Nonprofit · EIN 11-2537396
GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS
Tax-exempt · WEST ISLIP, NY 11795
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $279,598 | $0 | $279,598 | $5,611,318 | $0 | $5,611,318 |
| December 31, 2023 | 990 | $484,655 | $0 | $484,655 | $5,331,720 | $0 | $5,331,720 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $0
- Investment income
- $279,598
- Net gain from sales of assets
- $42,054
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $0
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
Balance sheet and other
- Total assets, start of year
- $5,331,720
- Total assets, end of year
- $5,611,318
- Total liabilities, end of year
- $0
- Net assets, end of year
- $5,611,318
- Publicly traded securities
- $5,611,318
- Net assets without donor restrictions
- $5,611,318
- Gross receipts
- $4,266,957
- Employees
- 0
- Volunteers
- 0
- Year formed
- 1980
- State of legal domicile
- NY
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| PATRICK O'SHAUGHNESSY DO | PRESIDENT & CEO Trustee or director, Officer | 50 | $0 | $3,222,318 | $1,532,793 |
| PATRICK MINICUS | EVP & CFO Officer | 50 | $0 | $1,199,960 | $707,333 |
| RUTH HENNESSEY | PRESIDENT THRU 02/24 Officer | 50 | $0 | $942,003 | $612,064 |
| JUSTIN LUNDBYE | PRESIDENT AS OF 03/24 Officer | 50 | $0 | $840,585 | $33,347 |
| SALVATORE SODANO | CHAIRMAN Trustee or director, Officer | 2 | $0 | $0 | $0 |
| THOMAS CHRISTMAN | VICE CHAIR Trustee or director, Officer | 2 | $0 | $0 | $0 |
| REGINA PISCAZZI | SECRETARY Trustee or director, Officer | 2 | $0 | $0 | $0 |
| ROBERT ZUCCARO | TREASURER Trustee or director, Officer | 2 | $0 | $0 | $0 |
| JERRY BALENTINE DO | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| PETER DAGHER | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| REV LEE DESCOTEAUX | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| HON VITO DESTEFANO | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| REV JASON GRISAFI | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| JOSEPH MATTONE ESQ | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| SUSAN O'HARA RN | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
8 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| RONALD SHINDEL | TRUSTEE Trustee or director | 2 | $0 |
| PETER QUICK | TRUSTEE Trustee or director | 2 | $0 |
| DEBRA DEL VECCHIO | TRUSTEE Trustee or director | 2 | $0 |
| JOHN ROMANELLI MD | TRUSTEE Trustee or director | 2 | $0 |
| ANDREW ZUCARO | TRUSTEE Trustee or director | 2 | $0 |
| REV JOHN MCCARTNEY | TRUSTEE Trustee or director | 2 | $0 |
| GEOFFREY DELESSEPS | TRUSTEE AS OF 06/24 Trustee or director | 2 | $0 |
| JOSEPH F KUEHN JR | TRUSTEE AS OF 06/24 Trustee or director | 2 | $0 |
990 for the year ended December 31, 2023: 22 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| PATRICK O'SHAUGHNESSY | PRESIDENT & CEO Trustee or director, Officer | 50 | $0 | $3,177,674 | $1,470,892 |
| PATRICK MINICUS | EVP & CFO Officer | 50 | $0 | $1,220,160 | $708,505 |
| RUTH HENNESSEY | PRESIDENT Officer | 50 | $0 | $1,094,062 | $293,450 |
| SALVATORE SODANO | CHAIRMAN Trustee or director, Officer | 2 | $0 | $0 | $0 |
| BRIAN MCGUIRE | VICE CHAIR Trustee or director, Officer | 2 | $0 | $0 | $0 |
| THOMAS CHRISTMAN | SECRETARY Trustee or director, Officer | 2 | $0 | $0 | $0 |
| ROBERT ZUCCARO | TREASURER Trustee or director, Officer | 2 | $0 | $0 | $0 |
| JERRY BALENTINE DO | TRUSTEE AS OF 01/2023 Trustee or director | 2 | $0 | $0 | $0 |
| PETER DAGHER | TRUSTEE AS OF 09/2023 Trustee or director | 2 | $0 | $0 | $0 |
| REV LEE DESCOTEAUX | TRUSTEE AS OF 01/2023 Trustee or director | 2 | $0 | $0 | $0 |
| HON VITO DESTEFANO | TRUSTEE AS OF 06/2023 Trustee or director | 2 | $0 | $0 | $0 |
| RE JASON GRISAFI | TRUSTEE AS OF 01/2023 Trustee or director | 2 | $0 | $0 | $0 |
| JOSEPH MATTONE ESQ | TRUSTEE AS OF 03/2023 Trustee or director | 2 | $0 | $0 | $0 |
| SUSAN O'HARA RN | TRUSTEE AS OF 03/2023 Trustee or director | 2 | $0 | $0 | $0 |
| RONALD SHINDEL | TRUSTEE AS OF 03/2023 Trustee or director | 2 | $0 | $0 | $0 |
| WILLIAM WARD | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| PETER QUICK | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| DEBRA DEL VECCHIO | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| REGINA PISCAZZI | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| JOHN ROMANELLI MD | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| ANDREW ZUCARO | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
| REV JOHN MCCARTNEY | TRUSTEE Trustee or director | 2 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
- In care of
- % CHS SERVICES INC
- Principal officer (990 for 2024)
- JUSTIN LUNDBYE, 1000 MONTAUK HIGHWAY, WEST ISLIP, NY 11795
- Signed the 990
- JUSTIN LUNDBYE, PRESIDENT
- Phone
- (631) 376-3000
- Return prepared by
- PwC US Tax LLP
Mission
SEE SCHEDULE O
Program accomplishments
- GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE IS REQUIRED TO ACCOMPLISH GOOD SAMARITAN UNIVERSITY HOSPITAL'S AND NURSING HOME'S EXEMPT PURPOSE. THE AMOUNT FUNDED IS DEPENDENT UPON THE NEEDS OF THE HOSPITAL TO COVER MALPRACTICE CLAIMS. GOOD SAMARITAN UNIVERSITY HOSPITAL IS A 437 BED MEDICAL CENTER LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN WEST ISLIP, NEW YORK. A PREMIER HEALTHCARE FACILITY, PROVIDING QUALITY AND COST EFFECTIVE HEALTH CARE SERVICES EXTENDING ACROSS THE CONTINUUM OF CARE TO ALL DISCIPLINES, BOTH FOR INPATIENTS AND OUTPATIENTS.0
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 11-2537396
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Donations deductible (Pub 78)
- Supporting organization of unknown type
- Exempt since
- 1980
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Mutual and membership benefit (Y20Z)
- Assets (IRS master file)
- $5,611,318
- Income (IRS master file)
- $4,266,957
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $279,598 | $0 | $5,611,318 | XML |
| 990 | December 2023 | $484,655 | $0 | $5,331,720 | XML |
| 990 | December 2022 | $25,001 | $0 | $4,847,065 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
| 990 | December 2017 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 11-2537396).
Questions about GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS
- What is the EIN of GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS?
- The employer identification number (EIN) of GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS is 11-2537396.
- Is GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1980.
- Are donations to GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
- Which annual return does GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS?
- The 990 for the year ended December 31, 2024 names JUSTIN LUNDBYE.
- Who are the officers and directors of GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS?
- The 990 for the year ended December 31, 2024 lists 23 people; 0 received compensation from the organization.
- How much revenue does GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $279,598, expenses of $0 and total assets of $5,611,318 at year end.
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- GOOD SAMARITAN HOSPITAL FOUNDATION EIN 77-0611240 · last filed 990 for 2024
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All nonprofits in WEST ISLIP · New York · Mutual and membership benefit