2019-07-18T11:32:18-07:00 2018-09-30 990 2017-10-01 042105926 South Shore Health System Inc SOUT 7816248422 55 Fogg Road South Weymouth MA 02190 Stephen Coco Treasurer 7816248422 2019-08-15 72.22.189.130 2017 2019-02-21 02:37:17Z Stephen Coco 55 Fogg Road South Weymouth MA 02190 3127489 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. 15 11 0 14 8 8 100000 7625 0 0 2538166 1703359 0 8297 2638166 1719281 0 0 0 0 0 0 0 0 0 292812 201947 292812 201947 2345354 1517334 64772845 71907174 423192 548083 64349653 71359091 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. 0 0 194443 0 1711648 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. 0 0 0 194443 1 1 0 0 0 0 0 0 0 1 1 0 0 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 11 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA CT DC FL MA ME NH NJ NY RI X Stephen Coco 7816248422 55 Fogg Road South Weymouth MA 02190 Gene E Green MD President/CEO 1 44.5 X X 0 994038 45017 Kenneth Kirkland Chair 1 3.5 X X 0 0 0 Brian Concannon Vice Chair 1 3.5 X X 0 0 0 Laura Avakian Director through 12/31/17 1 0 X 0 0 0 Christopher Oddleifson Director 1 3.5 X 0 0 0 Edward Nalband MD Director 1 3.5 X 0 372728 25828 Helen Garvey Director 1 3.5 X 0 0 0 James McDonough Director through 4/30/18 1 3.5 X 0 0 0 John Maguire Director through 5/31/18 1 3.5 X 0 0 0 Kimberly Dever MD Director, Chief OB/GYN 1 44.5 X 0 681072 66841 Linda Thompson Director 1 3.5 X 0 0 0 Lisa Walsh Director 1 3.5 X 0 0 0 Luke O'Connell MD Chair Provider Council 1 25.5 X 0 230201 21223 Pamela O'Leary Director 1 3.5 X 0 0 0 Paula L Becker Director 1 3.5 X 0 0 0 Paul Watanabe Director 1 3.5 X 0 0 0 Robert Pineau Director 1 3.5 X 0 0 0 Thomas McCarthy Director 1 3.5 X 0 0 0 Stephen Coco Treasurer 1 46.5 X 0 429951 26992 Joseph R Driscoll Esq General Counsel/Clerk 1 45.5 X 0 345074 66174 Peg Holda Clerk through 11/10/17 1 43 X 0 433799 452930 Joseph Cahill Executive Vice President through 7/15/16 0 0 X 0 636231 24580 Pamela Whelton Treasurer through 8/22/17 0 40 X 0 720512 13097 Richard Aubut SSHS CEO through 11/2/15 0 0 X 0 295973 0 0 5139579 742682 0 1 1 0 0 0 0 0 0 0 7625 0 7625 0 797484 797476 8 0 0 0 0 0 0 0 0 0 0 0 2314083 0 1408208 0 905875 0 905875 905875 0 0 0 Adjustment to Gift Annuity NPV 900099 8297 8297 0 0 0 0 0 0 8297 1719281 1711648 8 0 7200 7200 187003 187003 Payments to Annuitants 7440 7440 0 0 304 0 304 0 201947 194443 7504 0 7616871 1710255 10019055 56315 2107454 1862781 431676 244673 56586621 59867191 81362 66000 64772845 71907174 22658 22566 400534 525517 423192 548083 X 61258895 68223401 1228957 1273889 1861801 1861801 64349653 71359091 64772845 71907174 X 1517334 1743104 0 0 0 3749000 X 0 1 X 1 0 X X 1 South Shore Hospital Inc 042769210 3 1 1001000 0 1 1001000 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 Schedule A, Part I, Line 12b South Shore Health System's board composition, and that of its affiliates, changed effective January 2018. At that time, the boards of all affiliates, with the exception of Connected Care of Southeastern Massachusetts, became the same as that of the parent. Due to the same individuals having supervision and control over the supporting and supported organizations, it was determined that South Shore Health System is best described as a Type II supporting organization. Schedule A, Part IV, Section A, Line 2 Connected Care of Southeastern Massachusetts is a supported organization incorporated in November 2017. The corporation does not have an IRS determination under section 509(a), however it intends to file Form 1023 and seek nonprofit status. 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. 3090758 0 44932 0 0 0 3135690 2852538 0 238220 0 0 0 3090758 2716049 0 136489 0 0 0 2852538 2914001 0 -197952 0 0 0 2716049 2746992 0 167009 0 0 0 2914001 0 0.59 0.41 0 0 0 244673 244673 0 69952 69952 0 0 0 0 0 0 1711569 1711569 0 0 81260 81260 0 244673 0 Due to Affiliates 440727 Other Noncurrent Liability 84790 525517 X Schedule D, 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. Schedule D, 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. 1 1 0 0 0 0 0 0 0 Gene E Green MD President/CEO 0 825831 0 166275 0 1932 0 25493 0 19524 0 1039055 0 119925 Stephen Coco Treasurer 0 364101 0 50819 0 15031 0 8100 0 18892 0 456943 0 42645 Joseph R Driscoll Esq General Counsel/Clerk 0 313383 0 29944 0 1747 0 46710 0 19464 0 411248 0 40866 Edward Nalband MD Director 0 366883 0 950 0 4895 0 8100 0 17728 0 398556 0 0 Kimberly Dever MD Director, Chief OB/GYN 0 560417 0 80560 0 40095 0 42185 0 24656 0 747913 0 43177 Luke O'Connell MD Chair Provider Council 0 216849 0 5542 0 7810 0 2847 0 18376 0 251424 0 0 Peg Holda Clerk through 11/10/17 0 313625 0 80769 0 39405 0 436650 0 16280 0 886729 0 35225 Joseph Cahill Executive Vice President through 7/15/16 0 0 0 0 0 636231 0 0 0 24580 0 660811 0 87236 Pamela Whelton Treasurer through 8/22/17 0 566786 0 146975 0 6751 0 8533 0 4564 0 733609 0 84395 Richard Aubut SSHS CEO through 11/2/15 0 0 0 0 0 295973 0 0 0 0 0 295973 0 33221 Schedule J, 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. Schedule J, Part I, Line 4 Peg Holda, Clerk through 11/10/17, and Joseph Cahill, former SSHS officer and South Shore Hospital President/COO, received $35,609 and $536,016, respectively, in salary continuation payments 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 are deemed to be loaned to these individuals and these individuals are therefore subject to income tax on the imputed interest associated with the loans. Richard Aubut was provided with an annual gross up to cover the income taxes. Richard Aubut, Joseph Cahill, Peg Holda, Pamela Whelton, Kimberly Dever, Stephen Coco and Joseph Driscoll are participants in the plan. Amounts related to these arrangements are reported in Schedule J, Part II. Form 990, Part VI, Section A, Line 2 Kenneth Kirkland and Thomas McCarthy have a business relationship. In addition, other 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 4 SSHS amended its bylaws to change the composition, numbers and qualifications of its board of directors. In addition to the Executive Compensation Committee, the amended bylaws establish four new standing committees--Compliance, Audit and Risk; Finance, Governance; and Quality, Service and Value. Form 990, Part VI, Section A, Line 6 South Shore Health System's Board of Directors are members of the corporation. 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 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 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 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 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. Form 990, Part XI, Line 9 Transfers from Affiliates; $22,000,000, Transfers to Affiliates; -18,251,000. 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 Property Inc 55 Fogg Road South Weymouth MA 02190 050398822 Develops and manages real property for South Shore Hospital and its affiliates MA 501(c)(3) 12a South Shore Health System Inc 1 Coastal Medical Associates Inc dba South Shore Physician Ambulatory Enterprise 55 Fogg Road South Weymouth MA 02190 043170333 Provides specialized medical care MA 501(c)(3) 3 South Shore Health System Inc 1 MetroSouth Obstetrics & Gynecology Inc 55 Fogg Road South Weymouth MA 02190 330998957 Specialized medical care MA 501(c)(3) 3 South Shore Hospital Inc 0 Atlantic Women's Health Inc 55 Fogg Road South Weymouth MA 02190 200156651 Specialized medical care MA 501(c)(3) 3 South Shore Hospital Inc 0 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 0 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 0 Connected Care of Southeastern Massachusetts Inc 55 Fogg Road South Weymouth MA 02190 823503666 Operate an accountable care organization MA 501 (c)(3) 10 South Shore Health System Inc 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Connected Care of Southeastern Massachusetts Inc r 11250000 Cash transfer South Shore Hospital Inc r 1001000 Cash transfer South Shore Hospital Inc s 22000000 Cash transfer