2024-06-10T12:39:26-04:00 2023-12-31 821860971 ROOD & DINIS LLP 715 UNIVERSITY AVE SACRAMENTO CA 958256708 990 2023-01-01 943160774 MEDICAL STAFF OF MERCY SAN JUAN MEDICAL CENTER MEDI 9165363025 6501 COYLE AVENUE 6TH FLOOR CARMICHAEL CA 956080306 JOELLE JAKOBSEN CHIEF OF STAFF 9165363025 2024-05-08 true JOELLE JAKOBSEN 999009999 true RONALD G BOWSER CPA P00292200 9169294450 2024-05-08 2023 2023-04-26 12:10:37Z JOELLE JAKOBSEN 6501 COYLE AVENUE CARMICHAEL CA 95608 184411 false X X 1992 CA TO COORDINATE THE DELIVERY OF QUALITY MEDICAL SERVICE AND TO DEFINE AND ASSIST IN THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF. 11 11 0 0 0 160375 180550 531 3861 0 160906 184411 7951 2500 0 0 0 0 136727 155021 144678 157521 16228 26890 756607 662896 301151 180550 455456 482346 TO COORDINATE THE DELIVERY OF QUALITY MEDICAL SERVICES AND TO DEFINE AND ASSIST IN THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF. false false 157521 2500 180550 ACHIEVMENTS INCLUDE DEFINING AND ASSISTING IN THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF, REVIEWING THE QUALITY AND UTILIZATION OF FACILITIES, AND CONDUCTING PEER REVIEWS OF PRACTITIONER'S PERFORMANCE IN ORDER TO MAINTAIN QUALITY MEDICAL CARE TO ALL PATIENTS IN THE HOSPITAL. 157521 false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false true 1 0 0 false false false false false false false false X 11 11 false false false false true true false true true false false true true true true false true false true false X EVE DOSSEY-MEDICAL STAFF 9165363025 6501 COYLE AVENUE 6TH FLOOR CARMICHAEL CA 95608 JOELLE JAKOBSEN CHIEF OF STA 5.00 X X 0 60000 0 KEVIN ELLIOTT CHIEF ELECT 5.00 X X 0 30000 0 JENNIFER OSBORN PAST CHIEF 5.00 X X 0 12000 0 NICOLE BRAXLEY CHAIR-ER 5.00 X 0 12000 0 MAZYAR AHMADI CHAIR-DIAG I 5.00 X 0 12000 0 LINDSEY DEMETRAL CHAIR - PEDI 5.00 X 0 12000 0 MICHAEL MALONEY CHAIR-ANESTH 5.00 X 0 12000 0 EVE LAVALLEY WILLSEY CHAIR - OB/G 5.00 X 0 12000 0 SANDEEP ADUSUMALLI CHAIR-CARDIO 5.00 X 0 12000 0 HUNTER GREENE CHAIR-SURGER 5.00 X 0 12000 0 JODI COATES CHAIR-TRAUMA 5.00 X 0 0 0 PARIMAL BHARUCHA CHAIR - MEDI 5.00 X 0 12000 0 198000 false false false MEMBERSHIP DUES 611710 180550 180550 180550 3861 3861 184411 180550 3861 2500 8600 9532 111650 ANNUAL STAFF MEETING 19715 AWARDS 3984 DUES & SUBCRIPTIONS 1138 LEADERSHIP EDUCATION 378 24 157521 0 0 0 287839 190266 468768 472630 756607 662896 291800 180550 9351 301151 180550 X 455456 482346 455456 482346 756607 662896 26890 X false false false FORM 990, PAGE 6, PART VI, LINE 6 MEMBERS OF THE MEDICAL STAFF ARE LICENSED PHYSICIANS WHO CONTRACT WITH THE HOSPITAL (MERCY SAN JUAN MEDICAL CENTER) AND PAY DUES TO THE MEDICAL STAFF FUND. FORM 990, PAGE 6, PART VI, LINE 7A ALL ACTIVE MEDICAL STAFF MEMBERS ELECT BY BALLOT THE CHIEF ELECT WHO AFTER A TWO YEAR TERM BECOMES THE CHIEF OF STAFF. THE MEDICAL EXECUTIVE COMMITTEE (MEC), WHICH CONSISTS OF THE HOSPITAL DEPARTMENT HEADS ARE ELECTED BY BALLOT BY THE ACTIVE MEDICAL STAFF MEMBERS IN THEIR DEPARTMENT. FORM 990, PAGE 6, PART VI, LINE 11B THE TREASURER REVIEWS THE FORM 990 WITH THE CHIEF OF STAFF AND THE MEDICAL EXECUTIVE COMMITTEE PRIOR TO SIGNING THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C A MEDICAL STAFF CONFLICT OF INTEREST DISCLOSURE STATEMENT MUST BE COMPLETED UPON APPOINTMENT AND ANNUALLY BY ALL MEMBERS OF THE MEDICAL EXECUTIVE COMMITTEE (MEC), THE CHAIR OF ALL MEDICAL STAFF COMMITTEES AND ALL CLINICAL DEPARTMENT CHIEFS. DISCLOSURES ARE TO BE REVIEWED BY THE CHIEF OF STAFF AND MEC. IN ADDITION, PRIOR TO ANY MEETING, THE CHAIR OF SUCH MEETING SHALL REVIEW THE AGENDA FOR POTENTIAL CONFLICTS OF INTEREST AND SURVEY PARTICIPANTS AS TO WHETHER ANY CONFLICTS ARE PRESENT. . FORM 990, PAGE 6, PART VI, LINE 15B THE DIRECTOR OF MEDICAL STAFF SERVICES, WHO IS AN EMPLOYEE OF THE HOSPITAL - MERCY SAN JUAN MEDICAL CENTER, A DIGNITY HEALTH MEDICAL FOUNDATION HOSPITAL, CONTACTS SISTER HOSPITALS AND COLLECTS DATA ON THE COMPENSATION PAID AND SUBMITS THAT INFORMATION TO THE MEDICAL EXECUTIVE COMMITTEE. THE MEDICAL EXECUTIVE COMMITTEE REVIEWS THE RESULTS AND DETERMINES IF COMPENSATION IS REASONABLE AND MAKES NECESSARY ADJUSTMENTS. THE OFFICERS AND DIRECTORS ARE ACTUALLY PAID BY THE HOSPITAL - MERCY SAN JUAN MEDICAL CENTER. MEDICAL STAFF OF MERCY SAN JUAN MEDICAL CENTER REIMBURSES THE HOSPITAL FOR 50% OF COMPENSATION PAID. FORM 990, PAGE 6, PART VI, LINE 19 COPIES PROVIDED UPON REQUEST. MERCY SAN JUAN MEDICAL CENTER 6501 COYLE AVENUE CARMICHAEL CA 95608 942761692 HOSPITAL CA 501C 3 N/A false DIGNITY HEALTH MEDICAL FOUNDATION 185 BERRY ST SAN FRANCISCO CA 94107 680220314 MEDICAL CA 501C PF N/A false false false false false false false false false false false false false false false false false false false false