2024-10-31T08:48:31-05:00 2023-12-31 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2023-01-01 043515688 MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC MASO 5082487344 88 MASONIC HOME ROAD CHARLTON MA 015071000 NICHOLAS PUGLIESE CFO 5082487344 2024-10-29 1 1 MARY ANTONETTI P00431862 2037819600 2023 2024-10-15 13:58:12Z TAMERYN CAMPBELL 88 MASONIC HOME ROAD CHARLTON MA 015071000 123712 0 X HTTP://OVERLOOK-MASS.ORG X 2000 MA CHARITABLE - DEVELOPS AND OFFERS SERVICES AND PROGRAMS TO THE RESIDENTS OF THE COMMUNITY. 9 8 0 9 0 0 0 36303 0 0 119176 87409 56660 0 175836 123712 0 0 0 0 0 110418 0 0 0 796 3938 796 114356 175040 9356 18726274 18846491 77632604 77743465 -58906330 -58896974 X TO SPONSOR, DEVELOP, OFFER AND/OR PROMOTE SERVICES AND PROGRAMS RELATING TO THE CARE, TREATMENT AND HEALING OF HUMANS, WHICH SERVICES AND PROGRAMS ARE CHARITABLE, SCIENTIFIC, AND/OR EDUCATIONAL AND WHICH ADDRESS THE PHYSICAL AND MENTAL NEEDS OF EVERY RACE, COLOR AND RELIGION, AND THEIR WIDOWS AND FAMILY MEMBERS, AS WELL AS MEMBERS OF THE COMMUNITY AT LARGE. 0 0 0 0 TO ESTABLISH, MAINTAIN AND OPERATE EXCLUSIVELY FOR CHARITABLE PURPOSES A RETIREMENT AND CONVALESCENT HOME TO AID, ASSIST AND/OR SUPPORT AGED, SICK AND INFIRM FREEMASONS AND THE WIDOWS AND WIVES OF FREEMASONS ALONG WITH THE GENERAL PUBLIC. 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X NICHOLAS PUGLIESE CFO 5084342414 88 MASONIC HOME ROAD CHARLTON MA 01507 MASON RUSSELL TREASURER 0.15 0.50 X X 0 0 0 KENNETH BLAKE CHAIR 0.15 0.50 X X 0 0 0 DONALD LALIBERTE VICE CHAIR 0.15 0.00 X X 0 0 0 ROBERT SCHREMSER CLERK 0.15 0.50 X X 0 0 0 TAMERYN CAMPBELL PRESIDENT & CEO 0.15 40.35 X X 0 476648 66253 LAWRENCE BETHUNE SECRETARY (LEFT 1/2023) 0.00 0.00 X X 0 0 0 ROBERT JOLLY DIRECTOR 0.15 0.30 X 0 0 0 REV DR RICHARD HALEY SECRETARY 0.15 0.50 X X 0 0 0 JAY JOLICOEUR DIRECTOR (FROM 3/2023) 0.15 0.00 X 0 0 0 GEORGE HAMILTON DIRECTOR 0.15 0.50 X 0 0 0 NICHOLAS PUGLIESE CHIEF FINANCIAL OFFICER 0.15 40.00 X 0 134016 0 SHAWN M BERTRAM COO 0.15 40.35 X 0 287990 32572 TED WILBUR CHIEF INFORMATION OFFICER 0.15 40.35 X 0 180457 13813 0 1079111 112638 0 0 1 0 0 36303 36303 87409 87409 123712 0 0 87409 X 101987 101987 8431 8431 3938 3938 114356 0 114356 0 19918 1594 0 725 0 285 18706356 18843887 18726274 18846491 0 110572 77632604 77632893 77632604 77743465 X -58906330 -58896974 -58906330 -58896974 18726274 18846491 9356 0 X X 0 1 X 1 0 X X 3 OVERLOOK COMMUNITIES INC 043515686 10 1 0 0 OVERLOOK VISITING NURSES ASSOCIATION INC 043515687 10 1 0 0 OVERLOOK MASONIC HEALTH CENTER INC 222843194 10 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A PART IV SECTION E, LINE 3A MASONIC HEALTH SYSTEM OF MASSACHUSETTS INC. IS THE SOLE MEMBER OF OVERLOOK MASONIC HEALTH CENTER INC, OVERLOOK COMMUNITIES INC, AND OVERLOOK VISITING NURSES ASSOCIATION INC., AS SUCH ITS RIGHTS INCLUDE THE APPOINTMENT OF BOARD MEMBERS FOR ITS MEMBER ORGANIZATIONS. SCHEDULE A PART IV SECTION E, LINE 3B ITS RESPONSIBILITIES ALSO INCLUDE THE OVERALL DIRECTION OF PROGRAMS AND SERVICES FOR ITS MEMBER ORGANIZATIONS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6165 6165 6165 6165 6165 6165 6165 6165 0 DUE FROM AFFILIATES 18843887 18843887 DUE TO AFFILIATES 77498836 DUE TO RELATED PARTY 134057 77632893 X PART X, LINE 2: BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS FOR THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. MHS, HEALTH CENTER, OVNA AND COMMUNITIES HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. 0 0 0 0 0 0 0 0 0 TAMERYN CAMPBELL PRESIDENT & CEO 0 393775 0 80035 0 2838 0 6600 0 59653 0 542901 0 0 SHAWN M BERTRAM COO 0 264852 0 22218 0 920 0 32572 0 0 0 320562 0 0 TED WILBUR CHIEF INFORMATION OFFICER 0 165168 0 13060 0 2229 0 3645 0 10168 0 194270 0 0 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 FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT WORKS WITH THE ORGANIZATION'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED OF THE FORM 990. UPON ITS COMPLETION SENIOR MANAGEMENT PROVIDES A DRAFT OF THE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY VIA ANNUAL EXECUTION OF THE CONFLICT OF INTEREST POLICY. THIS CONFLICTS POLICY IS INTENDED TO SUPPLEMENT, BUT NOT REPLACE, ANY APPLICABLE STATE LAWS GOVERNING CONFLICTS OF INTEREST APPLICABLE TO NONPROFIT AND CHARITABLE CORPORATIONS. THIS CONFLICTS POLICY HAS BEEN ADOPTED BY THE BOARD OF DIRECTORS OF MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. (MHS) THIS CONFLICTS POLICY SHALL APPLY WITH EQUAL FORCE TO ALL CORPORATIONS RELATED TO OR AFFILIATED WITH MHS. THE POLICY IS SIGNED BY ALL BOARD MEMBERS ANNUALLY. ON AN ANNUAL BASIS THE DIRECTORS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE WHICH IS REVIEWED BY THE PRESIDENT'S OFFICE. IF A CONFLICT ARISES, THE INDIVIDUAL WOULD RECUSE THEMSELVES FROM ALL DISCUSSION ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. MAINTAINS AN EXECUTIVE COMMITTEE, WHICH AMONG OTHER THINGS, REVIEWS THE COMPENSATION AND TERMS OF THE AGREEMENT WITH ITS EXECTUIVE OFFICER. THE COMMITTEE REVIEWS THE COMPENSATION OF THE INDIVDIUAL IN RELATION TO THE SALARY LEVEL OF OTHER COMPARABLE POSITIONS IN THE MARKET AND THEIR PERFORMANCE. ONCE REASONABLE COMPENSATION IS DETERMINED, IT IS APPROVED BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN ALSO BE FOUND ON THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 5 THE AMOUNT OF SALARY HAS BEEN ALLOCATED TO MASONIC HEALTH SYSTEM OF MASSACHUSETTS, INC. AS A RESULT OF ACCRUING FOR JANUARY W-2S BY A RELATED ORGANIZATION AND IS REFLECTED ON SCHEDULE R OF THIS RETURN. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. OVERLOOK MASONIC HEALTH CENTER INC 88 MASONIC HOME ROAD CHARLTON MA 01507 222843194 NURSING FACILITY MA 501(C)(3) LINE 10 MASONIC HEALTH SYSTEM OF MASSACHUSETTS 1 OVERLOOK VISITING NURSES ASSOCIATION 88 MASONIC HOME ROAD CHARLTON MA 01507 043515687 VNA MA 501(C)(3) LINE 10 MASONIC HEALTH SYSTEM OF MASSACHUSETTS 1 OVERLOOK COMMUNITIES INC 88 MASONIC HOME ROAD CHARLTON MA 01507 043515686 RESIDENT & ASSISTED LIVING FACILITY MA 501(C)(3) LINE 10 MASONIC HEALTH SYSTEM OF MASSACHUSETTS 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 OVERLOOK MASONIC HEALTH CENTER O 101987 CASH OVERLOOK MASONIC HEALTH CENTER E 73753608 CASH OVERLOOK VISITING NURSE ASSOCIATION N 94687 CASH OVERLOOK VISITING NURSE ASSOCIATION A 94210 CASH OVERLOOK VISITING NURSE ASSOCIATION E 2384926 CASH OVERLOOK COMMUNITIES E 1360302 CASH