SOUTHAMPTON HOSPITAL ASSOCIATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHAMPTON HOSPITAL ASSOCIATION (EIN 11-1667765)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202403199349315295
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T16:24:52-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUSTCHARLES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 S WARREN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 111667765 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHAMPTON HOSPITAL ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 6317268301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 MEETING HOUSE LANE | AddressLine1Txt |
| City | SOUTHAMPTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11968 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER SCHULTHEIS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6317268301 | PhoneNum |
| Signature | 2024-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS J GIUFRE | PreparerPersonNm |
| PTIN | P00841958 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2024-11-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EMILY MASTALER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 MEETING HOUSE LANE | AddressLine1Txt |
| City | SOUTHAMPTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11968 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,131,087 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SOUTHAMPTON.STONYBROOKMEDICINE.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1909 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE THE HIGHEST QUALITY OF HEALTHCARE SERVICES FOR ITS ENTIRE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $661,976 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,352,944 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,927,203 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,026,538 | CYProgramServiceRevenueAmt |
| PY Investment Income | $318,235 | PYInvestmentIncomeAmt |
| CY Investment Income | $320,686 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $1,445 | CYOtherRevenueAmt |
| PY Total Revenue | $5,907,414 | PYTotalRevenueAmt |
| CY Total Revenue | $22,701,613 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | -$577,039 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,024,956 | PYOtherExpensesAmt |
| CY Other Expenses | $913,193 | CYOtherExpensesAmt |
| PY Total Expenses | $6,447,917 | PYTotalExpensesAmt |
| CY Total Expenses | $913,193 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$540,503 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $21,788,420 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $89,731,880 | TotalAssetsBOYAmt |
| Total Assets EOY | $98,627,423 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,422,713 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,693,185 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $46,309,167 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $64,934,238 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE OTHE 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $752,534 | ExpenseAmt |
| Revenue | $1,027,983 | RevenueAmt |
| Desc | TO PROMOTE THE HEALTH OF PEOPLE IN THE COMMUNITIES ON THE SOUTH FORK OF LONG ISLAND FROM WESTHAMPTON TO MONTAUK AND SHELTER ISLAND. | Desc |
| Total Program Service Expenses | $752,534 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 248 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTOPHER SCHULTHEIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6317268301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 MEETING HOUSE LANE | AddressLine1Txt |
| City | SOUTHAMPTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11968 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| GEORGE F BIONDO ESQ | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA BORSACK | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| HOWARD COX | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW DAVIS | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| JAMES FORBES | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| ELENA FORD | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| GILBERT W HARRISON | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | 0.50 | |
| WAYNE ISOM MD | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE P KAZDIN | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| JAY K LEVINE | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD LISMAN MD | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| LAURA LOFARO FREEMAN | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| HOWARD M LORBER | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | 0.50 | |
| JAMES MACGREGOR | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| OSCAR MOLINA | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| ALLISON MORROW | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| LOUISE PHANSTIEL | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| FLORENCE ROLSTON MD | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| JEAN SHAFIROFF | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL F SMITH | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| JOHN WAMBOLD | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| FREDRIC WEINBAUM MD | |||||||
| TRUSTEE | 1.25 | Yes (X) | $0 | $0 | $0 | ||
| LAWRENCE A WILLIS | |||||||
| TREASURER | 1.25 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KENNETH B WRIGHT | |||||||
| CHAIRMAN | 1.25 | Yes (X) | $0 | $0 | $0 | 0.50 | Yes (X) |
| ROBERT S CHALONER | |||||||
| PRESIDENT & CEO | 2.50 | Yes (X) | $0 | $0 | $0 | 7.50 | Yes (X) |
| CHRISTOPHER J SCHULTHEIS | |||||||
| CHIEF FINANCIAL OFFICER | 2.50 | $0 | $0 | $0 | 0.50 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| TURNER CONSTRUCTION CO | |||||
| 66 HUDSON BLVD EAST | NEW YORK | NY | 10001 | CONSTRUCTION SERVICES | $10,937,647 |
| PERKINS EASTMAN ARCHITECTS PC | |||||
| 115 FIFTH AVENUE | NEW YORK | NY | 10003 | ARCHITECTURAL SERVICES | $552,202 |
| LIRO PROG & CONST MNGMT PE PC | |||||
| 3 AERIAL WAY | SYOSSET | NY | 11791 | CONSTRUCTION SERVICES | $453,338 |
| BDO | |||||
| PO BOX 642743 | PITTSBURGH | PA | 152642743 | ACCOUNTING SERVICES | $102,859 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $16,792,120 | RelatedOrganizationsAmt |
| Government Grants | $4,560,824 | GovernmentGrantsAmt |
| Total Contributions | $21,352,944 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE INCOME | Desc |
| Business | 532000 | BusinessCd |
| Total Revenue Column | $1,026,538 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,026,538 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,026,538 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $314,506 | TotalRevenueColumnAmt |
| Exclusion | $314,506 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $435,654 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $429,474 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,180 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,180 | TotalRevenueColumnAmt |
| Exclusion | $6,180 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,445 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,445 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,445 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,701,613 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,027,983 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $320,686 | ExclusionAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,000 | TotalAmt |
| Management And General | $100,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,659 | TotalAmt |
| Management And General | $60,659 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,885 | TotalAmt |
| Program Services | $1,221,885 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,726 | TotalAmt |
| Program Services | $85,726 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$568,504 | TotalAmt |
| Program Services | -$568,504 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS EXPENSES | Desc |
| Total | $13,427 | TotalAmt |
| Program Services | $13,427 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $913,193 | TotalAmt |
| Program Services | $752,534 | ProgramServicesAmt |
| Management And General | $160,659 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,231 | BOYAmt |
| EOY | $652,088 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,650,000 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,626 | BOYAmt |
| EOY | $39,544 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,928,197 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,443,564 | BOYAmt |
| EOY | $29,928,197 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,598,844 | BOYAmt |
| EOY | $11,029,989 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,356,615 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $55,327,605 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,731,880 | BOYAmt |
| EOY | $98,627,423 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,647 | BOYAmt |
| EOY | $142,748 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,798,839 | BOYAmt |
| EOY | $29,690,702 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,275,227 | BOYAmt |
| EOY | $3,859,735 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,422,713 | BOYAmt |
| EOY | $33,693,185 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,439,986 | BOYAmt |
| EOY | $46,721,472 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,869,181 | BOYAmt |
| EOY | $18,212,766 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,309,167 | BOYAmt |
| EOY | $64,934,238 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,731,880 | BOYAmt |
| EOY | $98,627,423 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $21,788,420 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,963,025 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$2,152,837 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$2,973,537 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $238,172 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $661,976 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,352,944 | CurrentTaxYearAmt |
| Total | $22,253,092 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,524,750 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,733,175 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,381,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,927,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,027,983 | CurrentTaxYearAmt |
| Total | $23,594,497 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,762,922 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,733,175 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,381,386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,589,179 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,380,927 | CurrentTaxYearAmt |
| Total | $45,847,589 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $45,847,589 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $325,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $239,187 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $228,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $286,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $314,506 | CurrentTaxYearAmt |
| Total | $1,393,696 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $325,197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $239,187 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $228,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $286,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $314,506 | CurrentTaxYearAmt |
| Total | $1,393,696 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,088,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,972,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,609,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,875,691 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,695,433 | CurrentTaxYearAmt |
| Total | $47,241,285 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97050 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95510 | PublicSupportPY509Pct |
| Investment Income CY | 0.02950 | InvestmentIncomeCYPct |
| Investment Income PY | 0.04490 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,249,736 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,306,472 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $20,638 | OtherExpendituresAmt |
| Administrative Expenses | $60,659 | AdministrativeExpensesAmt |
| End Year Balance | $15,474,911 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,879,472 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,629,736 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $13,249,736 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,889,360 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,990,112 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $15,879,472 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,996,736 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,107,377 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,889,359 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,794,600 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,202,136 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $14,996,736 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.81690 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.18310 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,985,951 | OtherCostOrOtherBasisAmt |
| Book Value | $4,985,951 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,942,246 | OtherCostOrOtherBasisAmt |
| Book Value | $24,942,246 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,928,197 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INVESTMENTS | Desc |
| Book Value | $11,029,989 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $11,029,989 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN SOUTHAMPTON HOSPITAL FOUNDATION | $17,961,301 |
| LEASE RECEIVABLE | $32,602,739 |
| ASSETS LIMITED TO USE | $4,763,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $55,327,605 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $2,063,735 |
| MALPRACTICE SELF-INSURANCE LIABILITY | $1,796,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,859,735 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | SOUTHAMPTON HOSPITAL ASSOCIATION CURRENTLY REPORTS ENDOWMENT FUNDS WITHIN ITS DECEMBER 31, 2023 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 (SHA) IS INCORPORATED IN THE STATE OF NEW YORK AND ARE EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND THEREFORE HAS MADE NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, SHA, HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. SHA HAS NOT TAKEN AN UNSUBSTANTIATED TAX POSITION THAT WOULD REQUIRE PROVISION OF A LIABILITY UNDER ASC 740, INCOME TAXES. 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. SHA DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAVE NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. SHA HAS FILED IRS FORM 990 TAX RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHEN IT IS REQUIRED. TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2020 THROUGH 2023. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION | |||||||
| A | 273722095 | 2014-10-02 | $33,500,000 | REFINANCE SERIES 1999A AND 1999B | 0 | 0 | 0 |
| SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION | |||||||
| B | 273722095 | 2017-11-30 | $14,000,000 | CONSTRUCTION OF CANCER TREATMENT CENTER | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $33,500,000 | $28,644,501 | $607,619 | $3,931,601 | $823,269 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $14,000,000 | $280,000 | $13,564,522 | $155,478 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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%. |
| PART IV, ARBITRAGE, LINE 2C, COLUMN B: | THE REPORTING ORGANIZATION EVALUATED THE BOND ISSUED 11/30/17 (COLUMN B) AND DETERMINED THAT THERE WAS NO ARBITRAGE REBATE REQUIRED. UNSPENT PROCEEDS OF APPROXIMATELY $14 MILLION WERE HELD AT THE BANK OF NEW YORK IN A NON-INTEREST-BEARING ACCOUNT FROM NOVEMBER 2017 THROUGH JUNE 2019. THOSE FUNDS HELD IN A NON-INTEREST BEARING ACCOUNT WERE EARNING SUBSTANTIALLY LESS THAN THE BOND INTEREST RATE OF 3.5%. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, LINE 15 | 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 MEETINGHOUSE LANE, SOUTHAMPTON, NY 11968 OR BY CALLING THE ORGANIZATION DIRECTLY AT (631)726-8200. |
| PART X, LINE 10A-10C | IN 2023, IT WAS DETERMINED THAT ASSETS PREVIOUSLY RECORDED AS PROPERTY AND EQUIPMENT HAD BEEN TRANSFERRED TO SBUH FOR THE REMAINDER OF THEIR USEFUL LIVES. ADDITIONALLY, THE BOOK VALUE OF THE PROPERTY AND EQUIPMENT PREVIOUSLY RECORDED HAD EXCEEDED THE PRESENT VALUE OF ESTIMATED FUTURE LEASE PAYMENTS. NET ASSETS AT THE BEGINNING OF YEAR WERE DECREASED $2,152,837 AS A RESULT OF THE CORRECTION. |
| FORM 990, PART XI, LINE 9: | CHANGES IN PENSION OBLIGATION 862,617. CHANGE IN INTEREST IN NET ASSET WITHOUT DONOR RESTRICTIONS FOUNDATION 2,102,386. CHANGE IN INTEREST IN NET ASSET WITH DONOR RESTRICTIONS FOUNDATION -5,656,415. NET PERIODIC PENSION -282,125. |
| PART XII, LINE 2C | NO CHANGES FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHAMPTON CARE CENTER | |||||||||||
| 240 MEETING HOUSE LANE | SOUTHAMPTON | NY | 11968 | 112658403 | NURSING HOME | NY | 501(C)(3) | LINE 10 | N/A | 0 | |
| THE SOUTHAMPTON HOSPITAL FOUNDATION | |||||||||||
| 240 MEETING HOUSE LANE | SOUTHAMPTON | NY | 11968 | 113466516 | SERVICE PROVIDER | NY | 501(C)(3) | LINE 7 | Yes (1) | SHA | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SHA PROPERTIES | |||||||||||
| 240 MEETING HOUSE LANE | SOUTHAMPTON | NY | 11968 | 112563612 | REAL ESTATE | NY | SHA | C | $13,162 | 1.00000 | Yes (1) |
| OLD TOWN MEDICAL PRACTICE PC | |||||||||||
| 240 MEETING HOUSE LANE | SOUTHAMPTON | NY | 11968 | 452430883 | MEDICAL PRACTICE | NY | SHA | C | 1.00000 | Yes (1) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE SOUTHAMPTON HOSPITAL FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $16,792,120 | InvolvedAmt |