2024-08-14T12:22:50-05:00 2023-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2022-10-01 854028860 SOUTH COUNTY HEALTH FOUNDATION SOUT 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 THOMAS J BREEN VP AND CHIEF FINANCIAL OFFICER 4017828000 2024-08-13 1 0 SHYAMALEE JOSEPH P01085371 6179881000 2024-08-13 2022 2024-08-08 14:25:15Z AARON S ROBINSON 100 KENYON AVENUE WAKEFIELD RI 02879 7535102 0 X WWW.SOUTHCOUNTYHEALTH.ORG X 2020 RI SEE SCHEDULE O 15 14 0 127 0 0 3589009 5858895 0 0 6095 5229 16103 1595497 3611207 7459621 0 0 0 0 639616 661872 0 0 0 181738 144722 821354 806594 2789853 6653027 12685009 17914773 182764 229673 12502245 17685100 PLANNING, FUNDRAISING AND MANAGEMENT ACTIVITIES TO SUPPORT THE MISSION OF SOUTH COUNTY HOSPITAL AND SOUTH COUNTY HOME HEALTH. 0 0 708437 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, SOUTH COUNTY HEALTH FOUNDATION PROVIDED PLANNING, MANAGEMENT, AND FUNDRAISING ACTIVITIES FOR SOUTH COUNTY HOSPITAL AND SOUTH COUNTY HOME HEALTH. BY PROVIDING THESE SERVICES, THE HOSPITAL AND SOUTH COUNTY HOME HEALTH, WERE ABLE TO FOCUS THEIR ACTIVITIES MORE TOWARD PROVIDING HIGH-QUALITY MEDICAL SERVICES TO PERSONS IN SOUTHERN RHODE ISLAND. THE FOUNDATION 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. 43913 DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2023, SOUTH COUNTY HEALTH FOUNDATION CONTINUED ITS COMPREHENSIVE CAMPAIGN TO RAISE MONEY FOR IMPROVEMENTS TO ITS CAMPUS, UNRESTRICTED MONEY FOR DAILY OPERATIONS AND RESTRICTED FUNDS FOR FUTURE NEEDS. THE CAPITAL NEEDS INCLUDED IN THIS CAMPAIGN ARE ADDITION OF A NEW OPERATING ROOM, ENDOSCOPY SUITE, ED IMPROVEMENTS, HEART AND VASCUALR CENTER OF EXCELLENCE, UPGRADE RADIATION THERAPY WITH A NEW LINEAC, PARKING IMPROVEMENTS AND PLANS FOR A SKYBRIDGE. THE SYSTEM RECOGNIZED THESE ADDITIONS AND IMPROVEMENTS AS CRITICAL NEEDS FOR THE COMMUNITY AND THE GOAL IS FOR THE CAMPAIGN TO SUPLEMENT AT LEAST HALF THE COST OF THESE PROJECTS. AS OF SEPTEMBER 30, 2023, THE SOUTH COUNTY HEALTH FOUNDATION HAS RAISED APPROXIMATELY $19,076,156 OF ITS $25,000,000 GOAL. 752350 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 RI X THOMAS J BREEN 4017828000 100 KENYON AVENUE WAKEFIELD RI 02879 CHRISTOPHER JALBERT VP OF MED STAFF 1.00 42.00 X 0 256907 29118 JOSEPH MATTHEWS CHAIRMAN 1.00 3.00 X X 0 0 0 JAMES FARRELL VICE CHAIRMAN 1.00 3.00 X X 0 0 0 NOAH BENEDICT SECRETARY (AS OF 4/23) 1.00 3.00 X X 0 0 0 BETTY RAMBUR PHD RN TREASURER (AS OF 4/23) 1.00 3.00 X X 0 0 0 VICTORIA A WICKS TRUSTEE, TREASURER (UNTIL 4/23) 1.00 3.00 X X 0 0 0 ROBERT BIERWIRTH MD PRESIDENT OF MED STAFF 1.00 3.00 X 0 0 0 STEVE BLAZEJEWSKI TRUSTEE (THRU 4/23) 1.00 3.00 X 0 0 0 SANDRA COLETTA TRUSTEE 1.00 3.00 X 0 0 0 ROBERT DYER MD TRUSTEE 1.00 3.00 X 0 0 0 JOHN H HOWLAND TRUSTEE 1.00 3.00 X 0 0 0 ROGEAN MAKOWSKI TRUSTEE 1.00 3.00 X 0 0 0 JASON MARSHALL TRUSTEE 1.00 3.00 X 0 0 0 RICK NORBERG TRUSTEE (AS OF 4/23) 1.00 3.00 X 0 0 0 AUSTIN C SMITH TRUSTEE 1.00 3.00 X 0 0 0 JOHN WARDLE TRUSTEE (THRU 4/23) 1.00 3.00 X 0 0 0 BARBARA WOLFE TRUSTEE (AS OF 4/23) 1.00 3.00 X 0 0 0 AARON S ROBINSON PRESIDENT AND CEO 1.00 42.00 X 0 854719 30846 THOMAS J BREEN VP AND CHIEF FINANCIAL OFF 2.00 43.00 X 0 432344 27071 CHRISTINE FOISY VP, CHIEF PHILANTHROPY OFFICER 40.00 0.00 X 0 195211 17416 0 1739181 104451 0 0 1 0 0 755 5858140 5477 5858895 5229 5229 159911 755 51619 108292 108292 37612 23862 13750 13750 OTHER REVENUE 900099 1473455 1473455 1473455 7459621 0 0 1600726 538107 503919 34188 123765 123765 1896 1896 408 408 14042 14042 40309 37802 2507 1200 1200 5854 5854 895 895 15245 15245 CULTIVATION EVENTS 15110 15110 CREDIT CARD FEES 7391 7391 BANK SERVICE CHARGE 1209 1209 41163 41163 806594 752350 54244 0 0 2507031 1608397 1553055 78303 12452 1473 11873 10979 10257644 13744748 807095 20657 12685009 17914773 83646 101966 99118 127707 182764 229673 X 723923 2478629 11778322 15206471 12502245 17685100 12685009 17914773 X 6653027 -1470172 X X 0 1 X 1 0 X 3589009 5858895 9447904 3589009 5858895 9447904 3966215 5481689 6095 5229 11324 108292 108292 31278 1511067 1542345 11109865 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7320189 614176 7934365 9585794 -2265605 7320189 0.00000 0.98810 0.01190 0 0 12452 1473 10979 10979 ASSETS HELD IN TRUST 7799031 F DONOR RESTRICTED FUNDS 5945717 F 13744748 DUE TO AFFILIATES 127707 127707 X 6064930 -1470172 -1470172 7535102 -75481 -75481 7459621 882075 0 882075 -75481 -75481 806594 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNDS ARE USED TO SUPPORT THE SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND ARE TO FUND CAPITAL EXPENDITURES. PART X, LINE 2: THE FOOTNOTE BELOW IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM FOUNDATION. THE NOT-FOR-PROFIT ENTITIES (SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM ENDOWMENT, SOUTH COUNTY HOSPITAL, SOUTH COUNTY HOME HEALTH AND THE SOUTH COUNTY HEALTH FOUNDATION) 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 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 JUDGEMENT OCCURS. THE HOSPITAL DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2023 OR 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED CHANGE IN EQUITY IN LP 36,317. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE TRUSTS 520,838. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUST -2,027,327. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -51,619. COST OF GOODS SOLD -23,862. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -51,619. COST OF GOODS SOLD -23,862. PART V, LINE 2: SOUTH COUNTY HEALTH FOUNDATION HAS ADOPTED FASB ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2023 AUDITED FINANCIAL STATEMENTS CLASSIFY THE NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS. FOR PURPOSES OF PART V, LINE 2, SOUTH COUNTY HEALTH FOUNDATION HAS REPORTED ITS YEAR END ENDOWMENT BALANCE SHEET WITHOUT DONOR RESTRICTIONS AS QUASI ENDOWMENT AND ITS YEAR END BALANCE WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT AND TERM RESTRICTED ENDOWMENT, RESPECTIVELY. INVITATIONAL 113050 113050 2027 30184 FASHION SHOW 30066 755 29311 1995 13040 1 17550 17550 4373 160666 755 159911 2027 1995 47597 51619 108292 0 0 0 0 0 0 0 0 0 AARON S ROBINSON PRESIDENT AND CEO 0 712259 0 130625 0 11835 0 10675 0 20171 0 885565 0 0 THOMAS J BREEN VP AND CHIEF FINANCIAL OFF 0 426151 0 0 0 6193 0 10675 0 16396 0 459415 0 0 CHRISTOPHER JALBERT VP OF MED STAFF 0 248495 0 8013 0 399 0 9321 0 19797 0 286025 0 0 CHRISTINE FOISY VP, CHIEF PHILANTHROPY OFFICER 0 194589 0 0 0 622 0 0 0 17416 0 212627 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE CEO IS DETERMINED BY SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM WHICH USED THE FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE COMPENSATION. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: PLANNING, MANAGEMENT & FUNDRAISING FOR SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND SOUTH COUNTY HOME HEALTH. FORM 990, PART I, LINE 5, PART VII & PART IX, LINES 7 & 9 THE SOUTH COUNTY HEALTH FOUNDATION 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 FOUNDATION TO SOUTH COUNTY HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM AND ITS AFFILIATES (KNOWN AS SOUTH COUNTY HEALTH (SCH)) HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. ALL ENTITIES HAVE MIRROR BOARDS. 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 SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. 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. IF A POTENTAIL CONFLICT IS IDENTIFIED, THE BOARD WOULD DISCUSS THE ITEM TO DETERMINE IF A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM THE DISCUSSIONS. ALL DISCUSSIONS ARE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15A SCH HAS POLICIES AND PROCEDURES ADOPTED BY ALL ENTITIES IN THE SYSTEM. THE BOARD OF TRUSTEES HAS THE ULTIMATE RESPONSIBILITY TO ENSURE THAT COMPENSATION OF THE EXECUTIVE LEADERSHIP OF SCH REFLECTS THE NORMS ESTABLISHED IN THE INDUSTRY, REWARDS AND REINFORCES THE VALUES AND LONG-RANGE GOALS OF THE SYSTEM, AND UPHOLDS THE BOARD'S RESPONSIBILITY TO THE COMMUNITY IT STEWARDS OF THE COMMUNITY'S ASSETS. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE PERFORMS A COMPENSATION REVIEW FOR THE CEO. THE VICE PRESIDENT OF HUMAN RESOURCES DOES A MARKET ANALYSIS OF DATA OF CEO POSITIONS IN COMPARABLE HOSPITALS INCLUDING THE USE OF FORM 990 OF OTHER ORGANIZATIONS AND COMPENSATION SURVEYS. THE EXECUTIVE COMMITTEE REVIEWS THE PACKET OF MATERIALS INCLUDING THE MARKET REVIEW OF COMPENSATION, A REVIEW OF CEO GOALS ATTAINMENT AND OTHER MATERIALS RELEVANT TO HIS OR HER PERFORMANCE. THE CEO PROVIDES THE EXECUTIVE COMMITTEE SUGGESTED COMPENSATION FOR THE CMO, CNO, AND CFO. THE EXECUTIVE COMMITTEE APPROVES ALL COMPENSATION DECISIONS AND CONTEMPOROUSLY DOCUMENTS THE DISCUSSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: UNREALIZED CHANGE IN EQUITY IN LP 36,317. CHANGE IN VALUE OF PERPETUAL AND CHARITABLE REMAINDER TRUST 520,838. NET ASSETS RELEASED FROM RESTICTIONS -2,027,327. 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 ENDOWMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050259093 SUPPORT RI 501(C)(3) 7 N/A 0 SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM 100 KENYON AVENUE WAKEFIELD RI 02879 050445136 HOSPITAL RI 501(C)(3) 3 SCH ENDOWMENT 1 SOUTH COUNTY HOME HEALTH 14 WOODRUFF AVENUE NARRAGANSETT RI 02882 056033975 HEALTHCARE RI 501(C)(3) 10 SCH HEALTHCARE 1 SILVER SPRING HEALTH CARE MANAGEMENT 100 KENYON AVENUE WAKEFIELD RI 02879 050459095 HOLDING COMPANY RI SCH HEALTHCARE C 1.00000 1 SOUTH COUNTY QUALITY CARE 100 KENYON AVENUE WAKEFIELD RI 02879 050491313 PERSONAL CARE RI SS HEALTHCARE C 1.00000 1 SSHM SURGICAL SUPPLY INC 100 KENYON AVENUE WAKEFIELD RI 02879 050478937 RETAIL OF MED EQP RI SS HEALTHCARE C 1.00000 1 CHARITABLE REMAINDER TRUSTS (3) CHARITABLE TRUST RI N/A T 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1