2024-05-15T16:47:58-05:00 2023-06-30 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2022-07-01 471545656 BEVERLYCARE BEVE 8334238227 101 E BEVERLY BLVD 303 MONTEBELLO CA 90640 CORALI NAKAMATSU EXECUTIVE DIRECTOR 8334238227 2024-05-14 1 CORALI NAKAMATSU 999009999 0 REGINA PRINCE CPA P00576936 2138731700 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CORALI NAKAMATSU 101 E BEVERLY BLVD 303 MONTEBELLO CA 90640 4320912 0 X WWW.BEVERLYCARE.ORG X 2015 CA TO PROVIDE INDIVIDUALIZED ATTENTION AND PERSONALIZED HIGH-QUALITY CARE THAT NURTURES A BETTER DOCTOR-PATIENT RELATIONSHIP. 8 8 42 9 0 0 784275 602662 2453812 3718250 0 0 0 0 3238087 4320912 0 0 0 0 1790681 1682361 0 0 0 1517186 2063978 3307867 3746339 -69780 574573 2222400 3239515 5729969 6172511 -3507569 -2932996 X TO PROVIDE HEALTHCARE SERVICES FOR LOW-INCOME INDIVIDUALS. 0 0 2866751 3718250 BEVERLYCARE IS AN INDEPENDENT, PRIMARY CARE COMMUNITY CLINICS NETWORK THAT PROVIDES HIGH QUALITY AND ACCESSIBLE MEDICAL CARE TO THE COMMUNITIES IT SERVES. THE ORGANIZATION WAS FOUNDED ON THE BELIEF OF "CARE FOR ALL AND THE GOAL IS TO HELP ELIMINATE HEALTH DISPARITIES BY MAKING HEALTH CARE CONVENIENT AND ACCESSIBLE TO EVERYONE. DURING THE YEAR ENDED JUNE 30, 2023, THE ORGANIZATION SERVICED OVER 18,000 PATIENT VISITS.BEVERLYCARE IS A FEDERALLY QUALIFIED HEALTH CENTER-LOOK ALIKE THAT OPERATES MULTIPLE CLINICS LOCATED IN MONTEBELLO AND SURROUNDING AREAS; AND PROVIDES PEDIATRIC, ADULT PRIMARY CARE, OB/GYN, AND SENIOR HEALTH CARE SERVICES. THE ORGANIZATION IS CONTRACTED WITH SEVERAL HEALTH PLANS AND IPAS BUT ALSO OFFERS ASSISTANCE TO UNINSURED AND UNDERINSURED PATIENTS THROUGH PUBLIC HEALTH PROGRAMS SUCH AS FAMILYPACT, VFC, CHDP, EVERY WOMAN COUNTS, CPSP AND A SLIDING FEE DISCOUNT PROGRAM. THE ORGANIZATION HAS A STRONG RELATIONSHIP WITH BEVERLY HOSPITAL, A NONPROFIT, LEADING AND INDEPENDENT 202-BED ACUTE CARE FACILITY WHICH PROVIDES A FULL RANGE OF SERVICES WITH THE LATEST TECHNOLOGY ON DIAGNOSTIC AND TREATMENT OPTIONS. BEVERLY HOSPITAL HAS BEEN INSTRUMENTAL IN THE ORGANIZATION'S FORMATION, AND THEY SHARE THE SAME MISSION OF SERVING THE COMMUNITY. 2866751 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 55 0 1 42 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X CORALI NAKAMATSU 3234051469 101 E BEVERLY BLVD MONTEBELLO CA 90640 GOHARIK GABRIEL CHAIRPERSON/PRESIDENT 1.00 X X 0 0 0 ALICE CHENG VICE CHAIR/INTERIM TREASURER 1.00 X X 0 0 0 ROSEMARY OROZCO SECRETARY 1.00 X X 0 0 0 FRANCES ALDERETE BOARD MEMBER 1.00 X 0 0 0 RICHARD ANGEL BOARD MEMBER 1.00 X 0 0 0 CARLOS BENITEZ BOARD MEMBER 1.00 X 0 0 0 PAMELA SAKAMOTO BOARD MEMBER 1.00 X 0 0 0 RALPH HANSEN MD VICE CHAIR 1.00 X X 0 0 0 KATHLEEN CURRAN BOARD MEMBER (UNTIL 6/7/23) 1.00 X 0 0 0 CORALI NAKAMATSU EXECUTIVE DIRECTOR 40.00 X 177333 0 2192 RICHARD CABRERA PHYSICIAN 40.00 X 100506 0 590 FENNY LIN NURSE PRACTITIONER 30.00 X 135817 0 1306 413656 0 4088 3 0 1 0 BEVERLY HOSPITAL 309 W BEVERLY BLVD MONTEBELLO CA 90640 MGMT, FINANCE, IT, & CLINICAL SERVICES 227165 UHS PARTNERS INC DELTA LOCUM TENENS LL 3100 OLYMPUS BLVD STE 500 DALLAS TX 75019 PATIENT CARE 184686 2 602662 602662 NET PATIENT SERVICE 621400 2909476 2909476 CAPITATION REVENUE 621400 785231 785231 OTHER PROGRAM REVENUE 621400 23543 23543 3718250 4320912 3718250 0 0 X 179524 153291 26233 1136813 970693 166120 5134 4383 751 245515 209638 35877 115375 98515 16860 2288 2288 22200 22200 1022564 733646 288918 64197 43181 21016 263111 248595 14516 1491 512 979 205578 205578 74491 74461 30 20479 20479 PURCHASED SERVICES 245009 221721 23288 PHARMACEUTICAL SUPPLIES 41811 38804 3007 RECRUITING 38290 13149 25141 MINOR EQUIPMENT 24340 22590 1750 38129 13093 25036 3746339 2866751 879588 0 233978 891128 1198264 1484131 5500 12438 18305 15367 147103 35330 100316 111773 431190 527315 234847 197363 2222400 3239515 848705 826393 23428 4881264 5322690 5729969 6172511 X -3507569 -2932996 -3507569 -2932996 2222400 3239515 574573 0 X 0 1 X 1 0 X 150317 784275 602662 1537254 517318 1067170 2492071 2453812 3718250 10248621 517318 1067170 2642388 3238087 4320912 11785875 0 0 0 11785875 517318 1067170 2642388 3238087 4320912 11785875 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 57045 27215 29830 90058 8115 81943 111773 DEPOSITS 15341 LEASE RIGHT OF USE ASSETS 182022 197363 NOTES PAYABLE TO RELATED PARTY 5139452 LEASES PAYABLE 183238 5322690 X 4320912 0 4320912 0 4320912 3746339 0 3746339 0 3746339 PART X, LINE 2: THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND THE CORRESPONDING PROVISIONS OF THE CALIFORNIA REVENUE AND TAXATION CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT, HOWEVER, TO FEDERAL AND CALIFORNIA INCOME TAXES ON UNRELATED BUSINESS INCOME AS STIPULATED IN THE CODE. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE ORGANIZATION'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. AS OF JUNE 30, 2023, INFORMATION RETURNS SUBSEQUENT TO 2018 FILED BY THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. 0 0 0 0 0 0 0 0 0 CORALI NAKAMATSU EXECUTIVE DIRECTOR 177333 0 0 0 0 0 0 0 2192 0 179525 0 0 0 PART I, LINE 3 COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS SET AT THE SAME COMPENSATION RECEIVED FROM HER PREVIOUS EMPLOYER, BEVERLY COMMUNITY HOSPITAL ASSOCIATION. BEVERLY COMMUNITY HOSPITAL ASSOCIATION UTILIZED COMPARABILITY DATA TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION IN HER THEN EXISTING POSITION (WHICH IS SIMILAR TO HER CURRENT ROLE); HOWEVER, NO REVIEW OR APPROVAL OF THE EXECUTIVE DIRECTOR'S COMPENSATION BY INDEPENDENT PERSONS HAS BEEN COMPLETED YET IN RELATION TO HER DUTIES AT BEVERLYCARE. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, WHICH IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR; ADJUSTMENTS ARE MADE, AS NECESSARY. THE COMPLETE FORM 990 IS THEN PROVIDED AND REVIEWED WITH THE ENTIRE GOVERNING BODY PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO INTERESTED PERSONS INCLUDING CLINIC BOARD MEMBERS, OFFICERS, DIRECTORS, EMPLOYEES, CONTRACTED PROVIDERS, CONSULTANTS AND THOSE WHO FURNISH GOODS OR SERVICES TO THE ORGANIZATION. A CONFLICT OF INTEREST IS DEFINED AS A FINANCIAL, PERSONAL, OR PROFESSIONAL INTEREST, DIRECT OR INDIRECT, IN A BUSINESS ENTITY WHICH HAS THE POTENTIAL TO INFLUENCE A COVERED INDIVIDUAL'S PERSPECTIVE OF A BUSINESS OR PROFESSIONAL TRANSACTION, WITH THE POTENTIAL TO ADVERSELY AFFECT OR CONFLICT WITH BEVERLYCARE'S BEST INTEREST. BEVERLYCARE INTERESTED PERSONS ARE PROHIBITED FROM PARTICIPATING IN THE SELECTION, AWARD, OR ADMINISTRATION OF CONTRACTS, INCLUDING BUT NOT LIMITED TO, THOSE SUPPORTED BY FEDERAL FUNDS, IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. SUCH A CONFLICT WOULD ARISE WHEN THE BEVERLYCARE INTERESTED PERSON OR THAT PERSON'S CLOSE RELATIVE, OR ANY INDIVIDUAL, GROUP, OR ORGANIZATION TO WHICH THE PERSON ASSOCIATED WITH BEVERLYCARE HAS ALLEGIANCE, HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR AN AWARD. THE PROHIBITION DOES NOT APPLY TO SITUATIONS IN WHICH THE FINANCIAL INTEREST IS NOT SUBSTANTIAL, FOR EXAMPLE AN OWNERSHIP INTEREST OF LESS THAN 5 PERCENT OF OUTSTANDING SECURITIES OF PUBLIC CORPORATIONS. WHENEVER THE EXECUTIVE DIRECTOR/CHIEF EXECUTIVE OFFICER OR ANY BOARD MEMBER HAS A CONFLICT OF INTEREST OR A PERCEIVED CONFLICT OF INTEREST WITH BEVERLYCARE, HE OR SHE SHALL NOTIFY THE FULL BOARD OF SUCH CONFLICT IN WRITING USING THE ANNUAL CERTIFICATION FORM. WHEN ANY CONFLICT OF INTEREST IS RELEVANT TO A MATTER THAT COMES UNDER CONSIDERATION OR REQUIRES ACTION BY THE BOARD, OR A BOARD COMMITTEE, THE INTERESTED PERSON SHALL CALL IT TO THE ATTENTION OF THE BOARD CHAIR AND SHALL NOT BE PRESENT DURING BOARD OR COMMITTEE DISCUSSION OR DECISION ON THE MATTER. HOWEVER, THAT PERSON SHALL PROVIDE THE BOARD OR APPLICABLE COMMITTEE WITH ANY AND ALL RELEVANT INFORMATION ON THE PARTICULAR MATTER. THE MINUTES OF THE MEETING OF THE BOARD OR ITS COMMITTEE SHALL REFLECT THAT THE CONFLICT OF INTEREST WAS DISCLOSED, THAT THE INTERESTED WAS NOT PRESENT DURING DISCUSSION OR DECISION ON THE MATTER AND DID NOT VOTE. WHENEVER ANY INTERESTED PERSON WHO IS NOT ALSO A BOARD MEMBER OF THE CHIEF EXECUTIVE OFFICER HAS A CONFLICT OF INTEREST OR A PERCEIVED CONFLICT OF INTEREST WITH BEVERLYCARE, HE OR SHE SHALL NOTIFY THE CHIEF EXECUTIVE OFFICER OF SUCH CONFLICT IN WRITING. WHENEVER THE EXECUTIVE DIRECTOR/CEO OR ANY BOARD MEMBER HAS A CONFLICT OF INTEREST WITH BEVERLYCARE, BEVERLYCARE SHALL NOTIFY ITS RESPECTIVE FEDERAL AGENCY OF SUCH CONFLICT IN WRITING. VIOLATIONS OF THE POLICY BY INTERESTED PERSONS EXCLUDING BOARD MEMBERS MAY, DEPENDING ON THE SEVERITY OF THE VIOLATION, BE SUBJECT TO ORAL ADMONISHMENT, WRITTEN REPRIMAND, REASSIGNMENT, DEMOTION, SUSPENSION OR SEPARATION. VIOLATIONS BY INTERESTED PERSONS WHO ARE ALSO BOARD MEMBERS MAY, DEPENDING ON THE SEVERITY OF THE VIOLATION, BE SUBJECT TO ORAL ADMONISHMENT OR REMOVAL FROM THEIR POSITION. AS ADMINISTERED BY THE EXECUTIVE DIRECTOR/CHIEF EXECUTIVE OFFICER, EACH BOARD MEMBER IS ASKED TO COMPLETE A CERTIFICATION AGREEMENT WITH THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY KNOWN CONFLICTS OF INTEREST UPON HIS OR HER ELECTION OR RE-ELECTION TO THE BOARD AND ANNUALLY THEREAFTER. THE BOARD AS APPROPRIATE SHALL REVIEW ALL BOARD MEMBER CERTIFICATIONS. AS ADMINISTERED BY THE EMPLOYEE IN CHARGE OF HUMAN RESOURCES, ALL INTERESTED PERSONS THAT ARE NOT BOARD MEMBERS WILL BE REQUIRED TO COMPLETE A CERTIFICATION UPON HIS OR HER EMPLOYMENT OR ENGAGEMENT WITH BEVERLYCARE AND UPDATED AT LEAST ANNUALLY OR AS DEEMED NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS SET AT THE SAME COMPENSATION RECEIVED FROM HER PREVIOUS EMPLOYER, BEVERLY COMMUNITY HOSPITAL ASSOCIATION. BEVERLY COMMUNITY HOSPITAL ASSOCIAON UTILIZED COMPARABILITY DATA TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION IN HER THEN EXISTING POSITION (WHICH IS SIMILAR TO HER CURRENT ROLE); HOWEVER, NO REVIEW OR APPROVAL OF THE EXECUTIVE DIRECTOR'S COMPENSATION BY INDEPENDENT PERSONS HAS BEEN COMPLETED YET IN RELATION TO HER DUTIES AT BEVERLYCARE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 733,646. MANAGEMENT AND GENERAL EXPENSES 57,307. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 790,953. CONSULTANT/MGMT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 231,611. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 231,611. FORM 990, PART IX, LINE 24E TRAINING: PROGRAM SERVICE EXPENSES 3,939. MANAGEMENT AND GENERAL EXPENSES 7,532. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,471. DIRECT EXPENSES: PROGRAM SERVICE EXPENSES 3,882. MANAGEMENT AND GENERAL EXPENSES 7,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,304. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 2,336. MANAGEMENT AND GENERAL EXPENSES 4,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,803. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 2,266. MANAGEMENT AND GENERAL EXPENSES 4,332. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,598. CATERING: PROGRAM SERVICE EXPENSES 392. MANAGEMENT AND GENERAL EXPENSES 750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,142. LATE FEES: PROGRAM SERVICE EXPENSES 278. MANAGEMENT AND GENERAL EXPENSES 533. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 811.