TY 2018 Form 990 Schedule O

efile Public Visual Render ObjectId: 202040919349300109 - Submission: 2020-03-31 TIN: 22-3234975

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

PHYSICIAN HEALTH SERVICES INC

Employer identification number

22-3234975

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE MASSACHUSETTS MEDICAL SOCIETY, A MASSACHUSETTS NOT-FOR-PROFIT CORPORATION, IS THE SOLE VOTING MEMBER OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE 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 11B	A COMPLETE COPY OF THE FORM 990 AND ALL RELATED SCHEDULES IS MAILED 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 12C	PHS 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 15	THE 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 19	PHYSICIAN 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.
LINE 1 A(D)	COMPENSATION REPORTED FOR STEVEN ADELMAN M.D. AND DEBRA GROSSBAUM ARE RELATED TO THEIR POSITION WITH PHYSICIAN HEALTH SERVICES, INC. NEITHER OF THESE INDIVIDUALS RECEIVES COMPENSATION IN THEIR ROLE OF DIRECTOR AND CLERK RESPECTIVELY.
LINE 1 A(E)	COMPENSATION REPORTED FOR LOIS CORNELL AND MICHAEL FARRELL ARE RELATED TO THEIR POSITION WITH THE MASSACHUSETTS MEDICAL SOCIETY, THEY ARE NOT COMPENSATED FOR THEIR ROLES AT PHYSICIAN HEALTH SERVICES, INC.

Return Reference

Explanation

FORM 990, PART VI, SECTION A, LINE 6

THE MASSACHUSETTS MEDICAL SOCIETY, A MASSACHUSETTS NOT-FOR-PROFIT CORPORATION, IS THE SOLE VOTING MEMBER OF THE CORPORATION.

FORM 990, PART VI, SECTION A, LINE 7A

THE 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 11B

A COMPLETE COPY OF THE FORM 990 AND ALL RELATED SCHEDULES IS MAILED 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 12C

PHS 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 15

THE 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 19

PHYSICIAN 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.

LINE 1 A(D)

COMPENSATION REPORTED FOR STEVEN ADELMAN M.D. AND DEBRA GROSSBAUM ARE RELATED TO THEIR POSITION WITH PHYSICIAN HEALTH SERVICES, INC. NEITHER OF THESE INDIVIDUALS RECEIVES COMPENSATION IN THEIR ROLE OF DIRECTOR AND CLERK RESPECTIVELY.

LINE 1 A(E)

COMPENSATION REPORTED FOR LOIS CORNELL AND MICHAEL FARRELL ARE RELATED TO THEIR POSITION WITH THE MASSACHUSETTS MEDICAL SOCIETY, THEY ARE NOT COMPENSATED FOR THEIR ROLES AT PHYSICIAN HEALTH SERVICES, INC.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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