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← MEDICAL STAFF OF MERCY AMERICAN RIVER AND MERCY SAN JUAN HOSPITAL

Form 990 for tax year 2023

Filed by MEDICAL STAFF OF MERCY AMERICAN RIVER AND MERCY SAN JUAN HOSPITAL.

Totals

Total revenue
$184,411
Total expenses
$157,521
Contributions and grants received
$0
Grants paid
$2,500
Program service revenue
$180,550
Investment income
$3,861
Other revenue
$0
Total assets, end of year
$662,896
Total liabilities, end of year
$180,550
Net assets or fund balances, end of year
$482,346
Program services expenses (Part IX)
$0
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$157,521

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: MEMBERSHIP DUES

    total $180,550 · related or exempt $180,550

  • 3 · Investment income

    total $3,861 · excluded $3,861

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,500

  • 11c · Fees: accounting

    total $8,600

  • 12 · Advertising and promotion

    total $9,532

  • 21 · Payments to affiliates

    total $111,650

  • 24a · Other expenses: ANNUAL STAFF MEETING

    total $19,715

  • 24b · Other expenses: AWARDS

    total $3,984

  • 24c · Other expenses: DUES & SUBCRIPTIONS

    total $1,138

  • 24d · Other expenses: LEADERSHIP EDUCATION

    total $378

  • 24e · All other expenses

    total $24

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $287,839 · end of year $190,266

  • 2 · Savings and temporary cash investments

    beginning of year $468,768 · end of year $472,630

  • 19 · Deferred revenue

    beginning of year $291,800 · end of year $180,550

  • 25 · Other liabilities

    beginning of year $9,351

  • 31 · Retained earnings, endowment or other funds

    beginning of year $455,456 · end of year $482,346

Mission and programs · 2023

Mission

TO COORDINATE THE DELIVERY OF QUALITY MEDICAL SERVICES AND TO DEFINE AND ASSIST IN THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF.

Activities or mission (Part I)

TO COORDINATE THE DELIVERY OF QUALITY MEDICAL SERVICE AND TO DEFINE AND ASSIST IN THE EDUCATIONAL NEEDS OF THE MEDICAL STAFF.

  • 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.

    Expenses $157,521 · Grants $2,500 · Revenue $180,550

As filed on the 2023 return.

Listed in Part VII

  • Joelle Jakobsen

    CHIEF OF STA

    Total calculated
    $60,000
    From this org
    $0
    From related orgs
    $60,000
    Other
    $0
    Hours/week
    5

  • Kevin Elliott

    CHIEF ELECT

    Total calculated
    $30,000
    From this org
    $0
    From related orgs
    $30,000
    Other
    $0
    Hours/week
    5

  • Jennifer Osborn

    PAST CHIEF

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Nicole Braxley

    CHAIR-ER

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Mazyar Ahmadi

    CHAIR-DIAG I

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Lindsey Demetral

    CHAIR - PEDI

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Michael Maloney

    CHAIR-ANESTH

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Eve Lavalley Willsey

    CHAIR - OB/G

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Sandeep Adusumalli

    CHAIR-CARDIO

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Hunter Greene

    CHAIR-SURGER

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

  • Jodi Coates

    CHAIR-TRAUMA

    Total calculated
    $0
    Hours/week
    5

  • Parimal Bharucha

    CHAIR - MEDI

    Total calculated
    $12,000
    From this org
    $0
    From related orgs
    $12,000
    Other
    $0
    Hours/week
    5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
8 May 2024
IRS schema version
2023v5.0
Source object
202431629349301418

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