2024-02-16T17:12:14-06:00 2023-10-31 043279487 GREGORY M ELIASEN CPA PC 28 ANDOVER STREET SUITE 220 ANDOVER MA 01810 990 2022-11-01 237089741 MASSACHUSETTS MEDICAL BENEVOLENT SOCIETY MASS 7814347809 860 WINTER STREET WALTHAM MA 02451 MARK A ROCKOFF MD PRESIDENT 7814347809 2024-02-16 1 MARK ROCKOFF MD 999009999 0 GREGORY M ELIASEN CPA PC P00234730 9787833949 2024-02-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARK A ROCKOFF MD 860 WINTER STREET WALTHAM MA 02451 485472 0 X N/A X 1857 MA MASSACHUSETTS MEDICAL BENEVOLENT SOCIETY (THE "SOCIETY") IS A NOT-FOR-PROFIT ORGANIZATIONESTABLISHED IN MARCH 1857 TO PROVIDE FINANCIAL ASSISTANCE TO MEMBERS OF THE MEDICAL PROFESSION. 13 13 0 0 0 0 206104 132006 0 0 133751 184745 0 0 339855 316751 132650 112680 0 0 0 0 0 0 0 59203 67400 191853 180080 148002 136671 6351421 6589470 16270 7227 6335151 6582243 SEE SCHEDULE OMASSACHUSETTS MEDICAL BENEVOLENT SOCIETY (THE "SOCIETY") IS A NOT-FOR-PROFIT ORGANIZATION ESTABLISHED IN MARCH 1857 TO PROVIDE FINANCIAL ASSISTANCE TO MEMBERS OF THE MEDICAL PROFESSION, THEIR WIDOWS AND THEIR CHILDREN. THE MISSION OF THE MMBS IS TO SUPPORT THE RECOVERY AND REHABILITATION OF THE MA PHYSICIANS AND THEIR FAMILIES FROM PERSONAL, PROFESSIONAL OR FINANCIAL CRISIS, BY PROVIDING TIME-TARGETED FINANCIAL ASSISTANCE. THE SOCIETY'S COLLEGIAL OUTREACH HELPS MEMBERS OF THE MEDICAL FAMILY HOLD TO THEIR POTENTIAL AS VALUED MEMBERS OF THE PROFESSION AND THE COMMUNITY. 0 0 112680 112680 THE SOCIETY PROVIDES DIRECT ASSISTANCE IN THE FORM OF FINANCIAL AND OTHER ASSISTANCE TO INDIVIDUALS ON "NEED BASE" ASSESSMENT THAT IS DETERMINED BY PROFESSIONAL SOCIAL WORKERS AND APPROVED BY THE BOARD OF TRUSTEES. CRITERIA OF NEED ASSESSMENT IS BASED ON AN EVALUATION OF EACH INDIVIDUAL CASE AND A REVIEW OF THE CIRCUMSTANCE THAT LED TO THE REQUEST FOR ASSISTANCE. 23832 SERVICES OF SOCIAL WORKERS TO EVALUATE THE FINANCIAL AND SOCIAL NEEDS OF INDIVIDUALS THAT HAVE BEEN REFERRED TO THE SOCIETY AS A POTENTIAL BENEFICIARY. 136512 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 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 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X JENNIFER DAY 7814347809 860 WINTER STREET WALTHAM MA 02451 X RONALD W DUNLAP MD TRUSTEE 1.00 X 0 0 0 MARILYN PRICE MD TRUSTEE 1.00 X 0 0 0 DEAN NICASTRO ESQ TRUSTEE 1.00 X 0 0 0 MATT HITRON MD TRUSTEE 1.00 X 0 0 0 M DONNA YOUNGER MD TRUSTEE 1.00 X 0 0 0 MARCIA FRANKLIN MD TRUSTEE 1.00 X 0 0 0 CHARLES A WELCH MD TRUSTEE 1.00 X 0 0 0 MARK A ROCKOFF MD PRESIDENT 2.00 X X 0 0 0 AMY E VINSON MD TREASURER 1.00 X X 0 0 0 DENNIS DIMITRI MD TRUSTEE 1.00 X 0 0 0 DONNA NORRIS MD VICE PRESIDENT 1.00 X X 0 0 0 DANIA ALI-AHMAD MD SECRETARY 1.00 X X 0 0 0 LISA I IEZZONI MD TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 132006 132006 122600 122600 230866 168721 62145 62145 62145 316751 62145 0 122600 112680 112680 4700 4700 PROFESSIONAL FEES 23832 23832 INVESTMENT MGT FEES 20082 20082 POSTAGE AND PRINTING 11707 11707 CONSULTING SERVICES 5000 5000 2079 2079 180080 136512 43568 0 307457 270422 4897079 5167401 1146885 1151647 6351421 6589470 6270 2127 10000 5100 16270 7227 X 4299153 4535835 2035998 2046408 6335151 6582243 6351421 6589470 136671 110420 0 X 1 X 0 0 0 X 211334 179028 209295 206104 132006 937767 211334 179028 209295 206104 132006 937767 530311 407456 177341 98838 80342 138758 122600 617879 1555646 0.26190 0.26390 X SCHEDULE A SECTION C LINE 17A THE ORGANIZATION MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2035998 10410 2046408 2335829 -299831 2035998 2061284 274545 2335829 2039372 21912 2061284 1964695 74677 2039372 1 0 0 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 1151647 1151647 PART V, LINE 4: INTENDED USES OF ENDOWMENT FUNDS SCHEDULE D PAGE 2 PART V LINE 4 TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE TO SUPPORT THE SOCIETY'S SUPPORT SERVICES SUBJECT TO CERTAIN DONOR IMPOSED RESTRICTIONS. THE MOST SIGNIFICANT COMPONENT OF THE BALANCE OF TEMPORARILY RESTRICTED NET ASSETS REPRESENTS REALIZED AND UNREALIZED APPRECIATION EARNED ON PERMANENTLY RESTRICTED NET ASSETS WHICH ARE CLASSIFIED AS TEMPORARILY RESTRICTED UNTIL USED FOR UNRESTRICTED OR RESTRICTED PURPOSES. CERTAIN PERMANENTLY RESTRICTED NET ASSETS ARE RESTRICTED TO INVESTMENT IN PERPETUITY, WITH INTEREST AND DIVIDEND INCOME AVAILABLE FOR UNRESTRICTED USE. SUBJECT TO THE RECENTLY ENACTED MASSACHUSETTS LAW THE UNIFORM PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT ("UPMIFA") THE PRINCIPAL MAY BE SPENT GIVEN A GOOD FAITH DETERMINATION THAT SUCH SPENDING IS PRUDENT. 1 SUPPORT TO BENEFICIARIES 17 112680 BOOK SCHEDULE I PART I LINE 2 PROCEDURE FOR AWARDING & MONITORING ASSISTANCE SCHEDULE I PART I LINE 2 FINANCIAL AID FROM THE FUNDS OF THE SOCIETY MAY BE MADE FOR THE RELIEF OF ANY NEEDY MEMBER OF THE MEDICAL PROFESSION OR CLOSE RELATIVE. THE COMMITTEE ON ASSISTANCE SHALL HAVE AUTHORITY AT ANY TIME TO RENDER ASSISTANCE TO ANY NEEDY MEMBER OF THE MEDICAL PROFESSION OR THEIR SPOUSES OR CHILDREN. THE COMMITTEE ON ASSISTANCE SHALL INFORM ITSELF OF THE CIRCUMSTANCES OF ALL APPLICATIONS FOR FINANCIAL AID AND SHALL RECOMMEND THE BENEFICIARIES TO RECEIVE THIS AID AND THE AMOUNT OF THE AID TO BE AWARDED EACH BENEFICIARY. NO MONEY SHALL BE AWARDED TO ANY BENEFICIARY FOR A PERIOD OF MORE THAN ONE YEAR, THOUGH AT THE END OF EACH YEAR ANY BENEFICIARY MAY APPLY FOR ADDITIONAL AID AS OUTLINED IN ARTICLE VIII OF THE BY-LAWS. THE NAMES OF ALL BENEFICIARIES SHALL BE KNOWN ONLY TO THE COUNCIL. FORM 990, PART VI, SECTION A, LINE 6 OFFICERS AND TRUSTEES FORM 990, PART VI, SECTION A, LINE 7A OFFICERS AND TRUSTEES FORM 990, PART VI, SECTION A, LINE 7B OFFICERS AND TRUSTEES FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 AND ALL SCHEDULES IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW. THE BOARD VOTES TO ACCEPT THE FORMS AND AUTHORIZE THE PRESIDENT OR THE TREASURER TO SIGN THE RETURN AND FILE WITH THE INTERNAL REVENUE SERVICE. PAGE 6 PART VI SECTION B LINE 12C PURSUANT TO A POLICY STATEMENT ON CONFLICTS OF INTEREST ADOPTED BY THE MASSACHUSETTS MEDICAL BENEVOLENT SOCIETY'S ("MMBS") COUNCIL (THE "POLICY"), THE COUNCILIS RESPONSIBLE FOR RECEIVING DISCLOSURES AS TO ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST WHICH ANY COUNCIL MEMBER, TRUSTEE, OFFICER OR COMMITTEE MEMBER OF THE SOCIETY MAY HAVE. CONFLICTS OF INTEREST PROCEDURES ARE AVAILABLE UPON REQUEST. PAGE 7 PART VI SECTION C LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. PAGE 7 PART VI SECTION A LINE 10 THE GOVERNING BODY OF THE MASSACHUSETTS MEDICAL BENEVOLENT SOCIETY HAS BEEN PROVIDED A COPY OF THE FORM 990 AND HAS REVIEWED IT. THE BOARD VOTED TO ACCEPT THE 990 AND AUTHORIZE THE PRESIDENT OR THE TREASURER TO SIGN THE RETURN AND FILE WITH THE INTERNAL REVENUE SERVICE. PAGE 7 PART VI SECTION B LINE 15A 15B THE PRESIDENT, OFFICERS AND TRUSTEES AT MASSACHUSETTS MEDICAL BENEVOLENT SOCIETY ARE NOT COMPENSATED FOR THEIR TIME AND SERVICE TO THE SOCIETY. PAGE 7 PART VI SECTION A LINE 6 PER ARTICLE I OF THE MMBS' BYLAWS, MEMBERSHIP IS ACHIEVED THROUGH THE FOLLOWING: SECTION 1. THIS SOCIETY SHALL CONSIST OF PHYSICIANS EITHER ACTIVE OR RETIRED. NON-PHYSICIANS AND ORGANIZATIONS MAY ALSO OBTAIN MEMBERSHIP. SECTION 2. MEMBERSHIP WILL BE GRANTED UPON OF AN ANNUAL DONATION DECIDED UPON AND APPROVED YEARLY BY THE COUNCIL OF THE SOCIETY. SECTION 3. LIFE MEMBERSHIP MAY BE ATTAINED BY ANYONE DONATING TEN TIMES THE COUNCIL APPROVED ANNUAL AMOUNT OR MORE IN A LUMP SUM. SECTION 4. BENEFACTOR STATUS AND RECOGNITION MAY BE ACHIEVED BY AN INDIVIDUAL OR ORGANIZATION DONATING AN AMOUNT EQUIVALENT TO FOUR TIMES OR MORE OF THE MINIMUM DONATION REQUIRED FOR LIFE MEMBERSHIP. PAGE 7 PART VI SECTION A LINE 7A 7B THE MEMBERS VOTE FOR THEIR BOARD OF DIRECTORS AND MAKE GOVERNING DECISIONS AT THEIR ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 12C PURSUANT TO A POLICY STATEMENT ON CONFLICTS OF INTEREST ADOPTED BY THE MASSACHUSETTS MEDICAL BENEVOLENT SOCIETY'S ("MMBS") COUNCIL (THE "POLICY"), THE COUNCIL IS RESPONSIBLE FOR RECEIVING DISCLOSURES AS TO ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST WHICH ANY COUNCIL MEMBER, TRUSTEE, OFFICER OR COMMITTEE MEMBER OF THE SOCIETY MAY HAVE. CONFLICTS OF INTEREST PROCEDURES ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST