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Nonprofiteer
← BRANDMAN HEALTH PLAN

Form 990 for tax year 2022

Filed by BRANDMAN HEALTH PLAN.

Totals

Total revenue
$226,763
Total expenses
$160,178
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$160,178
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$160,178

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • M C DE BACA

    CFO/TREASURER OF BHP (THRU 7/2023)

    Total calculated
    $228,026
    From this org
    $0
    From related orgs
    $218,505
    Other
    $9,521
    Hours/week
    20

    Schedule J breakdown matched by us

    Base
    $0 + $199,300 related
    Bonus
    $0 + $19,205 related
    Other
    $0
    Deferred
    $0 + $5,983 related
    Nontaxable benefits
    $0 + $3,538 related
    Filer's total
    $0 + $228,026 related

  • C RUDITSKY

    CFO

    Total calculated
    $355,126
    From this org
    $0
    From related orgs
    $344,416
    Other
    $10,710
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $286,413 related
    Bonus
    $0 + $58,003 related
    Other
    $0
    Deferred
    $0 + $3,761 related
    Nontaxable benefits
    $0 + $6,949 related
    Filer's total
    $0 + $355,126 related

  • D SUROWITZ

    CEO

    Total calculated
    $901,545
    From this org
    $0
    From related orgs
    $873,102
    Other
    $28,443
    Hours/week
    2 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $728,101 related
    Bonus
    $0 + $145,001 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $19,293 related
    Filer's total
    $0 + $901,545 related

  • C TIGERMAN

    SECRETARY

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • D ROSETT

    CHAIR

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • S MARTINEZ

    CEO OF HEALTH PLAN

    Total calculated
    $223,414
    From this org
    $0
    From related orgs
    $216,753
    Other
    $6,661
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $216,753 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,661 related
    Filer's total
    $0 + $223,414 related

  • J BRANDMAN

    MEMBER

    Total calculated
    $0
    Hours/week
    2 + 6 related

  • M FORREST

    FORMER CEO-PRESIDENT

    Total calculated
    $202,828
    From this org
    $0
    From related orgs
    $185,387
    Other
    $17,441
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $185,387 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $4,875 related
    Nontaxable benefits
    $0 + $12,566 related
    Filer's total
    $0 + $202,828 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 — 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 3
COMPENSATION FOR THE CEO WAS DETERMINED BY THE LOS ANGELES JEWISH HOMES FOR THE AGING, A RELATED ORGANIZATION, BY COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND 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
2022
Filed
10 July 2024
IRS schema version
2022v5.0
Source object
202431979349301588

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