MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER

EIN: 455191162 Community Improvement

WEST ISLIP, NY

Total Revenue
$231,429
Total Expenses
$273,503
Total Assets
$412,160
Net Assets
$412,160
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
2012
Legal Domicile
NY
Principal Officer
JEFFREY M NAKHJAVAN DO
Phone
6313763244
Tax Period
2025-01-01 to 2025-12-31

MEDICAL STAFF OF GOOD SAMARITAN HOSPITAL MEDICAL CENTER, founded in 2012, is a small nonprofit in the Community Improvement sector that reported $231K in total revenue in fiscal year 2025. Revenue decreased 16% compared to the prior year. Expenses of $274K exceeded revenue, resulting in a 18% operating deficit.

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 Service Accomplishments

Program 1
Expenses: $118,346

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...

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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.

Program 2
Expenses: $50,000

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...

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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.

Program 3
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.

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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 (2025)

Revenue Breakdown

Contributions & Grants $0
Program Service Revenue $231,404
Investment Income $25
Other Revenue $0
TOTAL REVENUE $231,429

Expense Breakdown

Grants Paid $50,000
Salaries & Benefits $50,000
Fundraising Expenses $0
Program Expenses $265,531
Other Expenses $173,503
TOTAL EXPENSES $273,503

Year-over-Year Comparison

2025 2024 Change
Revenue $231,429 $274,758 -0.2%
Expenses $273,503 $338,523 -0.2%
Net Income $-42,074 $-63,765 -0.3%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Liquidity & Cash Position

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Governance

Voting Members
3
Independent Members
3
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
3
$50,000
Total Directors
0
$0
Key Employees
0
$0
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
WILLIAM MCCORMICK MD President 5.00
Officer
$30,000 $0 $30,000
EDISON G GAVILANES MD Vice President 5.00
Officer
$10,000 $0 $10,000
JEFFREY M NAKHJAVAN DO Treasurer 5.00
Officer
$10,000 $0 $10,000
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
2025 $231,429 $273,503 $412,160 $-42,074
2024 $274,758 $338,523 $454,234 $-63,765
2023 $327,109 $264,805 $517,999 $62,304
2022 $250,105 $254,518 $455,695 $-4,413
2021 $273,008 $277,468 $460,108 $-4,460
2020 $275,856 $75,710 $464,568 $200,146
2019 $222,104 $151,939 $264,422 $70,165
2018 $219,546 $137,576 $194,257 $81,970
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