2025-05-28T13:06:58-05:00 2024-12-31 861400078 EVERGREEN ALLIANCE PROFESSIONAL CORP 4332 CERRITOS AVE SUITE A105 LOS ALAMITOS CA 90720 990 2024-01-01 237455692 VERDUGO HILLS HOSPITAL MEDICAL STAFF VERD 8189524647 1812 VERDUGO BLVD GLENDALE CA 91208 DR HAPPY N KHANNA CHIEF OF STAFF 8189524647 2025-05-20 1 1 P01219191 7143728110 2025-05-20 2024 2025-03-06 01:10:19Z DR HAPPY N KHANNA 1812 VERDUGO BLVD GLENDALE CA 91208 822704 0 X N/A X 1976 CA TO WORK TO ENSURE HIGH MEDICAL STANDARDS FOR USC VERDUGO HILLS HOSPITAL 8 0 0 0 0 0 271120 372864 50050 50300 29981 58058 0 0 351151 481222 8419 7282 0 0 168000 187050 0 0 0 200620 175074 377039 369406 -25888 111816 1204505 1316321 0 0 1204505 1316321 X TO ENSURE HIGH MEDICAL STANDARDS FOR USC VERDUGO HILLS HOSPITAL. 0 0 VERDUGO HILLS HOSPITAL MEDICAL STAFF IS A MEMBERSHIP ORGANIZATON THAT EXISTS TO WORK TOWARD THE GOAL THAT ALL PATIENTS ADMITTED TO THE HOSPITAL OR TREATED IN THE OUTPATIENT DEPARTMENTS RECEIVE TREATMENT COMMENSURATE WITH THE HIGH STANDARDS OF THE MEDICAL PROFESSION; TO PROVIDE A MEANS WHEREBY ISSUES CONCERNING THE MEDICAL STAFF AND THE HOSPITAL MAY BE DISCUSSED BY THE MEDICAL STAFF WITH THE GOVERNING BODY AND THE CEO OF THE HOSPITAL; TO INITIATE AND MAINTAIN RULES AND REGULATIONS FOR SELF-GOVERNANCE OF THE MEDICAL STAFF; TO PROVIDE EDUCATION AND TO MAINTAIN HIGH EDUCATIONAL STANDARDS; TO SUPPORT AND ASSIST IN PROGRAMS ASSOCIATED WITH COMMUNITY HEALTH NEEDS; AND TO INITIATE AND MAINTAIN RULES AND REGULATIONS FOR SELF-GOVERNANCE OF THE MEDICAL STAFF, TO CARRY OUT ITS RESPONSIBILITY FOR THE QUALITY OF THE PROFESSIONAL SERVICES PROVIDED BY INDIVIDUALS WITH CLINICAL PRIVILEGES, AS WELL AS THE RESPONSIBILITY OF ACCOUNTING TO THE GOVERNING BODY. 0 1 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 25 0 1 0 0 0 0 0 1 0 0 0 0 X 8 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X THE ORGANIZATION 8189524647 1812 VERDUGO BLVD GLENDALE CA 91208 HAPPY N KHANNA MD CHIEF OF STAFF 20.00 X X 72000 0 0 STEVEN HARTFORD MD ASSISTANT CHEIF OF PATIENT 15.00 X X 36000 0 0 ALEXANDRA M DARRAS ASSISTANT CHIEF OF MEDICAL 15.00 X X 36000 0 0 CHANDNISH AHLUWALIA MD DIRECTOR 15.00 X X 36000 0 0 ALLAN PERRY JR MD DIRECTOR 10.00 X 1700 0 0 JEFFREY PARKS MD DIRECTOR 10.00 X 3450 0 0 LEO DOUMANIAN MD DIRECTOR 10.00 X 1100 0 0 ERIC LEE MD DIRECTOR 10.00 X 800 0 0 187050 0 0 0 0 0 0 0 219950 152914 372864 APPLICATION & TEMPORAR 900099 50300 50300 50300 57068 57068 342472 341482 990 990 990 481222 50300 0 58058 7282 187050 5640 14253 32300 480 13336 63304 GIFTS & STAFF APPRCIATI 36258 BANK AND MERCHANT FEES 8470 DUES & SUBSCRIPTIONS 1033 369406 30964 74918 119791 22075 1053750 1219328 1204505 1316321 0 0 X 0 0 0 0 1204505 1316321 1204505 1316321 1204505 1316321 111816 0 X 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 1 USC VERDUGO HILLS HOSPITAL FOUNDATION 1812 VERDUGO BLVD GLENDALE CA 91208 953247823 501(C)(3) 5500 0 GENERAL OPERATIONS 1 PART I, LINE 2: FUNDS ARE GIVEN TO THE HOSPITAL FOR USE IN GENERAL OPERATIONS. FORM 990, PART VI, SECTION A, LINE 6 ONLY PHYSICIANS, DENTISTS, OSTEOPATHIC PHYSICIANS AND PODIATRISTS LICENSED TO PRACTICE IN THE STATE OF CALIFORNIA, WHOSE TOTAL BACKGROUND, EXPERIENCE, TRAINING, PHYSICAL HEALTH AND MENTAL HEALTH, ASSURES, IN THE JUDGMENT OF THE MEDICAL STAFF, AND WITH THE CONCURRENCE OF THE GOVERNING BODY, THAT ANY PATIENT ADMITTED TO OR TREATED IN USC VERDUGO HILLS HOSPITAL WILL RECEIVE HIGH QUALITY CARE AND BE TREATED BY SKILLED PROFESSIONALS. ONLY THOSE PERSONS WHO MEET ALL OF THE ABOVE CRITERIA SHALL BE QUALIFIED FOR MEMBERSHIP ON THE MEDICAL STAFF OF USC VERDUGO HILLS HOSPITAL. NO PERSON SHALL BE ENTITLED TO MEMBERSHIP ON THE MEDICAL STAFF OF USC VERDUGO HILLS HOSPITAL OR TO THE ENJOYMENT OF PARTICULAR PRIVILEGES MERELY BY VIRTUE OF THE FACT THAT HE IS DULY LICENSED TO PRACTICE IN A PROFESSION IN THIS OR IN ANY OTHER STATE, OR THAT THEY ARE A MEMBER OF SOME PROFESSIONAL ORGANIZATION, OR THAT THEY HAVE IN THE PAST HAD OR PRESENTLY HAS SUCH PRIVILEGES AT ANOTHER HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A THE USC VERDUGO HILLS HOSPITAL FOUNDATION APPOINTS THREE MEMBERS OF THE GOVERNING BODY OF THE USC VERDUGO HILLS HOSPITAL. IN MAKING THE NOMINATIONS, THE FOUNDATION CONSIDERS SUGGESTIONS FROM THE COMMUNITY ADVISORY BOARD. SHOULD ONE OF THE THREE REPRESENTATIVES NOMINATED BY THE FOUNDATION TO THE GOVERNING BODY NOT INCLUDE A MEMBER SELECTED BY THE HOSPITAL'S MEDICAL STAFF, THE MEDICAL STAFF MAY APPOINT ANOTHER MEDICAL STAFF OFFICER WHO WILL HAVE A STANDING INVITATION TO ATTEND MEETINGS OF THE GOVERNING BODY. MEDICAL STAFF LEADERS ARE ELECTED FOR TWO-YEAR TERMS BY MEMBERS OF THE ACTIVE STAFF VIA CONFIDENTIAL BALLOT. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE CHIEF OF STAFF AND THE ENTIRE LEADERSHIP TEAM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF THE UNIVERSITY OF SOUTHERN CALIFORNIA APPLIES TO THE MEDICAL STAFF AND ANY OTHER EMPLOYEES OF THE ORGANIZATION. IT REQUIRES DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST UNTIL THE CONFLICT HAS BEEN DISCLOSED AND ADDRESSED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.