2020-12-18T10:53:29-06:00 2019-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2019-01-01 111667765 SOUTHAMPTON HOSPITAL ASSOCIATION % CHRISTOPHER SCHULTHEIS SOUT 6317268301 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 CHRISTOPHER SCHULTHEIS cfo 6317268301 2020-12-18 true Paul Hammerschmidt P01384178 2128858000 2019 2022-09-23 18:48:47Z X ROBERT S CHALONER 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 11690266 false X www.southampton.stonybrookmedicine.edu X 1909 NY TO PROMOTE THE HIGHEST QUALITY OF HEALTHCARE SERVICES FOR ITS ENTIRE COMMUNITY. 24 24 0 24 0 0 0 238172 6175653 6524750 615785 1561695 0 0 6791438 8324617 0 0 0 0 -321595 117795 0 0 0 12579531 9417725 12257936 9535520 -5466498 -1210903 90981811 88611842 59152904 54041274 31828907 34570568 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 9207319 0 6524750 To promote the health of people in the communities on the South Fork of Long Island from Westhampton to Montauk and Shelter Island. 9207319 true true 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 357 0 true 0 false false false false false false false false false false false false X 24 24 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 0.0 X X 0 0 0 KENNETH B WRIGHT CHAIRMAN 1.25 0.5 X X 0 0 0 RICHARD J HIEGEL ESQ CO-CHAIR 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 JAMES FORBES TRUSTEE 1.25 0.0 X 0 0 0 GILBERT W HARRISON TRUSTEE 1.25 0.5 X 0 0 0 WAYNE ISOM MD FROM 7 DIRECTOR 1.25 0.0 X 0 0 0 GEORGE P KAZDIN TRUSTEE 1.25 0.0 X 0 0 0 LISA CLARE KOMBRINK E TRUSTEE 1.25 0.0 X 0 0 0 JAY K LEVINE TRUSTEE 1.25 0.0 X 0 0 0 RICHARD LISMAN MD FR DIRECTOR 1.25 0.0 X 0 0 0 LAURA LOFARO FREEMAN DIRECTOR (FROM 7/19) 1.25 0.0 X 0 0 0 HOWARD M LORBER TRUSTEE 1.25 0.5 X 0 0 0 JAMES MACGREGOR FROM DIRECTOR 1.25 0.0 X 0 0 0 JOHN MCGOWAN TRUSTEE 1.25 0.0 X 0 0 0 ALLISON MORROW FROM 7 DIRECTOR 1.25 0.0 X 0 0 0 LOUISE PHANSTIEL FROM DIRECTOR 1.25 0.0 X 0 0 0 FLORENCE ROLSTON MD TRUSTEE 1.25 0.0 X 0 0 0 JEAN SHFIROFF FROM 7 DIRECTOR 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 CHIRSTOPHER J SCHULTH CHIEF FINANCIAL OFFICER 2.5 0.5 X 0 0 0 0 0 0 0 false false false STANTEC CONSULTING SERVICES INC 13980 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONSULTING 370870 PERKINS EASTMAN ARCHITECTS PC 115 FIFTH AVENUE NEW YORK NY 10003 ARCHITECT SERVICES 174636 ERDMAN COMPANY PO BOX 88670 MILWAUKEE WI 53288 CONSTRUCTION SVCS. 171228 BDO USA LLP 100 PARK AVENUE NEW YORK NY 10017 AUDIT & TAX 151682 4 0 238172 238172 LEASE INCOME 532000 6524750 6524750 6524750 325197 325197 0 0 0 0 0 4602147 3365649 1236498 1236498 1236498 0 0 0 0 0 0 0 0 0 0 8324617 6524750 1561695 0 0 0 0 0 0 0 117795 117795 0 0 0 26749 26749 180682 180682 0 0 120770 120770 0 0 149 149 0 0 0 0 0 0 1843471 1843471 0 7270898 7270898 -100645 -100645 OTHER INTEREST AND FEES 64878 64878 OTHER DIRECT EXPENSES 9756 9756 LICENSES AND TAXES 1017 1017 9535520 9207319 328201 0 458496 186675 27052 43914 0 0 0 0 0 0 0 0 0 0 0 0 0 79411 213305243 149626005 63671285 63679238 0 0 5139541 7956398 0 0 0 0 21685437 16666206 90981811 88611842 180066 252700 0 0 0 0 43338407 41028795 0 0 0 0 3847111 1796446 0 0 11787320 10963333 59152904 54041274 X 26063049 25200581 5765858 9369987 31828907 34570568 90981811 88611842 X -1210903 1755444 2197120 X false true X true false X 5486201 9022163 3908391 0 238172 18654927 135295277 144704775 87270997 6175653 6524750 379971452 0 0 0 140781478 153726938 91179388 6175653 6762922 398626379 0 0 0 398626379 1113372 1102356 319740 314814 325197 3175479 3263661 3019863 1528895 7812419 4377033 4122219 1848635 314814 325197 10987898 0 161546 167184 59858 0 0 388588 145320057 158016341 93087881 6490467 7088119 410002865 0.97225 0.97272 0.02680 0.02621 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6794600 8202136 14996736 7171867 -377267 6794600 11295053 7627239 11750425 7171867 11430384 768776 904107 11295053 11858782 -20898 407500 11430384 0.81100 0.18900 false false 4985952 4985952 63028555 26450084 36578471 124353486 122240138 2113348 20937251 935784 20001467 63679238 MARKETABLE EQUITY SECURITIES 5485052 F U.S. GOVERNMENT SECURITIES 2471346 F 7956398 ASSETS LIMITED AS TO USE 7729557 RELATED 501(C)(3) ORG. 8918229 DUE FROM RELATED PARTIES 18420 16666206 0 ACCRUED PENSION LIABILITY 6798333 MALPRACTICE SELF-INSURANCE LIAB. 4165000 10963333 X 9959291 1755444 1755444 8203847 120770 120770 8324617 9414750 9414750 120770 120770 9535520 PART V, LINE 4: SOUTHAMPTON HOSPITAL ASSOCIATION CURRENTLY REPORTS ENDOWMENT FUNDS WITHIN ITS DECEMBER 31, 2019 FINANCIAL STATEMENTS. THE GOVERNING BODY INTENDS TO USE THESE FUNDS TO OFFSET THE COST OF INDIGENT CARE, EMERGENCY SERVICES AND NURSING EDUCATION. 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 benefit 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. For the year ended December 31, 2019, there were no interest or penalties recorded or included in the consolidated financial statements. 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 false true B 0 0 14000000 0 0 0 280000 0 0 13385921 155478 178601 false false false 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 organizations 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. 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 OFFICER'S 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 OR BY CALLING THE ORGANIZATION DIRECTLY AT (631)726-8200. 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 organizations 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 UNFUNDED PENSION OBLIGATION.......................(220,257) CHANGE IN INTEREST IN NET LOSS OF NET ASSETS WITHOUT DONOR RESTRICTIONS OF FOUNDATION.......................(1,186,752) CHANGE IN INTEREST IN NET GAIN OF NET ASSETS WITH DONOR RESTRICTIONS OF FOUNDATION..............................3,604,129 TOTAL......................................................2,197,120 Form 990 Header, Item B, Amended Return: The reporting organization is filing amended Form 990 to correctly report Supplemental Information on Tax-Exempt Bonds (Issue Date 11/30/2017) that were erroneously reported on its original filing: Schedule K Line As Originally Reported As Amended Reason 10, Column B $6,532,147 $13,385,921 To update and correct 12, Column B $7,032,375 $178,601 To update and correct 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 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 true true false false false false false false false false true true true false false false false