Nonprofit · EIN 27-1916591
LOS ROBLES HOSPITAL MEDICAL STAFF INC
Tax-exempt · THOUSAND OAKS, CA 91360
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $385,508 | $397,515 | -$12,007 | $805,654 | $1,100 | $804,554 |
| December 31, 2023 | 990 | $316,805 | $352,258 | -$35,453 | $817,061 | $500 | $816,561 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $25,000
- Program service revenue
- $360,025
- Investment income
- $313
- Other revenue
- $170
Expenses
- Grants and similar amounts paid
- $3,000
- Compensation of officers, directors and key employees
- $66,400
- Salaries, compensation and benefits (total)
- $66,400
- Professional fundraising fees
- $0
- Legal fees
- $20,000
- Accounting fees
- $10,990
- Depreciation
- $55
- Program services (functional)
- $365,721
- Management and general (functional)
- $31,794
Balance sheet and other
- Total assets, start of year
- $817,061
- Total assets, end of year
- $805,654
- Total liabilities, end of year
- $1,100
- Net assets, end of year
- $804,554
- Land, buildings and equipment
- $48
- Net assets without donor restrictions
- $804,554
- Gross receipts
- $385,508
- Employees
- 0
- Year formed
- 2010
- State of legal domicile
- CA
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| MARK SUSKI MD | Chairman Trustee or director, Officer | 5 | $36,000 |
| Elise Bukont DO | Vice chair Trustee or director, Officer | 5 | $6,000 |
| Ramin Mehdian MD | Board Member Trustee or director | 1 | $2,400 |
| Daniel Tavari DO | Board Member Trustee or director | 1 | $1,200 |
| Barry Klein MD | Board Member Trustee or director | 1 | $1,200 |
| MICHAEL VERCILLO MD | TOSH Vice chair Trustee or director, Officer | 1 | $1,200 |
| Kenneth Saul MD | Board Member Trustee or director | 1 | $1,200 |
| Wayne Schultheis MD | Board Member Trustee or director | 1 | $1,200 |
| Ramesh Nathan MD | Board Member Trustee or director | 1 | $1,200 |
| David Ghausi DO | Board Member Trustee or director | 1 | $1,200 |
| Kiavash Nikkhou MD | Board Member Trustee or director | 1 | $800 |
| Andrew Ghobrial MD | Board Member Trustee or director | 1 | $0 |
| Faraaz Bhatti MD | Board member Trustee or director | 1 | $0 |
| Varol Togay MD | Board Member Trustee or director | 1 | $0 |
| Grigor Grigoryan MD | Board Member Trustee or director | 1 | $0 |
2 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Trung Bui MD | Board Member Trustee or director | 1 | $0 |
| Pedram Bagheri MD | Treasurer Trustee or director, Officer | 2 | $0 |
990 for the year ended December 31, 2023: 19 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Daniel Tavari DO | Board Member Trustee or director | 1 | $0 |
| Jieshi Yan MD | Board Member Trustee or director | 1 | $0 |
| Stephen Reidy MD | Board member Trustee or director | 1 | $0 |
| Michael Goldberg MD | Board Member Trustee or director | 1 | $0 |
| MARK SUSKI MD | Chairman Trustee or director, Officer | 5 | $0 |
| Barry Klein MD | Board Member Trustee or director | 1 | $0 |
| Richard Benedon MD | Board Member Trustee or director | 1 | $0 |
| MICHAEL VERCILLO MD | Vice Chief Trustee or director, Officer | 2 | $0 |
| Kenneth Saul MD | Board Member Trustee or director | 1 | $0 |
| Ali Farrokh MD | Board Member Trustee or director | 1 | $0 |
| Kiavash Nikkhou MD | Board Member Trustee or director | 1 | $0 |
| Walid Arnaout MD | Board Member Trustee or director | 4 | $0 |
| Wayne Schultheis MD | Board Member Trustee or director | 1 | $0 |
| Elise Bukont DO | Treasurer Trustee or director, Officer | 5 | $0 |
| Ramesh Nathan MD | Vice Chief Trustee or director, Officer | 2 | $0 |
| David Ghausi DO | Board Member Trustee or director | 1 | $0 |
| Pedram Bagheri MD | Board Member Trustee or director | 1 | $0 |
| Brian Bashner MD | Board Member Trustee or director | 1 | $0 |
| Amir Mehran MD | Board Member Trustee or director | 1 | $0 |
Address and contacts
- Address (IRS master file)
- 215 W JANSS RD, THOUSAND OAKS, CA 91360-1847
- Principal officer (990 for 2024)
- MARK SUSKI MD, 215 WEST JANSS ROAD, THOUSAND OAKS, CA 91360
- Signed the 990
- Pedram Bagheri MD, Treasurer
- Phone
- (805) 497-2727
- Return prepared by
- Clumeck Stern Schenkelberg & Getzoff
California records
California keeps its own records of charities and corporations. Search them by EIN 27-1916591 or by the name LOS ROBLES HOSPITAL MEDICAL STAFF INC.
- Attorney General, Registry of Charities and Fundraisers
- Registration status and filed reports (CT-TR-1, RRF-1)
- Secretary of State, bizfile Online
- Corporation status, entity number, agent for service
- Franchise Tax Board
- Entity status letter (state tax exemption, good standing)
Mission
Credentialing, Medical education and legal support to medical staff
Program accomplishments
- Credentialing and continuing medical education for medical staff and medical community.Expenses $365,721 · grants $3,000 · revenue $360,025
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 27-1916591
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (509(a)(2))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2010
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E99)
- Assets (IRS master file)
- $805,654
- Income (IRS master file)
- $385,508
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $385,508 | $397,515 | $805,654 | XML |
| 990 | December 2023 | $316,805 | $352,258 | $817,061 | XML |
| 990 | December 2022 | $307,655 | $308,876 | $852,014 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2019 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 27-1916591).
Questions about LOS ROBLES HOSPITAL MEDICAL STAFF INC
- What is the EIN of LOS ROBLES HOSPITAL MEDICAL STAFF INC?
- The employer identification number (EIN) of LOS ROBLES HOSPITAL MEDICAL STAFF INC is 27-1916591.
- Is LOS ROBLES HOSPITAL MEDICAL STAFF INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2010.
- Are donations to LOS ROBLES HOSPITAL MEDICAL STAFF INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does LOS ROBLES HOSPITAL MEDICAL STAFF INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of LOS ROBLES HOSPITAL MEDICAL STAFF INC due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did LOS ROBLES HOSPITAL MEDICAL STAFF INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of LOS ROBLES HOSPITAL MEDICAL STAFF INC?
- The 990 for the year ended December 31, 2024 names MARK SUSKI MD.
- Who are the officers and directors of LOS ROBLES HOSPITAL MEDICAL STAFF INC?
- The 990 for the year ended December 31, 2024 lists 17 people; 11 received compensation from the organization, the highest $36,000 (MARK SUSKI MD, Chairman).
- How much revenue does LOS ROBLES HOSPITAL MEDICAL STAFF INC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $385,508, expenses of $397,515 and total assets of $805,654 at year end.
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