2019-10-21T11:05:54-05:00 2018-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2018-01-01 111667765 SOUTHAMPTON HOSPITAL ASSOCIATION % CHRISTOPHER SCHULTHEIS SOUT 6317268301 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 CHRISTOPHER SCHULTHEIS cfo 6317268301 2019-10-17 true Paul Hammerschmidt P01384178 2128858000 24.98.146.212 26308920192945000000 2019-10-21 P A24F609FCCA88A60844EA56223D8C041BF48CC74 7650403D266B766C333176AE000A8E3E9E2A92DE 2018 2020-01-14 16:20:31Z ROBERT S CHALONER 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 8249111 false X www.southampton.stonybrookmedicine.edu X 1909 NY TO PROVIDE AND ENSURE THE HIGHEST QUALITY OF HEALTHCARE SERVICES FOR ITS ENTIRE COMMUNITY. 18 18 0 21 0 0 3908391 0 86104692 6175653 660934 615785 2755058 0 93429075 6791438 0 0 0 0 59533184 -321595 0 0 0 34025578 12579531 93558762 12257936 -129687 -5466498 99391958 90981811 61996551 59152904 37395407 31828907 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. 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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 not 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, 2018, there was 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 6532147 155478 7032375 false false false true A false false false false 0 0.01400 0.01400 false false false false B false false false false 0 false false false false A false true false false false false 0 false 0 false false B false true false false false false 0 false 0 false false A false B false FORM 990, PART VI, SECTION A, LINE 4: The reporting organization amended its Bylaws that were approved by the board of directors on December 10, 2016. The Bylaws provided: The mission of Southampton Hospital Association, 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. This is accomplished by: (a) participating in an affiliation (the "Affiliation") with the State University of New York ("SUNY") acting through Stony Brook University Hospital ("SBUH"), pursuant to an integration and Affiliation Agreement (the "IAA") between the Assocation and SUNY/SBUH and several related agreements, including a Lease Agreement (the "Lease"), an Asset Purchase Agreement (the "APA"), a license Agreement (the "License") and a Medical Records Agreement (the "MRA") (collectively, the "Affiliation Agreements"); and (b) actively supporting the development of facilities and resources needed to provide healthcare services to the people in those communities. As Southampton Hospital Association previously reported on 2017 Form 990: IN ACCORDANCE WITH THE AMENDED AND RESTATED INTEGRATION AND AFFILIATION AGREEMENT (THE IAA), ON AUGUST 1, 2017 (THE CLOSING DATE), SOUTHAMPTON HOSPITAL ASSOCIATION SURRENDERED ITS ARTICLE 28 LICENSE AND ALL OPERATIONS OF THE ORGANIZATION WERE TRANSFERRED TO THE STATE UNIVERSITY OF NEW YORK (SUNY) AND ARE NOW BEING OPERATED BY STONY BROOK UNIVERSITY HOSPITAL (SBUH). 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 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.....................(1,340,329) INTEREST IN NET GAIN OF NET ASSETS WITHOUT DONOR RESTRICTIONS OF FOUNDATION........................1,637,732 NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS.........459,259 NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS........(459,259) INTEREST IN NET GAIN OF NET ASSETS WITH DONOR RESTRICTIONS OF FOUNDATION................................847,847 TOTAL......................................................1,145,250 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 false false false false false false false false false true true true false false false false