2025-08-15T10:32:31-05:00 2024-09-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2023-10-01 823503666 CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS INC CONN 7816248000 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 STEPHEN JENNEY SVP & CFO 7816248000 2025-08-15 1 1 SHAWNA M JANSONS P01222873 3174648600 2023 2025-03-06 01:10:19Z STEPHEN JENNEY 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 12045 0 X N/A X 2017 MA CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS WAS FORMED BY SOUTH SHORE HEALTH SYSTEM AND HARBOR MEDICAL TO OPERATE AS A NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION (ACO) FOR MEDICARE BENEFICIARIES. THE ACO BRINGS TOGETHER THE HOSPITAL AND HEALTH CARE PROVIDERS TO PROVIDE HIGH QUALITY, COORDINATED CARE TO MEDICARE FEE-FOR-SERVICES PATIENTS. 10 4 0 4 0 0 0 0 2390018 0 18367 12045 0 0 2408385 12045 0 0 0 0 0 0 0 0 0 785842 500 785842 500 1622543 11545 2872320 1631366 1252499 0 1619821 1631366 X THE CORPORATION'S MISSION IS TO OWN AND OPERATE AN ACCOUNTABLE CARE ORGANIZATION THAT PARTICIPATES IN VARIOUS ACCOUNTABLE CARE MODELS, INCLUDING THE NEXT GENERATION ACO MODEL (ACO), AND OTHER ACCOUNTABLE CARE ORGANIZATION ARRANGEMENTS. THE INITIATIVE'S AIM IS TO COLLABORATE AND INTEGRATE/COORDINATE CARE FOR MEDICARE FEE-FOR-SERVICE PATIENTS IN A WAY THAT IMPROVES OUTCOMES FOR THE COVERED POPULATION. 0 0 0 0 OWN AND OPERATE A NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION, PARTICIPATE IN THE NEXT GENERATION ACO PROGRAM AND OTHER RELATED PROGRAMS. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 4 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X STEPHEN JENNEY 7816248000 55 FOGG RD SOUTH WEYMOUTH MA 01290 ALLEN SMITH MD PRESIDENT & CEO 1.00 43.50 X X 0 1263309 183307 LUKE O'CONNELL MD DIRECTOR 1.00 40.00 X 0 783443 359724 DAVID HALLE MD DIRECTOR 1.00 40.00 X 0 594728 36056 TIMOTHY R LYNCH MD DIRECTOR 1.00 0.00 X 0 383089 0 TIMOTHY M LYNCH MD DIRECTOR 0.50 40.00 X 0 345359 33038 SARA NUCIFORO MD DIRECTOR 1.00 40.00 X 0 340180 31679 MICHAEL AYERS MD DIRECTOR 1.00 4.50 X 0 29133 0 CAROLE WHITING DIRECTOR 1.00 0.00 X 0 0 0 GILES BOLAND MD DIRECTOR 1.00 0.00 X 0 0 0 PETER GRAPE MD DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH R DRISCOLL ESQ SECRETARY 1.00 43.50 X 0 571479 36056 STEPHEN JENNEY CFO & TREAS. AS OF 10/1/23 1.00 43.50 X 0 293418 20403 KRISTINE HANSCOM CPA MST CGMA FORMER TREAS. & CFO (THRU 5/31/23) 1.00 43.50 X 0 907550 18546 0 5511688 718809 0 1 1 0 0 12045 12045 12045 0 0 12045 STATE TAX FILING FEE 500 500 500 0 500 0 61668 0 420634 3 2390018 1631363 2872320 1631366 952222 0 300277 0 1252499 0 X 1619821 1631366 1619821 1631366 2872320 1631366 11545 0 X 0 1 X 1 0 X 0 0 0 0 0 212399 2163661 64649 2390018 0 4830727 0 0 0 0 0 0 0 0 0 0 212399 2163661 64649 2390018 4830727 0 0 0 4830727 20510 640 2915 18367 12045 54477 0 0 0 0 0 20510 640 2915 18367 12045 54477 0 0 0 0 0 232909 2164301 67564 2408385 12045 4885204 0.98880 0.99130 0.01120 0.00870 X 0 DUE FROM AFFILIATES 1631363 1631363 X PART X, LINE 2: THE CORPORATION FOLLOWS THE PROVISIONS OF FASB ASC 740, INCOME TAXES, RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740 CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. IT PRESCRIBES AN UNCERTAINTY THRESHOLD AND MEASUREMENT ATTRIBUTES FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. 1 0 0 0 0 0 0 0 0 ALLEN SMITH MD PRESIDENT & CEO 0 1082002 0 175763 0 5544 0 159900 0 23407 0 1446616 0 0 LUKE O'CONNELL MD DIRECTOR 0 671523 0 109988 0 1932 0 333568 0 26156 0 1143167 0 0 KRISTINE HANSCOM CPA MST CGMA FORMER TREAS. & CFO (THRU 5/31/23) 0 275823 0 0 0 631727 0 9900 0 8646 0 926096 0 0 DAVID HALLE MD DIRECTOR 0 526850 0 64266 0 3612 0 9900 0 26156 0 630784 0 0 JOSEPH R DRISCOLL ESQ SECRETARY 0 514628 0 34015 0 22836 0 9900 0 26156 0 607535 0 0 TIMOTHY R LYNCH MD DIRECTOR 0 0 0 0 0 383089 0 0 0 0 0 383089 0 383089 TIMOTHY M LYNCH MD DIRECTOR 0 299835 0 44500 0 1024 0 9900 0 23138 0 378397 0 0 SARA NUCIFORO MD DIRECTOR 0 301572 0 35390 0 3218 0 9900 0 21779 0 371859 0 0 STEPHEN JENNEY CFO & TREAS. AS OF 10/1/23 0 233482 0 56875 0 3061 0 5960 0 14443 0 313821 0 0 PART I, LINE 3 THE PRESIDENT/CEO OF THE CORPORATION RECEIVES COMPENSATION FOR SERVICES PERFORMED FOR A RELATED ORGANIZATION. THE COMPENSATION COMMITTEE OF SOLE MEMBER, SOUTH SHORE HEALTH SYSTEM, DETERMINES THE PRESIDENT'S COMPENSATION. THE COMPENSATION COMMITTEE MEETS PERIODICALLY AND ENGAGES AN INDEPENDENT EXTERNAL COMPENSATION CONSULTING FIRM TO ESTABLISH THE COMPENSATION OF KEY SYSTEM EMPLOYEES. THE CONSULTING FIRM DEVELOPS AND PRESENTS ALL MATERIALS INCLUDING MARKET TRENDS, COMPENSATION STUDIES AND SURVEYS AND ADHERES TO BEST PRACTICE GUIDELINES. THE FINAL RECOMMENDATION FOR COMPENSATION CHANGES IS PRESENTED AND APPROVED BY THE ENTIRE INDEPENDENT COMMUNITY OF THE BOARD OF DIRECTORS. PART I, LINE 4A KRISTINE HANSCOM, THE FORMER CFO & TREASURER RECEIVED SEPARATION COMPENSATION IN THE AMOUNT OF $586,000 FROM SOUTH SHORE HOSPITAL, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 SEVERAL OF THE PERSONS LISTED IN PART VII HAVE A "BUSINESS RELATIONSHIP" WITH ONE ANOTHER DUE TO THE OVERLAPPING BOARD STRUCTURE OF SOUTH SHORE HEALTH SYSTEM AND ITS RELATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 SOUTH SHORE HEALTH SYSTEM IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THERE ARE TWO CLASSES OF DIRECTORS. THE MEMBER APPOINTS FIVE "MEMBER DIRECTORS" WITH VOTE AND AT LEAST ONE MEDICARE BENEFICIARY/ADVOCATE "REPRESENTATIVE DIRECTOR", WITH VOTE. OTHER ACO PARTICIPANTS MAY APPOINT ONE "PARTICIPANT DIRECTOR", WITH VOTE, FOR EVERY 4,000 LIVES ATTRIBUTED THROUGH THEIR MEMBERSHIP IS THE ACO. 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 UPLOADED TO THE GOVERNING BOARD'S WEB PORTAL FOR ALL BOD MEMBERS TO REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE FORMS ARE REVIEWED FOR CONFLICTS OR POTENTIAL CONFLICTS. BOARD MEMBERS ABSTAIN FROM VOTING ON MATTERS THAT PRESENT A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 SOUTH SHORE HEALTH SYSTEM (SSHS), SOLE MEMBER OF CONNECTED CARE, HAS A COMPENSATION COMMITTEE THAT DETERMINES THE COMPENSATION OF THE PRESIDENT/CEO. THE COMPENSATION COMMITTEE MEETS PERIODICALLY, IS INDEPENDENT AND CONSISTS SOLELY OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH REGARDS TO COMPENSATION MATTERS. SSHS UTILIZES AN INDEPENDENT OUTSIDE CONSULTANT TO DETERMINE EXECUTIVE COMPENSATION FOR THE PRESIDENT/CEO, AS WELL AS ALL OTHER MEMBERS OF THE EXECUTIVE TEAM. THE CONSULTANT PRESENTS RELEVANT DATA REGARDING SYSTEM EXECUTIVES TO THE COMMITTEE FOR REVIEW, AND APPROVAL FOR THE PRESIDENT/CEO. ALL DATA PRESENTED, AS WELL AS COMPENSATION DELIBERATIONS AND VOTES, IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES. THE BOARD'S REVIEW AND APPROVAL PROCESS TAKES PLACE ANNUALLY FOR IMPLEMENTATION AT THE START OF THE NEW FISCAL YEAR. COMPENSATION DECISIONS FOR OTHER MEMBER DIRECTORS 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 CONNECTED CARE OF SOUTHEASTERN MASSACHUSETTS 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. SOUTH SHORE HOSPITAL INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 042769210 HOSPITAL MA 501(C)(3) 3 SOUTH SHORE HEALTH SYSTEM INC 1 SOUTH SHORE PROPERTY INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 050398822 DEVELOPS AND MANAGES REAL PROPERTY FOR SOUTH SHORE HOSPITAL AND AFFILIATES MA 501(C)(3) 12A, I SOUTH SHORE HEALTH SYSTEM INC 1 COASTAL MEDICAL ASSOCIATES INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 043170333 PROVIDES SPECIALIZED MEDICAL CARE MA 501(C)(3) 3 SOUTH SHORE HEALTH SYSTEM INC 1 METROSOUTH OBSTETRICS & GYNECOLOGY INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 330998957 PROVIDES SPECIALIZED MEDICAL CARE MA 501(C)(3) 3 SOUTH SHORE HOSPITAL INC 1 ATLANTIC WOMEN'S HEALTH INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 200156651 PROVIDES SPECIALIZED MEDICAL CARE MA 501(C)(3) 3 SOUTH SHORE HOSPITAL INC 1 SOUTH SHORE HEALTH EXPRESS INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 452385865 OPERATES MEDICAL URGENT CARE CENTERS MA 501(C)(3) 10 COASTAL MEDICAL ASSOCIATES INC 1 SOUTH SHORE MEDICAL CENTER INC 143 LONGWATER DRIVE NORWELL MA 02061 042297845 SPECIALIZED AND PRIMARY MEDICAL CARE MA 501(C)(3) 10 COASTAL MEDICAL ASSOCIATES INC 1 SOUTH SHORE HEALTH SYSTEM INC 55 FOGG ROAD SOUTH WEYMOUTH MA 02190 042105926 SUPPORTS THE CHARITABLE MISSION OF SOUTH SHORE HOSPITAL AND ITS AFFILIATES MA 501(C)(3) 12B, II N/A 0 SOUTH SHORE HEALTH INTEGRATED DELIVERY NETWORK INC 55 FOGG RD SOUTH WEYMOUTH MA 02190 852785921 TO DEVELOP & MAINTAIN A NETWORK OF PROVIDERS FOR DELIVERY OF HEALTHCARE SERV MA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 SOUTH SHORE MEDICAL CENTER L 323550 CASH