2022-11-07T10:50:04-06:00 2021-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2021-01-01 111667765 SOUTHAMPTON HOSPITAL ASSOCIATION % CHRISTOPHER SCHULTHEIS SOUT 6317268301 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 CHRISTOPHER SCHULTHEIS cfo 6317268301 2022-11-04 true CHRISTOPHER SCHULTHEIS XXX-XX-XXXX Paul Hammerschmidt P01384178 2128858000 2 2021 2022-09-23 18:48:47Z ROBERT S CHALONER 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 12332754 false X www.southampton.stonybrookmedicine.edu X 1909 NY TO PROMOTE THE HIGHEST QUALITY OF HEALTHCARE SERVICES FOR ITS ENTIRE COMMUNITY. 26 26 0 27 0 0 0 0 5733175 5381386 187538 2807564 0 0 5920713 8188950 0 0 0 0 -215029 -392800 0 0 0 8696274 7552250 8481245 7159450 -2560532 1029500 89307344 88601547 54618571 47851270 34688773 40750277 X THE MISSION OF THE SOUTHAMPTON HOSPITAL ASSOCIATION (SHA), A NOT FOR-PROFIT MEMBERSHIP CORPORATION ORGANIZED AND EXISTING UNDER THE LAWS OF NEW YORK STATE, IS TO PROMOTE THE HEALTH OF PEOPLE IN THE COMMUNITIES ON THE SOUTH FORK OF LONG ISLAND FROM WESTHAMPTON TO MONTAUK AND SHELTER ISLAND BY PARTICIPATING IN AN AFFILIATION WITH STATE UNIVERSITY OF NEW YORK (SUNY) ACTING THROUGH STONY BROOK UNIVERSITY HOSPITAL (SBUH) PURSUANT TO AN INTEGRATION AND AFFILIATION AGREEMENT AND A LEASE BETWEEN SHA AND SUNY/SBUH. false false 6967807 0 5381386 To promote the health of people in the communities on the South Fork of Long Island from Westhampton to Montauk and Shelter Island. 6967807 true false false false false false false false false true true true false true true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false true true false false false true 217 0 true 0 false false false false false false false false false false false false X 26 26 false false false false false false false true true false false true true true true true true false false false NY X CHRISTOPHER SCHULTHEIS 6317268301 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 X X ROBERT S CHALONER PRESIDENT & CEO 2.5 7.5 X X 0 0 0 KENNETH B WRIGHT CHAIRMAN 1.25 0.5 X X 0 0 0 RICHARD J HIEGEL ESQ CO-CHAIR (THRU 10/21) 1.25 0.0 X X 0 0 0 LAWRENCE A WILLIS TREASURER 1.25 0.0 X X 0 0 0 PATRICIA STEWART SECRETARY 1.25 0.0 X X 0 0 0 GEORGE F BIONDO ESQ TRUSTEE 1.25 0.0 X 0 0 0 BARBARA BORSACK TRUSTEE 1.25 0.0 X 0 0 0 HOWARD COX TRUSTEE 1.25 0.0 X 0 0 0 JAMES FORBES TRUSTEE 1.25 0.0 X 0 0 0 ELENA FORD FROM 621 DIRECTOR 1.25 0.0 X 0 0 0 GILBERT W HARRISON TRUSTEE 1.25 0.5 X 0 0 0 WAYNE ISOM MD TRUSTEE 1.25 0.0 X 0 0 0 GEORGE P KAZDIN TRUSTEE 1.25 0.0 X 0 0 0 LISA CLARE KOMBRINK ESQ TRUSTEE 1.25 0.0 X 0 0 0 JAY K LEVINE DIRECTOR 1.25 0.0 X 0 0 0 RICHARD LISMAN MD DIRECTOR 1.25 0.0 X 0 0 0 LAURA LOFARO FREEMAN TRUSTEE 1.25 0.0 X 0 0 0 HOWARD M LORBER DIRECTOR 1.25 0.5 X 0 0 0 JAMES MACGREGOR TRUSTEE 1.25 0.0 X 0 0 0 JOHN MCGOWAN THRU 321 DIRECTOR 1.25 0.0 X 0 0 0 JOSE MOLINA DIRECTOR 1.25 0.0 X 0 0 0 ALLISON MORROW TRUSTEE 1.25 0.0 X 0 0 0 LOUISE PHANSTIEL DIRECTOR 1.25 0.0 X 0 0 0 FLORENCE ROLSTON MD TRUSTEE 1.25 0.0 X 0 0 0 JEAN SHAFIROFF TRUSTEE 1.25 0.0 X 0 0 0 MICHAEL F SMITH TRUSTEE 1.25 0.0 X 0 0 0 JOHN WAMBOLD TRUSTEE 1.25 0.0 X 0 0 0 CHRISTOPHER J SCHULTHEIS CHIEF FINANCIAL OFFICER 2.5 0.5 X 0 0 0 0 0 0 0 false false false RAFAEL VINOLY ARCHITECTS HKSJV 375 PEARL STREET 31ST FLOOR NEW YORK NY 10038 ARCHITECT SERVICES 1071485 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECT SERVICES 290391 STANTEC CONSULTING SERVICES INC 13980 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONSULTING 172723 3 0 LEASE INCOME 532000 5381386 5381386 5381386 228294 228294 0 0 0 0 0 6723074 4143804 2579270 2579270 2579270 0 0 0 0 0 0 0 0 0 0 8188950 5381386 2807564 0 0 0 0 0 0 0 -392800 -392800 0 0 0 1610 1610 109250 109250 0 0 80783 80783 0 0 402 402 0 0 1598639 1598639 0 0 0 4205 4205 0 6152195 6152195 -483234 -483234 OTHER INTEREST AND FEES 63519 63519 LICENSES AND TAXES 24281 24281 MISCELLANEOUS EXPENSES 600 600 7159450 6967807 191643 0 1321423 975411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42216 38534 221065627 162710221 62779075 58355406 0 0 6138008 9744136 0 0 0 0 19026622 19488060 89307344 88601547 1441504 299341 0 0 0 0 38617921 35754339 0 0 0 0 3218710 5207197 0 0 11340436 6590393 54618571 47851270 X 20149751 24419901 14539022 16330376 34688773 40750277 89307344 88601547 X 1029500 261384 4770620 X false true X true false X 3908391 0 238172 0 0 4146563 87270997 6175653 6524750 5733175 5381386 111085961 0 0 0 91179388 6175653 6762922 5733175 5381386 115232524 0 0 0 115232524 319740 314814 325197 239187 228294 1427232 0 319740 314814 325197 239187 228294 1427232 0 59858 59858 91558986 6490467 7088119 5972362 5609680 116719614 0.98726 0.97385 0.01223 0.02531 X 12889360 2990112 15879472 14996736 -2107377 12889359 6794600 8202136 14996736 7171867 -377267 6794600 11295053 7627239 11750425 7171867 0.82150 0.17850 false false 4985952 4985952 63964339 48165806 15798533 124353486 93639456 30714030 27761850 20904959 6856891 58355406 MARKETABLE EQUITY SECURITIES 8785131 F U.S. GOVERNMENT SECURITIES 959005 F 9744136 ASSETS LIMITED AS TO USE 6087820 RELATED 501(C)(3) ORG. 13400240 19488060 0 ACCRUED PENSION LIABILITY 3723273 MALPRACTICE SELF-INSURANCE LIAB. 2867120 6590393 X 8369551 261384 261384 8108167 80783 80783 8188950 7078667 7078667 80783 80783 7159450 PART V, LINE 4: Southampton Hospital Association currently reports Endowment Funds within its December 31, 2021 financial statements. The governing body intends to use these funds to support the mission of Stony Brook Southampton Hospital. PART X, LINE 2: Southampton Hospital Association has not taken an unsubstantiated tax position that would require provision of a liability under ASC 740. Under ASC 740, an organization must recognize the tax effects associated with tax positions taken for tax return purposes when it is more-likely-than-not that the position will be sustained upon examination. The organization does not believe there are any material uncertain tax positions and, accordingly, has not recognized any liability for unrecognized tax benefits. The organization has filed IRS Form 990 tax returns, as required, and all other applicable returns in jurisdictions when it is required. A SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION 273722095 2014-10-02 33500000 refinance series 1999a and 1999b false false false B SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION 273722095 2017-11-30 14000000 construct. of cancer treatment ctr false false false A 0 0 33500000 0 0 28644501 607619 0 0 3931601 823269 0 true false true true B 0 0 14000000 0 0 0 280000 0 0 13564522 155478 0 false false true true A false false false false 0 false false false false B false false false false 0 false false false false A false false false true false false 0 false 0 false false B false true false false false false 0 false 0 false false A false B false Part IV, Arbitrage, Line 2c, Column A: In 2019 the reporting organization evaluated the 10/2/14 bond issue (Column A) and determined that there was no arbitrage rebate required as a result of unspent proceeds of approximately $4 million held in a non-interest-bearing account for approximately 6 to 12 months in 2014/2015. Those funds held in a non-interest bearing account were earning substantially less than the bond interest rate of 3.5%. Form 990, Part VI, Section A, Line 6: The reporting organization does not have members. The not for-profit membership corporation referred to in response to Part III, Line 1 refers to the reporting organization's governing body itself (i.e., its trustees and directors), acting in such capacity. As a result, the response is consistent with IRS Form 990 Instructions. FORM 990, PART VI, SECTION B, LINE 11B: SOUTHAMPTON HOSPITAL ASSOCIATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. UPON COMPLETION, THE FORM 990 IS REVIEWED BY MANAGEMENT AND IS THEN FORWARDED ELECTRONICALLY TO THE MEMBERS OF THE BOARD OF TRUSTEES FOR THEIR REVIEW. ANY QUESTIONS OR ISSUES ARE THEN ADDRESSED BY THE APPROPRIATE PARTIES PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C: SOUTHAMPTON HOSPITAL ASSOCIATION UTILIZES THE SOUTHAMPTON PROFESSIONAL EMPLOYER ORGANIZATION'S (PEO) EMPLOYEES TO CARRY OUT ITS MISSION. THEREFORE, THE ORGANIZATION FOLLOWS STONY BROOK SOUTHAMPTON'S CONFLICT OF INTEREST POLICY, AS WELL AS THEIR WHISTLEBLOWER POLICY. BOTH POLICIES ARE CURRENTLY IN PLACE. FORM 990, PART VI, SECTION B, LINES 15A AND 15B: THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19: SOUTHAMPTON HOSPITAL'S FORM 990, AS WELL AS ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY, ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. INTERESTED PARTIES MAY REQUEST THE DOCUMENTS AT 240 MEETING HOUSE LANE, SOUTHAMPTON, NY 11968. FORM 990, PART VII: SOUTHAMPTON HOSPITAL ASSOCIATION ENTERED INTO AN ASSET PURCHASE AGREEMENT (APA) WITH STAFFCO OF BROOKLYN, LLC (STAFFCO), A REGISTERED PROFESSIONAL EMPLOYER ORGANIZATION AFFILIATED WITH STATE UNIVERSITY OF NEW YORK (SUNY) ON APRIL 7, 2017. AS PART OF THE APA, ON THE CLOSING DATE, STAFFCO ACQUIRED CERTAIN SOUTHAMPTON HOSPITAL ASSOCIATION ASSETS USED IN THE MANAGEMENT OF THE ORGANIZATION'S EMPLOYEES AND ASSUMED CERTAIN LIABILITIES RELATED TO THOSE EMPLOYEES. ADDITIONALLY, STAFFCO OFFERED EMPLOYMENT TO ALL, OR SUBSTANTIALLY ALL, OF THE PHYSICIAN AND NON-PHYSICIAN STAFF WHO WERE EMPLOYED BY THE ORGANIZATION AT THE CLOSING DATE. FORM 990, PART XI, LINE 9: CHANGE IN PENSION OBLIGATION...............................$3,561,222. INTEREST IN NET LOSS OF NET ASSETS WITHOUT DONOR RESTRICTIONS OF FOUNDATION.................................(581,956.) INTEREST IN NET GAIN OF NET ASSETS WITH DONOR RESTRICTIONS OF FOUNDATION................................1,791,354. TOTAL......................................................$4,770,620. SOUTHAMPTON CARE CENTER 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 112658403 NURSING HOME NY 501(c)(3) 10 N/A false THE SOUTHAMPTON HOSPITAL FOUNDATION 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 113466516 SRVC PROVIDER NY 501(C)(3) 7 sha true SHA PROPERTIES 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 112563612 REAL ESTATE NY SHA C 0 13162 1.00000 true OLD TOWN MEDICAL PRACTICE PC 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 452430883 MEDICAL PRACTICE NY SHA C 0 0 1.00000 true false false false true false false false false false false false false true true true false false false false