Medical Staff of Good Samaritan Hospital Medical Center
Nonprofit profile at a glance
- EIN
- 455191162
- IRS 990 coverage
- 2018–2025
- Forms available
- Form 990 2025, Form 990-EZ 2017
- Location
- West Islip, NY, USA
- Phone
- 6313763244
- Rating
- 83
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Chambers of Commerce & Business Leagues
Reported finances
- Revenue
- $231,429
- Expenses
- $273,503
- Assets
- $412,160
- Liabilities
- $0
Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.
Leadership & pay
3 people listed
Executive titles in this filing
- WILLIAM MCCORMICK MD (President)
- EDISON G GAVILANES MD (Vice President)
Highest reported compensation
- WILLIAM MCCORMICK MD (President): $30,000 total reported compensation
- EDISON G GAVILANES MD (Vice President): $10,000 total reported compensation
- JEFFREY M NAKHJAVAN DO (Treasurer): $10,000 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.
Overview
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
What it reported doing in 2025
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.
Operating model
- Revenue model
- Earned-program. 100% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 81% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 88
- Transparency & Controls: 93
- Accountability: 68
- Sustainability: 33
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 97.1%; rating input score 97
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
- Pay-setting controls: Limited
- Foreign activity oversight: Limited
- Grant itemization coverage: 100%; rating input score 100; 81st percentile among comparable filings
- Major donor itemization: Limited
- Related-party transparency: Limited
Accountability
- Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
- Governance controls: 2 of 9 controls in place; rating input score 22
- Conflict-of-interest policy: Fail
- Whistleblower policy: Fail
- Document-retention policy: Fail
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Fail
Sustainability
- Operating margin: -18.2%; rating input score 13; 13th percentile among comparable filings
- Total-asset coverage ratio: 1.51; rating input score 52; 52nd percentile among comparable filings
- Liabilities to assets ratio: 0; rating input score 77; 77th percentile among comparable filings
- Officer compensation ratio: 18.3%; rating input score 20; 20th percentile among comparable filings
Growth
- Program expense growth: 13.4% per year; rating input score 100; 74th percentile among comparable filings
- Revenue growth: 10.7% per year; rating input score 100; 71st percentile among comparable filings
- Asset growth: 3.7% per year; rating input score 100; 38th percentile among comparable filings
Details
- Where the money goes: 100% of revenue deployed · 97.1% of spending went to programs
- Governance: 3 of 3 board members independent · 2 of 9 filing controls reported
- Programs: 6 filed program accomplishments · $266K in reported program spending
- Leadership: top reported pay $30K · 3 people listed
- Consistency: 16 of 16 current checks pass
- Schedules: 4 filed schedules · includes grants
- Filing history: 8 filing years from 2018 to 2025
- Contacts: How to reach this organization
- Money network: 7 filed money-flow records
- Related organizations: 2 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Accountability: Governance controls: 7 of 9 not reported.
- High — Sustainability: Operating margin scored 13/100.
- Review — Sustainability: Total-asset coverage ratio scored 52/100.
- High — Sustainability: Officer compensation ratio scored 20/100.