2026-06-08T14:19:40-04:00 2025-12-31 821860971 ROOD & DINIS LLP 715 UNIVERSITY AVE SACRAMENTO CA 958256708 990 2025-01-01 943160774 MEDICAL STAFF OF MERCY SAN JUAN MEDICAL CENTER MEDI 9165363025 6501 COYLE AVENUE 6TH FLOOR CARMICHAEL CA 956080306 KEVIN ELLIOT CHIEF OF STAFF 9165363025 2026-05-08 true RONALD G BOWSER CPA P00292200 9169294450 2026-05-08 2025 2025-03-06 01:10:19Z KEVIN ELLIOT 6501 COYLE AVENUE CARMICHAEL CA 95608 177797 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 180550 170200 4569 7597 0 185119 177797 2000 1100 0 0 0 0 122593 144205 124593 145305 60526 32492 826222 748064 283350 172700 542872 575364 TO COORDINATE THE DELIVERY OF QUALITY MEDICAL SERVICES AND TO DEFINE AND ASSIST IN THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF. false false 145305 1100 170200 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. 145305 false false false false false false false false false false false false false true 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 true true true true false X BARBARA SELBY-MEDICAL STAFF 9165363025 6501 COYLE AVENUE 6TH FLOOR CARMICHAEL CA 95608 KEVIN ELLIOT CHIEF OF STA 5.00 X X 0 60000 0 NABIL MAJID CHIEF ELECT 5.00 0.00 X X 0 30000 0 JOELLE JAKOBSEN PAST CHIEF 5.00 0.00 X X 0 12000 0 ROBIN LANAM CHAIR-ER 5.00 0.00 X 0 12000 0 BENJAMIN KIPPER CHAIR-DIAG R 5.00 0.00 X 0 12000 0 LINDSEY DEMETRAL CHAIR - PEDI 5.00 0.00 X 0 12000 0 MICHAEL MALONEY CHAIR-ANESTH 5.00 0.00 X 0 12000 0 MAIUYEN NGUYEN CHAIR - OB/G 5.00 0.00 X 0 12000 0 BRADLEY STAUBER CHAIR-CARDIO 5.00 0.00 X 0 12000 0 DEANNE NYLAND CHAIR-SURGER 5.00 0.00 X 0 12000 0 JODI COATES CHAIR-TRAUMA 5.00 0.00 X 0 12000 0 ABDIRAHMAN NUH CHAIR - MEDI 5.00 0.00 X 0 12000 0 NADEEM MUKHTAR VICE CHAIR-M 5.00 0.00 X 0 12000 0 222000 false false false MEMBERSHIP DUES 611710 170200 170200 170200 7597 7597 177797 170200 7597 1100 7695 114650 ANNUAL STAFF MEETING 19484 AWARDS 2376 145305 0 0 0 349023 263268 477199 484796 826222 748064 274200 170200 9150 2500 283350 172700 X 542872 575364 542872 575364 826222 748064 32492 X false false false COMPENSATION DUE TO DIGNITY HEALTH 2500 2500 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 15A . 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 true false false false false false false false false false false false false false true false false false