2025-11-07T11:17:26-06:00 2024-12-31 450250958 EIDE BAILLY LLP 17501 17TH ST STE 100 TUSTIN CA 927807924 990 2024-01-01 830936055 MEDICAL STAFF OF SAINT JOSEPH HOSPITAL O MEDI 7147718013 1100 W STEWART DR ORANGE CA 92868 JAMES ROUM SECRETARY/TREASURER 7147718013 2025-10-31 1 1 ANITA FOSSUM CPA P01505746 7145059000 2025-10-30 2024 2025-03-06 01:10:19Z JAMES ROUM 1100 W STEWART DRIVE ORANGE CA 92868 579690 0 X N/A X 2017 CA MAINTAIN THE QUALITY OF MEDICAL SERVICES DELIVERED TO PATIENTS BOTH ADMITTED TO THE HOSPITAL AND THOSE TREATED AS OUTPATIENTS. 6 6 0 13 0 0 0 0 524629 528108 16658 51582 0 0 541287 579690 20000 30000 0 0 0 0 0 0 0 412399 511343 432399 541343 108888 38347 2185283 2223630 0 0 2185283 2223630 MAINTAIN THE QUALITY OF MEDICAL SERVICES DELIVERED TO PATIENTS BOTH ADMITTED TO THE HOSPITAL AND THOSE TREATED AS OUTPATIENTS. 0 0 MONITOR QUALIFICATIONS OF PHYSICIANS APPLYING FOR PRACTICE PRIVILEGE AND THOSE PROVIDING OTHER ALLIED HEALTH SERVICES.MEMBERS ARE SUBJECT TO A RIGOROUS CREDENTIALING PROCESS. TO APPLY, FORMS APPROVED BY THE MEDICAL EXECUTIVE COMMITTEE (MEC) ARE REQUIRED TO BE COMPLETED AND REVIEWED. THIS PROCESS IS PERFORMED BOTH FOR NEW APPOINTMENTS AS WELL AS FOR REAPPOINTMENTS (EVERY TWO YEARS). ASCERTAIN THAT MEMBERS ARE ADHEREING TO STANDARDS OF CARE, UTILIZATION DISCUSSIONS AND PEER REVIEW PRACTICES. REPORTS, COMPLAINTS AND/OR CONCERNS REGARDING PATIENT CARE ARE DEALT WITH AT THE DEPARTMENTAL LEVEL, WITH REPORTING TO THE MEC FOR RECOMMENDATIONS AS TO RESOLUTION. IN ADDITION, RECOMMENDATIONS FOR CHANGES IN PATIENT CARE STANDARDS FLOW UP THROUGH DIVISIONAL AND DEPARTMENTAL REVIEW AND ARE PASSED TO THE MEC FOR CONSIDERATION. REPRESENT MEMBERS BEFORE THE HOSPITAL ADMINISTRATIVE STAFF AND/OR THE GOVERNING BOARD OF THE HOSPITAL WHEN THERE ARE CONCERNS ARISING BETWEEN A MEMBER AND THE HOSPITAL ADMINSTRATION AND/OR PERSONNEL. 0 0 0 1 0 0 0 0 0 0 0 0 0 0 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 1 23 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 X JAMES ROUM 7147718013 1100 W STEWART DRIVE ORANGE CA 92868 X JAMES ROUM MD SECRETARY/TREASURER 1.00 X X 0 0 0 PETER SMETHURST MD IMMEDIATE PAST CHIEF OF ST 1.00 X X 0 0 0 JOHN CROSS MD CHIEF OF STAFF 1.00 X X 0 0 0 MELISSA RUDOLPH MD VICE CHIEF OF STAFF 1.00 X X 0 0 0 DESMOND SJAUWFOEKLOY MD MEMBER AT LARGE 1.00 X 0 0 0 LAURA MACKENZIE-TANGREDI DO MEMBER AT LARGE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 MEMBERSHIP DUES 621400 401480 401480 APPLICATION FEES 621400 115955 115955 MEDICAL RECORDS FINES 621400 4700 4700 SERVICE FEES 621400 3923 3923 REAPPOINTMENT FEES 621400 2050 2050 528108 51582 51582 579690 528108 0 51582 30000 26080 27181 HOSPITAL REIMBURSEMENT 366866 DOCTOR'S DAY EXPENSES 35230 RECOGNITION EVENTS AND 22992 SEMINARS 8226 24768 541343 874410 1155568 1310873 1068062 2185283 2223630 0 0 X 0 0 0 0 2185283 2223630 2185283 2223630 2185283 2223630 38347 0 X 0 0 0 0 1 0 1 PROVIDENCE ST JOSEPH HOSPITAL FOUNDATION INC 1010 WEST LA VETA STE 300 ORANGE CA 92868 951643359 501(C)(3) 12500 0 DONATION CALIFORNIA MEDICAL ASSOCIATION 1201 K STREET STE 800 SACRAMENTO CA 95814 940359340 501(C)(6) 10000 0 DONATION PROVIDENCE ST JOSEPH HOSPITAL FOUNDATION INC 1010 WEST LA VETA STE 300 ORANGE CA 92868 951643359 501(C)(3) 7500 0 SCHOLARSHIPS 1 1 PART I, LINE 2: THE WORKING RELATIONSHIP WITH THE GRANTEE ALLOWS THE EXEMPT ORGANIZATION TO MONITOR THE USE OF GRANT FUNDS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE CHIEF OF STAFF PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC.