Medical Dental Staff Good Samaritan Hospital in Suffern, New York (NY)
Table of contents:
| Medical Dental Staff Good Samaritan Hospital | |
| Employer Identification Number (EIN) | 132971315 |
| Name of Organization | Medical Dental Staff Good Samaritan Hospital |
| Address | 255 Lafayette Ave, Suffern, NY 10901-4812 |
| Activities | Professional association, Other health services |
| Subsection | Charitable Organization |
| Ruling Date | 03/1980 |
| Deductibility | Contributions are deductible |
| Foundation | Organization which receives a substantial part of its support from a governmental unit or the general public |
| Organization | Association |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2014 |
| Assets | $25,000 to $99,999 |
| Income | $100,000 to $499,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $88,343 |
| Amount of Income | $139,202 |
| Form 990 Revenue Amount | $139,202 |
Non-representatives - add comments:
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $167,926 | $164,081 | $152,928 |
| Contributions, gifts, grants, and similar amounts received | $0 | $0 | $0 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $167,862 | $164,044 | $152,862 |
| Investment income | $64 | $37 | $66 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $152,533 | $140,880 | $146,322 |
| Total net assets | $68,020 | $91,221 | $97,827 |
| Excess/Deficit for the year | $15,393 | $23,201 | $6,606 |
| Net assets or fund balances at beginning of year | $52,627 | $68,020 | $91,221 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $91,221 | $97,827 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $68,020 | $91,221 | $97,827 |
| Total liabilities | $0 | $0 | $0 |
| Net assets or fund balances | $68,020 | $91,221 | $97,827 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
| Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013) | |
| 2009 - 2013 Total | |
|---|---|
| Public support | $788,565 |
| Subtotal | $788,565 |
| Gifts, grants, contributions, and membership fees received | $788,565 |
| Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | $0 |
| Gross receipts from activities that are not an unrelated trade or business under section 513 | $0 |
| Tax revenues levied for the organization's benefit and either paid to or expended on its behalf | $0 |
| The value of services or facilities furnished by a governmental unit to the organization without charge | $0 |
| Less | $0 |
| Amounts received from disqualified persons | $0 |
| Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support | $0 |
| Total support | $789,404 |
| Public support | $788,565 |
| Subtotal | $839 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $839 |
| Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 | $0 |
| Net income from unrelated business activities, whether or not the business is regularly carried on | $0 |
| Other income | $0 |
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| 7 | Medical Associates Of Woodhull Pc | 760 Broadway, Brooklyn, NY 11206-5317 | NY | 1983-08 | $59,556,736 |
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| 10 | Medical College Health Alliance | PO BOX 488, Hawthorne, NY 10532-0488 | NY | 1996-03 | $315,156 |
| 11 | Medical Dental Staff Good Samaritan Hospital | 255 Lafayette Ave, Suffern, NY 10901-4812 | NY | 1980-03 | $139,202 |
| 12 | Medical Dental Staff Of Nyack Hosp Ital Inc | 160 N Midland Ave, Nyack, NY 10960-1912 | NY | 1982-07 | $156,125 |
| 13 | Medical Development For Israel Inc | 1345 Ave Of The Americas Suite 2-00, New York, NY 10105-0302 | NY | 1983-01 | $782,521 |
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| 20 | Medical Research Associates Pc Mra Physicians Munger Rm 263, Mra Physicians | 50 Broadway, Hawthorne, NY 10532-1245 | NY | 1986-12 | $3,011,474 |
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