FURP.ORG / PUBLIC DATA EXPLORER

CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS INC (EIN 82-3503666)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-11
IRS object ID
202112239349300806
Schema version
2019v5.2
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)
Return2021-08-11T07:06:15-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1Txt
CityJERICHOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN823503666EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONNECTED CARE OF SOUTHEASTERN MABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONNBusinessNameControlTxt
Phone7816248000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 FOGG ROADAddressLine1Txt
CitySOUTH WEYMOUTHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN COCOPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7816248000PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE A KAWECKIPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN COCOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 FOGG ROADAddressLine1Txt
CitySOUTH WEYMOUTHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$232,909GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://WWW.CONNECTEDCARESEMA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionCONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS WAS FORMED BY SOUTH SHORE HEALTH SYSTEM AND HARBOR MEDICAL TO OPERATE AS A NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION (ACO) FOR MEDICARE BENEFICIARIES. THE ACO BRINGS TOGETHER THE HOSPITAL AND HEALTH CARE PROVIDERS TO PROVIDE HIGH QUALITY, COORDINATED CARE TO MEDICARE FEE-FOR-SERVICES PATIENTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$212,399CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$20,510CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$232,909CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,780,863PYOtherExpensesAmt
CY Other Expenses$694,998CYOtherExpensesAmt
PY Total Expenses$5,780,863PYTotalExpensesAmt
CY Total Expenses$694,998CYTotalExpensesAmt
PY Revenues Less Expenses-$5,780,863PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$462,089CYRevenuesLessExpensesAmt
Total Assets BOY$4,115,852TotalAssetsBOYAmt
Total Assets EOY$921,031TotalAssetsEOYAmt
Total Liabilities BOY$6,076,980TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,344,248TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,961,128NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$423,217NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE CORPORATION'S MISSION IS TO OWN AND OPERATE AN ACCOUNTABLE CARE ORGANIZATION THAT PARTICIPATES IN VARIOUS ACCOUNTABLE CARE MODELS, INCLUDING THE NEXT GENERATION ACO MODEL (ACO), AND OTHER ACCOUNTABLE CARE ORGANIZATION ARRANGEMENTS. THE INITIATIVE'S AIM IS TO COLLABORATE AND INTEGRATE/COORDINATE CARE FOR MEDICARE FEE-FOR-SERVICE PATIENTS IN A WAY THAT IMPROVES OUTCOMES FOR THE COVERED POPULATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$267,284ExpenseAmt
Revenue$212,399RevenueAmt
DescOWN AND OPERATE A NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION, PARTICIPATE IN THE NEXT GENERATION ACO PROGRAM AND OTHER RELATED PROGRAMS.Desc
Total Program Service Expenses$267,284TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN COCO TREASURERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7816248422PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 FOGG ROADAddressLine1Txt
CitySOUTH WEYMOUTHCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ROSE DIPIETRO
PRESIDENT/CEO1.0043.50Yes (X)Yes (X)$0$291,283$8,720
TIMOTHY LYNCH MD
DIRECTOR1.0040.00Yes (X)$0$665,992$36,140
LUKE O'CONNELL MD
DIRECTOR1.0040.00Yes (X)$0$620,533$30,352
DAVID HALLE MD
DIRECTOR1.0040.00Yes (X)$0$355,729$30,352
MICHAEL AYERS MD
DIRECTOR THROUGH 12/31/191.0043.50Yes (X)$0$272,191$28,620
HEATHER HEDLUND
DIRECTOR THROUGH 12/31/201.0040.00Yes (X)$0$116,875$16,260
ALLEN SMITH MD
DIRECTOR THROUGH 12/31/201.000.00Yes (X)$0$0$0
CAROL WHITING
DIRECTOR1.000.00Yes (X)$0$0$0
GLENN TUCKER
DIRECTOR THROUGH 12/31/191.000.00Yes (X)$0$0$0
PETER GRAPE MD
DIRECTOR1.000.00Yes (X)$0$0$0
STEPHEN COCO
TREASURER1.0043.50Yes (X)$0$470,649$29,612
JOSEPH R DRISCOLL ESQ
GENERAL COUNSEL/CLERK1.0043.50Yes (X)$0$423,525$30,352
GENE GREEN MD
PRESIDENT/CEO THROUGH 8/12/190.000.00$0$1,196,267$144,710Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,413,044TotReportableCompRltdOrgAmt
Total Other Compensation$355,118TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EVOLENT HEALTH LLC
800 N GLEBE RD STE 500ARLINGTONVA22203CONSULTING$946,295
HARBOR MEDICAL ASSOCIATES
541 MAIN STREET SUITE 400WEYMOUTHMA02190PHYSICIAN SERVICES$161,547
STURDY MEMORIAL HOSPITAL INC
211 PARK STREETATTLEBOROMA02073PHYSICIAN SERVICES$104,659
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescACO REVENUE SHARINGDesc
Business621111BusinessCd
Total Revenue Column$212,399TotalRevenueColumnAmt
Related Or Exempt Func Income$212,399RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$212,399TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,510TotalRevenueColumnAmt
Exclusion$20,510ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,909TotalRevenueColumnAmt
Related Or Exempt Func Income$212,399RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$20,510ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$245,108TotalAmt
Management And General$245,108ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$893TotalAmt
Management And General$893ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$263TotalAmt
Management And General$263ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,978TotalAmt
Management And General$3,978ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CONSULTANTS$187,861$187,861
INTERCORP FRINGE$182,335$182,335
SPECIALISTS$84,949$84,949
SUPPLIES-$10,478-$10,478

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$89TotalAmt
Management And General$89ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$694,998TotalAmt
Program Services$267,284ProgramServicesAmt
Management And General$427,714ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$67,584EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,106,570BOYAmt
EOY$848,141EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,934LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,628LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,282BOYAmt
EOY$5,306EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,115,852BOYAmt
EOY$921,031EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,734,494BOYAmt
EOY$832,559EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,342,486BOYAmt
EOY$511,689EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,076,980BOYAmt
EOY$1,344,248EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,961,128BOYAmt
EOY-$423,217EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,961,128BOYAmt
EOY-$423,217EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,115,852BOYAmt
EOY$921,031EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$462,089ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,000,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$5,235,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$212,399CurrentTaxYearAmt
Total$5,447,899TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$5,235,500CurrentTaxYearMinus2YearsAmt
Current Tax Year$212,399CurrentTaxYearAmt
Total$5,447,899TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$5,447,899PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$19,958CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$20,510CurrentTaxYearAmt
Total$40,468TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$19,958CurrentTaxYearMinus2YearsAmt
Current Tax Year$20,510CurrentTaxYearAmt
Total$40,468TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$5,255,458CurrentTaxYearMinus2YearsAmt
Current Tax Year$232,909CurrentTaxYearAmt
Total$5,488,367TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, SHORT YEAR EXPLANATION:FormAndLineReferenceDesc
ExplanationTHE INITIAL YEAR OF THE ORGANIZATION WAS 11/1/2017 TO 9/30/2018.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,934OtherCostOrOtherBasisAmt
Depreciation$6,628DepreciationAmt
Book Value$5,306BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,306TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$73,588
DUE TO THIRD PARTY PAYERS$438,101
FieldValueIRS element (for citing)
Total Liability$511,689TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROSE DIPIETRO
PRESIDENT/CEO$0$289,151$0$0$0$2,132$0$8,400$0$320$0$300,003$0$0
TIMOTHY LYNCH MD
DIRECTOR$0$623,066$0$37,382$0$5,544$0$8,400$0$27,740$0$702,132$0$0
LUKE O'CONNELL MD
DIRECTOR$0$543,026$0$75,575$0$1,932$0$8,400$0$21,952$0$650,885$0$0
DAVID HALLE MD
DIRECTOR$0$351,441$0$2,500$0$1,788$0$8,400$0$21,952$0$386,081$0$0
MICHAEL AYERS MD
DIRECTOR THROUGH 12/31/19$0$231,030$0$40,000$0$1,161$0$8,400$0$20,220$0$300,811$0$0
STEPHEN COCO
TREASURER$0$445,948$0$0$0$24,701$0$8,400$0$21,212$0$500,261$0$0
JOSEPH R DRISCOLL ESQ
GENERAL COUNSEL/CLERK$0$378,813$0$38,813$0$5,899$0$8,400$0$21,952$0$453,877$0$0
GENE GREEN MD
PRESIDENT/CEO THROUGH 8/12/19$0$797,681$0$26,913$0$371,673$0$122,758$0$21,952$0$1,340,977$0$365,597

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE PRESIDENT/CEO OF THE CORPORATION RECEIVES COMPENSATION FOR SERVICES PERFORMED FOR A RELATED ORGANIZATION. THE COMPENSATION COMMITTEE OF SOLE MEMBER, SOUTH SHORE HEALTH SYSTEM, DETERMINES THE PRESIDENT'S COMPENSATION. THE COMPENSATION COMMITTEE MEETS PERIODICALLY AND ENGAGES AN INDEPENDENT EXTERNAL COMPENSATION CONSULTING FIRM TO ESTABLISH THE COMPENSATION OF KEY SYSTEM EMPLOYEES. THE CONSULTING FIRM DEVELOPS AND PRESENTS ALL MATERIALS INCLUDING MARKET TRENDS, COMPENSATION STUDIES AND SURVEYS AND ADHERES TO BEST PRACTICE GUIDELINES. THE FINAL RECOMMENDATION FOR COMPENSATION CHANGES IS PRESENTED AND APPROVED BY THE ENTIRE INDEPENDENT COMMUNITY OF THE BOARD OF DIRECTORS.
PART I, LINES 4A-BIN 2019, GENE GREEN RECEIVED $190,597 IN SALARY CONTINUATION PAY FROM SOUTH SHORE HOSPITAL, A RELATED ORGANIZATION. SOUTH SHORE HOSPITAL HAS ESTABLISHED SPLIT DOLLAR ARRANGEMENTS FOR THE INDIVIDUALS LISTED BELOW. THE PREMIUMS PAID INTO THESE POLICIES BY SOUTH SHORE HOSPITAL ARE DEEMED TO BE LOANED TO THESE INDIVIDUALS AND THEREFORE SUBJECT TO INCOME TAX ON THE IMPUTED INTEREST ASSOCIATED WITH THE LOANS. JOSEPH DRISCOLL AND STEPHEN COCO PARTICIPATED IN THE PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2SEVERAL OF 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 A, LINE 3THE CORPORATION RETAINED EVOLENT HEALTH TO MANAGE ITS NEXT GENERATION ACO PROGRAM THROUGH 12/31/2019. ACO OPERATIONS WERE OVERSEEN BY A GENERAL MANAGER, SENIOR DIRECTOR OF MARKET OPERATIONS, SENIOR DIRECTOR OF CLINICAL OPERATIONS AND A PART-TIME MEDICAL DIRECTOR; ALL OF WHOM WERE EVOLENT EMPLOYEES. EVOLENT ALSO PROVIDED A TEAM OF RN CARE ADVISORS TO QUANTIFY RISK AND MANAGE PATIENTS AND TWO POPULATION HEALTH MANAGERS. ADDITIONALLY, EVOLENT PROVIDED DATA ANALYTICS AND FINANCIAL FORECASTING SERVICES.
FORM 990, PART VI, SECTION A, LINE 6SOUTH SHORE HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHERE ARE TWO CLASSES OF DIRECTORS. THE MEMBER APPOINTS FIVE "MEMBER DIRECTORS" WITH VOTE AND AT LEAST ONE MEDICARE BENEFICIARY/ADVOCATE "REPRESENTATIVE DIRECTOR", WITH VOTE. OTHER ACO PARTICIPANTS MAY APPOINT ONE "PARTICIPANT DIRECTOR", WITH VOTE, FOR EVERY 4,000 LIVES ATTRIBUTED THROUGH THEIR MEMBERSHIP IS THE ACO.
FORM 990, PART VI, SECTION A, LINE 7BALL PARTICIPANT DIRECTOR APPOINTMENTS AND OTHER BOARD ACTIONS REQUIRE UNANIMOUS CONSENT OF THE MEMBER DIRECTORS, ACTING SEPARATELY AS A CLASS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 PRESENTED FOR REVIEW TO THE GOVERNING BODY AS A WHOLE AT THE NEXT REGULARLY SCHEDULED MEETING PRIOR TO THE FILING DEADLINE.
FORM 990, PART VI, SECTION B, LINE 12CBOARD 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 15SOUTH SHORE HEALTH SYSTEM (SSHS), SOLE MEMBER OF CONNECTED CARE, HAS A COMPENSATION COMMITTEE THAT DETERMINES THE COMPENSATION OF 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 FOR THE PRESIDENT/CEO, AS WELL AS ALL 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 OTHER MEMBER DIRECTORS 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 19CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS 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.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 245,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 245,108.
FORM 990, PART XI, LINE 9:AFFILIATE TRANSFERS 2,000,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SOUTH SHORE HEALTH SYSTEM INC
55 FOGG ROADSOUTH WEYMOUTHMA02190042105926SUPPORT THE CHARITABLE MISSION OF SOUTH SHORE HOSPITAL AND ITS AFFILIATESMA501(C)(3)12B, IIN/A0
SOUTH SHORE HOSPITAL INC
55 FOGG ROADSOUTH WEYMOUTHMA02190042769210HOSPITALMA501(C)(3)30SOUTH SHORE HEALTH SYSTEM INC
SOUTH SHORE PROPERTY INC
55 FOGG ROADSOUTH WEYMOUTHMA02190050398822DEVELOPS AND MANAGES REAL PROPERTY FOR SOUTH SHORE HOSPITAL AND AFFILIATESMA501(C)(3)12A, I0SOUTH SHORE HEALTH SYSTEM INC
COASTAL MEDICAL ASSOCIATES INC
55 FOGG ROADSOUTH WEYMOUTHMA02190043170333PROVIDES SPECIALIZED MEDICAL CAREMA501(C)(3)30SOUTH SHORE HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd