Totals
- Total revenue
- $141,824
- Total expenses
- $808,913
- Contributions and grants received
- $133,783
- Grants paid
- $722,266
- Program service revenue
- $0
- Investment income
- $8,041
- Other revenue
- $0
- Total assets, end of year
- $2,096,102
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $2,096,102
- Program services expenses (Part IX)
- $722,266
- Management and general expenses
- $86,647
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $722,266
Program services were 89.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1f · All other contributions, gifts and grants
$133,783
-
3 · Investment income
total $8,041 · excluded $8,041
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $722,266 · program services $722,266
-
7 · Other salaries and wages
total $47,305 · management and general $47,305
-
10 · Payroll taxes
total $4,976 · management and general $4,976
-
11g · Fees: other
total $22,238 · management and general $22,238
-
13 · Office expenses
total $10,311 · management and general $10,311
-
24a · Other expenses: Service Fees
total $55 · management and general $55
-
24b · Other expenses: Other Expenses
total $1,762 · management and general $1,762
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $453,627 · end of year $369,523
-
11 · Investments: publicly traded securities
beginning of year $1,635,157 · end of year $1,726,579
-
15 · Other assets
beginning of year $564,491
-
25 · Other liabilities
beginning of year -$269,995
-
27 · Net assets without donor restrictions
beginning of year $1,288,113 · end of year $944,678
-
28 · Net assets with donor restrictions
beginning of year $1,635,157 · end of year $1,151,424
Mission and programs · 2023
Mission
TO SUPPORT BEVERLY COMMUNITY HOSPITAL ASSOCIATION (BCHA), A 501(C)(3) CORPORATION.
-
BEVERLY HOSPITAL FOUNDATION IS OPERATED SOLELY FOR THE BENEFIT OF BEVERLY COMMUNITY HOSPITAL ASSOCIATION, A 501(C)(3)ORGANIZATION. IT ENGAGES IN THE SOLICITATION, RECEIPT, AND ADMINITRATION OF FUNDS TO SUPPORT HOSPITAL PROGRAMS, INCLUDING THE ACQUISITION OF EQUIPMENT AND TECHNOLOGY, AND SUPPORT OF EXPANSION PROJECTS. DURING THE 2022 TAX YEAR, THE FOUNDATION GRANTED $501,469 TO THE HOSPITAL.
Expenses $722,266 · Grants $722,266 · Revenue $141,824
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Barbara Risher WelchBARBARA RISHER WELCH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Bernadette HenselBERNADETTE HENSEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
David HornbackDAVID HORNBACK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Ralph HansenRALPH HANSEN
PAST PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Gabriel GoharikGABRIEL GOHARIK
CFO SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 4 related
-
Art RevueltasART REVUELTAS
PRESIDENT CEO
- Total calculated
- $0
- Hours/week
- 5 + 5 related
-
Shushma PatelSHUSHMA PATEL
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Jay NomuraJAY NOMURA
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
John LemucchiJOHN LEMUCCHI
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Noor Zubeida KahnNOOR ZUBEIDA KAHN
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Kathy SchlotzKATHY SCHLOTZ
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Ernest PeraltaERNEST PERALTA
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Betty PeraltaBETTY PERALTA
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Deanna KhanDEANNA KHAN
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Edgar MoralesEDGAR MORALES
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Lester FujimotoLESTER FUJIMOTO
FORMER CEO
- Total calculated
- $0
- Hours/week
- 5 + 5 related
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Julie FranceJULIE FRANCE
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 4 related
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Carol HansenCAROL HANSEN
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Brennan HughesBRENNAN HUGHES
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Sheraly KhwajaSHERALY KHWAJA
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Darrell HeacockDARRELL HEACOCK
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
Schedule J breakdown matched by us
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Charina HolmesCHARINA HOLMES
FORMER DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
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, and on a Form 990-PF Part VIII's — 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
Itemized on Schedule J with no Part VII listing of the same name on this return:
-
Deanna Khan MDDEANNA KHAN MD
FORMER DIRECTOR
Schedule J breakdown
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Charina Holmes DcCHARINA HOLMES DC
FORMER DIRECTOR
Schedule J breakdown
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
-
Brennan Hughes DMDBRENNAN HUGHES DMD
FORMER DIRECTOR
Schedule J breakdown
- Base
- not reported
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- not reported
Answered yes
None.
Answered no
- 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
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.
-
1MONTEBELLO COMMUNITY HEALTH SERV
501C3 · SUPPORT BEVERLY COMMUNITY HOSPITAL ASSOCIATION · CA
Directly controlled by BEVERLY COMMUNITY HOSPITAL ASSOCIATION
-
2BEVERLY COMMUNITY HOSPITAL ASSOC
501C3 · NON-PROFIT HOSPITAL · CA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
MONTEBELLO COMMUNITY HOSPITAL
CA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
BEVERLY MSO
C Corp · MANAGEMENT SERVICE ORGANIZATION · CA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 9 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413209349315491
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.