOM WITH A SEPARATE EXTERIOR ENTRANCE TO SERVE CHEMICAL OR BIOLOGICAL EXPOSURES. - BESIDES AN EMERGENCY ROOM, AN URGENT CARE SERVICE IS PROVIDED FOR LESS SERIOUS INJURIES AND ILLNESSES AT A SATELLITE LOCATION. IN JANUARY 2009, THE URGENT CARE WAS RELOCATED TO A NEW FACILITY IN THE HOSPITAL'S NORTHERN SERVICE AREA. THE NEW FACILITY INCLUDES DIAGNOSTIC IMAGING, FAMILY MEDICINE, PHYSICAL THERAPY, MEDICAL LABORATORY, AND WOMAN'S HEALTH. - THE HOSPITAL OPENED SOUTH COUNTY RADIATION THERAPY IN COLLABORATION WITH 21ST CENTURY ONCOLOGY, A LEADING DEVELOPER AND RESPECTED NATIONAL PROVIDER OF RADIATION THERAPY SERVICES. BY JOINING WITH 21ST CENTURY ONCOLOGY, THE HOSPITAL IS ABLE TO PROVIDE A FULL SPECTRUM OF PREMIER RADIATION THERAPIES, IMPLEMENTING SOME OF THE MOST ADVANCED RADIATION THERAPY TREATMENTS IN THE STATE INCLUDING INTENSITY MODULATED RADIATION THERAPY, 3-D CONFORMAL BEAM THERAPY, PROSTATE SEED IMPLANTS, AND HDR BRACH THERAPY. THESE VARIOUS MODALITIES ENABLE ONCOLOGISTS TO OPTIMIZE TREATMENT CHOICES BASED ON THE TYPE AND LOCATION OF THE CANCER. - IN ORDER TO STRENGTHEN ITS HOMECARE PROGRAM DURING 1999, THE HOSPITAL AFFILIATED WITH VNS HOME HEALTH SERVICES, A RESPECTED, COMMUNITY BASED HOME HEALTH AGENCY. WITH THIS ADDITION, THE HOSPITAL STRENGTHENED ITS COMMUNITY ROOTS AND FURTHER BRANCHED OUT TO PATIENTS. THE COLLABORATION OF BOTH ORGANIZATIONS IN THIS ACTION WAS FOCUSED ON ENSURING A CONTINUITY OF QUALITY CARE, DELIVERED BY A SKILLED AND MOTIVATED TEAM OF HOME HEALTH PROFESSIONALS. TWENTIETH CENTURY TECHNOLOGY AND THE PROCESS OF MANAGED CARE HAS NOT ONLY INCREASED THE LEVELS OF SERVICE NOW PROVIDED IN THE HOME, BUT ALSO HAS BROADENED THE ROLE OF THE FAMILY AS CAREGIVERS. - IN RESPONSE TO THE CLEAR RECOMMENDATIONS FROM A WIDE CROSS-SECTION OF OUR COMMUNITY, SOUTH COUNTY HOSPITAL REMAINS COMMITTED TO INDEPENDENCE IN FINANCE, OPERATIONS AND GOVERNANCE. COMMUNITY BENEFITS - WE VIEW OUR EFFORTS IN COMMUNITY INVOLVEMENT/COMMUNITY OUTREACH AS A VITAL PART OF OUR MISSION, AND WE BELIEVE IT PLAYS AN ESSENTIAL ROLE IN IMPROVING THE HEALTH OF THE MEMBERS OF OUR COMMUNITY. EDUCATION - THROUGHOUT THE YEAR, SOUTH COUNTY HOSPITAL DEDICATES SUBSTANTIAL RESOURCES TO THE COMMUNITY OUTREACH AT A MULTITUDE OF LOCATIONS THROUGHOUT THE AREA. SOUTH COUNTY HOSPITAL PLACES GREAT IMPORTANCE ON PROVIDING A MULTITUDE OF OPPORTUNITIES FOR MEMBERS OF THE COMMUNITY TO BECOME BETTER INFORMED ABOUT DISEASE PREVENTION, MANAGEMENT, AND TREATMENT AND TO TAKE STEPS TO ACHIEVE AND MAINTAIN OPTIMAL HEALTH.DESCRIPTION OF ORGANIZATION MISSION
THESE COMMUNITY OUTREACH EVENTS ARE FREE (WITH ONE EXCEPTION), OPEN TO ALL, AND TAKE MANY FORMS. THEY INCLUDE: - MONTHLY LECTURE SERIES (FREE). THE LECTURES ARE GIVEN BY PHYSICIANS AND OTHER CLINICIANS ON THE STAFF, AND ARE HELD AT VARIOUS LOCATIONS THROUGHOUT OUR SERVICE AREA TO REACH THE GREATEST NUMBER OF PEOPLE. TOPICS INCLUDE HEART DISEASE, CANCER (BREAST CANCER, COLON CANCER, PROSTATE CANCER, ETC.), DIABETES & WELLNESS, SLEEP DISORDERS, NUTRITION, ARTHRITIS, CHILDBIRTH AND MUCH, MUCH MORE. AT LEAST THREE LECTURES PER MONTH ARE OFFERED THROUGHOUT THE YEAR (A MINIMUM TOTAL OF 36 FREE LECTURES A YEAR), AND AUDIENCE SIZE RANGES FROM 30 TO MORE THAN 140. - PROSTATE CANCER SCREENING CLINIC (A FREE, ANNUAL EVENT). EACH YEAR THIS IS ATTENDED BY MORE THAN 100 MEN. THE CLINIC IS STAFFED BY UROLOGISTS AND PHLEBOTOMISTS. - WOMEN'S WELLNESS DAY (AN ANNUAL EVENT, WITH A SMALL RESERVATION FEE). THE DAY INCLUDES PRESENTATIONS BY PHYSICIANS ON IMPORTANT HEALTH TOPICS, FREE HEALTH SCREENINGS, FREE LITERATURE, AND MORE. EACH YEAR THIS IS ATTENDED BY CLOSE TO 300 WOMEN. - OUTREACH TO LOCAL SCHOOLS - EVERY YEAR, WE REACH OUT TO AREA ELEMENTARY, MIDDLE AND HIGH SCHOOLS WITH DEMONSTRATIONS ON PROPER HAND WASHING TECHNIQUES, AS WELL AS PRESENTATIONS FROM CLINICIANS ON A VARIETY OF HEALTH AND CAREER TOPICS. - A WEBSITE DESIGNED TO SERVE AS A RESOURCE FOR THE LATEST HEALTH CARE INFORMATION AND PROVIDE INFORMATION ON COMMUNITY OUTREACH. - FREE QUARTERLY NEWSLETTER, YOUR HEALTH MATTERS. THIS HEALTH INFORMATION PACKED 8 PAGE NEWSLETTER IS MAILED TO 31,000 HOUSEHOLDS PER ISSUE. - FREE MONTHLY ELECTRONIC NEWSLETTER, E-HEALTH NEWS. THE MAILING LIST FOR THIS HEALTH INFORMATION ELECTRONIC NEWSLETTER HAS MORE THAN 1,800 SUBSCRIBERS. ACCESS THE HOSPITAL OFFERS FREE TRANSPORATION ALL ACROSS SOUTH COUNTY TO MEDICAL APPOINTMENTS, USING OUR WAVE VAN, FOR INDIVIDUALS WHO ARE UNABLE TO DRIVE OR WHO HAVE NO OTHER MEANS OF TRANSPORATION.

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 NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT
100 KENYON AVEWAKEFIELDRI02879050259093TO SUPPORT ADVANCEMENT OF MEDICINE AND HEALTH CARERI501(C)(3)7N/A0
VNS HOMECARE INC
14 WOODRUFF AVENARRAGANSETTRI02882056033975TO PROVIDE HEALTH CARERI501(C)(3)91SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPANYRISOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMC-752515049241.000001
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313HOME BASED PERSONAL CARERISOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMC-535433625041.000001
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937RETAIL PROVIDER OF MEDICAL EQUIPMENTRISOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMC-1692319503101.000001
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 Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
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 Line1SSHM SURGICAL SUPPLY INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved751054AmountInvolved