FURP.ORG / PUBLIC DATA EXPLORER

SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT (EIN 05-0259093)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201322279349300622
Schema version
2011v1.5
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)
Timestamp2013-08-15T08:22:21-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050259093EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone4017828000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS J BREENName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4017828000Phone
Date Signed2013-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOUGLAS FARRINGTONName
PTINP00370668PTIN
Phone8605498500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS J BREENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2866739GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionPLANNING, MANAGEMENT & FUNDRAISING FOR HOSPITAL SYSTEM.ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1813160ContributionsGrantsPriorYear
Contributions Grants Current Year2189608ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year780317InvestmentIncomePriorYear
Investment Income Current Year537418InvestmentIncomeCurrentYear
Other Revenue Prior Year-42009OtherRevenuePriorYear
Other Revenue Current Year-31171OtherRevenueCurrentYear
Total Revenue Prior Year2551468TotalRevenuePriorYear
Total Revenue Current Year2695855TotalRevenueCurrentYear
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 Year551167SalariesEtcPriorYear
Salaries Etc Current Year579557SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year374168OtherExpensePriorYear
Other Expenses Current Year310089OtherExpensesCurrentYear
Total Expenses Prior Year925335TotalExpensesPriorYear
Total Expenses Current Year889646TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1626133RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1806209RevenuesLessExpensesCY
Total Assets BOY23683808TotalAssetsBOY
Total Assets EOY27064486TotalAssetsEOY
Total Liabilities BOY588090TotalLiabilitiesBOY
Total Liabilities EOY684463TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23095718NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26380023NetAssetsOrFundBalancesEOY
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
Expense734691Expense
DescriptionDURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, 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 Expense734691TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARCIA POLHEMUSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4017828000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 KENYON AVENUEAddressLine1
CityWAKEFIELDCity
StateRIState
ZIP Code02879ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (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
TRUSTEE1.00X021710
STEPHANIE CHAFEE RN MBA
TRUSTEE1.00X000
EDWARD M CIMILLUCA
TRUSTEE1.00X000
DUNCAN COCROFT
TRUSTEE1.00X000
NITIN S DAMLE MD
TRUSTEE1.00X000
JAMES FARRELL
TRUSTEE1.00X000
LAURA HARRIS
TRUSTEE1.00X000
JOHN P HEFFERNAN MD
TRUSTEE1.00X000
SUSAN KERMES
TRUSTEE1.00X000
DENNIS LYNCH
TRUSTEE1.00X000
MAUREEN W MOAKLEY
TRUSTEE1.00X000
ROBERT PANOFF
TRUSTEE1.00X000
HENRY D SHARPE III
TRUSTEE1.00X000
RUSSELL R SHIPPEE
TRUSTEE1.00X000
MEG SISCO
TRUSTEE1.00X000
THE HONORABLE ERNEST C TORRES
TRUSTEE1.00X000
LEON D PUPPI
PRESIDENT OF THE MEDICAL STAFF1.00X01995000
WILLIAM SABINA MD FACEP
VICE PRESIDENT OF THE MEDICAL STAFF1.00X032330
EVE KEENAN
CHAIRPERSON1.00X000X
M BEVERLY SWAN
VICE CHAIRPERSON1.00X000X
JOSEPH MATTHEWS
TREASURER1.00X000X
CLAIRE WILCOX
SECRETARY1.00X000X
LOUIS R GIANCOLA
PRESIDENT AND CEO40.00027205039084X
THOMAS J BREEN
CHIEF FINANCIAL OFFICER40.00031935832999X
DONNA M NEVILLE
VP OF DEVELOPMENT40.00010780110797X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs904113TotalReportableCompFrmRltdOrgs
Total Other Compensation82880TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events355928FundraisingEvents
All Other Contributions1833680AllOtherContributions
Noncash Contributions149403NoncashContributions
Total Contributions2189608TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column537418TotalRevenueColumn
Exclusion$537,418ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events64777GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events355928CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses122317FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-57540TotalRevenueColumn
Exclusion-$57,540ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory64273GrossSalesOfInventory
Cost Of Goods Sold48567CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15706TotalRevenueColumn
Exclusion$15,706ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column10663TotalRevenueColumn
Exclusion$10,663ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10663TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2695855TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$506,247ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total501724Total
Program Services501724ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total77833Total
Program Services77833ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7677Total
Management And General7677ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27450Total
Management And General27450ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total79487Total
Management And General79487ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total14961Total
Program Services14961ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total94692Total
Program Services94692ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total658Total
Program Services658ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1619Total
Program Services1619ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total26804Total
Program Services26804ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total40341Total
Management And General40341ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionDUES & LICENSESDescription
Total130Total
Program Services130ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11270Total
Program Services11270ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total889646Total
Program Services734691ProgramServices
Management And General154955ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY686677BOY
EOY423157EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY481857BOY
EOY1122893EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY839838BOY
EOY1039317EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY3949BOY
EOY3949EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY66193BOY
EOY44980EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis562546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec459062LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY130288BOY
EOY103484EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY21414769BOY
EOY24231221EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY60237BOY
EOY95485EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23683808BOY
EOY27064486EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY201899BOY
EOY217457EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY386191BOY
EOY467006EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY588090BOY
EOY684463EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14208099BOY
EOY16309707EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2277180BOY
EOY2627776EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6610439BOY
EOY7442540EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23095718BOY
EOY26380023EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23683808BOY
EOY27064486EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1806209ReconcilationRevenueExpenses
Reconcilation Other Changes1478096ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1719971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1530184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1787543CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1813160CurrentTaxYearMinus1Year
Current Tax Year2189608CurrentTaxYear
Total9040466Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1719971CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1530184CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1787543CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1813160CurrentTaxYearMinus1Year
Current Tax Year2189608CurrentTaxYear
Total9040466Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2221642AmountsSubstContributorsTotal
Public Support Total1706818824PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years769771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years279149CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years780402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year780317CurrentTaxYearMinus1Year
Current Tax Year537418CurrentTaxYear
Total3147057Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years44072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63394CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53880CurrentTaxYearMinus1Year
Current Tax Year139713CurrentTaxYear
Total301059Total
FieldValueIRS element (for citing)
Total Support12488582TotalSupport
Public Support Pertcentage1700.54600PublicSupportPertcentage170
Public Support Pertcent Prior Year0.63870PublicSupportPertcentPriorYear
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 Balance21414769BeginningOfYearBalance
Contributions1350Contributions
Investment Earnings Or Losses3413491InvestmentEarningsOrLosses
Other Expenditures598389OtherExpenditures
End Of Year Balance24231221EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance22291346BeginningOfYearBalance
Contributions443020Contributions
Investment Earnings Or Losses-1141587InvestmentEarningsOrLosses
Other Expenditures178010OtherExpenditures
End Of Year Balance21414769EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance27397418BeginningOfYearBalance
Contributions2785668Contributions
Investment Earnings Or Losses-1510588InvestmentEarningsOrLosses
Other Expenditures7798420OtherExpenditures
End Of Year Balance20874078EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.65000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.31000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis562546OtherCostOrOtherBasis
Depreciation459062Depreciation
Book Value103484BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings103484TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ENDOWMENT POOLED INVESTMENTS15831972F
PERMANENTLY RESTRICTED TRUST FUND7442540F
TEMPORARY RESTRICTED TRUST FUND956709F
FieldValueIRS element (for citing)
Total Of Book Value Securities24231221TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$54,520
OTHER LIABILITIES (GIFT ANNUITY)$412,486
FieldValueIRS element (for citing)
Total Of Amounts467006TotalOfAmounts
Total Revenue2695855TotalRevenue
Total Expenses889646TotalExpenses
Excess Or Deficit For Year1806209ExcessOrDeficitForYear
Net Unrealized GL On Investments1117973NetUnrealizedGLOnInvestments
Other$360,123OtherAmount
Total Adjustments1478096TotalAdjustments
Excess Or Deficit Per FS3284305ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3905225TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1117973NetUnrealizedGainsInvestments
Other Revenues170884OtherRevenues
Revenue Not Rptd F9901288857RevenueNotRptdF990
Revenue Subtotal2616368RevenueSubtotal
Investment Expenses Not Included79487InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt79487RevenueNotRptdOnFinStmt
Total Revenue Per Form9902695855TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt981043TotExpensesEtcAuditedFinclStmt
Other Expenses Included170884OtherExpensesIncluded
Expenses Not Rptd F990170884ExpensesNotRptdF990
Expenses Subtotal810159ExpensesSubtotal
Investment Expenses Not Included279487InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt79487ExpensesNotRptdOnFinStmt
Total Expenses Per Form990889646TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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: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 2012 OR 2011.
PART XI, LINE 8 - OTHER ADJUSTMENTS:UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 298,866. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS 832,101. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 63,459. NET ASSETS RELEASED FROM RESTRICTIONS -834,303. TOTAL TO SCHEDULE D, PART XI, LINE 8: 360,123.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS EXPENSE 122,317. INVENTORY COSTS OF GOODS SOLD 48,567.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EVENTS EXPENSE 122,317. INVENTORY COSTS OF GOODS SOLD 48,567.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event12012 DINNER DANCENameOfEvent1
Gross Receipts Event1347530GrossReceiptsEvent1
Charitable Contributions Event1308390CharitableContributionsEvent1
Gross Revenue Event139140GrossRevenueEvent1
Rent Facility Costs Event137853RentFacilityCostsEvent1
Other Direct Expenses Event157457OtherDirectExpensesEvent1
Name Of Event22012 INVITATIONALNameOfEvent2
Gross Receipts Event250100GrossReceiptsEvent2
Charitable Contributions Event234368CharitableContributionsEvent2
Gross Revenue Event215732GrossRevenueEvent2
Non Cash Prizes Event24867NonCashPrizesEvent2
Rent Facility Costs Event210908RentFacilityCostsEvent2
Other Direct Expenses Event21552OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events23075GrossReceiptsOtherEvents
Charitable Contrib Other Events13170CharitableContribOtherEvents
Gross Revenue Other Events9905GrossRevenueOtherEvents
Other Direct Expenses Other Events9680OtherDirectExpensesOtherEvents
Gross Receipts Total420705GrossReceiptsTotal
Charitable Contributions Total355928CharitableContributionsTotal
Gross Revenue Total Events64777GrossRevenueTotalEvents
Non Cash Prizes Total Events4867NonCashPrizesTotalEvents
Rent Facility Costs Total Events48761RentFacilityCostsTotalEvents
Other Direct Expenses Total Events68689OtherDirectExpensesTotalEvents
Direct Expense Summary Events122317DirectExpenseSummaryEvents
Net Income Summary-57540NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LEON D PUPPI
000001995000000019950000
LOUIS R GIANCOLA
02694760002574023040016044031113400
THOMAS J BREEN
03193580000014111018888035235700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationLOUIS R. GIANCOLA - DEFERRED COMPENSATION PLAN - $23,040 THOMAS J. BREEN - DEFERRED COMPENSATION PLAN - $14,111Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

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

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990149403NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I, LINE 5 / FORM 990, PART 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 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 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,117,973. UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS 298,866. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS 832,101. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES 63,459. NET ASSETS RELEASED FROM RESTRICTIONS -834,303. TOTAL TO FORM 990, PART XI, LINE 5: 1,478,096.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
100 KENYON AVENUEWAKEFIELDRI02879050445136HOSPITALRI501(C)(3)3SOUTH COUNTY HOSPITAL HC SYSTEM ENDOWMENT1
VNS HOMECARE INC
14 WOODRUFF AVENUEWAKEFIELDRI02879056033975TO PROVIDE HEALTH CARERI501(C)(3)9SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
SILVER SPRING HEALTH CARE MANAGEMENT
100 KENYON AVENUEWAKEFIELDRI02879050459095HOLDING COMPANYRISOUTH COUNTY HOSPITAL HEALTHCAREC
SOUTH COUNTY QUALITY CARE
100 KENYON AVENUEWAKEFIELDRI02879050491313HOME BASED PERSONAL CARERISILVER SPRING HEALTH CARE MANAGEMENTC
SSHM SURGICAL SUPPLY INC
100 KENYON AVENUEWAKEFIELDRI02879050478937RETAIL PROVIDER OF MEDICAL EQUIPMENTRISILVER SPRING HEALTH CARE MANAGEMENTC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved579557AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination