GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE

EIN: 112537396 501(c)(3) Mutual Benefit

WEST ISLIP, NY

Total Revenue
$279,598
Total Expenses
N/A
Total Assets
$5,611,318
Net Assets
$5,611,318
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
1980
Legal Domicile
NY
Principal Officer
JUSTIN LUNDBYE
Phone
6313763000
Tax Period
2024-01-01 to 2024-12-31

GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE, founded in 1980, is a small nonprofit in the Mutual Benefit sector that reported $280K in total revenue in fiscal year 2024. Revenue fell 42% from the prior year — a significant decline worth monitoring.

Mission

GOOD SAMARITAN SELF INSURANCE AGAINST MALPRACTICE IS A MEMBER OF CATHOLIC HEALTH. WE, AT CATHOLIC HEALTH, HUMBLY JOIN TOGETHER TO BRING CHRIST'S HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES. I-CARE VALUES INTEGRITY: WE ARE WHO WE SAY WE ARE AND ACT IN ACCORDANCE WITH THE SPLENDOR OF TRUTH OF OUR CATHOLIC MORAL TEACHING AND OUR CATHOLIC VALUES. COMPASSION: WE HAVE COMPASSION FOR OUR PATIENTS, SEE THE SUFFERING CHRIST IN THEM, STRIVE TO ALLEVIATE SUFFERING AND SERVE THE SPIRITUAL, PHYSICAL AND EMOTIONAL NEEDS OF OUR PATIENTS. ACCOUNTABILITY: WE TAKE RESPONSIBILITY FOR OUR ACTIONS AND THEIR CONSEQUENCES. RESPECT: WE HONOR THE SANCTITY OF LIFE AT EVERY STAGE OF LIFE AND THE DIGNITY OF EVERY PERSON, AND INCORPORATE ALL THE PRINCIPLES OF CATHOLIC SOCIAL TEACHING IN OUR RELATIONSHIPS AND ADVOCACY. EXCELLENCE: WE SEEK THE GLORY OF GOD IN THE COMPASSIONATE SERVICE OF OUR PATIENTS, AND WE STRIVE TO DO THE BEST THAT CAN BE DONE, WHATEVER OUR ROLE.

Program Service Accomplishments

Program 1
Expenses: $0 Revenue: $0

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...

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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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $0
Program Service Revenue $0
Investment Income $279,598
Other Revenue $0
TOTAL REVENUE $279,598

Expense Breakdown

Grants Paid $0
Salaries & Benefits $0
Fundraising Expenses $0
Program Expenses $0
Other Expenses $0
TOTAL EXPENSES $0

Year-over-Year Comparison

2024 2023 Change
Revenue $279,598 $484,655 -0.4%
Expenses N/A N/A N/A
Net Income N/A $484,655 N/A
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Financial Distress Indicator

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Governance

Voting Members
20
Independent Members
19
Employees
N/A
Volunteers
N/A

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
8
$9,090,403
Total Directors
20
$4,755,111
Key Employees
0
$0
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
PATRICK O'SHAUGHNESSY DO PRESIDENT & CEO 50.0
Officer Director
$0 $1,532,793 $4,755,111
PATRICK MINICUS EVP & CFO 50.0
Officer
$0 $707,333 $1,907,293
RUTH HENNESSEY PRESIDENT THRU 02/24 50.0
Officer
$0 $612,064 $1,554,067
JUSTIN LUNDBYE PRESIDENT AS OF 03/24 50.0
Officer
$0 $33,347 $873,932
SALVATORE SODANO CHAIRMAN 2.0
Officer Director
$0 $0 $0
THOMAS CHRISTMAN VICE CHAIR 2.0
Officer Director
$0 $0 $0
REGINA PISCAZZI SECRETARY 2.0
Officer Director
$0 $0 $0
ROBERT ZUCCARO TREASURER 2.0
Officer Director
$0 $0 $0
JERRY BALENTINE DO TRUSTEE 2.0
Director
$0 $0 $0
PETER DAGHER TRUSTEE 2.0
Director
$0 $0 $0
REV LEE DESCOTEAUX TRUSTEE 2.0
Director
$0 $0 $0
HON VITO DESTEFANO TRUSTEE 2.0
Director
$0 $0 $0
REV JASON GRISAFI TRUSTEE 2.0
Director
$0 $0 $0
JOSEPH MATTONE ESQ TRUSTEE 2.0
Director
$0 $0 $0
SUSAN O'HARA RN TRUSTEE 2.0
Director
$0 $0 $0
RONALD SHINDEL TRUSTEE 2.0
Director
$0 $0 $0
PETER QUICK TRUSTEE 2.0
Director
$0 $0 $0
DEBRA DEL VECCHIO TRUSTEE 2.0
Director
$0 $0 $0
JOHN ROMANELLI MD TRUSTEE 2.0
Director
$0 $0 $0
ANDREW ZUCARO TRUSTEE 2.0
Director
$0 $0 $0
REV JOHN MCCARTNEY TRUSTEE 2.0
Director
$0 $0 $0
GEOFFREY DELESSEPS TRUSTEE AS OF 06/24 2.0
Director
$0 $0 $0
JOSEPH F KUEHN JR TRUSTEE AS OF 06/24 2.0
Director
$0 $0 $0
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 $279,598 No data $5,611,318 No data
2023 $484,655 No data $5,331,720 No data
2022 $25,001 No data $4,847,065 No data
2021 $118,433 No data $4,822,064 No data
2020 $159,962 No data $4,703,631 No data
2019 $123,807 No data $4,543,669 No data
2018 $157,573 No data $4,419,862 No data
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