2024-08-15T15:45:42-05:00 2023-09-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2022-10-01 042105926 SOUTH SHORE HEALTH SYSTEM INC SOUT 7816248000 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 STEPHEN JENNEY SVP & CFO 7816248000 2024-08-15 1 0 SHAWNA M JANSONS P01222873 3174648600 2022 2024-08-08 14:25:15Z ALLEN SMITH 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 167695057 0 X WWW.SOUTHSHOREHEALTH.ORG X 1982 MA SOUTH SHORE HEALTH SYSTEM, INC. MANAGES AND SUPPORTS AFFILIATE OPERATIONS TO (1) SUPPORT THE ADVANCEMENT OF KNOWLEDGE AND PRACTICE OF HEALTHCARE AND (2) SPONSOR PROGRAMS TO SUPPORT THE HEALTH AND WELFARE OF ALL PERSONS. 17 12 0 12 0 0 0 0 0 160773722 677514 1961928 12320 1114343 689834 163849993 0 6500 0 0 0 0 0 0 0 196480 161109612 196480 161116112 493354 2733881 55436746 71347429 2199284 13985648 53237462 57361781 SOUTH SHORE HEALTH SYSTEM'S MISSION IS YOUR HEALTH. OUR PASSION. ONE COMMUNITY. 0 0 128237187 6500 161765197 HEALTH CARE DELIVERY: MANAGE AND SUPPORT AFFILIATE OPERATIONS TO (1) SUPPORT THE ADVANCEMENT OF KNOWLEDGE AND PRACTICE OF HEALTHCARE AND (2) SPONSOR PROGRAMS TO SUPPORT THE HEALTH AND WELFARE OF ALL PERSONS. 128237187 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA CO CT DC FL GA MA ME NH NJ NY RI TN X STEPHEN JENNEY 7816248000 55 FOGG RD SOUTH WEYMOUTH MA 01290 ALLEN SMITH MD PRESIDENT & CEO 1.00 43.50 X X 0 944596 183703 KIMBERLY DEVER MD DIRECTOR, CHIEF OB/GYN 1.00 42.50 X 0 760671 39182 JUSTIN CAMPBELL DIRECTOR 1.00 3.50 X 0 181000 0 BRADFORD SAMPSON DIRECTOR 1.00 3.50 X 0 82000 0 MICHAEL AYERS MD DIRECTOR 1.00 4.50 X 0 73333 0 PAMELA O'LEARY CHAIR 1.00 3.50 X X 0 0 0 THOMAS MCCARTHY VICE CHAIR 1.00 3.50 X X 0 0 0 ALAN MCKIM DIRECTOR 1.00 3.50 X 0 0 0 CHRISTOPHER ODDLEIFSON DIRECTOR 1.00 3.50 X 0 0 0 ELLEN ESSENFELD DIRECTOR 1.00 3.50 X 0 0 0 HELEN GARVEY DIRECTOR 1.00 3.50 X 0 0 0 LINDA THOMPSON MPH DRPH RN FAAN DIRECTOR 1.00 3.50 X 0 0 0 LISA WALSH DIRECTOR 1.00 3.50 X 0 0 0 MICHAEL SHEEHAN DIRECTOR 1.00 3.50 X 0 0 0 PAMELA WHELTON DIRECTOR AS OF 1/1/22 1.00 3.50 X 0 0 0 PAUL WANTANABE PHD DIRECTOR 1.00 3.50 X 0 0 0 PAULA L BECKER DIRECTOR 1.00 3.50 X 0 0 0 JOSEPH R DRISCOLL ESQ SECRETARY 1.00 43.50 X 0 433280 33703 KRISTINE HANSCOM CPA MST CGMA TREAS. & CFO 6/14/22 THRU 5/31/23 1.00 43.50 X 0 329597 18439 STEPHEN JENNEY INT. CFO & TREAS. AS OF 6/1/23 1.00 43.50 X 0 0 0 MARY SHAUGHNESSY FORMER TREAS. & CFO THRU 6/13/22 0.00 0.00 X 0 499538 0 0 3304015 275027 0 1 1 0 0 ALLOCATED CORP SVC REV 900099 160773722 160773722 160773722 787553 787553 115534 0 115534 115534 115534 5019439 3845064 1174375 1174375 1174375 CO-OP DISTRIBUTION 900099 462124 462124 ALLOCATED FSA TRUE-UP 900099 291994 291994 SECURITY 900099 147886 147886 96805 89471 7334 998809 163849993 161765197 0 2084796 6500 6500 533140 533140 535586 535586 132590 132590 15136940 9521604 5615336 1415575 1415575 8456576 8456576 20580002 20420807 159195 22924236 15135355 7788881 29265 29265 590152 554327 35825 ALLOCATED SALARIES 65498893 62836793 2662100 ALLOCATED BENEFITS 15485600 14856212 629388 EQUIP. MAINT. CONTRACTS 4891618 4891618 REPAIRS 919478 919478 3979961 13971 3965990 161116112 128237187 32878925 0 801823 1218708 0 3310360 314625 69952 244673 244673 54307582 52667549 82668 13906139 55436746 71347429 17263 13928945 2182021 56703 2199284 13985648 X 50434518 54467279 2802944 2894502 53237462 57361781 55436746 71347429 2733881 1390438 0 X 0 1 X 1 0 X X 1 SOUTH SHORE HOSPITAL INC 042769210 3 1 0 0 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART IV, SECTION A, LINE 6: SOUTH SHORE HEALTH SYSTEM, INC. (SSHS) IS PART OF A HEALTH CARE SYSTEM THAT INCLUDES SOUTH SHORE HOSPITAL, THE SPECIFIED SUPPORTED ORGANIZATION, AND OTHER AFFILIATES, ALL LISTED IN PART II OF SCHEDULE R. IN ADDITION TO SOUTH SHORE HOSPITAL, SSHS PROVIDES SUPPORT TO ALL AFFILIATES, ALL OF WHICH ARE RECOGNIZED AS 501(C)(3) ORGANIZATIONS THAT ARE NOT PRIVATE FOUNDATIONS, AND ARE OPERATED, SUPERVISED OR CONTROLLED DIRECTLY BY, OR IN CONNECTION WITH, SOUTH SHORE HOSPITAL. 0 0 0 0 0 0 1 0 1 132590 132590 0 2804488 91714 2896202 3568047 -763559 2804488 3197576 0 370471 3568047 3113224 0 84352 0 0 0 3197576 3135690 0 -22466 0 0 0 3113224 0.64000 0.36000 0 0 244673 244673 69952 69952 0 244673 OTHER NONCURRENT ASSETS 82668 DUE FROM AFFILIATES 13823471 13906139 OTHER NONCURRENT LIABILITIES 56703 56703 X PART V, LINE 4: SOUTH SHORE HEALTH SYSTEM MAINTAINS ITS ENDOWMENT FUNDS TO FURTHER THE CHARITABLE PURPOSES OF SOUTH SHORE HOSPITAL AND ITS AFFILIATES. IN PRIOR YEARS, ENDOWMENT FUNDS HAVE BEEN USED TO MAINTAIN AND IMPROVE INFRASTRUCTURE AND TECHNOLOGY THROUGHOUT THE SYSTEM AND ADD AND EXPAND PROGRAM SERVICE OFFERINGS TO THE COMMUNITY. PART X, LINE 2: THE CORPORATION FOLLOWS THE PROVISIONS OF FASB ASC 740, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. 0 0 0 0 0 0 0 0 0 ALLEN SMITH MD PRESIDENT & CEO 0 872900 0 65025 0 6671 0 159150 0 24553 0 1128299 0 0 KIMBERLY DEVER MD DIRECTOR, CHIEF OB/GYN 0 629868 0 73395 0 57408 0 9150 0 30032 0 799853 0 0 MARY SHAUGHNESSY FORMER TREAS. & CFO THRU 6/13/22 0 499538 0 0 0 0 0 0 0 0 0 499538 0 0 JOSEPH R DRISCOLL ESQ SECRETARY 0 413606 0 12351 0 7323 0 9150 0 24553 0 466983 0 0 KRISTINE HANSCOM CPA MST CGMA TREAS. & CFO 6/14/22 THRU 5/31/23 0 296902 0 30750 0 1945 0 9150 0 9289 0 348036 0 0 JUSTIN CAMPBELL DIRECTOR 0 181000 0 0 0 0 0 0 0 0 0 181000 0 0 PART I, LINE 3 THE PRESIDENT/CEO OF SSHS RECEIVES COMPENSATION FOR SERVICES PERFORMED FOR A RELATED ORGANIZATION. SOUTH SHORE HEALTH SYSTEM HAS A COMPENSATION COMMITTEE THAT MEETS PERIODICALLY AND ENGAGES AN INDEPENDENT EXTERNAL COMPENSATION CONSULTING FIRM TO ESTABLISH THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. THE CONSULTING FIRM DEVELOPS AND PRESENTS ALL MATERIALS INCLUDING MARKET TRENDS, COMPENSATION STUDIES AND SURVEYS, AND ADHERES TO BEST PRACTICES GUIDELINES. THE FINAL RECOMMENDATION FOR COMPENSATION CHANGES IS PRESENTED AND APPROVED BY THE ENTIRE INDEPENDENT COMMUNITY OF THE SYSTEM'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 THE PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF SOUTH SHORE HEALTH SYSTEM AND ITS RELATED ENTITIES. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS PREPARED INTERNALLY AND REVIEWED BY THE TAX PRACTICE OF ITS INDEPENDENT AUDITORS. THE RETURN IS THEN REVIEWED BY THE TREASURER. FORM 990 IS UPLOADED TO THE GOVERNING BOARD'S WEB PORTAL FOR ALL BOD MEMBERS TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED FOR CONFLICTS OR POTENTIAL CONFLICTS. BOARD MEMBERS ABSTAIN FROM VOTING ON MATTERS THAT PRESENT A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 PARENT CORPORATION SOUTH SHORE HEALTH SYSTEM HAS NO EMPLOYEES, HOWEVER, THROUGH ITS BOARD'S COMPENSATION COMMITTEE, MAKES COMPENSATION DECISIONS FOR ALL SYSTEM EXECUTIVES. THE COMPENSATION COMMITTEE SETS THE COMPENSATION PHILOSOPHY AND PAY APPROACH FOR THE EXECUTIVE TEAM AND MAKES COMPENSATION DECISIONS FOR THE PRESIDENT/CEO. UTILIZING THE ESTABLISHED PHILOSOPHY AND APPROACH, THE COMMITTEE DELEGATES COMPENSATION DECISIONS FOR THE REST OF THE EXECUTIVE TEAM TO THE PRESIDENT/CEO. THE COMPENSATION COMMITTEE MEETS PERIODICALLY, IS INDEPENDENT AND CONSISTS SOLELY OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH REGARDS TO COMPENSATION MATTERS. SSHS UTILIZES AN INDEPENDENT OUTSIDE CONSULTANT TO DETERMINE EXECUTIVE COMPENSATION RECOMMENDATIONS FOR THE SSHS PRESIDENT/CEO, AS WELL AS OTHER MEMBERS OF THE EXECUTIVE TEAM. THE CONSULTANT PRESENTS RELEVANT DATA REGARDING SYSTEM EXECUTIVES TO THE COMMITTEE FOR REVIEW, AND APPROVAL FOR THE PRESIDENT/CEO. ALL DATA PRESENTED, AS WELL AS COMPENSATION DELIBERATIONS AND VOTES, IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THE BOARD'S REVIEW AND APPROVAL PROCESS TAKES PLACE ANNUALLY FOR IMPLEMENTATION AT THE START OF THE NEW FISCAL YEAR. COMPENSATION DECISIONS FOR ALL OTHER HOSPITAL EMPLOYEES, INCLUDING KEY EMPLOYEES, ARE ALSO MADE ANNUALLY AND ARE BASED ON A REVIEW OF COMPARABLE INDUSTRY DATA, MARKET CONDITIONS AND RESEARCH PROVIDED BY OUTSIDE CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 SOUTH SHORE HEALTH SYSTEM MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION AT THE CORPORATION'S OFFICE. COPIES OF THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, CERTAIN GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF THE COMMONWEALTH'S CORPORATIONS DIVISION DATABASE. ATLANTIC WOMEN'S HEALTH INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 200156651 PROVIDES SPECIALIZED MEDICAL CARE MA 501(C)(3) 3 SOUTH SHORE HOSPITAL INC 1 COASTAL MEDICAL ASSOCIATES INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 043170333 PROVIDES SPECIALIZED MEDICAL CARE MA 501(C)(3) 3 SOUTH SHORE HEALTH SYSTEM INC 1 CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 823503666 OPERATES AN ACOUNTABLE CARE ORGANIZATION MA 501(C)(3) 10 SOUTH SHORE HEALTH SYSTEM INC 1 METROSOUTH OBSTETRICS & GYNECOLOGY INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 330998957 PROVIDES SPECIALIZED MEDICAL CARE MA 501(C)(3) 3 SOUTH SHORE HOSPITAL INC 1 SOUTH SHORE HEALTH EXPRESS INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 452385865 OPERATES MEDICAL URGENT CARE CENTERS MA 501(C)(3) 10 COASTAL MEDICAL ASSOCIATES INC 1 SOUTH SHORE HOSPITAL INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 042769210 HOSPITAL MA 501(C)(3) 3 SOUTH SHORE HEALTH SYSTEM INC 1 SOUTH SHORE MEDICAL CENTER INC 143 LONGWATER DRIVE NORWELL MA 02061 042297845 SPECIALIZED AND PRIMARY MEDICAL CARE MA 501(C)(3) 10 COASTAL MEDICAL ASSOCIATES INC 1 SOUTH SHORE PROPERTY INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 050398822 DEVELOPS AND MANAGES REAL ESTATE PROPERTY FOR SOUTH SHORE HOSPITAL MA 501(C)(3) 12A, I SOUTH SHORE HEALTH SYSTEM INC 1 SOUTH SHORE HEALTH INTEGRATED DELIVERY NETWORK INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 852785921 TO DEVELOP & MAINTAIN A NETWORK OF PROVIDERS FOR DELIVERY OF HEALTHCARE SERV MA SOUTH SHORE HEALTH SYSTEM INC C 4755031 14968473 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0