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← BEVERLY HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by BEVERLY HOSPITAL FOUNDATION.

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 Welch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Bernadette Hensel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David Hornback

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0
  • Ralph Hansen

    PAST PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Gabriel Goharik

    CFO SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Art Revueltas

    PRESIDENT CEO

    Total calculated
    $0
    Hours/week
    5 + 5 related
  • Shushma 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 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 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 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 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 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 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 Khan

    FORMER DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Edgar 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 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 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 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 Hughes

    FORMER DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Sheraly 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 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 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 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 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 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.

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

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