2012-08-13T08:49:44-05:00 2011-09-30 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2010-10-01 050259093 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN 4017828000 2012-08-09 1 8605498500 2010 2016-02-24 21:20:13Z THOMAS J BREEN 100 KENYON AVENUE WAKEFIELD RI 02879 2647357 0 X N/A X 1989 RI PLANNING, MANAGEMENT & FUNDRAISING FOR HOSPITAL SYSTEM. 23 21 0 0 0 0 1787543 1813160 0 0 638202 780317 -48510 -42009 2377235 2551468 26569 0 0 0 537302 551167 0 0 0 375303 374168 939174 925335 1438061 1626133 25811305 23683808 443435 588090 25367870 23095718 PLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND THE VNS HOMECARE INC. 0 0 671508 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011, 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. 671508 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 5 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 23 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI X X MARCIA POLHEMUS 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 IRWIN M BIRNBAUM ESQ 1.00 X 0 0 0 KATHLEEN CASSIN MD 1.00 X 0 0 0 STEPHANIE CHAFEE RN MBA 1.00 X 0 0 0 EDWARD M CIMILLUCA 1.00 X 0 0 0 DUNCAN COCROFT 1.00 X 0 0 0 NITIN S DAMLE MD 1.00 X 0 0 0 LAURA HARRIS 1.00 X 0 0 0 JOHN P HEFFERNAN MD 1.00 X 0 0 0 SUSAN KERMES 1.00 X 0 0 0 DORIS MANGANARO 1.00 X 0 0 0 MAUREEN W MOAKLEY 1.00 X 0 0 0 ROBERT PANOFF 1.00 X 0 0 0 HENRY D SHARPE III 1.00 X 0 0 0 RUSSELL R SHIPPEE 1.00 X 0 0 0 MEG SISCO 1.00 X 0 0 0 JAMES F STONE 1.00 X 0 0 0 BARBARA TATE 1.00 X 0 0 0 THE HONORABLE ERNEST C TORRES 1.00 X 0 0 0 PAULA VIAU 1.00 X 0 0 0 THOMAS WARCUP DO 1.00 X 0 15000 0 LEON D PUPPI 1.00 X 0 168750 0 EVE KEENAN 1.00 X X 0 0 0 M BEVERLY SWAN 1.00 X X 0 0 0 CLAIRE WILCOX 1.00 X X 0 0 0 JOSEPH MATTHEWS 1.00 X X 0 0 0 LOUIS R GIANCOLA 40.00 X 0 281703 60504 THOMAS J BREEN 40.00 X 0 318614 41927 DONNA M NEVILLE 40.00 X 0 109102 11572 0 893169 114003 0 0 1 0 0 331980 1481180 28425 1813160 780317 780317 53880 331980 95889 -42009 -42009 2551468 0 0 738308 433224 433224 117943 117943 2380 2380 31650 31650 182209 182209 24700 24700 5000 5000 52890 52890 639 639 706 706 26804 26804 37588 37588 MISCELLANEOUS 9147 9147 DUES & LICENSES 455 455 925335 671508 253827 0 519772 686677 911936 481857 1822513 839838 3949 3949 59805 66193 562546 432258 157092 130288 22291346 21414769 44892 60237 25811305 23683808 128083 201899 315352 386191 443435 588090 X 14404350 14208099 3861443 2277180 7102077 6610439 25367870 23095718 25811305 23683808 X 1626133 -3898285 X X 0 1 1 X 0 X 4510003 1719971 1530184 1787543 1813160 11360861 4510003 1719971 1530184 1787543 1813160 11360861 2045339 9315522 454223 769771 279149 780402 780317 3063862 44072 63394 53880 161346 14586069 0.63870 0.73010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22291346 443020 -1141587 178010 21414769 20874078 769347 1640399 992478 22291346 27397418 2785668 -1510588 7798420 20874078 0.63000 0.31000 0.06000 1 0 562546 432258 130288 130288 ENDOWMENT POOLED INVESTMENTS 13464653 F PERMANENTLY RESTRICTED TRUST FUND 6610439 F TEMPORARY RESTRICTED TRUST FUND 1339677 F 21414769 DUE TO AFFILIATES 2000 OTHER LIABILITIES (GIFT ANNUITY) 384191 386191 2551468 925335 1626133 -963988 -2934297 -3898285 -2272152 1501160 -963988 95889 -868099 2369259 182209 182209 2551468 839015 95889 95889 743126 182209 182209 925335 PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS -198,890. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS -491,638. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -26,264. NET ASSETS RELEASED FROM RESTRICTIONS -2,185,981. CHANGE IN NET REALIZED AND UNREALIZED GAINS IN INVESTMENTS -31,524. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 95,889. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENTS EXPENSE 95,889. 2011 DINNER DANCE 296805 265305 31500 31387 34328 2011 INVITATIONAL 53810 41210 12600 6243 10841 2116 1 35245 25465 9780 203 10771 385860 331980 53880 6446 42228 47215 95889 -42009 X X X X X 0 1 0 0 0 0 0 0 0 LEON D PUPPI 0 0 0 0 0 168750 0 0 0 0 0 168750 0 0 LOUIS R GIANCOLA 0 279209 0 0 0 2494 0 43694 0 16810 0 342207 0 0 THOMAS J BREEN 0 318614 0 0 0 0 0 22622 0 19305 0 360541 0 0 PART I, LINE 4B LOUIS GIANCOLA - DEFERRED COMPENSATION PLAN - $14,286 THOMAS BREEN - DEFERRED COMPENSATION PLAN - $5,714 LEON D PUPPI X 20000 3949 0 1 1 3949 X 2 28425 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART I, LINE 5 / FORM 990, PART IX, LINE 7 & 9: THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT DOES NOT HAVE ANY EMPLOYEES. THEY SHARE EMPLOYEES WITH SOUTH COUNTY HOSPITAL. THE SALARIES AND EMPLOYEE BENEFITS REPORTED IN PART IX ARE REIMBURSED BY THE ENDOWMENT TO SOUTH COUNTY HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S AUDIT COMMITTEE APPROXIMATELY 30 DAYS PRIOR TO THE FILING DEADLINE. THE AUDIT COMMITTEE THEN REVIEWS THE FORM 990 AND PROVIDES QUESTIONS AND COMMENTS TO THE ORGANIZATION'S ACCOUNTING DEPARTMENT. BEFORE IT IS FILED, A COPY OF THE FINAL FORM 990, INCLUDING REQUIRED SCHEDULES, IS PROVIDED TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION WITH THE CHAIRMAN OF THE AUDIT COMMITTEE AT A BOARD MEETING PRIOR TO THE FILING DEADLINE. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE GOVERNING BODY, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. IT IS PERIODICALLY REVIEWED AND DISCUSSED AT BOARD MEETINGS. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS DETERMINED BY THE GOVERNING BODY. THE CEO'S SALARY IS COMPARED TO OTHER CEO'S SALARIES OF SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -963,988. UNREALIZED CHANGE IN EQUITY INTERESTS IN LIMITED PARTNERSHIPS -198,890. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUSTS -491,638. NET ASSETS RELEASED FOR CAPITAL EXPENDITURES -26,264. NET ASSETS RELEASED FROM RESTRICTIONS -2,185,981. CHANGE IN NET REALIZED AND UNREALIZED GAINS IN INVESTMENTS -31,524. TOTAL TO FORM 990, PART XI, LINE 5: -3,898,285. FORM 990, PART XII, LINE 2C: FINANCIAL STATEMENTS AND REPORTING THE ORGANIZATION'S AUDIT COMMITTEE IS RESPONSIBLE FOR SELECTING AN INDEPENDENT ACCOUNTANT TO AUDIT THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS. SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 100 KENYON AVENUE WAKEFIELD RI 02879 050445136 HOSPITAL RI 501(C)(3) 3 SOUTH COUNTY HOSPITAL HC SYSTEM ENDOWMENT 1 VNS HOMECARE INC 14 WOODRUFF AVENUE WAKEFIELD RI 02879 056033975 TO PROVIDE HEALTH CARE RI 501(C)(3) 9 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 0 SILVER SPRING HEALTH CARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SOUTH COUNTY HOSPITAL HEALTHCARE C SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 HOME BASED PERSONAL CARE RI SILVER SPRING HEALTH CARE MANAGEMENT C SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFIELD RI 02879 050478937 RETAIL PROVIDER OF MEDICAL EQUIPMENT RI SILVER SPRING HEALTH CARE MANAGEMENT C 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM N 551166 ACTUAL COST