2025-09-15T15:30:37-05:00 2024-12-31 942702860 JOHANSON & YAU ACCOUNTANCY CORP 42 WEST CAMPBELL AVENUE THIRD FLOOR CAMPBELL CA 95008 990 2024-01-01 912146048 MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDI 4085592388 2425 SAMARITAN DRIVE SAN JOSE CA 951243809 JEFF MARCUS TREASURER 4085592388 2025-08-06 1 0 MICHAEL NGUYEN P01342454 4082885111 2025-08-06 2024 2025-03-06 01:10:19Z JEFF MARCUS 2425 SAMARITAN DRIVE SAN JOSE CA 951243809 435380 0 X N/A X 1965 CA THE ORGANIZATION IS DEDICATED TO THE TASK OF PROMOTING HIGH QUALITY MEDICAL CARE FOR ALL PATIENTS ADMITTED TO OR TREATED IN THE HOSPITAL. 32 32 0 4 0 0 0 0 291689 421652 4944 5728 0 0 296633 427380 0 0 0 0 200026 220876 0 0 0 132944 115491 332970 336367 -36337 91013 296493 390890 0 0 296493 390890 THE ORGANIZATION IS DEDICATED TO THE TASK OF PROMOTING HIGH QUALITY MEDICAL CARE FOR ALL PATIENTS ADMITTED TO OR TREATED IN THE HOSPITAL. 0 0 298280 ASSURE THAT ALL PATIENTS ADMITTED TO THE HOSPITAL RECEIVE HIGH QUALITY OF CARE. PROVIDE MEDIATION BETWEEN GOOD SAMARITAN HOSPITAL AND MEDICAL STAFF. PROVIDE REGULATIONS FOR SELF-GOVERNANCE OF MEDICAL STAFF. FOSTER ATMOSPHERE OF EDUCATION AND RESEARCH. MAINTAIN HIGH PROFESSIONAL AND ETHICAL STANDARDS. 298280 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 0 0 0 0 0 0 0 0 0 X 32 32 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JEFF MARCUS TREASURER 4085592388 2425 SAMARITAN DRIVE SAN JOSE CA 951243809 AARON PARRISH MD VICE CHAIR 1.00 X 0 0 0 ALEXANDER PHAM MD CHAIR 1.00 X 11250 0 0 AMR DESSOUKI MD CHAIR 1.00 X 1875 0 0 ANJALI GULATI MD MEMBER-AT-LARGE 1.00 X 1700 0 0 BALDEV SINGH MD PAST CHIEF OF STAFF 20.00 X X 14688 0 0 BONNY LEE MD VICE CHAIR 1.00 X 0 0 0 CHELSEA HENDOW MD VICE CHAIR 1.00 X 0 0 0 DAVID YEH MD VICE CHAIR 1.00 X 0 0 0 FAHD KHAN MD CHIEF OF STAFF-ELECT 1.00 X X 35625 0 0 GOPI AYER MD CHIEF OF STAFF 1.00 X X 89063 0 0 HARISH MURTHY MD VICE CHAIR 1.00 X 0 0 0 HUMA ALI MD MEMBER-AT-LARGE 1.00 X 1275 0 0 JEFF MARCUS MD TREASURER 5.00 X X 6875 0 0 JENNY GRISWOLD MD CHAIR 1.00 X 5000 0 0 JOTHI MURALI MD CHAIR 1.00 X 1250 0 0 JUDONG PAN MD CHAIR 1.00 X 3750 0 0 KRIKOR BARSOUMIAN MD VICE CHAIR 1.00 X 3156 0 0 KYLE GRAHAM MD VICE CHAIR 1.00 X 0 0 0 MARK FIERRO MD CHAIR 1.00 X 3750 0 0 MELISSA LYNCH MD VICE CHAIR 1.00 X 0 0 0 MICHAEL BLOCK MD CHAIR & MEMBER-AT-LARGE 1.00 X 1275 0 0 MOHAMMADREZA ROHANI MD CHAIR 1.00 X 3750 0 0 MOHAMMED MOLLAH MD CHAIR 1.00 X 2500 0 0 MOHAMMED QAYYUM MD CHAIR 1.00 X 3750 0 0 MY PHUONG MITARAI MD CHAIR 1.00 X 17813 0 0 SALMA DABIRI MD CHAIR 1.00 X 2500 0 0 SATYA CHELAMKURI MD CHAIR 1.00 X 3750 0 0 SONYA PATEL DO CHAIR 1.00 X 3750 0 0 SRIDEVI VENIGALLA MD VICE CHAIR 1.00 X 0 0 0 SUSAN WILTURNER MD VICE CHAIR 1.00 X 2531 0 0 TING TSAI MD VICE CHAIR 1.00 X 0 0 0 WILSON CHWANG MD VICE CHAIR 1.00 X 0 0 0 220876 0 0 0 0 0 0 0 MEMBERSHIP DUES & ASSE 621110 406452 406452 MEMBERSHIP DUES & ASSE 621110 15200 15200 421652 5728 5728 8000 8000 0 0 427380 421652 0 5728 X 220876 198788 22088 4430 4430 43290 43290 PPEC EXPENSE 42157 42157 LEADERSHIP EDUCATION 9250 9250 BANK CHARGES 4699 4699 MEMBERSHIP 3959 3959 7706 836 6870 336367 298280 38087 0 186326 275351 110167 115539 296493 390890 0 0 X 0 0 175901 175901 120592 214989 296493 390890 296493 390890 91013 3384 0 X 0 0 0 0 0 0 421652 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - FORM 990 IS AVAILABLE TO THE GOVERNING BODY FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEETING DISCUSSION. AN INDIVIDUAL WHO BELIEVES THAT HE MAY HAVE A REAL OR APPARENT CONFLICT OF INTEREST MUST ABSTAIN FROM PARTICIPATING IN DISCUSSIONS OR DELIBERATIONS, USING PERSONAL INFLUENCE TO AFFECT DELIBERATIONS, MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR OTHER SIMILAR ACTIONS IN RESPECT TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND APPROVES THE OFFICERS COMPENSATION BASED ON PERFORMANCE, LONGEVITY, IMPORTANCE OF THE PERSON OF THE ORGANIZATION AND THE MARKET IN THE GEOGRAPHIC AREA. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AND GOVERNING DOCUMENTS ARE AVAILABLE AT NON-PROFIT WEB SITES AND UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PHYSICIAN STIPENDS: PROGRAM SERVICE EXPENSES 43,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,290.