FURP.ORG / PUBLIC DATA EXPLORER

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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2015-10-06T11:26:08-07:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042769210EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH SHORE HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone7816248000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePamela WheltonName
TitleEVP/CFO & TreasurerTitle
Phone7816248626Phone
Date Signed2015-09-30DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonPamela WheltonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode
FieldValueIRS element (for citing)
Gross Receipts481866623GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.southshorehospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSouth 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees4229TotalNbrEmployees
Total Nbr Volunteers600TotalNbrVolunteers
Total Gross UBI585638TotalGrossUBI
Net Unrelated Business Txbl Income-250668NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11306876ContributionsGrantsPriorYear
Contributions Grants Current Year1855965ContributionsGrantsCurrentYear
Program Service Revenue Prior Year441000495ProgramServiceRevenuePriorYear
Program Service Revenue CY461287953ProgramServiceRevenueCY
Investment Income Prior Year-1562437InvestmentIncomePriorYear
Investment Income Current Year8497588InvestmentIncomeCurrentYear
Other Revenue Prior Year5671150OtherRevenuePriorYear
Other Revenue Current Year7502865OtherRevenueCurrentYear
Total Revenue Prior Year456416084TotalRevenuePriorYear
Total Revenue Current Year479144371TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year286974680SalariesEtcPriorYear
Salaries Etc Current Year294071788SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2174950TotalFundrsngExpCurrentYear
Other Expense Prior Year155126357OtherExpensePriorYear
Other Expenses Current Year163890773OtherExpensesCurrentYear
Total Expenses Prior Year442112037TotalExpensesPriorYear
Total Expenses Current Year457972561TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14304047RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21171810RevenuesLessExpensesCY
Total Assets BOY451819921TotalAssetsBOY
Total Assets EOY461855710TotalAssetsEOY
Total Liabilities BOY320117578TotalLiabilitiesBOY
Total Liabilities EOY270626900TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY131702343NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY191228810NetAssetsOrFundBalancesEOY
Mission DescriptionSouth 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense338060645Expense
Grants10000Grants
Revenue463295928Revenue
DescriptionHealth 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 Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense338060645TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096358NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4229NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMichael Cullen SVP CFO TreasurerNamePerson
Telephone Number7816248431TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
John Feldman MD
Director, President Medical Staff10X680600
John C Boucher
Director10X000
Brian Hotarek
Chairman of the Board11X000
Sherry Livingston
Director10X000
Kenneth Kirkland
Chairman of the Board11X000
Lisa Constantino
Director10X000
Paula Becker
Director10X000
Chris Oddleifson
Director10X000
David C Howse
Director10X000
Thomas McCarthy
Director10X000
Richard Aubut
CEO407.00X12045080100947X
Maria Recaldo
Director10X000
Margaret Holda
Clerk beginning 1/1401272110065470X
Michael Cullen
SVP, CFO & Treasurer405521131044873X
Joseph Cahill
SSH President & COO408.00641108087242X
Paul Taylor
Clerk & Sr. Vice President thru 12/31450411162036766X
Rose Dipietro
Vice President Clinical, Home Care, and Support Services450363663065406X
Timothy Quigley
Vice President Nursing Services and Chief Nursing Officer450314783073091X
John Stevenson MD
Vice President4055071840100719X
Frederick Ayers MD
Chief, Surgery450440191038950X
Richard Mirel MD
Chair, Dpt Medicine451551670036069X
Kenneth McLaughlin MD
ED Staff Physician450429705018006X
Jeffrey Johnson MD
ED Physician4503607750568X
Wayne Chin MD
ED Physician45034378000X
Kathleen Heffernan
Vice President Regulatory Affairs/Clerk thru 3/12/12451307688021408X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6676264TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation689515TotalOtherCompensation
Number Individuals GT100 K1903NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
Brigham Women's Hospital
PO Box 3684BostonMA022413684Physician Services4125785
Aramark Corporation
12483 Collections Center DriveChicagoIL60693Facilities Maintenance1933740
South Shore Anesthesia Associates Inc
163 Libbey PkwyWeymouthMA02189Physician Services1646667
Foley & Lardner LLP
111 Huntington AveenueBostonMA02199Legal163118226th Floor
MModal Services LTD
PO Box 120467AtlantaGA30368Transcription Services1131073
FieldValueIRS element (for citing)
Number Of Contractors GT100 K68NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events628738FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants111900GovernmentGrants
All Other Contributions1115327AllOtherContributions
Noncash Contributions12544NoncashContributions
Total Contributions1855965TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue6220004454853844454853840$0
Ambulatory Cancer Center62100011249762112497620$0
Meaningful Use622000293313629331360$0
Education & Other Community Services6219908798228798220$0
Rental Income from Affiliates5313902693992693990$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column470450TotalRevenueColumn
Related Or Exempt Function Income470450RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue461287953TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column546269TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$546,269ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1301061Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1263847Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real37214Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37214TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$37,214ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8830177Securities
Other213202Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other1092060Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities8830177Securities
Other-878858Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7951319TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$7,951,319ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events366345GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events628738CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses366345FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Food Service Revenue722211310634700$3,106,347
Related Income900099197173319717330$0
Shields Imaging Income621000129522800$1,295,228

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1092343TotalRevenueColumn
Related Or Exempt Function Income36242RelatedOrExemptFunctionIncome
Unrelated Business Revenue585638UnrelatedBusinessRevenue
Exclusion$470,463ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7465651TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column479144371TotalRevenueColumn
Related Or Exempt Function Income463295928RelatedOrExemptFunctionIncome
Unrelated Business Revenue585638UnrelatedBusinessRevenue
Exclusion$13,406,840ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2211221Total
Program Services1422436ProgramServices
Management And General788785ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total2580838Total
Management And General2580838ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total227696336Total
Program Services171699908ProgramServices
Management And General54512987ManagementAndGeneral
Fundraising1483441Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total14401124Total
Program Services10723788ProgramServices
Management And General3677336ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total29552197Total
Program Services22044844ProgramServices
Management And General7507353ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17630072Total
Program Services13128223ProgramServices
Management And General4501849ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total497739Total
Program Services0ProgramServices
Management And General497739ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4492570Total
Program Services0ProgramServices
Management And General4492570ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total276859Total
Program Services0ProgramServices
Management And General276859ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total39385Total
Program Services0ProgramServices
Management And General39385ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18192536Total
Program Services7049408ProgramServices
Management And General10638726ManagementAndGeneral
Fundraising504402Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total481254Total
Program Services0ProgramServices
Management And General459292ManagementAndGeneral
Fundraising21962Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total60447413Total
Program Services56902430ProgramServices
Management And General3482591ManagementAndGeneral
Fundraising62392Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5972701Total
Program Services0ProgramServices
Management And General5972006ManagementAndGeneral
Fundraising695Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6128468Total
Program Services4289928ProgramServices
Management And General1838540ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total986197Total
Program Services786191ProgramServices
Management And General188911ManagementAndGeneral
Fundraising11095Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total348411Total
Program Services122468ProgramServices
Management And General225878ManagementAndGeneral
Fundraising65Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total7388363Total
Program Services5171854ProgramServices
Management And General2216509ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total21180642Total
Program Services14826449ProgramServices
Management And General6354193ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2528019Total
Program Services1628244ProgramServices
Management And General899775ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Physician Services125245131252451300
Equipment Maintenance Contracts556018128133322746626223
Leases455548538733746821110
Food311851316839231434452138

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9171524Total
Program Services7359332ProgramServices
Management And General1721655ManagementAndGeneral
Fundraising90537Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total457972561Total
Program Services338060645ProgramServices
Management And General117736966ManagementAndGeneral
Fundraising2174950Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15406100BOY
EOY20203736EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY10103103BOY
EOY5626931EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY57008864BOY
EOY59067543EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4905982BOY
EOY5229947EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2855011BOY
EOY2834411EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis418126458LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec238595824LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY187458484BOY
EOY179530634EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY144730611BOY
EOY158013011EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY8340580BOY
EOY6386881EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21011186BOY
EOY24962616EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY451819921BOY
EOY461855710EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY60680470BOY
EOY50077457EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY711838BOY
EOY939819EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY128106462BOY
EOY122781293EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY916667BOY
EOY366667EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY129702141BOY
EOY96461664EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY320117578BOY
EOY270626900EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY115041829BOY
EOY179123669EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15352406BOY
EOY10781983EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1308108BOY
EOY1323158EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY131702343BOY
EOY191228810EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY451819921BOY
EOY461855710EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses21171810ReconcilationRevenueExpenses
Reconciliation Unrealized Invest12517505ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes25837152ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$11,031DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$39,385OtherActivitiesAmount
Total Lobbying Expenditures IIB50416TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationItem 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

FieldValueIRS element (for citing)
Beginning Of Year Balance16660514BeginningOfYearBalance
Contributions-549950Contributions
Investment Earnings Or Losses213862InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3837515OtherExpenditures
Administrative Expenses381770AdministrativeExpenses
End Of Year Balance12105141EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance14377293BeginningOfYearBalance
Contributions9263114Contributions
Investment Earnings Or Losses291483InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures6836541OtherExpenditures
Administrative Expenses434835AdministrativeExpenses
End Of Year Balance16660514EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15699262BeginningOfYearBalance
Contributions4387199Contributions
Investment Earnings Or Losses9081InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures5718249OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance14377293EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance13850141BeginningOfYearBalance
Contributions4476910Contributions
Investment Earnings Or Losses118349InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures2746138OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance15699262EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12001684BeginningOfYearBalance
Contributions3287147Contributions
Investment Earnings Or Losses159536InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1598226OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance13850141EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.11PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.89TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5009617OtherCostOrOtherBasis
Book Value5009617BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis201996582OtherCostOrOtherBasis
Depreciation91589659Depreciation
Book Value110406923BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis15013788OtherCostOrOtherBasis
Depreciation3148509Depreciation
Book Value11865279BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis175807811OtherCostOrOtherBasis
Depreciation138725481Depreciation
Book Value37082330BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis20298660OtherCostOrOtherBasis
Depreciation5132175Depreciation
Book Value15166485BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings179530634TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
Life Insurance11019425
Insurance Recoveries7376907
Miscellaneous Other Revenue4864315
Unamortized Issue Costs1475219
Series G Swap130957
Due from Affiliates87435
Rent Receivable8358
FieldValueIRS element (for citing)
Total Book Value Other Assets24962616TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (13 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts96461664TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt472388892TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues2329836OtherRevenues
Revenue Not Rptd F9902329836RevenueNotRptdF990
Revenue Subtotal470059056RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included9085315OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt9085315RevenueNotRptdOnFinStmt
Total Revenue Per Form990479144371TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt459680823TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included1708262OtherExpensesIncluded
Expenses Not Rptd F9901708262ExpensesNotRptdF990
Expenses Subtotal457972561ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990457972561TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4The 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_L02Schedule D, Part X, Line 2The 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_L02dSchedule D, Part XI, Line 2dNet assets released from restrictions; $2,329,836.
SchD_P11_S00_L04bSchedule D, Part XI, Line 4bGains 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_L02dSchedule D, Part XII, Line 2dCost of goods sold - shops; $444,415, rental expense; $1,263,847.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Moonlight & MiraclesNameOfEvent1
Gross Receipts Event1356350GrossReceiptsEvent1
Charitable Contributions Event1192327CharitableContributionsEvent1
Gross Revenue Event1164023GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event117395NonCashPrizesEvent1
Rent Facility Costs Event110327RentFacilityCostsEvent1
Food And Beverage Event154719FoodAndBeverageEvent1
Entertainment Event143559EntertainmentEvent1
Other Direct Expenses Event138023OtherDirectExpensesEvent1
Name Of Event2Walk for HospiceNameOfEvent2
Gross Receipts Event2202942GrossReceiptsEvent2
Charitable Contributions Event2154542CharitableContributionsEvent2
Gross Revenue Event248400GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event28138RentFacilityCostsEvent2
Food And Beverage Event24225FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event236037OtherDirectExpensesEvent2
Total Number Of Other Events8TotalNumberOfOtherEvents
Gross Receipts Other Events435791GrossReceiptsOtherEvents
Charitable Contrib Other Events281869CharitableContribOtherEvents
Gross Revenue Other Events153922GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events2657NonCashPrizesOtherEvents
Rent Facility Costs Other Events56790RentFacilityCostsOtherEvents
Food And Beverage Other Events45470FoodAndBeverageOtherEvents
Entertainment Other Events4100EntertainmentOtherEvents
Other Direct Expenses Other Events44905OtherDirectExpensesOtherEvents
Gross Receipts Total995083GrossReceiptsTotal
Charitable Contributions Total628738CharitableContributionsTotal
Gross Revenue Total Events366345GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events20052NonCashPrizesTotalEvents
Rent Facility Costs Total Events75255RentFacilityCostsTotalEvents
Food And Beverage Total Events104414FoodAndBeverageTotalEvents
Entertainment Total Events47659EntertainmentTotalEvents
Other Direct Expenses Total Events118965OtherDirectExpensesTotalEvents
Direct Expense Summary Events366345DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3843453TotalCommunityBenefitExpense
Direct Offsetting Revenue72197DirectOffsettingRevenue
Net Community Benefit Expense3771256NetCommunityBenefitExpense
Percent Of Total Expense0.0082PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense49263658TotalCommunityBenefitExpense
Direct Offsetting Revenue42746492DirectOffsettingRevenue
Net Community Benefit Expense6517166NetCommunityBenefitExpense
Percent Of Total Expense0.0142PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2919375TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2919375NetCommunityBenefitExpense
Percent Of Total Expense0.0064PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense56026486TotalCommunityBenefitExpense
Direct Offsetting Revenue42818689DirectOffsettingRevenue
Net Community Benefit Expense13207797NetCommunityBenefitExpense
Percent Of Total Expense0.0288PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense893529TotalCommunityBenefitExpense
Direct Offsetting Revenue12345DirectOffsettingRevenue
Net Community Benefit Expense881184NetCommunityBenefitExpense
Percent Of Total Expense0.002PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense821138TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense821138NetCommunityBenefitExpense
Percent Of Total Expense0.0018PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense72142967TotalCommunityBenefitExpense
Direct Offsetting Revenue62206853DirectOffsettingRevenue
Net Community Benefit Expense9936114NetCommunityBenefitExpense
Percent Of Total Expense0.0217PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense247588TotalCommunityBenefitExpense
Direct Offsetting Revenue120980DirectOffsettingRevenue
Net Community Benefit Expense126608NetCommunityBenefitExpense
Percent Of Total Expense0.0003PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense335550TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense335550NetCommunityBenefitExpense
Percent Of Total Expense0.0007PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense74440772TotalCommunityBenefitExpense
Direct Offsetting Revenue62340178DirectOffsettingRevenue
Net Community Benefit Expense12100594NetCommunityBenefitExpense
Percent Of Total Expense0.0265PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense130467258TotalCommunityBenefitExpense
Direct Offsetting Revenue105158867DirectOffsettingRevenue
Net Community Benefit Expense25308391NetCommunityBenefitExpense
Percent Of Total Expense0.0553PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense72877TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense72877NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense119607TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense119607NetCommunityBuildingExpense
Percent Of Total Expense0.0003PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense59656TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense59656NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense253660TotalCommunityBuildingExpense
Direct Offsetting Revenue31427DirectOffsettingRevenue
Net Community Building Expense222233NetCommunityBuildingExpense
Percent Of Total Expense0.0005PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense531890TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense531890NetCommunityBuildingExpense
Percent Of Total Expense0.0012PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense1037690TotalCommunityBuildingExpense
Direct Offsetting Revenue31427DirectOffsettingRevenue
Net Community Building Expense1006263NetCommunityBuildingExpense
Percent Of Total Expense0.0022PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$11,486,203BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare119630110AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare127915803CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8285693MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1South Shore Hospital IncBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
OtherSee Schedule H, Part VIOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1South Shore Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
Ambulatory Cancer Center
101 Columbian StreetSouth WeymouthMA02190Breast care and multispecialty care center.
Center for Orthopedics Spine and Sports Medicine
2 Pond Park RoadHinghamMA02043Orthopedic rehabilitation and outpatient surgical satellite clinic.
Center for Wound Healing
90 Libbey Industrial ParkwaySouth WeymouthMA02190Wound care and hyperbaric medicine.
Cohasset Radiology
233 Chief Justice Cushing HighwayCohassetMA02025Imaging services.Lower Level
Pre-surgery Evaluation
797 Main StreetSouth WeymouthMA02190Pre-surgical testing and evaluation clinic.1st Floor
Outpatient Services
780 Main StreetSouth WeymouthMA02190Outpatient surgery center.

Form990 Schedule H Part VI Form990ScheduleHPartVI (20 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L07Schedule H, Part I, Line 7South 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_L072fSchedule H, Part I, Line 7, Column fThe Hospital does not include bad debt in its Statement of Functional Expenses, Form 990, Part IX; not applicable.
SchH_P01_S00_L07gSchedule H, Part I, Line 7gNot applicable.
SchH_P02_S00_L00Schedule H, Part IICommunity 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_L04Schedule H, Part III, Section A, Line 4Uncompensated care expense in the statements of operations and changes in net assets represents the Hospital's payments to the statewide Health Safety Net (HSN), net of recoveries from HSN for reimbursable bad debts.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8South Shore Hospital provides a valuable community benefit by treating all individuals within the Hospital's service area, regardless of ability to pay. One in 8 people in our area lives near or below the poverty level. These individuals would have to travel out of our area or possible forgo medical treatment without the services the Hospital provides. The Hospital uses the Medicare 2552 Report for costs.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9bThe Hospital does not bill the following categories of patients (except that the Hospital will bill patients for any applicable co-pays or deductibles required by a particular assistance program): patients enrolled in MassHealth, patients receiving governmental benefits under the Emergency Aid to the Elderly and Disabled Children program and in the Healthy Start Program. Also, participants in the Children's Medical Security Plan whose family income is equal to or less than 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_L00Schedule H, Part V, Section AOther 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_L03Schedule H, Part V, Section B, Line 3The 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_L07Schedule H, Part V, Section B, Line 7Fifteen 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_L14Schedule H, Part V, Section B, Line 14The 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_L18Schedule H, Part V, Section B, Line 18Individuals 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_L20Schedule H, Part V, Section B, Line 20FAP-eligible individuals are billed at 70% of charges.
SchH_P06_S00_L02Schedule H, Part VI, Line 2The 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_L03Schedule H, Part VI, Line 3South Shore Hospital prominently displays its financial assistance information in public areas throughout the Hospital. Information is provided to individuals during the intake process. The Hospital 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_L04Schedule H, Part VI, Line 4South 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_L05Schedule H, Part VI, Line 5South Shore Hospital is committed to providing community building activities that promote the health and wellbeing of all the people in our area. The Hospital provides pastoral care to patients and their families. People living within the Hospital's service area may receive help in finding affordable health insurance and are assisted in finding medical care through our MD access and referral programs. The Hospital eliminates barriers to care by providing a courtesy coach to any patient needing transportation to or from its facilities. We have made a commitment to physician recruitment in specialties that meet community needs, now and in the future, and to providing our clinicians with continuing medical education. South Shore Hospital has invested in emergency preparedness training and equipment to serve the community in the event of a natural or man-made disaster. The Hospital 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_L06Schedule H, Part VI, Line 6South Shore Hospital is not part of an affiliated health care system.
SchH_P06_S00_L07Schedule H, Part VI, Line 7South Shore Hospital files its Community Benefits report in Massachusetts.
SchH_P06_S00_L08Schedule H, Part VI, Line 8Not applicable.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFriends Scholarships for students pursuing health care degrees.TypeOfGrant
Number Of Recipients10NumberOfRecipients
Amount Of Cash Grant10000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationCashMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchI_P01_S00_L02Schedule I, Part I, Line 2South Shore Hospital administers grants in accordance with grantor documents and maintains records to substantiate compliance. Grantees are required to provide evidence of meeting criteria established for various assistance grants or scholarships awarded by the Hospital.
SchI_P03_S00_L00Schedule I, Part IIIThe 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

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Richard Aubut
CEO76065201115640332292082290018657013054550414290
Michael Cullen
SVP, CFO & Treasurer4139160318001040350231350217380566004031800
Joseph Cahill
COO485652039007011644906550402173807283500390070
Paul Taylor
Clerk & Sr. Vice President thru 12/3134206103424703485402031601645004479280342470
Frederick Ayers MD
Chief, Surgery39733502367501918102250001645004791410236750
Richard Mirel MD
Chair, Dpt Medicine4690880719150106670196190164500587739071915
Kenneth McLaughlin MD
ED Staff Physician4284450001260018006000447711000
John Stevenson MD
Vice President43597105255401865907898102173806079030525540
Jeffrey Johnson MD
ED Physician35889900018760568000361343000
Margaret Holda
Clerk beginning 1/123842102253001115904902001645003375800225300
Rose Dipietro
Vice President Clinical, Home Care, and Support Services308164040661014838057181082250429069000
Timothy Quigley
Vice President Nursing Services and Chief Nursing Officer30668500080980524930205980387874000
Kathleen Heffernan
Vice President Regulatory Affairs/Clerk thru 3/12/122373640409880293360495801645003290960409880
Wayne Chin MD
ED Physician342222000155800000343780000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aTax indemnification and gross-up payments are reported as income because the Hospital grosses up imputed income from split dollar policies and premiums for long-term disability coverage. 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_L03Schedule J, Part I, Line 3The 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_L04Schedule J, Part I, Line 4The 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 ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Massachusetts Development Finance Agency
A0434318142011-12-1620000000See Part VI for complete description000
Massachusetts Development Finance Agency
B0434318142012-09-1478330000See Part VI for complete description000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
A17857120023794490001997479420120001
B427000078330000739129101177590871

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00110000000
B001100.02200.022000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
A010010000
Deutsche Bank
B0100110002000

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A0
B0

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchK_P01_S00_L00fSchedule K, Part I, Column fRow 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_L03Schedule K, Part II, Line 3Column 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 OrganizationRelationshipWithOrganizationPurpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Richard Aubut
CEOSplit dollar insurance policyX$5,693,2805693280011
Joseph Cahill
SSH President & COOSplit dollar insurance policyX$2,022,9082022908011
Michael Cullen
SVP, CFO & TreasurerSplit dollar insurance policyX$1,718,3741718374011
Paul Taylor
Clerk & VP thru 12/31/12Split dollar policyX$1,324,8531324853011
Margaret Holda
Clerk beginning 1/1/13Split dollar insurance policyX$190,520190520011
Timothy Quigley
Vice President Nursing Services & Chief Nursing OfficerSplit dollar insurance policyX$264,536264536011
John Stevenson MD
Vice PresidentSplit dollar insurance loanX$399,130399130011
Frederick Ayers MD
Chief, SurgerySplit dollar insurance policyX$966,870966870011
FieldValueIRS element (for citing)
Total Balance Due12580471TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
John Feldman MD
SSH Director and greater than 5% Member of South Shore Urology, Inc.248100Rental of Real Property from Hospital0
John Feldman MD
SSH Director and greater than 5% Member of South Shore Urology, Inc.45000Independent Contractor0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P00_S00_L0BForm 990, Header, Line BSchedule 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_L02Form 990, Part VI, Section A, Line 2Kenneth 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_L06Form 990, Part VI, Section A, Line 6South Shore Health and Educational Corporation, an affiliate, is the sole member of the corporation.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe organization's Form 990 is prepared internally and reviewed by the tax practice of its independent auditors. The return is then reviewed by the 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_L12cForm 990, Part VI, Section B, Line 12cEmployees and board members are required to sign a conflict of interest form annually. The forms are reviewed for conflicts or potential conflicts. Board members abstain from voting on matters that present a conflict of interest.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19South 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_L09Form 990, Part XI, Line 9Pension 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_L02bForm 990, Part XII, Line 2bThe 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
South Shore Health & Educational Corporation
55 Fogg RoadSouth WeymouthMA02190042105926Parent company of South Shore HospitalMA501(c)(3)11, Type IN/A0
South Shore Property Inc
55 Fogg RoadSouth WeymouthMA02190050398822Develops and manages real property for South Shore Hospital and its affiliatesMA501(c)(3)11, Type I1South Shore Hospital
Coastal Medical Associates Inc
55 Fogg RoadSouth WeymouthMA02190043170333Primary and specialized medical careMA501(c)(3)31South Shore Hospital
MetroSouth Obstetrics & Gynecology Inc
55 Fogg RoadSouth WeymouthMA02190330998957Specialized medical careMA501(c)(3)31South Shore Hospital
Atlantic Women's Health Inc
55 Fogg RoadSouth WeymouthMA02190200156651Specialized medical careMA501(c)(3)31South Shore Hospital
Health Provider Services Organization of the South Shore Inc
55 Fogg RoadSouth WeymouthMA02190452385865Supports the charitable mission of SSH&E and affiliatesMA501(c)(3)11, Type III0South Shore Health & Educational Corporation
Friends of South Shore Hospital Inc
55 Fogg RoadSouth WeymouthMA02190042582248Raises monies in support of South Shore Hospital and builds goodwill in the communityMA501(c)(3)11, Type I1South Shore Hospital

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1South Shore Physician-Hospital Organization IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode
FieldValueIRS element (for citing)
EIN043248480EIN
Primary ActivitySupports SSH PhysiciansPrimaryActivity
Legal Domicile StateMALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income3202853ShareOfTotalIncome
Share Of EOY Assets8088462ShareOfEOYAssets
Percentage Ownership0.5PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Coastal Medical Associates Inc
a-iv50632Sublease of medical office space at lease amount.
South Shore Property Inc
a-iv63250Fair market value of Ambulatory Cancer Center.
South Shore Property Inc
a-iv50934Estimated revenue of 70 parking spaces at Ambulatory Cancer Center garage utilized by patients and their families.
South Shore Property Inc
k1714162Fair market value for space lease in Ambulatory Cancer Center.
South Shore Property Inc
l256954Salaries and benefits of Hospital employees.
Coastal Medical Associates Inc
p7708270Reimbursed services of physicians.
Health Provider Services Organization of the South Shore Inc
p33497650% of executive salary and physician director stipends per agreement.
Coastal Medical Associates Inc
q1268138Expenses reimburse at actual cost.
South Shore Property Inc
s1000000Transfer of cash from related organization.