SOUTH SHORE HOSPITAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SOUTH SHORE HOSPITAL INC (EIN 04-2769210)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-15
- IRS object ID
- 202402289349303230
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-15T16:16:03-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE SUITE 4200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042769210 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 7816248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG ROAD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02190 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN JENNEY | PersonNm |
| Person Title | SVP & CFO | PersonTitleTxt |
| Phone | 7816248000 | PhoneNum |
| Signature | 2024-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA M JANSONS | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN JENNEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG ROAD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $835,669,944 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SOUTHSHOREHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | SOUTH SHORE HOSPITAL'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY INCLUDING SURGICAL, MEDICAL AND OTHER TREATMENT OF THE SICK AND INJURED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 5953 | TotalEmployeeCnt |
| Total Volunteers | 195 | TotalVolunteersCnt |
| Total Gross UBI | $2,504,509 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,634,281 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,987,711 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $740,903,562 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $792,143,584 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,009,920 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,298,248 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,233,445 | PYOtherRevenueAmt |
| CY Other Revenue | $12,062,504 | CYOtherRevenueAmt |
| PY Total Revenue | $782,781,208 | PYTotalRevenueAmt |
| CY Total Revenue | $828,492,047 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $26,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $553,566,594 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $502,269,786 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,348,416 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $275,615,799 | PYOtherExpensesAmt |
| CY Other Expenses | $320,058,532 | CYOtherExpensesAmt |
| PY Total Expenses | $829,190,893 | PYTotalExpensesAmt |
| CY Total Expenses | $822,354,818 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$46,409,685 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,137,229 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $662,180,992 | TotalAssetsBOYAmt |
| Total Assets EOY | $655,989,824 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $337,394,047 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $307,645,448 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $324,786,945 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $348,344,376 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SOUTH SHORE HOSPITAL'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HEALTH CARE SERVICES TO THE COMMUNITY INCLUDING SURGICAL, MEDICAL AND OTHER TREATMENT OF THE SICK AND INJURED. SOUTH SHORE HEALTH SYSTEM HAS AN OVERARCHING MISSION FOR EVERY ENTITY THAT IS PART OF THEIR HEALTH SYSTEM. THAT MISSION IS AS FOLLOWS: YOUR HEALTH. OUR PASSION. ONE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $732,341,910 | ExpenseAmt |
| Grant | $26,500 | GrantAmt |
| Revenue | $808,839,576 | RevenueAmt |
| Desc | HEALTH CARE PROGRAMS, GENERAL/OTHER: SOUTH SHORE HOSPITAL IS A NOT-FOR-PROFIT ACUTE CARE, REGIONAL HOSPITAL LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE 374 ACUTE CARE BEDS (COMPOSED OF 287 MEDICAL/SURGICAL, 24 INTENSIVE CARE/CORONARY CARE, 51 LEVEL III MATERNAL/NEWBORN, 12 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, PEDIATRICS, CARDIAC AND CANCER CARE), OUTPATIENT SERVICES (INCLUDING IMAGING, 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, 2023, THE HOSPITAL HAD 33,159 DISCHARGES AND APPROXIMATELY 336,387 OUTPATIENT VISITS. THE HOSPITAL'S EMERGENCY CENTER IS OPEN 24 HOURS A DAY, EVERY DAY OF THE YEAR, AND HAD 115,372 VISITS DURING THE YEAR. THE HOSPITAL'S HOME CARE DIVISION HELPS PEOPLE MAINTAIN INDEPENDENCE AT HOME. THE VISITING NURSES COORDINATE THE APPROPRIATE SPECIALISTS, SERVICES AND COMMUNITY RESOURCES FOR EACH PATIENT. OUR HOME CARE DIVISION PROVIDED OVER 126,986 HOME VISITS TO PATIENTS IN FY23. | Desc |
| Total Program Service Expenses | $732,341,910 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 345 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5953 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CO | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEPHEN JENNEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7816248000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG RD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01290 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALLEN SMITH MD | ||||||||||
| PRESIDENT & CEO | 40.00 | 4.50 | Yes (X) | Yes (X) | $944,596 | $0 | $183,703 | |||
| KIMBERLY DEVER MD | ||||||||||
| DIRECTOR, CHIEF OB/GYN | 40.00 | 3.50 | Yes (X) | $760,671 | $0 | $39,182 | ||||
| JUSTIN CAMPBELL | ||||||||||
| DIRECTOR/CHAIR OF PROVIDER COUNCIL | 1.00 | 3.50 | Yes (X) | $181,000 | $0 | $0 | ||||
| BRADFORD SAMPSON | ||||||||||
| MEDICAL STAFF PRESIDENT AS OF 2/1/22 | 1.00 | 3.50 | Yes (X) | $82,000 | $0 | $0 | ||||
| MICHAEL AYERS MD | ||||||||||
| DIRECTOR/MEDICAL STAFF PRES 2/1/21 THRU 1/31/22 | 1.00 | 4.50 | Yes (X) | $73,333 | $0 | $0 | ||||
| PAMELA O'LEARY | ||||||||||
| CHAIR | 1.00 | 3.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| THOMAS MCCARTHY | ||||||||||
| VICE CHAIR | 1.00 | 3.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ALAN MCKIM | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTOPHER ODDLEIFSON | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN ESSENFELD | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| HELEN GARVEY | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| LINDA THOMPSON MPH DRPH RN FAAN | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| LISA WALSH | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SHEEHAN | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| PAMELA WHELTON | ||||||||||
| DIRECTOR AS OF 1/1/22 | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL WANTANABE PHD | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| PAULA L BECKER | ||||||||||
| DIRECTOR | 1.00 | 3.50 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM JOHNSTON | ||||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | Yes (X) | $667,043 | $0 | $141,703 | ||||
| JOSEPH R DRISCOLL ESQ | ||||||||||
| SECRETARY | 40.00 | 4.50 | Yes (X) | $433,280 | $0 | $33,703 | ||||
| KRISTINE HANSCOM CPA MST CGMA | ||||||||||
| TREAS. & CFO 6/14/22 THRU 5/31/23 | 40.00 | 4.50 | Yes (X) | $329,597 | $0 | $18,439 | ||||
| STEPHEN JENNEY | ||||||||||
| INT. CFO & TREAS. AS OF 6/1/23 | 40.00 | 4.50 | Yes (X) | $0 | $0 | $0 | ||||
| LUKE O'CONNELL MD | ||||||||||
| CHIEF CLINICAL OFFICER | 40.00 | 1.00 | $733,619 | $0 | $33,703 | Yes (X) | ||||
| TIMOTHY QUIGLEY | ||||||||||
| SVP SPECIAL PROJECTS | 40.00 | 0.00 | $425,077 | $0 | $33,854 | Yes (X) | ||||
| FREDERICK MILLHAM MD | ||||||||||
| CHAIR, SURGERY | 40.00 | 0.00 | $942,402 | $0 | $27,901 | Yes (X) | ||||
| DILIP NATARAJ MD | ||||||||||
| CHAIR, CRITICAL CARE | 40.00 | 0.00 | $770,828 | $0 | $20,017 | Yes (X) | ||||
| HOWARD CHANG MD | ||||||||||
| CHIEF, PSYCHIATRY | 40.00 | 0.00 | $703,081 | $0 | $27,135 | Yes (X) | ||||
| JASON TRACY MD | ||||||||||
| CHAIR, EMERGENCY SERVICES | 40.00 | 0.00 | $634,256 | $0 | $29,205 | Yes (X) | ||||
| ERIK SHANK MD | ||||||||||
| CHAIR, ANESTHESIA | 40.00 | 0.00 | $588,678 | $0 | $31,241 | Yes (X) | ||||
| MARY SHAUGHNESSY | ||||||||||
| FORMER TREAS. & CFO THRU 6/13/22 | 0.00 | 0.00 | $499,538 | $0 | $0 | Yes (X) | ||||
| TIMOTHY R LYNCH MD | ||||||||||
| CHIEF MED. OFFICER THROUGH 7/22/22 | 0.00 | 0.00 | $734,952 | $0 | $406,944 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,503,951 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,026,730 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1213 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HEALTHCARE WORKFORCE LOGISTICS LLC | |||||
| PO BOX 860573 | MINNEAPOLIS | MN | 554860573 | PHYSICIAN SERVICES | $12,222,315 |
| BRIGHAM WOMEN'S PHYSICIAN ORG | |||||
| PO BOX 3684 | BOSTON | MA | 022413684 | PHYSICIAN SERVICES | $5,422,176 |
| MEDICUS HOSPITALIST SERVICES LLC | |||||
| 22 ROULSTON RD | WINDHAM | NH | 03087 | PHYSICIAN SERVICES | $4,175,489 |
| AW PERRY INC | |||||
| 20 WINTHROP SQUARE SUITE 500 | BOSTON | MA | 02110 | MANAGEMENT COMPANY | $2,762,514 |
| DELL MARKETING LP | |||||
| C/O DELL USA LP PO BOX 643561 | PITTSBURGH | PA | 02360 | IT SERVICES | $2,343,015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $626,000 | FundraisingAmt |
| Government Grants | $13,645,769 | GovernmentGrantsAmt |
| All Other Contributions | $2,715,942 | AllOtherContributionsAmt |
| Noncash Contributions | $181,383 | NoncashContributionsAmt |
| Total Contributions | $16,987,711 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SVC REV | 622000 | $760,941,643 | $760,941,643 |
| AMBULATORY CANCER CTR | 621000 | $28,426,535 | $28,426,535 |
| MIH PROGRAM | 622000 | $884,515 | $884,515 |
| RENTAL INCOME FROM AFF | 621000 | $351,250 | $351,250 |
| BCBS SUPPLEMENTAL | 622000 | $250,006 | $250,006 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,289,635 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $621,963 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $667,672 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $792,143,584 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,344,503 | TotalRevenueColumnAmt |
| Exclusion | $3,344,503 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $876,122 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $876,122 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $876,122 | TotalRevenueColumnAmt |
| Exclusion | $876,122 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,912,634 | SecuritiesAmt |
| Other | $6,437,760 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $6,396,649 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,912,634 | SecuritiesAmt |
| Other | $41,111 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,953,745 | TotalRevenueColumnAmt |
| Exclusion | $3,953,745 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $466,589 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $626,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $466,589 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $2,995 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $525 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,470 | TotalRevenueColumnAmt |
| Exclusion | $2,470 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $558,597 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $314,134 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,463 | TotalRevenueColumnAmt |
| Exclusion | $244,463 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| FOOD SERVICE SALES | 722212 | $4,818,334 | $2,007,073 | $2,811,261 |
| SHIELDS IMAGING | 621000 | $2,089,970 | $2,089,970 | |
| IDN INTERCO REVENUE | 900099 | $1,327,573 | $1,327,573 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,703,572 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $293,985 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,836,837 | UnrelatedBusinessRevenueAmt |
| Exclusion | $572,750 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,939,449 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $828,492,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $795,104,543 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,504,509 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,895,284 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,500 | TotalAmt |
| Program Services | $21,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,784,248 | TotalAmt |
| Program Services | $2,809,362 | ProgramServicesAmt |
| Management And General | $2,974,886 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,660,645 | TotalAmt |
| Program Services | $377,549,373 | ProgramServicesAmt |
| Management And General | $35,210,071 | ManagementAndGeneralAmt |
| Fundraising | $1,901,201 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,947,276 | TotalAmt |
| Program Services | $73,140,378 | ProgramServicesAmt |
| Management And General | $7,342,706 | ManagementAndGeneralAmt |
| Fundraising | $464,192 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $877,617 | TotalAmt |
| Program Services | $792,926 | ProgramServicesAmt |
| Management And General | $79,603 | ManagementAndGeneralAmt |
| Fundraising | $5,088 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,114,815 | TotalAmt |
| Management And General | $1,114,815 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,389 | TotalAmt |
| Management And General | $68,389 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,182,940 | TotalAmt |
| Program Services | $3,786,791 | ProgramServicesAmt |
| Management And General | $4,390,499 | ManagementAndGeneralAmt |
| Fundraising | $5,650 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,319 | TotalAmt |
| Management And General | $40,319 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,564,085 | TotalAmt |
| Program Services | $182,905,883 | ProgramServicesAmt |
| Management And General | $9,622,041 | ManagementAndGeneralAmt |
| Fundraising | $36,161 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,335,954 | TotalAmt |
| Program Services | $38,933,458 | ProgramServicesAmt |
| Management And General | $5,341,590 | ManagementAndGeneralAmt |
| Fundraising | $60,906 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,411,571 | TotalAmt |
| Program Services | $4,875,636 | ProgramServicesAmt |
| Management And General | $1,373,964 | ManagementAndGeneralAmt |
| Fundraising | $161,971 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,306 | TotalAmt |
| Program Services | $519,871 | ProgramServicesAmt |
| Management And General | $29,379 | ManagementAndGeneralAmt |
| Fundraising | $11,056 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,042,260 | TotalAmt |
| Program Services | $5,629,582 | ProgramServicesAmt |
| Management And General | $2,412,678 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,464,453 | TotalAmt |
| Program Services | $19,925,117 | ProgramServicesAmt |
| Management And General | $8,539,336 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,933,381 | TotalAmt |
| Program Services | $3,971,865 | ProgramServicesAmt |
| Management And General | $961,516 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| GROSS POOL ASSESSMENT | $7,359,920 | $7,359,920 | |
| EQUIP MAINT CONTRACT | $4,553,353 | $4,361,098 | $192,255 |
| CATERING & FOOD | $4,286,304 | $4,286,304 | |
| MINOR EQUIPMENT | $2,078,165 | $2,007,819 | $70,346 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,062,317 | TotalAmt |
| Program Services | $3,746,331 | ProgramServicesAmt |
| Management And General | $3,613,795 | ManagementAndGeneralAmt |
| Fundraising | -$297,809 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $822,354,818 | TotalAmt |
| Program Services | $732,341,910 | ProgramServicesAmt |
| Management And General | $87,664,492 | ManagementAndGeneralAmt |
| Fundraising | $2,348,416 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,943,804 | BOYAmt |
| EOY | $11,671,589 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,514,281 | BOYAmt |
| EOY | $4,889,074 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,282,323 | BOYAmt |
| EOY | $92,173,609 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,283,760 | BOYAmt |
| EOY | $2,348,225 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,031,323 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,528,875 | BOYAmt |
| EOY | $11,944,065 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,835,254 | BOYAmt |
| EOY | $9,932,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $610,883,062 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $378,872,554 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,360,178 | BOYAmt |
| EOY | $232,010,508 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,659,748 | BOYAmt |
| EOY | $221,639,462 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,971,699 | BOYAmt |
| EOY | $6,064,845 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,769,747 | BOYAmt |
| EOY | $63,316,011 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $662,180,992 | BOYAmt |
| EOY | $655,989,824 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,590,388 | BOYAmt |
| EOY | $73,448,974 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,357,366 | BOYAmt |
| EOY | $1,182,263 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,354,916 | BOYAmt |
| EOY | $162,305,360 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,091,377 | BOYAmt |
| EOY | $70,708,851 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,394,047 | BOYAmt |
| EOY | $307,645,448 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,726,451 | BOYAmt |
| EOY | $332,214,978 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,060,494 | BOYAmt |
| EOY | $16,129,398 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,786,945 | BOYAmt |
| EOY | $348,344,376 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $662,180,992 | BOYAmt |
| EOY | $655,989,824 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,137,229 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $17,568,592 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | $251,060 | InvestmentExpenseAmt |
| Other Changes In Net Assets | -$399,450 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $32,442 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $32,442 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LINE 11I: AMOUNT REPRESENTS A PERCENTAGE OF THE HOSPITAL'S ANNUAL APPORTIONMENT OF MHA/AHA DUES ATTRIBUTABLE TO LOBBYING EXPENSES FOR THE YEAR ENDED SEPTEMBER 30, 2023. IT WAS DETEMINED THAT 14.15% OF DUES WERE 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 FUNDING PROGRAMS. WE WELCOME ELECTED AND NON-ELECTED OFFICIALS TO VISIT OUR HOSPITAL TO DISCUSS HEALTH CARE POLICY ISSUES AFFECTING OUR REGION, THE COMMONWEALTH, AND THE NATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,060,494 | BeginningYearBalanceAmt |
| Contributions | $3,664,759 | ContributionsAmt |
| Investment Earnings Or Losses | $275,282 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,237,090 | OtherExpendituresAmt |
| Administrative Expenses | $634,048 | AdministrativeExpensesAmt |
| End Year Balance | $16,129,397 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,309,249 | BeginningYearBalanceAmt |
| Contributions | $4,826,647 | ContributionsAmt |
| Investment Earnings Or Losses | -$510,538 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $11,272,863 | OtherExpendituresAmt |
| Administrative Expenses | $292,001 | AdministrativeExpensesAmt |
| End Year Balance | $19,060,494 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,150,277 | BeginningYearBalanceAmt |
| Contributions | $7,649,387 | ContributionsAmt |
| Investment Earnings Or Losses | $476,222 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $10,532,663 | OtherExpendituresAmt |
| Administrative Expenses | $433,974 | AdministrativeExpensesAmt |
| End Year Balance | $26,309,249 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,183,081 | BeginningYearBalanceAmt |
| Contributions | $3,126,282 | ContributionsAmt |
| Investment Earnings Or Losses | $164,025 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $4,956,693 | OtherExpendituresAmt |
| Administrative Expenses | $366,418 | AdministrativeExpensesAmt |
| End Year Balance | $29,150,277 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,955,475 | BeginningYearBalanceAmt |
| Contributions | $13,842,437 | ContributionsAmt |
| Investment Earnings Or Losses | $156,623 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $3,202,899 | OtherExpendituresAmt |
| Administrative Expenses | $568,555 | AdministrativeExpensesAmt |
| End Year Balance | $31,183,081 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.13000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.87000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,162,377 | OtherCostOrOtherBasisAmt |
| Book Value | $5,162,377 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $283,883,798 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,081,995 | DepreciationAmt |
| Book Value | $112,801,803 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,457,062 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,707,488 | DepreciationAmt |
| Book Value | $4,749,574 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $289,478,996 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,070,225 | DepreciationAmt |
| Book Value | $102,408,771 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,900,829 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,012,846 | DepreciationAmt |
| Book Value | $6,887,983 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $232,010,508 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $9,298,196 |
| OTHER ACCOUNTS RECEIVABLE | $30,481,425 |
| RIGHT OF USE ASSETS | $23,218,216 |
| SECURITY DEPOSITS | $318,030 |
| DUE FROM THIRD PARTY | $144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $63,316,011 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED WORKERS COMP & SEPARATION | $3,060,000 |
| CAPITAL LEASES | $29,802,575 |
| DUE TO THIRD PARTY | $12,609,839 |
| EXECUTIVE BENEFITS | $7,742,606 |
| FIN 47 LIABILITY | $264,941 |
| MALPRACTICE PAYABLE | $13,226,879 |
| OTHER LIABILITIES | $1,411,860 |
| SECURITY DEPOSITS | $4,778 |
| ROU LEASE LIABILITY | $2,585,373 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $70,708,851 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE HOSPITAL MAINTAINS ITS ENDOWMENT FUNDS TO FURTHER ITS CHARITABLE PURPOSE AND THE CHARITABLE PURPOSE OF ITS AFFILIATES. THE HOSPITAL HAS USED ITS FUNDS TO PURCHASE MEDICAL EQUIPMENT, FUND PROGRAMS, AND IMPROVE ITS INFRASTRUCTURE. |
| PART X, LINE 2: | THE CORPORATION FOLLOWS THE PROVISIONS OF FASB ASC 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. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | MOONLIGHT & MIRACLES GALA | Event1Nm |
| Gross Receipts Event1 | $407,644 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $104,744 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $302,900 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $131,874 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $74,546 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $48,335 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $48,145 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $334,248 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $235,543 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $98,705 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $72,825 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $16,915 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $8,965 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 4 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $350,697 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $285,713 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $64,984 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $6,136 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $5,628 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $500 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $52,720 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $1,092,589 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $626,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $466,589 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $210,835 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $97,089 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $48,835 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $109,830 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $466,589 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,039,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,843 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,015,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,225,175 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,018,605 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,206,570 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03670 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,606,579 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,606,579 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,870,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,042,448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,828,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $524,720 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $524,720 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $540,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $540,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,199,172 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,735,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,463,729 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02970 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $184,354 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $184,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,448,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $54,735,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $25,713,463 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $171,319,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $106,777,891 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $64,541,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07840 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $768,144 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $768,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,986 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $105,986 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $758,379 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $747,842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $461,239 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $461,239 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,093,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,083,211 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $18,841,830 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $206,618,446 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $227,787,704 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,169,258 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG ROAD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SOUTHSHOREHEALTH.ORG | WebsiteAddressTxt |
| State License | 2107 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Emergency Room Other | Yes (X) | EmergencyRoomOtherInd |
| Other | ALL HOSP. FAC. ARE INCLUDED IN SSH'S LICENSE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.SOUTHSHOREHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFITS | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.SOUTHSHOREHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFITS | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.SOUTHSHOREHEALTH.ORG/PATIENT-RESOURCES/BILLING-INSURANCE | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.SOUTHSHOREHEALTH.ORG/PATIENT-RESOURCES/BILLING-INSURANCE | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.SOUTHSHOREHEALTH.ORG/PATIENT-RESOURCES/BILLING-INSURANCE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SOUTH SHORE HOSPITAL INC | PART V, SECTION B, LINE 5: THE HOSPITAL DEVELOPED ITS CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT BY HOLDING A WORKGROUP WITH REPRESENTATIVES FROM THE 31 COMMUNITIES IT SERVES. THE THIRTY-ONE PARTICIPANTS WERE DRAWN FROM A DIVERSE CROSS-SECTION OF INTERESTED PARTIES INVOLVED IN OUR COMMUNITY AND KNOWLEDGEABLE OF OUR LOCAL HEALTH CHALLENGES AND NEEDS. THE WORKGROUP WAS COMPRISED OF INDIVIDUALS FROM THE HEALTH SYSTEM AND HOSPITAL (INCLUDING THE VISITING NURSE ASSOCIATION) AS WELL AS INDIVIDUALS FROM THE FOLLOWING GROUPS/ORGANIZATIONS: ASPIRE, BAY STATE COMMUNITY SERVICES, CHNA 20 (BLUE HILLS COMMUNITY HEALTH ALLIANCE), BEST OF CARE, BOSTON CHINATOWN NEIGHBORHOOD CENTER, DOVE, FATHER BILLS & MAINSPRING, HEALTH IMPERATIVES, INTERFAITH SOCIAL SERVICES, MANET COMMUNITY HEALTH CENTER, MASSACHUSETTS DEPARTMENT OF DEVELOPMENTAL SERVICES, PAARI, QUINCY ASIAN RESOURCES, QUINCY COMMUNITY ACTION PROGRAM, QUINCY POLICE, TOWN OF RANDOLPH, SCITUATE FACTS, SOUTH SHORE ELDER SERVICES, SOUTH SHORE MANOR, WELLSPRING, TOWN OF WEYMOUTH, WOLLASTON SENIOR CENTER AND YOUTH HEALTH CONNECTION. IN ADDITION TO THIS WORKGROUP, THE HOSPITAL REGULARLY COLLECTS DATA THROUGH MEETINGS WITH STATE AND LOCAL LEADERS, HEALTH SERVICES PROVIDERS, EMS, POLICE AND FIRE OFFICIALS, BUSINESS LEADERS, AND OTHERS WHO ARE KNOWLEDGEABLE ABOUT SOUTHEASTERN MASSACHUSETTS' HEALTH NEEDS. |
| SOUTH SHORE HOSPITAL INC | PART V, SECTION B, LINE 6B: SOUTH SHORE HOSPITAL COLLABORATES WITH THREE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NETWORK AREAS. WE SUPPORT AND FUND COMMUNITY HEALTH INITIATIVES SPONSORED BY THE BLUE HILLS COMMUNITY HEALTH ALLIANCE (CHNA 20), SOUTH SHORE COMMUNITY PARTNERS IN PREVENTION (CHNA 23) AND GREATER BROCKTON COMMUNITY HEALTH NETWORK AREA (CHNA 22). |
| SOUTH SHORE HOSPITAL INC | PART V, SECTION B, LINE 11: SOUTH SHORE HOSPITAL IDENTIFIED MANY HEALTH AND SOCIAL ISSUES THROUGH ITS ONGOING DATA COLLECTION AND THE CHNA WORKGROUP FILINGS. THESE ISSUES WERE FRAMED INTO FOUR PRIORITY STRATEGIC DOMAINS; MENTAL HEALTH, SUBSTANCE ABUSE, CHRONIC & COMPLEX CONDITIONS AND THEIR RISK FACTORS, AND HEALTH LITERACY & COMMUNICATIONS. TO ADDRESS THE ISSUES FRAMED IN THESE FOUR DOMAINS, SSH PLANS TO DEVELOP OUTREACH, EDUCATION, AND SUPPORT PROGRAMS FOR THOSE AT-RISK, PROVIDE RESOURCES AND PROGRAMS TO ADDRESS SOCIAL ISOLATION, INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE PROGRAMS, PROVIDE NARCAN AND ASSOCIATED TRAINING IN COMMUNITY BASED SETTINGS, SUPPORT DRUG TAKE-BACK EFFORTS, ENHANCE CAREGIVER SUPPORT, ENHANCE ACCESS TO THOSE WHO FACE BARRIERS TO HEALTH CARE, ENHANCE ACCESS TO TRANSPORTATION SERVICES, SUPPORT WORKFORCE DEVELOPMENT AND CREATION OF EMPLOYMENT OPPORTUNITIES, INCREASE AVAILABILITY OF TRANSITIONAL HOUSING, IMPROVE CHRONIC CARE MANAGEMENT THROUGH INCREASED SERVICES, ENHANCE INFORMATION SHARING BETWEEN HOSPITALS, LOCAL HEALTH DEPARTMENTS AND LOCAL PROVIDERS, INCREASE HEALTH LITERACY BY DEVELOPING AND DISSEMINATING HEALTH RELATED INFORMATION THAT IS ACCURATE, ACCESSIBLE AND TRANSLATED, AND PROMOTE COMMUNITY COLLABORATION AND COORDINATION. |
| SOUTH SHORE HOSPITAL INC | PART V, SECTION B, LINE 13H: OTHER FACTORS USED TO DETERMINE AMOUNTS CHARGED TO PATIENTS ARE ELIGIBILITY IN MEDICARE/MEDICAID PROGRAMS OR THROUGH THE COMMONWEALTH'S HEALTH CONNECTOR. |
| SOUTH SHORE HOSPITAL INC | PART V, SECTION B, LINE 16J: THE HOSPITAL'S POLICY IS ATTACHED TO BILLING INVOICES. ADDITIONALLY, THE HOSPITAL SUMMARIZES ITS POLICY THROUGHOUT ITS FACILITIES: IN THE EMERGENCY DEPARTMENT AND WAITING ROOMS, THE ADMISSIONS OFFICE, FINANCIAL COUNSELORS' OFFICE AND THE BUSINESS OFFICE/PATIENT ACCOUNTING LOCATIONS. PATIENTS WITHOUT INSURANCE ARE DIRECTED TO A FINANCIAL COUNSELOR WHO WILL PROVIDE THEM WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE POLICY AS WELL AS RESOURCES AVAILABLE TO THEM THROUGH MASSHEALTH OR THE COMMONWEALTH'S HEALTH SAFETY NET. |
| SOUTH SHORE HOSPITAL INC | PART V, SECTION B, LINE 20E: INDIVIDUALS REFERRED TO SOUTH SHORE HOSPITAL MAY MEET WITH A FINANCIAL COUNSELOR TO LEARN ABOUT OUR FINANCIAL ASSISTANCE POLICY AS PART OF THE PRE-ADMISSION PROCESS. IF THE HOSPITAL IS UNABLE TO NOTIFY A PATIENT OF ITS FINANCIAL ASSISTANCE POLICY BEFORE OR DURING THE ADMISSION PROCESS, A FINANCIAL COUNSELOR MAY MEET WITH THE PATIENT DURING HIS HOSPITAL STAY. COUNSELORS ASSIST UNINSURED INDIVIDUALS IDENTIFIED DURING THE NOTIFICATION/ELIGIBILITY PROCESS IN APPLYING FOR INSURANCE THROUGH THE COMMONWEALTH OF MASSACHUSETTS'S HEALTH CONNECTOR PORTAL. COUNSELORS WORK WITH UNDERINSURED, MEDICALLY DISABLED INDIVIDUALS TO FIND ADDITIONAL RESOURCES TO HELP PAY THEIR MEDICAL BILLS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - AMBULATORY CANCER CENTER | ||||
| 101 COLOMBIAN STREET | SOUTH WEYMOUTH | MA | 02190 | BREAST CARE AND MULTISPECIALTY CARE CENTER |
| 2 - CENTER FOR ORTHO SPINE & SPORTS MEDICIN | ||||
| 2 POND PARK ROAD | HINGHAM | MA | 02043 | ORTHOPEDIC REHABILITATION AND OUTPATIENT SURGICAL SATELLITE CLINIC |
| 3 - CENTER FOR WOUND HEAL | ||||
| 90 LIBBEY INDUSTRIAL PARKWAY | SOUTH WEYMOUTH | MA | 02190 | WOUND CARE AND HYPERBARIC MEDICINE |
| 4 - OUTPATIENT SERVICES | ||||
| 780 MAIN STREET | SOUTH WEYMOUTH | MA | 02190 | OUTPATIENT SURGERY CENTER |
| 5 - PRE-SURGERY EVALUATION | ||||
| 2 POND PARK | HINGHAM | MA | 02043 | PRE-SURGICAL TESTING AND EVALUATION CLINIC |
| 6 - PAIN MANAGEMENT CLINIC | ||||
| 2 POND PARK ROAD | HINGHAM | MA | 02043 | PAIN MANAGEMENT CLINIC |
| 7 - CENTER FOR PHYSICAL WELLNESS | ||||
| 780 MAIN STREET | SOUTH WEYMOUTH | MA | 02190 | OUTPATIENT CENTER FOCUSED ON EXERCISE AND PEDIATRIC OCCUPATIONAL THERAPY |
| 8 - SOUTH SHORE UROLOGY | ||||
| 780 MAIN STREET | SOUTH WEYMOUTH | MA | 02190 | OUTPATIENT UROLOGY CENTER |
| 9 - GRAYKEN CENTER FOR TREATMENT | ||||
| 797 MAIN STREET | SOUTH WEYMOUTH | MA | 02190 | SUBSTANCE ABUSE DISORDER AND BEHAVIORAL HEALTH SERVICES AND INTIATIVES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | SOUTH SHORE HOSPITAL USES THE COST TO CHARGE RATIO FOR CALCULATING AMOUNTS IN THE TABLE FOR LINE 7. THE COST TO CHARGE RATIO IS TOTAL PATIENT CARE COSTS DIVIDED BY TOTAL PATIENT CARE CHARGES PER WORKSHEET S-10, LINE 1 OF THE MEDICARE COST REPORT. BAD DEBT IS NOT INCLUDED IN ANY AMOUNTS REPORTED IN THE TABLE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES ARE UNDERTAKEN TO MEET THE NEEDS OF THE RESIDENTS OF SOUTHEASTERN MASSACHUSETTS. THE HOSPITAL PARTICIPATES IN OUTREACH PROGRAMS AND MEETS WITH MEMBERS OF THE COMMUNITIES IT SERVES TO ASSESS HEALTH CARE NEEDS. TRANSLATION SERVICES AND 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, AND CLINICAL AND MEDICAL WORKFORCE DEVELOPMENT PROGRAMS ENSURE THE NEEDS OF THE COMMUNITY ARE MET. THE HOSPITAL PROVIDES SERVICES SUCH AS PASTORAL CARE TO PATIENTS AND THEIR FAMILIES AND PROGRAMS FOR YOUTH IN OUR COMMUNITY. |
| PART III, LINE 2: | THE HOSPITAL ANALYZES ACCOUNTS RECEIVABLE BY MAJOR INSURANCE GROUP AND LOOKS AT THE HISTORY OF BAD DEBT BY PAYOR. BAD DEBT IS CALCULATED ON A PERCENTAGE BASIS BASED ON THIS HISTORICAL ANALYSIS OF UNCOLLECTIBLE AMOUNTS AND THE PERCENTAGE IS APPLIED TO AGED ACCOUNTS RECEIVABLE. |
| PART III, LINE 4: | UNCOMPENSATED CARE EXPENSE IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS REPRESENTS THE HOSPITAL'S PAYMENTS TO THE STATEWIDE HEALTH SAFETY NET FUND (HSN)-- NET OF RECOVERIES FROM HSN FOR REIMBURSABLE BAD DEBTS. |
| PART III, LINE 8: | SOUTH SHORE HOSPITAL PROVIDES A VALUABLE COMMUNITY BENEFIT BY TREATING ALL INDIVIDUALS WITHIN THE HOSPITAL'S SERVICE AREA REGARDLESS OF ABILITY TO PAY. ABOUT 7% OF PEOPLE IN OUR AREA LIVE NEAR OR BELOW THE POVERTY LEVEL. THESE INDIVIDUALS WOULD HAVE TO TRAVEL OUT OF OUR AREA OR POSSIBLY FORGO MEDICAL TREATMENT WITHOUT THE SERVICES THE HOSPITAL PROVIDES. THE HOSPITAL USES THE MEDICARE 2552 REPORT FOR COSTS. THE MEDICARE SHORTFALL INCURRED BY SSH IS VIEWED AS LESSENING THE BURDEN OF GOVERNMENT AND THEREFORE PROVIDES A VALUABLE COMMUNITY BENEFIT. |
| PART III, LINE 9B: | THE HOSPITAL DOES NOT BILL THE FOLLOWING CATEGORIES OF PATIENTS (EXCEPT THAT THE HOSPITAL WILL BILL PATIENTS FOR ANY APPLICABLE CO-PAYMENTS OR DEDUCTIBLES REQUIRED BY A PARTICULAR ASSISTANCE PROGRAM): PATIENTS ENROLLED IN MASSHEALTH, PATIENTS RECEIVING GOVERNMENTAL BENEFITS UNDER THE EMERGENCY AID TO THE ELDERLY AND DISABLED CHILDREN PROGRAM AND IN THE HEALTHY START PROGRAM. ALSO, PARTICIPANTS IN THE CHILDREN'S MEDICAL SECURITY PLAN WHOSE FAMILY INCOME IS EQUAL TO OR LESS THAN 300% OF THE FEDERAL POVERTY LIMIT (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 150.1-300% OF THE FPL ARE EXEMPT FROM COLLECTION ACTION FOR THE PORTION OF THE PROVIDER BILL THAT EXCEEDS THE DEDUCTIBLE AND MAY BE BILLED FOR CO-PAYMENTS AND DEDUCTIBLES AS SET FORTH IN 114.6 CMR 13.04. SSH MAY BILL LOW-INCOME PATIENTS FOR SERVICES OTHER THAN ELIGIBLE SERVICES PROVIDED AT THE REQUEST OF THE PATIENT, AND FOR WHICH THE PATIENT HAS AGREED TO BE RESPONSIBLE, IF PROVIDERS RECEIVE THE PATIENT'S WRITTEN CONSENT TO BE BILLED FOR THE SERVICES. THE HOSPITAL WILL NOT UNDERTAKE COLLECTION ACTION AGAINST AN INDIVIDUAL THAT HAS QUALIFIED FOR MEDICAL HARDSHIP WITH RESPECT TO THE AMOUNT OF THE BILL THAT EXCEEDS THE MEDICAL HARDSHIP CONTRIBUTION. SOUTH SHORE HOSPITAL WILL NOT CONTINUE COLLECTION OR BILLINGS ON A PATIENT WHO IS A MEMBER OF BANKRUPTCY PROCEEDINGS, EXCEPT TO SECURE ITS RIGHTS AS A CREDITOR IN THE APPROPRIATE ORDER. THE HOSPITAL MAY INITIATE BILLING FOR A PATIENT WHO CLAIMS TO BE ELIGIBLE FOR ASSISTANCE PROGRAMS BUT FAILS TO PROVIDE PROOF OF ELIGIBILITY. UPON RECEIPT OF SATISFACTORY PROOF OF ELIGIBILITY, THE HOSPITAL SHALL CEASE ALL COLLECTION ACTIVITIES. THE HOSPITAL, OR ITS AGENTS, WILL NOT CHARGE INTEREST ON AN OVERDUE BALANCE FOR A LOW-INCOME PATIENT OR FOR PATIENTS WHO ARE LOW INCOME BASED ON THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. |
| PART VI, LINE 2: | THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN OCTOBER 2021. THE CHNA WAS THE CULMINATION OF SSH'S EFFORTS TO UNDERSTAND THE NEEDS OF THE COMMUNITY IT SERVES. IN ADDITION TO THE WORKGROUP FORMED TO ASSESS AND PRIORITIZE HEALTH NEEDS, THE HOSPITAL CONTINUOUSLY ENGAGES SYSTEM CLINICIANS AND LEADERS, COMMUNITY SERVICE PROVIDERS, MEMBERS OF STATE AND LOCAL GOVERNMENTS, EMS PROVIDERS, POLICE AND FIRE OFFICIALS AND OTHER INTERESTED PARTIES IN THE COLLECTION AND REVIEW OF DATA. SSH TRACKS AND STUDIES TRENDS IN OUR PATIENT POPULATION. WE REVIEW COMMUNITY HEALTH DATA PRIMARILY FROM THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND THE U.S CENSUS BUREAU. |
| PART VI, LINE 3: | SOUTH SHORE HOSPITAL PROMINENTLY DISPLAYS ITS FINANCIAL ASSISTANCE INFORMATION IN PUBLIC AREAS THROUGHOUT THE HOSPITAL. INFORMATION IS PROVIDED TO INDIVIDUALS DURING THE INTAKE PROCESS. THE HOSPITAL POSTS ITS CREDIT AND COLLECTION POLICY, IN PLAIN LANGUAGE SUMMARY AND ITS ENTIRETY, ON ITS WEBSITE AND COPIES ARE ALSO AVAILABLE UPON REQUEST. OUR FINANCIAL ASSISTANCE PLAN 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, COUNSELORS ARE AVAILABLE TO ASSIST INDIVIDUALS IN OUR SERVICE AREA IN OBTAINING HEALTH INSURANCE, WHETHER THEY ARE PATIENTS OF THE HOSPITAL OR NOT. |
| PART VI, LINE 4: | SOUTH SHORE HOSPITAL SERVES AN AREA SOUTH OF BOSTON WITH A POPULATION OF APPROXIMATELY 630,000. THE MAJORITY OF PATIENTS IDENTIFY THEMSELVES AS CAUCASIAN (71.97%), FOLLOWED BY BLACK/AFRICAN AMERICAN (5.30%), ASIAN (2.79%) AND OTHER (15.26%). AFTER ENGLISH, THE NEXT MOST COMMON LANGUAGES THAT PATIENTS REPORTED SPEAKING AS A PRIMARY LANGUAGE ARE PORTUGUESE, SPANISH, ARABIC, VIETNAMESE, AND CANTONESE. |
| PART VI, LINE 5: | SOUTH SHORE HOSPITAL IS COMMITTED TO PROVIDING COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH AND WELL-BEING 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 MAKES ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY AND COMMUNITY BENEFITS REPORTS AVAILABLE ON ITS WEBSITE. FOR MORE INFORMATION ABOUT SOUTH SHORE HOSPITAL'S ACTIVE ROLE IN MEETING THE NEEDS OF OUR COMMUNITY, PLEASE VISIT HTTPS://SOUTHSHOREHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFITS. |
| PART VI, LINE 6: | SOUTH SHORE HOSPITAL IS PART OF AN AFFILIATE HEALTH CARE SYSTEM. UNDER THE CONTROL OF ITS PARENT ORGANIZATION, SOUTH SHORE HEALTH SYSTEM (SSHS), AFFILIATES SOUTH SHORE HOSPITAL, SOUTH SHORE PROPERTY, CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS, SOUTH SHORE HEALTH INTEGRATED DELIVERY NETWORK, INC. AND COASTAL MEDICAL ASSOCIATES (INCLUDING ITS SUBSIDIARIES SOUTH SHORE MEDICAL CENTER AND SOUTH SHORE HEALTH EXPRESS) COORDINATE THE PROVISION OF HEALTH CARE SERVICES TO THE RESIDENTS OF SOUTHEASTERN MASSACHUSETTS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | MA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | FRIENDS SCHOLARSHIPS FOR STUDENTS PURSUING HEALTH CARE DEGREES | GrantTypeTxt |
| Recipient | 19 | RecipientCnt |
| Cash Grant | $21,500 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | SOUTH SHORE HOSPITAL ADMINISTERS GRANTS IN ACCORDANCE WITH GRANTOR DOCUMENTS AND MAINTAINS RECORDS TO SUBSTANTIATE COMPLIANCE. GRANTEES ARE REQUIRED TO PROVIDE EVIDENCE OF MEETING CRITERIA ESTABLISHED FOR VARIOUS ASSISTANCE GRANTS OR SCHOLARSHIPS AWARDED BY SSH. |
| SCHEDULE I, PART III | THE FRIENDS OF SOUTH SHORE HEALTH SYSTEM, AN AUXILIARY HOSPITAL ORGANIZATION, OFFERS SEVERAL SCHOLARSHIPS TO STUDENTS INTERESTED IN FURTHERING THEIR EDUCATION IN HEALTH CARE AND HEALTH CARE RELATED FIELDS. INTERESTED, ELIGIBLE APPLICANTS ARE ENCOURAGED TO APPLY FOR THESE SCHOLARSHIPS. THE NURSING SCHOLARSHIP IS FOR A FULL-TIME OR REGULAR PART-TIME EMPLOYEE OF SOUTH SHORE HOSPITAL PRESENTLY ENROLLED AT AN ACCREDITED SCHOOL PURSUING A BSN 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 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. NINETEEN SCHOLARSHIPS TOTALING $21,500 WERE AWARDED IN FISCAL 2023. THE FRIENDS IS A DEPARTMENT OF SOUTH SHORE HOSPITAL; FUNDS AND OVERSIGHT OF FRIENDS SCHOLARSHIPS COMES FROM THE HOSPITAL. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY R LYNCH MD | ||||||||||||||
| CHIEF MED. OFFICER THROUGH 7/22/22 | $468,575 | $0 | $300 | $0 | $266,077 | $0 | $392,239 | $0 | $14,705 | $0 | $1,141,896 | $0 | $0 | $0 |
| ALLEN SMITH MD | ||||||||||||||
| PRESIDENT & CEO | $872,900 | $0 | $65,025 | $0 | $6,671 | $0 | $159,150 | $0 | $24,553 | $0 | $1,128,299 | $0 | $0 | $0 |
| FREDERICK MILLHAM MD | ||||||||||||||
| CHAIR, SURGERY | $871,609 | $0 | $33,143 | $0 | $37,650 | $0 | $9,150 | $0 | $18,751 | $0 | $970,303 | $0 | $0 | $0 |
| WILLIAM JOHNSTON | ||||||||||||||
| CHIEF OPERATING OFFICER | $603,431 | $0 | $60,000 | $0 | $3,612 | $0 | $117,150 | $0 | $24,553 | $0 | $808,746 | $0 | $0 | $0 |
| KIMBERLY DEVER MD | ||||||||||||||
| DIRECTOR, CHIEF OB/GYN | $629,868 | $0 | $73,395 | $0 | $57,408 | $0 | $9,150 | $0 | $30,032 | $0 | $799,853 | $0 | $0 | $0 |
| DILIP NATARAJ MD | ||||||||||||||
| CHAIR, CRITICAL CARE | $622,493 | $0 | $76,460 | $0 | $71,875 | $0 | $9,150 | $0 | $10,867 | $0 | $790,845 | $0 | $0 | $0 |
| LUKE O'CONNELL MD | ||||||||||||||
| CHIEF CLINICAL OFFICER | $627,090 | $0 | $80,666 | $0 | $25,863 | $0 | $9,150 | $0 | $24,553 | $0 | $767,322 | $0 | $0 | $0 |
| HOWARD CHANG MD | ||||||||||||||
| CHIEF, PSYCHIATRY | $674,531 | $0 | $0 | $0 | $28,550 | $0 | $9,150 | $0 | $17,985 | $0 | $730,216 | $0 | $0 | $0 |
| JASON TRACY MD | ||||||||||||||
| CHAIR, EMERGENCY SERVICES | $570,571 | $0 | $23,274 | $0 | $40,411 | $0 | $9,150 | $0 | $20,055 | $0 | $663,461 | $0 | $0 | $0 |
| ERIK SHANK MD | ||||||||||||||
| CHAIR, ANESTHESIA | $562,842 | $0 | $22,224 | $0 | $3,612 | $0 | $9,150 | $0 | $22,091 | $0 | $619,919 | $0 | $0 | $0 |
| MARY SHAUGHNESSY | ||||||||||||||
| FORMER TREAS. & CFO THRU 6/13/22 | $499,538 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $499,538 | $0 | $0 | $0 |
| JOSEPH R DRISCOLL ESQ | ||||||||||||||
| SECRETARY | $413,606 | $0 | $12,351 | $0 | $7,323 | $0 | $9,150 | $0 | $24,553 | $0 | $466,983 | $0 | $0 | $0 |
| TIMOTHY QUIGLEY | ||||||||||||||
| SVP SPECIAL PROJECTS | $375,725 | $0 | $11,493 | $0 | $37,859 | $0 | $9,301 | $0 | $24,553 | $0 | $458,931 | $0 | $0 | $0 |
| KRISTINE HANSCOM CPA MST CGMA | ||||||||||||||
| TREAS. & CFO 6/14/22 THRU 5/31/23 | $296,902 | $0 | $30,750 | $0 | $1,945 | $0 | $9,150 | $0 | $9,289 | $0 | $348,036 | $0 | $0 | $0 |
| JUSTIN CAMPBELL | ||||||||||||||
| DIRECTOR/CHAIR OF PROVIDER COUNCIL | $181,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $181,000 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | FREDERICK MILLHAM RECEIVED A $139.93 GROSS-UP PAYMENT. |
| PART I, LINE 3 | FOR FY23 COMPENSATION DECISIONS, THE HOSPITAL'S PARENT COMPANY, SOUTH SHORE HEALTH SYSTEM, HAS A COMPENSATION COMMITTEE THAT MAKES COMPENSATION DECISIONS FOR ALL SYSTEM EXECUTIVES. THE COMPENSATION COMMITTEE MEETS PERIODICALLY AND ENGAGES AN INDEPENDENT EXTERNAL COMPENSATION CONSULTING FIRM TO ESTABLISH THE COMPENSATION OF THE SSH PRESIDENT AND OTHER KEY EMPLOYEES. THE CONSULTING FIRM DEVELOPS AND PRESENTS ALL MATERIALS INCLUDING MARKET TRENDS, COMPENSATION STUDIES AND SURVEYS, AND ADHERES TO BEST PRACTICES GUIDELINES. THE FINAL RECOMMENDATION FOR COMPENSATION CHANGES IS PRESENTED AND APPROVED BY THE ENTIRE INDEPENDENT COMMUNITY OF THE SYSTEM'S BOARD OF DIRECTORS. |
| PART I, LINE 4A | TIMOTHY R LYNCH RECEIVED A SEVERANCE PAYMENT DURING THE YEAR FOR $259,512. |
| PART I, LINE 7 | THE NON-FIXED PAYMENTS PROVIDED CONSIST OF STIPENDS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MASSACHUSETTS DEVELOPMENT FINANCE AGENCY | ||||||||
| A | 043431814 | 000000000 | 2021-03-24 | $49,221,667 | TO REFUND BONDS ISSUED 9/14/2012 | 0 | 0 | 0 |
| MASSACHUSETTS DEVELOPMENT FINANCE AGENCY | ||||||||
| B | 043431814 | 57584XNN7 | 2016-05-09 | $155,229,109 | SEE PART VI FOR COMPLETE DESCRIPTION | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $10,716,667 | $49,221,667 | $49,221,667 | Yes (1) | 0 | Yes (1) | Yes (1) | |||
| B | $23,668,889 | $156,274,667 | $35,226,666 | Yes (1) | 0 | Yes (1) | Yes (1) | $2,094,564 | $121,048,000 | 2019 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEUTSCHE BANK AG | ||||||||||||
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | Yes (1) | 11.300000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, COLUMN F, BOND B | SERIES H WAS USED TO CONSTRUCT A NEW CRITICAL CARE UNIT AND TO RENOVATE THE EXISTING CRITICAL CARE UNIT; SERIES I WAS USED TO CONSTRUCT A NEW CRITICAL CARE UNIT AND TO RENOVATE THE EXISTING CRITICAL CARE UNIT AND FOR OTHER MISCELLANEOUS CAPITAL PROJECTS. THE FINANCING ALSO UPGRADED THE HOSPITAL'S ELECTRONIC HEALTH RECORD SYSTEM AND TO IMPLEMENT ENTERPRISE RESOURCE PLANNING SOFTWARE AND OTHER SYSTEM-WIDE TECHNOLOGY UPDATES. A PORTION OF SERIES I REFUNDS 7/14/99 AND 12/16/11 ISSUES. |
| SCHEDULE K, PART II, LINE 3, BOND B | THE DIFFERENCE BETWEEN THE ISSUE PRICE AND THE TOTAL PROCEEDS IS DUE TO INTEREST INCOME. |
| SCHEDULE K, PART II, LINE 4, BOND B | AMOUNTS REPORTED HERE CONSIST OF ENTIRELY BONA FIDE DEBT SERVICE FUND DEPOSITS. |
| SCHEDULE K, PART IV, LINE 2C, BOND B | THE DATE OF THE REBATE CALCULATION IS JULY 1, 2020. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| TIMOTHY QUIGLEY | |||||||
| CNO THROUGH 9/30/21, SSH SVP SPECIAL PROJECTS | SPLIT DOLLAR LIFE POLICY | Yes (X) | $203,220 | $203,220 | 0 | Yes (1) | Yes (1) |
| JOHN STEVENSON | |||||||
| PHYSICIAN, CMO THROUGH 5/16/17 | SPLIT DOLLAR LIFE POLICY | Yes (X) | $783,980 | $783,980 | 0 | Yes (1) | Yes (1) |
| JOSEPH DRISCOLL | |||||||
| GENERAL COUNSEL/CLERK/SECRETARY | SPLIT DOLLAR LIFE POLICY | Yes (X) | $451,255 | $451,255 | 0 | Yes (1) | Yes (1) |
| KIMBERLY DEVER | |||||||
| CHIEF OB/GYN, DIRECTOR THOUGH 9/20, VP WOMEN'S HEALTH AND CHAIR OBGYN | SPLIT DOLLAR LIFE POLICY | Yes (X) | $520,300 | $520,300 | 0 | Yes (1) | Yes (1) |
| JASON TRACY MD | |||||||
| EMERGENCY DEPARTMENT CHAIR THROUGH | SPLIT DOLLAR LIFE POLICY | Yes (X) | $389,470 | $389,470 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $2,348,225 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (24 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $3,279,580 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $37,009 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $5,659 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $49,299,103 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $637,944 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $113,072 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $7,954 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $109,490 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $2,816,112 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $2,753,197 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $2,242,450 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $67,823 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $30,729 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $126,600 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $2,492 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $27,210,237 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $29,133 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $6,956 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $545,788 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $132,287 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $6,167 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $2,631,936 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $208,619 | INDEPENDENT CONTRACTOR | 0 |
| SUBSTANTIAL CONTRIBUTOR | |||
| SUBSTANTIAL CONTRIBUTOR | $740,415 | INDEPENDENT CONTRACTOR | 0 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $588 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | REPLACEMENTS COST | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $87,763 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenuesTxt |
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $10,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 12 | ContributionCnt |
| Noncash Contributions Rpt F990 | $25,085 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | ADVERTISING | 9 | $58,041 | COST OR SELLING PRIC |
| Yes (X) | PROFESSIONAL SERVICES | 7 | $8,961 | COST OR SELLING PRIC |
| Yes (X) | FLOWERS | 1 | $150 | COST OR SELLING PRIC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE INFORMATION PROVIDED ABOVE IS THE NUMBER OF CONTRIBUTIONS RECEIVED. UNLESS OTHERWISE NOTED, DONOR VALUATION WAS USED TO DETERMINE THE AMOUNT OF NONCASH CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF SOUTH SHORE HEALTH SYSTEM AND ITS RELATED ENTITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | SOUTH SHORE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S FORM 990 IS PREPARED INTERNALLY AND REVIEWED BY THE TAX PRACTICE OF ITS INDEPENDENT AUDITORS. THE RETURN IS THEN REVIEWED BY THE CFO. FORM 990 IS UPLOADED TO THE GOVERNING BOARD'S WEB PORTAL FOR ALL BOD MEMBERS TO REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | SOUTH SHORE HEALTH SYSTEM (SSHS), PARENT OF SOUTH SHORE HOSPITAL, HAS A COMPENSATION COMMITTEE THAT SETS THE COMPENSATION PHILOSOPHY AND PAY APPROACH FOR THE EXECUTIVE TEAM AND MAKES COMPENSATION DECISIONS FOR THE PRESIDENT/CEO. UTILIZING THE ESTABLISHED PHILOSOPHY AND APPROACH, THE COMMITTEE DELEGATES COMPENSATION DECISIONS FOR THE REST OF THE EXECUTIVE TEAM TO THE PRESIDENT/CEO. THE COMPENSATION COMMITTEE MEETS PERIODICALLY, IS INDEPENDENT AND CONSISTS SOLELY OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH REGARDS TO COMPENSATION MATTERS. SSHS UTILIZES AN INDEPENDENT OUTSIDE CONSULTANT TO DETERMINE EXECUTIVE COMPENSATION FOR THE PRESIDENT/CEO. ALL DATA PRESENTED, AS WELL AS COMPENSATION DELIBERATIONS AND VOTES, IS DOCUMENTED IN THE COMPENSATION COMMITTEE 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 HOSPITAL 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | SOUTH SHORE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION AT THE CORPORATION'S OFFICE. COPIES OF THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. IN ADDITION, CERTAIN GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE MASSACHUSETTS SECRETARY OF THE COMMONWEALTH'S CORPORATIONS DIVISION DATABASE. |
| FORM 990, PART XI, LINE 9: | OTHER -399,450. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ATLANTIC WOMEN'S HEALTH INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 200156651 | PROVIDES SPECIALIZED MEDICAL CARE | MA | 501(C)(3) | 3 | SOUTH SHORE HOSPITAL INC | Yes (1) | |
| COASTAL MEDICAL ASSOCIATES INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 043170333 | PROVIDES SPECIALIZED MEDICAL CARE | MA | 501(C)(3) | 3 | SOUTH SHORE HEALTH SYSTEM INC | Yes (1) | |
| CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 823503666 | OPERATES AN ACOUNTABLE CARE ORGANIZATION | MA | 501(C)(3) | 10 | SOUTH SHORE HEALTH SYSTEM INC | Yes (1) | |
| METROSOUTH OBSTETRICS & GYNECOLOGY INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 330998957 | PROVIDES SPECIALIZED MEDICAL CARE | MA | 501(C)(3) | 3 | SOUTH SHORE HOSPITAL INC | Yes (1) | |
| SOUTH SHORE HEALTH EXPRESS INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 452385865 | OPERATES MEDICAL URGENT CARE CENTERS | MA | 501(C)(3) | 10 | COASTAL MEDICAL ASSOCIATES INC | Yes (1) | |
| SOUTH SHORE HEALTH SYSTEM INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 042105926 | SUPPORTS THE CHARITABLE MISSION OF SOUTH SHORE HOSPITAL AND ITS AFFILIATES | MA | 501(C)(3) | 12B, II | 0 | N/A | |
| SOUTH SHORE MEDICAL CENTER INC | |||||||||||
| 143 LONGWATER DRIVE | NORWELL | MA | 02061 | 042297845 | SPECIALIZED AND PRIMARY MEDICAL CARE | MA | 501(C)(3) | 10 | COASTAL MEDICAL ASSOCIATES INC | Yes (1) | |
| FRIENDS OF SOUTH SHORE HOSPITAL INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 042582248 | RAISES MONIES IN SUPPORT OF SSH AND BUILDS GOODWILL IN THE COMMUNITY | MA | 501(C)(3) | 12A, I | SOUTH SHORE HOSPITAL INC | Yes (1) | |
| SOUTH SHORE PROPERTY INC | |||||||||||
| 55 FOGG ROAD | SOUTH WEYMOUTH | MA | 02190 | 050398822 | DEVELOPS AND MANAGES REAL ESTATE PROPERTY FOR SOUTH SHORE HOSPITAL | MA | 501(C)(3) | 12A, I | SOUTH SHORE HEALTH SYSTEM INC | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH SHORE HEALTH INTEGRATED DELIVERY NETWORK INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 FOGG ROAD | AddressLine1Txt |
| City | SOUTH WEYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 852785921 | EIN |
| Primary Activities | TO DEVELOP & MAINTAIN A NETWORK OF PROVIDERS FOR DELIVERY OF HEALTHCARE SERV | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |