Skip to content
Nonprofiteer
← MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC

Form 990 for tax year 2022

Filed by MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC.

Totals

Total revenue
$175,836
Total expenses
$796
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$0
Management and general expenses
$796
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • MASON RUSSELL

    TREASURER

    Total calculated
    $0
    Hours/week
    0.15 + 1.3 related

  • KENNETH BLAKE

    CHAIR

    Total calculated
    $0
    Hours/week
    0.15 + 1.3 related

  • DONALD LALIBERTE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.15

  • ROBERT SCHREMSER

    CLERK

    Total calculated
    $0
    Hours/week
    0.15 + 1.3 related

  • TAMERYN CAMPBELL

    PRESIDENT & CEO

    Total calculated
    $643,937
    From this org
    $0
    From related orgs
    $572,431
    Other
    $71,506
    Hours/week
    0.15 + 41.15 related

    Schedule J breakdown matched by us

    Base
    $0 + $394,593 related
    Bonus
    $0 + $175,000 related
    Other
    $0 + $2,838 related
    Deferred
    $0 + $6,100 related
    Nontaxable benefits
    $0 + $65,406 related
    Filer's total
    $0 + $643,937 related

  • LAWRENCE BETHUNE

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.15 + 1.3 related

  • ROBERT JOLLY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.15 + 0.3 related

  • REV DR RICHARD HALEY

    DIRECTOR (FROM 1/1/22)

    Total calculated
    $0
    Hours/week
    0.15

  • JOE SAVIDGE

    CHIEF FINANCIAL OFFICER (TO 4/1/22)

    Total calculated
    $95,157
    From this org
    $0
    From related orgs
    $90,283
    Other
    $4,874
    Hours/week
    0.15 + 41.15 related

  • SHAWN M BERTRAM

    COO

    Total calculated
    $311,308
    From this org
    $0
    From related orgs
    $279,091
    Other
    $32,217
    Hours/week
    0.15 + 41.15 related

    Schedule J breakdown matched by us

    Base
    $0 + $261,903 related
    Bonus
    $0 + $16,288 related
    Other
    $0 + $900 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $32,217 related
    Filer's total
    $0 + $311,308 related

  • TED WILBUR

    CHIEF INFORMATION OFFICER

    Total calculated
    $188,114
    From this org
    $0
    From related orgs
    $175,029
    Other
    $13,085
    Hours/week
    0.15 + 41.15 related

    Schedule J breakdown matched by us

    Base
    $0 + $161,014 related
    Bonus
    $0 + $12,604 related
    Other
    $0 + $1,411 related
    Deferred
    $0 + $3,537 related
    Nontaxable benefits
    $0 + $9,548 related
    Filer's total
    $0 + $188,114 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Housing allowance or residence for personal use
  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
TAMERYN CAMPBELL RECEIVED A HOUSING ALLOWANCE FROM A RELATED ORGANIZATION (OC) WITH AN ESTIMATED VALUE OF $50,640 DURING THE YEAR ENDING DECEMBER 31, 2022. THIS WAS REPORTED AS A NONTAXABLE BENEFIT TO TAMERYN.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202313199349320206

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.