BEVERLY COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BEVERLY COMMUNITY HOSPITAL ASSOCIATION (EIN 95-1816005)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201813189349311921
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T17:15:19-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951816005 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEVERLY COMMUNITY HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BEVE | BusinessNameControlTxt |
| Phone | 3237261222 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 WEST BEVERLY BOULEVARD | AddressLine1Txt |
| City | MONTEBELLO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 906404308 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARRY PUGH | PersonNm |
| Person Title | SENIOR VICE PRESIDENT/CFO | PersonTitleTxt |
| Phone | 3237261222 | PhoneNum |
| Signature | 2018-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2018-11-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-09 | IPDt |
| IP Tm | 20:28:32 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5029E8FD9FE66385FA59B177B15FCADA276E8E0F | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALICE CHENG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 WEST BEVERLY BOULEVARD | AddressLine1Txt |
| City | MONTEBELLO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 906404308 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $205,645,354 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BEVERLY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1949 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO BE A LEADING INDEPENDENT, NON-PROFIT COMMUNITY HOSPITAL IMPROVING THE QUALITY OF LIFE OF ITS CONSTITUENTS THROUGH HEALTH EDUCATION, DISEASE PREVENTION, AND STATE OF THE ART ILLNESS AND INJURY TREATMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1085 | TotalEmployeeCnt |
| Total Volunteers | 105 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $562,238 | PYContributionsGrantsAmt |
| CY Contributions Grants | $261,399 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $188,374,363 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $204,164,838 | CYProgramServiceRevenueAmt |
| PY Investment Income | $41,683 | PYInvestmentIncomeAmt |
| CY Investment Income | $142,234 | CYInvestmentIncomeAmt |
| PY Other Revenue | $281,862 | PYOtherRevenueAmt |
| CY Other Revenue | $1,076,883 | CYOtherRevenueAmt |
| PY Total Revenue | $189,260,146 | PYTotalRevenueAmt |
| CY Total Revenue | $205,645,354 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,607,672 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $66,133,731 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,204,828 | PYOtherExpensesAmt |
| CY Other Expenses | $128,919,793 | CYOtherExpensesAmt |
| PY Total Expenses | $179,817,500 | PYTotalExpensesAmt |
| CY Total Expenses | $195,053,524 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,442,646 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,591,830 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $156,351,860 | TotalAssetsBOYAmt |
| Total Assets EOY | $193,299,943 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $86,931,460 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $113,287,256 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $69,420,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $80,012,687 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BE A LEADING INDEPENDENT, NON-PROFIT COMMUNITY HOSPITAL IMPROVING THE QUALITY OF LIFE OF ITS CONSTITUENTS THROUGH HEALTH EDUCATION, DISEASE PREVENTION, AND STATE OF THE ART ILLNESS AND INJURY TREATMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $118,038,903 | ExpenseAmt |
| Revenue | $147,154,503 | RevenueAmt |
| Desc | INPATIENT AND OUTPATIENT HOSPITAL SERVICES - HOSPITAL SERVICES PROVIDED BY BEVERLY COMMUNITY HOSPITAL ASSOCIATION INCLUDED 9,206 INPATIENT ADMISSONS, 20,824 OUTPATIENT VISITS, AND 38,233 EMERGENCY ROOM VISITS IN 2017. CARE IS PROVIDED WITHOUT CHARGE TO PATIENTS WHO MEET SPECIFIED CRITERIA UNDER THE CHARITY CARE POLICY. THE COST OF CHARITY CARE PROVIDED TOTALED $1,069,000 IN 2017. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $45,730,421 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $57,010,335 | RevenueAmt |
| Desc | CAPITATION SERVICES - BEVERLY COMMUNITY HOSPITAL ASSOCIATION CONTRACTS 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. ENROLLMENT DURING 2017 WAS 1,178,198 MEMBER MONTHS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $163,769,324 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 675 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1085 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LARRY PUGH | PersonNm |
| Phone | 3237255095 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 WEST BEVERLY BOULEVARD | AddressLine1Txt |
| City | MONTEBELLO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CARLOS MANUEL HARO PHD | |||||||||
| CHAIRMAN | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DENTON GUTHRIE CPA | |||||||||
| FIRST VICE CHAIRPERSON | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LYLA EDDINGTON EDD | |||||||||
| SECOND VICE CHAIRPERSON | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GAUTAM GANGULY MD | |||||||||
| TREASURER | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROSEMARY OROZCO | |||||||||
| SECRETARY | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GARY R EINSTEIN ESQ | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| GOHARIK GABRIEL | |||||||||
| BOARD MEMBER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| AZIZ KHAN MD | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CARLOS MAKABALI MD | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $56,500 | $0 | $0 | |||
| RENEE D MARTINEZ | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ALMA PEREZ SPHR | |||||||||
| BOARD MEMBER | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ALICE CHENG | |||||||||
| PRESIDENT & CEO | 40.00 | 3.00 | Yes (X) | $510,927 | $0 | $20,111 | |||
| LARRY PUGH | |||||||||
| SENIOR VP/CFO | 40.00 | 3.00 | Yes (X) | $324,638 | $0 | $8,526 | |||
| WENDY R BEESLEY | |||||||||
| SENIOR VP/COO | 40.00 | 0.00 | $283,058 | $0 | $16,096 | Yes (X) | |||
| JOHN G BARNES | |||||||||
| ADMINISTRATIVE DIRECTOR, H.R. | 40.00 | 0.00 | $228,346 | $0 | $13,260 | Yes (X) | |||
| KATHRYN ROSS | |||||||||
| VP OF NURSING THROUGH 4/2017 | 40.00 | 0.00 | $157,521 | $0 | $1,925 | Yes (X) | |||
| K LAWRENCE COHEN MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $309,040 | $0 | $0 | Yes (X) | |||
| LORETTA MANNDAVIS | |||||||||
| CIO THROUGH 11/2017 | 40.00 | 0.00 | $322,569 | $0 | $11,613 | Yes (X) | |||
| ASHLEY LI | |||||||||
| REGISTERED NURSE | 36.00 | 0.00 | $191,873 | $0 | $6,495 | Yes (X) | |||
| ROY RORICK | |||||||||
| REGISTERED NURSE | 36.00 | 0.00 | $190,299 | $0 | $17,243 | Yes (X) | |||
| LESTER FUJIMOTO | |||||||||
| VP OF DEV AND COMMUNITY RELATIONS | 16.00 | 24.00 | $183,097 | $0 | $1,275 | Yes (X) | |||
| JOEL LAZARO | |||||||||
| REGISTERED NURSE | 36.00 | 0.00 | $179,312 | $0 | $17,138 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,937,180 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $113,682 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 143 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SODEXHO INC & AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERSBURG | MD | 20878 | FOOD & HOUSEKEEPING SERVICES | $3,506,408 |
| SOUTHLAND MANAGEMENT GROUP INC | |||||
| 3300 E SOUTH STREET SUITE 307 | LONG BEACH | CA | 90805 | DIALYSIS SERVICES | $1,003,550 |
| PARADIGM MEDICAL MANAGEMENT | |||||
| 23332 HAWTHORNE BLVD SUITE 301 | TORRANCE | CA | 90505 | WOUND CARE MANAGEMENT SERVICES | $879,984 |
| ALLIED UNIVERSAL SECURITY SERVICES | |||||
| 161 WASHINGTON ST SUITE 600 | CONSHOHOCKEN | PA | 19428 | SECURITY SERVICES | $765,700 |
| DOYLE & SCHAFER LLP | |||||
| 8105 IRVINE CENTER DRIVE SUITE 520 | IRVINE | CA | 92618 | LEGAL SERVICES | $353,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 113 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $261,399 | RelatedOrganizationsAmt |
| Total Contributions | $261,399 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621990 | $147,154,503 | $147,154,503 |
| PREMIUM REVENUE | 621990 | $57,010,335 | $57,010,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $204,164,838 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $91,737 | TotalRevenueColumnAmt |
| Exclusion | $91,737 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,656 | TotalRevenueColumnAmt |
| Exclusion | $45,656 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,990 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $59,990 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,990 | TotalRevenueColumnAmt |
| Exclusion | $59,990 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,841 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,841 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,841 | TotalRevenueColumnAmt |
| Exclusion | $4,841 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| REBATES & REFUNDS | 900099 | $540,976 | $540,976 |
| MISCELLANEOUS REVENUE | 900099 | $432,629 | $432,629 |
| BENEFICIAL INTEREST IN FOUNDATION | 900099 | $43,288 | $43,288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,016,893 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $205,645,354 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,164,838 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,219,117 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,929,947 | TotalAmt |
| Program Services | $524,986 | ProgramServicesAmt |
| Management And General | $1,404,961 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,516,291 | TotalAmt |
| Program Services | $46,171,493 | ProgramServicesAmt |
| Management And General | $4,344,798 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,151 | TotalAmt |
| Program Services | $160,775 | ProgramServicesAmt |
| Management And General | $203,376 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,383,142 | TotalAmt |
| Program Services | $4,063,460 | ProgramServicesAmt |
| Management And General | $5,319,682 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,940,200 | TotalAmt |
| Program Services | $3,715,824 | ProgramServicesAmt |
| Management And General | $224,376 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,012 | TotalAmt |
| Management And General | $591,012 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,110,081 | TotalAmt |
| Management And General | $4,110,081 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,539,715 | TotalAmt |
| Program Services | $62,047,219 | ProgramServicesAmt |
| Management And General | $2,492,496 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,846 | TotalAmt |
| Program Services | $310,005 | ProgramServicesAmt |
| Management And General | $115,841 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,189,110 | TotalAmt |
| Management And General | $1,189,110 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,968 | TotalAmt |
| Program Services | $395,585 | ProgramServicesAmt |
| Management And General | $118,383 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,453 | TotalAmt |
| Program Services | $1,731 | ProgramServicesAmt |
| Management And General | $1,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,881 | TotalAmt |
| Management And General | $166,881 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,623,341 | TotalAmt |
| Program Services | $1,914,331 | ProgramServicesAmt |
| Management And General | $4,709,010 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,330,903 | TotalAmt |
| Management And General | $2,330,903 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOSPITAL FEE PROGRAM | $21,000,380 | $21,000,380 | |
| MEDICAL SUPPLIES | $17,603,090 | $17,591,828 | $11,262 |
| EQUIPMENT RENTALS | $4,815,883 | $2,659,943 | $2,155,940 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,006,130 | TotalAmt |
| Program Services | $3,211,764 | ProgramServicesAmt |
| Management And General | $1,794,366 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,053,524 | TotalAmt |
| Program Services | $163,769,324 | ProgramServicesAmt |
| Management And General | $31,284,200 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,544,023 | BOYAmt |
| EOY | $11,877,132 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,268,814 | BOYAmt |
| EOY | $25,512,135 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,001,651 | BOYAmt |
| EOY | $20,718,808 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,782 | BOYAmt |
| EOY | $904,496 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,041,177 | BOYAmt |
| EOY | $3,507,201 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,248,547 | BOYAmt |
| EOY | $989,252 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $169,445,001 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $88,241,903 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,569,636 | BOYAmt |
| EOY | $81,203,098 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,475,738 | BOYAmt |
| EOY | $1,475,738 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,011 | BOYAmt |
| EOY | $298,011 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,681,481 | BOYAmt |
| EOY | $46,814,072 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,351,860 | BOYAmt |
| EOY | $193,299,943 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,019,002 | BOYAmt |
| EOY | $22,090,510 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,638,073 | BOYAmt |
| EOY | $61,126,640 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,575,157 | BOYAmt |
| EOY | $4,978,402 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,699,228 | BOYAmt |
| EOY | $25,091,704 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,931,460 | BOYAmt |
| EOY | $113,287,256 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,420,400 | BOYAmt |
| EOY | $80,012,687 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,420,400 | BOYAmt |
| EOY | $80,012,687 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,351,860 | BOYAmt |
| EOY | $193,299,943 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $10,591,830 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $457 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $147,991 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $147,991 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | BEVERLY COMMUNITY HOSPITAL ASSOCIATION SUPPORTS CERTAIN 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 EXPENDITURE OF THE HOSPITAL'S MEMBERSHIP DUES PAID TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA (HASC) WERE USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,398,730 | OtherCostOrOtherBasisAmt |
| Book Value | $1,398,730 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $114,864,696 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,879,490 | DepreciationAmt |
| Book Value | $52,985,206 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $584,120 | OtherCostOrOtherBasisAmt |
| Depreciation | $584,120 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,771,051 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,746,478 | DepreciationAmt |
| Book Value | $4,024,573 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,826,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,031,815 | DepreciationAmt |
| Book Value | $22,794,589 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $81,203,098 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED PARTIES | $3,805,713 |
| THIRD PARTY PAYOR RECEIVABLES | $30,023,610 |
| UNAMORTIZED LOAN COSTS | $2,859 |
| MALPRACTICE/WORKER'S COMP INSURANCE RECEIVABLES | $3,687,000 |
| ASSETS LIMITED AS TO USE | $7,438,918 |
| BENEFICIAL INTEREST IN AFFILIATE | $1,482,330 |
| OTHER RECEIVABLES | $271,014 |
| DEPOSITS | $102,628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $46,814,072 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED SELF-INSURED LIABILITIES | $7,290,969 |
| CAPITAL LEASE LIABILITIES | $637,642 |
| DUE TO RELATED PARTIES | $3,906,775 |
| MEDICAL CLAIMS LIABILITIES | $12,408,353 |
| SHARED RISK LIABILITY | $847,965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,091,704 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CORPORATION RECOGNIZES THE TAX EXPENSE OR PROVISION FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 450.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,449,090 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,449,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,310,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,594,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,715,994 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89,759,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,594,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,165,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06750 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,935,283 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,935,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02530 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $602,745 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $602,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,538,028 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,538,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,297,669 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $76,594,557 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,703,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09590 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,657 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,657 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,033,985 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $33,737,366 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $29,305,287 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $4,432,079 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEVERLY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 WEST BEVERLY BOULEVARD | AddressLine1Txt |
| City | MONTEBELLO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BEVERLY.ORG | WebsiteAddressTxt |
| State License | 930000389 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEVERLY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BEVERLY.ORG/ABOUT-US/IN-THE-COMMUNITY/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.BEVERLY.ORG/ABOUT-US/IN-THE-COMMUNITY/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 350.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 450.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.BEVERLY.ORG/PATIENTS/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.BEVERLY.ORG/PATIENTS/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.BEVERLY.ORG/PATIENTS/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| BEVERLY HOSPITAL | PART V, SECTION B, LINE 5: TARGETED INTERVIEWS AND FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. SEVENTEEN (17) INTERVIEWS WERE COMPLETED IN JUNE AND JULY, 2016. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY BEVERLY HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. INPUT WAS OBTAINED FROM LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH OFFICIALS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN.FOUR FOCUS GROUPS WERE CONDUCTED IN JULY 2016 AND ENGAGED 43 PERSONS. THE FOCUS GROUP MEETINGS WERE HOSTED BY TRUSTED COMMUNITY ORGANIZATIONS. AN AGENCY CONTACT WAS AVAILABLE TO ANSWER ANY QUESTIONS AT EACH FOCUS GROUP. AT THE BEGINNING OF EACH FOCUS GROUP, THE PURPOSE OF THE FOCUS GROUP AND THE COMMUNITY ASSESSMENT WERE EXPLAINED, THE PARTICIPANTS WERE ASSURED THEIR RESPONSES WOULD NOT BE ATTRIBUTED TO THEM AS RESPONSES WOULD BE AGGREGATED. ONE OF THE FOCUS GROUPS WAS CONDUCTED IN SPANISH WITH A BILINGUAL FACILITATOR. THE FOCUS GROUP DISCUSSIONS WERE VOICE RECORDED FOR EASE OF DOCUMENTING THE DISCUSSION. BEFORE BEGINNING THE DISCUSSION, THE FACILITATOR ASKED FOR ORAL CONSENT FROM EACH OF THE PARTICIPANTS THAT THEY WISHED TO PARTICIPATE IN THE FOCUS GROUP AND AGREED TO BE VOICE RECORDED. THE FOCUS GROUP PARTICIPANTS WERE ASKED TO SHARE THEIR PERSPECTIVES RELATED TO TOPICS WITHIN THE FOLLOWING AREAS: (I) BIGGEST ISSUES AND HEALTH CONCERNS FACING THE COMMUNITY; (II) ISSUES, CHALLENGES, BARRIERS FACED BY COMMUNITY MEMBERS SPECIFIC TO THE IDENTIFIED HEALTH NEEDS; (III) SPECIAL POPULATIONS OR GROUPS THAT ARE MOST AFFECTED BY A HEALTH NEED; (IV) PROGRAMS AND RESOURCES AVAILABLE TO ADDRESS THE HEALTH NEEDS; (V) HOW THE HOSPITAL CAN HELP ADDRESS THE COMMUNITY NEEDS; AND (VI) OTHER COMMENTS OR CONCERNS. A LIST OF THE STAKEHOLDER INTERVIEW RESPONDENTS, THEIR TITLES AND ORGANIZATIONS, AND THE FOCUS GROUPS CAN BE FOUND IN ATTACHMENT 1 OF THE CHNA POSTED ON THE ORGANIZATION'S WEBSITE. |
| BEVERLY HOSPITAL | PART V, SECTION B, LINE 11: TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA, THE HOSPITAL PLANS TO BUILD ON PREVIOUS CHNA EFFORTS AND EXISTING INITIATIVES, WHILE ALSO CONSIDERING NEW STRATEGIES AND EFFORTS TO IMPROVE HEALTH. THE FOLLOWING CRITERIA WERE USED BY THE HOSPITAL'S LEADERSHIP TEAM TO DETERMINE WHICH SIGNIFICANT HEALTH NEEDS BCHA WILL ADDRESS IN THE IMPLEMENTATION STRATEGY: (I) WHETHER THERE IS CAPACITY TO ADDRESS THE ISSUE, (II) WHETHER THERE ARE PROGRAMS, SYSTEMS, STAFF, AND SUPPORT RESOURCES IN PLACE TO ADDRESS THE ISSUE; (III) ARE THERE EXISTING RESOURCES COMMITTED TO THE ISSUE; AND (IV) DOES BCHA HAVE THE COMPETENCIES AND EXPERTISE TO ADDRESS THE ISSUE, AND DOES THE ISSUE FIT WITH THE ORGANIZATIONAL MISSION. AS A RESULT OF THE REVIEW OF THE NEEDS AND APPLICATION OF THE ABOVE CRITERIA, BCHA WILL ADDRESS: ACCESS TO CARE; CHRONIC DISEASES; MENTAL HEALTH; OVERWEIGHT AND OBESITY; AND PREVENTIVE PRACTICES THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND CHARITABLE RESOURCES.BCHA WILL ADDRESS ACCESS TO CARE BY TAKING THE FOLLOWING ACTIONS: (I) PROVIDING FINANCIAL ASSISTANCE THROUGH BOTH FREE AND DISCOUNTED CARE FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY; (II) PROVIDE TRANSPORTATION SUPPORT TO INCREASE ACCESS TO HEALTH CARE SERVICES; (III) OFFER INFORMATION AND ENROLLMENT ASSISTANCE IN THE COVERED CALIFORNIA HEALTH CARE EXCHANGE AND OTHER LOW-COST-INSURANCE PROGRAMS, AS WELL AS INFORMATION ABOUT MEDICARE BENEFITS UPDATES; (IV) PURSUE FEDERALLY QUALIFIED HEALTH CARE STATUS FOR HOSPITAL-BASED CLINICS TO PROVIDE PRIMARY CARE SERVICES TO UNDERSERVED POPULATIONS; (V) RENOVATE THE EMERGENCY DEPARTMENT TO DOUBLE THE NUMBER OF ED BEDS AVAILABLE; AND (VI) PARTNER WITH HEALTH CARE PROVIDERS TO OPEN AN URGENT CARE FACILITY IN MONTEBELLO. IN ORDER TO ACCOMPLISH THE PLANNED ACTIVITIES, BCHA ANTICIPATES COLLABORATING WITH BOTH ALTAMED HEALTH SERVICES AND THE CENTER FOR HEALTHCARE RIGHTS.BCHA WILL ADDRESS CHRONIC DISEASE BY TAKING THE FOLLOWING ACTIONS: (I) THROUGH THE DIABETES CENTER, PROVIDE FREE DIABETES EDUCATION AND HOST DIABETES EVENTS (INCLUDING BLOOD GLUCOSE SCREENING AND NUTRITION CLASSES); (II) OFFER CPR CLASSES; (III) HOST HEALTH AND WELLNESS FAIRS FOR SENIORS, INCLUDING SCREENINGS; (IV) INCREASE CARDIAC AWARENESS THROUGH HEALTH EDUCATION AND SCREENING TESTS TO IDENTIFY CARDIAC DISEASE; (V) PROVIDE SUPPORT GROUPS TO ASSIST THOSE WITH CHRONIC DISEASES AND THEIR FAMILIES; (VI) PROVIDE PUBLIC HEALTH EDUCATION IN THE MEDIA AND COMMUNITY HEALTH AWARENESS EVENTS TO ENCOURAGE HEALTH BEHAVIORS AND PREVENT CHRONIC DISEASES; AND (VII) PURSUE STROKE CENTER DESIGNATION. IN ORDER TO ACCOMPLISH THE PLANNED ACTIVITIES, BCHA ANTICIPATES COLLABORATING WITH THE AMERICAN DIABETES ASSOCIATION, THE AMERICAN HEART ASSOCIATION, THE AMERICAN STROKE ASSOCIATION, THE CITY OF MONTEBELLO, LOCAL CHURCHES, THE MONTEBELLO POLICE DEPARTMENT EMS AGENCY, THE MONTEBELLO-COMMERCE YMCA, THE MONTEBELLO UNIFIED SCHOOL DISTRICT, SENIOR CENTERS, AND TELACU - SENIOR VILLAS.BCHA WILL ADDRESS MENTAL HEALTH BY TAKING THE FOLLOWING ACTIONS: (I) OFFER COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS, AND WORKSHOPS; (II) SUPPORT MULTISECTOR COLLABORATIVE EFFORTS THAT SUPPORT ACCESS TO MENTAL HEALTH SERVICES; (III) INCREASE COMMUNITY AWARENESS OF PREVENTION EFFORTS AND AVAILABILITY OF RESOURCES TO ADDRESS MENTAL AND BEHAVIORAL HEALTH CONCERNS; AND (IV) PURSUE FEDERALLY QUALIFIED HEALTH CARE STATUS FOR HOSPITAL-BASED CLINICS TO PROVIDE MENTAL HEALTH CARE SERVICES TO UNDERSERVED POPULATIONS. IN ORDER TO ACCOMPLISH THE PLANNED ACTIVITIES, BCHA ANTICIPATES COLLABORATING WITH: THE CITY OF MONTEBELLO, THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE MONTEBELLO-COMMERCE YMCA; AND THE NATIONAL ALLIANCE ON MENTAL ILLNESS.BCHA WILL ADDRESS OVERWEIGHT AND OBESITY BY TAKING THE FOLLOWING ACTIONS: (I) OFFER COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS, AND WORKSHOPS; (II) HOST HEALTH AND WELLNESS FAIRS THAT INCLUDE SCREENINGS FOR BMI, BLOOD PRESSURE, AND BLOOD GLUCOSE; (III) SUPPORT THE KIDSFIT PROGRAM, A 12-WEEK SESSION TO HELP OVERWEIGHT CHILDREN AND THEIR FAMILIES DEVELOP HEALTHY EATING AND PHYSICAL ACTIVITY HABITS; (IV) PROVIDE NUTRITION CLASSES FOR THE COMMUNITY; AND (V) SUPPORT INCREASED BREASTFEEDING EDUCATION THROUGH THE BABY-FRIENDLY HOSPITAL INITIATIVE. IN ORDER TO ACCOMPLISH THE PLANNED ACTIVITIES, BCHA ANTICIPATES COLLABORATING WITH: THE EAST LOS ANGELES NETWORK FOR HEALTH CALIFORNIA, THE LA COUNTY DEPARTMENT OF PUBLIC HEALTH, THE MONTEBELLO-COMMERCE YMCA, PEDIATRICIANS, AND WIC.BCHA WILL ADDRESS PREVENTIVE PRACTICES BY TAKING THE FOLLOWING ACTIONS: (I) PROVIDE FREE HEALTH SCREENINGS; (II) PROVIDE EDUCATION AND RESOURCES FOCUSED ON HEALTHY LIVING AND DISEASE PREVENTION TO BE OFFERED IN ENGLISH AND SPANISH; (III) PROVIDE EDUCATION TO TEENS ON ABSTINENCE, BIRTH CONTROL, SEXUALLY TRANSMITTED DISEASES, AND PREGNANCY PREVENTION; (IV) OFFER FREE CHILDHOOD IMMUNIZATIONS AND ADULT FLU SHOTS; (V) PROVIDE TB TESTING; (VI) THROUGH HOSPITAL-BASED CLINICS, OFFER BREAST AND CERVICAL CANCER SCREENINGS AT LOW AND NO-COST FOR WOMEN THROUGH THE FAMILY PACT AND EVERY WOMAN COUNTS PROGRAMS; AND (VII) PURSUE FEDERALLY QUALIFIED HEALTH CARE STATUS FOR HOSPITAL-BASED CLINICS TO PROVIDE PRIMARY CARE SERVICES TO UNDERSERVED POPULATIONS. IN ORDER TO ACCOMPLISH THE PLANNED ACTIVITIES, BCHA ANTICIPATES COLLABORATING WITH: THE LOCAL CHAMBER OF COMMERCE, THE CITY OF MONTEBELLO, THE FIREFIGHTERS ASSOCIATION, LOCAL CHURCHES, THE MONTEBELLO POLICE DEPARTMENT, THE MONTEBELLO SCHOOL DISTRICT HEAD START PROGRAM, THE MONTEBELLO UNIFIED SCHOOL DISTRICT, THE MONTEBELLO-COMMERCE YMCA, THE PICO RIVERA WOMEN'S CLUB, AND SENIOR CENTERS.TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, BCHA WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING: DENTAL HEALTH, SUBSTANCE ABUSE, AND TEEN PREGNANCY. KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL THE COMMUNITY HEALTH NEEDS, BCHA CHOSE TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - WOMEN'S CARE CENTER | ||||
| 1920 W WHITTIER BLVD | MONTEBELLO | CA | 90640 | OUTPATIENT CLINIC - COMPREHENSIVE PERINATAL SERVICES PROGRAM (CPSP) |
| 2 - FAMILY CARE CENTER | ||||
| 101 E BEVERLY BLVD | MONTEBELLO | CA | 90640 | OUTPATIENT CLINIC - COMPREHENSIVE PRIMARY CARE SERVICES |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | BEVERLY HOSPITAL USES COST TO CHARGE RATIO TO DETERMINE THE AMOUNTS ON SCHEDULE H, PART I, LINE 7A AND 7B. COST ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS ON PART I, LINES 7E AND 7F. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | ECONOMIC DEVELOPMENT: IN 2017, THE HOSPITAL PROVIDED SUPPORT TO THE CHAMBERS OF COMMERCE IN WHITTIER, MONTEBELLO, PICO RIVERA, SANTA FE SPRINGS, CITY OF COMMERCE AND ROSEMEAD. AS PART OF THE HOSPITAL'S WORK WITH EACH CHAMBER, HOSPITAL STAFF ACTIVELY PARTICIPATE IN EVENTS SUCH AS THE ANNUAL MONTEBELLO BUSINESS EXPO, THE INSTALLATION DINNERS FOR MONTEBELLO AND PICO RIVERA AND ATTEND LOCAL BUSINESS RIBBON CUTTING CEREMONIES. IN OCTOBER, BEVERLY HOSPITAL HOSTED AN ANNUAL TRI-CHAMBER BREAKFAST WHERE THE CHAMBERS FROM MONTEBELLO, SANTA FE SPRINGS AND COMMERCE JOIN TO UPDATE LOCAL BUSINESSES ON THE VARIOUS ENDEAVORS THE HOSPITAL IS UNDERTAKING.WORKFORCE DEVELOPMENT: THE HOSPITAL PARTICIPATED IN A NUMBER OF COLLEGE AND HIGH SCHOOL-HOSTED HEALTH CARE CAREER DAYS TO PROVIDE INFORMATION ON HEALTH CARE CAREERS, INCLUDING EL RANCHO HIGH SCHOOL, VAIL HIGH SCHOOL, STANDBRIDGE COLLEGE, WEST COAST UNIVERSITY. THESE EVENTS REACHED THOUSANDS OF STUDENTS. BEVERLY HOSPITAL SERVED AS A TRAINING SITE FOR 40 STUDENTS IN THE MONTEBELLO UNIFIED SCHOOL DISTRICT REGIONAL OCCUPATIONAL PROGRAM. IT ALSO PROVIDED TRAINING OPPORTUNITIES FOR 66 STUDENTS INTERESTED IN A CAREER IN HEALTH CARE THROUGH THE APPLIED TECHNOLOGY CENTER MONTEBELLO HIGH SCHOOL PATHWAYS PROGRAM. |
| PART III, LINE 2: | BAD DEBT EXPENSE IS ESTIMATED BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS FOR EACH MAJOR PAYOR SOURCE, CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT REGULARLY REVIEWS COLLECTIONS DATA BY MAJOR PAYOR SOURCES. ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE HOSPITAL'S SELF-PAY PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD SERVICES ARE PROVIDED TO SELF-PAY PATIENTS. |
| PART III, LINE 4: | THE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS (ATTACHED TO THIS FORM 990) WHICH ADDRESSES "PROVISION FOR BAD DEBTS AND "ALLOWANCE FOR DOUBTFUL ACCOUNTS" CAN BE FOUND ON PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | A COST TO CHARGE RATIO IS USED TO DETERMINE THE MEDICACRE ALLOWABLE COSTS OF CARE ON SCHEDULE H, PART III, LINE 6. |
| PART III, LINE 9B: | PATIENTS IN THE PROCESS OF QUALIFYING FOR GOVERNMENT OR HOSPITAL LOW-INCOME FINANCIAL ASSISTANCE PROGRAMS WILL NOT BE ASSIGNED TO COLLECTIONS PRIOR TO 150 DAYS FROM THE DATE OF INITIAL BILLING. ADDITIONALLY, LOW-INCOME PATIENTS, WHO AT THE SOLE DISCRETION OF THE HOSPITAL ARE REASONABLY COOPERATING TO SETTLE AN OUTSTANDING HOSPITAL BILL, WILL NOT BE SENT TO AN OUTSIDE COLLECTION AGENCY IF DOING SO WOULD NEGATIVELY IMPACT THE PATIENT'S CREDIT. |
| PART VI, LINE 2: | NEEDS ASSESSMENT: THE 2016 COMMUNITY NEEDS ASSESSMENT WAS DEVELOPED THROUGH A COMBINED QUANTITATIVE AND QUALITATIVE INFORMATION BASED ON REVIEW AND ANALYSIS OF DEMOGRAPHIC TRENDS, ECONOMIC TRENDS, HEALTH CONDITIONS, FAMILY AND COMMUNITY ISSUES, EDUCATION AND YOUTH DEVELOPMENT ISSUES, SENIOR SERVICES ISSUES AND COMMUNITY INPUT. THE HOSPITAL HELD FOCUS GROUP SESSIONS AND A SURVEY WITH REPRESENTATIVES FROM A VARIETY OF COMMUNITY-SERVING ORGANIZATIONS TO IDENTIFY KEY THEMES. |
| PART VI, LINE 3: | PUBLIC NOTICES ARE POSTED OF THE FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE IN THE HIGH VOLUME INPATIENT, OUTPATIENT, AND EMERGENCY SERVICE AREAS OF THE HOSPITAL. NOTICES ARE ALSO POSTED IN THE PATIENT FINANCIAL AND COLLECTION DEPARTMENTS. THESE NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. |
| PART VI, LINE 4: | THE POPULATION OF THE BEVERLY HOSPITAL SERVICE AREA WAS 710,992. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 27.8% OF THE POPULATION; 59.3% ARE ADULTS, AGES 18-64; AND 12.2% OF THE POPULATION ARE SENIORS, 65 AND OVER. IN THE SERVICE AREA, 77.1% OF THE POPULATION IS HISPANIC/LATINO; 17.1% OF THE RESIDENTS ARE ASIAN; 4.8% ARE WHITE; 0.6% ARE AFRICAN AMERICAN; AND 0.9% ARE AMERICAN INDIAN/ALASKAN NATIVE OR OTHER OR MULTIPLE RACE/ETHNICITY. THIS IS A MUCH HIGHER PERCENTAGE OF HISPANICS/LATINOS AND A MUCH LOWER PERCENTAGE OF WHITES THAN FOUND AT THE COUNTY LEVEL. THERE ARE ALSO A HIGHER PERCENTAGE OF ASIANS AND A LOWER PERCENTAGE OF BLACKS THAN FOUND COUNTY-WIDE. THE LANGUAGES SPOKEN AT HOME BY AREA RESIDENTS MIRROR THE RACIAL/ETHNIC MAKE-UP OF THE BEVERLY HOSPITAL SERVICE AREA COMMUNITIES: SPANISH IS SPOKEN IN THE HOME AMONG 65.1% OF THE POPULATION; ENGLISH IS SPOKEN AT HOME AMONG 18.9% OF THE POPULATION; 15% OF THE POPULATION SPEAK AN ASIAN LANGUAGE; AND 1% OF THE POPULATION SPEAKS ANOTHER LANGUAGE AT HOME. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $37,082 TO $70,841. |
| PART VI, LINE 5: | OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY INCLUDE: (I) THE BOARD OF DIRECTORS IS MADE UP OF PRIMARILY OF MEMBERS OF THE SURROUNDING COMMUNITY WHO ARE NOT PAID BY BEVERLY HOSPITAL; (II) THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUITY FOR, DEPENDNG ON NEED; AND (III) SURPLUS FUNDS ARE APPLIED TO IMPROVE PATIENT CARE AND MEDICAL EDUCATION.ADDITIONALLY, BEVERLY HOSPITAL HAS AN ARRAY OF COMMUNITY OUTREACH PROGRAMS WHICH HELP TO PROMOTE THE HEALTH OF ITS SURROUNDING COMMUNITY. THESE PROGRAMS INCLUDE: FREE CHILDHOOD IMMUNIZATIONS FOR NEWBORNS TO THE AGE OF 18; MATERNITY CLASSES AND EVENTS; KIDSFIT AND TEENSFIT PROGRAMS, WHICH ARE DESIGNED TO HELP OVERWEIGHT KIDS DEVELOP GOOD EATING AND EXERCISE HABITS; A 50+ CONNECTION PROGRAM, WHICH PROVIDES REDUCED RATES ON PRESCRIPTIONS, MEDICAL EQUIPMENT, LEGAL COUNSELING, DENTAL AND VISION SERVICES, AND SOCIAL ACTIVITIES; SUPPORT GROUPS (GRIEF, ALZHEIMERS AND DEMENTIA, CAREGIVERS); AND VARIOUS HEALTH EDUCATION & SCREENINGS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALICE CHENG | ||||||||||||||
| PRESIDENT & CEO | $419,899 | $0 | $83,036 | $0 | $7,992 | $0 | $3,991 | $0 | $16,120 | $0 | $531,038 | $0 | $0 | $0 |
| LARRY PUGH | ||||||||||||||
| SENIOR VP/CFO | $300,097 | $0 | $12,863 | $0 | $11,678 | $0 | $2,182 | $0 | $6,344 | $0 | $333,164 | $0 | $0 | $0 |
| WENDY R BEESLEY | ||||||||||||||
| SENIOR VP/COO | $245,232 | $0 | $35,900 | $0 | $1,926 | $0 | $1,926 | $0 | $14,170 | $0 | $299,154 | $0 | $0 | $0 |
| JOHN G BARNES | ||||||||||||||
| ADMINISTRATIVE DIRECTOR, H.R. | $202,120 | $0 | $19,813 | $0 | $6,413 | $0 | $1,593 | $0 | $11,667 | $0 | $241,606 | $0 | $0 | $0 |
| KATHRYN ROSS | ||||||||||||||
| VP OF NURSING THROUGH 4/2017 | $60,174 | $0 | $20,469 | $0 | $76,878 | $0 | $567 | $0 | $1,358 | $0 | $159,446 | $0 | $0 | $0 |
| K LAWRENCE COHEN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $309,040 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $309,040 | $0 | $0 | $0 |
| LORETTA MANNDAVIS | ||||||||||||||
| CIO THROUGH 11/2017 | $198,002 | $0 | $19,609 | $0 | $104,958 | $0 | $1,551 | $0 | $10,062 | $0 | $334,182 | $0 | $0 | $0 |
| ASHLEY LI | ||||||||||||||
| REGISTERED NURSE | $191,821 | $0 | $0 | $0 | $52 | $0 | $1,451 | $0 | $5,044 | $0 | $198,368 | $0 | $0 | $0 |
| ROY RORICK | ||||||||||||||
| REGISTERED NURSE | $190,299 | $0 | $0 | $0 | $0 | $0 | $1,487 | $0 | $15,756 | $0 | $207,542 | $0 | $0 | $0 |
| LESTER FUJIMOTO | ||||||||||||||
| VP OF DEV AND COMMUNITY RELATIONS | $162,194 | $0 | $12,863 | $0 | $8,040 | $0 | $1,275 | $0 | $0 | $0 | $184,372 | $0 | $0 | $0 |
| JOEL LAZARO | ||||||||||||||
| REGISTERED NURSE | $178,750 | $0 | $0 | $0 | $562 | $0 | $1,385 | $0 | $15,753 | $0 | $196,450 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4A | THE CIO RECEIVED A SEVERANCE OF $104,364 DURING 2017, WHICH IS REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III). ADDITIONALLY, THE VP OF NURSING RECEIVED A SEVERANCE OF $52,380, WHICH IS REPORTED AS "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III). |
| PART I, LINE 6 | THE ORGANIZATION PAYS BONUSES TO CERTAIN EMPLOYEES OF THE ORGANIZATION CONTINGENT ON VARIOUS PERFORMANCE MEASURES, ONE OF WHICH INCLUDES THE ORGANIZATION MEETING BUDGETED FINANCIAL MEASURES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| A | 680164610 | 13080SLL6 | 2015-12-02 | $41,768,337 | IMPROVEMENT, RENOVATION, AND EQUIPPING HOSPITAL/REFUND BOND DATED 9/30/2015 | 0 | 0 | 0 |
| CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| B | 680164610 | 13080SRG1 | 2017-05-09 | $20,998,252 | IMPROVEMENT, RENOVATION, AND EQUIPPING HOSPITAL | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $41,768,337 | $537,891 | $768,338 | $11,364,482 | $29,097,626 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $21,043,908 | $396,800 | $13,208,290 | $7,438,918 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COLUMN (E) AND PART II, COLUMN (B), LINE 3: | FormAndLineReferenceDesc |
| Explanation | THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 FOR THE BOND DATED 5/9/2017 REPRESENTS INVESTMENT EARNINGS FROM PROCEEDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A PUBLIC ACCOUNTING FIRM PREPARED THE FORM 990 IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE STAFF. A DRAFT FORM 990 IS THEN REVIEWED BY THE CFO AND CEO; ADJUSTMENTS ARE MADE, AS NECESSARY. THE COMPLETED FORM 990 IS THEN REVIEWED IN ITS ENTIRETY BY ALL MEMBERS OF THE GOVERNING BOARD BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES COMPLETE A QUESTIONNAIRE ANNUALLY. QUESTIONNAIRES SUBMITTED BY OFFICERS (OTHER THAN THE PRESIDENT/CEO) AND KEY EMPLOYEES ARE REVIEWED BY THE PRESIDENT/CEO. QUESTIONNAIRES SUBMITTED BY THE PRESIDENT/CEO AND DIRECTORS ARE REVIEWED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS. ALL DISCLOSED CONFLICTS ARE REPORTED TO THE BOARD OF DIRECTORS. IF A CONFLICT IS IDENTIFIED, THE CONFLICTED INDIVIDUAL WILL NOT PARTICIPATE IN DELIBERATIONS AND DECISIONS IMPACTING THE CONFLICTED MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | CURRENT COMPARATIVE COMPENSATION INFORMATION IS OBTAINED FROM AN INDEPENDENT FIRM, MOST RECENTLY IN 2017. THE PRESIDENT & CEO EVALUATION COMMITTEE OF THE BOARD OF DIRECTORS USES THIS INFORMATION AND ITS EVALUATION OF PERFORMANCE TO SET THE ANNUAL COMPENSATION OF THE PRESIDENT/CEO. DOCUMENTATION OF THIS PROCESS IS RETAINED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE PRESIDENT & CEO EVALUATION COMMITTEE ALSO SETS THE TARGET LEVEL OF ANNUAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES, WHICH IS NOT TO EXCEED THE 50TH PERCENTILE OF THE MARKET ANALYSIS PERFORMED BY THE INDEPENDENT COMPENSATION CONSULTANTS. THE PRESIDENT/CEO USES THE SAME PROCESS TO DETERMINE THE ANNUAL COMPENSATION ADJUSTMENTS OF OTHER OFFICERS AS WELL AS KEY EMPLOYEES. THE PRESIDENT/CEO DISCUSS THESE PROPOSED ANNUAL COMPENSATION ADJUSTMENTS WITH THE PRESIDENT & CEO EVALUATION COMMITTEE OF THE BOARD OF DIRECTORS. DOCUMENTATION OF THIS PROCESS IS RETAINED BY THE PRESIDENT/CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | REQUESTS TO VIEW THE CONFLICT OF INTEREST POLICY SHOULD BE MADE TO ADMINISTRATION, AND ARE MADE AVAILABLE UPON REQUEST. THE HOSPITAL DOES NOT MAKE EITHER THE GOVERNING/ORGANIZING DOCUMENTS OR AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, SECTION A, COLUMN (D) | CARLOS MAKABALI, MD IS A MEMBER OF THE BOARD WHO DEVOTES AN AVERAGE OF TWO HOURS PER WEEK RELATING TO HIS ACTIVITIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE REPORTABLE COMPENSATION REPORTED FOR HIM ON FORM 990, PART VII, SECTION A, COLUMN (D) IS RELATED TO PROFESSIONAL MEDICAL SERVICES PROVIDED TO THE HOSPITAL AND ARE UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK LISTED FOR HIM ON FORM 990, PART VII, SECTION A, COLUMN (B). |
| FORM 990, PART IX, LINE 11G | CAPITATED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 45,881,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,881,623. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 8,214,554. MANAGEMENT AND GENERAL EXPENSES 1,008,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,223,024. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,951,042. MANAGEMENT AND GENERAL EXPENSES 1,484,026. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,435,068. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MONTEBELLO COMMUNITY HEALTH SERVICES INC | ||||||||||
| 309 WEST BEVERLY BOULEVARD | MONTEBELLO | CA | 90640 | 953823550 | SUPPORT BEVERLY COMMUNITY HOSPITAL ASSOCIATION | CA | 501(C)(3) | LINE 12B, II | BEVERLY COMMUNITY HOSPITAL ASSOCIATION | Yes (1) |
| BEVERLY HOSPITAL FOUNDATION | ||||||||||
| 309 WEST BEVERLY BOULEVARD | MONTEBELLO | CA | 90640 | 237429685 | SUPPORT BEVERLY COMMUNITY HOSPITAL ASSOCIATION | CA | 501(C)(3) | LINE 7 | BEVERLY COMMUNITY HOSPITAL ASSOCIATION | Yes (1) |
| BEVERLYCARE | ||||||||||
| 1920 WEST WHITTIER BOULEVARD | MONTEBELLO | CA | 90640 | 471545656 | HEALTH CARE SERVICES FOR LOW-INCOME INDIVIDUALS | CA | 501(C)(3) | LINE 10 | BEVERLY COMMUNITY HOSPITAL ASSOCIATION | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEVERLY MSO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 WEST BEVERLY BOULEVARD | AddressLine1Txt |
| City | MONTEBELLO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352596953 | EIN |
| Primary Activities | MANAGEMENT SERVICE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| BEVERLY HOSPITAL FOUNDATION | ||
| C | $261,399 | BOOK VALUE |
| BEVERLY HOSPITAL FOUNDATION | ||
| D | $160,587 | BOOK VALUE |
| BEVERLY HOSPITAL FOUNDATION | ||
| O | $164,782 | BOOK VALUE |
| MONTEBELLO COMMUNITY HEALTH SERVICES INC | ||
| D | $3,603,626 | BOOK VALUE |
| MONTEBELLO COMMUNITY HEALTH SERVICES INC | ||
| E | $3,906,775 | BOOK VALUE |
| MONTEBELLO COMMUNITY HEALTH SERVICES INC | ||
| J | $117,289 | BOOK VALUE |
| MONTEBELLO COMMUNITY HEALTH SERVICES INC | ||
| K | $287,734 | BOOK VALUE |