FURP.ORG / PUBLIC DATA EXPLORER

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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-06T13:56:48-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042769210EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMichael CullenName
TitleSVP/CFO & TreasurerTitle
Phone7816248431Phone
Date Signed2013-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael CullenNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 Fogg roadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode
FieldValueIRS element (for citing)
Gross Receipts458175076GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.southshorehospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSouth Shore Hospital's primary exempt purpose is to provide health care services to the community including surgical, medical and other treatment of the sick and injured.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees4235TotalNbrEmployees
Total Nbr Volunteers613TotalNbrVolunteers
Total Gross UBI516916TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5625887ContributionsGrantsPriorYear
Contributions Grants Current Year11306876ContributionsGrantsCurrentYear
Program Service Revenue Prior Year415901917ProgramServiceRevenuePriorYear
Program Service Revenue CY441000495ProgramServiceRevenueCY
Investment Income Prior Year1651279InvestmentIncomePriorYear
Investment Income Current Year-1562437InvestmentIncomeCurrentYear
Other Revenue Prior Year12448178OtherRevenuePriorYear
Other Revenue Current Year5671150OtherRevenueCurrentYear
Total Revenue Prior Year435627261TotalRevenuePriorYear
Total Revenue Current Year456416084TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year8000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year273956739SalariesEtcPriorYear
Salaries Etc Current Year286974680SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2423600TotalFundrsngExpCurrentYear
Other Expense Prior Year148867086OtherExpensePriorYear
Other Expenses Current Year155126357OtherExpensesCurrentYear
Total Expenses Prior Year422831825TotalExpensesPriorYear
Total Expenses Current Year442112037TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12795436RevenuesLessExpensesPriorYear
Revenues Less Expenses CY14304047RevenuesLessExpensesCY
Total Assets BOY382439885TotalAssetsBOY
Total Assets EOY451819921TotalAssetsEOY
Total Liabilities BOY270921378TotalLiabilitiesBOY
Total Liabilities EOY320117578TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY111518507NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY131702343NetAssetsOrFundBalancesEOY
Mission DescriptionSouth Shore Hospital's primary exempt purpose is to provide health care services to the community including surgical, medical and other treatment of the sick and injured.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense328720807Expense
Grants11000Grants
Revenue441424175Revenue
DescriptionHealth Care Programs, General/Other: South Shore Hospital is a not-for-profit, acute care, regional hospital licensed by the Massachusetts Department of Public Health to operate 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 Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense328720807TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096421NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4235NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed6NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Thomas S Vangel
Director1X000
J Leonard Bicknell
Immediate Past Chairman1X000
Kimberly McLaughlin
Director1X000
John Feldman MD
Director, President Medical Staff1X2020000
Colleen Tondorf
Director1X000
John C Boucher
Director1X000
Brian Hotarek
Chairman of the Board1X000
Sherry Livingston
Director1X000
Kenneth Kirkland
Vice Chairman of the Board1X000
Laura Avakian
Director1X000
Paula Becker
Director1X000
Chris Oddleifson
Director1X000
Richard Aubut
President & CEO45X10753760241441X
Michael Ayers MD
President Health Provider Service Organization1X5666700
David C Howse
Director1X000
Michael Cullen
SVP, CFO & Treasurer45486724048302X
Joseph Cahill
COO45673604090483X
Paul Taylor
Clerk & Sr. Vice President45383080042114X
Rose Dipietro
Vice President Clinical, Home Care, and Support Services45331688067241X
Timothy Quigley
Vice President Nursing Services and Chief Nursing Officer45338221072998X
John Stevenson MD
Vice President45533908095667X
Kathleen Heffernan
Vice President Regulatory Affairs and Chief Risk Officer thru 3/1245255016047993X
Frederick Ayers MD
Chief, Surgery40429418040751X
Richard Mirel MD
Chair, Dpt Medicine45512423018389X
Kenneth McLaughlin MD
ED Staff Physician45449706034137X
Pamela Whelton
Sr Vice President Physician and Network Expansion45345570074550X
Jeffrey Johnson MD
ED Physician45375386038659X
John Benanti MD
Former Chair, Emergency Dept45446208031909X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6713195TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation944634TotalOtherCompensation
Number Individuals GT100 K561NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Brigham Women's Hospital
PO Box 3684BostonMA022413684Physician Services3748358
Aramark Corporation
12483 Collections Center DriveChicagoIL60693Facilities Maintenance1818198
South Shore Anesthesia Associates Inc
163 Libbey PkwyWeymouthMA02189Physician Services1642500
MModal Services LTD
PO Box 120467AtlantaGA30368Transcription Services1171498
Specialized Receivables Inc
PO Box 12414NewarkNJ071013514Billing/Collection959870
FieldValueIRS element (for citing)
Number Of Contractors GT100 K74NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events674521FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants64750GovernmentGrants
All Other Contributions10567605AllOtherContributions
Noncash Contributions2516823NoncashContributions
Total Contributions11306876TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue6220004260978234260978230$0
Ambulatory Cancer Center621000850373085037300$0
Meaningful Use622000507630650763060$0
Rental Income from Affiliates5313903933873933870$0
Miscellaneous Clinics6219903555323555320$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column573717TotalRevenueColumn
Related Or Exempt Function Income573717RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue441000495TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1531078TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,531,078ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1292233Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real718540Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real573693Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column573693TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$573,693ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities-2196557Securities
Other143494Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other1040452Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2196557Securities
Other-896958Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3093515TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$3,093,515ExclusionAmount
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Related Income9000993898783898780$0
Cafeteria Sales722212268047100$2,680,471
Shields Imaging Income621000109599400$1,095,994

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column931114TotalRevenueColumn
Related Or Exempt Function Income33802RelatedOrExemptFunctionIncome
Unrelated Business Revenue516916UnrelatedBusinessRevenue
Exclusion$380,396ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5097457TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column456416084TotalRevenueColumn
Related Or Exempt Function Income441424175RelatedOrExemptFunctionIncome
Unrelated Business Revenue516916UnrelatedBusinessRevenue
Exclusion$3,168,117ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total11000Total
Program Services11000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2167574Total
Program Services1319288ProgramServices
Management And General848286ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total2566379Total
Management And General2566379ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total221569567Total
Program Services168349000ProgramServices
Management And General51651698ManagementAndGeneral
Fundraising1568869Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13680587Total
Program Services10256852ProgramServices
Management And General3423735ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total30766858Total
Program Services23142677ProgramServices
Management And General7624181ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16223715Total
Program Services12163531ProgramServices
Management And General4060184ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total488644Total
Management And General488644ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2004863Total
Management And General2004863ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total314604Total
Management And General314604ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total44689Total
Management And General44689ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total16933545Total
Program Services6403579ProgramServices
Management And General9984073ManagementAndGeneral
Fundraising545893Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total853213Total
Management And General794825ManagementAndGeneral
Fundraising58388Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total57243282Total
Program Services54168077ProgramServices
Management And General2968757ManagementAndGeneral
Fundraising106448Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4858476Total
Management And General4857821ManagementAndGeneral
Fundraising655Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5775396Total
Program Services4042777ProgramServices
Management And General1727655ManagementAndGeneral
Fundraising4964Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total880547Total
Program Services707374ProgramServices
Management And General165837ManagementAndGeneral
Fundraising7336Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total357185Total
Program Services120013ProgramServices
Management And General236964ManagementAndGeneral
Fundraising208Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6558109Total
Program Services4590676ProgramServices
Management And General1967433ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19849146Total
Program Services13894402ProgramServices
Management And General5954744ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2824923Total
Program Services1956496ProgramServices
Management And General868427ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Physician Services138041821380418200
Equipment Maintenance Contracts5343112268091026599852217
Leases5210002449244668211135445
Food3021908163122413895611123

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8760531Total
Program Services4986303ProgramServices
Management And General3682174ManagementAndGeneral
Fundraising92054Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total442112037Total
Program Services328720807ProgramServices
Management And General110967630ManagementAndGeneral
Fundraising2423600Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12489108BOY
EOY15406100EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7217394BOY
EOY10103103EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY46045837BOY
EOY57008864EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4794768BOY
EOY4905982EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2387967BOY
EOY2855011EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis407931414LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec220472930LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY159218754BOY
EOY187458484EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY130026783BOY
EOY144730611EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY7743725BOY
EOY8340580EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12515549BOY
EOY21011186EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY382439885BOY
EOY451819921EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY50683024BOY
EOY60680470EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY567994BOY
EOY711838EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY119142473BOY
EOY128106462EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY916667EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100527887BOY
EOY129702141EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY270921378BOY
EOY320117578EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY97141214BOY
EOY115041829EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY13079185BOY
EOY15352406EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1298108BOY
EOY1308108EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111518507BOY
EOY131702343EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY382439885BOY
EOY451819921EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses14304047ReconcilationRevenueExpenses
Reconcilation Other Changes5879789ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$3,250DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$44,689OtherActivitiesAmount
Total Lobbying Expenditures IIB47939TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12001684BeginningOfYearBalance
Contributions3287147Contributions
Investment Earnings Or Losses159536InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1598226OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance13850141EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.08PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.92TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis163646996OtherCostOrOtherBasis
Depreciation85046336Depreciation
Book Value78600660BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis14550954OtherCostOrOtherBasis
Depreciation2298220Depreciation
Book Value12252734BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis169054220OtherCostOrOtherBasis
Depreciation128775486Depreciation
Book Value40278734BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis55669627OtherCostOrOtherBasis
Depreciation4352888Depreciation
Book Value51316739BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings187458484TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (11 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts129702141TotalOfAmounts
Total Revenue456416084TotalRevenue
Total Expenses442112037TotalExpenses
Excess Or Deficit For Year14304047ExcessOrDeficitForYear
Net Unrealized GL On Investments18190785NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$12,310,996OtherAmount
Total Adjustments5879789TotalAdjustments
Excess Or Deficit Per FS20183836ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt447429034TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues1279682OtherRevenues
Revenue Not Rptd F9901279682RevenueNotRptdF990
Revenue Subtotal446149352RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included10266732OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt10266732RevenueNotRptdOnFinStmt
Total Revenue Per Form990456416084TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt443253354TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included1141317OtherExpensesIncluded
Expenses Not Rptd F9901141317ExpensesNotRptdF990
Expenses Subtotal442112037ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990442112037TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4The Hospital maintains its endowment funds to further its charitable purposes and those of its affiliates. In the past, endowment funds have been used to expand and maintain the Hospital's infrastructure, purchase state-of-the-art medical equipment and provide health and wellness services to the community.
SchD_P10_S00_L02Schedule D, Part X, Line 2The Hospital follows the provisions of FASB Accounting Standards Codification (ASC) 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_L08Schedule D, Part XI, Line 8Pension-related adjustment; -$17,310,996, transfer from affiliate; $5,000,000.
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dNet assets released from restrictions; $1,279,682.
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bContributions; $11,306,876, investment income; $101,173, cost of good sold - shops; -422,777, rental expense; -$718,540.
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dRental expense; $718,540, cost of goods sold - shops; $422,777.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Moonlight & MiraclesNameOfEvent1
Gross Receipts Event1375689GrossReceiptsEvent1
Charitable Contributions Event1208017CharitableContributionsEvent1
Gross Revenue Event1167672GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event15795NonCashPrizesEvent1
Rent Facility Costs Event122546RentFacilityCostsEvent1
Food And Beverage Event134450FoodAndBeverageEvent1
Entertainment Event182191EntertainmentEvent1
Other Direct Expenses Event122690OtherDirectExpensesEvent1
Name Of Event2Walk for HospiceNameOfEvent2
Gross Receipts Event2206972GrossReceiptsEvent2
Charitable Contributions Event2137418CharitableContributionsEvent2
Gross Revenue Event269554GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event26971RentFacilityCostsEvent2
Food And Beverage Event26870FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event255713OtherDirectExpensesEvent2
Total Number Of Other Events9TotalNumberOfOtherEvents
Gross Receipts Other Events505838GrossReceiptsOtherEvents
Charitable Contrib Other Events329086CharitableContribOtherEvents
Gross Revenue Other Events176752GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events4200NonCashPrizesOtherEvents
Rent Facility Costs Other Events80743RentFacilityCostsOtherEvents
Food And Beverage Other Events43257FoodAndBeverageOtherEvents
Entertainment Other Events19099EntertainmentOtherEvents
Other Direct Expenses Other Events29453OtherDirectExpensesOtherEvents
Gross Receipts Total1088499GrossReceiptsTotal
Charitable Contributions Total674521CharitableContributionsTotal
Gross Revenue Total Events413978GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events9995NonCashPrizesTotalEvents
Rent Facility Costs Total Events110260RentFacilityCostsTotalEvents
Food And Beverage Total Events84577FoodAndBeverageTotalEvents
Entertainment Total Events101290EntertainmentTotalEvents
Other Direct Expenses Total Events107856OtherDirectExpensesTotalEvents
Direct Expense Summary Events413978DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4262613TotalCommunityBenefitExpense
Direct Offsetting Revenue76090DirectOffsettingRevenue
Net Community Benefit Expense4186523NetCommunityBenefitExpense
Percent Of Total Expense0.0093PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense46330371TotalCommunityBenefitExpense
Direct Offsetting Revenue37961418DirectOffsettingRevenue
Net Community Benefit Expense8368953NetCommunityBenefitExpense
Percent Of Total Expense0.0187PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2919375TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2919375NetCommunityBenefitExpense
Percent Of Total Expense0.0065PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense53512359TotalCommunityBenefitExpense
Direct Offsetting Revenue38037508DirectOffsettingRevenue
Net Community Benefit Expense15474851NetCommunityBenefitExpense
Percent Of Total Expense0.0345PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense821465TotalCommunityBenefitExpense
Direct Offsetting Revenue15146DirectOffsettingRevenue
Net Community Benefit Expense806319NetCommunityBenefitExpense
Percent Of Total Expense0.0018PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense785988TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense785988NetCommunityBenefitExpense
Percent Of Total Expense0.0018PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense46822406TotalCommunityBenefitExpense
Direct Offsetting Revenue41696693DirectOffsettingRevenue
Net Community Benefit Expense5125713NetCommunityBenefitExpense
Percent Of Total Expense0.0114PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense221091TotalCommunityBenefitExpense
Direct Offsetting Revenue34151DirectOffsettingRevenue
Net Community Benefit Expense186940NetCommunityBenefitExpense
Percent Of Total Expense0.0004PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense46800TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense46800NetCommunityBenefitExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense48697750TotalCommunityBenefitExpense
Direct Offsetting Revenue41745990DirectOffsettingRevenue
Net Community Benefit Expense6951760NetCommunityBenefitExpense
Percent Of Total Expense0.0155PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense102210109TotalCommunityBenefitExpense
Direct Offsetting Revenue79783498DirectOffsettingRevenue
Net Community Benefit Expense22426611NetCommunityBenefitExpense
Percent Of Total Expense0.0500PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense76989TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense76989NetCommunityBuildingExpense
Percent Of Total Expense0.0002PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense55364TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense55364NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense65462TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense65462NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense159028TotalCommunityBuildingExpense
Direct Offsetting Revenue30746DirectOffsettingRevenue
Net Community Building Expense128282NetCommunityBuildingExpense
Percent Of Total Expense0.0003PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense810807TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense810807NetCommunityBuildingExpense
Percent Of Total Expense0.0018PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense1167650TotalCommunityBuildingExpense
Direct Offsetting Revenue30746DirectOffsettingRevenue
Net Community Building Expense1136904NetCommunityBuildingExpense
Percent Of Total Expense0.0025PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$10,401,481BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare114112087AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare124149052CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-10036965MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1South Shore Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities6NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

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

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L07Schedule H, Part I, Line 7South Shore Hospital uses the cost to charge ratio for calculating amounts in the table for Line 7. The cost to charge ratio is total patient care costs divided by total patient care charges per Worksheet S-10, line 1 of the Medicare Cost Report. Bad debt is not included in any amounts reported in the table.
SchH_P01_S00_L072fSchedule H, Part I, Line 7, Column fThe Hospital does not include bad debt in its Statement of Functional Expenses, Form 990, Part IX; not applicable.
SchH_P01_S00_L07gSchedule H, Part I, Line 7gNot applicable.
SchH_P02_S00_L00Schedule H, Part IICommunity building activities are undertaken to meet the needs of residents of southeastern Massachusetts. Programs such as the courtesy coach and MD access and referral line help reduce health disparities by providing access to care. South Shore Hospital's emergency preparedness, infection control, clinical and medical workforce development programs insure the needs of the community are met. The Hospital provides services such as pastoral care to patients and their families.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4Uncompensated care expense in the statements of operations and changes in net assets represents the Hospital's payments to the statewide Health Safety Net Fund (HSN), net of recoveries from HSN for reimbursable bad debts.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8South Shore Hospital provides a valuable community benefit by treating all individuals within the Hospital's service area, regardless of ability to pay. One 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_L09bSchedule H, Part III, Section C, Line 9bThe Hospital does not bill the following categories of patients (except that the Hospital will bill patients for any applicable co-pays or deductibles required by a particular assistance program): patients enrolled in MassHealth, patients receiving governmental benefits under the Emergency Aid to the Elderly and Disabled Children program and in the Healthy Start Program. Also, participants in the Children's Medical Security Plan whose family income is equal to or less than 400% of the FPL are exempt from collection action. Low income patients, determined pursuant to 114.6 CMR 13.04(2), are exempt from collection action for any eligible services, except for co-payments and deductibles that are not eligible services under 114.6 CMR 12.03(6)(b). Low income patients, determined pursuant to 114.6 CMR 12.03 (3)(b), within 201-400% of the FPL are exempt from collection action for the portion of the provider bill that exceeds the deductible and may be billed for co-payments and deductibles as set forth in 114.6 CMR 13.04. SSH may bill low income patients for services other than eligible services provided at the request of the patient and for which the patient has agreed to be responsible if providers receive the patient's written consent to be billed for the services. The Hospital will not undertake collection action against an individual that has qualified for medical hardship with respect to the amount of the bill that exceeds the medical hardship contribution. SSH will not continue collection or billings on a patient who is a member of bankruptcy proceedings except to secure its rights as a creditor in the appropriate order. The Hospital may initiate billing for a patient who claims to be eligible for assistance programs but fails to provide proof of eligibility. Upon receipt of satisfactory proof of eligibility, the Hospital shall cease all collection activities. The Hospital, or its agents, will not charge interest on an overdue balance for a low income patient or for patients who are low income based on the Hospital's own internal financial assistance program.
SchH_P05_S0A_L00Schedule H, Part V, Section AOther medical services include: physician offices, outpatient surgical centers, radiology/mammography offices, wound care center, ambulatory cancer center and center for orthopedics, spine and sports medicine. Some of these services are provided at satellite locations, all of which are included in the Hospital's license.
SchH_P05_S0B_L13Schedule H, Part V, Section B, Line 13The 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_L19Schedule H, Part V, Section B, Line 19FAP-eligible individuals are billed at 70% of charges.
SchH_P06_S00_L02Schedule H, Part VI, Line 2The Hospital's most recent Community Health Needs Assessment was completed in September 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_L03Schedule H, Part VI, Line 3South Shore Hospital prominently displays its financial assistance information in public areas throughout the Hospital. Information is provided to individuals during the intake process. The Hospital provides its credit and collection policy on its website. This document explains how individuals may be eligible for assistance under federal and state programs as well as the Hospital's reduced fee and charity care policies. In addition, the Hospital's insurance counselors can explain various options and will help anyone who wants assistance with health insurance enrollment under the Commonwealth's Health Care Reform Law. Counselors are available to assist patients during the intake process and are also available to the public six 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_L04Schedule H, Part VI, Line 4South Shore Hospital serves an area south of Boston with a population of approximately 725,000. The majority of patients identify themselves as Caucasian (94%), followed by Black/African American (1.8%), Other (1.8%) and Asian (.9%). After English, the next most common languages that patients reported speaking as a primary language are Portuguese, Spanish, Vietnamese and Arabic.
SchH_P06_S00_L05Schedule H, Part VI, Line 5South Shore Hospital is committed to providing community building activities that promote the health and wellbeing of all the people in our area. The Hospital provides pastoral care to patients and their families. People living within the Hospital's service area may receive help in finding affordable health insurance and are assisted in finding medical care through our MD access and referral programs. The Hospital eliminates barriers to care by providing a courtesy coach to any patient needing transportation to or from its facilities. We have made a commitment to physician recruitment in specialties that meet community needs, now and in the future, and to providing our clinicians with continuing medical education. South Shore Hospital has invested in emergency preparedness training and equipment to serve the community in the event of a natural or man-made disaster. The Hospital has partnered with towns in its service area to treat underserved and at-risk populations. The Hospital makes its Community Benefits Report and current year Community Benefits Plan available through mailings and on its website: 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_L06Schedule H, Part VI, Line 6South Shore Hospital is not part of an affiliated health care system.
SchH_P06_S00_L07Schedule H, Part VI, Line 7South Shore Hospital files its Community Benefits report in Massachusetts.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFriends Scholarships for students pursuing health care degrees.TypeOfGrant
Number Of Recipients11NumberOfRecipients
Amount Of Cash Grant11000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationCashMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchI_P01_S00_L02Schedule I, Part I, Line 2South Shore Hospital administers grants in accordance with grantor documents and maintains records to substantiate compliance. Grantees are required to provide evidence of meeting criteria established for various assistance grants or scholarships awarded by the Hospital.
SchI_P03_S00_L00Schedule I, Part IIIThe Friends of South Shore Hospital, an auxiliary Hospital organization, offers several scholarships to students pursuing health care degrees. Individuals must apply for these scholarships and present evidence that they meet the qualifications. The Nursing Scholarship is for a full-time or regular part-time employee of South Shore Hospital. The employee must be presently enrolled at an accredited school pursuing a BSN degree or higher. The Marion C. Martinsen Scholarship is for a high school senior or graduate from an accredited public, private or parochial school. The Volunteers and Families Scholarship is for an active volunteer, child or grandchild of an active South Shore Hospital or home care division volunteer. The Health Related Field Scholarship is for a full-time or regular part-time employee of South Shore Hospital presently enrolled at an accredited school pursuing an associate degree, a bachelor's degree or for technical accreditation in a health related field. The Terry Ries Nursing Education and Development Scholarship is for full-time or regular part-time employees who have been employed for at least a year and accepted into an accredited program to begin or advance their nursing career. Eleven $1,000 scholarships were awarded in fiscal 2012.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Richard Aubut
74033403810902969330220760020681013168170381090
Michael Cullen
402742028400811430276210206800535026028400
Joseph Cahill
474098099236010027006980102068207640870992360
Paul Taylor
333396096330400510264760156380425194096330
Frederick Ayers MD
39008902367501565402205001870004701680236750
Richard Mirel MD
4561100456450106680183890005308120456450
John Benanti MD
38937602123203560001627201563804781180212320
Rose Dipietro
3004460335690-23270578900935103989290335690
Timothy Quigley
29750402965601106104833402466404112190296560
Pamela Whelton
2756440653820454405386902068104201200653820
John Stevenson MD
42365308912002113507498602068106295750891200
Kathleen Heffernan
2305540280100-354802929201870103030090280100
Kenneth McLaughlin MD
455030000-53240154360187010483843000
Jeffrey Johnson MD
380694000-53080179780206810414045000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aTax indemnification and gross-up payments are reported as income because the Hospital grosses up imputed income from split dollar policies and premiums for long-term disability coverage. Health or social club dues or initiation fees are reported as income for reimbursement of health club memberships/dues up to a certain dollar level. Personal services are reported as income for reimbursement of financial services expenses up to a certain level.
SchJ_P01_S00_L03Schedule J, Part I, Line 3The Hospital has a Compensation Committee that meets periodically and engages an independent external compensation consulting firm to establish the compensation of the CEO and other key 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_L04Schedule J, Part I, Line 4The 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

FieldValueIRS element (for citing)
Business Name Line1Massachusetts Health and Educational Facilities AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN042456011IssuerEIN
CUSIP Number57586CS22CUSIPNumber
Date Issued2008-02-28DateIssued
Issue Price94585000IssuePrice
Description Of PurposeSee Part VI for complete descriptionDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired16255000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds94994157TotalProceeds
Amount In Reserve Fund1306AmountInReserveFund
Capitalized Interest430596CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds992237IssuanceCostsFromProceeds
Credit Enhancement1532325CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures37980165CapitalExpenditures
Other Spent Proceeds46929086OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.022PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0.022TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Deutche BankBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge24.3TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC1GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1AIGMFCBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC.6TermOfGIC
Regulatory Safe Harbor Satisfied1RegulatorySafeHarborSatisfied
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchK_P01_S00_L00fSchedule K, Part I, Column fSeries 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_L03Schedule K, Part II, Line 3Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
SchK_P02_S00_L04Schedule K, Part II, Line 4The amount shown here consists of a debt service fund deposit.
SchK_P04_S00_L05Schedule K, Part IV, Line 5This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of the bond.
SchK_P05_S00_L00Schedule K, Part VSouth 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 LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Richard Aubut
Split dollar insurance premiumsX$5,052,9895052989011
Joseph Cahill
Split dollar insurance premiumsX$1,798,5181798518011
Michael Cullen
Split dollar insurance premiumsX$1,489,5351489535011
Paul Taylor
Split dollar insurance premiumsX$1,238,6911238691011
Frederick Ayers MD
Split dollar ins premiumsX$870,183870183011
Timothy Quigley
Split dollar ins premiumsX$231,469231469011
Pamela Whelton
Split dollar ins premiumsX$194,939194939011
John Stevenson MD
Split dollar ins premiumsX$319,304319304011
FieldValueIRS element (for citing)
Total Balance Due11195628TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Michael Ayers MD
SSH director and greater than 5% Member of South Shore Orthopedics, LLC856700Independent Contractor0
Michael Ayers MD
SSH director and greater than 5% Member of SurgiSouth, LLC699996Independent Contractor0
Frederick Ayers MD
Chairman SSH Department of Surgery and father of SSH director Michael Ayers470170Employment0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F9902516823NoncashContribsRptdF990
Method Of Determining RevenuesSee Part IIMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchM_P01_S00_L09Schedule M, Part I, Line 9Valuations for stock transactions are sales price less commission.
SchM_P01_S00_L32bSchedule M, Part I, Line 32bThe 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2J. 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_L11bForm 990, Part VI, Section B, Line 11bThe organization's Form 990 is prepared internally and reviewed by the tax practice of its independent auditors. The return is then reviewed by the CFO and 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_L12cForm 990, Part VI, Section B, Line 12cEmployees and board members are required to sign a conflict of interest form annually. The forms are reviewed for conflicts or potential conflicts. Board members abstain from voting on matters that present a conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15South 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_L19Form 990, Part VI, Section C, Line 19South Shore Hospital makes its governing documents, conflict of interest policy and financial statements available for inspection to the general public at the Corporation's office. Copies of these documents are available upon request. In addition, certain governing documents are available through the Massachusetts Secretary of the Commonwealth's Corporations Division database.
F990_P11_S00_L05Form 990, Part XI, Line 5Transfer 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
South Shore Health & Educational Corporation
55 Fogg RoadSouth WeymouthMA02190042105926Parent company of South Shore HospitalMA501(c)(3)11, Type IN/A0
South Shore Property Inc
55 Fogg RoadSouth WeymouthMA02190050398822Develops and manages real property for South Shore Hospital and its affiliatesMA501(c)(3)11, Type I1South Shore Hospital
Coastal Medical Associates Inc
55 Fogg RoadSouth WeymouthMA02190043170333Primary and specialized medical careMA501(c)(3)31South Shore Hospital
MetroSouth Obstetrics & Gynecology Inc
55 Fogg RoadSouth WeymouthMA02190330998957Specialized medical careMA501(c)(3)31South Shore Hospital
Atlantic Women's Health Inc
55 Fogg RoadSouth WeymouthMA02190200156651Specialized medical careMA501(c)(3)31South Shore Hospital
Health Provider Services Organization of the South Shore Inc
55 Fogg RoadSouth WeymouthMA02190452385865Supports the charitable mission of SSH&E and affiliatesMA501(c)(3)110South Shore Health & Educational Corporation

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Fogg RoadAddressLine1
CitySouth WeymouthCity
StateMAState
ZIP Code02190ZIPCode
FieldValueIRS element (for citing)
EIN043248480EIN
Primary ActivitySupports SSH PhysiciansPrimaryActivity
Legal Domicile StateMALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income1622258ShareOfTotalIncome
Share Of EOY Assets5832818ShareOfEOYAssets
Percentage Ownership0.5PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Coastal Medical Associates Inc
a-iv182056Sublease of medical office space at lease amount.
South Shore Property Inc
a-iv63250Fair market value of Ambulatory Cancer Center property.
South Shore Property Inc
j1634775Fair market value for space leased in Ambulatory Cancer Center.
South Shore Property Inc
k245737Salaries and benefits of Hospital employees.
Coastal Medical Associates Inc
o7982734Reimbursed services of physicians.
Health Provider Services Organization of the South Shore Inc
o30250050% of executive salary per employement agreement.
Coastal Medical Associates Inc
p1333440Expenses reimbursed at actual cost.