SOUTH SHORE MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTH SHORE MEDICAL CENTER (EIN 04-2297845)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349301762
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)
Timestamp2012-11-15T08:48:14-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN043138777EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PKF PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 400AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042297845EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTH SHORE MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone7818785200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 WASHINGTON STREETAddressLine1
CityNORWELLCity
StateMAState
ZIP Code020619147ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD A KAUFFName
TitlePRESIDENTTitle
Phone7818785200Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT V DANDROWName
PTINP00294799PTIN
Phone6174220007Phone
Date Prepared2012-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD A KAUFFNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line175 WASHINGTON STREETAddressLine1
CityNORWELLCity
StateMAState
ZIP Code020619147ZIPCode
FieldValueIRS element (for citing)
Gross Receipts128281441GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SSMEDCENTER.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionWE CARE FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR OUR COMMUNITIES THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION, AND PHILANTHROPY.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees578TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year113499460ProgramServiceRevenuePriorYear
Program Service Revenue CY127902789ProgramServiceRevenueCY
Investment Income Prior Year183468InvestmentIncomePriorYear
Investment Income Current Year164238InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year113682928TotalRevenuePriorYear
Total Revenue Current Year128067027TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year50199GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY41130GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year39040230SalariesEtcPriorYear
Salaries Etc Current Year40537868SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year73349190OtherExpensePriorYear
Other Expenses Current Year84576093OtherExpensesCurrentYear
Total Expenses Prior Year112439619TotalExpensesPriorYear
Total Expenses Current Year125155091TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1243309RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2911936RevenuesLessExpensesCY
Total Assets BOY24019919TotalAssetsBOY
Total Assets EOY27778069TotalAssetsEOY
Total Liabilities BOY14441573TotalLiabilitiesBOY
Total Liabilities EOY15435561TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9578346NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12342508NetAssetsOrFundBalancesEOY
Mission DescriptionWE CARE FOR PATIENTS COMPASSIONATELY AND EFFECTIVELY, WITH THE HIGHEST MEDICAL AND ETHICAL STANDARDS. WE BUILD A BETTER FUTURE FOR OUR COMMUNITIES THROUGH TEACHING, LEADERSHIP IN HEALTH CARE INNOVATION, AND PHILANTHROPY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense119449462Expense
Grants41130Grants
Revenue127902789Revenue
DescriptionTHE ORGANIZATION PROVIDED MEDICAL, PREVENTATIVE AND OTHER CLINICAL SERVICES TO ITS PATIENTS THROUGH 201,335 PATIENT VISITS (INCLUDING 17,620 MEDICAID VISITS AND 21,271 MEDICARE VISITS). THE ORGANIZATION WORKS WITH THE OTHER PARTICIPATING ORGANIZATIONS OF ATRIUS HEALTH, INC. TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES PROVIDED TO PATIENTS IN EASTERN AND CENTRAL MASSACHUSETTS THROUGH CLINICAL INTEGRATION AND THE IMPLEMENTATION OF A UNIFIED ELECTRONIC MEDICAL RECORD SYSTEM. THE ORGANIZATION PARTICIPATED IN EDUCATIONAL AND TRAINING PROGRAMS FOR MEDICAL STUDENTS AND MEDICAL RESIDENTS AND FOR OTHER HEALTHCARE PROFESSIONALS INCLUDING PHYSICIAN ASSISTANTS AND NURSES.Description
Total Program Service Expense119449462TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees578NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHOMAS CARROLLNamePerson
Telephone Number7812614785TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line175 WASHINGTON STREETAddressLine1
CityNORWELLCity
StateMAState
ZIP Code020619147ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
GINA S BOUTWELL MD
TRUSTEE; PEDIATRICIAN50.00X262314058135
SCOTT P CORKINS MD
TRUSTEE; FAMILY PRACTICE PHY.50.00X308436048073
RICHARD A KAUFF MD
T'EE/PRES/PEDIATRICIAN50.00X283154063320X
INGRID E KOTCH MD
T'EE/CLERK TO 6.1;OB/GYN PHY.40.00X268893058985X
ROBERT C MELLORS MD
TRUSTEE; INTERNAL MEDICINE PHY.50.00X191520054413
SARAH G MURPHY MD
TRUSTEE; INTERNAL MEDICINE PHY.50.00X300180060683
BENJAMIN C RYAN MD
T'EE/CLERK EFF 6.1;FAMILY PRACTICE50.00X307307050758X
JOHN L TURNER MD
T'EE/TREASURER;INTERNAL MEDICINE PHY.50.00X17368104841X
EDWARD W NALBAND MD
CHIEF MEDICAL OFFICER60.003234482750055959X
THOMAS E CARROLL JR
CFO55.00251145058929X
MARK FLIEGER
CIO50.00225515050788X
PEGGY S HAFKEMEYER
COO50.00216336043545X
STANLEY R SACON PHD
CEO50.00288652056374X
MARK BULMAN MD
SURGEON50.00390881050656X
LISA GIONI DO
OB-GYN PHYSICIAN50.00330508041780X
MATTHEW R HJORT MD
PEDIATRICIAN50.00313980053360X
ROBERT YOUNG MD
SURGEON50.00326684056339X
KAREN E ZEMEL MD
PEDIATRICIAN50.00306195061156X
LAURA M NOWOSIELSKI MD
FMR OFF/T'EE; FAMILY PRACTICE PHY.50.00148014044857X
ROBERT L VANDERLIN MD
FMR PRESIDENT;OB/GYN PHYSICIAN50.00427374067959X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5644217TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs27500TotalReportableCompFrmRltdOrgs
Total Other Compensation1040910TotalOtherCompensation
Number Individuals GT100 K64NumberIndividualsGT100K
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
GK DERMATOLOGY PC
316 ADAMS STMILTONMA02186PHYSICIAN664642
THOMAS KENNEY MD INC
2110 DORCHESTER AVEBOSTONMA02124PHYSICIANS486104
SS ORTHOPEDICS LLC
51 PERFORMANCE DR SUITE 300WEYMOUTHMA02189PHYSICIANS318866
TAMSIN KNOX MD
43 CHESTNUT STDEDHAMMA02026PHYSICIAN316823
DOCTOR'S FOOT CARE GROUP PC
111 WILLARD ST SUITE GCQUINCYMA02169PHYSICIAN248566
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAPITATION FEES6211108290389382903893
FEE FOR SERVICE6211102982336529823365
MEDICARE/MEDICAID6211101303708213037082
OTHER62111020949692094969
PROGRAM RELATED INV.6211104348043480
FieldValueIRS element (for citing)
Total Program Service Revenue127902789TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column131061TotalRevenueColumn
Exclusion$131,061ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities247591Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities214414Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities33177Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column33177TotalRevenueColumn
Exclusion$33,177ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column128067027TotalRevenueColumn
Related Or Exempt Function Income127902789RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$164,238ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total41130Total
Program Services41130ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3624617Total
Program Services2954219ProgramServices
Management And General670398ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28850828Total
Program Services27486854ProgramServices
Management And General1363974ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1428511Total
Program Services1390983ProgramServices
Management And General37528ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4703979Total
Program Services4400189ProgramServices
Management And General303790ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1929933Total
Program Services1789274ProgramServices
Management And General140659ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total65989Total
Management And General65989ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8000Total
Management And General8000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total73809978Total
Program Services71845575ProgramServices
Management And General1964403ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2600Total
Management And General2600ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1469459Total
Program Services894315ProgramServices
Management And General575144ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total429958Total
Program Services197076ProgramServices
Management And General232882ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2984754Total
Program Services2649531ProgramServices
Management And General335223ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total82907Total
Program Services77868ProgramServices
Management And General5039ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total65601Total
Program Services65601ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total17134Total
Program Services17134ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1323403Total
Program Services1323403ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1232274Total
Program Services1232274ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL GOODS/SUPPLIES27730762773076
BAD DEBT EXPENSE310960310960

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total125155091Total
Program Services119449462ProgramServices
Management And General5705629ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8665065BOY
EOY8479958EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3651689BOY
EOY6526936EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY328179BOY
EOY302484EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY106566BOY
EOY29167EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY43182BOY
EOY43252EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY275324BOY
EOY375846EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7875109LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4016745LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4578719BOY
EOY3858364EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2341224BOY
EOY4671676EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2680503BOY
EOY1796383EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1349468BOY
EOY1694003EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24019919BOY
EOY27778069EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13221669BOY
EOY14236208EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY570973BOY
EOY513153EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY648931BOY
EOY686200EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14441573BOY
EOY15435561EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9578346BOY
EOY12342508EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9578346BOY
EOY12342508EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24019919BOY
EOY27778069EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2911936ReconcilationRevenueExpenses
Reconcilation Other Changes-147774ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82160357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85774572CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104173663CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113499460CurrentTaxYearMinus1Year
Current Tax Year127902789CurrentTaxYear
Total513510841Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82160357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85774572CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104173663CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113499460CurrentTaxYearMinus1Year
Current Tax Year127902789CurrentTaxYear
Total513510841Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509513510841PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years359353CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105458CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year160317CurrentTaxYearMinus1Year
Current Tax Year131061CurrentTaxYear
Total996188Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years359353CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239999CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105458CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year160317CurrentTaxYearMinus1Year
Current Tax Year131061CurrentTaxYear
Total996188Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82519710CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86014571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years104279121CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113659777CurrentTaxYearMinus1Year
Current Tax Year128033850CurrentTaxYear
Total514507029Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99810PublicSupportPercentage509
Prior Year Support Percentage0.99740PriorYearSupportPercentage
Investment Income Percentage0.00190InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00260PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis342296OtherCostOrOtherBasis
Book Value342296BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis871553OtherCostOrOtherBasis
Depreciation397803Depreciation
Book Value473750BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis555932OtherCostOrOtherBasis
Depreciation274585Depreciation
Book Value281347BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis362473OtherCostOrOtherBasis
Depreciation209188Depreciation
Book Value153285BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5742855OtherCostOrOtherBasis
Depreciation3135169Depreciation
Book Value2607686BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3858364TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
VENTURE 2-BRN, LLC (AT EQUITY)-MRI SERVICES1309528C
VENTURE 3-WW, LLC (AT EQUITY)-CATSCAN & ONCOLOGY SERVICES-798311C
VENTURE 4-WW2, LLC (AT EQUITY)-IMAGING CENTER1005441C
VENTURE V-90 LIBBEY, LLC (AT EQUITY)-ENDOSCOPY SUITE279725C
FieldValueIRS element (for citing)
Total Of Book Value Program Related1796383TotalOfBookValueProgramRelated

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM RELATED ENTITY - HARVARD VANGUARD MEDICAL ASSOCIATES, INC., INC.Description
Book Value1694003BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1694003TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO RELATED ENTITY - GRANITE MEDICAL GROUP, INC.$254,001
PAYABLE TO RELATED ENTITY - ATRIUS HEALTH, INC.$432,199
FieldValueIRS element (for citing)
Total Of Amounts686200TotalOfAmounts
Total Revenue128067027TotalRevenue
Total Expenses125155091TotalExpenses
Excess Or Deficit For Year2911936ExcessOrDeficitForYear
Net Unrealized GL On Investments-147774NetUnrealizedGLOnInvestments
Total Adjustments-147774TotalAdjustments
Excess Or Deficit Per FS2764162ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt134529993TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-147774NetUnrealizedGainsInvestments
Other Revenues6610740OtherRevenues
Revenue Not Rptd F9906462966RevenueNotRptdF990
Revenue Subtotal128067027RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990128067027TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt131765831TotExpensesEtcAuditedFinclStmt
Other Expenses Included6610740OtherExpensesIncluded
Expenses Not Rptd F9906610740ExpensesNotRptdF990
Expenses Subtotal125155091ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990125155091TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSE ADJUSTMENTS REPORTED AS OTHER REVENUE FOR FINANCIAL REPORTING 5,154,724. PARTNERSHIP LOSS REPORTED AS EXPENSE FOR FINANCIAL REPORTING 1,456,016.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSE ADJUSTMENTS REPORTED AS OTHER REVENUE FOR FINANCIAL REPORTING 5,154,724. PARTNERSHIP LOSS REPORTED AS EXPENSE FOR FINANCIAL REPORTING 1,456,016.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ATRIUS HEALTH FOUNDATION INC
275 GROVE ST SUITE 3-300NEWTONMA02466264517944501 (C)(3)5000TSUNAMI RELIEF FUND
AMERICAN HEART ASSOCIATION
20 SPEEN ST PO BOX 9376FRAMINGHAMMA01701135613797501 (C)(3)5000SUPPORT AMERICAN HEART WALK FUND-RAISER
SOUTH SHORE HOUSING DEVELOPMENT CORP
169 SUMMER STKINGSTONMA02364237131446501 (C)(3)7500LOW INCOME HOUSING ASSISTANCE
SOUTH SHORE HOSPITAL FOUNDATION
55 FOGG ROADS WEYMOUTHMA02190042769210501 (C)(3)5000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: SUBSTANTIALLY ALL GRANTS MADE ARE TO WELL KNOWN CHARITIES FOR THE GENERAL PURPOSES OF THE CHARITY; ACCORDINGLY, THE ORGANIZATION'S MONITORING OF GRANTS TO RECIPIENTS IS LIMITED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 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
GINA S BOUTWELL MD
25286006429030250308310273040320449000
SCOTT P CORKINS MD
29998906429020180232730248000356509000
RICHARD A KAUFF MD
27361006429031150338310294890346474000
INGRID E KOTCH MD
25942006429030440308310281540327878000
ROBERT C MELLORS MD
18194406429031470258880285250245933000
SARAH G MURPHY MD
29070506429030460308310298520360863000
BENJAMIN C RYAN MD
29885406429020240232730274850358065000
JOHN L TURNER MD
173681000000048410178522000
EDWARD W NALBAND MD
319357275009480314303383102212803794072750000
THOMAS E CARROLL JR
24168706429030290308310280980310074000
MARK FLIEGER
21594407500020710247920259960276303000
PEGGY S HAFKEMEYER
20680007500020360240630194820259881000
STANLEY R SACON PHD
27895106429032720338310225430345026000
MARK BULMAN MD
38219706429022550248310258250441537000
LISA GIONI DO
32206606429020130232730185070372288000
MATTHEW R HJORT MD
30553106429020200248310285290367340000
ROBERT YOUNG MD
31807406429021810268310295080383023000
KAREN E ZEMEL MD
29673106429030350308310303250367351000
LAURA M NOWOSIELSKI MD
89243064290523420249940198630192871000
ROBERT L VANDERLIN MD
31823306429010271203383103412804953330588090

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 5WHILE COMPENSATION PROVIDED TO THE PHYSICIAN EMPLOYEES OF THE ORGANIZATION DEPENDS ON THE REVENUE OF THE ORGANIZATION, THE COMPENSATION PAYABLE TO EACH PHYSICIAN IS DETERMINED BASED ON THAT PHYSICIAN'S PRODUCTIVITY AND THE PROFESSIONAL REVENUE THAT THEY PRODUCE.
PART I, LINE 7DISCRETIONARY BONUSES ARE DETERMINED BY THE BOARD/COMPENSATION COMMITTEE BASED ON ORGANIZATIONAL PERFORMANCE, RESULTS AND OTHER FACTS AND CIRCUMSTANCES THAT ARE REVIEWED IN THEIR ENTIRETY IN ASSURING AND CONFIRMING THE REASONABLENESS OF TOTAL COMPENSATION PROVIDED. COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SSMC AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE.

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreementLoan To OrganizationLoanToOrganization
SOUTH SHORE MEDICAL ASSOCIATES DIV
FUNDS FOR ADDITION TO PROPERTY LEASED BY SSMC FROM SSMAX$400,000302484011
PAYABLE TO VAR SSMC PHYSICIANS AT
WORKING CAPITAL$707,000513153011X
FieldValueIRS element (for citing)
Total Balance Due815637TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SOUTH SHORE MEDICAL ASSOCIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipOWNED BY SSMC PHYSICIANS - 21.19% BY 7 CURRENT/FORMER O/D/K - PART VIIRelationship
Amount Of Transaction898804AmountOfTransaction
Description Of TransactionSSMC LEASES ITS FACILITIES IN NORWELL AND KINGSTON MA FROM SSMA. THE INITIAL LEASE ENDED IN 2009. FROM 2009 THROUGH SEPTEMBER 2011 SSMC LEASED THE FACILITIES UNDER TENANT AT WILL ARRANGEMENTS. THE CURRENT LEASES WERE EFFECTIVE OCTIBER 1, 2011 AND END ON SEPTEMBER 30, 2014 FOR THE NORWELL FACILITY AND SEPTEMBER 30, 2016 FOR THE KINGSTON FACILITY.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2SSMC LEASES ITS NORWELL AND KINGSTON FACILITIES FROM SOUTH SHORE MEDICAL ASSOCIATES ("SSMA"). SSMA IS OWNED BY PHYSICIANS EMPLOYED BY SSMC. 22.19% OF THE TOTAL OWNERSHIP OF SSMA IS HELD BY SEVEN (7) OF THE CURRENT/FORMER OFFICERS, TRUSTEES AND KEY EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A.
FORM 990, PART VI, SECTION A, LINE 6SOUTH SHORE MEDICAL CENTER, INC. ("SSMC") HAS TWO CLASSES OF MEMBERS: THE CORPORATE MEMBER (ATRIUS HEALTH, INC.) - THE CORPORATE MEMBER CAN BE REMOVED ONLY IF SSMC IS REMOVED, BY THE CORPORATE MEMBER, AS A PARTICIPATING ORGANIZATION IN THE ATRIUS HEALTH SYSTEM. THE CORPORATE MEMBER HAS CERTAIN DEFINED APPROVAL RIGHTS OF THE ACTIONS OF THE CORPORATION. THE PHYSICIAN MEMBERS - THE PHYSICIAN MEMBERS ARE NOT MEMBERS OF THE CORPORATION WITHIN THE MEANING OF CHAPTER 180 OF THE MASSACHUSETTS GENERAL LAWS. ELECTION OF NEW PHYSICIAN MEMBERS REQUIRES AN AFFIRMATIVE VOTE OF TWO-THIRDS OF THE VOTING INTEREST OF THE PHYSICIAN MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES IS COMPRISED OF SIX VOTING TRUSTEES, ALL OF WHOM MUST BE A PHYSICIAN MEMBER. OF THE SIX TRUSTEES, FOUR MUST BE APPROVED BY THE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BMOST MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SSMC'S CORPORATE MEMBER. THE CORPORATE MEMBER MUST APPROVE ALL BUDGETS, PLANS, AND MATERIAL CHANGES; APPROVE ALL PROGRAM CHANGES; APPROVE ANY AMENDMENT TO THE ARTICLES OF ORGANIZATION AND OR BY-LAWS; APPROVE COMPENSATION STRUCTURES AND RANGES FOR SSMC'S DIRECTORS, PHYSICIANS, SENIOR MANAGERS AND OTHER PROFESSIONALS; AND, IN GENERAL APPROVE ANY OTHER ACTIONS NOT IN THE NORMAL COURSE OF BUSINESS. IN ADDITION TO POWERS PROVIDED BY LAW, THE ARTICLES OF ORGANIZATION AND SSMC'S BY-LAWS, THE CORPORATE MEMBER HAS AUTHORITY TO: (A) LEVY ASSESSMENTS TO COVER THE CORPORATE MEMBER'S COSTS OF OPERATIONS; (B) APPROVE, OR DISAPPROVE, THE SELECTION AND REMOVAL OF AT LEAST FIFTY PERCENT (50%) BUT LESS THAN EIGHTY PERCENT (80%) OF THE TRUSTEES; AND, (C) ACT AS SSMC'S EXCLUSIVE AGENT FOR PURPOSES OF NEGOTIATING PAYOR CONTRACTS FOR SSMC AND THE OTHER PARTICIPATING ORGANIZATIONS AS DEFINED IN THE CORPORATE MEMBER'S BY-LAWS. UPON DISSOLUTION OF SSMC, THE NET ASSETS OF SSMC WILL BE DISPOSED OF TO ATRIUS HEALTH, INC. PROVIDED IT IS THEN EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE.
FORM 990, PART VI, SECTION B, LINE 11ATRIUS HEALTH ENGAGED AN OUTSIDE TAX/ACCOUNTING FIRM TO REVIEW AND PREPARE FORM 990 FOR SOUTH SHORE MEDICAL CENTER. AN INTERNAL TEAM AT SOUTH SHORE MEDICAL CENTER INCLUDING STAFF FROM ACCOUNTING AND HUMAN RESOURCES DEPARTMENTS WORK CLOSELY WITH THE OUTSIDE FIRM TO PREPARE THE DOCUMENT. IN ADDITION, THE SOUTH SHORE MEDICAL CENTER BOARD OF TRUSTEES AND THE ATRIUS HEALTH AUDIT & COMPLIANCE COMMITTEE JOINTLY OVERSEE THE PREPARATION OF SOUTH SHORE MEDICAL CENTER'S 990. THE SOUTH SHORE MEDICAL CENTER BOARD RECEIVES A FINAL DRAFT OF THE 990 AND FORMALLY REVIEWS AND APPROVES THE ENTIRE DOCUMENT BEFORE FILING. IN ADDITION, MATERIAL ISSUES (IF ANY) WITH THE SOUTH SHORE MEDICAL CENTER 990 WOULD BE HIGHLIGHTED IN THE OUTSIDE FIRM'S PRESENTATION TO THE ATRIUS HEALTH AUDIT & COMPLIANCE COMMITTEE BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CSSMC HAS A COMPREHENSIVE COMPLIANCE PROGRAM WHICH IS MONITORED BY THE AUDIT AND COMPLIANCE COMMITTEE AND COMPLIANCE OFFICER. THE NATURE OF THE POTENTIAL OR ACTUAL CONFLICT DETERMINES THE LEVEL(S) AT WHICH A DETERMINATION OF POTENTIAL CONFLICT MAY EXIST. AN INDIVIDUAL INVOLVED WITH A POTENTIAL CONFLICT IS PROHIBITED FROM BEING IN ATTENDANCE AT ANY MEETINGS AT WHICH THE MATTER IS DISCUSSED AND IS NOT ALLOWED TO VOTE ON THE MATTER. ALL MEMBERS OF THE BOARD, SSMC'S OFFICERS AND SENIOR MANAGERS ARE REQUIRED TO ANNUALLY REVIEW, COMPLETE AND CERTIFY COMPLIANCE WITH SSMC'S CONFLICT OF INTEREST POLICY. IN ADDITION ALL NEW HIRES (IN THE CATEGORIES DESCRIBED) ARE REQUIRED TO READ AND ACKNOWLEDGE RECEIPT OF SSMC'S CODE OF CONDUCT. THE CONFLICT OF INTEREST POLICY STATES "AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED." SSMC'S POLICY PROVIDES FOR EXCEPTIONS IF DISCLOSED PROMPTLY AND APPROVED BY THE APPROPRIATE LEVEL OF MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 15FORM 990, PART VI, COMPENSATION: SSMC'S COMPENSATION COMMITTEE IS COMPRISED OF PHYSICIANS AND CERTAIN OTHER ADMINISTRATORS OF SSMC. THEY REVIEW AND DETERMINE THE COMPENSATION FOR THE EXECUTIVE TEAM AND THE PHYSICIAN COMPENSATION MODELS. FOR THE PHYSICIANS, THE KEY CRITERIA IN DETERMINING COMPENSATION IS THE PHYSICIAN'S PRODUCTIVITY. THE COMPENSATION PAID TO PHYSICIANS IS CONSISTENT WITH THE ANALYSIS OF NATIONALLY RECOGNIZED COMPENSATION CONSULTANTS REGARDING MARKET COMPETITIVENESS AND REASONABLENESS OF THE COMPENSATION, INCLUDING DEFINING COMPENSATION THRESHOLDS THAT, IF EXCEEDED, REQUIRE FURTHER REVIEW AND APPROVAL OR MODIFICATION AS APPROPRIATE BY SSMC AND ULTIMATELY THE CORPORATE MEMBER'S COMPENSATION COMMITTEE. THE COMPENSATION PERSONNEL UTILIZE OUTSIDE CONSULTANTS TO ASSIST THEM IN DETERMINING THE REASONABLENESS OF THE COMPENSATION. ALL MAJOR DECISIONS OF THE BOARD MUST BE APPROVED BY SSMC'S CORPORATE MEMBER.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE ATTACHED TO THE MA FORM PC FILED WITH THE ATTONEY GENERAL'S OFFICE, WHICH IS OPEN TO PUBLIC INSPECTION. THE ARTICLES OF ORGANIZATION ARE AVAILABLE AT THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE, INCLUDING ON-LINE. OTHER GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT GENERALLY AVAILABLE TO THE PUBLIC.
FORM 990, PART VIIEDWARD W. NALBAND, MD - CHIEF MEDICAL OFFICER OF SSMC AND A TRUSTEE OF ATRIUS HEALTH, INC. AND ATRIUS HEALTH FOUNDATION, INC. DR. NALBAND AVERAGED 10 HOURS PER WEEK IN ACTIVITIES RELATED TO ATRIUS HEALTH, INC. (INCLUDING ACTIVITIES OF ITS FOUNDATION WHICH IS A SUPPORTING ORGANZATION). THOMAS E. CARROLL, JR - CFO OF SSMC AND TREASURER OF ATRIUS HEALTH FOUNDATION, INC. MR. CARROLL AVERAGED 1 HOUR PER WEEK IN ACTIVITIES RELATED TO ATRIUS HEALTH FOUNDATION, INC.AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANZATIONS
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -147,774.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2A THROUGH 2DTHERE WAS NO CHANGE TO THE OVERSIGHT OF THE YEAR-END AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT DURING THE TAX YEAR. THE ORGANIZATION'S FINANCIAL STATEMENTS WERE REVIEWED BY AN INDEPENDENT ACCOUNTANT AND THE ORGANIZATION WAS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ITS CORPORATE MEMBER, WHICH CONSOLIDATED FINANCIAL STATEMENTS WERE AUDITED BY AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
HARVARD VANGUARD MEDICAL ASSOCIATES INC
275 GROVE STREET SUITE 3-300NEWTONMA02466043397450MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9N/A0
ATRIUS HEALTH INC
275 GROVE STREET SUITE 3-300NEWTONMA02466010803117ORGANIZE AND INTEGRATE HEALTHCARE DELIVERYMA501(C)(3)LINE 9N/A0
DEDHAM MEDICAL ASSOCIATES INC
ONE LYONS STREETDEDHAMMA02026043136240MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9N/A0
SOUTHBORO MEDICAL GROUP
24 NEWTON STREETSOUTHBOROMA01772042487729MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9N/A0
GRANITE MEDICAL GROUP INC
500 CONGRESS STREETQUINCYMA02169043341331MULTI-SPECIALTY MEDICAL GROUPMA501(C)(3)LINE 9N/A0
ATRIUS HEALTH FOUNDATION INC
275 GROVE STREET SUITE 3-300NEWTONMA02466264517944SUPPORT ATRIUS HEALTH AND ITS SUPPORTING ORGANIZATIONSMA501(C)(3)LINE 11A, IN/A0
RELIANT MEDICAL GROUP INC (FORMERLY FALLON CLINIC INC)
630 PLANTATION STREETWORCESTERMA01605042472266PROVIDE MEDICAL SERVICESMA501(C)(3)LINE 9N/A0
RELIANT MEDICAL GROUP FOUNDATION INC (FORMERLY FALLON CLINIC FOUNDATION)
630 PLANTATION STREETWORCESTERMA01605222912515PROMOTE COMMUNITY HEALTHMA501(C)(3)LINE 7N/A0
LAKEVIEW MEDICAL INC
44 SOUTHBRIDGEAUBURNMA01501043106404MEDICAL EQUIPMENT SUPPLIERMA501(C)(3)LINE 9N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
VENTURE 2-BRN LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466205842227MRI SERVICESMAHARVARD VANGUARD MEDICAL ASSOCIATES INCRELATED9256561316299000.22800
VENTURE 3-WW LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466208676840RADIATION, ONCOLOGY AND CAT SCAN SERVICESMAHARVARD VANGUARD MEDICAL ASSOCIATES INCRELATED-650805748835000.27000
VENTURE 4-WW2 LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466262783850DIGITAL MAMMOGRAPHY, ULTRASOUND AND BONE DENSITY SERVICESMAHARVARD VANGUARD MEDICAL ASSOCIATES INCRELATED7275191006804000.39000
VENTURE V-90 LIBBEY LLC
275 GROVE STREET SUITE 3-300NEWTONMA02466274351500GASTROINTES- TINAL ENDOSCOPIC SERVICESMAGRANITE MEDICAL ASSOCIATES INCRELATED-153155578545000.30000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
CENTRAL MASSACHUSETTS INDEMNITY CO INC
FIRST CARIBBEAN HOUSE GEORGE TOWNGRAND CAYMANCJ980405037INSURANCECJN/AC
MASSACHUSETTS ASSURANCE COMPANY LTD
FIRST CARIBBEAN HOUSE GEORGE TOWNGRAND CAYMANCJINSURANCECJN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HARVARD VANGUARD MEDICAL ASSOCIATES INC
L851221COST
ATRIUS HEALTH INC
L2648745SEE STATEMENT
ATRIUS HEALTH INC
K121489SEE STATEMENT
HARVARD VANGUARD MEDICAL ASSOCIATES INC
J296452SUB-LEASE COST
SOUTHBORO MEDICAL GROUP INC
R335232BOARD VOTE - FMV
DEDHAM MEDICAL ASSOCIATES INC
R335232BOARD VOTE - FMV
VENTURE 2-BRN LLC
Q1140000BOARD VOTE - FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierTRANSACTIONS WITH ATRIUS HEALTH INC. (CODE L AND K)Identifier
Return ReferenceSCH R, PART V, ITEM 2ReturnReference
ExplanationTHE GENERAL CORPORATE COSTS OF ATRIUS ARE ALLOCATED TO ATRIUS' PARTICIPATING ORGANIZATIONS (PRACTICE GROUP) USING THE AVERAGE OF FOUR METHODOLOGIES - TOTAL REVENUES OF EACH PRACTICE GROUP; PATIENT VISITS; PHYSICIAN FULL-TIME EQUIVALENTS; AND PATIENTS. SSMC'S CHARGE WAS $ 1,399,141 FOR 2011. IN ADDITION, SSMC IS CHARGED FOR ITS SHARE OF THE COSTS OF THE MEDICAL RECORDS AND PRACTICE MANAGEMENT SYSTEM. FOR 2011, SSMC WAS CHARGED $ 1,249,604 FOR ITS UTILIZATION AND INITIAL IMPLEMENTATION. ATRIUS RECEIVED FUNDING TO ASSIST IN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS WHICH IT DISTRIBUTED TO ITS PARTICIPATING ORGANIZATIONS. SSMC RECEIVED $ 121,489 IN 2011.Explanation

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