SOUTH SHORE MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SOUTH SHORE MEDICAL CENTER (EIN 04-2297845)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-13
IRS object ID
201413179349302671
Schema version
2013v3.0
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)
Return2014-11-13T11:36:39-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043138777PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 400AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042297845EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH SHORE MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone7818785200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1141 LONGWATER DRIVEAddressLine1
CityNORWELLCity
StateMAState
ZIP Code02061ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonINGRID E KOTCHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7818785200PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT V DANDROWPreparerPersonNm
PTINP00294799PTIN
Phone6174220007PhoneNum
Preparation2014-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerINGRID E KOTCHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1141 LONGWATER DRIVEAddressLine1
CityNORWELLCity
StateMAState
ZIP Code02061ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$132,076,913GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SSMEDCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSTATEMENT 1 AT SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee633TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$131,899,822PYProgramServiceRevenueAmt
CY Program Service Revenue$131,279,545CYProgramServiceRevenueAmt
PY Investment Income$249,568PYInvestmentIncomeAmt
CY Investment Income$364,017CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$132,149,390PYTotalRevenueAmt
CY Total Revenue$131,643,562CYTotalRevenueAmt
PY Grants And Similar Paid$54,046PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$34,565CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$44,295,336PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,933,355CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$86,863,848PYOtherExpensesAmt
CY Other Expenses$93,587,381CYOtherExpensesAmt
PY Total Expenses$131,213,230PYTotalExpensesAmt
CY Total Expenses$135,555,301CYTotalExpensesAmt
PY Revenues Less Expenses$936,160PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,911,739CYRevenuesLessExpensesAmt
Total Assets BOY$35,729,963TotalAssetsBOYAmt
Total Assets EOY$29,153,678TotalAssetsEOYAmt
Total Liabilities BOY$22,160,907TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,100,597TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,569,056NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,053,081NetAssetsOrFundBalancesEOYAmt
MissionWE CARE FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR OUR COMMUNITIES THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION, AND PHILANTHROPY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$127,509,434ExpenseAmt
Grant$34,565GrantAmt
Revenue$131,279,545RevenueAmt
DescTHE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS PATIENTS THROUGH 200,568 PATIENT VISITS (INCLUDING 19,408 MEDICAID VISITS AND 24,753 MEDICARE VISITS). THE ORGANIZATION WORKS WITH THE OTHER PARTICIPATING ORGANIZATIONS OF ATRIUS HEALTH, INC. TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN EASTERN AND CENTRAL MASSACHUSETTS THROUGH CLINICAL INTEGRATION AND THE IMPLEMENTATION OF A UNIFIED ELECTRONIC MEDICAL RECORD SYSTEM. THE ORGANIZATION PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR MEDICAL STUDENTS AND MEDICAL RESIDENTS AND FOR OTHER HEALTHCARE PROFESSIONALS INCLUDING PHYSICIAN ASSISTANTS AND NURSES.Desc
Total Program Service Expenses$127,509,434TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee633EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL KAPLAN CFOPersonNm
Phone7816811646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1141 LONGWATER DRIVEAddressLine1
CityNORWELLCity
StateMAState
ZIP Code02061ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SCOTT P CORKINS MD
TRUSTEE; FAMILY PRACTICE P50.00Yes (X)$360,356$0$39,486
CHRISTOPHER R COX DO
TRUSTEE; PEDIATRICIAN50.00Yes (X)$347,086$0$39,486
RICHARD A KAUFF MD
T'EE;PRES TO 6.1; PEDIATRICIAN49.00Yes (X)$276,929$5,000$38,8211.00Yes (X)
INGRID E KOTCH MD
T'EE;PRES 6.1;CLERK TO 6.1;OB/GYN PHY.50.00Yes (X)$295,784$0$38,291Yes (X)
SARA J NUCIFORO MD
T'EE; CLERK EFF 6.1; DIR. I.M.32.00Yes (X)$235,969$0$35,132
BENJAMIN C RYAN MD
T'EE/TREAS.; FAMILY PRACTI50.00Yes (X)$317,920$0$10,890Yes (X)
EDWARD W NALBAND MD
CHIEF MEDICAL OFFICER46.80$414,503$0$31,2163.30Yes (X)
THOMAS E CARROLL JR
CEO EFF 7.1; CFO TO 6.3050.00$299,443$0$36,868Yes (X)
MARK FLIEGER
CIO50.00$250,386$0$36,681Yes (X)
PEGGY S HAFKEMEYER
COO50.00$255,107$0$29,243Yes (X)
STANLEY R SACON PHD
CEO TO 6.3038.00$262,894$0$29,426Yes (X)
MARK BULMAN MD
SURGEON50.00$380,141$0$35,046Yes (X)
LISA GIONI DO
OB/GYN PHYSICIAN50.00$387,505$0$31,216Yes (X)
DAVID A HALLE MD
ASSOC. MEDICAL DIRECTOR50.00$323,796$0$39,486Yes (X)
MATTHEW R HJORT MD
PEDIATRICIAN50.00$346,535$0$39,486Yes (X)
JOSEPH P SPYCHALSKI MD
URGENT CARE PHYSICIAN50.00$401,798$0$19,409Yes (X)
LAURA M NOWOSIELSKI MD
FMR PRESIDENT; FAMILY PRAC50.00$224,041$0$29,189Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,380,193TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,000TotReportableCompRltdOrgAmt
Total Other Compensation$559,372TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
THOMAS J KENNEY MD INC
2110 DORCHESTER AVE STE 210BOSTONMA02124PHYSICIANS$705,481
GK DERMATOLOGY PC
316 ADAMS STMILTONMA02186PHYSICIANS$513,180
SS ORTHOPEDICS LLC
51 PERFORMANCE DR SUITE 300WEYMOUTHMA02189PHYSICIANS$379,791
TAMSIN KNOX MD
43 CHESTNUT STDEDHAMMA02026PHYSICIAN$343,668
DOCTORS FOOT CARE GROUP PC
111 WILLARD ST SUITE GCQUINCYMA02169PHYSICIANS$244,726
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITATION FEES621110$79,578,584$79,578,584
FEE FOR SERVICE621110$34,950,195$34,950,195
MEDICARE/MEDICAID621110$14,097,301$14,097,301
PROGRAM RELATED INV.621110$1,346,082$1,346,082
OTHER621110$1,307,383$1,307,383
FieldValueIRS element (for citing)
Total Program Service Revenue$131,279,545TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$221,768TotalRevenueColumnAmt
Exclusion$221,768ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$575,600SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$433,351SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$142,249SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,249TotalRevenueColumnAmt
Exclusion$142,249ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$131,643,562TotalRevenueColumnAmt
Related Or Exempt Func Income$131,279,545RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$364,017ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$34,565TotalAmt
Program Services$34,565ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,898,255TotalAmt
Program Services$2,837,467ProgramServicesAmt
Management And General$1,060,788ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,168,923TotalAmt
Program Services$28,898,658ProgramServicesAmt
Management And General$2,270,265ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$268,966TotalAmt
Program Services$258,157ProgramServicesAmt
Management And General$10,809ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,467,770TotalAmt
Program Services$4,114,114ProgramServicesAmt
Management And General$353,656ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,129,441TotalAmt
Program Services$1,919,234ProgramServicesAmt
Management And General$210,207ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$172,385TotalAmt
Management And General$172,385ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,000TotalAmt
Management And General$49,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$66,900TotalAmt
Management And General$66,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$79,432,178TotalAmt
Program Services$77,376,355ProgramServicesAmt
Management And General$2,055,823ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Management And General$4,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,959,707TotalAmt
Program Services$1,134,602ProgramServicesAmt
Management And General$825,105ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$396,369TotalAmt
Program Services$54,653ProgramServicesAmt
Management And General$341,716ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,957,210TotalAmt
Program Services$3,650,995ProgramServicesAmt
Management And General$306,215ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$96,828TotalAmt
Program Services$85,317ProgramServicesAmt
Management And General$11,511ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$73,062TotalAmt
Program Services$73,062ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,993TotalAmt
Management And General$14,993ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,661,892TotalAmt
Program Services$1,369,898ProgramServicesAmt
Management And General$291,994ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,408,483TotalAmt
Program Services$1,408,483ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL GOODS/SUPPLIES$3,799,796$3,799,796
BAD DEBT EXPENSE$494,078$494,078

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$135,555,301TotalAmt
Program Services$127,509,434ProgramServicesAmt
Management And General$8,045,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,125,112BOYAmt
EOY$4,404,389EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,629,620BOYAmt
EOY$3,399,893EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$358,641BOYAmt
EOY$53,848EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$12,500BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$39,286BOYAmt
EOY$33,401EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$410,299BOYAmt
EOY$1,576,331EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,684,242LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,036,655LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,367,185BOYAmt
EOY$6,647,587EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,649,509BOYAmt
EOY$6,481,615EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,933,313BOYAmt
EOY$3,007,662EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,204,498BOYAmt
EOY$3,548,952EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,729,963BOYAmt
EOY$29,153,678EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,398,943BOYAmt
EOY$18,047,729EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$505,925BOYAmt
EOY$469,788EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$256,039BOYAmt
EOY$583,080EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,160,907BOYAmt
EOY$19,100,597EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,569,056BOYAmt
EOY$10,053,081EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,569,056BOYAmt
EOY$10,053,081EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,729,963BOYAmt
EOY$29,153,678EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,911,739ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$395,764NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,173,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$113,499,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,902,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131,899,822CurrentTaxYearMinus1YearAmt
Current Tax Year$131,279,545CurrentTaxYearAmt
Total$608,755,279TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,173,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$113,499,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127,902,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131,899,822CurrentTaxYearMinus1YearAmt
Current Tax Year$131,279,545CurrentTaxYearAmt
Total$608,755,279TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$608,755,279PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$160,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$209,120CurrentTaxYearMinus1YearAmt
Current Tax Year$221,768CurrentTaxYearAmt
Total$827,724TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$160,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$131,061CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$209,120CurrentTaxYearMinus1YearAmt
Current Tax Year$221,768CurrentTaxYearAmt
Total$827,724TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,279,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$113,659,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$128,033,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,108,942CurrentTaxYearMinus1YearAmt
Current Tax Year$131,501,313CurrentTaxYearAmt
Total$609,583,003TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99860PublicSupportCY509Pct
Public Support PY5090.99850PublicSupportPY509Pct
Investment Income CY0.00140InvestmentIncomeCYPct
Investment Income PY0.00150InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,359,219OtherCostOrOtherBasisAmt
Depreciation$1,267,032DepreciationAmt
Book Value$5,092,187BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$435,290OtherCostOrOtherBasisAmt
Depreciation$309,066DepreciationAmt
Book Value$126,224BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,889,733OtherCostOrOtherBasisAmt
Depreciation$2,460,557DepreciationAmt
Book Value$1,429,176BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,647,587TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
VENTURE 2-BRN, LLC (AT EQUITY)-MRI SERVICES$1,344,541C
VENTURE 3-WW, LLC (AT EQUITY)-CATSCAN & ONCOLOGY SERVICES$6,061C
VENTURE 4-WW2, LLC (AT EQUITY)-IMAGING CENTER$1,179,756C
VENTURE V-90 LIBBEY, LLC (AT EQUITY)-ENDOSCOPY SUITE$477,304C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$3,007,662TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED ENTITY - ATRIUS HEALTH, INC.$3,134,588
DUE FROM RELATED ENTITY - DEDHAM MEDICAL ASSOCIATES,INC.$233,788
DUE FROM RELATED ENTITY - SOUTHBORO MEDICAL GROUP, INC.$73,401
SECURITY DEPOSITS$107,175
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,548,952TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PAYABLE TO RELATED ENTITY - HARVARD VANGUARD MEDICAL ASSOCIATES, INC.$362,870
PAYABLE TO RELATED ENTITY - GRANITE MEDICAL GROUP, INC.$220,210
FieldValueIRS element (for citing)
Total Liability$583,080TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SCOTT P CORKINS MD
TRUSTEE; FAMILY PRACTICE P$329,722$0$30,308$0$326$0$3,825$0$35,661$0$399,842$0$0$0
CHRISTOPHER R COX DO
TRUSTEE; PEDIATRICIAN$325,223$0$21,535$0$328$0$3,825$0$35,661$0$386,572$0$0$0
RICHARD A KAUFF MD
T'EE;PRES TO 6.1; PEDIATRICIAN$252,668$5,000$23,384$0$877$0$3,825$0$34,996$0$315,750$5,000$0$0
INGRID E KOTCH MD
T'EE;PRES 6.1;CLERK TO 6.1;OB/GYN PH$269,348$0$22,050$0$4,386$0$3,825$0$34,466$0$334,075$0$0$0
SARA J NUCIFORO MD
T'EE; CLERK EFF 6.1; DIR. I.M.$200,034$0$35,407$0$528$0$3,579$0$31,553$0$271,101$0$0$0
BENJAMIN C RYAN MD
T'EE/TREAS.; FAMILY PRACTI$289,455$0$28,229$0$236$0$3,825$0$7,065$0$328,810$0$0$0
EDWARD W NALBAND MD
CHIEF MEDICAL OFFICER$366,890$0$45,000$0$2,613$0$3,825$0$27,391$0$445,719$0$0$0
THOMAS E CARROLL JR
CEO EFF 7.1; CFO TO 6.30$254,059$0$45,000$0$384$0$3,825$0$33,043$0$336,311$0$0$0
MARK FLIEGER
CIO$224,409$0$25,000$0$977$0$3,801$0$32,880$0$287,067$0$0$0
PEGGY S HAFKEMEYER
COO$229,108$0$25,000$0$999$0$3,825$0$25,418$0$284,350$0$0$0
STANLEY R SACON PHD
CEO TO 6.30$214,505$0$45,000$0$3,389$0$3,825$0$25,601$0$292,320$0$0$0
MARK BULMAN MD
SURGEON$361,072$0$16,505$0$2,564$0$3,825$0$31,221$0$415,187$0$0$0
LISA GIONI DO
OB/GYN PHYSICIAN$373,587$0$13,672$0$246$0$3,825$0$27,391$0$418,721$0$0$0
DAVID A HALLE MD
ASSOC. MEDICAL DIRECTOR$291,641$0$31,710$0$445$0$3,825$0$35,661$0$363,282$0$0$0
MATTHEW R HJORT MD
PEDIATRICIAN$330,200$0$15,990$0$345$0$3,825$0$35,661$0$386,021$0$0$0
JOSEPH P SPYCHALSKI MD
URGENT CARE PHYSICIAN$400,907$0$0$0$891$0$3,825$0$15,584$0$421,207$0$0$0
LAURA M NOWOSIELSKI MD
FMR PRESIDENT; FAMILY PRAC$173,574$0$21,296$0$29,171$0$3,436$0$25,753$0$253,230$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationDISCRETIONARY BONUSES ARE DETERMINED BY THE BOARD/COMPENSATION COMMITTEE BASED ON ORGANIZATIONAL PERFORMANCE, RESULTS AND OTHER FACTS AND CIRCUMSTANCES THAT ARE REVIEWED IN THEIR ENTIRETY IN ASSURING AND CONFIRMING THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED. COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SSMC AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Loan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementIndLoan From OrganizationLoanFromOrganizationInd
PAYABLE TO VAR SSMC PHYSICIANS AT
WORKING CAPITALYes (X)$707,000$469,7880Yes (1)Yes (1)
CHRISTOPHER COX
PURCHASE NEW RESIDENCE$75,000$53,8480Yes (1)Yes (1)Yes (X)
FieldValueIRS element (for citing)
Total Balance Due$523,636TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTH SHORE MEDICAL ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionOWNED BY SSMC PHYSICIANS - 18.62% BY 6 CURRENT/FORMER O/D/K - PART VIIRelationshipDescriptionTxt
Transaction$327,013TransactionAmt
TransactionSSMC LEASED ITS FACILITIES IN NORWELL AND KINGSTON MA FROM SSMA. THE INITIAL LEASE ENDED IN 2009. FROM 2009 THROUGH SEPTEMBER 2011 SSMC LEASED THE FACILITIES UNDER TENANT AT WILL ARRANGEMENTS. THE CURRENT LEASE FOR THE KINGSTON FACILITY WAS EFFECTIVE OCTOBER 1, 2011 AND WAS SCHEDULED TO END ON SEPTEMBER 30, 2016. IN NOVEMBER, 2012, SSMA SOLD THE KINGSTON FACILITY THUS ENDING THE CURRENT LEASE BETWEEN SSMA AND SSMC. THE CURRENT LEASE FOR THE NORWELL FACILITY WAS EFFECTIVE OCTOBER 1, 2011 AND WAS SCHEDULED TO END ON SEPTEMBER 30, 2016. IN AUGUST 2013, SSMA SOLD THE NORWELL FACILITY THUS ENDING THE CURRENT LEASE BETWEEN SSMA AND SSMC.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
STATEMENT 1 - DESCRIPTION OF ORGANIZATION MISSIONFORM 990, PART I, LINE 1 WE CARE FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR OUR COMMUNITIES THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION, AND PHILANTHROPY.
FORM 990, PART VI, SECTION A, LINE 2SSMC LEASES ITS NORWELL AND KINGSTON FACILITIES FROM SOUTH SHORE MEDICAL ASSOCIATES ("SSMA"). SSMA IS OWNED BY PHYSICIANS EMPLOYED BY SSMC. 18.27% OF THE TOTAL OWNERSHIP OF SSMA IS HELD BY FIVE (5) OF THE CURRENT/FORMER OFFICERS, TRUSTEES AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A.
FORM 990, PART VI, SECTION A, LINE 6SOUTH SHORE MEDICAL CENTER, INC. ("SSMC") HAS TWO CLASSES OF MEMBERS: THE CORPORATE MEMBER (ATRIUS HEALTH, INC.) - THE CORPORATE MEMBER CAN BE REMOVED ONLY IF SSMC IS REMOVED, BY THE CORPORATE MEMBER, AS A PARTICIPATING ORGANIZATION IN THE ATRIUS HEALTH SYSTEM. THE CORPORATE MEMBER HAS CERTAIN DEFINED APPROVAL RIGHTS OF THE ACTIONS OF THE CORPORATION. THE PHYSICIAN MEMBERS - THE PHYSICIAN MEMBERS ARE NOT MEMBERS OF THE CORPORATION WITHIN THE MEANING OF CHAPTER 180 OF THE MASSACHUSETTS GENERAL LAWS. ELECTION OF NEW PHYSICIAN MEMBERS REQUIRES AN AFFIRMATIVE VOTE OF TWO-THIRDS OF THE VOTING INTEREST OF THE PHYSICIAN MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES IS COMPRISED OF SIX VOTING TRUSTEES, ALL OF WHOM MUST BE A PHYSICIAN MEMBER. OF THE SIX TRUSTEES, FOUR MUST BE APPROVED BY THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BMOST MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SSMC'S CORPORATE MEMBER. THE CORPORATE MEMBER MUST APPROVE ALL BUDGETS, PLANS, AND MATERIAL CHANGES; APPROVE ALL PROGRAM CHANGES; APPROVE ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION AND OR BY-LAWS; APPROVE COMPENSATION STRUCTURES AND RANGES FOR SSMC'S DIRECTORS, PHYSICIANS, SENIOR MANAGERS AND OTHER PROFESSIONALS; AND, IN GENERAL APPROVE ANY OTHER ACTIONS NOT IN THE NORMAL COURSE OF BUSINESS. IN ADDITION TO POWERS PROVIDED BY LAW, THE ARTICLES OF ORGANIZATION AND SSMC'S BY-LAWS, THE CORPORATE MEMBER HAS AUTHORITY TO: (A) LEVY ASSESSMENTS TO COVER THE CORPORATE MEMBER'S COSTS OF OPERATIONS; (B) APPROVE, OR DISAPPROVE, THE SELECTION AND REMOVAL OF FIFTY PERCENT (50%) BUT LESS THAN EIGHTY PERCENT (80%) OF THE TRUSTEES; AND, (C) ACT AS SSMC'S EXCLUSIVE AGENT FOR PURPOSES OF NEGOTIATING PAYOR CONTRACTS FOR SSMC AND THE OTHER PARTICIPATING ORGANIZATIONS AS DEFINED IN THE CORPORATE MEMBER'S BY-LAWS. UPON DISSOLUTION OF SSMC, THE NET ASSETS OF SSMC WILL BE DISPOSED OF TO ATRIUS HEALTH, INC. PROVIDED IT IS THEN EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION B, LINE 11ATRIUS HEALTH ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE FORM 990 FOR SOUTH SHORE MEDICAL CENTER. AN INTERNAL TEAM AT SOUTH SHORE MEDICAL CENTER INCLUDING STAFF FROM ACCOUNTING AND HUMAN RESOURCES DEPARTMENTS WORK CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. IN ADDITION, THE SOUTH SHORE MEDICAL CENTER BOARD OF TRUSTEES AND THE ATRIUS HEALTH AUDIT & COMPLIANCE COMMITTEE JOINTLY OVERSEE THE PREPARATION OF SOUTH SHORE MEDICAL CENTER'S 990. THE SOUTH SHORE MEDICAL CENTER BOARD RECEIVES A FINAL DRAFT OF THE 990 AND FORMALLY REVIEWS AND APPROVES THE ENTIRE DOCUMENT BEFORE FILING. IN ADDITION, MATERIAL ISSUES (IF ANY) WITH THE SOUTH SHORE MEDICAL CENTER 990 WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE ATRIUS HEALTH AUDIT & COMPLIANCE COMMITTEE BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CSSMC HAS A COMPREHENSIVE COMPLIANCE PROGRAM WHICH IS MONITORED BY THE AUDIT AND COMPLIANCE COMMITTEE AND COMPLIANCE OFFICER. THE NATURE OF THE POTENTIAL OR ACTUAL CONFLICT DETERMINES THE LEVEL(S) AT WHICH A DETERMINATION OF POTENTIAL CONFLICT MAY EXIST. AN INDIVIDUAL INVOLVED WITH A POTENTIAL CONFLICT IS PROHIBITED FROM BEING IN ATTENDANCE AT ANY MEETINGS AT WHICH THE MATTER IS DISCUSSED AND IS NOT ALLOWED TO VOTE ON THE MATTER. ALL MEMBERS OF THE BOARD, SSMC'S OFFICERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY REVIEW, COMPLETE AND CERTIFY COMPLIANCE WITH SSMC'S CONFLICT OF INTEREST POLICY. IN ADDITION ALL NEW HIRES (IN THE CATEGORIES DESCRIBED) ARE REQUIRED TO READ AND ACKNOWLEDGE RECEIPT OF SSMC'S CODE OF CONDUCT. THE CONFLICT OF INTEREST POLICY STATES "AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED." SSMC'S POLICY PROVIDES FOR EXCEPTIONS IF DISCLOSED PROMPTLY AND APPROVED BY THE APPROPRIATE LEVEL OF MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 15SSMC'S COMPENSATION COMMITTEE IS COMPRISED OF PHYSICIANS AND CERTAIN OTHER ADMINISTRATORS OF SSMC. THEY REVIEW AND DETERMINE THE COMPENSATION FOR THE EXECUTIVE TEAM AND THE PHYSICIAN COMPENSATION MODELS. FOR THE PHYSICIANS, THE KEY CRITERIA IN DETERMINING COMPENSATION IS THE PHYSICIAN'S PRODUCTIVITY. THE COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SSMC AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE. THE COMPENSATION PERSONNEL UTILIZE OUTSIDE CONSULTANTS TO ASSIST THEM IN DETERMINING THE REASONABLENESS OF THE COMPENSATION. ALL MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SSMC'S CORPORATE MEMBER.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE ATTACHED TO THE MA FORM PC FILED WITH THE ATTONEY GENERAL'S OFFICE, WHICH IS OPEN TO PUBLIC INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING ON-LINE. OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GOUTSIDE UTILIZATION CHARGES (CAPITATION CONTRACTS): PROGRAM SERVICE EXPENSES 70,488,675. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,488,675. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 3,529,050. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,529,050. OTHER SERVICES: PROGRAM SERVICE EXPENSES 3,358,630. MANAGEMENT AND GENERAL EXPENSES 2,055,823. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,414,453.
FORM 990, PART XII, LINE 2A THROUGH 2DTHERE WAS NO CHANGE TO THE OVERSIGHT OF THE YEAR-END AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT DURING THE TAX YEAR. THE ORGANIZATION'S FINANCIAL STATEMENTS WERE REVIEWED BY AN INDEPENDENT ACCOUNTANT AND THE ORGANIZATION WAS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS CORPORATE MEMBER, WHICH CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HARVARD VANGUARD MEDICAL ASSOCIATES INC
275 GROVE STREET SUITE 3-300NEWTONMA02466043397450MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9ATRIUS HEALTH INCYes (1)
ATRIUS HEALTH INC
275 GROVE STREET SUITE 3-300NEWTONMA02466010803117ORGANIZE AND INTEGRATE HEALTHCARE DELIVERYMA501(C)(3)LINE 90N/A
DEDHAM MEDICAL ASSOCIATES INC
ONE LYONS STREETDEDHAMMA02026043136240MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9ATRIUS HEALTH INCYes (1)
SOUTHBORO MEDICAL GROUP
24 NEWTON STREETSOUTHBOROMA01772042487729MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9ATRIUS HEALTH INCYes (1)
GRANITE MEDICAL GROUP INC
500 CONGRESS STREETQUINCYMA02169043341331MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9ATRIUS HEALTH INCYes (1)
ATRIUS HEALTH FOUNDATION INC
275 GROVE STREET SUITE 3-300NEWTONMA02466264517944SUPPORT ATRIUS HEALTH AND ITS SUPPORTING ORGANIZATIONSMA501(C)(3)LINE 11A, IATRIUS HEALTH INCYes (1)
RELIANT MEDICAL GROUP INC (FORMERLY FALLON CLINIC INC)
630 PLANTATION STREETWORCESTERMA01605042472266PROVIDE MEDICAL SERVICESMA501(C)(3)LINE 9ATRIUS HEALTH INCYes (1)
RELIANT MEDICAL GROUP FOUNDATION INC (FORMERLY FALLON CLINIC FOUNDATION)
630 PLANTATION STREETWORCESTERMA01605222912515PROMOTE COMMUNITY HEALTHMA501(C)(3)LINE 7RELIANT MEDICAL GROUP INCYes (1)
LAKEVIEW MEDICAL INC
44 SOUTHBRIDGEAUBURNMA01501043106404MEDICAL EQUIPMENT SUPPLIERMA501(C)(3)LINE 9RELIANT MEDICAL GROUP INCYes (1)
VISITING NURSE ASSOCIATION OF BOSTON INC
500 RUTHERFORD AVENUECHARLESTOWNMA02129042105800HOME HEALTH CAREMA501 (C)(3)LINE 9VISITING NURSE ASSN OF BOSTON FOUNDATION INCYes (1)
VISITING NURSE ASSOCIATION OF BOSTON FOUNDATION INC
500 RUTHERFORD AVENUECHARLESTOWNMA02129042880614FUND RAISINGMA501 (C)(3)LINE 7VNA CARE NETWORK FOUNDATION INCYes (1)
VNA HOSPICE CARE INC
100 TRADE CENTER SUITE G-500WOBURNMA01801042658051HOSPICE CAREMA501 (C)(3)LINE 9VISITING NURSE ASSN OF BOSTON FOUNDATION INCYes (1)
VISITING NURSE ASSOCIATION OF BOSTON MANAGMENT RESOURCES INC
500 RUTHERFORD AVENUECHARLESTOWNMA02129042880108MANAGEMENT SERVICESMA501 (C)(3)LINE 9VISITING NURSE ASSN OF BOSTON FOUNDATION INCYes (1)
VNA CARE HOSPICE INC
120 THOMAS STREETWORCESTERMA01608043217872HOSPICE CAREMA501 (C)(3)LINE 9VNA CARE NETWORK FOUNDATION INCYes (1)
VNA CARE NETWORK FOUNDATION INC
120 THOMAS STREETWORCESTERMA01608042794849MANAGEMENT SERVICESMA501 (C)(3)LINE 9ATRIUS HEALTH INCYes (1)
VNA CARE NETWORK INC
120 THOMAS STREETWORCESTERMA01608042103825HOME HEALTH CAREMA501 (C)(3)LINE 9VNA CARE NETWORK FOUNDATION INCYes (1)
VNA CARE ADVANTAGE INC
120 THOMAS STREETWORCESTERMA01608042953171DAY CAREMA501 (C)(3)LINE 9VNA CARE NETWORK FOUNDATION INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
VENTURE 2-BRN LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466205842227MRI SERVICESMAHARVARD VANGUARD MEDICAL ASSOCIATES INCRELATED$799,559$1,344,541000.22800
VENTURE 3-WW LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466208676840RADIATION, ONCOLOGY AND CAT SCAN SERVICESMAHARVARD VANGUARD MEDICAL ASSOCIATES INCRELATED$2,598$8,433000.27000
VENTURE 4-WW2 LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466262783850DIGITAL MAMMOGRAPHY, ULTRASOUND AND BONE DENSITY SERVICESMAHARVARD VANGUARD MEDICAL ASSOCIATES INCRELATED$736,168$1,179,754000.39000
VENTURE V-90 LIBBEY LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466274351500GASTROINTES- TINAL ENDOSCOPIC SERVICESMAGRANITE MEDICAL ASSOCIATES INCRELATED$69,321$614,145000.30000
HOME STAFF LLC
40 MILLBROOK STREETWORCESTERMA01606421757904HOME CAREMAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLegal Domicile StateLegalDomicileStateCd
MASSACHUSETTS ASSURANCE COMPANY LTD
FIRST CARIBBEAN HOUSE GEORGE TOWNGRAND CAYMANCJ980469895INSURANCECJN/ACYes (1)
ASPECTUS INC
043403101INACTIVEN/ACYes (1)630 PLANTATION STREETWORCESTERMA01605MA
VNA PRIVATE CARE INC
201916670PRIVATE DUTY HOME CAREN/AC0350 GRANITE STREET UNIT 1104BRAINTREEMA02184MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HARVARD VANGUARD MEDICAL ASSOCIATES INC
M$697,277COST
ATRIUS HEALTH INC
M$3,534,769SEE STATEMENT
ATRIUS HEALTH INC
L$24,382SEE STATEMENT
HARVARD VANGUARD MEDICAL ASSOCIATES INC
K$324,532SUB-LEASE COST
GRANITE MEDICAL GROUP INC
L$11,749COST
HARVARD VANGUARD MEDICAL ASSOCIATES INC
L$25,559COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCH R, PART V, ITEM 2FormAndLineReferenceDesc
ExplanationATRIUS HEALTH'S GENERAL AND ACO CORPORATE COSTS ARE ALLOCATED TO ATRIUS HEALTH'S PARTICIPATING ORGANIZATIONS , OTHER THAN RELIANT MEDICAL GROUP, INC., USING THE AVERAGE OF FOUR METHODOLOGIES - REVENUE; PATIENT VISITS; PHYSICIAN FULL-TIME EQUIVALENTS; AND PATIENTS. SSMC'S CHARGE WAS $ 1,401,420 FOR 2013. IN ADDITION, SSMC IS CHARGED FOR ITS SHARE OF THE COSTS OF THE MEDICAL RECORDS AND PRACTICE MANAGEMENT SYSTEM. FOR 2013, SSMC WAS CHARGED WAS $2,133,349 FOR ITS UTILIZATION. ATRIUS RECEIVED FUNDING TO ASSIST IN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS WHICH IT DISTRIBUTED TO CERTAIN PARTICIPATING ORGANIZATIONS. SSMC RECEIVED $24,382 IN 2013.ExplanationTxt

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