2023-08-22T10:14:05-05:00 2022-12-31 942702860 JOHANSON & YAU ACCOUNTANCY CORP 42 WEST CAMPBELL AVENUE THIRD FLOOR CAMPBELL CA 95008 990 2022-01-01 912146048 MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDI 4085592388 2425 SAMARITAN DRIVE SAN JOSE CA 951243809 JANE YIEH TREASURER 4085592388 2023-06-21 1 JANE YIEH 999009999 0 MICHAEL LIN P01353244 4082885111 2023-06-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JANE YIEH 2425 SAMARITAN DRIVE SAN JOSE CA 951243809 207800 0 X N/A X CA THE ORGANIZATION IS DEDICATED TO THE TASK OF PROMOTING HIGH QUALITY MEDICAL CARE FOR ALL PATIENTS ADMITTED TO OR TREATED IN THE HOSPITAL. 34 34 0 16 0 0 0 0 259700 176100 1778 1831 0 0 261478 177931 0 15000 0 0 137175 155250 0 0 0 135959 93169 273134 263419 -11656 -85488 420201 331681 0 0 420201 331681 THE ORGANIZATION IS DEDICATED TO THE TASK OF PROMOTING HIGH QUALITY MEDICAL CARE FOR ALL PATIENTS ADMITTED TO OR TREATED IN THE HOSPITAL. 0 0 232323 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. 232323 0 0 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 0 0 0 0 0 0 0 0 0 X 34 34 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JANE YIEH TREASURER 4085592388 2425 SAMARITAN DRIVE SAN JOSE CA 951243809 BALDEV SINGH MD CHIEF OF STAFF 1.00 X X 71250 0 0 GOPI AYER MD CHIEF OF STAFF-ELECT 1.00 X X 27500 0 0 JANE YIEH MD SECRETARY-TREASURER 5.00 X X 6000 0 0 ANUP SINGH MD PAST CHIEF OF STAFF 20.00 X X 11750 0 0 CK PARK MD CHAIR/ADVISORY COUNCIL 1.00 X 1500 0 0 MING-YUN TANG MD VICE CHAIR 1.00 X 0 0 0 GEORGE LEE MD CHAIR 1.00 X 1500 0 0 MOHAMMED QAYYUM MD VICE CHAIR 1.00 X 0 0 0 KENNETH ONG MD CHAIR 1.00 X 2000 0 0 JUDONG PAN MD VICE CHAIR 1.00 X 0 0 0 DAVID FELDMAN CHAIR 1.00 X 2000 0 0 MY PHOUNG MITARAI MD VICE CHAIR 1.00 X 0 0 0 JOHN RASHKIS MD CHAIR 1.00 X 4700 0 0 SATYA CHELAMKURI MD VICE CHAIR 1.00 X 0 0 0 DIANA TSAI MD CHAIR 1.00 X 4000 0 0 ALEXANDER PHAM MD VICE CHAIR 1.00 X 3000 0 0 FAHD KHAN MD CHAIR 1.00 X 1375 0 0 SONYA PATEL DO VICE CHAIR 1.00 X 0 0 0 NIDHI JACOB MD CHAIR 1.00 X 3675 0 0 MARK FIERRO MD VICE CHAIR 1.00 X 0 0 0 KRIKOR BARSOUMIAN MD CHAIR 1.00 X 2000 0 0 HOWARD CHEN MD VICE CHAIR 1.00 X 0 0 0 SANDEEP GIDVANI MD CHAIR 1.00 X 4000 0 0 JOTHI MURALI MD VICE CHAIR 1.00 X 0 0 0 SALMA DABIRI MD CHAIR 1.00 X 2000 0 0 MONICA ENERIZ WIEMER MD CHAIR 1.00 X 4000 0 0 PUI LAI MD VICE CHAIR 1.00 X 0 0 0 KIRK CHURUKIAN MD CHAIR 1.00 X 3000 0 0 MOHAMMADREZA ROHANINEJAD MD VICE CHAIR 1.00 X 0 0 0 MAHSA ESFAHANI MD MEMBER AT LARGE 1.00 X 0 0 0 DANAGRA IKOSSI MD MEMBER AT LARGE 1.00 X 0 0 0 LINDA CHUNG MD ADVISORY COUNCIL 1.00 X 0 0 0 RAJEEV TANDON MD ADVISORY COUNCIL 1.00 X 0 0 0 155250 0 0 0 0 0 0 0 MEMBERSHIP DUES & ASSE 621110 104000 104000 MEMBERSHIP DUES & ASSE 621110 63500 63500 MEMBERSHIP DUES & ASSE 621110 8600 8600 176100 1700 1700 30000 29869 131 131 131 177931 176231 0 1700 X 15000 15000 155250 139725 15525 2255 2255 5550 5550 30125 30125 PPEC EXPENSE 35100 35100 LEADERSHIP EDUCATION 11500 11500 STAFF SOCIAL FUNCTIONS 5000 5000 OUTSIDE SERVICES 2400 2400 1239 873 366 263419 232323 31096 0 310996 223870 109205 107811 420201 331681 0 0 X 0 0 175901 175901 244300 155780 420201 331681 420201 331681 -85488 -3032 0 X 0 0 0 0 0 0 176100 0 SANTA CLARA COUNTY MEDICAL ASSOCIATION 700 EMPEY WAY SAN JOSE CA 95128 941046684 15000 0 DONATION 1 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - FORM 990 IS AVAILABLE TO THE GOVERNING BODY FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEETING DISCUSSION. AN INDIVIDUAL WHO BELIEVES THAT HE MAY HAVE A REAL OR APPARENT CONFLICT OF INTEREST MUST ABSTAIN FROM PARTICIPATING IN DISCUSSIONS OR DELIBERATIONS, USING PERSONAL INFLUENCE TO AFFECT DELIBERATIONS, MAKING MOTIONS, VOTING, EXECUTING AGREEMENTS, OR OTHER SIMILAR ACTIONS IN RESPECT TO THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND APPROVES THE OFFICERS COMPENSATION BASED ON PERFORMANCE, LONGEVITY, IMPORTANCE OF THE PERSON OF THE ORGANIZATION AND THE MARKET IN THE GEOGRAPHIC AREA. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 AND GOVERNING DOCUMENTS ARE AVAILABLE AT NON-PROFIT WEB SITES AND UPON REQUEST FROM THE ORGANIZATION. FORM 990, PART IX, LINE 11G PHYSICIAN STIPENDS: PROGRAM SERVICE EXPENSES 30,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,125.