SOUTH SHORE HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SOUTH SHORE HOSPITAL INC (EIN 04-2769210)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-01
IRS object ID
201732279349301433
Schema version
2015v3.0
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)
Return2017-08-01T08:19:18-07:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042769210EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH SHORE HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone7816248000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1Txt
CitySouth WeymouthCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPamela WheltonPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7816248626PhoneNum
Signature2017-08-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPamela WheltonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1Txt
CitySouth WeymouthCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$575,301,842GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.southshorehospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSouth Shore Hospital's primary exempt purpose is to provide health care services to the community including surgical, medical and other treatment of the sick and injured.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee4331TotalEmployeeCnt
Total Volunteers507TotalVolunteersCnt
Total Gross UBI$686,796TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,220,513PYContributionsGrantsAmt
CY Contributions Grants$5,490,965CYContributionsGrantsAmt
PY Program Service Revenue$524,603,998PYProgramServiceRevenueAmt
CY Program Service Revenue$561,327,044CYProgramServiceRevenueAmt
PY Investment Income$27,644,939PYInvestmentIncomeAmt
CY Investment Income-$621,885CYInvestmentIncomeAmt
PY Other Revenue$7,184,659PYOtherRevenueAmt
CY Other Revenue$7,317,086CYOtherRevenueAmt
PY Total Revenue$565,654,109PYTotalRevenueAmt
CY Total Revenue$573,513,210CYTotalRevenueAmt
PY Grants And Similar Paid$8,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$321,685,460PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$337,627,307CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,541,745CYTotalFundraisingExpenseAmt
PY Other Expenses$193,043,099PYOtherExpensesAmt
CY Other Expenses$216,105,202CYOtherExpensesAmt
PY Total Expenses$514,736,559PYTotalExpensesAmt
CY Total Expenses$553,747,009CYTotalExpensesAmt
PY Revenues Less Expenses$50,917,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,766,201CYRevenuesLessExpensesAmt
Total Assets BOY$520,501,227TotalAssetsBOYAmt
Total Assets EOY$680,007,348TotalAssetsEOYAmt
Total Liabilities BOY$294,151,338TotalLiabilitiesBOYAmt
Total Liabilities EOY$420,531,587TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$226,349,889NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$259,475,761NetAssetsOrFundBalancesEOYAmt
MissionSouth Shore Hospital's primary exempt purpose is to provide health care services to the community including surgical, medical and other treatment of the sick and injured.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$401,764,472ExpenseAmt
Grant$14,500GrantAmt
Revenue$561,862,312RevenueAmt
DescHealth Care Programs, General/Other: South Shore Hospital is a not-for-profit, acute care, regional hospital licensed by the Massachusetts Department of Public Health to operate 378 acute care beds (composed of 265 medical/surgical, 32 intensive care/coronary care, 53 Level III maternal/newborn, 18 pediatric/young adult and 10 neonatal), and 67 bassinets (composed of 20 Level II special care nursery bassinets and 47 newborn bassinets). The Hospital offers a comprehensive range of health care services to meet diverse community needs, including emergency care, acute care (including medical, surgical, obstetrical/gynecological, pediatric, cardiac and cancer care), outpatient services (including surgical, rehabilitation, wound and specialized orthopedic care), home health services and community services. The Hospital provides free care to those who are unable to pay, sponsors free cancer screenings, other health screenings, various support groups and educational programs, including public health education, wellness programs and the training of health professionals such as physicians, nurses and technicians. During the year ended September 30, 2016, the Hospital had 28,652 discharges and 210,368 outpatient days. The Hospital's emergency center is open 24 hours a day, every day of the year, and had 97,679 visits during the year. The Hospital's home care division helps people maintain independence at home. The visiting nurses coordinate the appropriate specialists, services and community resources for each patient. Our home care division provided over 186,922 home visits to patients in fiscal 2016.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$401,764,472TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 StmtYes (1)IndependentAuditFinclStmtInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document403IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4331EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 FldDCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPamela Whelton EVP CFO TreasurerPersonNm
Phone7816248626PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1Txt
CitySouth WeymouthCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
John Walsh MD
Director, President Medical Staff402Yes (X)$80,000$316,586$26,378
Sherry Penney
Director10Yes (X)$0$0$0
Kenneth Kirkland
Immediate Past Chair11Yes (X)$0$0$0
Lisa Walsh
Director10Yes (X)$0$0$0
John Maguire
Director10Yes (X)$0$0$0
Chris Oddleifson
Chairman11Yes (X)$0$0$0Yes (X)
Pamela O'Leary
Director10Yes (X)$0$0$0
Thomas McCarthy
Vice Chairman10Yes (X)$0$0$0Yes (X)
Richard Aubut
CEO through 11/2/15405Yes (X)$2,404,788$0$394,529Yes (X)
Matthew Weiss MD
SSPAE Director146Yes (X)$0$657,310$115,425
Gene Green MD
SSH President and SSHS President & CEO409Yes (X)$139,029$0$335,822Yes (X)
Joseph Cahill
SSH President & COO through 7/15/16408$731,933$0$1,256,836Yes (X)
Margaret Holda
Clerk404$328,354$0$74,483Yes (X)
Pamela Whelton
EVP, CFO & Treasurer4011$504,757$0$82,405Yes (X)
Rose Dipietro
President Home & Community Care401$442,667$0$88,571Yes (X)
Timothy Quigley
VP Acute Care Operations and CNO450$407,159$0$77,605Yes (X)
John Stevenson MD
Vice President, Chief Medical Officer409$584,695$0$118,142Yes (X)
Kimberly Dever MD
Chief, OB and GYN450$685,740$5,624$82,941Yes (X)
Frederick Millham MD
Chief of Surgery450$697,743$0$51,520Yes (X)
E Delroy Dixon
SVP, Chief Information Officer thru 7/15/16450$386,895$0$738,452Yes (X)
Richard Mirel MD
Chief of Medicine422$601,279$0$287,787Yes (X)
Robert Wheeler
SVP Human Resources422$376,926$0$695,572Yes (X)
Michael Cullen
SVP, CFO & Treasurer thru 1/8/1500$601,083$0$67,059Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,973,048TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$979,520TotReportableCompRltdOrgAmt
Total Other Compensation$4,493,527TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K613IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Brigham Women's Physician Organization
PO Box 3684BostonMA022413684Physician Services$3,246,768
Specialized Receivables
PO Box 12414NewarkNJ071013514Billing/Collection$1,371,447
Brigham & Women's Hospital
PO Box 6240BostonMA02114Physician Services$1,174,003
Audit Billing Center Inc
29 Winter StreetPembrokeMA02359Billing/Collection$949,750
Quest Diagnostics Incorporated
5763 Collections DriveChicagoIL606930057Lab Services$756,019
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K62CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$826,272FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$211,643GovernmentGrantsAmt
All Other Contributions$4,453,050AllOtherContributionsAmt
Noncash Contributions$346,201NoncashContributionsAmt
Total Contributions$5,490,965TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Net Patient Service Revenue622000$545,149,240$545,149,240$0$0
Ambulatory Cancer Center621000$15,316,413$15,316,413$0$0
Rental Income - Affiliates531390$231,250$231,250$0$0
Outpatient Rehab621400$188,068$188,068$0$0
Miscellaneous Clinics621990$163,158$163,158$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$278,915TotalRevenueColumnAmt
Related Or Exempt Func Income$278,915RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$561,327,044TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,196,368TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,196,368ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,279,725RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,121,423RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$158,302RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,302TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$158,302ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities-$1,810,166SecuritiesAmt
Other$98,929OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$107,016OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,810,166SecuritiesAmt
Other-$8,087OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,818,253TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,818,253ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$559,046FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$826,272ContriRptFundraisingEventAmt
Fundraising Direct Expenses$559,046FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$21,037GamingGrossIncomeAmt
Gaming Direct Expenses$1,147GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,890TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,890UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Food Service Sales722212$3,960,278$0$0$3,960,278
Shields Imaging Income621000$1,374,155$0$0$1,374,155
Gift Shop/Cancer Center Boutique900099$387,446$37,190$0$350,256

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,417,015TotalRevenueColumnAmt
Related Or Exempt Func Income$498,078RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$666,906UnrelatedBusinessRevenueAmt
Exclusion$252,031ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,138,894OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$573,513,210TotalRevenueColumnAmt
Related Or Exempt Func Income$561,862,312RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$686,796UnrelatedBusinessRevenueAmt
Exclusion$5,473,137ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$14,500TotalAmt
Program Services$14,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,758,358TotalAmt
Program Services$1,423,155ProgramServicesAmt
Management And General$335,203ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,784,125TotalAmt
Management And General$2,784,125ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$260,666,040TotalAmt
Program Services$179,479,551ProgramServicesAmt
Management And General$79,350,278ManagementAndGeneralAmt
Fundraising$1,836,211FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,154,651TotalAmt
Program Services$14,429,904ProgramServicesAmt
Management And General$6,724,747ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,763,412TotalAmt
Program Services$21,559,742ProgramServicesAmt
Management And General$10,203,670ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,500,721TotalAmt
Program Services$13,301,734ProgramServicesAmt
Management And General$6,198,987ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$481,768TotalAmt
Management And General$481,768ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$753,889TotalAmt
Management And General$753,889ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$394,091TotalAmt
Management And General$394,091ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$70,345TotalAmt
Management And General$70,345ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,675,137TotalAmt
Program Services$11,291,764ProgramServicesAmt
Management And General$12,262,871ManagementAndGeneralAmt
Fundraising$120,502FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,047,812TotalAmt
Management And General$1,046,538ManagementAndGeneralAmt
Fundraising$1,274FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$75,900,140TotalAmt
Program Services$72,771,379ProgramServicesAmt
Management And General$3,086,200ManagementAndGeneralAmt
Fundraising$42,561FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,528,943TotalAmt
Management And General$6,528,943ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,550,793TotalAmt
Program Services$5,285,555ProgramServicesAmt
Management And General$2,265,238ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,024,597TotalAmt
Program Services$780,773ProgramServicesAmt
Management And General$230,616ManagementAndGeneralAmt
Fundraising$13,208FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$339,209TotalAmt
Program Services$19,486ProgramServicesAmt
Management And General$317,994ManagementAndGeneralAmt
Fundraising$1,729FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,257,316TotalAmt
Program Services$4,380,121ProgramServicesAmt
Management And General$1,877,195ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,875,231TotalAmt
Program Services$13,912,662ProgramServicesAmt
Management And General$5,962,569ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,060,187TotalAmt
Program Services$1,114,160ProgramServicesAmt
Management And General$946,027ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Physician Services$41,961,226$41,961,226$0$0
Equipment Maintenance Contracts$6,860,950$3,266,567$3,594,383$0
Leases$4,412,164$4,203,696$208,468$0
Gross Pool Assessment$3,936,998$3,936,998$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,974,406TotalAmt
Program Services$8,631,499ProgramServicesAmt
Management And General$3,816,647ManagementAndGeneralAmt
Fundraising$526,260FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$553,747,009TotalAmt
Program Services$401,764,472ProgramServicesAmt
Management And General$149,440,792ManagementAndGeneralAmt
Fundraising$2,541,745FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$66,085,321BOYAmt
EOY$11,763,330EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$60,438,370EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,842,753BOYAmt
EOY$4,335,562EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,458,302BOYAmt
EOY$72,520,689EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$225,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,095,503BOYAmt
EOY$7,102,319EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,335,202BOYAmt
EOY$5,335,574EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$468,584,681LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$274,256,691LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$162,657,936BOYAmt
EOY$194,327,990EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$184,856,614BOYAmt
EOY$297,599,505EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,871,600BOYAmt
EOY$4,892,356EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,297,996BOYAmt
EOY$21,466,653EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$520,501,227BOYAmt
EOY$680,007,348EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,004,632BOYAmt
EOY$71,653,926EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,530,773BOYAmt
EOY$2,112,225EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,978,029BOYAmt
EOY$222,746,033EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,637,904BOYAmt
EOY$124,019,403EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$294,151,338BOYAmt
EOY$420,531,587EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$215,737,691BOYAmt
EOY$246,677,645EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,254,040BOYAmt
EOY$11,414,958EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,358,158BOYAmt
EOY$1,383,158EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$226,349,889BOYAmt
EOY$259,475,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$520,501,227BOYAmt
EOY$680,007,348EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,766,201ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,726,936NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,632,735OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$1,122DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$70,345OtherActivitiesAmt
Total Lobbying Expenditures$71,467TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationItem g: Amount represents the portion of salary and related business expenses for the employee who engaged in lobbying activities on behalf of South Shore Hospital. Item i: Amount represents a percentage of the Hospital's annual apportionment of MHA/AHA dues attributable to lobbying expenses. For the year ended September 30, 2016, it was determined that 32.43% of dues was used for lobbying purposes.South Shore Hospital advocates for public policy that positively impacts the health and well-being of the communities we serve. The Hospital works with local, state and federal officials to advance initiatives that will enhance public safety, improve access to health services, assure appropriate health care reimbursements and stimulate economic development. We partner with state and national health care associations to develop and improve government-funded programs. We welcome elected and non-elected officials to visit our hospital to discuss health care policy issues affecting our region, the Commonwealth and the nation.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,612,198BeginningYearBalanceAmt
Contributions$4,890,558ContributionsAmt
Investment Earnings Or Losses$189,932InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,386,792OtherExpendituresAmt
Administrative Expenses$507,780AdministrativeExpensesAmt
End Year Balance$12,798,116EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,698,272BeginningYearBalanceAmt
Contributions$3,096,501ContributionsAmt
Investment Earnings Or Losses-$51,363InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,753,182OtherExpendituresAmt
Administrative Expenses$378,030AdministrativeExpensesAmt
End Year Balance$10,612,198EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,105,141BeginningYearBalanceAmt
Contributions$3,593,941ContributionsAmt
Investment Earnings Or Losses$209,640InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$4,841,905OtherExpendituresAmt
Administrative Expenses$368,545AdministrativeExpensesAmt
End Year Balance$10,698,272EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,660,514BeginningYearBalanceAmt
Contributions-$549,950ContributionsAmt
Investment Earnings Or Losses$213,862InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$3,837,515OtherExpendituresAmt
Administrative Expenses$381,770AdministrativeExpensesAmt
End Year Balance$12,105,141EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,377,293BeginningYearBalanceAmt
Contributions$9,263,114ContributionsAmt
Investment Earnings Or Losses$291,483InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$6,836,541OtherExpendituresAmt
Administrative Expenses$434,835AdministrativeExpensesAmt
End Year Balance$16,660,514EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.11PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.89TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,614,677OtherCostOrOtherBasisAmt
Book Value$5,614,677BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$207,858,483OtherCostOrOtherBasisAmt
Depreciation$114,253,038DepreciationAmt
Book Value$93,605,445BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$15,226,045OtherCostOrOtherBasisAmt
Depreciation$5,769,645DepreciationAmt
Book Value$9,456,400BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$179,078,274OtherCostOrOtherBasisAmt
Depreciation$145,535,163DepreciationAmt
Book Value$33,543,111BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$60,807,202OtherCostOrOtherBasisAmt
Depreciation$8,698,845DepreciationAmt
Book Value$52,108,357BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$194,327,990TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)

DescDescAmtAmt
Due to 3rd Party Payors$43,029,117
Accrued Pension$32,356,475
Loss on Swaps$13,363,964
Capital Leases$13,017,307
Malpractice Payable$7,252,015
Accrued Workers Compensation$6,717,581
Executive and Physician Benefits Payable$2,654,624
Community Health Initiatives$1,963,440
Due to Affiliates$1,640,724
Accrued Separation$1,131,932
Post Retirement Benefits$396,219
Fin 47 Liability$264,941
Other Long Term Liability$226,287
Security Deposits$4,777
FieldValueIRS element (for citing)
Total Liability$124,019,403TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$572,296,581TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$2,612,505OtherRevenueAmt
Revenue Not Reported$2,612,505RevenueNotReportedAmt
Revenue Subtotal$569,684,076RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$3,829,134OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,829,134RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$573,513,210TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$555,218,234TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$1,471,225OtherExpensesIncludedAmt
Expenses Not Reported$1,471,225ExpensesNotReportedAmt
Expenses Subtotal$553,747,009ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$553,747,009TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4The Hospital maintains its endowment funds to further its charitable purposes and those of its affiliates. In prior years endowment funds have been used to expand and maintain the Hospital's infrastructure, purchase state-of-the-art medical equipment and provide health and wellness services to the community.
Schedule D, Part X, Line 2The Hospital 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.
Schedule D, Part XI, Line 2dNet assets released from restrictions; $2,612,505.
Schedule D, Part XI, Line 4bContributions; $5,300,359, Loss on interest rate swaps; Cost of goods sold - shops; -$348,655, rental expense; -$1,121,423, gaming licenses and taxes; -$1,147.
Schedule D, Part XII, Line 2dCost of goods sold - shops; $348,655, rental expense; $1,121,423, gaming licenses and taxes; $1,147.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Moonlight & MiraclesEvent1Nm
Gross Receipts Event1$483,083GrossReceiptsEvent1Amt
Charitable Contri Event1$184,887CharitableContriEvent1Amt
Gross Revenue Event1$298,196GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$80,170RentFacilityCostsEvent1Amt
Food And Beverage Event1$93,742FoodAndBeverageEvent1Amt
Entertainment Event1$22,080EntertainmentEvent1Amt
Other Direct Expenses Event1$102,204OtherDirectExpensesEvent1Amt
Event2LuminariaEvent2Nm
Gross Receipts Event2$241,794GrossReceiptsEvent2Amt
Charitable Contri Event2$157,900CharitableContriEvent2Amt
Gross Revenue Event2$83,894GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$3,643RentFacilityCostsEvent2Amt
Food And Beverage Event2$44,648FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$35,603OtherDirectExpensesEvent2Amt
Other Events Total7OtherEventsTotalCnt
Gross Receipts Other Events$660,441GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$483,485CharitableContriOtherEventsAmt
Gross Revenue Other Events$176,956GrossRevenueOtherEventsAmt
Cash Prizes Other Events$0CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$0NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$55,167RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$44,376FoodAndBeverageOtherEventsAmt
Entertainment Other Events$14,045EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$63,368OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,385,318GrossReceiptsTotalAmt
Charitable Contributions Tot$826,272CharitableContributionsTotAmt
Gross Revenue Total Events$559,046GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$138,980RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$182,766FoodAndBeverageTotalEventsAmt
Entertainment Total Events$36,125EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$201,175OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$559,046DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$21,037GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming$1,147OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$21,037GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$0CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$0NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$0RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$1,147OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$1,147DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$19,890NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMAStatesWhereGamingConductedCd
Licensed0LicensedInd
Explanation If NoThe Hospital obtains permits for each town it holds raffles in, in accordance with Massachusetts state law.ExplanationIfNoTxt
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility0.5GamingOwnFacilityPct
Gaming Other Facility0.5GamingOtherFacilityPct
Individual With BooksChris O'Connor SVP PhilanthropyIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line130 Reservoir Park DriveAddressLine1Txt
CityRocklandCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02370ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonChristopher O'ConnorGamingManagerPersonNm
Gaming Manager Compensation$0GamingManagerCompensationAmt
Gaming Manager Services ProvSee Part IVGamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr0CharitableDistributionRqrInd
Distributed$0DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule G, Part III, Line 16FormAndLineReferenceDesc
ExplanationChristopher O'Connor is the SVP, Philanthropy of South Shore Health System Foundation, a department of South Shore Hospital. The SSHS Foundation oversees all gaming and fundraising activity.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,167,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,121,855NetCommunityBenefitExpnsAmt
Total Expense0.0038TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$61,263,261TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,516,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,746,938NetCommunityBenefitExpnsAmt
Total Expense0.014TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,169,957TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,169,957NetCommunityBenefitExpnsAmt
Total Expense0.0057TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$66,601,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,562,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,038,750NetCommunityBenefitExpnsAmt
Total Expense0.0235TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,419,306TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$150DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,416,156NetCommunityBenefitExpnsAmt
Total Expense0.0062TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$721,141TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$721,141NetCommunityBenefitExpnsAmt
Total Expense0.0013TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$87,165,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,708,528DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,456,479NetCommunityBenefitExpnsAmt
Total Expense0.0189TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$275,820TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$96,449DirectOffsettingRevenueAmt
Net Community Benefit Expns$179,371NetCommunityBenefitExpnsAmt
Total Expense0.0003TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$91,581,274TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$76,805,127DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,773,147NetCommunityBenefitExpnsAmt
Total Expense0.0267TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$158,182,347TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,367,450DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,811,897NetCommunityBenefitExpnsAmt
Total Expense0.0502TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$844,524TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$844,524NetCommunityBenefitExpnsAmt
Total Expense0.0016TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,579TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$136,579NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,472TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,472NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$492,154TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$475,486NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$554,052TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$554,052NetCommunityBenefitExpnsAmt
Total Expense0.001TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,089,781TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,073,113NetCommunityBenefitExpnsAmt
Total Expense0.0037TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$13,128,624BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$152,654,570ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$163,865,453CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,210,883MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1South Shore Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1Txt
CitySouth WeymouthCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02190ZIPCd
FieldValueIRS element (for citing)
Website Addresssouthshorehospital.orgWebsiteAddressTxt
State LicenseLicense #2107StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSee Part V, Section D. All non-hospital facilities are included in the Hospital's license.OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1South Shore Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.southshorehospital.org/workfiles/About/Community_Health_Needs_Assessment_2016.pdfOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.southshorehospital.org/workfiles/About/FY2016_Community_Benefits_Plan.pdfStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.southshorehospital.org/workfiles/Patients_and_Visitors/Credit_and_Collection_Policy.pdfFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.southshorehospital.org/workfiles/Patients_and_Visitors/financialassistancenotice.pdfFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-South Shore Hospital IncThe Hospital developed its current Community Health Needs Assessment by holding a workgroup with representatives from the 34 communities it serves. The nineteen participants were drawn from a diverse cross-section of interested parties involved in our community and knowledgeable of our local health challenges and needs. The workgroup was comprised of individuals from the Health System and Hospital (including the Visiting Nurse Association) as well as individuals from the following groups/organizations: Bay State Community Services, CHNA 20 (Blue Hills Community Health Alliance), Dana-Farber/Brigham and Women's Cancer Center, GateHouse Media New England, Hingham Health Department, James M. Hurley Senior and Veterans Center, Manet Community Health Center, Marshfield Public School District, Office of Congressman Bill Keating, Quincy Asian Resources, Quincy Health Department, Scituate Council on Aging, South Shore Elder Services, South Shore YMCA, Weymouth Health Department, and Youth Health Connection. In addition to this workgroup, the Hospital regularly collects data through meetings with state and local leaders, health services providers, EMS, police and fire officials, business leaders, and others who have knowledge of southeastern Massachusetts' health needs.
Schedule H, Part V, Section B, Line 6b-South Shore Hospital IncSouth Shore Hospital collaborates with three Massachusetts Department of Public Health's Community Health Network Areas. We support and fund community health initiatives sponsored by the Blue Hills Community Health Alliance (CHNA 20), South Shore Community Partners in Prevention (CHNA 23) and Greater Brockton Community Health Network Area (CHNA 22).
Schedule H, Part V, Section B, Line 11-South Shore Hospital IncSouth Shore Hospital identified seventeen health and social issues through its ongoing data collection and the CHNA workgroup findings. Access to health services, behavioral health (including mental health and substance abuse) and cardiovascular care were identified as priority areas. The Hospital continues to address the need for access to health services by providing translation and courtesy shuttle services, and assisting any individual in our service area in obtaining health insurance. SSH plans to work with community leaders and CHNAs to develop programs to address ongoing obstacles contributing to lack of access to care. Behavioral health issues are significant in our service area with demand for mental health services exceeding the supply of providers. Substance abuse, frequently a co-morbid behavioral health condition, increases emergency room visits. Education around the topics of behavioral health and substance abuse was identified as critical in addressing these issues. SSH plans on expanding initiatives to address behavioral health problems by utilizing internal clinicians, supporting local police and fire departments to mitigate substance abuse and partnering with our communities and local groups to increase educational programs. SSH plans to reduce cardiovascular disease by educating people in the communities it serves about the importance of physical activity. We host free programs dedicated to the prevention and treatment of heart disease, stroke and peripheral vascular conditions. SSH will continue to offer rehabilitation services and is partnering with the South Shore YMCA to offer a cardiac rehabilitation maintenance exercise program for individuals with stable heart disease. The Hospital initiated and continues to support the South Shore Moves! Wellness Challenge to promote wellness and physical activity. Although oral health was identified as a health need during the assessment process, it will not be addressed due to a lack of clinical expertise at South Shore Hospital. The assessment identified dementia as a community health concern but, outside of programs aimed at vulnerable populations, SSH does not plan to offer specific programs at this time. Violence/safety is another area identified that the Hospital cannot fully address as it is beyond our scope as a healthcare provider.
Schedule H, Part V, Section B, Line 13h-South Shore Hospital IncOther factors used to determine amounts charged to patients are eligibility in Medicare/Medicaid programs or through the Commonwealth's Health Connector.
Schedule H, Part V, Section B, Line 16i-South Shore Hospital IncThe Hospital's policy is attached to billing invoices. Additionally, the Hospital summarizes its policy throughout its facilities: in the emergency department and waiting rooms, the admissions office, financial counselors' office and the Business Office/Patient Accounting locations. Patients without insurance are directed to a financial counselor who will provide them with information about our financial assistance policy as well as resources available to them through MassHealth or the Commonwealth's Health Safety Net.
Schedule H, Part V, Section B, Line 20e-South Shore Hospital IncIndividuals referred to South Shore Hospital may meet with a financial counselor to learn about our financial assistance policy as part of the pre-admission process. If the Hospital is unable to notify a patient of its financial assistance policy before or during the admission process, a financial counselor may meet with the patient during his hospital stay. Counselors assist uninsured individuals identified during the notification/eligibility process in applying for insurance through the Commonwealth of Massachusetts's Health Connector portal. Counselors work with underinsured, medically disabled individuals to find additional resources to help pay their medical bills.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Ambulatory Cancer Center
101 Columbian StreetSouth WeymouthMA02190Breast care and multispecialty care center
Center for Orthopedics Spine and Sports Medicine
2 Pond Park RoadHinghamMA02043Orthopedic rehabilitation and outpatient surgical satellite clinic
Center for Wound Healing
90 Libbey Industrial ParkwaySouth WeymouthMA02190Wound care and hyperbaric medicine
Cohasset Radiology
233 Chief Justice Cushing HighwayCohassetMA02025Imaging servicesLower Level
Outpatient Services
780 Main StreetSouth WeymouthMA02190Outpatient surgery center
Center for Physical Wellness
51 Performance DriveWeymouthMA02189Offers exercise, rehabilitation and physical conditioning programs3rd Floor
Pre-surgery Evaluation
797 Main StreetSouth WeymouthMA02190Pre-surgical testing and evaluation clinic1st Floor

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7South Shore Hospital uses the cost to charge ratio for calculating amounts in the table for Line 7. The cost to charge ratio is total patient care costs divided by total patient care charges per Worksheet S-10, line 1 of the Medicare Cost Report. Bad debt is not included in any amounts reported in the table.
Schedule H, Part I, Line 7, Column fThe Hospital does not include bad debt in its Statement of Functional Expenses, Form 990, Part IX; not applicable.
Schedule H, Part IICommunity building activities are undertaken to meet the needs of the residents of southeastern Massachusetts. The Hospital participates in outreach programs and meets with members of the communities it serves to assess health care needs. Translation services and programs such as the courtesy coach and MD access and referral line help reduce health disparities by providing access to care. South Shore Hospital's emergency preparedness, infection control, and clinical and medical workforce development programs ensure the needs of the community are met. The Hospital provides services such as pastoral care to patients and their families and programs for youth in our community.
Schedule H, Part III, Section A, Line 2The Hospital analyzes accounts receivable by major insurance group and looks at the history of bad debt by payor. Bad debt is calculated on a percentage basis based on this historical analysis of uncollectable amounts and the percentage is applied to aged accounts receivable.
Schedule H, Part III, Section A, Line 4Uncompensated care expense in the Statements of Operations and Changes in Net Assets represents the Hospital's payments to the statewide Health Safety Net (HSN), net of recoveries from HSN for reimbursable bad debts.
Schedule H, Part III, Section B, Line 8South Shore Hospital provides a valuable community benefit by treating all individuals within the Hospital's service area regardless of ability to pay. One in 8 people in our area lives near or below the poverty level. These individuals would have to travel out of our area or possibly forgo medical treatment without the services the Hospital provides. The Hospital uses the Medicare 2552 report for costs. The Medicare shortfall incurred by SSH is viewed as lessening the burdens of government and therefore providing a valuable community benefit.
Schedule H, Part III, Section C, Line 9bThe Hospital does not bill the following categories of patients (except that the Hospital will bill patients for any applicable co-pays or deductibles required by a particular assistance program): patients enrolled in MassHealth, patients receiving governmental benefits under the Emergency Aid to the Elderly and Disabled Children program and in the Healthy Start Program. Also, participants in the Children's Medical Security Plan whose family income is equal to or less than 300% of the FPL are exempt from collection action. Low income patients, determined pursuant to 114.6 CMR 13.04(2), are exempt from collection action any eligible services, except for co-payments and deductibles that are not eligible services under 114.6 CMR 12.03(6)(b). Low income patients, determined pursuant to 114.6 CMR 12.03(3)(b), within 150.1-300% of the FPL are exempt from collection action for the portion of the provider bill that exceeds the deductible and may be billed for co-payments and deductibles as set forth in 114.6 CMR 13.04. SSH may bill low income patients for services other than eligible services provided at the request of the patient, and for which the patient has agreed to be responsible, if providers receive the patient's written consent to be billed for the services. The Hospital will not undertake collection action against an individual that has qualified for medical hardship with respect to the amount of the bill that exceeds the medical hardship contribution. SSH will not continue collection or billings on a patient who is a member of bankruptcy proceedings except to secure its rights as a creditor in the appropriate order. The Hospital may initiate billing for a patient who claims to be eligible for assistance programs but fails to provide proof of eligibility. Upon receipt of satisfactory proof of eligibility, the Hospital shall cease all collection activities. The Hospital, or its agents, will not charge interest on an overdue balance for a low income patient or for patients who are low income based on the Hospital's own internal financial assistance program.
Schedule H, Part VI, Line 2The Hospital's most recent Community Health Needs Assessment was completed in March 2016. The CHNA was the culmination of SSH's efforts to understand the needs of the community it serves. In addition to the workgroup formed to assess and prioritize health needs, the Hospital continuously engages System clinicians and leaders, community service providers, members of state and local governments, EMS providers, police and fire officials and other interested parties in the collection and review of data. SSH tracks and studies trends in our patient population. We review community health data from the Department of Public Health's Massachusetts Community Health Information Profile (Mass CHIP) as well as information collected by the Massachusetts Hospital Association, Massachusetts Health Data Consortium, Federal Centers for Disease Control, the Kaiser Family Foundation and Sg2, a national health care information company.
Schedule H, Part VI, Line 3South Shore Hospital prominently displays its financial assistance information in public areas throughout the Hospital. Information is provided to individuals during the intake process. The Hospital posts its credit and collection policy, in its entirety, on its website and copies are also available upon request. This document explains how individuals may be eligible for assistance under federal and state programs, as well as the Hospital's reduced fee and charity care policies. In addition, the Hospital's insurance counselors can explain various options and will help anyone who wants assistance with health insurance enrollment under the Commonwealth's Health Care Reform Law. Counselors are available to assist patients during the intake process and are also available to the public six days a week. In addition to helping patients understand eligibility for reduced or free care, counselors are available to assist individuals in our service area in obtaining health insurance, whether they are patients of the Hospital or not.
Schedule H, Part VI, Line 4South Shore Hospital serves an area south of Boston with a population of approximately 725,000. The majority of patients identify themselves as Caucasian (94%), followed by Black/African American (1.8%), Other (1.8%) and Asian (.9%). After English, the next most common languages that patients reported speaking as a primary language are Portuguese, Spanish, Vietnamese and Arabic.
Schedule H, Part VI, Line 5South Shore Hospital is committed to providing community building activities that promote the health and wellbeing of all the people in our area. The Hospital provides pastoral care to patients and their families. People living within the Hospital's service area may receive help in finding affordable health insurance and are assisted in finding medical care through our MD access and referral programs. The Hospital eliminates barriers to care by providing a courtesy coach to any patient needing transportation to or from its facilities. We have made a commitment to physician recruitment in specialties that meet community needs, now and in the future, and to providing our clinicians with continuing medical education. South Shore Hospital has invested in emergency preparedness training and equipment to serve the community in the event of a natural or man-made disaster. The Hospital makes its most recent Community Health Needs Assessment, Health Needs Assessment Implementation Strategy and Community Benefits Reports available on its website. For more information about South Shore Hospital's active role in meeting the needs of our community please visit http://www.southshorehospital.org/communitybenefits.
Schedule H, Part VI, Line 6South Shore Hospital is part of an affiliated health care system. Under the control of its parent organization, South Shore Health System (SSHS), affiliates South Shore Hospital, South Shore Property, Health Provider Services Organization of the South Shore and Coastal Medical Associates (including its subsidiary corporation, South Shore Medical Center) coordinate the provision of health care services to the residents of Southeastern Massachusetts.
Schedule H, Part VI, Line 7South Shore Hospital files its Community Benefits Report in Massachusetts.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFriends Scholarships for students pursuing health care degreesGrantTypeTxt
Recipient14RecipientCnt
Cash Grant$14,500CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedCashValuationMethodUsedDesc
Non Cash AssistanceSee Part IVNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule I, Part I, Line 2South Shore Hospital administers grants in accordance with grantor documents and maintains records to substantiate compliance. Grantees are required to provide evidence of meeting criteria established for various assistance grants or scholarships awarded by SSH.
Schedule I, Part IIIThe Friends of South Shore Health System, an auxiliary Hospital organization, offers several scholarships to students interested in furthering their education in health care and health care related fields. Interested, eligible applicants are encouraged to apply for these scholarships. The Nursing Scholarship is for a full-time or regular part-time employee of South Shore Hospital presently enrolled at an accredited school pursuing an BSN degree or higher. The Marion C. Martinsen Scholarship is for a high school senior or graduate from an accredited public, private or parochial school. The Volunteers and Families Scholarship is for an active volunteer, child or grandchild of an active South Shore Hospital or Home Care division volunteer. The Health Related Field Scholarship is for a full-time or regular part-time employee presently enrolled at an accredited school pursuing an associate degree, a bachelor's degree, or for technical accreditation in a health related field. The Terry Ries Nursing Education and Development Scholarship is for full-time or regular part-time employees who have been employed for at least a year and accepted into an accredited program to begin or advance their nursing career. The Ann Peters Memorial Scholarship is for a Scituate, Massachusetts resident pursuing a career in nursing. Fourteen scholarships totaling $14,500 were awarded in fiscal 2016. The Friends is a department of South Shore Hospital; funds and oversight of Friends scholarships come from the Hospital.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
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 (16 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
Richard Aubut
CEO through 11/2/15$1,642,327$0$361,696$0$400,765$0$375,195$0$19,934$0$2,799,917$0$61,696$0
Joseph Cahill
SSH President & COO through 7/15/16$541,599$0$49,605$0$140,728$0$1,230,386$0$26,451$0$1,988,769$0$49,605$0
Pamela Whelton
EVP, CFO & Treasurer$446,270$0$53,683$0$4,804$0$80,973$0$1,432$0$587,162$0$53,683$0
Margaret Holda
Clerk$292,455$0$33,783$0$2,117$0$54,419$0$20,064$0$402,838$0$33,783$0
Rose Dipietro
President Home & Community Care$381,139$0$43,582$0$17,946$0$78,259$0$10,032$0$530,958$0$43,582$0
Timothy Quigley
VP Acute Care Operations and CNO$345,187$0$35,743$0$26,229$0$56,931$0$20,674$0$484,764$0$35,743$0
Matthew Weiss MD
SSPAE Director$0$486,850$0$0$0$170,460$0$88,974$0$26,451$0$772,735$0$0
John Stevenson MD
Vice President, Chief Medical Officer$512,457$0$67,968$0$4,270$0$91,691$0$26,451$0$702,837$0$67,968$0
Kimberly Dever MD
Chief, OB and GYN$544,739$0$118,697$0$22,305$5,624$56,493$0$26,448$0$768,682$5,624$73,697$0
Frederick Millham MD
Chief of Surgery$648,930$0$45,200$0$3,613$0$50,088$0$1,432$0$749,263$0$0$0
Michael Cullen
SVP, CFO & Treasurer thru 1/8/15$31,435$0$17,777$0$551,871$0$49,213$0$17,846$0$668,142$0$12,577$0
John Walsh MD
Director, President Medical Staff$0$315,791$0$0$80,000$795$0$10,810$0$15,567$80,000$342,963$0$0
Gene Green MD
SSH President and SSHS President & CEO$119,225$0$0$0$19,804$0$332,717$0$3,105$0$474,851$0$0$0
Richard Mirel MD
Chief of Medicine$525,016$0$37,667$0$38,596$0$279,727$0$8,060$0$889,066$0$0$0
E Delroy Dixon
SVP, Chief Information Officer thru 7/15/16$326,929$0$37,889$0$22,077$0$712,002$0$26,450$0$1,125,347$0$37,889$0
Robert Wheeler
SVP Human Resources$321,735$0$39,951$0$15,240$0$675,509$0$20,064$0$1,072,499$0$39,951$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aTax indemnification and gross-up payments are reported as income because the Hospital grosses up imputed income from split dollar policies and premiums for long-term disability coverage. Richard Aubut ($233,516), Joseph Cahill ($80,854) and Michael Cullen ($57,765) received gross-up payments in tax year 2015 related to imputed income. Gene Green was reimbursed $11,110 for temporary living expenses due to a relocation for his new position; this amount was grossed up ($6,581).
Schedule J, Part I, Line 3The Hospital's parent company, South Shore Health System, has a Compensation Committee that makes compensation decisions for all System executives. The Compensation Committee 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 4The former SVP/CFO, Michael Cullen, received $421,778 in salary continuation payments in the year that ended December 31, 2015.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Massachusetts Development Finance Agency
A0434318140000000002012-09-14$78,330,000See Part VI for complete description000
Massachusetts Development Finance Agency
B04343181457584XNN72016-05-10$155,229,109See Part IV for complete description000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$12,360,833$0$78,330,000$0$0$0$739,129$0$0$0$77,590,871$0Yes (1)0Yes (1)Yes (1)
B$0$0$155,430,656$1,949,369$0$0$0$0$0$21,364,151$35,226,666$85,074,168Yes (1)00Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.02200.02200Yes (1)
B00Yes (1)Yes (1)000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Deutsche Bank
A0Yes (1)00Yes (1)Yes (1)20.00000Yes (1)
(no name)
B0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column f-09/14/2012 78,330,000 Massachusetts Development Finance AgencySeries 2012 refunded bonds issued 02/28/08.
Schedule K, Part I, Column f-05/10/2016 155,229,109 Massachusetts Development Finance AgencySeries H will be used to construct a new critical care unit and renovate the existing critical care unit; Series I will be used to construct a new critical care unit, renovate the existing critical care unit and for other miscellaneous capital projects. The financing will also be used to upgrade the Hospital's electronic health record system and other system-wide technology updates.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (9 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Gene E Green MD
President/CEOBridge LoanYes (X)$225,000$225,0000Yes (1)Yes (1)
Richard Aubut
CEO through 11/2/15Split dollar insurance policyYes (X)$6,806,505$6,806,5050Yes (1)Yes (1)
Joseph Cahill
President thru 7/15/16Split dollar insurance policyYes (X)$2,286,239$2,286,2390Yes (1)Yes (1)
Michael Cullen
SVP, CFO through 1/15Split dollar insurance policyYes (X)$1,169,059$1,169,0590Yes (1)Yes (1)
Margaret Holda
Clerk and VPSplit dollar insurance policyYes (X)$216,519$216,5190Yes (1)Yes (1)
Timothy Quigley
VP Nursing/CNOSplit dollar insurance policyYes (X)$330,670$330,6700Yes (1)Yes (1)
John Stevenson MD
VP/CMOSplit dollar insurance policyYes (X)$638,608$638,6080Yes (1)Yes (1)
Pamela Whelton
EVP/CFOSplit dollar life insurance policyYes (X)$281,221$281,2210Yes (1)Yes (1)
Kimberly Dever MD
Chief of OB/GYNSplit dollar life insurance policyYes (X)$208,120$208,1200Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$12,161,941TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (12 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Schedule B Line 1
Vendor$254,920Independent Contractor0
Schedule B Line 45
Vendor$202,271Independent Contractor0
Schedule B Line 67
Vendor$225,937Independent Contractor0
Schedule B Line 96
Vendor$2,004,583Independent Contractor0
Schedule B Line 118
Vendor$391,323Independent Contractor0
Schedule B Line 164
Vendor$105,269Independent Contractor0
Schedule B Line 167
Vendor$154,167Independent Contractor0
Schedule B Line 169
Vendor$769,395Independent Contractor0
Schedule B Line 187
Vendor$2,311,205Independent Contractor0
Schedule B Line 201
Vendor$1,978,859Independent Contractor0
Schedule B Line 203
Vendor$546,580Independent Contractor0
Schedule B Line 205
Vendor$359,381Independent Contractor0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$5,020NoncashContributionsRptF990Amt
Method Of Determining RevenuesDonor ValuationMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution15ContributionCnt
Noncash Contributions Rpt F990$331,695NoncashContributionsRptF990Amt
Method Of Determining RevenuesSee Part IIMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$7,336NoncashContributionsRptF990Amt
Method Of Determining RevenuesDonor ValuationMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Floral Arrangements1$600Donor Valuation
Yes (X)Furniture1$1,550Donor Valuation
FieldValueIRS element (for citing)
Form8283 Received13Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule M, Part I, Line 9Fifteen donations of publicly traded securities were received from 10 donors in FY16. Valuations for stock transactions are sales price less commission.
Schedule M, Part I, Line 19Seven donations of food were made for various fundraising events. Donor valuation was used.
Schedule M, Part I, Lines 25-28One donation of floral centerpieces for use during a fundraising event was received in FY16. One donation of two custom designed wine cupboards was received in FY16. Donor valuations were used for both donations.
Schedule M, Part I, Line 32bThe Hospital liquidates contributions of publicly traded securities through a third party brokerage firm. Whenever possible, the brokerage firm sells stock donations on the next business day after receipt.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2Kenneth Kirkland and Thomas McCarthy have a business relationship. John Walsh and Lisa Walsh have a family relationship. In addition, many of the persons listed in Part VII have a "business relationship" with one another by virtue of sitting on boards of entities related to South Shore Hospital.
Form 990, Part VI, Section A, Line 6South Shore Health System, Inc. is the sole member of the organization.
Form 990, Part VI, Section B, Line 11bThe Hospital's Form 990 is prepared internally and reviewed by the tax practice of its independent auditors, Deloitte Tax LLP. The return is then reviewed by the CFO and CEO. The complete Form 990 is provided to the entire governing body prior to the filing deadline.
Form 990, Part VI, Section B, Line 12cEmployees and 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 15South Shore Health System (SSHS), an affiliate, has a Compensation Committee that determines South Shore Hospital executive compensation. 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 utilized an outside consultant to determine executive compensation for the incoming SSHS CEO, SSH President/COO, SSH CFO and SSPAE Chair. The consultant presented relevant data to the committee for review and approval for these individuals. 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 19South Shore Hospital 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 9Pension-related adjustments; $2,657,735, Transfer to affiliate; -$25,000.
Form 990, Part XII, Line 2bThe Hospital's financial statements are presented on both a consolidated and separate basis. The audit of South Shore Health System and its subsidiaries is conducted by the independent accountant Deloitte & Touche LLP. The governing body of South Shore Health System, acting as an audit committee of the whole, assumes responsibility for oversight of the audit of its (parent and affiliate) financial statements ad selection of an independent auditor. In fiscal 2016, the audit of South Shore Hospital, Inc. was issued separately and consolidated by Deloitte & Touche LLP into the annual audit of South Shore Health System, Inc. (formerly South Shore Health and Educational Corporation) and Subsidiaries. The financial statements are prepared in accordance with GAAP.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtBusiness Name Line2DisregardedEntityName/BusinessNameLine2Txt
South Shore Health System Inc
55 Fogg RoadSouth WeymouthMA02190042105926Supports the charitable mission of South Shore Hospital and its affiliatesMA501(c)(3)11c, Type IIIN/A0
South Shore Property Inc
55 Fogg RoadSouth WeymouthMA02190050398822Develops and manages real property for South Shore Hospital and its affiliatesMA501(c)(3)11a, Type I0South Shore Health System Inc
Coastal Medical Associates Inc
55 Fogg RoadSouth WeymouthMA02190043170333Primary and specialized medical careMA501(c)(3)30South Shore Health System Incdba South Shore Physician Ambulatory Enterprise
MetroSouth Obstetrics & Gynecology Inc
55 Fogg RoadSouth WeymouthMA02190330998957Specialized medical careMA501(c)(3)3Yes (1)South Shore Hospital
Atlantic Women's Health Inc
55 Fogg RoadSouth WeymouthMA02190200156651Specialized medical careMA501(c)(3)3Yes (1)South Shore Hospital
Health Provider Services Organization of the South Shore Inc
55 Fogg RoadSouth WeymouthMA02190452385865Supports the charitable mission of SSH&E and affiliatesMA501(c)(3)11c, Type III0South Shore Health System Inc
Friends of South Shore Hospital Inc
55 Fogg RoadSouth WeymouthMA02190042582248Raises monies in support of South Shore Hospital and builds goodwill in the communityMA501(c)(3)11a, Type IYes (1)South Shore Hospital
South Shore Medical Center Inc
143 Longwater DriveNorwellMA02061042297845Primary and specialized medical careMA501(c)(3)90Coastal Medical Associates
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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