COASTAL MEDICAL ASSOCIATES INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- COASTAL MEDICAL ASSOCIATES INC (EIN 04-3170333)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-07-25
- IRS object ID
- 201632259349301628
- Schema version
- 2014v6.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-07-25T12:50:09-07:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043170333 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Coastal Medical Associates Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COAS | BusinessNameControlTxt |
| Phone | 7816248626 | 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 | Pamela Whelton | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 7816248626 | PhoneNum |
| Signature | 2016-08-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Physician Ambulatory Enterprise Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Pamela Whelton | 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 | $14,173,245 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | Coastal Medical Associates d/b/a South Shore Physician Ambulatory Enterprise (SSPAE) organizes, coordinates and integrates physicians, advanced practice clinicians and other ambulatory care providers into a broader system of health care for the benefit of the communities served by South Shore Hospital and its affiliates. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 125 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $136,935 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,978,269 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,170,246 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,111 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $85,116 | PYOtherRevenueAmt |
| CY Other Revenue | $2,999 | CYOtherRevenueAmt |
| PY Total Revenue | $11,092,496 | PYTotalRevenueAmt |
| CY Total Revenue | $14,173,245 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,950,824 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,076,650 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,679,603 | PYOtherExpensesAmt |
| CY Other Expenses | $3,920,001 | CYOtherExpensesAmt |
| PY Total Expenses | $11,630,427 | PYTotalExpensesAmt |
| CY Total Expenses | $16,996,651 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$537,931 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,823,406 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,869,142 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,852,231 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,639,636 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,291,184 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $229,506 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$438,953 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Coastal Medical Associates provides primary and specialty care physicians to South Shore Hospital, a related organization. In addition, Coastal Medical Associates d/b/a South Shore Physician Ambulatory Enterprise (SSPAE) organizes, coordinates and integrates physicians, advanced practice clinicians and other ambulatory care providers into a broader system of health care for the benefit of the communities served by South Shore Hospital and its affiliates. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,484,143 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,035,556 | RevenueAmt |
| Desc | Medical Specialties Programs: Provides primary and specialized medical care and related health care services in the furtherance of the charitable purposes of South Shore Hospital, and engages in research and education related to the above. In fiscal year 2015 SSPAE added additional medical specialists in emergency medicine. In August 2015 SSPAE acquired South Shore Medical Center, a primary and specialty medical practice with over 100 clinicians and three locations within South Shore Hospital's service area. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,484,143 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | 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 | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 125 | 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 | 0 | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Pamela Whelton | PersonNm |
| Phone | 7816248626 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Richard Aubut | |||||||||
| SSHEC President/CEO | 1 | 47 | Yes (X) | Yes (X) | $0 | $1,243,158 | $102,152 | ||
| Edward Nalband MD | |||||||||
| Chairman | 1 | 41 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark Coyle | |||||||||
| Director | 40 | 1 | Yes (X) | $0 | $173,607 | $33,585 | |||
| Brian Dolan MD | |||||||||
| Director | 40 | 1 | Yes (X) | $449,029 | $0 | $38,972 | |||
| Thomas Carroll | |||||||||
| President | 40 | 2 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Stevenson MD | |||||||||
| SSHS CMO/Director | 1 | 47 | Yes (X) | $0 | $551,101 | $108,293 | |||
| Jason Tracy MD | |||||||||
| Director | 1 | 41 | Yes (X) | $0 | $574,561 | $72,757 | |||
| John Walsh MD | |||||||||
| Director | 1 | 41 | Yes (X) | $0 | $380,389 | $27,593 | |||
| Elana Dekkers MD | |||||||||
| Director | 40 | 1 | Yes (X) | $147,901 | $0 | $8,244 | |||
| Richard Kauff MD | |||||||||
| Director | 1 | 40 | Yes (X) | $0 | $0 | $0 | |||
| Ingrid E Kotch MD | |||||||||
| Director | 1 | 40 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Lynch MD | |||||||||
| PAE CMO/Director | 1 | 44 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Matthew Weiss MD | |||||||||
| Vice Chair | 40 | 2 | Yes (X) | Yes (X) | $482,834 | $28,333 | $90,299 | ||
| Benjamin C Ryan MD | |||||||||
| Director | 1 | 40 | Yes (X) | $0 | $0 | $0 | |||
| Pamela Whelton | |||||||||
| Treasurer | 1 | 49 | Yes (X) | $0 | $440,291 | $95,132 | |||
| Michael Cullen | |||||||||
| Treasurer thru 1/8/15 | 1 | 48 | Yes (X) | $0 | $565,821 | $35,968 | |||
| Peg Holda | |||||||||
| Clerk | 1 | 43 | Yes (X) | $0 | $325,039 | $70,755 | |||
| Rose DiPietro | |||||||||
| SSPAE COO | 40 | 1 | Yes (X) | $0 | $369,975 | $82,436 | |||
| Katie Wakeley MD | |||||||||
| Physician | 45 | 0 | $490,519 | $0 | $38,972 | Yes (X) | |||
| Gary Gibbons MD | |||||||||
| Physician | 45 | $440,934 | $26,000 | $63,172 | Yes (X) | ||||
| Thomas Lyons MD | |||||||||
| Physician | 45 | 0 | $359,362 | $0 | $33,307 | Yes (X) | |||
| Ben Kerman MD | |||||||||
| Physician | 45 | 0 | $401,066 | $0 | $41,572 | Yes (X) | |||
| Christopher Locke MD | |||||||||
| Physician | 40 | 0 | $355,006 | $14,000 | $16,653 | Yes (X) | |||
| Robert Wheeler | |||||||||
| Clerk thru 3/12/14 | 0 | 40 | $0 | $363,617 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,126,651 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,055,892 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $959,862 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | 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 | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Boston MFM LLC | ||||||
| PO Box 983122 | Boston | MA | 022983122 | Physician Services | $550,000 | |
| Optum360 LLC | ||||||
| 2771 Momentum Place | Chicago | IL | 606895327 | Billing & Collection | $405,892 | |
| South Shore Anesthesia Associates Inc | ||||||
| 163 Libbey Parkway | Weymouth | MA | 021893118 | Physician Services | $170,820 | Suite 301 |
| Foley & Lardner LLP | ||||||
| 111 Huntington Avenue | Boston | MA | 02199 | Legal | $161,686 | 26th Floor |
| Sullivan Cotter & Associates | ||||||
| 62272 Collections Center Drive | Chicago | IL | 606930622 | Consulting | $153,306 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net Patient Service Revenue | 621110 | $13,690,984 | $13,690,984 | $0 | $0 |
| Clinician Reimbursement Revenue | 621110 | $479,262 | $342,327 | $136,935 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,170,246 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Medical Records Income | 900099 | $2,245 | $2,245 | $0 | $0 |
| Miscellaneous Income | 900099 | $754 | $0 | $0 | $754 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,999 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,173,245 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,035,556 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $136,935 | UnrelatedBusinessRevenueAmt |
| Exclusion | $754 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,556,243 | TotalAmt |
| Program Services | $5,388,400 | ProgramServicesAmt |
| Management And General | $2,167,843 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,457 | TotalAmt |
| Program Services | $890,282 | ProgramServicesAmt |
| Management And General | $358,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,690,287 | TotalAmt |
| Program Services | $1,852,341 | ProgramServicesAmt |
| Management And General | $837,946 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,581,663 | TotalAmt |
| Program Services | $1,127,893 | ProgramServicesAmt |
| Management And General | $453,770 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $30,000 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,714 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $511,714 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,200 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $67,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,954,272 | TotalAmt |
| Program Services | $136,415 | ProgramServicesAmt |
| Management And General | $1,817,857 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,662 | TotalAmt |
| Program Services | $8,891 | ProgramServicesAmt |
| Management And General | $33,771 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,531 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $7,531 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,327 | TotalAmt |
| Program Services | $86,327 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,965 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,965 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,714 | TotalAmt |
| Program Services | $233,596 | ProgramServicesAmt |
| Management And General | $4,118 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,624 | TotalAmt |
| Program Services | $48,624 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $703,511 | TotalAmt |
| Program Services | $703,511 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Dues | $80,226 | $0 | $80,226 | $0 |
| Physician Board Fees | $72,100 | $0 | $72,100 | $0 |
| Nonpatient Expenses | $29,157 | $0 | $29,157 | $0 |
| Publications/Subscriptions | $7,863 | $7,863 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,135 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $28,135 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,996,651 | TotalAmt |
| Program Services | $10,484,143 | ProgramServicesAmt |
| Management And General | $6,512,508 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,621,503 | BOYAmt |
| EOY | $2,429,746 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,655 | BOYAmt |
| EOY | $1,040,827 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,955 | BOYAmt |
| EOY | $642,980 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $825,810 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $222,822 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,201 | BOYAmt |
| EOY | $602,988 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,747 | BOYAmt |
| EOY | $2,067,081 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,081 | BOYAmt |
| EOY | $68,609 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,869,142 | BOYAmt |
| EOY | $6,852,231 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,418,889 | BOYAmt |
| EOY | $5,224,103 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,747 | BOYAmt |
| EOY | $2,067,081 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,639,636 | BOYAmt |
| EOY | $7,291,184 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,506 | BOYAmt |
| EOY | -$438,953 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,506 | BOYAmt |
| EOY | -$438,953 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,869,142 | BOYAmt |
| EOY | $6,852,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,823,406 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $2,154,947 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | Coastal Medical Associates, Inc. is a hospital service organization as defined in section 170(b)(1)(A)(iii). The corporation provides primary and specialized medical care to patients within South Shore Hospital's service area. South Shore Hospital is a related organization. Coastal Medical Associates is not licensed by the Commonwealth of Massachusetts as a hospital. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $199 | DepreciationAmt |
| Book Value | $1,250 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $270,909 | OtherCostOrOtherBasisAmt |
| Depreciation | $134,617 | DepreciationAmt |
| Book Value | $136,292 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $178,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,951 | DepreciationAmt |
| Book Value | $98,770 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $374,731 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,055 | DepreciationAmt |
| Book Value | $366,676 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $602,988 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Physician Benefits Payable | Desc |
| Amt | $2,067,081 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,067,081 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Richard Aubut | ||||||||||||||
| SSHEC President/CEO | $0 | $802,364 | $0 | $58,587 | $0 | $382,207 | $0 | $84,445 | $0 | $17,707 | $0 | $1,345,310 | $0 | $58,587 |
| Mark Coyle | ||||||||||||||
| Director | $0 | $173,229 | $0 | $0 | $0 | $378 | $0 | $10,933 | $0 | $23,372 | $0 | $207,912 | $0 | $0 |
| Brian Dolan MD | ||||||||||||||
| Director | $434,445 | $0 | $0 | $0 | $14,584 | $0 | $15,600 | $0 | $23,372 | $0 | $488,001 | $0 | $0 | $0 |
| John Stevenson MD | ||||||||||||||
| Director | $0 | $483,947 | $0 | $63,990 | $0 | $3,164 | $0 | $84,922 | $0 | $23,371 | $0 | $659,394 | $0 | $63,990 |
| Jason Tracy MD | ||||||||||||||
| Director | $0 | $510,839 | $0 | $43,005 | $0 | $20,717 | $0 | $54,463 | $0 | $18,294 | $0 | $647,318 | $0 | $43,005 |
| John Walsh MD | ||||||||||||||
| Director | $0 | $304,589 | $0 | $75,000 | $0 | $800 | $0 | $10,608 | $0 | $16,985 | $0 | $407,982 | $0 | $0 |
| Matthew Weiss MD | ||||||||||||||
| Vice Chair | $432,918 | $0 | $49,080 | $0 | $836 | $28,333 | $66,927 | $0 | $23,372 | $0 | $573,133 | $28,333 | $0 | $0 |
| Pamela Whelton | ||||||||||||||
| Treasurer | $0 | $396,947 | $0 | $39,024 | $0 | $4,320 | $0 | $76,369 | $0 | $18,763 | $0 | $535,423 | $0 | $39,024 |
| Michael Cullen | ||||||||||||||
| Treasurer thru 1/8/15 | $0 | $454,935 | $0 | $5,376 | $0 | $105,510 | $0 | $18,262 | $0 | $17,706 | $0 | $601,789 | $0 | $5,376 |
| Peg Holda | ||||||||||||||
| Clerk | $0 | $276,147 | $0 | $30,852 | $0 | $18,040 | $0 | $53,048 | $0 | $17,707 | $0 | $395,794 | $0 | $30,852 |
| Rose DiPietro | ||||||||||||||
| SSPAE COO | $0 | $324,660 | $0 | $42,187 | $0 | $3,128 | $0 | $73,584 | $0 | $8,852 | $0 | $452,411 | $0 | $42,187 |
| Robert Wheeler | ||||||||||||||
| Clerk thru 3/12/14 | $0 | $303,895 | $0 | $39,091 | $0 | $20,631 | $0 | $64,147 | $0 | $17,706 | $0 | $445,470 | $0 | $39,991 |
| Gary Gibbons MD | ||||||||||||||
| Physician | $399,758 | $0 | $42,000 | $0 | $25,176 | $0 | $10,400 | $0 | $13,800 | $0 | $491,134 | $0 | $0 | $0 |
| Katie Wakeley MD | ||||||||||||||
| Physician | $470,892 | $0 | $0 | $0 | $19,627 | $0 | $15,600 | $0 | $23,372 | $0 | $529,491 | $0 | $0 | $0 |
| Ben Kerman MD | ||||||||||||||
| Physician | $386,072 | $0 | $0 | $0 | $14,994 | $0 | $18,200 | $0 | $23,372 | $0 | $442,638 | $0 | $0 | $0 |
| Elana Dekkers MD | ||||||||||||||
| Director | $147,307 | $0 | $0 | $0 | $594 | $0 | $8,244 | $0 | $0 | $0 | $156,145 | $0 | $0 | $0 |
| Thomas Lyons MD | ||||||||||||||
| Physician | $250,581 | $0 | $106,407 | $0 | $2,374 | $0 | $15,600 | $0 | $17,707 | $0 | $392,669 | $0 | $0 | $0 |
| Christopher Locke MD | ||||||||||||||
| Physician | $259,198 | $0 | $95,248 | $0 | $560 | $14,000 | $7,800 | $0 | $8,853 | $0 | $371,659 | $14,000 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | Compensation paid by the corporation to officers and directors is for services rendered as physician employees only. No compensation was received by the officers and directors of Coastal Medical Associates for their services as officers and directors. |
| Schedule J, Part I, Line 7 | Hospitalists employed by Coastal Medical Associates are eligible to receive incentive pay based on their net collections. They may receive a percentage of the balance of their net collections less salary less 8.5% net billing fees. The percentage varies from 50-80% based on each Hospitalist's employment contract. Podiatry program physician incentives are based on a combination of practice metrics, community outreach activities and exceeding monthly productivity targets (work Relative Value Units--wRVUs). Incentive pay for practice development, community outreach and practice standardization are are received if goals are met. Productivity incentive payments are based on exceeding unit targets. If quarterly wRVUs exceed targets, physicians receive incentive pay. If applicable, negative quarterly wRVU totals are used to offset quarters with positive balances. The Wound Center Medical Director is eligible to receive quarterly pay for performance incentives based on quality metrics and patient satisfaction. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 2 | In August 2015 SSPAE acquired South Shore Medical Center, Inc. (SSMC), a primary and specialized medical practice with over 100 clinicians and three locations in affiliate South Shore Hospital's service area. Coastal became the sole corporate member of SSMC. |
| Form 990, Part VI, Section A, Line 2 | Persons listed in Part VII have a business relationship with one another by virtue of sitting on boards of entities related to Coastal Medical Associates, Inc. |
| Form 990, Part VI, Section A, Line 4 | Coastal Medical Associates, Inc. amended its Bylaws in August 2015. The revised Bylaws changes the date of the Annual Meeting. The number and composition of Coastal's Board of Directors changed due to its acquisition of South Shore Medical Center. The new board will better represent the physicians and clinicians who are employed by the Corporation. |
| Form 990, Part VI, Section A, Line 6 | The Sole Member of the Corporation is the Chief Medical Officer or other physician designee of South Shore Health System (SSHS CMO). |
| Form 990, Part VI, Section A, Line 7a | The South Shore Health System (SSHS), formerly South Shore Health & Educational Corporation, governing board has the power to appoint the Sole Member. The Sole Member is responsible for election of the initial elected Directors from a slate proposed by the Planning Team that developed the business plan for the Corporation. Thereafter, elected Directors will be nominated and approved after action by the Nominating Committee. The President is appointed by the SSHS CEO, in consultation with the Board of the Corporation. The President of the Corporation, in consultation with the Sole Member, appoints the Chief Medical Officer of the Corporation. SSHS has the power to approve of any lay community member appointed to the Coastal Board. |
| Form 990, Part VI, Section A, Line 7b | The Sole Member is appointed by the South Shore Health System (SSHS) governing body and may resign only with the approval of the System Board. Elected Directors may be removed, with cause, by the SSHS Board. The President is appointed by the SSHS CEO, in consultation with Board of the Corporation. A special meeting of the Sole Member of the Corporation may be called at any time at the direction of the SSHS Board. The Chair and Vice Chair of the Corporation are elected by the SSPAE Board, subject to the approval of the SSHS Board. |
| 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 Treasurer. Form 990 is presented for review to the governing body as a whole at the next regularly scheduled meeting prior to the filing deadline. |
| 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 | Annual compensation decisions for Coastal (SSPAE) physicians and advanced practice clinician employees are made by the SSPAE's Compensation Committee and are based on a combination of advice and research provided by outside consultants, review of comparable industry data and market conditions. The Compensation Committee is comprised of the SSHS CEO (or designee) and other persons appointed by the Board. The Compensation Committee will be independent and consist solely of members who do not have a conflict of interest with regards to compensation matters. The committee will ensure that all decisions are made utilizing standards applicable to 501(c)(3) organizations. The PAE Chairman is considered a South Shore Health System executive; all executive compensation decisions are made by the SSHS Compensation Committee. Compensation paid to Directors are for administrative and/or physician services to the corporation or a related corporation, no Director receives compensation for his service as a Director. |
| Form 990, Part VI, Section C, Line 19 | Coastal Medical Associates, Inc. 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 IX, Line 11g | Consultants; $1,155,015, Billing and Collection Fees; $552,341, Transcription Fees; $1,420, Recruitment; $125,141, Purchased Services; $110,394, Temporary Help; $9,961. |
| Form 990, Part XI, Line 9 | Transfers from affiliates; $2,154,947. |
| Form 990, Part XII, Line 2b | The organization's financial statements are audited as part of consolidated financial statements. South Shore Health System and its subsidiaries are audited by independent accountant Deloitte & Touche LLP. The governing body of South Shore Health System, formerly South Shore Health & Educational Corporation, acting as a committee of the whole, assumes responsibility for oversight of the audit of its (parent and affiliate) financial statements and selection of an independent auditor. Beginning in FY15, the audited financial statements of Coastal Medical Associates and its subsidiary, South Shore Medical Center, are combined and presented as the financial statements of Coastal Medical Associates. In fiscal 2015 the audit of Coastal Medical Associates was consolidated by Deloitte & Touche LLP into the annual audit of South Shore Health and Educational Corporation and Subsidiaries. The financial statements are prepared in accordance with GAAP. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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 | Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| South Shore Hospital Inc | ||||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 042769210 | Hospital | MA | 501(c)(3) | 3 | South Shore Health System Inc | 0 | ||
| 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) | 11c, Type III | 0 | formerly South Shore Health & Educational Corporation | N/A | |
| South Shore Property Inc | ||||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 050398822 | Develops and manages real property for South Shore Hospital and its affiliates | MA | 501(c)(3) | 11a, Type I | South Shore Health System Inc | 0 | ||
| MetroSouth Obstetrics & Gynecology Inc | ||||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 330998957 | Specialized medical care | MA | 501(c)(3) | 3 | South Shore Hospital | 0 | ||
| Atlantic Women's Health Inc | ||||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 200156651 | Specialized medical care | MA | 501(c)(3) | 3 | South Shore Hospital | 0 | ||
| Health Provider Services Organization of the South Shore Inc | ||||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 452385865 | Suports the charitable mission of SSH&E and affiliates | MA | 501 (c)(3) | 11c, Type III | South Shore Health System Inc | 0 | ||
| South Shore Medical Center Inc | ||||||||||||
| 143 Longwater Drive | Norwell | MA | 02061 | 042297845 | Primary and specialized medical care | MA | 501(c)(3) | 9 | Coastal Medical Associates Inc | Yes (1) | ||
| 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 | 0 | 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |