Nonprofit · EIN 91-2146048
MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL
Tax-exempt · SAN JOSE, CA 95124
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $427,380 | $336,367 | $91,013 | $390,890 | $0 | $390,890 |
| December 31, 2023 | 990 | $296,633 | $332,970 | -$36,337 | $296,493 | $0 | $296,493 |
| December 31, 2021 | 990 | $261,478 | $273,134 | -$11,656 | $420,201 | $0 | $420,201 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $421,652
- Investment income
- $5,728
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $220,876
- Salaries, compensation and benefits (total)
- $220,876
- Professional fundraising fees
- $0
- Accounting fees
- $4,430
- Program services (functional)
- $298,280
- Management and general (functional)
- $38,087
Balance sheet and other
- Total assets, start of year
- $296,493
- Total assets, end of year
- $390,890
- Total liabilities, end of year
- $0
- Net assets, end of year
- $390,890
- Publicly traded securities
- $115,539
- Gross receipts
- $435,380
- Employees
- 0
- Volunteers
- 4
- Year formed
- 1965
- 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 |
|---|---|---|---|
| GOPI AYER MD | CHIEF OF STAFF Trustee or director, Officer | 1 | $89,063 |
| FAHD KHAN MD | CHIEF OF STAFF-ELECT Trustee or director, Officer | 1 | $35,625 |
| MY PHUONG MITARAI MD | CHAIR Trustee or director | 1 | $17,813 |
| BALDEV SINGH MD | PAST CHIEF OF STAFF Trustee or director, Officer | 20 | $14,688 |
| ALEXANDER PHAM MD | CHAIR Trustee or director | 1 | $11,250 |
| JEFF MARCUS MD | TREASURER Trustee or director, Officer | 5 | $6,875 |
| JENNY GRISWOLD MD | CHAIR Trustee or director | 1 | $5,000 |
| JUDONG PAN MD | CHAIR Trustee or director | 1 | $3,750 |
| MARK FIERRO MD | CHAIR Trustee or director | 1 | $3,750 |
| MOHAMMADREZA ROHANI MD | CHAIR Trustee or director | 1 | $3,750 |
| MOHAMMED QAYYUM MD | CHAIR Trustee or director | 1 | $3,750 |
| SATYA CHELAMKURI MD | CHAIR Trustee or director | 1 | $3,750 |
| SONYA PATEL DO | CHAIR Trustee or director | 1 | $3,750 |
| KRIKOR BARSOUMIAN MD | VICE CHAIR Trustee or director | 1 | $3,156 |
| SUSAN WILTURNER MD | VICE CHAIR Trustee or director | 1 | $2,531 |
17 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| MOHAMMED MOLLAH MD | CHAIR Trustee or director | 1 | $2,500 |
| SALMA DABIRI MD | CHAIR Trustee or director | 1 | $2,500 |
| AMR DESSOUKI MD | CHAIR Trustee or director | 1 | $1,875 |
| ANJALI GULATI MD | MEMBER-AT-LARGE Trustee or director | 1 | $1,700 |
| HUMA ALI MD | MEMBER-AT-LARGE Trustee or director | 1 | $1,275 |
| MICHAEL BLOCK MD | CHAIR & MEMBER-AT-LARGE Trustee or director | 1 | $1,275 |
| JOTHI MURALI MD | CHAIR Trustee or director | 1 | $1,250 |
| AARON PARRISH MD | VICE CHAIR Trustee or director | 1 | $0 |
| BONNY LEE MD | VICE CHAIR Trustee or director | 1 | $0 |
| CHELSEA HENDOW MD | VICE CHAIR Trustee or director | 1 | $0 |
| DAVID YEH MD | VICE CHAIR Trustee or director | 1 | $0 |
| HARISH MURTHY MD | VICE CHAIR Trustee or director | 1 | $0 |
| KYLE GRAHAM MD | VICE CHAIR Trustee or director | 1 | $0 |
| MELISSA LYNCH MD | VICE CHAIR Trustee or director | 1 | $0 |
| SRIDEVI VENIGALLA MD | VICE CHAIR Trustee or director | 1 | $0 |
| TING TSAI MD | VICE CHAIR Trustee or director | 1 | $0 |
| WILSON CHWANG MD | VICE CHAIR Trustee or director | 1 | $0 |
990 for the year ended December 31, 2023: 33 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| BALDEV SINGH MD | CHIEF OF STAFF Trustee or director, Officer | 1 | $92,188 |
| GOPI AYER MD | CHIEF OF STAFF-ELECT Trustee or director, Officer | 1 | $36,875 |
| ALEXANDER PHAM MD | CHAIR Trustee or director | 1 | $9,188 |
| ANUP SINGH MD | PAST CHIEF OF STAFF Trustee or director, Officer | 20 | $7,375 |
| JANE YIEH MD | SECRETARY-TREASURER Trustee or director, Officer | 5 | $7,375 |
| KIRK CHURUKIAN MD | CHAIR Trustee or director | 1 | $4,750 |
| NIDHI JACOB MD | CHAIR Trustee or director | 1 | $4,750 |
| SANDEEP GIDVANI MD | CHAIR Trustee or director | 1 | $4,750 |
| CK PARK MD | CHAIR/ADVISORY COUNCIL Trustee or director | 1 | $4,250 |
| DAVID FELDMAN | CHAIR Trustee or director | 1 | $4,250 |
| FAHD KHAN MD | CHAIR Trustee or director | 1 | $4,250 |
| GEORGE LEE MD | CHAIR Trustee or director | 1 | $4,250 |
| JOHN RASHKIS MD | CHAIR Trustee or director | 1 | $4,250 |
| KENNETH ONG MD | CHAIR Trustee or director | 1 | $4,250 |
| KRIKOR BARSOUMIAN MD | CHAIR Trustee or director | 1 | $2,375 |
| SALMA DABIRI MD | CHAIR Trustee or director | 1 | $2,375 |
| MASHA ESFAHANI MD | MEMBER AT LARGE Trustee or director | 1 | $1,275 |
| JENNY GRISWOLD MD | CHAIR Trustee or director | 1 | $1,250 |
| DANAGRA IKOSSI MD | MEMBER AT LARGE Trustee or director | 1 | $0 |
| HARISH MURTHY MD | VICE CHAIR Trustee or director | 1 | $0 |
| HOWARD CHEN MD | VICE CHAIR Trustee or director | 1 | $0 |
| JOTHI MURALI MD | VICE CHAIR Trustee or director | 1 | $0 |
| JUDONG PAN MD | VICE CHAIR Trustee or director | 1 | $0 |
| LINDA CHUNG MD | ADVISORY COUNCIL Trustee or director | 1 | $0 |
| MARK FIERRO MD | VICE CHAIR Trustee or director | 1 | $0 |
| MING-YUN TANG MD | VICE CHAIR Trustee or director | 1 | $0 |
| MOHAMMADREZA ROHANINEJAD MD | VICE CHAIR Trustee or director | 1 | $0 |
| MOHAMMED QAYYUM MD | VICE CHAIR Trustee or director | 1 | $0 |
| MY PHOUNG MITARAI MD | VICE CHAIR Trustee or director | 1 | $0 |
| RAJEEV TANDON MD | ADVISORY COUNCIL Trustee or director | 1 | $0 |
| SATYA CHELAMKURI MD | VICE CHAIR Trustee or director | 1 | $0 |
| SONYA PATEL DO | VICE CHAIR Trustee or director | 1 | $0 |
| SRIDEVI VENIGALLA MD | VICE CHAIR Trustee or director | 1 | $0 |
990 for the year ended December 31, 2021: 34 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| ANUP SINGH MD | PAST CHIEF OF STAFF Trustee or director, Officer | 20 | $75,000 |
| BALDEV SINGH MD | CHIEF OF STAFF Trustee or director, Officer | 1 | $30,000 |
| JANE YIEH MD | SECRETARY-TREASURER Trustee or director, Officer | 5 | $6,000 |
| SANDEEP GIDVANI MD | CHAIR Trustee or director | 1 | $4,000 |
| DIANA TSAI MD | CHAIR Trustee or director | 1 | $3,000 |
| ALEXANDER PHAM MD | VICE CHAIR Trustee or director | 1 | $3,000 |
| MONICA ENERIZ WIEMER MD | CHAIR Trustee or director | 1 | $3,000 |
| KENNETH ONG MD | CHAIR Trustee or director | 1 | $2,000 |
| DAVID FELDMAN | CHAIR Trustee or director | 1 | $2,000 |
| JOHN RASHKIS MD | CHAIR Trustee or director | 1 | $2,000 |
| KRIKOR BARSOUMIAN MD | CHAIR Trustee or director | 1 | $2,000 |
| SALMA DABIRI MD | CHAIR Trustee or director | 1 | $2,000 |
| CECIL BRADLEY MD | CHAIR Trustee or director | 1 | $1,000 |
| MAHSA ESFAHANI MD | MEMBER AT LARGE Trustee or director | 1 | $1,000 |
| SONYA PATEL DO | VICE CHAIR Trustee or director | 1 | $675 |
| FAHD KHAN MD | CHAIR Trustee or director | 1 | $500 |
| GOPI AYER MD | CHIEF OF STAFF-ELECT Trustee or director | 1 | $0 |
| CK PARK MD | CHAIR/ADVISORY COUNCIL Trustee or director | 1 | $0 |
| MING-YUN TANG MD | VICE CHAIR Trustee or director | 1 | $0 |
| GEORGE LEE MD | CHAIR Trustee or director | 1 | $0 |
| MOHAMMED QAYYUM MD | VICE CHAIR Trustee or director | 1 | $0 |
| JUDONG PAN MD | VICE CHAIR Trustee or director | 1 | $0 |
| MY PHOUNG MITARAI MD | VICE CHAIR Trustee or director | 1 | $0 |
| SATYA CHELAMKURI MD | VICE CHAIR Trustee or director | 1 | $0 |
| NIDHI JACOB MD | CHAIR Trustee or director | 1 | $0 |
| MARK FIERRO MD | VICE CHAIR Trustee or director | 1 | $0 |
| HOWARD CHEN MD | VICE CHAIR Trustee or director | 1 | $0 |
| JOTHI MURALI MD | VICE CHAIR Trustee or director | 1 | $0 |
| PUI LAI MD | VICE CHAIR Trustee or director | 1 | $0 |
| KIRK CHURUKIAN MD | CHAIR Trustee or director | 1 | $0 |
| MOHAMMADREZA ROHANINEJAD MD | VICE CHAIR Trustee or director | 1 | $0 |
| DANAGRA IKOSSI MD | MEMBER AT LARGE Trustee or director | 1 | $0 |
| LINDA CHUNG MD | ADVISORY COUNCIL Trustee or director | 1 | $0 |
| RAJEEV TANDON MD | ADVISORY COUNCIL Trustee or director | 1 | $0 |
Address and contacts
- Address (IRS master file)
- 2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
- Principal officer (990 for 2024)
- JEFF MARCUS, 2425 SAMARITAN DRIVE, SAN JOSE, CA 951243809
- Signed the 990
- JEFF MARCUS, TREASURER
- Phone
- (408) 559-2388
- Return prepared by
- JOHANSON & YAU ACCOUNTANCY CORP
California records
California keeps its own records of charities and corporations. Search them by EIN 91-2146048 or by the name MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL.
- 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
THE ORGANIZATION IS DEDICATED TO THE TASK OF PROMOTING HIGH QUALITY MEDICAL CARE FOR ALL PATIENTS ADMITTED TO OR TREATED IN THE HOSPITAL.
Program accomplishments
- 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.Expenses $298,280
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
- 91-2146048
- Tax-exempt status
- 501(c)(6): Business league or chamber of commerce
- Donations deductible
- No
- Exempt since
- 2002
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Community improvement and capacity building (S46)
- Assets (IRS master file)
- $390,890
- Income (IRS master file)
- $435,380
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $427,380 | $336,367 | $390,890 | XML |
| 990 | December 2023 | $296,633 | $332,970 | $296,493 | XML |
| 990 | December 2022 | $177,931 | $263,419 | $331,681 | IRS |
| 990 | December 2021 | $261,478 | $273,134 | $420,201 | XML |
| 990 | December 2020 | – | – | – | 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 91-2146048).
Questions about MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL
- What is the EIN of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL?
- The employer identification number (EIN) of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL is 91-2146048.
- Is MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(6) since 2002.
- Are donations to MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL tax-deductible?
- No. The IRS master file says contributions to it are not deductible.
- Which annual return does MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL 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 MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL 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 MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL 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 MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL?
- The 990 for the year ended December 31, 2024 names JEFF MARCUS.
- Who are the officers and directors of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL?
- The 990 for the year ended December 31, 2024 lists 32 people; 22 received compensation from the organization, the highest $89,063 (GOPI AYER MD, CHIEF OF STAFF).
- How much revenue does MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $427,380, expenses of $336,367 and total assets of $390,890 at year end.
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All nonprofits in SAN JOSE · California · Community improvement and capacity building