Nonprofit · EIN 45-5191162
MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Tax-exempt · WEST ISLIP, NY 11795
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2025 | 990 | $231,429 | $273,503 | -$42,074 | $412,160 | $0 | $412,160 |
| December 31, 2024 | 990 | $274,758 | $338,523 | -$63,765 | $454,234 | $0 | $454,234 |
| December 31, 2023 | 990 | $327,109 | $264,805 | $62,304 | $517,999 | $0 | $517,999 |
Financial details: 990 for the year ended December 31, 2025
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $231,404
- Investment income
- $25
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $50,000
- Compensation of officers, directors and key employees
- $50,000
- Salaries, compensation and benefits (total)
- $50,000
- Professional fundraising fees
- $0
- Accounting fees
- $3,935
- Program services (functional)
- $265,531
- Management and general (functional)
- $7,972
Balance sheet and other
- Total assets, start of year
- $454,234
- Total assets, end of year
- $412,160
- Total liabilities, end of year
- $0
- Net assets, end of year
- $412,160
- Net assets without donor restrictions
- $412,160
- Gross receipts
- $231,429
- Employees
- 0
- Year formed
- 2012
- 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, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| WILLIAM MCCORMICK MD | President Officer | 5 | $30,000 |
| EDISON G GAVILANES MD | Vice President Officer | 5 | $10,000 |
| JEFFREY M NAKHJAVAN DO | Treasurer Officer | 5 | $10,000 |
990 for the year ended December 31, 2024: 3 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| WILLIAM MCCORMICK MD | President Officer | 5 | $30,000 |
| JEFFREY M NAKHJAVAN DO | Treasurer Officer | 5 | $10,000 |
| EDISON G GAVILANES MD | Vice President Officer | 5 | $7,500 |
990 for the year ended December 31, 2023: 3 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| BIMAL MASSAND MD | President Officer | 5 | $30,000 |
| EDISON G GAVILANES MD | Treasurer Officer | 5 | $10,000 |
| WILLIAM MCCORMICK MD | Vice President Officer | 5 | $5,000 |
Address and contacts
- Address (IRS master file)
- 1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
- Principal officer (990 for 2025)
- JEFFREY M NAKHJAVAN DO, 1000 MONTAUK HIGHWAY, WEST ISLIP, NY 11795
- Signed the 990
- JEFFREY M NAKHJAVAN DO, Treasurer
- Phone
- (631) 376-3244
- Return prepared by
- Kurcias Jaffe & Company LLP
Mission
The purpose of the organization is:To insure that all patients admitted to or treated in any of the facilities, departments or services of Good Samaritan Hospital Medical Center, 1000 Montauk Highway, West Islip, NY 11795 (the Hospital) receive appropriate care consistent with community standards;To insure the professional performance of all practitioners authorized to practice in the Hospital through the appropriate delineation of the clinical privileges that each practitioner may exercise in the Hospital and through an ongoing review and evaluation of each practitioners performance in the Hospital;To provide an appropriate educational setting that will maintain scientific standards and that will lead to continuous advancement in professional knowledge and skill;To initiate and maintain rules and regulations for governance of the Medical Staff of the Hospital (Medical Staff) subject to the approval of the Governing Body of Trustees of Good Samaritan Hospital Medical Center (Governing
Program accomplishments
- ARRANGE FOR medical staff meetings AND SOCIALS. Medical staff meetings AND SOCIALS ARE CONDUCTED THROUGHOUT THE YEAR. THe meetings, lectures AND SOCIALS help TO FURTHER THE COMPENTENCY AND COMRADARE OF THE MEDICAL STAFF THEREBY fURTHERING QUALITY MEDICAL CARE TO ALL PATIENTS TREATED IN THE HOSPITAL.Expenses $118,346
- to appoint, reappoint, or revoke appointment to the Good Samaritan Hospital Medical Center's ("the Hospital") Medical Staff. SUCH APPOINTMENTS ARE CONDUCTED THROUGHOUT THE YEAR. THE APPOINTMENT PROCESS IS CONDUCTED THROUGH EXAMINATION OF THE PROFESSIONAL'S COMPETENCE,ETHICS AND CHARACTER INCLUDING EXAMINATION OF REFERENCES, BACKGROUND CHECKS AND APPRAISAL'S FROM THE CLINICAL DEPARTMENT IN WHICH PRIVILEGES ARE SOUGHT. THIS PROCESS HELPS TO FURTHER THE COMPENTENCY AND CREDENTIALS OF THE MEDICAL STAFF THEREBY FURTHERING QUALITY MEDICAL CARE TO ALL PATIENTS TREATED IN THE HOSPITAL.Expenses $50,000
- TO CONTRIBUTE MONIES TO THE GOOD SAMARITAN HOSPITAL FUND. SUCH MONIES PURCHASE NECESSARY EQUIPMENT FOR THE HOSPITAL WHICH FURTHER THE QUALITY OF MEDICAL CARE TO ALL PATIENTS TREATED IN THE HOSPITAL.Expenses $50,000
- Provide continuing medical educational opportunities as are compatible with the professional, physical and fiscal resources available in the Hospital. Such medical continuing medical educational is designed to lead to the on-going advancement of the professional skills and knowledge of all health professionals at good samaritan hospitalExpenses $38,202
- Provide small awards / appreciation / gifts to medical staff. Such awards / appreciation gifts are given to applicable medical staff members. The awarding of awards to the medical staff helps with staff morale thereby furthering the quality of care at good samaritan hospitalExpenses $7,233
- TO ARRANGE AND PAY FOR GUEST LECTURERS IN CONNECTION WITH MEDICAL GROUND ROUNDS. MEDICAL GROUND ROUNDS ARE AN IMPORTANT TOOL FOR FURTHERING THE COMPENTENCY AND CREDENTIALS OF THE MEDICAL STAFF THEREBY FURTHERING QUALITY MEDICAL CARE TO ALL PATIENTS TREATED IN THE HOSPITAL.Expenses $1,750
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 | 990 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
- 45-5191162
- Tax-exempt status
- 501(c)(6): Business league or chamber of commerce
- Donations deductible
- No
- Exempt since
- 2014
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Community improvement and capacity building (S41)
- Assets (IRS master file)
- $412,160
- Income (IRS master file)
- $231,429
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2025 | $231,429 | $273,503 | $412,160 | XML |
| 990 | December 2024 | $274,758 | $338,523 | $454,234 | IRS |
| 990 | December 2023 | $327,109 | $264,805 | $517,999 | XML |
| 990 | December 2022 | $250,105 | $254,518 | $455,695 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2019 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | 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 45-5191162).
Questions about MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER
- What is the EIN of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER?
- The employer identification number (EIN) of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER is 45-5191162.
- Is MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(6) since 2014.
- Are donations to MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER tax-deductible?
- No. The IRS master file says contributions to it are not deductible.
- Which annual return does MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER 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 MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER due?
- The return for tax year 2026 (the year ending December 31, 2026) is due May 17, 2027. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2025.
- Who is the principal officer of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER?
- The 990 for the year ended December 31, 2025 names JEFFREY M NAKHJAVAN DO.
- Who are the officers and directors of MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER?
- The 990 for the year ended December 31, 2025 lists 3 people; 3 received compensation from the organization, the highest $30,000 (WILLIAM MCCORMICK MD, President).
- How much revenue does MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER have?
- On its 990 for the year ended December 31, 2025 it reported revenue of $231,429, expenses of $273,503 and total assets of $412,160 at year end.
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