PHYSICIAN HEALTH SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PHYSICIAN HEALTH SERVICES INC (EIN 22-3234975)
Tax period
2022-06-01 to 2023-05-31
Filed
2024-04-14
IRS object ID
202431059349300818
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-14T12:59:23-05:00ReturnTs
Tax Period End2023-05-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2022-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223234975EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIAN HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHYSBusinessNameControlTxt
Phone7814347404PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024511411ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTINE BIDONDEPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7818934610PhoneNum
Signature2024-04-14SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTINEPersonFirstNm
Person LastBIDONDEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL G SIMEONE PHD MPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024511411ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,873,679GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPHYSICIANHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE FORM 990, PART III LINE 1ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,778,579PYContributionsGrantsAmt
CY Contributions Grants$1,654,764CYContributionsGrantsAmt
PY Program Service Revenue$7,187PYProgramServiceRevenueAmt
CY Program Service Revenue$29,530CYProgramServiceRevenueAmt
PY Investment Income$180,899PYInvestmentIncomeAmt
CY Investment Income$189,385CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,966,665PYTotalRevenueAmt
CY Total Revenue$1,873,679CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,790,418PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,719,525CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$228,789CYTotalFundraisingExpenseAmt
PY Other Expenses$176,925PYOtherExpensesAmt
CY Other Expenses$192,578CYOtherExpensesAmt
PY Total Expenses$1,967,343PYTotalExpensesAmt
CY Total Expenses$1,912,103CYTotalExpensesAmt
PY Revenues Less Expenses-$678PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$38,424CYRevenuesLessExpensesAmt
Total Assets BOY$3,570,962TotalAssetsBOYAmt
Total Assets EOY$3,364,760TotalAssetsEOYAmt
Total Liabilities BOY$140,399TotalLiabilitiesBOYAmt
Total Liabilities EOY$145,654TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,430,563NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,219,106NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE OUTREACH SUPPORT AND MONITORING SERVICES TO MASSACHUSETTS PHYSICIANS WHO HAVE, OR ARE AT THE RISK OF HAVING HEALTH CARE PROBLEMS, PRIMARILY RELATING TO SUBSTANCE ABUSE AND MENTAL HEALTH DISORDERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,394,918ExpenseAmt
Revenue$29,530RevenueAmt
DescPERSONALIZED ASSESSMENTS, CONSULTATIVE SUPPORT SERVICES AND MONITORING:PHYSICIANS AND MEDICAL STUDENTS HAVE BEEN HELPED THROUGH PERSONALIZED ASSESSMENTS, CONSULTATIVE SUPPORT SERVICES, AND BEHAVIORAL AND OCCUPATIONAL HEALTH MONITORING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,100ExpenseAmt
DescEDUCATIONAL SESSIONS, OUTREACH, AND WEBINARS:94 EDUCATIONAL AND OUTREACH EVENTS WERE ATTENED BY APPROXIMATELY 1800 MEDICAL PROFESSIONALS. FREE RISK MANAGEMENT CME TO ADDRESS AND REDUCE PHYSICIAN STRESS AND BURNOUT.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,413,018TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHRISTINE BIDONDEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7818934610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024511411ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PATRICK AQUINO MD
DIRECTOR0.40Yes (X)$0$0$0
LOIS DEHLS CORNELL ESQ
DIRECTOR0.40Yes (X)$0$695,756$60,53350.00
RONALD E BURT MD
DIRECTOR0.40Yes (X)$0$0$0
DEBORAH DEMARCO MD FACP
DIRECTOR0.40Yes (X)$0$0$0
JENNIFER CHILDS-ROSHAK THRU 72022
DIRECTOR0.40Yes (X)$0$0$0
JOHN HOPKINS MD
DIR; CLERK THRU 12/20220.40Yes (X)$0$0$0Yes (X)
GLENN PRANSKY MD
PRESIDENT/CHAIR0.40Yes (X)$0$0$0Yes (X)
STEPHEN TOSI MD
DIRECTOR0.40Yes (X)$0$0$0
AMANDA VON HORN MD
DIR; CLERK BEG 1/20230.40Yes (X)$0$0$0Yes (X)
MARK ALBANESE MD
MEDICAL DIRECTOR32.00$222,532$0$45,702Yes (X)
PAUL G SIMEONE PHD MABEG 42023
EXECUTIVE DIRECTOR40.00$0$0$0Yes (X)
BARA LITMAN-PIKE UNTIL 52023
EXECUTIVE DIRECTOR40.00$173,957$0$43,861Yes (X)
CHRISTINE BIDONDE
TREASURER0.40$0$205,196$49,25140.00Yes (X)
DEBRA A GROSSBAUM
FORMER CLERK30.00$131,496$0$54,117Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$527,985TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$900,952TotReportableCompRltdOrgAmt
Total Other Compensation$253,464TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$480,500RelatedOrganizationsAmt
All Other Contributions$1,174,264AllOtherContributionsAmt
Total Contributions$1,654,764TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescEDUCATIONAL FORUMDesc
Business611430BusinessCd
Total Revenue Column$29,530TotalRevenueColumnAmt
Related Or Exempt Func Income$29,530RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$29,530TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$189,385TotalRevenueColumnAmt
Exclusion$189,385ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,873,679TotalRevenueColumnAmt
Related Or Exempt Func Income$29,530RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$189,385ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$513,475TotalAmt
Program Services$159,221ProgramServicesAmt
Management And General$205,390ManagementAndGeneralAmt
Fundraising$148,864FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$836,018TotalAmt
Program Services$756,329ProgramServicesAmt
Management And General$30,648ManagementAndGeneralAmt
Fundraising$49,041FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$78,981TotalAmt
Program Services$71,453ProgramServicesAmt
Management And General$2,895ManagementAndGeneralAmt
Fundraising$4,633FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$220,353TotalAmt
Program Services$199,374ProgramServicesAmt
Management And General$8,126ManagementAndGeneralAmt
Fundraising$12,853FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$70,698TotalAmt
Program Services$63,959ProgramServicesAmt
Management And General$2,592ManagementAndGeneralAmt
Fundraising$4,147FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,206TotalAmt
Program Services$22,206ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,681TotalAmt
Management And General$11,681ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$50,600TotalAmt
Program Services$50,600ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,903TotalAmt
Program Services$1,513ProgramServicesAmt
Management And General$192ManagementAndGeneralAmt
Fundraising$198FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,033TotalAmt
Program Services$10,359ProgramServicesAmt
Management And General$1,316ManagementAndGeneralAmt
Fundraising$1,358FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$862TotalAmt
Program Services$685ProgramServicesAmt
Management And General$87ManagementAndGeneralAmt
Fundraising$90FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,418TotalAmt
Program Services$46,175ProgramServicesAmt
Management And General$5,532ManagementAndGeneralAmt
Fundraising$5,711FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,444TotalAmt
Program Services$4,444ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,577TotalAmt
Program Services$16,312ProgramServicesAmt
Management And General$622ManagementAndGeneralAmt
Fundraising$643FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,452TotalAmt
Program Services$7,512ProgramServicesAmt
Management And General$955ManagementAndGeneralAmt
Fundraising$985FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISC OPERATING EXPENSESDesc
Total$3,402TotalAmt
Program Services$2,876ProgramServicesAmt
Management And General$260ManagementAndGeneralAmt
Fundraising$266FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,912,103TotalAmt
Program Services$1,413,018ProgramServicesAmt
Management And General$270,296ManagementAndGeneralAmt
Fundraising$228,789FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$925,041BOYAmt
EOY$732,011EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$20,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,508BOYAmt
EOY$3,984EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,592,413BOYAmt
EOY$2,608,765EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,570,962BOYAmt
EOY$3,364,760EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$110,037BOYAmt
EOY$110,534EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,500BOYAmt
EOY$5,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,862BOYAmt
EOY$30,120EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,399BOYAmt
EOY$145,654EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,430,563BOYAmt
EOY$3,219,106EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,430,563BOYAmt
EOY$3,219,106EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,570,962BOYAmt
EOY$3,364,760EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$38,424ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$173,033NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE MASSACHUSETTS MEDICAL SOCIETYBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN042050773EIN
Organization Type6OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (1)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (1)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 B0SuprtExclusivelySec170c2BInd
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART VI, SECTION A, LINE 3BFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RECEIVED A COPY OF THE MASSACHUSETTS MEDICAL SOCIETY'S IRS DETERMINATION LETTER CONFIRMING EXEMPTION UNDER INTERNAL REVENUE CODE 501(C)(6). IN ADDITION, IT RECEIVED SUPPORT FROM THE MASSACHUSETTS MEDICAL SOCIETY IN THE FOMR OF A PRO FORMA SCHEDULE A PART III REFLECTING THE SATISFACTION OF THE SECTION 509(A)(2) SUPPORT TEST.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO MASSACHUSETTS MEDICAL SOCIETYDesc
Amt$30,120Amt
FieldValueIRS element (for citing)
Total Liability$30,120TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,752,434TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$173,033NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$51,788DonatedServicesAndUseFcltsAmt
Revenue Not Reported-$121,245RevenueNotReportedAmt
Revenue Subtotal$1,873,679RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,873,679TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,963,891TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$51,788DonatedServicesUseFcltsAmt
Expenses Not Reported$51,788ExpensesNotReportedAmt
Expenses Subtotal$1,912,103ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,912,103TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LOIS DEHLS CORNELL ESQ
DIRECTOR$0$515,202$0$150,062$0$30,492$0$30,500$0$30,033$0$756,289$0$0
MARK ALBANESE MD
MEDICAL DIRECTOR$215,919$0$5,200$0$1,413$0$8,529$0$37,173$0$268,234$0$0$0
CHRISTINE BIDONDE
TREASURER$0$200,523$0$4,200$0$473$0$14,475$0$34,776$0$254,447$0$0
BARA LITMAN-PIKE UNTIL 52023
EXECUTIVE DIRECTOR$167,770$0$5,200$0$987$0$17,443$0$26,418$0$217,818$0$0$0
DEBRA A GROSSBAUM
FORMER CLERK$128,093$0$2,200$0$1,203$0$19,070$0$35,047$0$185,613$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationPHYSICIAN HEALTH SERVICES PROVIDED PAYMENTS FOR BONUSES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MASSACHUSETTS MEDICAL SOCIETY, A MASSACHUSETTS NOT-FOR-PROFIT CORPORATION, IS THE SOLE VOTING MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE VOTING MEMBER, THE MASSACHUSETTS MEDICAL SOCIETY, SHALL ELECT EIGHT DIRECTORS OF THE BOARD. IN ADDITION, SUCCESSORS TO THE INITIAL DIRECTORS SHALL BE NOMINATED BY PHYSICIAN HEALTH SERVICES BOARD OF DIRECTORS AND SUBMITTED TO THE SOLE VOTING MEMBER, THE MASSACHUSETTS MEDICAL SOCIETY.
FORM 990, PART VI, SECTION B, LINE 11BA COMPLETE COPY OF THE FORM 990 AND ALL RELATED SCHEDULES IS PROVIDED TO THE MEMBERS OF THE GOVERNING BODY PRIOR TO THE FILING DATE OF THE RETURN. AT THE BOARD MEETING, A PRESENTATION OF THE FORM 990 IS MADE BY THE TREASURER TO THE GOVERNING BODY HIGHLIGHTING MAJOR KEY AREAS AND ADDRESSING BOARD QUESTIONS AND COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12CPHS HAS A PROCESS FOR MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY, AND REGULARLY REVIEW THE CONFLICT OF INTEREST FORMS AS THEY ARE COMPLETED SO THAT ANY STATED CONFLICTS CAN BE ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS INCLUDES INDEPENDENT COMPENSATION CONSULTATION, COMPARISON OF FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY, AND APPROVAL BY THE BOARD. GOALS AND OBJECTIVES ARE ALSO DEVELOPED BY THE BOARD AND EVALUATED, INCLUDING A FORMAL WRITTEN PERFORMANCE EVALUATION AND EXTERNAL COMPENSATION REVIEW.
FORM 990, PART VI, SECTION C, LINE 19PHYSICIAN HEALTH SERVICES, INC. DOES NOT MAKE ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. PHYSICIAN HEALTH SERVICES PROVIDES SUMMARIZED FINANCIAL SOURCES AND EXPENSES FOR THE FISCIAL YEAR IN ITS ANNUAL REPORT, WHICH IS AVILABLE ON ITS WEBSITE FUNDING PAGE. PHYSICIAN HEALTH SERVICES PROVIDES FINANCIAL DATA AND AS REQUESTED, GOVERNING DOCUMENTS TO THE PUBLIC IN ACCORDANCE WITH THE PUBLIC DISCLOSURE REQUIREMENT OF FORM 990.
FORM 990, PART VII, LINE 1 A(E)COMPENSATION REPORTED FOR LOIS CORNELL AND CHRISTINE ALBRITTAIN ARE RELATED TO THEIR POSITION WITH THE MASSACHUSETTS MEDICAL SOCIETY, THEY ARE NOT COMPENSATED FOR THEIR ROLES AT PHYSICIAN HEALTH SERVICES, INC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
THE MASSACHUSETTS MEDICAL SOCIETY
860 WINTER STREETWALTHAMMA02451042050773PROMOTE MA MEDICINEMA501(C)60
MASSACHUSETTS MEDICAL SOCIETY CHARITABLE & EDUCATIONAL FUND
860 WINTER STREETWALTHAMMA02451046075905ISSUANCE OF MEDICAL STUDENT LOANSMA501(C)30LINE 12B, IITHE MASSACHUSETTS MEDICAL SOCIETY
MASSACHUSETTS MEDICAL SOCIETY & ALLIANCE CHARITBALE FOUNDATION
860 WINTER STREETWALTHAMMA02451223199624GRANTMAKINGMA501(C)30LINE 12B, IITHE MASSACHUSETTS MEDICAL SOCIETY

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS INSURANCE AGENCY OF MASSACHUSETTSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 WINTER STREETAddressLine1Txt
CityWALTHAMCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02451ZIPCd
FieldValueIRS element (for citing)
EIN043135954EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS MEDICAL SOCIETYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE MASSACHUSETTS MEDICAL SOCIETY
C$458,000FAIR MARKET VALUE
THE MASSACHUSETTS MEDICAL SOCIETY
K$54,600LEASE
THE MASSACHUSETTS MEDICAL SOCIETY
P$145,172COST ALLOCATION
THE MASSACHUSETTS MEDICAL SOCIETY
M$51,788COST ALLOCATION

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