FURP.ORG / PUBLIC DATA EXPLORER

SOUTH SHORE HOSPITAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTH SHORE HOSPITAL INC (EIN 04-2769210)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-08
IRS object ID
201242279349302224
Schema version
2010v3.4
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)
Timestamp2012-08-08T12:00:37-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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 Signed2012-08-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts437545977GrossReceipts
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees4105TotalNbrEmployees
Total Nbr Volunteers700TotalNbrVolunteers
Total Gross UBI544388TotalGrossUBI
Net Unrelated Business Txbl Income-180186NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5761810ContributionsGrantsPriorYear
Contributions Grants Current Year5625887ContributionsGrantsCurrentYear
Program Service Revenue Prior Year400001397ProgramServiceRevenuePriorYear
Program Service Revenue CY415901917ProgramServiceRevenueCY
Investment Income Prior Year1885139InvestmentIncomePriorYear
Investment Income Current Year1651279InvestmentIncomeCurrentYear
Other Revenue Prior Year8604695OtherRevenuePriorYear
Other Revenue Current Year12448178OtherRevenueCurrentYear
Total Revenue Prior Year416253041TotalRevenuePriorYear
Total Revenue Current Year435627261TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7446GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year258576096SalariesEtcPriorYear
Salaries Etc Current Year273956739SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2666320TotalFundrsngExpCurrentYear
Other Expense Prior Year144627339OtherExpensePriorYear
Other Expenses Current Year148867086OtherExpensesCurrentYear
Total Expenses Prior Year403210881TotalExpensesPriorYear
Total Expenses Current Year422831825TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13042160RevenuesLessExpensesPriorYear
Revenues Less Expenses CY12795436RevenuesLessExpensesCY
Total Assets BOY371844763TotalAssetsBOY
Total Assets EOY382439885TotalAssetsEOY
Total Liabilities BOY260556760TotalLiabilitiesBOY
Total Liabilities EOY270921378TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY111288003NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY111518507NetAssetsOrFundBalancesEOY
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
Expense323888342Expense
Grants8000Grants
Revenue415901917Revenue
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, 2011, the Hospital had 26,554 discharges and 182,668 outpatient days. The Hospital's emergency center is open 24 hours a day, every day of the year, and had 83,230 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 142,220 home visits to patients in fiscal 2011.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense323888342TotalProgramServiceExpense
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 DQP0LoanToOfficerOrDQP
Grant To Related Person1GrantToRelatedPerson
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 Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096421NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4105NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Thomas S Vangel
Director1X000
J Leonard Bicknell
Immediate Past Chairman1X000
Kimberly McLaughlin
Director1X000
Clifford M Breslow MD
Director, President Medical Staff1X2390000
Colleen Tondorf
Director1X000
John C Boucher
Director1X000
Brian Hotarek
Chairman of the Board1X000
Sherry Penney
Director1X000
Kenneth Kirkland
Vice Chairman of the Board1X000
Laura Avakian
Director1X000
Paula Becker
Director1X000
Chris Oddleifson
Director1X000
Richard Aubut
President & CEO45X99973102252355X
Michael Ayers MD
President Health Provider Service Organization1X180000
Michael Cullen
SVP, CFO & Treasurer45449397039528X
Joseph Cahill
COO45571281075740X
Frederick Ayers MD
Chief, Surgery40415736040834X
Kathleen Heffernan
Vice President Regulatory Affairs and Chief Risk Officer45276325063122X
Paul Taylor
Sr. Vice President45420539049044X
Richard Mirel MD
Chair, Dpt Medicine45451807041760X
Veronica Ravnikar MD
Chair, Dpt of OB/GYN45505560056511X
John Benanti MD
Chair, Emergency Dpt45399671056306X
Rose Dipietro
Vice President Clinical, Home Care, and Support Services45326857064760X
E Delroy Dixon II
Vice President & Chief Information Officer45294782064882X
Margaret Holda
Vice President Marketing, Communications, and Community Benefits Officer45204482055141X
Timothy Quigley
Vice President Nursing Services and Chief Nursing Officer45319729069299X
Robert Wheeler
Vice President Human Resources45285192068048X
Pamela Whelton
Sr. VP Physician and Network Expansion452980780362819X
John Stevenson MD
Vice President45397715086371X
Sandra Geiger
Vice President40186913049208X
Simon Roy MD
ED Staff Physician40404044039618X
Kenneth McLaughlin MD
ED Staff Physician45426843033727X
Jeffrey Johnson MD
ED Physician45361913037190X
Wayne Chin MD
ED Physician45356120036975X
John Pehrson MD
Physician45335980026815X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8714395TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation3670053TotalOtherCompensation
Number Individuals GT100 K508NumberIndividualsGT100K
Formers Listed0FormersListed
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 Services3801749
Aramark Corporation
12483 Collections Center DriveChicagoIL60693Facilities Maintenance1773172
South Shore Anesthesia Association
163 Libbey PkwyWeymouthMA02189Physician Services1646667
Medquist MDE
PO Box 10832NewarkNJ07193Transcription Services1166696
Specialized Receivables Inc
PO Box 12414NewarkNJ071013514Billing & Collection966594
FieldValueIRS element (for citing)
Number Of Contractors GT100 K71NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events579168FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants392000GovernmentGrants
All Other Contributions4654719AllOtherContributions
Noncash Contributions745176NoncashContributions
Total Contributions5625887TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Net Patient Service Revenue6220004054207634054207630$0
Ambulatory Cancer Center621000867362786736270$0
Miscellaneous Clinics6219909652489652480$0
Rental Income - Affiliates5313903933873933870$0
Outpatient Rehab6219901491251491250$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column299767TotalRevenueColumn
Related Or Exempt Function Income299767RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue415901917TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1698916TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,698,916ExclusionAmount

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)
Real969832Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real664562Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real305270Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column305270TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$305,270ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities389970Securities
Other40052Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other477659Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities389970Securities
Other-437607Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-47637TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$47,637ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events303187GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events579168CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses303187FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory751564GrossSalesOfInventory
Cost Of Goods Sold473308CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column278256TotalRevenueColumn
Related Or Exempt Function Income23018RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$255,238ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Related Income900099688882068888200$0
Cafeteria Sales722212261551600$2,615,516
Shields Imaging Income621000161926900$1,619,269

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column741047TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue544388UnrelatedBusinessRevenue
Exclusion$196,659ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11864652TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column435627261TotalRevenueColumn
Related Or Exempt Function Income422813755RelatedOrExemptFunctionIncome
Unrelated Business Revenue544388UnrelatedBusinessRevenue
Exclusion$6,643,231ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8000Total
Program Services8000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6128842Total
Program Services1977282ProgramServices
Management And General4151560ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total2386010Total
Management And General2386010ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total213500799Total
Program Services167094770ProgramServices
Management And General44802947ManagementAndGeneral
Fundraising1603082Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total12599861Total
Program Services9595199ProgramServices
Management And General3004662ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22957924Total
Program Services17547288ProgramServices
Management And General5410636ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16383303Total
Program Services12476412ProgramServices
Management And General3906891ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total585208Total
Program Services0ProgramServices
Management And General585208ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1300183Total
Program Services0ProgramServices
Management And General1299039ManagementAndGeneral
Fundraising1144Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total233179Total
Program Services0ProgramServices
Management And General229729ManagementAndGeneral
Fundraising3450Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total37279Total
Program Services0ProgramServices
Management And General37279ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total839555Total
Management And General780706ManagementAndGeneral
Fundraising58849Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total55646960Total
Program Services52457264ProgramServices
Management And General3042856ManagementAndGeneral
Fundraising146840Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4311707Total
Program Services0ProgramServices
Management And General4311052ManagementAndGeneral
Fundraising655Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4999717Total
Program Services3749788ProgramServices
Management And General1243741ManagementAndGeneral
Fundraising6188Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total811680Total
Program Services634823ProgramServices
Management And General172526ManagementAndGeneral
Fundraising4331Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total419616Total
Program Services128562ProgramServices
Management And General290779ManagementAndGeneral
Fundraising275Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6055232Total
Program Services4541424ProgramServices
Management And General1513808ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18342370Total
Program Services13756777ProgramServices
Management And General4585593ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2416136Total
Program Services1663461ProgramServices
Management And General752675ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Physician Services111240541112405400
Purchased Services1031605677370421958969620045
Net Assets Released from Restrictions6652233665223300
Leases5371122521224312343435445
Equipment Maintenance Contracts5240899211038831278972614

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14163900Total
Program Services5421332ProgramServices
Management And General8559166ManagementAndGeneral
Fundraising183402Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total422831825Total
Program Services323888342ProgramServices
Management And General96277163ManagementAndGeneral
Fundraising2666320Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15735768BOY
EOY12489108EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8362941BOY
EOY7217394EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY44108828BOY
EOY46045837EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4489529BOY
EOY4794768EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3272006BOY
EOY2387967EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis368959824LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec209741070LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY140159413BOY
EOY159218754EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY139634094BOY
EOY130026783EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY7743725EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16082184BOY
EOY12515549EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY371844763BOY
EOY382439885EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY54419389BOY
EOY50683024EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY504449BOY
EOY567994EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY123561233BOY
EOY119142473EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY82071689BOY
EOY100527887EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY260556760BOY
EOY270921378EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY95588741BOY
EOY97141214EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14423254BOY
EOY13079185EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1276008BOY
EOY1298108EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY111288003BOY
EOY111518507EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY371844763BOY
EOY382439885EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses12795436ReconcilationRevenueExpenses
Reconcilation Other Changes-12564932ReconcilationOtherChanges
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$6,717DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$37,279OtherActivitiesAmount
Total Lobbying Expenditures IIB43996TotalLobbyingExpendituresIIB
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 and expenses 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, 2011, it was determined that 20.52% 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 Balance15699262BeginningOfYearBalance
Contributions4387199Contributions
Investment Earnings Or Losses9081InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures5718249OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance14377293EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.09PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.91TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5013567OtherCostOrOtherBasis
Book Value5013567BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis164787970OtherCostOrOtherBasis
Depreciation79900561Depreciation
Book Value84887409BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis11822210OtherCostOrOtherBasis
Depreciation1765340Depreciation
Book Value10056870BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis156062707OtherCostOrOtherBasis
Depreciation121623840Depreciation
Book Value34438867BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis31273370OtherCostOrOtherBasis
Depreciation6451329Depreciation
Book Value24822041BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings159218754TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
Accrued Pension & Retirement Benefits$46,118,000
Due to 3rd Party Payors$17,303,529
Loss on Swaps$14,690,422
Capital Leases$11,286,398
Malpractice Payable$3,264,000
Accrued Workers Compensation$3,018,169
Billing Reserves$1,801,273
Physician Benefits Payable$1,445,335
Executive Benefits Payable$1,349,632
FIN 47 Liability$251,129
FieldValueIRS element (for citing)
Total Of Amounts100527887TotalOfAmounts
Total Revenue435627261TotalRevenue
Total Expenses422831825TotalExpenses
Excess Or Deficit For Year12795436ExcessOrDeficitForYear
Net Unrealized GL On Investments-3913277NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$8,651,655OtherAmount
Total Adjustments-12564932TotalAdjustments
Excess Or Deficit Per FS230504ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt436106961TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3913277NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues3255107OtherRevenues
Revenue Not Rptd F990-658170RevenueNotRptdF990
Revenue Subtotal436765131RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included-1137870OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1137870RevenueNotRptdOnFinStmt
Total Revenue Per Form990435627261TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt435876457TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included12571324OtherExpensesIncluded
Expenses Not Rptd F99012571324ExpensesNotRptdF990
Expenses Subtotal423305133ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included-473308OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-473308ExpensesNotRptdOnFinStmt
Total Expenses Per Form990422831825TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 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 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 adjustments; -$8,718,996, gain on interest rate swap agreements; $67,341.
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dUncompensated care; $11,906,762, Pension-related adjustments; -$8,718,996, gain on interest rate swap agreements; $67,341.
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bCost of goods sold; -$473,308, rental expenses; -$664,562.
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dUncompensated care; $11,906,762, rental expense; $664,562.
SchD_P13_S00_L04bSchedule D, Part XIII, Line 4bCost of goods sold; -$473,308.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Moonlight & Miracles GalaNameOfEvent1
Gross Receipts Event1395302GrossReceiptsEvent1
Charitable Contributions Event1254622CharitableContributionsEvent1
Gross Revenue Event1140680GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event16716NonCashPrizesEvent1
Rent Facility Costs Event142448RentFacilityCostsEvent1
Food And Beverage Event147845FoodAndBeverageEvent1
Entertainment Event122192EntertainmentEvent1
Other Direct Expenses Event121479OtherDirectExpensesEvent1
Name Of Event2Walk for HospiceNameOfEvent2
Gross Receipts Event2210500GrossReceiptsEvent2
Charitable Contributions Event2131690CharitableContributionsEvent2
Gross Revenue Event278810GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event24810RentFacilityCostsEvent2
Food And Beverage Event24723FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event269277OtherDirectExpensesEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events276553GrossReceiptsOtherEvents
Charitable Contrib Other Events192856CharitableContribOtherEvents
Gross Revenue Other Events83697GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events13407NonCashPrizesOtherEvents
Rent Facility Costs Other Events36225RentFacilityCostsOtherEvents
Food And Beverage Other Events18559FoodAndBeverageOtherEvents
Entertainment Other Events2375EntertainmentOtherEvents
Other Direct Expenses Other Events13131OtherDirectExpensesOtherEvents
Gross Receipts Total882355GrossReceiptsTotal
Charitable Contributions Total579168CharitableContributionsTotal
Gross Revenue Total Events303187GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events20123NonCashPrizesTotalEvents
Rent Facility Costs Total Events83483RentFacilityCostsTotalEvents
Food And Beverage Total Events71127FoodAndBeverageTotalEvents
Entertainment Total Events24567EntertainmentTotalEvents
Other Direct Expenses Total Events103887OtherDirectExpensesTotalEvents
Direct Expense Summary Events303187DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

FieldValueIRS element (for citing)
IdentifierSchG_P02_S00_L11Identifier
Return ReferenceSchedule G, Part II, Line 11ReturnReference
ExplanationFundraising events listed in Schedule G, with the exception of the Variety Show (a Hospital event), are coordinated by the Friends of South Shore Hospital, an auxiliary organization. Gross receipts in excess of direct expenses goes to the event charitable cause for all fundraising events.Explanation

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 Expense4161515TotalCommunityBenefitExpense
Direct Offsetting Revenue1908530DirectOffsettingRevenue
Net Community Benefit Expense2252985NetCommunityBenefitExpense
Percent Of Total Expense0.0053PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense41153625TotalCommunityBenefitExpense
Direct Offsetting Revenue36680265DirectOffsettingRevenue
Net Community Benefit Expense4473360NetCommunityBenefitExpense
Percent Of Total Expense0.0106PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense2911037TotalCommunityBenefitExpense
Net Community Benefit Expense2911037NetCommunityBenefitExpense
Percent Of Total Expense0.0069PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense48226177TotalCommunityBenefitExpense
Direct Offsetting Revenue38588795DirectOffsettingRevenue
Net Community Benefit Expense9637382NetCommunityBenefitExpense
Percent Of Total Expense0.0228PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense730052TotalCommunityBenefitExpense
Direct Offsetting Revenue31120DirectOffsettingRevenue
Net Community Benefit Expense698932NetCommunityBenefitExpense
Percent Of Total Expense0.0017PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense913777TotalCommunityBenefitExpense
Net Community Benefit Expense913777NetCommunityBenefitExpense
Percent Of Total Expense0.0021PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense44895467TotalCommunityBenefitExpense
Direct Offsetting Revenue39340121DirectOffsettingRevenue
Net Community Benefit Expense5555346NetCommunityBenefitExpense
Percent Of Total Expense0.0132PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense265517TotalCommunityBenefitExpense
Direct Offsetting Revenue138092DirectOffsettingRevenue
Net Community Benefit Expense127425NetCommunityBenefitExpense
Percent Of Total Expense0.0003PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense46800TotalCommunityBenefitExpense
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 Expense46851613TotalCommunityBenefitExpense
Direct Offsetting Revenue39509333DirectOffsettingRevenue
Net Community Benefit Expense7342280NetCommunityBenefitExpense
Percent Of Total Expense0.0174PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense95077790TotalCommunityBenefitExpense
Direct Offsetting Revenue78098128DirectOffsettingRevenue
Net Community Benefit Expense16979662NetCommunityBenefitExpense
Percent Of Total Expense0.0402PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense85602TotalCommunityBuildingExpense
Net Community Building Expense85602NetCommunityBuildingExpense
Percent Of Total Expense0.0002PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense118907TotalCommunityBuildingExpense
Net Community Building Expense118907NetCommunityBuildingExpense
Percent Of Total Expense0.0003PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense62139TotalCommunityBuildingExpense
Net Community Building Expense62139NetCommunityBuildingExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense291632TotalCommunityBuildingExpense
Direct Offsetting Revenue23614DirectOffsettingRevenue
Net Community Building Expense268018NetCommunityBuildingExpense
Percent Of Total Expense0.0006PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense328388TotalCommunityBuildingExpense
Net Community Building Expense328388NetCommunityBuildingExpense
Percent Of Total Expense0.0008PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense886668TotalCommunityBuildingExpense
Direct Offsetting Revenue23614DirectOffsettingRevenue
Net Community Building Expense863054NetCommunityBuildingExpense
Percent Of Total Expense0.0020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$8,777,960BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare103670329AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare114921051CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-11250722MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 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 C 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 in the statements of operations and changes in net assets includes the provision for bad debts and 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 live near or below the poverty level. These individuals would have to travel out of our area or possible forgo medical treatment without the services the Hospital provides. The Hospital uses the cost to charge ratio from the Department of Health Care Finance & Policy 403 report filed with the state.
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 and Children 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 service. 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 of 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 (2), radiology/mammography offices (2), 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_P06_S00_L02Schedule H, Part VI, Line 2The Hospital's most recent Community Health Needs Assessment was completed in September 2010. 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, 2011 counselors assisted roughly 3,100 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/communitybenefits. For more information about South Shore Hospital's active role in meeting the needs of our community please visit our website: http://www.southshorehospital.org.
SchH_P06_S00_L06Schedule H, Part VI, Line 6South Shore Hospital is not part of an affiliated health care system.
SchH_P06_S00_L07Schedule H, Part VI, Line 7South Shore Hospital files its Community Benefits report in Massachusetts.

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 degreesTypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant8000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance

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. Eight scholarships were awarded in fiscal 2011.

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 Payment0SeverancePayment
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 (22 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
Michael Cullen
380755027560658860203870191420488926027560
Richard Aubut
700515039135026008102233213019142032520860391350
Joseph Cahill
44835603376208916305659801914206470210337620
Kathleen Heffernan
2307000471080-148304493201819003394470471080
Paul Taylor
31507107571802975003457601446804695830757180
Richard Mirel MD
4462630005544041760000493567000
Veronica Ravnikar MD
502208000335205574607650562071000
John Benanti MD
38937605474048210413660149400455977054740
Frederick Ayers MD
38117602299101156902205001878404565700229910
Rose Dipietro
283867037101058890559610879903916170371010
E Delroy Dixon II
24598803567401312004574001914203596640356740
Margaret Holda
201549083980-54650369510181900259623083980
Timothy Quigley
27990302882901099704531802398103890280288290
Robert Wheeler
24048903037301433004890601914203532400303730
Pamela Whelton
2603700327820492605166101308003628190327820
John Stevenson MD
400571000-28560672290191420484086000
Sandra Geiger
1571490333760-361203006601914202361210333760
Simon Roy MD
409254000-52100148540247640443662000
Kenneth McLaughlin MD
430316000-34730149430187840460570000
Jeffrey Johnson MD
367039000-51260174230197670399103000
Wayne Chin MD
360065000-39450172080197670393095000
John Pehrson MD
335254000726017423093920362795000

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 which 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 members (11 of 14) of the Hospital Board of Directors.
SchJ_P01_S00_L04Schedule J, Part I, Line 4South Shore Hospital offers a split dollar life insurance plan to certain key employees/highly compensated employees. Richard Aubut, Joseph Cahill, Paul Taylor, Frederick Ayers, John Benanti, Michael Cullen, Margaret Holda, 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 V for complete descriptionDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired6050000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds94994157TotalProceeds
Amount In Reserve Fund7150153AmountInReserveFund
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
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
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 V Form990ScheduleKPartV (4 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 $7,129,749 in a reasonably required reserve or replacement fund plus $20,404 in a bona fide debt service fund.
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 bonds.

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII

FieldValueIRS element (for citing)
Name Of Interested PersonGena O'HaraNameOfInterestedPerson
Relationship With OrganizationEmployee and family member of Director Colleen TondorfRelationshipWithOrganization
Amount Of Grant1000AmountOfGrant
Type Of AssistanceFriends of South Shore Hospital ScholarshipTypeOfAssistance

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Cliff Breslow MD
Director of South Shore Anesthesia Associates1646667Independent Contractor0
Michael Ayers
Greater than 5% Member of South Shore Orthopedics, LLC752855Independent Contractor0
Gena O'Hara
Family member of Colleen Tondorf, Director31966Employment0
Mallory Stafford
Family member of Michael Cullen, officer10347Employment0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F990745176NoncashContribsRptdF990
Method Of Determining RevenuesSee Part IIMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received6NumberOf8283Received
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 firm 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.
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 5Change in unrealized loss on investments; -$3,913,277, pension-related adjustment; -$8,718,996, gain on interest rate swap; $67,341.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
South Shore Health & Educational Corporation
55 Fogg RoadSouth WeymouthMA02190042105926Parent company of South Shore HospitalMA501(c)(3)11, Type ISouth Shore Hospital Inc0
South Shore Property Inc
55 Fogg RoadSouth WeymouthMA02190050398822Develops and manages real property for South Shore Hospital and its affiliatesMA501(c)(3)11, Type ISouth Shore Hospital1
Coastal Medical Associates Inc
55 Fogg RoadSouth WeymouthMA02190043170333Primary and specialized medical careMA501(c)(3)3South Shore Hospital1
MetroSouth Obstetrics & Gynecology Inc
55 Fogg RoadSouth WeymouthMA02190330998957Specialized medical careMA501(c)(3)3South Shore Hospital1
Atlantic Women's Health Inc
55 Fogg RoadSouth WeymouthMA02190200156651Specialized medical careMA501(c)(3)3South Shore Hospital1
Health Provider Services Organization of the South Shore Inc
55 Fogg RoadSouth WeymouthMA02190452385865Supports the charitable mission of SSH&E and affiliatesMA501(c)(3)110N/A

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 Income1803513ShareOfTotalIncome
Share Of EOY Assets12618008ShareOfEOYAssets
Percentage Ownership0.5PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
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 Org0OtherTransferFromOtherOrg