2025-04-25T11:52:51-05:00 2024-12-31 952302617 SLBIGGS A DIVISION OF SINGERLEWAK LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2024-01-01 951816005 BEVERLY COMMUNITY HOSPITAL ASSOCIATION HOWARD EHRENBERG CH 11 BKCY TSTEE BEVE 3104773924 SLBIGGS 10960 WILSHIRE BLVD 1100 LOS ANGELES CA 90024 HOWARD M EHRENBERG TRUSTEE 3104773924 2025-04-24 1 0 SAMUEL BIGGS P00078192 3104773924 2025-04-24 2024 2025-03-06 01:10:19Z HOWARD M EHRENBERG 1875 CENTURY PARK EAST SUITE 1900 LOS ANGELES CA 90067 13466818 0 X WWW.BEVERLY.ORG X 1949 CA SEE SCHEDULE O 0 0 0 0 0 0 0 3470021 97039056 9382577 1085229 614220 -59406810 0 38717475 13466818 0 0 0 0 57168233 393943 0 0 0 83736664 1982172 140904897 2376115 -102187422 11090703 44753676 12538379 119957579 76651579 -75203903 -64113200 X PRIOR TO ITS BANKRUPTCY AND TERMINATION OF OPERATIONS THE HOSPITALS MISSION WAS TO PROVIDE COMPASSIONATE AND QUALITY HEALTH CARE. 0 0 2376115 9996797 TAXPAYER IS IN BANKRUPTCY AND UNDER LIQUIDATION BY A COURT APPOINTED BANKRUPTCY TRUSTEE. NO BUSINESS OPERATIONS ARE CURRENTLY BEING CONDUCTED.PREVIOUSLY TAXPAYER ENGAGED IN INPATIENT AND OUTPATIENT HOSPITAL SERVICES - HOSPITAL SERVICES PROVIDED BY BEVERLY COMMUNITY HOSPITAL ASSOCIATION INCLUDED 7,686 INPATIENT ADMISSIONS, 14,013 OUTPATIENT VISITS, AND 33,324 EMERGENCY ROOM VISITS IN 2022. CARE IS PROVIDED WITHOUT CHARGE TO PATIENTS WHO MEET SPECIFIED CRITERIA UNDER THE CHARITY CARE POLICY. PRIOR CAPITATION SERVICES - PRIOR TO ITS BANKRUPTCY BEVERLY COMMUNITY HOSPITAL ASSOCIATION CONTRACTED WITH BLUE CROSS OF CALIFORNIA AND HEALTH NET OF CALIFORNIA TO PROVIDE INPATIENT AND OUTPATIENT HOSPITAL SERVICES AT FULL RISK TO ENROLLED MEDI-CAL BENEFICIARIES WHO ARE CONCURRENTLY ENROLLED WITH A LOCAL MEDICAL GROUP. 2376115 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 CA X HOWARD EHRENBERG TRUSTEE 2136262300 1875 CENTURY PARK EAST STE 1900 LOS ANGELES CA 90067 X X ALICE CHENG GACHE PRESIDENT 0.00 0.00 X 0 0 0 0 0 0 0 1 0 0 0 53709 2721133 695179 3470021 OPERATING REVENUE 621990 9382577 9382577 9382577 614220 614220 13466818 9996797 0 0 393943 393943 BANKRUPTCY REORGANIZATI 2045968 2045968 EQUIPMENT LEASE 12682 12682 TELEPHONE AND TELEGRAPH 350 350 PURCHASED SERVICES -76828 -76828 2376115 2376115 0 0 30467413 7163706 2130362 5067567 385974 6702360 5374673 44753676 12538379 15355523 6293661 104602056 70357918 119957579 76651579 X -75203903 -64113200 -75203903 -64113200 44753676 12538379 11090703 0 X 0 0 0 X PART II-B, LINE 1, LOBBYING ACTIVITIES BEVERLY COMMUNITY HOSPITAL ASSOCIATION SUPPORTS CEERTAIN INITIATIVES AND ISSUES THAT ARE HEALTHCARE RELATED AND CONSISTENT WITH ITS MISSION OF PROMOTING HEALTHCARE IN THE COMMUNITY. EXPENDITURES INCURRED TO SUPPORT THESE INITIATIVES MAY BE CONSIDERED TO BE LOBBYING EXPENDITURES. AN INDIRECT EXPENDITURES OF THE HOSPITAL'S MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC) WERE USED FOR LOBBYING ACTIVITIES. 0 OTHER RECEIVABLES 1664480 DEPOSITS 4683 OTHER NON-CURRENT ASSETS 3705510 5374673 LIABILITIES SUBJECT TO COMPROMISE 33083949 LONG TERM 24064945 DUE AFFILIATE 13209024 70357918 1 1 X 1 0 1 1 1 0 0 1 1 BEVERLY HOSPITAL 309 WEST BEVERLY BOULEVARD MONTEBELLO CA 90640 WWW.BEVERLY.ORG 930000389 X X X BEVERLY HOSPITAL 1 0 0 1 X X X X X X X X X 19 0 0 0 1 WWW.BEVERLY.ORG/ABOUT-US/IN-THE-COMMUNITY/ X 1 19 1 WWW.BEVERLY.ORG/ABOUT-US/IN-THE-COMMUNITY/ 0 1 X 350.000000000000 450.000000000000 X X X X X 1 1 X X 1 X WWW.BEVERLY.ORG/PATIENTS/ X WWW.BEVERLY.ORG/PATIENTS/ X SEE PART V, PAGE 8 X X X X X X 1 X 0 1 0 0 BEVERLY HOSPITAL PART V, SECTION B, LINE 16J: BEVERLY HOSPITAL:PART V, SECTION B, LINE 5: INTERVIEWS AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENTS THE INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL.FOURTEEN (14) INTERVIEWS WERE COMPLETED FROM JUNE THROUGH AUGUST 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TOT THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: (I) MAJOR HEALTH ISSUES IN THE COMMUNITY; (II) SOCIOECONOMIC, BEHAVIORAL, OR ENVIRONMENTAL FACTORS THAT IMPACT HEALTH IN THE COMMUNITY; (III) WHO IS MOST AFFECTED BY THE SIGNIFICANT NEEDS; (IV) ISSUES, CHALLENGES AND BARRIES EXPERIENCED IN THE COMMUNITY; (V) POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES, PROGRAMS AND/OR COMMUNITY EFFORTS; AND (VI) ADDITIONAL COMMENTS AND CONCERNS.IN ADDITION, COMMUNITY FOCUS GROUPS WERE HELD IN JUNE, JULY, AND AUGUST 2019 AND ENGAGED 48 PERSONS. FOCUS GROUP QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: (I) BIGGEST HEALTH NEEDS IN THE COMMUNITY; (II) CHALLENGES AND BARRIERS FACED IN ADDRESSING HEALTH NEEDS; (III) PRIORITIZATION OF HEALTH NEEDS, AND (IV) ADDITIONAL COMMENTS.A LIST OF INTERVIEW AND FOCUS GROUP PARTICIPANTS CAN BE FOUND WITHIN THE CHNA POSTED ON THE ORGANIZATION'S WEBSITE. 0 0 0 0 0 0 0 0 0 COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES COMPENSATION OF OFFICERS, DIRECTORS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES WERE NOT PROVIDED, COMPENSATION AMOUNTS FOR 2023 NOT PROVIDED. FORM 990 BEVERLY COMMUNITY HOSPITAL ASSOCIATION NOTES TO FEDERAL/STATE TAX RETURNS FEIN: 95-1816005 GENERAL ON APRIL 19, 2023, THE DEBTOR, BEVERLY COMMUNITY HOSPITAL ASSOCIATION, FILED A VOLUNTARY PETITION UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE (CASE NO. 2:23-BK-12359 SK). SUBSEQUENT TO THIS DATE, HOWARD EHRENBERG WAS APPOINTED TRUSTEE TO ADMINISTER THE AFFAIRS OF THE BANKRUPTCY ESTATE. ASSETS OF THE ESTATE THE ASSETS OF THE BUSINESS. OTHER EXPENSES INCLUDE CERTAIN ADMINISTRATIVE COSTS AND SIMILAR OTHER ITEMS INCURRED BY THE TRUSTEE. CERTAIN OTHER INCURRED AND UNPAID LIABILITIES OF THE BANKRUPTCY ESTATE INCLUDE TRUSTEE, LEGAL AND ACCOUNTING EXPENSES WHICH HAVE BEEN ACCRUED. ANY REMAINING EXPENSES AND NON-DEDUCTED FEES WILL BE PAID AT THE CONCLUSION OF THE CASE, WHICH IS ANTICIPATED TO CLOSE DURING 2024. ACCOUNTING RECORDS IN CONNECTION WITH THE TAXPAYER'S INSOLVENCY, MANY ACCOUNTING RECORDS WERE NOT ADEQUATELY MAINTAINED AND/OR WERE NOT PROVIDED TO THE TRUSTEE. RECORDS AND INFORMATION NECESSARY TO PROVIDE A COMPLETE AND ACCURATE ACCOUNTING ARE NOT AVAILABLE AND CANNOT BE RECONSTRUCTED. CONSEQUENTLY, NO ASSURANCE CAN BE PROVIDED BY EITHER THE TRUSTEE OR THE TAX PREPARER THAT THE RETURNS BEING FILED ACCURATELY REFLECT ALL TRANSACTIONS OF THE DEBTOR AND HIS RELATED TAX LIABILITY. TO THE EXTENT THAT ACCOUNTING TRANSACTIONS, RECORDS AND OTHER INFORMATION WERE AVAILABLE OR COULD BE RECONSTRUCTED; SUCH INFORMATION HAS BEEN INCLUDED HEREIN AND USED AS THE BASIS FOR COMPUTATION OF THE TAXPAYER'S INCOME TAX LIABILITY. FORM 990 TAX RETURN FYE 12/31/23 ON SEPTEMBER 6, 2023, ALL ASSETS AND BUSINESS OPERATIONS OF THIS TAXPAYER AND ITS RELATED ENTITIES, BEVERLY COMMUNITY HOSPITAL ASSOCIATION AND MONTEBELLO COMMUNITY HEALTH SERVICES, INC, WERE SOLD AND OPERATIONS OF THE HOSPITAL WERE TERMINATED. AS SUCH, FORMER EMPLOYEES WERE NOT AVAILABLE TO PROVIDE ACCOUNTING RECORDS AND INFORMATION REQUIRED TO PREPARE A COMPLETE TAX RETURN WITH ASSURANCE OF ALL ACCURACY. CONSEQUENTLY, THE ATTACHED TAX RETURN HAS BEEN PREPARED WITH INFORMATION AVAILABLE, BUT NO ASSURANCE OF COMPLETE ACCURACY IS PROVIDED BY EITHER THE TRUSTEE, HIS COUNSEL OR TAX PREPARER. THIS CASE IS STILL BEING ADMINISTERED BY THE TRUSTEE. FORM 990 FIDUCIARY BANKRUPTCY TAX RETURN: BEVERLY COMMUNITY HOSPITAL ASSOCIATION FEIN: 95-1816005 FYE: 12/31/23 TRUSTEE AND TAX PREPARER STATEMENT RELEVANT TO INFORMATION CONTAINED IN THIS RETURN THIS TAX RETURN HAS BEEN PREPARED FROM AVAILABLE RECORDS OF THE DEBTOR AND FROM THE ACCOUNTING RECORDS PROVIDED TO THE CHAPTER 11 BANKRUPTCY TRUSTEE. DUE TO TAXPAYER'S BANKRUPTCY, COMPLETE INFORMATION NECESSARY TO PREPARE TAXPAYER'S ACCOUNTING AND TAX RETURNS WAS NOT AVAILABLE TO TIMELY FILE THESE TAX RETURNS. BECAUSE OF THIS, IT WAS IMPOSSIBLE TO PREPARE TAX RETURNS FOR THE ESTATE UNTIL THIS DATE. THEREFORE, NO PENALTIES OR INTEREST FOR LATE FILING AS WELL AS LATE PAYMENT SHOULD BE ASSESSED AND SHOULD BE WAIVED FOR REASONABLE CAUSE. PART B. INDEPENDENT CONTRACTORS COMPENSATION AMOUNTS FOR INDEPENDENT CONTRACTORS IN 2023 WERE NOT PROVIDED. FORM 990, PART VI, SECTION A, LINE 8A A TRUSTEE WAS APPOINTED AS A RESULT OF THE CHAPTER 11 BANKRUPTCY. FORM 990, PART VI, SECTION A, LINE 8B A TRUSTEE WAS APPOINTED AS A RESULT OF THE CHAPTER 11 BANKRUPTCY. FORM 990, PART VI, SECTION B, LINE 11B A PUBLIC ACCOUNTING FIRM PREPARED THE FORM 990 IN CONJUNCTIONS WITH THE CHAPTER 11 BANKRUPTCY TRUSTEE RESPONSIBLE FOR ADMINISTRATING THE AFFAIRS OF THIS DEBTOR. FORM 990, PART VI, SECTION B, LINE 12C PRIOR TO ITS BANKRUPTCY, ALL MEMEBERS OF THE BOARD OF DIRECTORS COMPLETED A QUESTIONNAIRE ANNUALLY. QUESTIONNAIRES ARE REVIEWED BY THE GOVERNANCE COMMITTEE OF TEH BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE REFERS A CONFLICT OF INTEREST MATTER TO THE AUDIT & COMPLIANCE COMMITTEE OF BCHA WHEN THE GOVERNANCE COMMITTEE DEEMS IT APPROPRIATE IN INSTANCES WHEN A MEMBER OF THE GOVERNANCE COMMITTEE MAY HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE MATTER BEFORE THE COMMITTEE. IF A CONFLICT IS IDENTIFIED, THE CONFLICTED INDIVIDUAL DOES NOT PARTICIPATE IN DELIBERATIONS AND DECISIONS IMPACTING THE CONFLICTED MATTER. FORM 990, PART VI, SECTION B, LINE 15 BCHA DOES NOT COMPENSATE ANY OF ITS EMPLOYEES; RATHER, THE VICE PRESIDENT OF DEVELOPMENT AND COMMUNITY RELATIONS IS A PAID EMPLOYEE OF BCHA. THE COMPENSATION FOR THE VICE PRESIDENT OF DEVELOPMENT AND COMMUNITY RELATIONS IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BCHA BOARD OF DIRECTORS, WHICH TAKES INTO ACCOUNT AN ANNUAL SURVEY AND STUDY COMPLETED BY AN INDEPENDENT COMPENSATION CONDULTING FIRM. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. BEVERLY MSO 309 WEST BEVERLY BOULEVARD MONTEBELLO CA 90640 352596953 MANAGEMENT SERVICE ORGANIZATION CA C 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 BEVERLY HOSPITAL FOUNDATION C AMOUNT NOT PROVIDED MONTEBELLO COMMUNITY HEALTH SERVICES INC E AMOUNT NOT PROVIDED