SOUTH SHORE HOSPITAL INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH SHORE HOSPITAL INC (EIN 04-2769210)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-06
- IRS object ID
- 201342199349300029
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-06T13:56:48-07:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042769210 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 7816248000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael Cullen | Name |
| Title | SVP/CFO & Treasurer | Title |
| Phone | 7816248431 | Phone |
| Date Signed | 2013-08-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael Cullen | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 458175076 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.southshorehospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | South Shore Hospital's primary exempt purpose is to provide health care services to the community including surgical, medical and other treatment of the sick and injured. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 4235 | TotalNbrEmployees |
| Total Nbr Volunteers | 613 | TotalNbrVolunteers |
| Total Gross UBI | 516916 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5625887 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11306876 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 415901917 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 441000495 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1651279 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1562437 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12448178 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5671150 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 435627261 | TotalRevenuePriorYear |
| Total Revenue Current Year | 456416084 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 8000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 273956739 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 286974680 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2423600 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 148867086 | OtherExpensePriorYear |
| Other Expenses Current Year | 155126357 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 422831825 | TotalExpensesPriorYear |
| Total Expenses Current Year | 442112037 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 12795436 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 14304047 | RevenuesLessExpensesCY |
| Total Assets BOY | 382439885 | TotalAssetsBOY |
| Total Assets EOY | 451819921 | TotalAssetsEOY |
| Total Liabilities BOY | 270921378 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 320117578 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 111518507 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 131702343 | NetAssetsOrFundBalancesEOY |
| Mission Description | South Shore Hospital's primary exempt purpose is to provide health care services to the community including surgical, medical and other treatment of the sick and injured. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 328720807 | Expense |
| Grants | 11000 | Grants |
| Revenue | 441424175 | Revenue |
| Description | Health Care Programs, General/Other: South Shore Hospital is a not-for-profit, acute care, regional hospital licensed by the Massachusetts Department of Public Health to operate 318 acute care beds (composed of 205 medical/surgical, 32 intensive/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 offers a comprehensive range of health care services to meet diverse community needs, including emergency care, acute care (including medical, surgical, obstetrical/gynecological, pediatric, cardiac and cancer care), outpatient services (including surgical, rehabilitation, wound and specialized orthopedic care), home health services and community services. The Hospital provides free care to those who are unable to pay, sponsors free cancer screenings, other health screenings, various support groups and educational programs, including public health education, wellness programs and the training of health professionals such as physicians, nurses and technicians. During the year ended September 30, 2012, the Hospital had 25,553 discharges and 180,675 outpatient days. The Hospital's emergency center is open 24 hours a day, every day of the year, and had 84,316 visits during the year. The Hospital's home care division helps people maintain their independence at home. The visiting nurses coordinate the appropriate specialists, services and community resources for each patient. Our home care division provided over 150,656 home visits to patients in fiscal 2012. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 328720807 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 421 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 4235 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 1 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 6 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Michael Cullen SVP CFO Treasurer | NamePerson |
| Telephone Number | 7816248431 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Thomas S Vangel | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| J Leonard Bicknell | |||||||||
| Immediate Past Chairman | 1 | X | 0 | 0 | 0 | ||||
| Kimberly McLaughlin | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| John Feldman MD | |||||||||
| Director, President Medical Staff | 1 | X | 20200 | 0 | 0 | ||||
| Colleen Tondorf | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| John C Boucher | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| Brian Hotarek | |||||||||
| Chairman of the Board | 1 | X | 0 | 0 | 0 | ||||
| Sherry Livingston | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| Kenneth Kirkland | |||||||||
| Vice Chairman of the Board | 1 | X | 0 | 0 | 0 | ||||
| Laura Avakian | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| Paula Becker | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| Chris Oddleifson | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| Richard Aubut | |||||||||
| President & CEO | 45 | X | 1075376 | 0 | 241441 | X | |||
| Michael Ayers MD | |||||||||
| President Health Provider Service Organization | 1 | X | 56667 | 0 | 0 | ||||
| David C Howse | |||||||||
| Director | 1 | X | 0 | 0 | 0 | ||||
| Michael Cullen | |||||||||
| SVP, CFO & Treasurer | 45 | 486724 | 0 | 48302 | X | ||||
| Joseph Cahill | |||||||||
| COO | 45 | 673604 | 0 | 90483 | X | ||||
| Paul Taylor | |||||||||
| Clerk & Sr. Vice President | 45 | 383080 | 0 | 42114 | X | ||||
| Rose Dipietro | |||||||||
| Vice President Clinical, Home Care, and Support Services | 45 | 331688 | 0 | 67241 | X | ||||
| Timothy Quigley | |||||||||
| Vice President Nursing Services and Chief Nursing Officer | 45 | 338221 | 0 | 72998 | X | ||||
| John Stevenson MD | |||||||||
| Vice President | 45 | 533908 | 0 | 95667 | X | ||||
| Kathleen Heffernan | |||||||||
| Vice President Regulatory Affairs and Chief Risk Officer thru 3/12 | 45 | 255016 | 0 | 47993 | X | ||||
| Frederick Ayers MD | |||||||||
| Chief, Surgery | 40 | 429418 | 0 | 40751 | X | ||||
| Richard Mirel MD | |||||||||
| Chair, Dpt Medicine | 45 | 512423 | 0 | 18389 | X | ||||
| Kenneth McLaughlin MD | |||||||||
| ED Staff Physician | 45 | 449706 | 0 | 34137 | X | ||||
| Pamela Whelton | |||||||||
| Sr Vice President Physician and Network Expansion | 45 | 345570 | 0 | 74550 | X | ||||
| Jeffrey Johnson MD | |||||||||
| ED Physician | 45 | 375386 | 0 | 38659 | X | ||||
| John Benanti MD | |||||||||
| Former Chair, Emergency Dept | 45 | 446208 | 0 | 31909 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6713195 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 944634 | TotalOtherCompensation |
| Number Individuals GT100 K | 561 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Brigham Women's Hospital | |||||
| PO Box 3684 | Boston | MA | 022413684 | Physician Services | 3748358 |
| Aramark Corporation | |||||
| 12483 Collections Center Drive | Chicago | IL | 60693 | Facilities Maintenance | 1818198 |
| South Shore Anesthesia Associates Inc | |||||
| 163 Libbey Pkwy | Weymouth | MA | 02189 | Physician Services | 1642500 |
| MModal Services LTD | |||||
| PO Box 120467 | Atlanta | GA | 30368 | Transcription Services | 1171498 |
| Specialized Receivables Inc | |||||
| PO Box 12414 | Newark | NJ | 071013514 | Billing/Collection | 959870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 74 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 674521 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 64750 | GovernmentGrants |
| All Other Contributions | 10567605 | AllOtherContributions |
| Noncash Contributions | 2516823 | NoncashContributions |
| Total Contributions | 11306876 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Net Patient Service Revenue | 622000 | 426097823 | 426097823 | 0 | $0 |
| Ambulatory Cancer Center | 621000 | 8503730 | 8503730 | 0 | $0 |
| Meaningful Use | 622000 | 5076306 | 5076306 | 0 | $0 |
| Rental Income from Affiliates | 531390 | 393387 | 393387 | 0 | $0 |
| Miscellaneous Clinics | 621990 | 355532 | 355532 | 0 | $0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 573717 | TotalRevenueColumn |
| Related Or Exempt Function Income | 573717 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 441000495 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1531078 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,531,078 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1292233 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 718540 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 573693 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 573693 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $573,693 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2196557 | Securities |
| Other | 143494 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 1040452 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -2196557 | Securities |
| Other | -896958 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -3093515 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$3,093,515 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Related Income | 900099 | 389878 | 389878 | 0 | $0 |
| Cafeteria Sales | 722212 | 2680471 | 0 | 0 | $2,680,471 |
| Shields Imaging Income | 621000 | 1095994 | 0 | 0 | $1,095,994 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 931114 | TotalRevenueColumn |
| Related Or Exempt Function Income | 33802 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 516916 | UnrelatedBusinessRevenue |
| Exclusion | $380,396 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5097457 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 456416084 | TotalRevenueColumn |
| Related Or Exempt Function Income | 441424175 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 516916 | UnrelatedBusinessRevenue |
| Exclusion | $3,168,117 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11000 | Total |
| Program Services | 11000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2167574 | Total |
| Program Services | 1319288 | ProgramServices |
| Management And General | 848286 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2566379 | Total |
| Management And General | 2566379 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221569567 | Total |
| Program Services | 168349000 | ProgramServices |
| Management And General | 51651698 | ManagementAndGeneral |
| Fundraising | 1568869 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13680587 | Total |
| Program Services | 10256852 | ProgramServices |
| Management And General | 3423735 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30766858 | Total |
| Program Services | 23142677 | ProgramServices |
| Management And General | 7624181 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16223715 | Total |
| Program Services | 12163531 | ProgramServices |
| Management And General | 4060184 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488644 | Total |
| Management And General | 488644 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2004863 | Total |
| Management And General | 2004863 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 314604 | Total |
| Management And General | 314604 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44689 | Total |
| Management And General | 44689 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16933545 | Total |
| Program Services | 6403579 | ProgramServices |
| Management And General | 9984073 | ManagementAndGeneral |
| Fundraising | 545893 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 853213 | Total |
| Management And General | 794825 | ManagementAndGeneral |
| Fundraising | 58388 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57243282 | Total |
| Program Services | 54168077 | ProgramServices |
| Management And General | 2968757 | ManagementAndGeneral |
| Fundraising | 106448 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4858476 | Total |
| Management And General | 4857821 | ManagementAndGeneral |
| Fundraising | 655 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5775396 | Total |
| Program Services | 4042777 | ProgramServices |
| Management And General | 1727655 | ManagementAndGeneral |
| Fundraising | 4964 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 880547 | Total |
| Program Services | 707374 | ProgramServices |
| Management And General | 165837 | ManagementAndGeneral |
| Fundraising | 7336 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 357185 | Total |
| Program Services | 120013 | ProgramServices |
| Management And General | 236964 | ManagementAndGeneral |
| Fundraising | 208 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6558109 | Total |
| Program Services | 4590676 | ProgramServices |
| Management And General | 1967433 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19849146 | Total |
| Program Services | 13894402 | ProgramServices |
| Management And General | 5954744 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2824923 | Total |
| Program Services | 1956496 | ProgramServices |
| Management And General | 868427 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Physician Services | 13804182 | 13804182 | 0 | 0 |
| Equipment Maintenance Contracts | 5343112 | 2680910 | 2659985 | 2217 |
| Leases | 5210002 | 4492446 | 682111 | 35445 |
| Food | 3021908 | 1631224 | 1389561 | 1123 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8760531 | Total |
| Program Services | 4986303 | ProgramServices |
| Management And General | 3682174 | ManagementAndGeneral |
| Fundraising | 92054 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 442112037 | Total |
| Program Services | 328720807 | ProgramServices |
| Management And General | 110967630 | ManagementAndGeneral |
| Fundraising | 2423600 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12489108 | BOY |
| EOY | 15406100 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7217394 | BOY |
| EOY | 10103103 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46045837 | BOY |
| EOY | 57008864 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4794768 | BOY |
| EOY | 4905982 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2387967 | BOY |
| EOY | 2855011 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 407931414 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 220472930 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159218754 | BOY |
| EOY | 187458484 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130026783 | BOY |
| EOY | 144730611 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7743725 | BOY |
| EOY | 8340580 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12515549 | BOY |
| EOY | 21011186 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382439885 | BOY |
| EOY | 451819921 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50683024 | BOY |
| EOY | 60680470 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 567994 | BOY |
| EOY | 711838 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119142473 | BOY |
| EOY | 128106462 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 916667 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100527887 | BOY |
| EOY | 129702141 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270921378 | BOY |
| EOY | 320117578 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97141214 | BOY |
| EOY | 115041829 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13079185 | BOY |
| EOY | 15352406 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1298108 | BOY |
| EOY | 1308108 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111518507 | BOY |
| EOY | 131702343 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 382439885 | BOY |
| EOY | 451819921 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 14304047 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 5879789 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $3,250 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $44,689 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 47939 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | Item g: Amount represents the salaries of employees who engaged in lobbying activities on behalf of South Shore Hospital. Item i: Amount represents a percentage of the Hospital's annual apportionment of MHA/AHA dues attributable to lobbying expenses. MHA/AHA gives its members an annual percentage breakdown of member dues utilized for lobbying activities. For the year ended September 30, 2012, it was determined that 23.98% of dues was used for lobbying purposes. South Shore Hospital advocates for public policy that positively impacts the health and well-being of the communities we serve. The Hospital works with local, state and federal officials to advance initiatives that will enhance public safety, improve access to health services, assure appropriate health care reimbursements and stimulate economic development. We partner with state and national health care associations to develop and improve government-funded programs. We welcome elected and nonelected officials to visit our hospital to discuss health care policy issues affecting our region, the Commonwealth and the nation. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14377293 | BeginningOfYearBalance |
| Contributions | 9263114 | Contributions |
| Investment Earnings Or Losses | 291483 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 6836541 | OtherExpenditures |
| Administrative Expenses | 434835 | AdministrativeExpenses |
| End Of Year Balance | 16660514 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 15699262 | BeginningOfYearBalance |
| Contributions | 4387199 | Contributions |
| Investment Earnings Or Losses | 9081 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 5718249 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 14377293 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13850141 | BeginningOfYearBalance |
| Contributions | 4476910 | Contributions |
| Investment Earnings Or Losses | 118349 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 2746138 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 15699262 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12001684 | BeginningOfYearBalance |
| Contributions | 3287147 | Contributions |
| Investment Earnings Or Losses | 159536 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 1598226 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 13850141 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.08 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.92 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 5009617 | OtherCostOrOtherBasis |
| Book Value | 5009617 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 163646996 | OtherCostOrOtherBasis |
| Depreciation | 85046336 | Depreciation |
| Book Value | 78600660 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 14550954 | OtherCostOrOtherBasis |
| Depreciation | 2298220 | Depreciation |
| Book Value | 12252734 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 169054220 | OtherCostOrOtherBasis |
| Depreciation | 128775486 | Depreciation |
| Book Value | 40278734 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 55669627 | OtherCostOrOtherBasis |
| Depreciation | 4352888 | Depreciation |
| Book Value | 51316739 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 187458484 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (11 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Accrued Pension & Retirement Benefits | $56,399,000 |
| Due to 3rd Party Payors | $20,890,624 |
| Loss on Swaps | $15,780,761 |
| Capital Leases | $15,306,760 |
| Malpractice Payable | $9,132,539 |
| Accrued Workers Compensation | $6,497,375 |
| Billing Reserves | $1,801,273 |
| Physician Benefits Payable | $1,732,752 |
| Executive Benefits Payable | $1,279,406 |
| Due to Affiliates | $616,710 |
| FIN 47 Liability | $264,941 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 129702141 | TotalOfAmounts |
| Total Revenue | 456416084 | TotalRevenue |
| Total Expenses | 442112037 | TotalExpenses |
| Excess Or Deficit For Year | 14304047 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 18190785 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | -$12,310,996 | OtherAmount |
| Total Adjustments | 5879789 | TotalAdjustments |
| Excess Or Deficit Per FS | 20183836 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 447429034 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 1279682 | OtherRevenues |
| Revenue Not Rptd F990 | 1279682 | RevenueNotRptdF990 |
| Revenue Subtotal | 446149352 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 10266732 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 10266732 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 456416084 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 443253354 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 1141317 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1141317 | ExpensesNotRptdF990 |
| Expenses Subtotal | 442112037 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 442112037 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | The Hospital maintains its endowment funds to further its charitable purposes and those of its affiliates. In the past, endowment funds have been used to expand and maintain the Hospital's infrastructure, purchase state-of-the-art medical equipment and provide health and wellness services to the community. |
| SchD_P10_S00_L02 | Schedule D, Part X, Line 2 | The Hospital follows the provisions of FASB Accounting Standards Codification (ASC) No. 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_L08 | Schedule D, Part XI, Line 8 | Pension-related adjustment; -$17,310,996, transfer from affiliate; $5,000,000. |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | Net assets released from restrictions; $1,279,682. |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Contributions; $11,306,876, investment income; $101,173, cost of good sold - shops; -422,777, rental expense; -$718,540. |
| SchD_P13_S00_L02d | Schedule D, Part XIII, Line 2d | Rental expense; $718,540, cost of goods sold - shops; $422,777. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Moonlight & Miracles | NameOfEvent1 |
| Gross Receipts Event1 | 375689 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 208017 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 167672 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 0 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 5795 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 22546 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 34450 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 82191 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 22690 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Walk for Hospice | NameOfEvent2 |
| Gross Receipts Event2 | 206972 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 137418 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 69554 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 0 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 0 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 6971 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 6870 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 0 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 55713 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 9 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 505838 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 329086 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 176752 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 0 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 4200 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 80743 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 43257 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 19099 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 29453 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1088499 | GrossReceiptsTotal |
| Charitable Contributions Total | 674521 | CharitableContributionsTotal |
| Gross Revenue Total Events | 413978 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 0 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 9995 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 110260 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 84577 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 101290 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 107856 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 413978 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4262613 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 76090 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4186523 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0093 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46330371 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37961418 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8368953 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0187 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2919375 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2919375 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0065 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 53512359 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38037508 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15474851 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0345 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 821465 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15146 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 806319 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0018 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 785988 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 785988 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0018 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46822406 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41696693 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5125713 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0114 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 221091 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34151 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 186940 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0004 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46800 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 46800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 48697750 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 41745990 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6951760 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0155 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 102210109 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 79783498 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22426611 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0500 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 76989 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 76989 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0002 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 55364 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 55364 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 65462 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 65462 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0001 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 159028 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 30746 | DirectOffsettingRevenue |
| Net Community Building Expense | 128282 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0003 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 810807 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 810807 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0018 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 1167650 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 30746 | DirectOffsettingRevenue |
| Net Community Building Expense | 1136904 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.0025 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $10,401,481 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 114112087 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 124149052 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10036965 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | See Schedule H, Part VI | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 6 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (6 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| Ambualtory Cancer Center | |||||
| 101 Columbian Street | South Weymouth | MA | 02190 | Breast care and multispecialty care center. | |
| Center for Orthopedics Spine and Sports Medicine | |||||
| 2 Pond Park Road | Hingham | MA | 02043 | Orthopedic rehabilitation and outpatient surgical satellite clinic. | |
| Center for Wound Healing | |||||
| 90 Libbey Industrial Parkway | South Weymouth | MA | 02190 | Wound care and hyperbaric medicine. | |
| Cohasset Radiology | |||||
| 233 Chief Justice Cushing Highway | Cohasset | MA | 02025 | Imaging services. | Lower Level |
| Pre-surgery Evaluation | |||||
| 797 Main Street | South Weymouth | MA | 02190 | Pre-surgical testing and evaluation clinic. | 1st Floor |
| Outpatient Services | |||||
| 780 Main Street | South Weymouth | MA | 02190 | Outpatient surgery center. | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | South Shore Hospital uses the cost to charge ratio for calculating amounts in the table for Line 7. The cost to charge ratio is total patient care costs divided by total patient care charges per Worksheet S-10, line 1 of the Medicare Cost Report. Bad debt is not included in any amounts reported in the table. |
| SchH_P01_S00_L072f | Schedule H, Part I, Line 7, Column f | The Hospital does not include bad debt in its Statement of Functional Expenses, Form 990, Part IX; not applicable. |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | Not applicable. |
| SchH_P02_S00_L00 | Schedule H, Part II | Community building activities are undertaken to meet the needs of residents of southeastern Massachusetts. Programs such as the courtesy coach and MD access and referral line help reduce health disparities by providing access to care. South Shore Hospital's emergency preparedness, infection control, clinical and medical workforce development programs insure the needs of the community are met. The Hospital provides services such as pastoral care to patients and their families. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Uncompensated care expense in the statements of operations and changes in net assets represents the Hospital's payments to the statewide Health Safety Net Fund (HSN), net of recoveries from HSN for reimbursable bad debts. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | South Shore Hospital provides a valuable community benefit by treating all individuals within the Hospital's service area, regardless of ability to pay. One of 8 people in our area lives near or below the poverty level. These individuals would have to travel out of our area or possibly forgo medical treatment without the services the Hospital provides. The Hospital uses the Medicare 2552 Report for costs. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | The Hospital does not bill the following categories of patients (except that the Hospital will bill patients for any applicable co-pays or deductibles required by a particular assistance program): patients enrolled in MassHealth, patients receiving governmental benefits under the Emergency Aid to the Elderly and Disabled Children program and in the Healthy Start Program. Also, participants in the Children's Medical Security Plan whose family income is equal to or less than 400% of the FPL are exempt from collection action. Low income patients, determined pursuant to 114.6 CMR 13.04(2), are exempt from collection action for any eligible services, except for co-payments and deductibles that are not eligible services under 114.6 CMR 12.03(6)(b). Low income patients, determined pursuant to 114.6 CMR 12.03 (3)(b), within 201-400% of the FPL are exempt from collection action for the portion of the provider bill that exceeds the deductible and may be billed for co-payments and deductibles as set forth in 114.6 CMR 13.04. SSH may bill low income patients for services other than eligible services provided at the request of the patient and for which the patient has agreed to be responsible if providers receive the patient's written consent to be billed for the services. The Hospital will not undertake collection action against an individual that has qualified for medical hardship with respect to the amount of the bill that exceeds the medical hardship contribution. SSH will not continue collection or billings on a patient who is a member of bankruptcy proceedings except to secure its rights as a creditor in the appropriate order. The Hospital may initiate billing for a patient who claims to be eligible for assistance programs but fails to provide proof of eligibility. Upon receipt of satisfactory proof of eligibility, the Hospital shall cease all collection activities. The Hospital, or its agents, will not charge interest on an overdue balance for a low income patient or for patients who are low income based on the Hospital's own internal financial assistance program. |
| SchH_P05_S0A_L00 | Schedule H, Part V, Section A | Other medical services include: physician offices, outpatient surgical centers, radiology/mammography offices, wound care center, ambulatory cancer center and center for orthopedics, spine and sports medicine. Some of these services are provided at satellite locations, all of which are included in the Hospital's license. |
| SchH_P05_S0B_L13 | Schedule H, Part V, Section B, Line 13 | The Hospital makes its financial assistance policy available to the community, in its entirety, on its website. It is also available upon request. The Hospital summarizes its policy throughout its facilities in the emergency department and waiting rooms, the admissions office, financial couselors' 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_L19 | Schedule H, Part V, Section B, Line 19 | FAP-eligible individuals are billed at 70% of charges. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | The Hospital's most recent Community Health Needs Assessment was completed in September 2011. 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 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 and the Kaiser Family Foundation. 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 health assessments. Data collected helps determine unmet health needs in the region. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | South Shore Hospital prominently displays its financial assistance information in public areas throughout the Hospital. Information is provided to individuals during the intake process. The Hospital provides its credit and collection policy on its website. This document explains how individuals may be eligible for assistance under federal and state programs as well as the Hospital's reduced fee and charity care policies. In addition, the Hospital's insurance counselors can explain various options and will help anyone who wants assistance with health insurance enrollment under the Commonwealth's Health Care Reform Law. Counselors are available to assist patients during the intake process and are also available to the public six days a week. In addition to helping patients understand eligibility for reduced or free care, during the fiscal year ended September 30, 2012 counselors assisted roughly 3,500 people in obtaining health insurance. Approximately half of those assisted in obtaining health insurance were not our patients. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | South Shore Hospital serves an area south of Boston with a population of approximately 725,000. The majority of patients identify themselves as Caucasian (94%), followed by Black/African American (1.8%), Other (1.8%) and Asian (.9%). After English, the next most common languages that patients reported speaking as a primary language are Portuguese, Spanish, Vietnamese and Arabic. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | South Shore Hospital is committed to providing community building activities that promote the health and wellbeing of all the people in our area. The Hospital provides pastoral care to patients and their families. People living within the Hospital's service area may receive help in finding affordable health insurance and are assisted in finding medical care through our MD access and referral programs. The Hospital eliminates barriers to care by providing a courtesy coach to any patient needing transportation to or from its facilities. We have made a commitment to physician recruitment in specialties that meet community needs, now and in the future, and to providing our clinicians with continuing medical education. South Shore Hospital has invested in emergency preparedness training and equipment to serve the community in the event of a natural or man-made disaster. The Hospital has partnered with towns in its service area to treat underserved and at-risk populations. The Hospital makes its Community Benefits Report and current year Community Benefits Plan available through mailings and on its website: http://www.southshorehospital.org/community-benefits-reports. For more information about South Shore Hospital's active role in meeting the needs of our community please visit our website: http://www.southshorehospital.org. |
| SchH_P06_S00_L06 | Schedule H, Part VI, Line 6 | South Shore Hospital is not part of an affiliated health care system. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | South Shore Hospital files its Community Benefits report in Massachusetts. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Friends Scholarships for students pursuing health care degrees. | TypeOfGrant |
| Number Of Recipients | 11 | NumberOfRecipients |
| Amount Of Cash Grant | 11000 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
| Method Of Valuation | Cash | MethodOfValuation |
Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchI_P01_S00_L02 | Schedule I, Part I, Line 2 | South Shore Hospital administers grants in accordance with grantor documents and maintains records to substantiate compliance. Grantees are required to provide evidence of meeting criteria established for various assistance grants or scholarships awarded by the Hospital. |
| SchI_P03_S00_L00 | Schedule I, Part III | The Friends of South Shore Hospital, an auxiliary Hospital organization, offers several scholarships to students pursuing health care degrees. Individuals must apply for these scholarships and present evidence that they meet the qualifications. The Nursing Scholarship is for a full-time or regular part-time employee of South Shore Hospital. The employee must be presently enrolled at an accredited school pursuing a BSN degree or higher. The Marion C. Martinsen Scholarship is for a high school senior or graduate from an accredited public, private or parochial school. The Volunteers and Families Scholarship is for an active volunteer, child or grandchild of an active South Shore Hospital or home care division volunteer. The Health Related Field Scholarship is for a full-time or regular part-time employee of South Shore Hospital presently enrolled at an accredited school pursuing an associate degree, a bachelor's degree or for technical accreditation in a health related field. The Terry Ries Nursing Education and Development Scholarship is for full-time or regular part-time employees who have been employed for at least a year and accepted into an accredited program to begin or advance their nursing career. Eleven $1,000 scholarships were awarded in fiscal 2012. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Personal Services | X | PersonalServices |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Richard Aubut | |||||||||||||
| 740334 | 0 | 38109 | 0 | 296933 | 0 | 220760 | 0 | 20681 | 0 | 1316817 | 0 | 38109 | 0 |
| Michael Cullen | |||||||||||||
| 402742 | 0 | 2840 | 0 | 81143 | 0 | 27621 | 0 | 20680 | 0 | 535026 | 0 | 2840 | 0 |
| Joseph Cahill | |||||||||||||
| 474098 | 0 | 99236 | 0 | 100270 | 0 | 69801 | 0 | 20682 | 0 | 764087 | 0 | 99236 | 0 |
| Paul Taylor | |||||||||||||
| 333396 | 0 | 9633 | 0 | 40051 | 0 | 26476 | 0 | 15638 | 0 | 425194 | 0 | 9633 | 0 |
| Frederick Ayers MD | |||||||||||||
| 390089 | 0 | 23675 | 0 | 15654 | 0 | 22050 | 0 | 18700 | 0 | 470168 | 0 | 23675 | 0 |
| Richard Mirel MD | |||||||||||||
| 456110 | 0 | 45645 | 0 | 10668 | 0 | 18389 | 0 | 0 | 0 | 530812 | 0 | 45645 | 0 |
| John Benanti MD | |||||||||||||
| 389376 | 0 | 21232 | 0 | 35600 | 0 | 16272 | 0 | 15638 | 0 | 478118 | 0 | 21232 | 0 |
| Rose Dipietro | |||||||||||||
| 300446 | 0 | 33569 | 0 | -2327 | 0 | 57890 | 0 | 9351 | 0 | 398929 | 0 | 33569 | 0 |
| Timothy Quigley | |||||||||||||
| 297504 | 0 | 29656 | 0 | 11061 | 0 | 48334 | 0 | 24664 | 0 | 411219 | 0 | 29656 | 0 |
| Pamela Whelton | |||||||||||||
| 275644 | 0 | 65382 | 0 | 4544 | 0 | 53869 | 0 | 20681 | 0 | 420120 | 0 | 65382 | 0 |
| John Stevenson MD | |||||||||||||
| 423653 | 0 | 89120 | 0 | 21135 | 0 | 74986 | 0 | 20681 | 0 | 629575 | 0 | 89120 | 0 |
| Kathleen Heffernan | |||||||||||||
| 230554 | 0 | 28010 | 0 | -3548 | 0 | 29292 | 0 | 18701 | 0 | 303009 | 0 | 28010 | 0 |
| Kenneth McLaughlin MD | |||||||||||||
| 455030 | 0 | 0 | 0 | -5324 | 0 | 15436 | 0 | 18701 | 0 | 483843 | 0 | 0 | 0 |
| Jeffrey Johnson MD | |||||||||||||
| 380694 | 0 | 0 | 0 | -5308 | 0 | 17978 | 0 | 20681 | 0 | 414045 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | Tax indemnification and gross-up payments are reported as income because the Hospital grosses up imputed income from split dollar policies and premiums for long-term disability coverage. Health or social club dues or initiation fees are reported as income for reimbursement of health club memberships/dues up to a certain dollar level. Personal services are reported as income for reimbursement of financial services expenses up to a certain level. |
| SchJ_P01_S00_L03 | Schedule J, Part I, Line 3 | The Hospital has a Compensation Committee that meets periodically and engages an independent external compensation consulting firm to establish the compensation of the CEO and other key executives. 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 (13 of 16) of the Hospital Board of Directors. |
| SchJ_P01_S00_L04 | Schedule J, Part I, Line 4 | The former VP Regulatory Affairs and Chief Risk Officer and the former Chief of the Emergency Department received salary continuation payments in FY12. 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
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Massachusetts Health and Educational Facilities Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 042456011 | IssuerEIN |
| CUSIP Number | 57586CS22 | CUSIPNumber |
| Date Issued | 2008-02-28 | DateIssued |
| Issue Price | 94585000 | IssuePrice |
| Description Of Purpose | See Part VI for complete description | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 16255000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 94994157 | TotalProceeds |
| Amount In Reserve Fund | 1306 | AmountInReserveFund |
| Capitalized Interest | 430596 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 992237 | IssuanceCostsFromProceeds |
| Credit Enhancement | 1532325 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 37980165 | CapitalExpenditures |
| Other Spent Proceeds | 46929086 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.022 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.022 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deutche Bank | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 24.3 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIGMFC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | .6 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchK_P01_S00_L00f | Schedule K, Part I, Column f | Series G bond issue financed various hospital improvements and construction of the Ambulatory Cancer Center garage, refunded bonds issued 06/15/93 and 07/01/99. |
| SchK_P02_S00_L03 | Schedule K, Part II, Line 3 | Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. |
| SchK_P02_S00_L04 | Schedule K, Part II, Line 4 | The amount shown here consists of a debt service fund deposit. |
| SchK_P04_S00_L05 | Schedule K, Part IV, Line 5 | This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bond. |
| SchK_P05_S00_L00 | Schedule K, Part V | South Shore Hospital has not finalized written procedures to undertake corrective action as of September 30, 2012. |
Schedule L IRS990ScheduleL
Loan Table LoanTable (8 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| Richard Aubut | ||||||
| Split dollar insurance premiums | X | $5,052,989 | 5052989 | 0 | 1 | 1 |
| Joseph Cahill | ||||||
| Split dollar insurance premiums | X | $1,798,518 | 1798518 | 0 | 1 | 1 |
| Michael Cullen | ||||||
| Split dollar insurance premiums | X | $1,489,535 | 1489535 | 0 | 1 | 1 |
| Paul Taylor | ||||||
| Split dollar insurance premiums | X | $1,238,691 | 1238691 | 0 | 1 | 1 |
| Frederick Ayers MD | ||||||
| Split dollar ins premiums | X | $870,183 | 870183 | 0 | 1 | 1 |
| Timothy Quigley | ||||||
| Split dollar ins premiums | X | $231,469 | 231469 | 0 | 1 | 1 |
| Pamela Whelton | ||||||
| Split dollar ins premiums | X | $194,939 | 194939 | 0 | 1 | 1 |
| John Stevenson MD | ||||||
| Split dollar ins premiums | X | $319,304 | 319304 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 11195628 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Michael Ayers MD | |||
| SSH director and greater than 5% Member of South Shore Orthopedics, LLC | 856700 | Independent Contractor | 0 |
| Michael Ayers MD | |||
| SSH director and greater than 5% Member of SurgiSouth, LLC | 699996 | Independent Contractor | 0 |
| Frederick Ayers MD | |||
| Chairman SSH Department of Surgery and father of SSH director Michael Ayers | 470170 | Employment | 0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 7 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 2516823 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | See Part II | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchM_P01_S00_L09 | Schedule M, Part I, Line 9 | Valuations for stock transactions are sales price less commission. |
| SchM_P01_S00_L32b | Schedule M, Part I, Line 32b | The Hospital liquidates contributions of publicly traded securities through a third party brokerage firm. Whenever possible, the brokerage firms sells stock on the next business day after receipt. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P06_S0A_L02 | Form 990, Part VI, Section A, Line 2 | J. Leonard Bicknell and John Boucher--business relationship. J. Leonard Bicknell and Christopher Oddleifson--business relationship. Frederick Ayers and Michael Ayers--family relationship. Many of the persons listed on Part VIII have a "business relationship" with each other by virtue of sitting on boards of entities related to South Shore Hospital. |
| F990_P06_S0B_L11b | Form 990, Part VI, Section B, Line 11b | The organization's Form 990 is prepared internally and reviewed by the tax practice of its independent auditors. The return is then reviewed by the CFO and President/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. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Employees and board members are required to sign a conflict of interest form annually. The forms are reviewed for conflicts or potential conflicts. Board members abstain from voting on matters that present a conflict of interest. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | South Shore Hospital utilizes an outside consultant to determine compensation for Richard Aubut (CEO), Michael Cullen (CFO), and Joseph Cahill (COO). The consultant presents relevant data to the board for review and approval for these three individuals. All data presented, as well as compensation deliberations and votes, is documented in the board minutes. The board's review and approval process takes place annually for implementation at the start of the new fiscal year. Compensation decisions for all other employees, including key employees, are also made annually and are based on a review of comparable industry data, market conditions and research provided by outside consultants. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | South Shore Hospital makes its governing documents, conflict of interest policy and financial statements available for inspection to the general public at the Corporation's office. Copies of these documents are available upon request. In addition, certain governing documents are available through the Massachusetts Secretary of the Commonwealth's Corporations Division database. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | Transfer from affiliate; $5,000,000, change in net unrealized gains on investments; $18,190,785, pension-related adjustments; -$17,310,996. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| South Shore Health & Educational Corporation | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 042105926 | Parent company of South Shore Hospital | MA | 501(c)(3) | 11, Type I | N/A | 0 | |
| South Shore Property Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 050398822 | Develops and manages real property for South Shore Hospital and its affiliates | MA | 501(c)(3) | 11, Type I | 1 | South Shore Hospital | |
| Coastal Medical Associates Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 043170333 | Primary and specialized medical care | MA | 501(c)(3) | 3 | 1 | South Shore Hospital | |
| MetroSouth Obstetrics & Gynecology Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 330998957 | Specialized medical care | MA | 501(c)(3) | 3 | 1 | South Shore Hospital | |
| Atlantic Women's Health Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 200156651 | Specialized medical care | MA | 501(c)(3) | 3 | 1 | South Shore Hospital | |
| Health Provider Services Organization of the South Shore Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 452385865 | Supports the charitable mission of SSH&E and affiliates | MA | 501(c)(3) | 11 | 0 | South Shore Health & Educational Corporation | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Physician-Hospital Organization Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Fogg Road | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043248480 | EIN |
| Primary Activity | Supports SSH Physicians | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 1622258 | ShareOfTotalIncome |
| Share Of EOY Assets | 5832818 | ShareOfEOYAssets |
| Percentage Ownership | 0.5 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Coastal Medical Associates Inc | ||
| a-iv | 182056 | Sublease of medical office space at lease amount. |
| South Shore Property Inc | ||
| a-iv | 63250 | Fair market value of Ambulatory Cancer Center property. |
| South Shore Property Inc | ||
| j | 1634775 | Fair market value for space leased in Ambulatory Cancer Center. |
| South Shore Property Inc | ||
| k | 245737 | Salaries and benefits of Hospital employees. |
| Coastal Medical Associates Inc | ||
| o | 7982734 | Reimbursed services of physicians. |
| Health Provider Services Organization of the South Shore Inc | ||
| o | 302500 | 50% of executive salary per employement agreement. |
| Coastal Medical Associates Inc | ||
| p | 1333440 | Expenses reimbursed at actual cost. |