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Nonprofiteer
← MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC

Form 990 for tax year 2023

Filed by MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC.

Totals

Total revenue
$123,712
Total expenses
$114,356
Contributions and grants received
$36,303
Grants paid
$0
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$0
Management and general expenses
$114,356
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 + 0.5 related

  • KENNETH BLAKE

    CHAIR

    Total calculated
    $0
    Hours/week
    0.15 + 0.5 related

  • DONALD LALIBERTE

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.15

  • ROBERT SCHREMSER

    CLERK

    Total calculated
    $0
    Hours/week
    0.15 + 0.5 related

  • TAMERYN CAMPBELL

    PRESIDENT & CEO

    Total calculated
    $542,901
    From this org
    $0
    From related orgs
    $476,648
    Other
    $66,253
    Hours/week
    0.15 + 40.35 related

    Schedule J breakdown matched by us

    Base
    $0 + $393,775 related
    Bonus
    $0 + $80,035 related
    Other
    $0 + $2,838 related
    Deferred
    $0 + $6,600 related
    Nontaxable benefits
    $0 + $59,653 related
    Filer's total
    $0 + $542,901 related

  • LAWRENCE BETHUNE

    SECRETARY (LEFT 1/2023)

    Total calculated
    $0
    Hours/week
    0

  • ROBERT JOLLY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.15 + 0.3 related

  • REV DR RICHARD HALEY

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.15 + 0.5 related

  • JAY JOLICOEUR

    DIRECTOR (FROM 3/2023)

    Total calculated
    $0
    Hours/week
    0.15

  • GEORGE HAMILTON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.15 + 0.5 related

  • NICHOLAS PUGLIESE

    CHIEF FINANCIAL OFFICER

    Total calculated
    $134,016
    From this org
    $0
    From related orgs
    $134,016
    Other
    $0
    Hours/week
    0.15 + 40 related

  • SHAWN M BERTRAM

    COO

    Total calculated
    $320,562
    From this org
    $0
    From related orgs
    $287,990
    Other
    $32,572
    Hours/week
    0.15 + 40.35 related

    Schedule J breakdown matched by us

    Base
    $0 + $264,852 related
    Bonus
    $0 + $22,218 related
    Other
    $0 + $920 related
    Deferred
    $0 + $32,572 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $320,562 related

  • TED WILBUR

    CHIEF INFORMATION OFFICER

    Total calculated
    $194,270
    From this org
    $0
    From related orgs
    $180,457
    Other
    $13,813
    Hours/week
    0.15 + 40.35 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,168 related
    Bonus
    $0 + $13,060 related
    Other
    $0 + $2,229 related
    Deferred
    $0 + $3,645 related
    Nontaxable benefits
    $0 + $10,168 related
    Filer's total
    $0 + $194,270 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, and on a Form 990-PF Part VIII's — 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

None.

Answered no

  • 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 $43,680 DURING THE YEAR ENDING DECEMBER 31, 2023. THIS WAS REPORTED AS A NONTAXABLE BENEFIT TO TAMERYN.
PART I, LINE 3
THE CEO OF MASONIC HEALTH SYSTEM IS PAID BY A RELATED ORGANIZATION, OVERLOOK MASONIC HEALTH CENTER INC., WHICH USES THE FOLLOWING METHODS TO DETERMINE COMPENSATION: - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

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
2023
Filed
29 October 2024
IRS schema version
2023v5.1
Source object
202433059349300143

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