Medical Staff of Good Samaritan Hospital

Foundation · Grantmaker West Islip, NY EIN: 45-5191162

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

Key facts about Medical Staff of Good Samaritan Hospital

In short: Medical Staff of Good Samaritan Hospital gave $50K across 1 grant in 2025 (avg $50K), mostly in New York. Source: 2025 IRS Form 990.

EIN
45-5191162
Latest 990 filing
Form 990, 2025
Annual giving (2025)
$50,000
Grants made (2025)
1
Average grant
$50,000
Median grant
$50,000
Total assets
$412,160
Primary geography
New York (100% of itemized 2025 grant dollars)

Data from IRS Form 990, 2025; updated September 2026.

Financial Overview

From 2025 IRS Form 990 · View filing

Total Assets

$412K

-9.3% YoY

Annual Giving

$50K

-61.5% YoY

Grant Count

1

+0.0% YoY

Avg Grant Size

$50K

-61.5% YoY

How Medical Staff of Good Samaritan Hospital gives

  • Giving fell 41% from 2022 to 2025. Method

From the foundation's IRS Form 990 filings. Methodology.

About Medical Staff of Good Samaritan Hospital

Based on IRS filings

Medical Staff of Good Samaritan Hospital is a nonprofit organization focused on Community Improvement & Capacity Building, based in West Islip, NY. IRS filing data is available from 2019 through 2025. As of 2025, the organization holds $412K in total assets. In 2025, it awarded 1 grant totaling $50K. Net investment income was $25.

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Geographic Focus

Where this funder awards grants

Grant Distribution by State

1state

Share of all 1 itemized 2025 grant dollars.

States

Cities

West Islip

Giving Over Time

Total grant dollars and number of grants per year

$0$50K$100K$150K1 grants20190 grants20201 grants20211 grants20221 grants20231 grants20241 grants2025

Grant Insights

How this funder distributes its grants

Top Recipients

Top 1 recipients in 2025

Good Samaritan Hospital: $50KGood Samaritan Hospital$50K

Grant Size Distribution

5 grants across all recorded years

<$50K2$50–100K3$100–250K$250–500K$500K–1M$1–5M$5M+

Giving History

Grant recipients and amounts by year

RecipientPurposeAmount
GOOD SAMARITAN HOSPITAL West Islip, NYDONATION TO HOSPITAL$50,000

Financial History

Multi-year comparison from IRS filings

Revenue
Expenses
Qualifying Distributions
Net Investment Income
$0$100K$200K$300K$400K2019202020212022202320242025
Metric202520242023
Total Assets$412,160$454,234$517,999
Revenue$231,429$274,758$327,109
Expenses$273,503$338,523$264,805
Qualifying Distributions———
Net Investment Income$25$25$17
Distributable Amount———

Data update history

When this profile's IRS filing data changed on Grantable

  1. Updated Form 990 for fiscal year 2019 (received by the IRS July 8, 2020)
  2. Updated Form 990 for fiscal year 2021 (received by the IRS June 9, 2022)
  3. Updated Form 990 for fiscal year 2022 (received by the IRS May 12, 2023)
  4. Updated Form 990 for fiscal year 2023 (received by the IRS August 29, 2024)
  5. Updated Form 990 for fiscal year 2024 (received by the IRS May 21, 2025)
  6. Added Form 990 for fiscal year 2025 (received by the IRS June 25, 2026)

Leadership & Key People

Officers and directors from IRS filings

Medical Staff of Good Samaritan Hospital is led by William McCormick MD, President since 2024 (on filings since 2021); all 3 officers listed in 2025 are compensated.

Officers on the 2025 filing

  • William McCormick MD

    President

    Treasurer → Vice President, 2022

    Vice President → President, 2024

    On filings since 2021

    5 hrs/week

    $10K (2021) → $30K (2025)

  • Edison G. Gavilanes MD

    Vice President

    Treasurer → Vice President, 2024

    On filings since 2022

    5 hrs/week

    $10K (2022) → $10K (2025)

  • Jeffrey M. Nakhjavan DO

    Treasurer

    On filings since 2024

    5 hrs/week

    $10K (2024) → $10K (2025)

Former officers (4)
  • Former: Bimal Massand MD (2020–2023) — President
  • Former: John W. Acampa (2019–2021) — President
  • Former: Edward Timmins (2019–2020) — Past President
  • Former: Rodolfo Domingo (2019) — President

Data from IRS Form 990 filings, 2019–2025. "On filings since" is the earliest filing we hold that lists the person; hours are average hours per week as reported.

Compensation Overview

From 2025 IRS filing

William McCormick MD — President: $30KWilliam McCormick MDPresident$30KEdison G Gavilanes MD — Vice President: $10KEdison G Gavilanes MDVice President$10KJeffrey M Nakhjavan Do — Treasurer: $10KJeffrey M Nakhjavan DoTreasurer$10K

Frequently asked questions about Medical Staff of Good Samaritan Hospital

How much does Medical Staff of Good Samaritan Hospital give each year?

Medical Staff of Good Samaritan Hospital gave $50K across 1 grant in 2025, according to its 2025 IRS Form 990. In 2024 it gave $130K across 1 grant.

How large is Medical Staff of Good Samaritan Hospital?

Medical Staff of Good Samaritan Hospital reported $412K in total assets on its 2025 IRS Form 990. Its revenue that year was $231K.

What is Medical Staff of Good Samaritan Hospital?

Medical Staff of Good Samaritan Hospital is a nonprofit organization focused on Community Improvement & Capacity Building, based in West Islip, NY. It holds $412K in total assets as of 2025.

Where does Medical Staff of Good Samaritan Hospital operate?

Medical Staff of Good Samaritan Hospital has awarded grants in New York.

What is Medical Staff of Good Samaritan Hospital's EIN?

Medical Staff of Good Samaritan Hospital's EIN (Employer Identification Number) is 45-5191162. IRS Form 990 filing data is available on this page for 2019–2025.

Data last updated September 2026. Sourced from IRS Form 990 filings.

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