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GOOD SAMARITAN HOSPITAL SELF INSURANCE AGAINST MALPRACTICE TRUS

EIN 11-2537396 WEST ISLIP, NY

Revenue 2024
$279,598
Expenses 2024
$0

As filed

Subsection
03
NTEE code
Y20Z
Classification
1000
Street
1000 MONTAUK HWY

These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).

Officers and directors · 2024

As listed in Part VII of the 2024 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.

  • PATRICK O'SHAUGHNESSY DO

    PRESIDENT & CEO

    Total calculated
    $4,755,111
    From this org
    $0
    From related orgs
    $3,222,318
    Other
    $1,532,793
    Hours/week
    50

  • PATRICK MINICUS

    EVP & CFO

    Total calculated
    $1,907,293
    From this org
    $0
    From related orgs
    $1,199,960
    Other
    $707,333
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $950,336 related
    Bonus
    $0 + $220,000 related
    Other
    $0 + $29,624 related
    Deferred
    $0 + $650,840 related
    Nontaxable benefits
    $0 + $56,493 related
    Filer's total
    $0 + $1,907,293 related

  • RUTH HENNESSEY

    PRESIDENT THRU 02/24

    Total calculated
    $1,554,067
    From this org
    $0
    From related orgs
    $942,003
    Other
    $612,064
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $149,563 related
    Bonus
    $0 + $129,266 related
    Other
    $0 + $663,174 related
    Deferred
    $0 + $269,758 related
    Nontaxable benefits
    $0 + $342,306 related
    Filer's total
    $0 + $1,554,067 related

  • JUSTIN LUNDBYE

    PRESIDENT AS OF 03/24

    Total calculated
    $873,932
    From this org
    $0
    From related orgs
    $840,585
    Other
    $33,347
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $705,015 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $35,570 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $33,347 related
    Filer's total
    $0 + $873,932 related

  • SALVATORE SODANO

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • THOMAS CHRISTMAN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • REGINA PISCAZZI

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • ROBERT ZUCCARO

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • JERRY BALENTINE DO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • PETER DAGHER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • REV LEE DESCOTEAUX

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • HON VITO DESTEFANO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • REV JASON GRISAFI

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • JOSEPH MATTONE ESQ

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • SUSAN O'HARA RN

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • RONALD SHINDEL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • PETER QUICK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • DEBRA DEL VECCHIO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • JOHN ROMANELLI MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • ANDREW ZUCARO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • REV JOHN MCCARTNEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • GEOFFREY DELESSEPS

    TRUSTEE AS OF 06/24

    Total calculated
    $0
    Hours/week
    2

  • JOSEPH F KUEHN JR

    TRUSTEE AS OF 06/24

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us. Earlier years are each on their own filing page.

Filings

  • 2024
    Revenue
    $279,598
    Expenses
    $0
    Contributions
    $0
    Grants paid
    $0
  • 2023
    Revenue
    $484,655
    Expenses
    $0
    Contributions
    $0
    Grants paid
    $0
  • 2022
    Revenue
    $25,001
    Expenses
    $0
    Contributions
    $0
    Grants paid
    $0

The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.

Grants made

No itemized grants to organizations. Schedule I is filed only by organizations that granted more than $5,000 to a recipient, so most filers have none.

Grants received

No itemized grant names this organization as a recipient. Only grants over $5,000 are itemized, and only by filers of the full Form 990.

Related organizations

From Schedule R Part II, where a filer lists the tax-exempt organizations it is related to by control. It does not record shared board members or money.

Declared on its 2024 return

The first 25 as filed. The return lists every one.

Declared as related by

Other IRS files

Auto-Revocation List

Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.

Publication 78

Listed as of 10 September 2026, under deductibility SOUNK.

These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.