SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
SOUTH SHORE HOSPITAL INC
 
Employer identification number

04-2769210
Return Reference Explanation
Form 990, Part VI, Section A, Line 2 Kenneth Kirkland and Thomas McCarthy have a business relationship. In addition, many of the persons listed in Part VII have a "business" relationship" with one another by virtue of sitting on boards of entities related to South Shore Hospital.
Form 990, Part VI, Section A, Line 6 South Shore Health & Educational Corporation, the parent, is the sole member of the 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, Deloitte Tax LLP. The return is then reviewed by the CFO and CEO. The complete Form 990 is presented for review to the governing body as a whole at the next regularly scheduled meeting prior to the filing deadline. The Board Chair and Vice Chair will review and comment to executive leadership regarding Form 990 prior to the filing deadline.
Form 990, Part VI, Section B, Line 12c Employees and board members are required to sign a conflict of interest form annually. The forms are reviewed for conflicts or potential conflicts. Board members abstain from voting on matters that present a conflict of interest.
Form 990, Part VI, Section B, Line 15 South Shore Health & Educational Corporation (SSH&EC Health System), an affiliate, has a Compensation Committee that determines South Shore Hospital executive compensation. SSH&EC utilizes an outside consultant to determine executive compensation for Richard Aubut (CEO), Michael Cullen (SSH CFO) and Joseph Cahill (SSH President/COO). The consultant presents relevant data to the board for review and approval for these individuals. All data presented, as well as compensation deliberations and votes, is documented in the board minutes. The board's review and approval process takes place annually for implementation at the start of the new fiscal year. Compensation decisions for all other SSHE&C Health System employees, including key employees, are also made annually and are based on a review of comparable industry data, market conditions and research provided by outside consultants.
Form 990, Part VI, Section C, Line 19 South Shore Hospital makes its governing documents, conflict of interest policy and financial statements available for inspection at the Corporation's office. Copies of these documents are available upon request. In addition, certain governing documents are also available through the Massachusetts Secretary of the Commonwealth's Corporations Division database.
Form 990, Part XI, Line 9 Pension related adjustments; -$1,937,446, write off of uncollectible pledges from prior years; -$126,000.
Form 990, Part XII, Line 2b The Hospital's financial statements are presented on both a consolidated and separate basis. The audit of South Shore Health and Educational Corporation and Subsidiaries is conducted by the independent accountant Deloitte & Touche LLP. The governing body of South Shore Health and Educational Corporation, acting as an audit 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 South Shore Hospital, Inc. is issued separately and 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00