SOUTH SHORE HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH SHORE HOSPITAL INC (EIN 04-2769210)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2015-10-06
- IRS object ID
- 201503019349300635
- Schema version
- 2012v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2015-10-06T11:26:08-07:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042769210 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 7816248000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Pamela Whelton | Name |
| Title | EVP/CFO & Treasurer | Title |
| Phone | 7816248626 | Phone |
| Date Signed | 2015-09-30 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | Pamela Whelton | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 481866623 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.southshorehospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | South 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4229 | TotalNbrEmployees |
| Total Nbr Volunteers | 600 | TotalNbrVolunteers |
| Total Gross UBI | 585638 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -250668 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 11306876 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1855965 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 441000495 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 461287953 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -1562437 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8497588 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5671150 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7502865 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 456416084 | TotalRevenuePriorYear |
| Total Revenue Current Year | 479144371 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 11000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 286974680 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 294071788 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2174950 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 155126357 | OtherExpensePriorYear |
| Other Expenses Current Year | 163890773 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 442112037 | TotalExpensesPriorYear |
| Total Expenses Current Year | 457972561 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 14304047 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 21171810 | RevenuesLessExpensesCY |
| Total Assets BOY | 451819921 | TotalAssetsBOY |
| Total Assets EOY | 461855710 | TotalAssetsEOY |
| Total Liabilities BOY | 320117578 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 270626900 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 131702343 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 191228810 | NetAssetsOrFundBalancesEOY |
| Mission Description | South 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 338060645 | Expense |
| Grants | 10000 | Grants |
| Revenue | 463295928 | Revenue |
| Description | Health 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 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 officers 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, 2013, the Hospital had 24,955 discharges and 184,561 outpatient days. The Hospital's emergency center is open 24 hours a day, every day of the year, and had 85,940 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 160,345 home visits to patients in fiscal 2013. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 338060645 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 358 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 4229 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Michael Cullen SVP CFO Treasurer | NamePerson |
| Telephone Number | 7816248431 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| John Feldman MD | ||||||||||
| Director, President Medical Staff | 1 | 0 | X | 6806 | 0 | 0 | ||||
| John C Boucher | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Brian Hotarek | ||||||||||
| Chairman of the Board | 1 | 1 | X | 0 | 0 | 0 | ||||
| Sherry Livingston | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Kenneth Kirkland | ||||||||||
| Chairman of the Board | 1 | 1 | X | 0 | 0 | 0 | ||||
| Lisa Constantino | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Paula Becker | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Chris Oddleifson | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| David C Howse | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Thomas McCarthy | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Richard Aubut | ||||||||||
| CEO | 40 | 7.00 | X | 1204508 | 0 | 100947 | X | |||
| Maria Recaldo | ||||||||||
| Director | 1 | 0 | X | 0 | 0 | 0 | ||||
| Margaret Holda | ||||||||||
| Clerk beginning 1/1 | 40 | 1 | 272110 | 0 | 65470 | X | ||||
| Michael Cullen | ||||||||||
| SVP, CFO & Treasurer | 40 | 5 | 521131 | 0 | 44873 | X | ||||
| Joseph Cahill | ||||||||||
| SSH President & COO | 40 | 8.00 | 641108 | 0 | 87242 | X | ||||
| Paul Taylor | ||||||||||
| Clerk & Sr. Vice President thru 12/31 | 45 | 0 | 411162 | 0 | 36766 | X | ||||
| Rose Dipietro | ||||||||||
| Vice President Clinical, Home Care, and Support Services | 45 | 0 | 363663 | 0 | 65406 | X | ||||
| Timothy Quigley | ||||||||||
| Vice President Nursing Services and Chief Nursing Officer | 45 | 0 | 314783 | 0 | 73091 | X | ||||
| John Stevenson MD | ||||||||||
| Vice President | 40 | 5 | 507184 | 0 | 100719 | X | ||||
| Frederick Ayers MD | ||||||||||
| Chief, Surgery | 45 | 0 | 440191 | 0 | 38950 | X | ||||
| Richard Mirel MD | ||||||||||
| Chair, Dpt Medicine | 45 | 1 | 551670 | 0 | 36069 | X | ||||
| Kenneth McLaughlin MD | ||||||||||
| ED Staff Physician | 45 | 0 | 429705 | 0 | 18006 | X | ||||
| Jeffrey Johnson MD | ||||||||||
| ED Physician | 45 | 0 | 360775 | 0 | 568 | X | ||||
| Wayne Chin MD | ||||||||||
| ED Physician | 45 | 0 | 343780 | 0 | 0 | X | ||||
| Kathleen Heffernan | ||||||||||
| Vice President Regulatory Affairs/Clerk thru 3/12/12 | 45 | 1 | 307688 | 0 | 21408 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6676264 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 689515 | TotalOtherCompensation |
| Number Individuals GT100 K | 1903 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| Brigham Women's Hospital | ||||||
| PO Box 3684 | Boston | MA | 022413684 | Physician Services | 4125785 | |
| Aramark Corporation | ||||||
| 12483 Collections Center Drive | Chicago | IL | 60693 | Facilities Maintenance | 1933740 | |
| South Shore Anesthesia Associates Inc | ||||||
| 163 Libbey Pkwy | Weymouth | MA | 02189 | Physician Services | 1646667 | |
| Foley & Lardner LLP | ||||||
| 111 Huntington Aveenue | Boston | MA | 02199 | Legal | 1631182 | 26th Floor |
| MModal Services LTD | ||||||
| PO Box 120467 | Atlanta | GA | 30368 | Transcription Services | 1131073 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 68 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 628738 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 111900 | GovernmentGrants |
| All Other Contributions | 1115327 | AllOtherContributions |
| Noncash Contributions | 12544 | NoncashContributions |
| Total Contributions | 1855965 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net Patient Service Revenue | 622000 | 445485384 | 445485384 | 0 | $0 |
| Ambulatory Cancer Center | 621000 | 11249762 | 11249762 | 0 | $0 |
| Meaningful Use | 622000 | 2933136 | 2933136 | 0 | $0 |
| Education & Other Community Services | 621990 | 879822 | 879822 | 0 | $0 |
| Rental Income from Affiliates | 531390 | 269399 | 269399 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 470450 | TotalRevenueColumn |
| Related Or Exempt Function Income | 470450 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 461287953 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 546269 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $546,269 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1301061 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1263847 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 37214 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37214 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $37,214 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8830177 | Securities |
| Other | 213202 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 1092060 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 8830177 | Securities |
| Other | -878858 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7951319 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $7,951,319 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 366345 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 628738 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 366345 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Food Service Revenue | 722211 | 3106347 | 0 | 0 | $3,106,347 |
| Related Income | 900099 | 1971733 | 1971733 | 0 | $0 |
| Shields Imaging Income | 621000 | 1295228 | 0 | 0 | $1,295,228 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1092343 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36242 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 585638 | UnrelatedBusinessRevenue |
| Exclusion | $470,463 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7465651 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 479144371 | TotalRevenueColumn |
| Related Or Exempt Function Income | 463295928 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 585638 | UnrelatedBusinessRevenue |
| Exclusion | $13,406,840 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2211221 | Total |
| Program Services | 1422436 | ProgramServices |
| Management And General | 788785 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2580838 | Total |
| Management And General | 2580838 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227696336 | Total |
| Program Services | 171699908 | ProgramServices |
| Management And General | 54512987 | ManagementAndGeneral |
| Fundraising | 1483441 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14401124 | Total |
| Program Services | 10723788 | ProgramServices |
| Management And General | 3677336 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29552197 | Total |
| Program Services | 22044844 | ProgramServices |
| Management And General | 7507353 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17630072 | Total |
| Program Services | 13128223 | ProgramServices |
| Management And General | 4501849 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497739 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 497739 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4492570 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 4492570 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276859 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 276859 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39385 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 39385 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18192536 | Total |
| Program Services | 7049408 | ProgramServices |
| Management And General | 10638726 | ManagementAndGeneral |
| Fundraising | 504402 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481254 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 459292 | ManagementAndGeneral |
| Fundraising | 21962 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60447413 | Total |
| Program Services | 56902430 | ProgramServices |
| Management And General | 3482591 | ManagementAndGeneral |
| Fundraising | 62392 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5972701 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5972006 | ManagementAndGeneral |
| Fundraising | 695 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6128468 | Total |
| Program Services | 4289928 | ProgramServices |
| Management And General | 1838540 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 986197 | Total |
| Program Services | 786191 | ProgramServices |
| Management And General | 188911 | ManagementAndGeneral |
| Fundraising | 11095 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 348411 | Total |
| Program Services | 122468 | ProgramServices |
| Management And General | 225878 | ManagementAndGeneral |
| Fundraising | 65 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7388363 | Total |
| Program Services | 5171854 | ProgramServices |
| Management And General | 2216509 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21180642 | Total |
| Program Services | 14826449 | ProgramServices |
| Management And General | 6354193 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2528019 | Total |
| Program Services | 1628244 | ProgramServices |
| Management And General | 899775 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Physician Services | 12524513 | 12524513 | 0 | 0 |
| Equipment Maintenance Contracts | 5560181 | 2813332 | 2746626 | 223 |
| Leases | 4555485 | 3873374 | 682111 | 0 |
| Food | 3118513 | 1683923 | 1434452 | 138 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9171524 | Total |
| Program Services | 7359332 | ProgramServices |
| Management And General | 1721655 | ManagementAndGeneral |
| Fundraising | 90537 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457972561 | Total |
| Program Services | 338060645 | ProgramServices |
| Management And General | 117736966 | ManagementAndGeneral |
| Fundraising | 2174950 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15406100 | BOY |
| EOY | 20203736 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10103103 | BOY |
| EOY | 5626931 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57008864 | BOY |
| EOY | 59067543 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4905982 | BOY |
| EOY | 5229947 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2855011 | BOY |
| EOY | 2834411 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 418126458 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 238595824 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187458484 | BOY |
| EOY | 179530634 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144730611 | BOY |
| EOY | 158013011 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8340580 | BOY |
| EOY | 6386881 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21011186 | BOY |
| EOY | 24962616 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451819921 | BOY |
| EOY | 461855710 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60680470 | BOY |
| EOY | 50077457 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 711838 | BOY |
| EOY | 939819 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128106462 | BOY |
| EOY | 122781293 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 916667 | BOY |
| EOY | 366667 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129702141 | BOY |
| EOY | 96461664 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 320117578 | BOY |
| EOY | 270626900 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115041829 | BOY |
| EOY | 179123669 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15352406 | BOY |
| EOY | 10781983 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1308108 | BOY |
| EOY | 1323158 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131702343 | BOY |
| EOY | 191228810 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451819921 | BOY |
| EOY | 461855710 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 21171810 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 12517505 | ReconciliationUnrealizedInvest |
| Reconcilation Donated Services | 0 | ReconcilationDonatedServices |
| Reconcilation Invest Expenses | 0 | ReconcilationInvestExpenses |
| Reconcilation Prior Adjustment | 0 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 25837152 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $11,031 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $39,385 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 50416 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | Item g: Amount represents salaries and related business expenses for employees who engages in lobbying activities on behalf of South Shore Hospital. Also included in this amount are legal fees related to lobbying activities. Item i: Amount represents a percentage of the Hospital's annual apportionment of MHA/AHA dues attributable to lobbying expenses. MHA/AHA provides its members with an annual percentage breakdown of member dues expended for lobbying purposes. For the year ended September 30, 2013, it was determined that 20.09% 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 nonelected officials to visit our hospital to discuss health care policy issues affecting our region, the Commonwealth and the nation. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16660514 | BeginningOfYearBalance |
| Contributions | -549950 | Contributions |
| Investment Earnings Or Losses | 213862 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 3837515 | OtherExpenditures |
| Administrative Expenses | 381770 | AdministrativeExpenses |
| End Of Year Balance | 12105141 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14377293 | BeginningOfYearBalance |
| Contributions | 9263114 | Contributions |
| Investment Earnings Or Losses | 291483 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 6836541 | OtherExpenditures |
| Administrative Expenses | 434835 | AdministrativeExpenses |
| End Of Year Balance | 16660514 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 15699262 | BeginningOfYearBalance |
| Contributions | 4387199 | Contributions |
| Investment Earnings Or Losses | 9081 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 5718249 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 14377293 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13850141 | BeginningOfYearBalance |
| Contributions | 4476910 | Contributions |
| Investment Earnings Or Losses | 118349 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 2746138 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 15699262 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12001684 | BeginningOfYearBalance |
| Contributions | 3287147 | Contributions |
| Investment Earnings Or Losses | 159536 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 1598226 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 13850141 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.11 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.89 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5009617 | OtherCostOrOtherBasis |
| Book Value | 5009617 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 201996582 | OtherCostOrOtherBasis |
| Depreciation | 91589659 | Depreciation |
| Book Value | 110406923 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 15013788 | OtherCostOrOtherBasis |
| Depreciation | 3148509 | Depreciation |
| Book Value | 11865279 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 175807811 | OtherCostOrOtherBasis |
| Depreciation | 138725481 | Depreciation |
| Book Value | 37082330 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 20298660 | OtherCostOrOtherBasis |
| Depreciation | 5132175 | Depreciation |
| Book Value | 15166485 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 179530634 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Life Insurance | 11019425 |
| Insurance Recoveries | 7376907 |
| Miscellaneous Other Revenue | 4864315 |
| Unamortized Issue Costs | 1475219 |
| Series G Swap | 130957 |
| Due from Affiliates | 87435 |
| Rent Receivable | 8358 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 24962616 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (13 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to 3rd Party Payors | $27,018,024 |
| Accrued Pension Liabilities | $22,914,848 |
| Capital Leases | $14,613,362 |
| Loss on Swaps | $10,262,816 |
| Malpractice Payable | $7,981,662 |
| Accrued Workers Compensation | $6,552,320 |
| Physician Benefits Payable | $2,055,416 |
| Billing Reserves | $1,801,273 |
| Executive Benefits Payable | $1,487,954 |
| Community Health Initiatives Payable | $1,402,500 |
| FIN 47 Liability | $264,941 |
| Due to Affiliates | $85,266 |
| Security Deposits | $21,282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 96461664 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 472388892 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 2329836 | OtherRevenues |
| Revenue Not Rptd F990 | 2329836 | RevenueNotRptdF990 |
| Revenue Subtotal | 470059056 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 9085315 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 9085315 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 479144371 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 459680823 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 1708262 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1708262 | ExpensesNotRptdF990 |
| Expenses Subtotal | 457972561 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 457972561 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | The Hospital maintains its endowment funds to further its charitable purposes and those of its affiliates. In the past, 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. |
| SchD_P10_S00_L02 | Schedule D, Part X, Line 2 | The Hospital follows the provisions of FASB Accounting Standards Codification (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. |
| SchD_P11_S00_L02d | Schedule D, Part XI, Line 2d | Net assets released from restrictions; $2,329,836. |
| SchD_P11_S00_L04b | Schedule D, Part XI, Line 4b | Gains on interest rate swaps; $5,510,961, gains on investments; $3,235,222, contributions; $1,855,965, investment income; $191,429, cost of good sold - shops; -$444,415, rental expense; -$1,263,847. |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | Cost of goods sold - shops; $444,415, rental expense; $1,263,847. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Moonlight & Miracles | NameOfEvent1 |
| Gross Receipts Event1 | 356350 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 192327 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 164023 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 0 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 17395 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 10327 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 54719 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 43559 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 38023 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Walk for Hospice | NameOfEvent2 |
| Gross Receipts Event2 | 202942 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 154542 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 48400 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 0 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 0 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 8138 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 4225 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 0 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 36037 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 8 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 435791 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 281869 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 153922 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 0 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 2657 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 56790 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 45470 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 4100 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 44905 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 995083 | GrossReceiptsTotal |
| Charitable Contributions Total | 628738 | CharitableContributionsTotal |
| Gross Revenue Total Events | 366345 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 0 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 20052 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 75255 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 104414 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 47659 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 118965 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 366345 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3843453 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 72197 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3771256 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0082 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 49263658 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42746492 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6517166 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0142 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2919375 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2919375 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0064 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 56026486 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 42818689 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13207797 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0288 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 893529 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12345 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 881184 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.002 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 821138 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 821138 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0018 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 72142967 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62206853 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9936114 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0217 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 247588 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 120980 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 126608 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0003 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 335550 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 335550 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0007 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 74440772 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62340178 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 12100594 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0265 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 130467258 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 105158867 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25308391 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0553 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 72877 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 72877 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 119607 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 119607 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0003 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 59656 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 59656 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 253660 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 31427 | DirectOffsettingRevenue |
| Net Community Building Expense | 222233 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0005 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 531890 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 531890 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0012 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1037690 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 31427 | DirectOffsettingRevenue |
| Net Community Building Expense | 1006263 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0022 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $11,486,203 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 119630110 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 127915803 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8285693 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | See Schedule H, Part VI | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 6 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| Ambulatory Cancer Center | |||||
| 101 Columbian Street | South Weymouth | MA | 02190 | Breast care and multispecialty care center. | |
| Center for Orthopedics Spine and Sports Medicine | |||||
| 2 Pond Park Road | Hingham | MA | 02043 | Orthopedic rehabilitation and outpatient surgical satellite clinic. | |
| Center for Wound Healing | |||||
| 90 Libbey Industrial Parkway | South Weymouth | MA | 02190 | Wound care and hyperbaric medicine. | |
| Cohasset Radiology | |||||
| 233 Chief Justice Cushing Highway | Cohasset | MA | 02025 | Imaging services. | Lower Level |
| Pre-surgery Evaluation | |||||
| 797 Main Street | South Weymouth | MA | 02190 | Pre-surgical testing and evaluation clinic. | 1st Floor |
| Outpatient Services | |||||
| 780 Main Street | South Weymouth | MA | 02190 | Outpatient surgery center. | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | South Shore Hospital uses the cost to charge ratio for calculating amounts inthe 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. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | The Hospital does not include bad debt in its Statement of Functional Expenses, Form 990, Part IX; not applicable. |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | Not applicable. |
| SchH_P02_S00_L00 | Schedule H, Part II | Community building activities are undertaken to meet the needs of the residents of southeastern Massachusetts. 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, clinical and medical workforce development programs insure the needs of the community are met. The Hospital provides services such as pastoral care to patients and their families. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Uncompensated 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. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | South 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 possible forgo medical treatment without the services the Hospital provides. The Hospital uses the Medicare 2552 Report for costs. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | The 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 400% 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 for 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 201-400% 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. |
| SchH_P05_S0A_L00 | Schedule H, Part V, Section A | Other medical services include: physician offices, outpatient surgical centers, radiology/mammography offices, wound care center, ambulatory cancer center and center for orthopedics, spine and sports medicine. Some of these services are provided at satellite locations, all of which are included in the Hospital's license. |
| SchH_P05_S0B_L03 | Schedule H, Part V, Section B, Line 3 | The Hospital relies on input from individuals and organizations within the community to develop its Needs Assessment. The Hospital is an active supporter of, and participant in, three Community Health Network Areas (CHNAs)--Blue Hills Community Health Alliance (CHNA 20), the Greater Brockton Community Health Network Area (CHNA 22) and the South Shore Community Partners in Prevention (CHNA 23). The CHNAs collected information by meeting with groups and individuals and also conducting surveys. The Hospital utilized data gathered by the CHNAs in its Needs Assessment. Our Patient and Family Advisory Council brings together patients and their families, South Shore Hospital administrators and healthcare professionals to develop new services and programs and improve the overall patient experience. The group meets monthly and issues an annual report of their findings and accomplishments. The Hospital also relies on the expertise of various physicians, nurses and other clinical and non-clinical professionals within our facility. Hospital colleague advisors, in groups and as individuals, have been instrumental in the development of the Needs Assessments. Finally, the Hospital gets input from community advisors. Local school, government, law enforcement and safety officials, social service and health and welfare agencies make up this group. While many of these agencies participate in the CHNAs, Hospital personnel also meet with representatives of various groups/agencies individually to seek their input in formulating the Needs Assessment. |
| SchH_P05_S0B_L07 | Schedule H, Part V, Section B, Line 7 | Fifteen community health and social issues were identified during the assessment process. While the Hospital offers programs that focus on adolescent mental health, specifically youth suicide prevention, it does not directly address mental health issues affecting adults and the community at large due to the scope of the problem and limited resources. Violence/safety was another area identified that the Hospital cannot fully address as it is beyond our scope as a healthcare provider. Lack of sleep is an identified area of need that the Hospital can address in a limited way via its sleep clinic. Oral health in the community will not be addressed due to lack of expertise and supporting clinical programs at the Hospital. The Hospital has identified dementia as a community health issue. Although the Hospital has various wellness in vulnerable population programs focusing on seniors, it does not plan to offer specific programs related to dementia at this time. |
| SchH_P05_S0B_L14 | Schedule H, Part V, Section B, Line 14 | The Hospital makes its financial assistance policy available to the community, in its entirety, on its website. It is also available upon request. 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. Notification of financial assistance and counseling availability is printed on patient billing invoices. |
| SchH_P05_S0B_L18 | Schedule H, Part V, Section B, Line 18 | Individuals 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 during the admission process, a financial counselor may meet with the patient during his hospital stay. Counselors assist unisured 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. |
| SchH_P05_S0B_L20 | Schedule H, Part V, Section B, Line 20 | FAP-eligible individuals are billed at 70% of charges. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | The Hospital's most recent Community Health Needs Assessment was completed in September 2013. South Shore Hospital utilizes information from many sources to determine the needs of individuals in the communities it serves. The Hospital reviews and analyzes health trends in our patient population. The Hospital also reviews data from the Town of Weymouth, Massachusetts Community Health Information Profile, American Hospital Association, Massachusetts Hospital Association, Massachusetts Health Data Consortium, Federal Centers for Disease Control, Trust for America's Health, Kaiser Family Foundation, Truven Health Analytics and Healthy Communities Institute. South Shore Hospital is involved with three Community Health Network Areas (CHNAs), serving 34 communities south of Boston, to address public health priorities. CHNAs were formed in 1992 by the Massachusetts Department of Public Health to encourage public, non-profit and private sectors to work together to build healthier communities. South Shore Hospital is working with these CHNAs to conduct community heath assessments. Data collected helps determine unmet needs in the region. Our Community Health Needs Assessment can be found at: http://www.southshorehospital.org/community-health-assessments. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | South 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 provides its credit and collection policy on its website. 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 day 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. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | South Shore Hospital serves an area south of Boston with a population of approximately 700,000. 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. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | South 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 has partnered with towns in its service area to treat underserved and at-risk populations. The Hospital makes its Community Benefits Report and current year Community Benefits Plan available through mailings and on its website at http://www.southshorehospital.org/communitybenefits. For more information about South Shore Hospital's active role in meeting the needs of our community please visit our website: http://www.southshorehospital.org. |
| SchH_P06_S00_L06 | Schedule H, Part VI, Line 6 | South Shore Hospital is not part of an affiliated health care system. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | South Shore Hospital files its Community Benefits report in Massachusetts. |
| SchH_P06_S00_L08 | Schedule H, Part VI, Line 8 | Not applicable. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Friends Scholarships for students pursuing health care degrees. | TypeOfGrant |
| Number Of Recipients | 10 | NumberOfRecipients |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | Cash | MethodOfValuation |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchI_P01_S00_L02 | Schedule I, Part I, Line 2 | South 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 the Hospital. |
| SchI_P03_S00_L00 | Schedule I, Part III | The Friends of South Shore Hospital, an auxiliary Hospital organization, offers several scholarships to students pursuing health care degrees. Individuals must apply for these scholarships and present evidence that they meet the qualifications. The Nursing Scholarship is for a full-time or regular part-time employee of South Shore Hospital. The employee must be presently enrolled at an accredited school pursuing a 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 of South Shore Hospital 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. Ten $1,000 scholarships were awarded in fiscal 2013. As of October 1, 2010, the Friends is a department of South Shore Hospital; funds and oversight of Friends' scholarships comes from the Hospital. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Personal Services | X | PersonalServices |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Richard Aubut | ||||||||||||||
| CEO | 760652 | 0 | 111564 | 0 | 332292 | 0 | 82290 | 0 | 18657 | 0 | 1305455 | 0 | 41429 | 0 |
| Michael Cullen | ||||||||||||||
| SVP, CFO & Treasurer | 413916 | 0 | 3180 | 0 | 104035 | 0 | 23135 | 0 | 21738 | 0 | 566004 | 0 | 3180 | 0 |
| Joseph Cahill | ||||||||||||||
| COO | 485652 | 0 | 39007 | 0 | 116449 | 0 | 65504 | 0 | 21738 | 0 | 728350 | 0 | 39007 | 0 |
| Paul Taylor | ||||||||||||||
| Clerk & Sr. Vice President thru 12/31 | 342061 | 0 | 34247 | 0 | 34854 | 0 | 20316 | 0 | 16450 | 0 | 447928 | 0 | 34247 | 0 |
| Frederick Ayers MD | ||||||||||||||
| Chief, Surgery | 397335 | 0 | 23675 | 0 | 19181 | 0 | 22500 | 0 | 16450 | 0 | 479141 | 0 | 23675 | 0 |
| Richard Mirel MD | ||||||||||||||
| Chair, Dpt Medicine | 469088 | 0 | 71915 | 0 | 10667 | 0 | 19619 | 0 | 16450 | 0 | 587739 | 0 | 71915 | |
| Kenneth McLaughlin MD | ||||||||||||||
| ED Staff Physician | 428445 | 0 | 0 | 0 | 1260 | 0 | 18006 | 0 | 0 | 0 | 447711 | 0 | 0 | 0 |
| John Stevenson MD | ||||||||||||||
| Vice President | 435971 | 0 | 52554 | 0 | 18659 | 0 | 78981 | 0 | 21738 | 0 | 607903 | 0 | 52554 | 0 |
| Jeffrey Johnson MD | ||||||||||||||
| ED Physician | 358899 | 0 | 0 | 0 | 1876 | 0 | 568 | 0 | 0 | 0 | 361343 | 0 | 0 | 0 |
| Margaret Holda | ||||||||||||||
| Clerk beginning 1/1 | 238421 | 0 | 22530 | 0 | 11159 | 0 | 49020 | 0 | 16450 | 0 | 337580 | 0 | 22530 | 0 |
| Rose Dipietro | ||||||||||||||
| Vice President Clinical, Home Care, and Support Services | 308164 | 0 | 40661 | 0 | 14838 | 0 | 57181 | 0 | 8225 | 0 | 429069 | 0 | 0 | 0 |
| Timothy Quigley | ||||||||||||||
| Vice President Nursing Services and Chief Nursing Officer | 306685 | 0 | 0 | 0 | 8098 | 0 | 52493 | 0 | 20598 | 0 | 387874 | 0 | 0 | 0 |
| Kathleen Heffernan | ||||||||||||||
| Vice President Regulatory Affairs/Clerk thru 3/12/12 | 237364 | 0 | 40988 | 0 | 29336 | 0 | 4958 | 0 | 16450 | 0 | 329096 | 0 | 40988 | 0 |
| Wayne Chin MD | ||||||||||||||
| ED Physician | 342222 | 0 | 0 | 0 | 1558 | 0 | 0 | 0 | 0 | 0 | 343780 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | Tax 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. Health or social club dues or initiation fees are reported as income for reimbursement of health club memberships/dues up to a certain dollar level. Personal services are reported as income for reimbursement of financial services expenses up to a certain level. |
| SchJ_P01_S00_L03 | Schedule J, Part I, Line 3 | The Hospital has a Compensation Committee that meets periodically and engages an independent external compensation consulting firm to establish the compensation of the CEO and other key employees. The consulting firm develops and presents all materials including market trends, compensation studies and surveys, and adheres to best practice guidelines. The final recommendation for compensation changes is presented and approved by the entire independent community (12 of 14) of the Hospital Board of Directors. |
| SchJ_P01_S00_L04 | Schedule J, Part I, Line 4 | The former VP Regulatory Affairs and Chief Risk Officer received salary continuation payments in FY13. South Shore Hospital offers a split dollar insurance plan to certain key employees/highly compensated employees. Richard Aubut, Joseph Cahill, Paul Taylor, Frederick Ayers, Michael Cullen, Timothy Quigley, Pamela Whelton and John Stevenson participate in this plan. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Massachusetts Development Finance Agency | |||||||
| A | 043431814 | 2011-12-16 | 20000000 | See Part VI for complete description | 0 | 0 | 0 |
| Massachusetts Development Finance Agency | |||||||
| B | 043431814 | 2012-09-14 | 78330000 | See Part VI for complete description | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Other Spent ProceedsOtherSpentProceeds |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 178571 | 20023794 | 49000 | 19974794 | 2012 | 0 | 0 | 0 | 1 | |
| B | 4270000 | 78330000 | 739129 | 1 | 0 | 1 | 1 | 77590871 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 1 | 1 | 0 | 0.022 | 0 | 0.022 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | |||
| Deutsche Bank | ||||||||||||
| B | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 20 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 0 |
| B | 0 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchK_P01_S00_L00f | Schedule K, Part I, Column f | Row A: Series 2011 bond issue financed contruction of a two-story addition to the Emerson wing of the Hospital. The expansion created 60 new private inpatient rooms and related clinical space. Series 2011 also financed equipment purchases for the addition. Row B: Series 2012 refunded bonds issued 02/28/08. |
| SchK_P02_S00_L03 | Schedule K, Part II, Line 3 | Column A: Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to interest income. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (8 entries)
| Relationship With OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| Richard Aubut | |||||||
| CEO | Split dollar insurance policy | X | $5,693,280 | 5693280 | 0 | 1 | 1 |
| Joseph Cahill | |||||||
| SSH President & COO | Split dollar insurance policy | X | $2,022,908 | 2022908 | 0 | 1 | 1 |
| Michael Cullen | |||||||
| SVP, CFO & Treasurer | Split dollar insurance policy | X | $1,718,374 | 1718374 | 0 | 1 | 1 |
| Paul Taylor | |||||||
| Clerk & VP thru 12/31/12 | Split dollar policy | X | $1,324,853 | 1324853 | 0 | 1 | 1 |
| Margaret Holda | |||||||
| Clerk beginning 1/1/13 | Split dollar insurance policy | X | $190,520 | 190520 | 0 | 1 | 1 |
| Timothy Quigley | |||||||
| Vice President Nursing Services & Chief Nursing Officer | Split dollar insurance policy | X | $264,536 | 264536 | 0 | 1 | 1 |
| John Stevenson MD | |||||||
| Vice President | Split dollar insurance loan | X | $399,130 | 399130 | 0 | 1 | 1 |
| Frederick Ayers MD | |||||||
| Chief, Surgery | Split dollar insurance policy | X | $966,870 | 966870 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 12580471 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| John Feldman MD | |||
| SSH Director and greater than 5% Member of South Shore Urology, Inc. | 248100 | Rental of Real Property from Hospital | 0 |
| John Feldman MD | |||
| SSH Director and greater than 5% Member of South Shore Urology, Inc. | 45000 | Independent Contractor | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P00_S00_L0B | Form 990, Header, Line B | Schedule J was amended to reclassify fringe benefits for all officers, directors and key employees. Timothy Quigley's Schedule J salary and benefits amounts were corrected. Schedule K was amended to add a tax-exempt bond issue dated 12/16/2011 and provide corrected information for a 02/28/2008 bond refinanced 09/14/2012. |
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | Kenneth Kirkland and Thomas McCarthy have a business 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. |
| F990_P06_S0A_L06 | Form 990, Part VI, Section A, Line 6 | South Shore Health and Educational Corporation, an affiliate, is the sole member of the corporation. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The organization's Form 990 is prepared internally and reviewed by the tax practice of its independent auditors. The return is then reviewed by the CFO and CEO. Form 990 is presented for review to the governing body as a whole at the next regularly scheduled meeting prior to the filing deadline. The Board Chair and Vice Chair will review and comment to executive leadership regarding Form 990 prior to the filing deadline. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Employees 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. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | South Shore Hospital makes its governing documents, conflict of interest policy and financial statements available for inspection to the general public at the Corporation's office. Copies of these documents are available upon request. In addition, certain governing documents are available through the Massachusetts Secretary of the Commonwealth's Corporations Division database. |
| F990_P11_S00_L09 | Form 990, Part XI, Line 9 | Pension related adjustments, $26,787,152; Transfers from affiliates, $1,500,000; Write off of uncollectible pledges from prior years, -$2,450,000. |
| F990_P12_S00_L02b | Form 990, Part XII, Line 2b | The Hospital's financial statements are presented on both a consolidated and separate basis. South Shore Health and Educational Corporation and Subsidiaries is audited by independent accountant Deloitte & Touche LLP. The governing body of South Shore Health and Educational Corporation, acting as an audit committee of the whole, assumes responsibility for oversight of the audit of its (parent and affiliate) financial statements and selection of an independent auditor. The audit of South Shore Hospital, Inc. is issued separately and consolidated by Deloitte & Touche LLP into the annual audit of South Shore Health and Educational Corporation and Subsidiaries. The financial statements are prepared in accordance with GAAP. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| South Shore Health & Educational Corporation | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 042105926 | Parent company of South Shore Hospital | MA | 501(c)(3) | 11, Type I | N/A | 0 | |
| South Shore Property Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 050398822 | Develops and manages real property for South Shore Hospital and its affiliates | MA | 501(c)(3) | 11, Type I | 1 | South Shore Hospital | |
| Coastal Medical Associates Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 043170333 | Primary and specialized medical care | MA | 501(c)(3) | 3 | 1 | South Shore Hospital | |
| MetroSouth Obstetrics & Gynecology Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 330998957 | Specialized medical care | MA | 501(c)(3) | 3 | 1 | South Shore Hospital | |
| Atlantic Women's Health Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 200156651 | Specialized medical care | MA | 501(c)(3) | 3 | 1 | South Shore Hospital | |
| Health Provider Services Organization of the South Shore Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 452385865 | Supports the charitable mission of SSH&E and affiliates | MA | 501(c)(3) | 11, Type III | 0 | South Shore Health & Educational Corporation | |
| Friends of South Shore Hospital Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 042582248 | Raises monies in support of South Shore Hospital and builds goodwill in the community | MA | 501(c)(3) | 11, Type I | 1 | South Shore Hospital | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Physician-Hospital Organization Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043248480 | EIN |
| Primary Activity | Supports SSH Physicians | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 3202853 | ShareOfTotalIncome |
| Share Of EOY Assets | 8088462 | ShareOfEOYAssets |
| Percentage Ownership | 0.5 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Coastal Medical Associates Inc | ||
| a-iv | 50632 | Sublease of medical office space at lease amount. |
| South Shore Property Inc | ||
| a-iv | 63250 | Fair market value of Ambulatory Cancer Center. |
| South Shore Property Inc | ||
| a-iv | 50934 | Estimated revenue of 70 parking spaces at Ambulatory Cancer Center garage utilized by patients and their families. |
| South Shore Property Inc | ||
| k | 1714162 | Fair market value for space lease in Ambulatory Cancer Center. |
| South Shore Property Inc | ||
| l | 256954 | Salaries and benefits of Hospital employees. |
| Coastal Medical Associates Inc | ||
| p | 7708270 | Reimbursed services of physicians. |
| Health Provider Services Organization of the South Shore Inc | ||
| p | 334976 | 50% of executive salary and physician director stipends per agreement. |
| Coastal Medical Associates Inc | ||
| q | 1268138 | Expenses reimburse at actual cost. |
| South Shore Property Inc | ||
| s | 1000000 | Transfer of cash from related organization. |