COASTAL MEDICAL ASSOCIATES INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COASTAL MEDICAL ASSOCIATES INC (EIN 04-3170333)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-04
- IRS object ID
- 201532259349301318
- Schema version
- 2013v4.0
- 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 | 2015-08-04T10:36:10-07:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Pamela Whelton | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 7816248626 | PhoneNum |
| Signature | 2015-08-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | South Shore Physician Ambulatory Enterprise Inc | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,092,496 | 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 Physcian Ambulatory Enterprise (SSPAE) organizes, coordintes 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 97 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,026,371 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,978,269 | CYProgramServiceRevenueAmt |
| PY Investment Income | $80,479 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,111 | CYInvestmentIncomeAmt |
| PY Other Revenue | $34,991 | PYOtherRevenueAmt |
| CY Other Revenue | $85,116 | CYOtherRevenueAmt |
| PY Total Revenue | $10,141,841 | PYTotalRevenueAmt |
| CY Total Revenue | $11,092,496 | 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 | $8,674,267 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,950,824 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,467,574 | PYOtherExpensesAmt |
| CY Other Expenses | $1,679,603 | CYOtherExpensesAmt |
| PY Total Expenses | $10,141,841 | PYTotalExpensesAmt |
| CY Total Expenses | $11,630,427 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$537,931 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,221,093 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,869,142 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,899,047 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,639,636 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $322,046 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $229,506 | 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 | $9,913,907 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,063,332 | 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 March 2014 Coastal Medical Associates repurposed itself into Coastal Medical Associates d/b/a South Shore Physician Ambulatory Enterprise (SSPAE). SSPAE added additional medical specialists in the areas of palliative and cardiovascular care, as well as surgical and orthopedic physician assistants. The corporation appointed a Physician Chairman (acting as President of the organization) to guide the PAE's strategic direction for adding more clinicians and expanding its ambulatory health care services. | 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 | $9,913,907 | 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 | 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 | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 97 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | 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 | AddressLine1 |
| City | South Weymouth | City |
| State | MA | State |
| ZIP Code | 02190 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 |
|---|---|---|---|---|---|---|---|---|
| Richard Aubut | ||||||||
| SSHEC President/CEO | 1 | 46 | Yes (X) | Yes (X) | $0 | $1,270,284 | $102,507 | |
| Matthew Weiss MD | ||||||||
| Chairman | 40 | 9 | Yes (X) | $245,092 | $92,083 | $0 | ||
| Pamela Whelton | ||||||||
| President/COO | 1 | 47 | Yes (X) | Yes (X) | $0 | $357,860 | $0 | |
| Mark Coyle | ||||||||
| Director | 1 | 40 | Yes (X) | $0 | $173,214 | $22,779 | ||
| Brian Dolan MD | ||||||||
| Director | 40 | 1 | Yes (X) | $338,249 | $0 | $38,079 | ||
| Jennifer Shaw MD | ||||||||
| Director | 40 | 1 | Yes (X) | $301,880 | $0 | $22,592 | ||
| John Stevenson MD | ||||||||
| Director | 1 | 44 | Yes (X) | $0 | $579,454 | $106,038 | ||
| Jason Tracy MD | ||||||||
| Director | 1 | 40 | Yes (X) | $0 | $526,398 | $71,536 | ||
| John Walsh MD | ||||||||
| Director | 1 | 40 | Yes (X) | $0 | $412,497 | $28,244 | ||
| Maria Recalde | ||||||||
| Director | 1 | 1 | Yes (X) | $0 | $0 | $0 | ||
| Richard Mirel MD | ||||||||
| Director thru 3/12/14 | 1 | 40 | Yes (X) | $0 | $570,558 | $37,542 | ||
| Joseph Cahill | ||||||||
| Director thru 3/12/14 | 1 | 48 | Yes (X) | $0 | $708,127 | $90,715 | ||
| Robert Wheeler | ||||||||
| Clerk thru 3/12/14 | 1 | 40 | Yes (X) | Yes (X) | $0 | $373,633 | $75,046 | |
| Kim Dever MD | ||||||||
| Director thru 3/12/14 | 1 | 42 | Yes (X) | $0 | $535,569 | $77,531 | ||
| Michael Cullen | ||||||||
| Treasurer | 1 | 48 | Yes (X) | $0 | $549,884 | $48,765 | ||
| Peg Holda | ||||||||
| Clerk | 1 | 41 | Yes (X) | $0 | $319,743 | $69,222 | ||
| Katie Wakely MD | ||||||||
| Physician | 40 | 0 | $476,917 | $0 | $37,625 | Yes (X) | ||
| Janet Limke MD | ||||||||
| Physician | 40 | 0 | $355,665 | $0 | $47,588 | Yes (X) | ||
| Christopher Steevens MD | ||||||||
| Physician | 40 | 0 | $329,765 | $0 | $30,429 | Yes (X) | ||
| Christina Lete MD | ||||||||
| Physician | 40 | 0 | $320,385 | $0 | $38,079 | Yes (X) | ||
| Charles Chalko MD | ||||||||
| Physician | 40 | 0 | $329,546 | $0 | $31,592 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,697,499 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,469,304 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $975,909 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 40 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Boston MFM LLC | |||||
| PO Box 983122 | Boston | MA | 022983122 | Physician Services | $550,000 |
| Optum360 LLC | |||||
| 2771 Momentum Place | Chicago | IL | 606895327 | Billing & Collection | $348,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Revenue | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $10,978,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,978,269 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
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 | $10,978,269 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,111 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,111 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| 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 |
Royalties Revenue RoyaltiesRevenueGrp
| 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 |
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 |
|---|---|---|---|---|---|
| Clinician Reimbursement Revenue | 900099 | $85,063 | $85,063 | $0 | $0 |
| Miscellaneous Income | 900099 | $53 | $0 | $0 | $53 |
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 | $85,116 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,092,496 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,063,332 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,164 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,223,987 | TotalAmt |
| Program Services | $756,660 | ProgramServicesAmt |
| Management And General | $467,327 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,934,225 | TotalAmt |
| Program Services | $5,843,604 | ProgramServicesAmt |
| Management And General | $90,621 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,067 | TotalAmt |
| Program Services | $634,436 | ProgramServicesAmt |
| Management And General | $53,631 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307,517 | TotalAmt |
| Program Services | $1,206,126 | ProgramServicesAmt |
| Management And General | $101,391 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,028 | TotalAmt |
| Program Services | $734,904 | ProgramServicesAmt |
| Management And General | $62,124 | 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 | $122,907 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $122,907 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,200 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $7,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $684,273 | TotalAmt |
| Program Services | $71,218 | ProgramServicesAmt |
| Management And General | $613,055 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,703 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $26,703 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,364 | TotalAmt |
| Program Services | $10,573 | ProgramServicesAmt |
| Management And General | $9,791 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,198 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,198 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,536 | TotalAmt |
| Program Services | $20,536 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $397 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,842 | TotalAmt |
| Program Services | $108,797 | ProgramServicesAmt |
| Management And General | $2,045 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $6 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,079 | TotalAmt |
| Program Services | $32,079 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,630 | TotalAmt |
| Program Services | $494,630 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Board Fees/Dues | $124,243 | $0 | $124,243 | $0 |
| Catering & Food | $2,089 | $0 | $2,089 | $0 |
| Miscellaneous | $1,792 | $0 | $1,792 | $0 |
| Publications & Subscriptions | $344 | $344 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,630,427 | TotalAmt |
| Program Services | $9,913,907 | ProgramServicesAmt |
| Management And General | $1,716,520 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,060,095 | BOYAmt |
| EOY | $1,621,503 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,440 | BOYAmt |
| EOY | $562,655 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,826 | BOYAmt |
| EOY | $139,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $333,399 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $174,198 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,629 | BOYAmt |
| EOY | $159,201 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,861 | BOYAmt |
| EOY | $220,747 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,242 | BOYAmt |
| EOY | $165,081 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,221,093 | BOYAmt |
| EOY | $2,869,142 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,660,186 | BOYAmt |
| EOY | $2,418,889 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $238,861 | BOYAmt |
| EOY | $220,747 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,899,047 | BOYAmt |
| EOY | $2,639,636 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,046 | BOYAmt |
| EOY | $229,506 | 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 | $322,046 | BOYAmt |
| EOY | $229,506 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,221,093 | BOYAmt |
| EOY | $2,869,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$537,931 | 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 | $445,391 | 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 IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | Coastal Medical Associates 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 orgazniation. Coastal Medical Associates, Inc. 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 | $21,264 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $21,264 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $216,617 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,119 | DepreciationAmt |
| Book Value | $109,498 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $87,463 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,024 | DepreciationAmt |
| Book Value | $28,439 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $8,055 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,055 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $159,201 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Current Assets | $91,689 |
| Due from Affiliate | $73,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $165,081 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Physician Benefit Payable | Desc |
| Amt | $220,747 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $220,747 | 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 (21 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 | $783,872 | $0 | $135,681 | $0 | $350,731 | $0 | $85,256 | $0 | $17,250 | $0 | $1,372,790 | $0 | $58,181 |
| Matthew Weiss MD | ||||||||||||||
| Chairman | $244,604 | $92,083 | $0 | $0 | $489 | $0 | $14,266 | $0 | $14,893 | $0 | $274,252 | $92,083 | $0 | $0 |
| Pamela Whelton | ||||||||||||||
| President/COO | $0 | $312,120 | $0 | $36,141 | $0 | $9,599 | $0 | $71,731 | $0 | $22,779 | $0 | $452,370 | $0 | $36,141 |
| Michael Cullen | ||||||||||||||
| Treasurer | $0 | $435,557 | $0 | $10,298 | $0 | $104,028 | $0 | $30,027 | $0 | $18,739 | $0 | $598,649 | $0 | $10,298 |
| Peg Holda | ||||||||||||||
| Clerk | $0 | $258,598 | $0 | $24,072 | $0 | $37,073 | $0 | $51,972 | $0 | $17,250 | $0 | $388,965 | $0 | $24,072 |
| Mark Coyle | ||||||||||||||
| Director | $0 | $172,856 | $0 | $0 | $0 | $358 | $0 | $10,951 | $0 | $22,779 | $0 | $206,944 | $0 | $0 |
| Brian Dolan MD | ||||||||||||||
| Director | $337,105 | $0 | $0 | $0 | $1,143 | $0 | $15,301 | $0 | $22,779 | $0 | $376,328 | $0 | $0 | $0 |
| Jennifer Shaw MD | ||||||||||||||
| Director | $300,288 | $0 | $0 | $0 | $1,593 | $0 | $7,650 | $0 | $14,941 | $0 | $324,472 | $0 | $0 | $0 |
| John Stevenson MD | ||||||||||||||
| Director | $0 | $460,238 | $0 | $60,300 | $0 | $58,917 | $0 | $83,258 | $0 | $22,779 | $0 | $685,492 | $0 | $60,300 |
| Jason Tracy MD | ||||||||||||||
| Director | $0 | $481,502 | $0 | $43,885 | $0 | $1,011 | $0 | $53,699 | $0 | $17,838 | $0 | $597,935 | $0 | $43,885 |
| John Walsh MD | ||||||||||||||
| Director | $0 | $358,403 | $0 | $53,114 | $0 | $980 | $0 | $10,406 | $0 | $17,838 | $0 | $440,741 | $0 | $0 |
| Richard Mirel MD | ||||||||||||||
| Director thru 3/12/14 | $0 | $477,471 | $0 | $26,938 | $0 | $66,150 | $0 | $20,291 | $0 | $17,250 | $0 | $608,100 | $0 | $26,938 |
| Joseph Cahill | ||||||||||||||
| Director thru 3/12/14 | $0 | $499,547 | $0 | $51,270 | $0 | $157,309 | $0 | $67,937 | $0 | $22,779 | $0 | $798,842 | $0 | $51,270 |
| Robert Wheeler | ||||||||||||||
| Clerk thru 3/12/14 | $0 | $296,825 | $0 | $33,484 | $0 | $43,324 | $0 | $57,796 | $0 | $17,250 | $0 | $448,679 | $0 | $33,484 |
| Kim Dever MD | ||||||||||||||
| Director thru 3/12/14 | $9,583 | $494,240 | $0 | $40,000 | $0 | $1,329 | $0 | $54,752 | $0 | $22,779 | $9,583 | $613,100 | $0 | $0 |
| Christopher Steevens MD | ||||||||||||||
| Physician | $322,009 | $0 | $6,710 | $0 | $1,046 | $0 | $7,650 | $0 | $22,779 | $0 | $360,194 | $0 | $0 | $0 |
| Jennifer Shaw MD | ||||||||||||||
| Director | $300,288 | $0 | $0 | $0 | $1,592 | $0 | $7,650 | $0 | $14,942 | $0 | $324,472 | $0 | $0 | $0 |
| Christina Lete MD | ||||||||||||||
| Physician | $319,305 | $0 | $0 | $0 | $1,080 | $0 | $15,300 | $0 | $22,779 | $0 | $358,464 | $0 | $0 | $0 |
| Charles Chalko MD | ||||||||||||||
| Physician | $234,330 | $0 | $93,492 | $0 | $1,725 | $0 | $17,850 | $0 | $13,742 | $0 | $361,139 | $0 | $0 | $0 |
| Katie Wakely MD | ||||||||||||||
| Physician | $475,673 | $0 | $0 | $0 | $1,244 | $0 | $15,300 | $0 | $22,325 | $0 | $514,542 | $0 | $0 | $0 |
| Janet Limke MD | ||||||||||||||
| Physician | $290,459 | $0 | $63,688 | $0 | $1,518 | $0 | $15,300 | $0 | $32,287 | $0 | $403,252 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | Compensation paid to the Chairman is for services rendered as a Coastal Medical administrator and physician employee only. The Chairman is considered an executive of the South Shore Health & Educational Corporation (SSH&EC) health system, therefore his compensation is determined by their Compensation Committee. |
| Schedule J, Part I, Line 7 | The Compensation Committee of South Shore Health & Educational Corporation voted to give Richard Aubut a $75,000 bonus. In addition, Richard Aubut received a $2,500 bonus for his 25 years of service to South Shore Hospital. All Hospital employees celebrating their 25-year service anniversary receive this one-time bonus. 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 Hospitalists's employment contract. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 2 | In March 2014 Coastal Medical Associates repurposed itself into Coastal Medical Associates d/b/a South Shore Physician Ambulatory Enterprise (SSPAE). While continuing to provide primary and specialized medical care and related services to South Shore Hospital, a related organization, the SSPAE amended its Articles of Organization to include additional program services. These new program services will coordinate and integrate physicians, advanced practice clinicians and other ambulatory care providers into a regional care system in Southeastern Massachusetts that will advance population health management and wellness within the community served by South Shore Hospital. |
| Form 990, Part VI, Section A, Line 2 | The 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 Articles of Organization and Bylaws in March 2014. The Corporation is now known as Coastal Medical Associates, Inc. d/b/a South Shore Physician Ambulatory Enterprise (SSPAE). SSPAE has been repurposed to include the coordination and integration of 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. In addition to providing primary and specialty medical care, the corporation wishes to empower physicians and other health care providers to develop and advance health management and wellness in Southeastern Massachusetts. |
| 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 & Educational Corporation. |
| Form 990, Part VI, Section A, Line 7a | The Sole Member was responsible for election of the initial elected Directors from a slate proposed by the team that developed the business plan for the Corporation. Thereafter, Directors will be nominated and approved after action by the Nominating Committee. |
| Form 990, Part VI, Section A, Line 7b | The Sole Member is appointed by the South Shore Health & Educational Corporation (SSHEC) governing board and may only resign with approval of the SSHEC board. Elected Directors may be removed, with cause, by the SSHEC board. A vacancy in the office of President may only be filled by an appointment by the SSHEC CEO in consultation with the 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 Board of South Shore Health & Educational Corporation. |
| 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 PAE Chairman is considered a South Shore Health & Educational Corporation (SSH&EC) System executive; all executive compensation decisions are made by the SSH&EC Compensation Committee. The Chairman is compensated for his administrative and physician services to the corporation. |
| Form 990, Part VI, Section C, Line 19 | Coastal Medical Associates 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; $135,596, Billing & Collection Fees; $478,503, Transcription Fees; $1,662, Physician Recruitment; $63,000 and Purchased Services; $5,512. |
| Form 990, Part XI, Line 9 | Affiliate transfer; $445,391. |
| Form 990, Part XII, Line 2b | The organization's financial statements are audited as part of consolidated financial statements. South Shore Health and Educational Corporation and Subsidiaries is audited by independent accountant Deloitte & Touche LLP. The governing body of 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. The audit of Coastal Medical Associates, Inc. is 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 (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| South Shore Hospital Inc | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 042769210 | Hospital | MA | 501(c)(3) | 3 | South Shore Health & Educational Corporation | 0 | |
| South Shore Health & Educational Corporation | |||||||||||
| 55 Fogg Road | South Weymouth | MA | 02190 | 042105926 | Parent company of South Shore Hospital | MA | 501(c)(3) | 11a | 0 | 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) | 11 | South Shore Hospital | 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 | S Weymouth | MA | 02190 | 452385865 | Suports the charitable mission of SSH&E and affiliates | MA | 501 (c)(3) | 11 | South Shore Health & Educational Corporation | 0 | |
| 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 | Yes (1) | TransferFromOtherOrgInd |