SOUTHAMPTON HOSPITAL ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SOUTHAMPTON HOSPITAL ASSOCIATION (EIN 11-1667765)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201733199349313058
Schema version: 2016v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T15:16:27-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	100 PARK AVENUE	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	100175001	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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)
In Care Of	% CHRISTOPHER SCHULTHEIS	InCareOfNm
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	CHIRSTOPHER J SCHULTHEIS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6317268301	PhoneNum
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Paul Hammerschmidt	PreparerPersonNm
PTIN	P01384178	PTIN
Phone	2128858000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.98.81.75	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	26308920173195000052	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	0301D1767987A970E3D036483339B1537D5F9E3B	AtSubmissionCreationDeviceId
At Submission Filing Device Id	0301D1767987A970E3D036483339B1537D5F9E3B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT S CHALONER	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	$175,278,473	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.southamptonhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1909	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE AND ENSURE THE HIGHEST QUALITY OF HEALTHCARE SERVICES FOR ITS ENTIRE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	1295	TotalEmployeeCnt
Total Volunteers	21	TotalVolunteersCnt
Total Gross UBI	$3,019,863	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$259,217	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,486,201	PYContributionsGrantsAmt
CY Contributions Grants	$9,022,163	CYContributionsGrantsAmt
PY Program Service Revenue	$138,558,938	PYProgramServiceRevenueAmt
CY Program Service Revenue	$147,724,638	CYProgramServiceRevenueAmt
PY Investment Income	$813,291	PYInvestmentIncomeAmt
CY Investment Income	$2,268,186	CYInvestmentIncomeAmt
PY Other Revenue	$1,012,662	PYOtherRevenueAmt
CY Other Revenue	$915,371	CYOtherRevenueAmt
PY Total Revenue	$145,871,092	PYTotalRevenueAmt
CY Total Revenue	$159,930,358	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	$89,750,094	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$96,036,833	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$55,128,284	PYOtherExpensesAmt
CY Other Expenses	$59,334,140	CYOtherExpensesAmt
PY Total Expenses	$144,878,378	PYTotalExpensesAmt
CY Total Expenses	$155,370,973	CYTotalExpensesAmt
PY Revenues Less Expenses	$992,714	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,559,385	CYRevenuesLessExpensesAmt
Total Assets BOY	$120,793,141	TotalAssetsBOYAmt
Total Assets EOY	$126,387,709	TotalAssetsEOYAmt
Total Liabilities BOY	$92,946,090	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$94,816,597	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,847,051	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$31,571,112	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE VISION OF SOUTHAMPTON HOSPITAL ASSOCIATION IS TO MEET THE EVOLVING HEALTHCARE NEEDS OF ITS EASTERN LONG ISLAND COMMUNITY BY PROVIDING ACCESS TO A CONTINUUM OF HIGH QUALITY CLINICAL SERVICES. TO ACHIEVE THIS, THE HOSPITAL WILL FOCUS RESOURCES ON CONTINUOUSLY IMPROVING CLINICAL OUTCOMES, PATIENT SAFETY, SERVICE EXCELLENCE AND PROMOTING EDUCATIONAL OUTREACH AND PROFESSIONAL DEVELOPMENT OF ITS STAFF. A 125-BED, VOLUNTARY, NOT-FOR-PROFIT FACILITY, SOUTHAMPTON HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. THE HOSPITAL IS A BARIATRIC SURGERY CENTER OF EXCELLENCE, DESIGNATED BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY AND THE SURGICAL REVIEW CORPORATION, AND A NEW YORK STATE DESIGNATED STROKE CENTER. IN ADDITION, IT HAS RECEIVED THE FOLLOWING RECOGNITIONS: AMERICAN COLLEGE OF RADIOLOGY ACCREDITATIONS IN ALL IMAGING SERVICES PROVIDED; A SIX-TIME WINNER OF AARC QUALITY RESPIRATORY CARE RECOGNITION AWARD; IPRO 2010 EXCELLENCE IN C	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$130,164,014	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$147,724,638	RevenueAmt
Desc	In 2016, Southampton Hospital offered a full continuum of ambulatory and inpatient services ranging from primary medical care to specialized surgical procedures, and is staffed by more than 290 physicians, dentists and allied health professionals representing 48 medical specialties. The Hospital has developed numerous services and outreach, detailed below, to respond to the needs of its patients, including recruiting additional primary care and specialty physicians, RNs, NPs, and PAs. The graduate medical education program is training physicians for primary and family practice, as well as surgery, and a gratifying number of these doctors are staying within the Hospitals service area. The Affordable Care Act and the insurance exchanges resulted in more people accessing primary care and the Hospital continues to concentrate on family practice in its medical education program. Since the Hospitals catchment area extends from Westhampton Beach to Montauk, the Hospital has satellite offices to provide convenient, specialized care that is convenient to these communities. These include: a) Westhampton Primary Care Center: providing care for the Westhampton, Westhampton Beach, Quogue, and Remsenburg communities. (relocated to Hiegel Healthcare Center in early 2016.) b) Laboratory and Imaging Services: services in East Hampton, Hampton Bays, Southampton, and Westhampton Beach. c) Regional Dialysis Center: service to dialysis patients is provided by a dedicated interdisciplinary team of Board-certified Nephrologists, certified dialysis RNs, LPNs and dialysis technicians, certified social workers, and a NYS Registered Dietitian. 24-hour emergency service is also available. d) Center for Physical Therapy and Sports Rehabilitation: providing care for the Westhampton, Westhampton Beach, East Quogue, Quogue, and Remsenburg communities. (relocated to Hiegel Healthcare Center in early 2016.) e) In April of 1995, Southampton Hospital began working with the Shinnecock Nation to provide services on territory at the Shinnecock Health Center through a contract with the New York State Department of Health, American Indian Health Program. The clinic provides approximately 2,100 medical and 1,000 dental visits for enrolled members of the Shinnecock Nation. Dental services, including community education, screening, radiological exams, dental hygiene and restorative care are provided through a sub-contract with Stony Brook University, School of Dental Medicine. Currently dental services are available eight days per month for adults and two days per month for pediatrics. In addition to primary care, dental services, nutritional counseling, prenatal care and endocrine services the clinic provides mental health and substance abuse counselling. Health screening day is also held annually in collaboration with local health care providers and institutions. f) The David E. Rogers MD Center for HIV/AIDS Care: The Rogers Center is another important collaboration between Southampton Hospital, Stony Brook Medicine and town and community organizations of the East End of Long Island. Major funding is provided through Ryan White Part A federal funds and to provide support services and prevention education to partners and family members affected by AIDS. The Center is a member of the Peconic Community Council, a not-for-profit coalition of organizations and individuals dedicated to the promotion and preservation of health and human services for the entire East End community. g) Center for Prenatal Care: Located in Greenport on the eastern end of Long Islands North Fork, the Center provides prenatal care to approximately 50 mothers annually in an underserved and geographically remote area. A majority of these babies are born at Southampton Hospitals Kathleen D. Allen Maternity Center. In addition, Southampton Hospital is proud of the exceptional specialty services it provides to the community within the Hospital. These include: H) Audrey and Martin Gruss Heart & Stroke Center, providing vascular surgery and diagnostics in a state-of-the-art operating suite. This is particularly critical to the Hospitals service area since the nearest tertiary medical center is 46 miles away in Stony Brook, NY. I) Tick-Borne Disease Resource Center established in 2014, was created in response to a growing concern for diseases that are prevalent in the East End population due to several varieties of ticks found in the area. The Resource Center educates the public, promotes collaboration in the medical community, and facilitates access to diagnosis and treatment of tick-borne diseases. Our dedicated phone "help" line for advice received xx calls in 2016. Information about the complex set of tick-borne diseases is posted on the Hospital website, and we raise public awareness by presenting educational programs throughout the East End community. J) The Ellen Hermanson Breast Center offers a wide spectrum of breast health services, including education, early detection screenings, surgery, breast cancer treatment and support. Accredited by the American College of Radiology, the Center utilizes state-of-the-art diagnostic techniques, including computer-assisted mammography, Tomosynthesis, ultrasound and breast biopsy. K) The Ed & Phyllis Davis Wellness Institute offers the only hospital-based integrative medicine on Long Islands East End. Integrative medicine combines modern science, psychology, nutrition, and exercise to enhance the natural healing capacity of the body. Special programs are available for patients suffering from chronic illness. Classes in yoga, tai chi, pilates, zumba, are available. Programs in stress management, nutritional and weight loss counseling, smoking cessation, massage therapy, and acupuncture are also available. L) The Jenny and John Paulson Department of Emergency Medicine serves more than 25,000 emergency patients annually and is the only hospital-based emergency care on the South Fork of Long Island. Staffed 24/7 by Board-certified emergency physicians and specialty-trained nurses and staff, it has the most sophisticated, non-invasive cardiac diagnostic and monitoring technology available and, as a New York State-designated Stroke Center, it is the destination of ambulances when a heart attack or stroke is suspected. It was designated a provisional Level III Trauma Center. M) Palliative Care at Southampton Hospital is a Joint Commission-certified program dedicated to providing specialized care to patients facing serious illness. Our patient-centered philosophy encompasses all aspects of the patients experience. The focus of our palliative care service is to reduce the severity of disease symptoms and the goal is to relieve suffering and improve quality of life. Our team includes doctors, nurses, social workers, and chaplains specializing in palliative care. Massage therapists, pharmacists, nutritionists, acupuncturists, and others may also play a role. All caregivers work closely with a patients primary physician. N) Kathleen D. Allen Maternity Center is designed to meet the individual needs of our mothers and their families. Private labor/delivery rooms provide a supportive, comfortable and medically safe birthing environment. Each is equipped with state-of-the-art monitoring capabilities for mother and baby. Specialty-trained anesthesiologists assist with pain relief, labor and delivery RNs have competency in fetal monitoring, and all Maternity staff is competent in Neonatal Resuscitation. Should a Caesarian section be necessary, a dedicated, specially-equipped state-of-the-art operating suite is located within the Maternity Center. O) The Center for Advanced Wound Healing provides a multidisciplinary team of professionals who employ sophisticated wound care practices and advanced clinical approaches including hyperbaric oxygen therapy (HBO) that are tailored to the individual patient.	Desc
Total Program Service Expenses	$130,164,014	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	257	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1295	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRISTOPHER SCHULTHEIS	PersonNm
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)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT S CHALONER
PRESIDENT & CEO	50.0	0.5	Yes (X)	Yes (X)	$784,360	$0	$43,017
KENNETH B WRIGHT
CHAIRMAN	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD J HIEGEL ESQ
CO-CHAIR	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
LAWRENCE A WILLIS
TREASURER	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
PATRICIA STEWART
SECRETARY	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
GEORGE F BIONDO ESQ
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
BARBARA BORSACK
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
RICHARD BRUCE
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
JAMES FORBES
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
DAVID GILLESPIE
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
GILBERT W HARRISON
TRUSTEE	1.25	0.5	Yes (X)		$0	$0	$0
GEORGE P KAZDIN
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
LISA CLARE KOMBRINK ESQ
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
JAY K LEVINE
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
HOWARD M LORBER
TRUSTEE	1.25	0.5	Yes (X)		$0	$0	$0
R TIMOTHY MARAN
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
JOHN MCGOWAN
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
FLORENCE ROLSTON MD
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
STEPHEN H SHAPOFF THRU 816
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
MICHAEL F SMITH
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
JOHN WAMBOLD
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
DARIN G WIGGINS MD
TRUSTEE	1.25	0.5	Yes (X)		$0	$0	$0
CHIRSTOPHER J SCHULTHEIS
CHIEF FINANCIAL OFFICER	50.0	0.5		Yes (X)	$347,205	$0	$42,968
FREDERIC I WEINBAUM
CHIEF MEDICAL OFFICER & COO	50.0	0.0		Yes (X)	$548,894	$0	$43,587
PATRICIA A DARCEY
CHIEF NURSING OFFICER	50.0	0.0			$242,914	$0	$41,670	Yes (X)
STEVEN GEORGOPOULOS
PHYSICIAN	50.0	0.0			$774,260	$0	$42,940		Yes (X)
JAMES A MOORE
PHYSICIAN	50.0	0.0			$602,520	$0	$42,940		Yes (X)
KRISTIN P NASO
PHYSICIAN	50.0	0.0			$497,811	$0	$42,940		Yes (X)
MICHAEL ELLIS
PHYSICIAN	50.0	0.0			$459,411	$0	$22,469		Yes (X)
NEEMA POURTAHERI
PHYSICIAN	50.0	0.0			$458,677	$0	$26,047		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,716,052	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$348,578	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	150	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BOURKE FLANAGAN ASATO PC
21 SOUTH MAIN STREET	SOUTHAMPTON	NY	11968	LEGAL	$2,726,438
QUEST DIAGNOSTICS
14225 NEWBROOK DRIVE	CHANTILLY	VA	20153	MEDICAL	$1,624,155
MORRISON HEALTHCARE
PO BOX 102289	ATLANTA	GA	30368	FOOD SERVICES	$1,278,456
E4 SERVICES LLC
60 NORTH CAROLINA AVENUE	SINKING SPRINGS	PA	19608	HEALTHCARE SERVICES	$938,498
IMUGEN INC
315 NORWOOD PARK SOUTH	NORWOOD	MA	02062	HEALTHCARE SERVICES	$788,188

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$194,871	FederatedCampaignsAmt
Related Organizations	$3,857,021	RelatedOrganizationsAmt
Government Grants	$1,556,035	GovernmentGrantsAmt
All Other Contributions	$3,414,236	AllOtherContributionsAmt
Total Contributions	$9,022,163	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT SERVICES	624200	$74,966,932	$74,966,932
OUTPATIENT SERVICES	624200	$73,901,058	$73,901,058
LABORATORY EXTENDED SERVICES	621500	$2,709,787		$2,709,787
LESS: PROVISION FOR UNCOLLECTIBLES, NET	624200	-$5,000,000	-$5,000,000
LABORATORY REVENUE	621500	$720,955	$720,955

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$425,906	TotalRevenueColumnAmt
Related Or Exempt Func Income	$115,830	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$310,076	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$147,724,638	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$354,169	TotalRevenueColumnAmt
Exclusion	$354,169	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$748,187	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$748,187	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$748,187	TotalRevenueColumnAmt
Exclusion	$748,187	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$17,262,132	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$15,348,115	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,914,017	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,914,017	TotalRevenueColumnAmt
Exclusion	$1,914,017	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
SHINNECOCK 3RD PARTY	900099	$38,026	$38,026
FILM COPIES	900099	$5,605	$5,605
MEDICAL RECORDS	900099	$493	$493

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$123,060	TotalRevenueColumnAmt
Exclusion	$123,060	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$167,184	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,930,358	TotalRevenueColumnAmt
Related Or Exempt Func Income	$144,704,775	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,019,863	UnrelatedBusinessRevenueAmt
Exclusion	$3,183,557	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,094,615	TotalAmt
Management And General	$2,094,615	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,752,077	TotalAmt
Program Services	$59,986,786	ProgramServicesAmt
Management And General	$9,765,291	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,073,015	TotalAmt
Program Services	$4,362,793	ProgramServicesAmt
Management And General	$710,222	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,124,509	TotalAmt
Program Services	$12,147,078	ProgramServicesAmt
Management And General	$1,977,431	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,992,617	TotalAmt
Program Services	$4,293,651	ProgramServicesAmt
Management And General	$698,966	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$782,198	TotalAmt
Program Services	$672,690	ProgramServicesAmt
Management And General	$109,508	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$914,916	TotalAmt
Management And General	$914,916	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$266,592	TotalAmt
Management And General	$266,592	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$26,408	TotalAmt
Program Services	$22,711	ProgramServicesAmt
Management And General	$3,697	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$116,617	TotalAmt
Management And General	$116,617	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,889,159	TotalAmt
Program Services	$5,924,677	ProgramServicesAmt
Management And General	$964,482	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,602	TotalAmt
Program Services	$9,118	ProgramServicesAmt
Management And General	$1,484	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,412,265	TotalAmt
Program Services	$15,834,548	ProgramServicesAmt
Management And General	$2,577,717	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,782,977	TotalAmt
Program Services	$1,533,360	ProgramServicesAmt
Management And General	$249,617	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,984,593	TotalAmt
Program Services	$1,706,750	ProgramServicesAmt
Management And General	$277,843	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$288,591	TotalAmt
Management And General	$288,591	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,318	TotalAmt
Management And General	$4,318	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,610,713	TotalAmt
Program Services	$1,385,213	ProgramServicesAmt
Management And General	$225,500	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,541,264	TotalAmt
Program Services	$6,485,487	ProgramServicesAmt
Management And General	$1,055,777	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,773,270	TotalAmt
Program Services	$3,245,012	ProgramServicesAmt
Management And General	$528,258	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER PURCHASE SERVICES	$10,617,407	$9,130,970	$1,486,437
UTILITIES	$2,040,986	$1,755,248	$285,738
OTHER DIRECT EXPENSES	$1,478,585	$1,271,583	$207,002
MISCELLANEOUS	$792,679	$396,339	$396,340

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$155,370,973	TotalAmt
Program Services	$130,164,014	ProgramServicesAmt
Management And General	$25,206,959	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,032,639	BOYAmt
EOY	$6,636,873	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,682,148	BOYAmt
EOY	$1,619,877	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,258,115	BOYAmt
EOY	$19,638,082	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,088,612	BOYAmt
EOY	$2,806,449	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$838,534	BOYAmt
EOY	$904,026	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$190,756,972	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$127,045,051	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$58,794,422	BOYAmt
EOY	$63,711,921	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$26,118,484	BOYAmt
EOY	$26,211,803	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,980,187	BOYAmt
EOY	$4,858,678	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$120,793,141	BOYAmt
EOY	$126,387,709	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$25,155,912	BOYAmt
EOY	$25,624,541	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,500,000	BOYAmt
EOY	$33,500,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$8,344,501	BOYAmt
EOY	$10,315,768	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,945,677	BOYAmt
EOY	$25,376,288	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,946,090	BOYAmt
EOY	$94,816,597	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$24,209,575	BOYAmt
EOY	$28,181,302	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$803,459	BOYAmt
EOY	$555,793	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,834,017	BOYAmt
EOY	$2,834,017	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,847,051	BOYAmt
EOY	$31,571,112	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$120,793,141	BOYAmt
EOY	$126,387,709	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,559,385	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,082,720	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$247,396	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$26,408	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$26,408	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	false	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1F:	FormAndLineReferenceDesc
Explanation	SOUTHAMPTON HOSPITAL ASSOCIATION PAYS MEMBERSHIP DUES TO THE BELOW MENTIONED ORGANIZATIONS. A PERCENTAGE OF THESE DUES ARE THEN USED TO REIMBURSE THE ORGANIZATION FOR THE COST OF LOBBYING ACTIVITIES PERFORMED ON BEHALF OF THE HOSPITAL. THE FUNDS ARE USED FOR LOBBYING PURPOSES IN CONNECTION WITH NEW YORK STATE AND FEDERAL POLICY ISSUES. MEMBERSHIP DUES PAID TO OTHER ORGANIZATIONS AND USED FOR LOBBYING PURPOSES: Healthcare Association of New York State........$ 8,112. American Hospital Association...................$ 6,628. Nassau Suffolk Hospital Council.................$ 1,968. Greater NY Hospital Association.................$ 8,558. 1199 HEP FUND...................................$ 1,142. Total...........................................$26,408.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,430,384	BeginningYearBalanceAmt
Investment Earnings Or Losses	$768,776	InvestmentEarningsOrLossesAmt
Other Expenditures	$904,107	OtherExpendituresAmt
End Year Balance	$11,295,053	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,858,782	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$20,898	InvestmentEarningsOrLossesAmt
Other Expenditures	$407,500	OtherExpendituresAmt
End Year Balance	$11,430,384	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,808,731	BeginningYearBalanceAmt
Contributions	$698,598	ContributionsAmt
Investment Earnings Or Losses	$351,153	InvestmentEarningsOrLossesAmt
End Year Balance	$11,858,482	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,527,461	BeginningYearBalanceAmt
Contributions	$5,500,000	ContributionsAmt
Investment Earnings Or Losses	$781,270	InvestmentEarningsOrLossesAmt
End Year Balance	$10,808,731	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,115,379	BeginningYearBalanceAmt
Investment Earnings Or Losses	$412,082	InvestmentEarningsOrLossesAmt
End Year Balance	$4,527,461	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74910	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.25090	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,985,952	OtherCostOrOtherBasisAmt
Book Value	$4,985,952	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,000,103	OtherCostOrOtherBasisAmt
Depreciation	$26,450,084	DepreciationAmt
Book Value	$36,550,019	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$120,716,370	OtherCostOrOtherBasisAmt
Depreciation	$99,659,183	DepreciationAmt
Book Value	$21,057,187	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,054,547	OtherCostOrOtherBasisAmt
Depreciation	$935,784	DepreciationAmt
Book Value	$1,118,763	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$63,711,921	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SHORT TERM INVESTMENTS	$7,626,993	F
RESTRICTIONS	$3,389,810	F
INVESTMENTS IN SHA PROPERTIES	$6,300,000	C
MALPRACTICE SELF INSURANCE-FD	$8,895,000	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$26,211,803	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$8,267,366
DUE TO THIRD-PARTY PAYORS, NET	$6,013,922
MALPRACTICE SELF-INSURANCE LIAB.	$8,895,000
DUE TO AFFILIATE	$2,200,000

Field	Value	IRS element (for citing)
Total Liability	$25,376,288	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$159,226,090	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,082,720	NetUnrealizedGainsInvstAmt
Other Revenue	$495,069	OtherRevenueAmt
Revenue Not Reported	-$587,651	RevenueNotReportedAmt
Revenue Subtotal	$159,813,741	RevenueSubtotalAmt
Investment Expenses Not Incld	$116,617	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$116,617	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$159,930,358	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$155,254,356	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$155,254,356	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$116,617	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$116,617	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$155,370,973	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	SOUTHAMPTON HOSPITAL ASSOCIATION CURRENTLY REPORTS ENDOWMENT FUNDS WITHIN ITS DECEMBER 31, 2016 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 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, 2016, there was no interest or penalties recorded or included in the consolidated financial statements. The organization believes it is no longer subject to income tax examinations for the years prior to 2013, which is the statute of limitation look back period.
PART XI, LINE 2D:	CHANGE IN UNFUNDED PENSION OBLIGATION

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	233	PersonsServedCnt
Total Community Benefit Expns	$2,485,079	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$2,227,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$257,304	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,290,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,731,152	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,559,461	NetCommunityBenefitExpnsAmt
Total Expense	0.08080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	233	PersonsServedCnt
Total Community Benefit Expns	$28,775,691	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,503,377	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,816,765	NetCommunityBenefitExpnsAmt
Total Expense	0.08250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,211,340	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,094,856	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,116,484	NetCommunityBenefitExpnsAmt
Total Expense	0.05220	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$50,118,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,604,978	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,513,734	NetCommunityBenefitExpnsAmt
Total Expense	0.08190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$62,330,052	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,699,834	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,630,218	NetCommunityBenefitExpnsAmt
Total Expense	0.13410	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	233	PersonsServedCnt
Total Community Benefit Expns	$91,105,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,203,211	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,446,983	NetCommunityBenefitExpnsAmt
Total Expense	0.21660	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,957	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,957	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,000,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,050,245	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,714,770	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$43,495,673	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,780,903	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	17	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (17 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	Facility Reporting GroupFacilityReportingGroupCd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	OtherOtherDesc
SOUTHAMPTON HOSPITAL ASSOCIATION
1	240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	Yes (X)	A
DIALYSIS CENTER
2	184 W MONTAUK HIGHWAY	HAMTPON BAYS	NY	11946		B	Yes (X)	DIALYSIS TREATMENT FACILITY
GREENPORT PRENATAL
3	300 ATLANTIC AVENUE	GREENPORT	NY	11944		B	Yes (X)	PRENATAL/WOMEN'S SERVICES
LAB EAST
4	200 PANTIGO PLACE	EAST HAMPTON	NY	11944		B	Yes (X)	LABORATORY SERVICES
IMAGING - EH
5	200 PANTIGO PLACE	EAST HAMPTON	NY	11937		B	Yes (X)	RADIOLOGY SERVICES
WESTHAMPTON PRIMARY CARE
6	72 OLD RIVERHEAD ROAD	WESTHAMPTON BEACH	NY	11978		B	Yes (X)	PRIMARY CARE PRACTICE
WESTHAMPTON SPORTS REHAB
7	74 OLD RIVERHEAD ROAD	WESTHAMPTON BEACH	NY	11978		B	Yes (X)	SPORTS REHAB/ PHYSICAL THERAPY SERVICES
LAB SOUTH
8	325 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968		B	Yes (X)	LABORATORY SERVICES
ATRIUM LAB
9	182 W MONTAUK HIGHWAY	HAMPTON BAYS	NY	11946		B	Yes (X)	LABORATORY SERVICES
DAVID ROGERS CENTER
10	335 D MEETING HOUSE LANE	SOUTHAMPTON	NY	11968		B	Yes (X)	HIV/AIDS CARE
SHINNECOCK HEALTH
11	CHURCH STREET	SOUTHAMPTON	NY	11968		B	Yes (X)	PRIMARY CARE/DENTAL SERVICES
SOUTHAMPTON CARE CENTER
12	240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968		B	Yes (X)	NURSING HOME (FACILITY CLOSED)
IMAGING - HAMPTON BAYS
13	182 W MONTAUK HIGHWAY	HAMPTON BAYS	NY	11946		B	Yes (X)	RADIOLOGY SERVICES
MEETING HOUSE LANE PRACTICE
14	PO BOX 2340	SOUTHAMPTON	NY	11968		B	Yes (X)	PRIMARY/SPECIALTY PHYSICIAN PATIENT CARE
LAB-AMAGANSETT
15	518 MONTAUK HIGHWAY SUITE 104	AMAGANSETT	NY	11930		B	Yes (X)	LABORATORY SERVICES
HAMPTON BAYS WELLNESS CENTER
16	38B MONTAUK HIGHWAY	HAMPTON BAYS	NY	11946		B	Yes (X)	WELLNESS SERVICES
WESTHAMPTON IMAGINGLAB
17	147 BEACH ROAD	WESTHAMPTON BEACH	NY	11978		B	Yes (X)	IMAGING/LAB

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
A
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	Yes (true)	15	Yes (true)	WWW.SOUTHAMPTONHOSPITAL.ORG	false	Yes (true)	Yes (X)	400.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (true)	Yes (X)	false	false
B
	false	false	false																						false	Yes (true)	Yes (X)	400.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, SECTION B, LINE 4:

THE HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR THE PERIOD 2015 - 2017. THE CHNA WAS DEEMED CONDUCTED IN 2015 WHEN IT WAS MADE "WIDELY AVAILABLE" TO THE PUBLIC AND THE WRITTEN REPORT AND IMPLEMENTATION STRATEGY WERE FINALIZED, APPROVED, AND ACCEPTED BY THE HOSPITAL'S GOVERNING BODY, IN ACCORDANCE WITH IRS NOTICE 2011-52. THE CHNA REPORT CAN BE FOUND ON THE ORGANIZATION'S WEBSITE AT: https://southampton.stonybrookmedicine.edu/sites/default/files/2015%20PRC% 20CHNA%20Report%20-%20Southampton%20Hospital.pdf

PART V, SECTION B, LINE 5:

SEE SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT LANGUAGE.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	THERE ARE TWO LEVELS OF CHARITY CARE COVERAGE: PRIMARY SERVICE AREA AND NON-PRIMARY SERVICE AREA. A PRIMARY SERVICE AREA PATIENT IS A PATIENT WHO RESIDED IN NEW YORK STATE WITHIN THE COUNTIES OF SUFFOLK OR NASSAU AT THE TIME OF SERVICE. A NON-PRIMARY SERVICE AREA PATIENT IS A PATIENT WHO RESIDED IN NEW YORK STATE BUT NOT WITHIN THE COUNTIES OF SUFFOLK OR NASSAU AT THE TIME OF SERVICE. ELIGIBLE SERVICES FOR A PRIMARY SERVICE AREA PATIENT: A PRIMARY SERVICE AREA PATIENT WHO MEETS THE FINANCIAL REQUIREMENTS IS ELIGIBLE FOR THE FOLLOWING MEDICALLY NECESSARY SERVICES: INPATIENT, AMBULATORY, EMERGENCY ROOM, EMERGENCY TRANSFERS UNDER THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA), OUTPATIENT, AND DIAGNOSTIC CARE. UNDERINSURED PRIMARY SERVICE AREA PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ON MEDICARE AND COMMERCIAL INSURANCE CARRIER CO-INSURANCES FOR ALL ABOVE LISTED SERVICES. ELIGIBLE SERVICES FOR A NON-PRIMARY SERVICE AREA PATIENT: A NON-PRIMARY SERVICE AREA PATIENT WHO MEETS THE FINANCIAL REQUIREMENTS IS ELIGIBLE FOR THE FOLLOWING MEDICALLY NECESSARY SERVICES: EMERGENCY ROOM, EMERGENT ADMISSIONS, AND EMERGENCY TRANSFERS UNDER THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA). UNDERINSURED NON-PRIMARY SERVICE AREA PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE ON MEDICARE AND COMMERCIAL INSURANCE CARRIER CO-INSURANCES FOR ALL ABOVE LISTED SERVICES. INELIGIBLE SERVICES: THE FOLLOWING SERVICES AND/OR ITEMS ARE NOT COVERED BY CHARITY CARE FOR ANY PATIENT: NOT MEDICALLY NECESSARY SERVICES AS DETERMINED BY MEDICARE(E.G. COSMETIC SURGERY, BARIATRIC SURGERY), INSURANCE CO-PAYMENTS/CO-INSURANCES/DEDUCTIBLES, MEDICAID SPEND-DOWN AMOUNTS, NON-COVERED SERVICES AS DETERMINED BY THE PATIENT'S INSURANCE CARRIER, PRIVATE ROOM RATES, AND PRIVATE PHYSICIAN FEES WHICH ARE NOT BILLED BY SOUTHAMPTON HOSPITAL (E.G. RADIOLOGY, PATHOLOGY, ANESTHESIOLOGY, EMERGENCY). FAMILY INFORMATION REQUIREMENTS: A PATIENT MUST PROVIDE ON THEIR CHARITY CARE APPLICATION A LIST OF THE FAMILY/HOUSEHOLD MEMBERS AND OR DEPENDENTS WITH WHOM THE PATIENT RESIDES. IF THE PATIENT IS AN ADULT, THE PATIENT MUST LIST THEIR SPOUSE OR DOMESTIC PARTNER, CHILDREN UNDER THE AGE OF 21, AND ANY DEPENDENTS OR OTHER HOUSEHOLD MEMBERS THAT LIVE WITH THE PATIENT. IF THE PATIENT IS A CHILD UNDER THE AGE OF 21, THE APPLICANT MAY LIST THE PATIENT'S PARENTS, SIBLINGS UNDER THE AGE OF 21, AND ANY DEPENDENTS OR OTHER HOUSEHOLD MEMBERS THAT LIVE WITH THE PATIENT. FINANCIAL REQUIREMENTS: TO BE FINANCIALLY ELIGIBLE TO RECEIVE CHARITY CARE, A PATIENT MUST HAVE A GROSS FAMILY/HOUSEHOLD INCOME LESS THAN OR EQUAL TO 400% OF THE FEDERAL POVERTY LEVEL GUIDELINE (FPG). ELIGIBLE INCOME: THE FOLLOWING INCOME ITEMS WILL BE USED TO DETERMINE A PATIENT'S INCOME: EARNINGS FROM EMPLOYMENT, UNEMPLOYMENT COMPENSATION, WORKERS COMPENSATION, DISABILITY, SOCIAL SECURITY, ANNUITIZED PENSION PLAN, CHILD SUPPORT, ALIMONY, DIVIDENDS, INTEREST, RENTALS, ESTATES, TRUSTS, SALE OF ASSETS, AND OTHER MISCELLANEOUS INCOME. SOLE PROPRIETORSHIP, PARTNERSHIP, AND S CORPORATION INCOME WILL BE CALCULATED BY ITS GROSS PROFIT OR TOTAL INCOME PRIOR TO EXPENSES AND DEDUCTIONS; HOWEVER, COST OF GOODS SOLD MAY BE DEDUCTED FROM GROSS SALES. SALE OF ASSETS, SUCH AS REPORTED ON A SCHEDULE D OR ITS EQUIVALENT, WILL BE CALCULATED BY THEIR SALE PRICE AND NOT BY THEIR GAIN OR LOSS. FINANCIAL DOCUMENTATION REQUIREMENTS: A PATIENT MUST PROVIDE FINANCIAL DOCUMENTATION TO SUPPORT THEIR CURRENT STATED INCOME. THE FOLLOWING DOCUMENTS ARE ACCEPTABLE AS PROOF: COPIES OF RECENT PAY STUBS (SEVERAL CONSECUTIVE ARE PREFERRED WHEN AVAILABLE), A RECENT UNEMPLOYMENT OR DISABILITY STATEMENT, A LETTER FROM AN EMPLOYER, OR A SELF-ATTESTATION LETTER. A PATIENT MAY BE REQUIRED TO SUBMIT ADDITIONAL DOCUMENTATION AT SOUTHAMPTON HOSPITAL'S REQUEST IN ORDER TO SUBSTANTIATE THEIR STATED INCOME. IF A PATIENT IS CLAIMING ZERO INCOME, THE PATIENT WILL BE REQUIRED TO SUBMIT A VERIFICATION OF NON-FILING LETTER FROM THE IRS. THIS LETTER IS OBTAINED THROUGH IRS FORM 4506-T WHICH WILL BE MADE AVAILABLE TO THE PATIENT UPON REQUEST. THE PATIENT MUST ALSO SUBMIT A LETTER DESCRIBING THE MEANS BY WHICH THEY ARE SUPPORTED. IF THE PATIENT IS UNABLE TO FILE IRS FORM 4506-T DUE TO NOT HAVING A SOCIAL SECURITY NUMBER, THE PATIENT MUST SUBMIT THE ABOVE-MENTIONED LETTER. APPLICABLE RATES: THE APPLICABLE RATE FOR AN INPATIENT VISIT IS THE MEDICARE DIAGNOSIS RELATED GROUP (DRG) RATE FOR THAT VISIT. THE APPLICABLE RATE FOR AN AMBULATORY, EMERGENCY ROOM, OUTPATIENT, OR DIAGNOSTIC CARE VISIT IS THE MEDICARE HCPCS/CPT PAYMENT PLUS MINIMUM UNADJUSTED CO-PAYMENT FOR THAT VISIT. THE APPLICABLE RATE FOR LAB TESTS ON OUTPATIENT AND EMERGENCY ROOM VISITS WILL BE 10% OF THE CHARGE PER TEST. SELF-PAY DISCOUNT: SOUTHAMPTON HOSPITAL OFFERS A SELF-PAY DISCOUNT TO UNINSURED PATIENTS FOR SERVICES AND PROCEDURES PROVIDED AND BILLED BY SOUTHAMPTON HOSPITAL. A) ELIGIBLE SERVICES - THE FOLLOWING SERVICES PERFORMED BY SOUTHAMPTON HOSPITAL ARE ELIGIBLE FOR A SELF-PAY DISCOUNT: INPATIENT, AMBULATORY, EMERGENCY ROOM, EMERGENCY TRANSFERS UNDER THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA), OUTPATIENT, AND DIAGNOSTIC CARE. B) INELIGIBLE SERVICES - THE FOLLOWING SERVICES AND ITEMS ARE NOT ELIGIBLE FOR A SELF-PAY DISCOUNT: OUTPATIENT CARDIAC REHABILITATION, OUTPATIENT NUTRITIONAL COUNSELING, WELLNESS CENTER SERVICES/PROGRAMS, OUTPATIENT PHYSICAL THERAPY, PRIVATE PHYSICIAN FEES NOT BILLED BY SOUTHAMPTON HOSPITAL. THE FOLLOWING IS A LISTING OF INDEPENDENT SERVICE PROVIDERS, PRACTITIONERS OR MEDICAL GROUPS, THAT ARE NOT EMPLOYEES OF SOUTHAMPTON HOSPITAL, BUT DELIVER EMERGENCY OR MEDICALLY NECESSARY CARE IN THE FACILITY AND WHOSE SERVICES MAY NOT BE COVERED UNDER THIS FAP: 24/7 EMERGENCY CARE - EMERGENCY SERVICES; CATSKILL DERMATOLOGY - DERMATOLOGY; ENT AND ALLERGY ASSOCIATES, LLP - EAR, NOSE AND THROAT; EAST END ANESTHESIOLOGISTS, LLC - ANESTHESIOLOGY; EAST END ENDOCRINE ASSOCIATES, PC - ENDOCRINOLOGY; East End Nephrology, PC - Nephrology; East End Pain Management, LLC - Anesthesiology; East End Pediatrics - Pediatrics; Eastern LI Surgery - Surgery; Eastern Suffolk Cardiology - Cardiology; Eastern Suffolk Nephrology - Nephrology; Eastern Suffolk Urology, PC - Urology; Hampton Dermatology - Dermatology; Hampton Medical Care - Internal Medicine; Hampton Pediatrics, LLC - Pediatrics; Hamptons Gynecology & Obstetrics - Gynecology & Obstetrics; Hennessey Dermatology, LLC - Dermatology; Long Island Bone & Joint, LLP - Orthopaedics; New York Orthopaedic Spinal Associates - Orthopaedics; New York Spine & Brain Surgery, PC - Surgery; North Fork Radiology, PC - Radiology; North Shore Eye Care - Ophthalmology; Peconic Ophthalmology - Ophthalmology; Peconic Surgical Group, PC - Surgical; South Fork Podiatry, PC - Podiatry; Southampton Pediatric Associates - Pediatrics; Southampton Radiology, PC - Radiology; Stony Brook Children's Hospital - Pediatrics; Stony Brook Internists - Internal Medicine; Stony Brook Radiology - Radiology. C) DISCOUNT - SELF-PAY ACCOUNTS ARE DISCOUNTED AT A RATE OF 70% OFF TOTAL CHARGES. A. AUTOMATIC DISCOUNTING - THE SELF-PAY DISCOUNT WILL BE CALCULATED AND APPLIED TO THE PATIENTS' ACCOUNT AUTOMATICALLY BY THE HOSPITAL INFORMATION SYSTEM (HIS). B. MANUAL DISCOUNTING - THE SELF-PAY DISCOUNT MAY NEED TO BE MANUALLY CALCULATED AND APPLIED IN CERTAIN CIRCUMSTANCES (E.G. LATE CHARGES) AND WILL BE HANDLED BY PATIENT FINANCIAL SERVICES. D) ADDITIONAL FINANCIAL ASSISTANCE - PATIENTS WHO ARE UNABLE TO PAY FOR A SELF-PAY DISCOUNTED BILL MAY STILL APPLY FOR OTHER TYPES OF FINANCIAL ASSISTANCE SUCH AS CHARITY CARE. APPLYING FOR ANOTHER TYPE OF FINANCIAL ASSISTANCE WILL NOT RESULT IN THE LOSS OF THE OFFERED SELF-PAY DISCOUNT, HOWEVER, IF ACCEPTED INTO ANOTHER FINANCIAL ASSISTANCE PROGRAM, THAT PROGRAMS CALCULATION METHODOLOGY WILL BE DONE INDEPENDENTLY OF THE SELF-PAY DISCOUNTED AMOUNT (I.E. FINANCIAL ASSISTANCE PROGRAMS ARE MUTUALLY EXCLUSIVE).
PART III, LINE 3:	SOUTHAMPTON HOSPITAL UTILIZED THE AUDITED FINANCIAL STATEMENT AMOUNT REPORTED FOR BAD DEBT OF $5,000,000 AS ITS STARTING POINT. THIS AMOUNT WAS MULTIPLIED BY A COST TO CHARGE RATIO OF 100% (DETERMINED ON SCHEDULE H WORKSHEET 2) RESULTING IN A COST OF BAD DEBT OF $5,000,000. THIS COST WAS THEN MULTIPLIED BY 41.0049% - THE SELF PAY PERCENTAGE AS DETERMINED BY THE 2016 INSTITUTIONAL COST REPORT. THIS RESULTED IN A COST OF BAD DEBT FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY OF $2,050,245.
PART III, LINE 4:	THE ORGANIZATION DETERMINE EXPECTED BAD DEBT WRITE-OFFS BASED ON ACTUAL ACCOUNTS, NET OF AN EXPECTED RATE OF RECOVERY. IT'S NOT BASED ON A PERCENTAGE OF REVENUE.
PART III, LINE 8:	SOUTHAMPTON HOSPITAL UTILIZED THE 2552 COST REPORT PREPARED ANNUALLY FOR MEDICARE TO DETERMINE THE TOTAL REVENUE RECEIVED FROM MEDICARE, AS WELL AS THE MEDICARE ALLOWABLE COSTS RELATING TO THE REVENUE REPORTED. MEDICARE ALLOWABLE COSTS OF $43,495,673 ARE GREATER THAN THE TOTAL MEDICARE REVENUE OF $41,714,770 FOR 2016; THEREFORE THE SHORTFALL OF $1,780,903 MAY BE DEEMED A COMMUNITY BENEFIT.
PART III, LINE 9B:	ACCOUNTS WITH UNCOLLECTABLE BALANCES ARE ACCOUNTS FOR A PATIENT (GUARANTOR) WHO HAS NOT RESPONDED TO REQUESTS FOR PAYMENT OR WHO HAS DEMONSTRATED AN EXEMPTION FROM PAYMENT. THE REQUEST FOR PAYMENT &/OR THE EXEMPTION MUST MEET THE FOLLOWING CRITERIA: 1. AT LEAST FOUR (4) CONSECUTIVE 120-DAY BILLS MUST HAVE BEEN GENERATED (OR NO LESS THAN 120 DAYS FROM FIRST BILL) AND SENT WITHOUT RESPONSE FROM THE PATIENT (GUARANTOR) BEFORE BEING SENT TO A COLLECTION AGENCY; OR 2. THE PATIENT (GUARANTOR) HAS DECLARED BANKRUPTCY (DISCHARGE OF DEBT OR MUST HAVE BEEN RECEIVED); OR 3. THE ESTATE OF THE PATIENT (GUARANTOR) HAS BEEN SETTLED AND THERE WERE NO FUNDS FOR PAYMENT LEFT IN THE ESTATE; OR 4. MAIL HAS BEEN RETURNED AND OTHER METHODS OF CONTACTING THE PATIENT (GUARANTOR) HAVE FAILED. THE ACCOUNT IS THEN CONSIDERED AND HANDLED AS A BAD DEBT ACCOUNT. PATIENT FINANCIAL SERVICES MAY ELECT TO SEND THE ACCOUNT TO AN OUTSIDE AGENCY, UP TO AND INCLUDING LEGAL ACTION. BAD DEBT ACCOUNTS ARE PURE SELF PAY ACCOUNTS FOR A PATIENT (GUARANTOR) WHO HAS NOT RESPONDED TO REQUESTS FOR PAYMENT. THE REQUEST FOR PAYMENT MUST MEET THE FOLLOWING CRITERIA: AT LEAST FOUR (4) CONSECUTIVE 30-DAY BILLS MUST HAVE BEEN GENERATED AND SENT WITHOUT RESPONSE FROM THE PATIENT (GUARANTOR); OR MAIL HAS BEEN RETURNED AND ALL OTHER METHODS OF CONTACTING THE PATIENT(GUARANTOR) HAVE FAILED. ONCE IT IS DETERMINED AN ACCOUNT BALANCE CANNOT BE COLLECTED BY PATIENT FINANCIAL SERVICES, THE ACCOUNT MAY BE TURNED OVER FOR COLLECTION BY AN OUTSIDE AGENCY, UP TO AND INCLUDING LEGAL ACTION. THE OUTSIDE COLLECTION AGENCY, AFTER DUE DILIGENCE, MAY DETERMINE THE BALANCE ON AN ACCOUNT CANNOT BE COLLECTED, THE ACCOUNT BALANCE MAY BE WRITTEN OFF USING THE APPROPRIATE CODE FOR THE ACCOUNT.
PART VI, LINE 2:	Online Key Informant Survey: To solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by Southampton Hospital; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. In all, 133 community stakeholders took part in the Online Key Informant Survey, as outlined below: Online Key Informant Survey Participation Key Informant Type Number Invited Number Participating Physician 24 11 Public Health Representative 2 2 Other Health Provider 63 28 Social Services Provider 61 18 Community/Business Leader 144 74 Final Participation included representatives of the organizations outlined below: 91 Hill LLC; Adele Macmillan, LCSW-R, Private Practitioner; Amaden Gay Agencies; Barth Counseling; Bartky HealthCare Center; Bellringer Communications, Inc.; Blumenfield & Fleming, LLC; Bridgehampton Citizens Advisory Committee; Bridgehampton UFSD; Brookhaven Memorial Hospital Outpatient Behavioral Health; Coalition for Women's Cancers at Southampton Hospital; David E. Rogers Center; Development Officer; East End Clinical Connections; East End Counseling; East End DBT; East End Pediatrics; East End Regional Intervention Court; East Hampton Family Medicine; East Hampton Healthcare Foundation; East Hampton Lions Club Foundation; East Hampton Town Police Department; East Hampton Union Free School District; East Hampton Village Ambulance Association; East Quogue Fire Department; Eastern Suffolk BOCES Employee Assistance Program; ELIHO; Family Service League; Fighting Chance; First Presbyterian Church; Hampton Bays Public Library; Hampton Counseling; Hamptons Gynecology and Obstetrics; Indian Health/ACS; I-TRI Inspirational Triathlon Racing International; Maggie Bloomfield, LCSW, CASAC, MFA; Montauk Fire Department; Montauk Library; OLA of Eastern Long Island; Our Lady of the Hamptons School; Peer Recovery Services; Private Provider; Public Library; Remsenburg-Speonk UFSD; Retired Educator; Rogers Memorial Library; School District; Seafield Center; Shelter Island School; Shinnecock Indian Health Service; Southampton Business Alliance; Southampton Hospital; Southampton Pediatric Associates; Southampton Town Police Department; Southampton Volunteer Ambulance; Suffolk County Department of Health Services; The Retreat; Town of East Hampton Department of Human Services; Town of Southampton Youth Bureau; Tuckahoe Common School District; Village of Southampton; Westhampton Beach Police Department; Westhampton Primary Care. Through this process, input was gathered from several individuals whose organizations work with low-income, minority populations (including abused families, African-Americans, Asians, Caribbean Islanders, Central Americans, children with learning disabilities, Columbians, the disabled, Eastern Europeans, Ecuadorians, Hispanics, immigrants, LGBT community, low income residents, Medicaid/Medicare beneficiaries, Native Americans, non-English speaking individuals, Portuguese people, South Americans, undocumented persons, the uninsured/underinsured, and veterans), or other medically underserved populations (including African-Americans, cancer patients, children, children and young adults, the disabled, the elderly, Hispanics, HIV positive individuals, The homeless, immigrants, LGBT community, those living alone, low income residents, Medicaid/Medicare beneficiaries, the mentally ill, Native Americans, non-English speaking individuals, pregnant teens, substance abusers, undocumented persons, unemployed residents, the uninsured/underinsured, veterans, women, and young adults). In the online survey, key informants were asked to rate the degree to which various health issues are a problem in their own community. Follow-up questions asked them to describe why they identify problem areas as such, and how these might be better addressed. Results of their ratings, as well as their verbatim comments, are included throughout this report as they relate to the various other data presented. NOTE: These findings represent qualitative rather than quantitative data. The Online Key Informant Survey was designed to gather input from participants regarding their opinions and perceptions of the health of the residents in the area. Thus, these findings are based on perceptions, not facts. Benchmark Data: New York Risk Factor Data - Statewide risk factor data are provided where available as an additional benchmark against which to compare local survey findings; these data are reported in the most recent BRFSS (Behavioral Risk Factor Surveillance System) Prevalence and Trend Data published by the Centers for Disease Control and Prevention and the US Department of Health & Human Services. Nationwide Risk Factor Data - Nationwide risk factor data, which are also provided in comparison charts, are taken from the 2013 PRC National Health Survey; the methodological approach for the national study is identical to that employed in this assessment, and these data may be generalized to the US population with a high degree of confidence. Healthy People 2020 - Healthy People provides science-based, 10-year national objectives for improving the health of all Americans. The Healthy People initiative is grounded in the principle that setting national objectives and monitoring progress can motivate action. For three decades, Healthy People has established benchmarks and monitored progress over time in order to: - Encourage collaborations across sectors. - Guide individuals toward making informed health decisions. - Measure the impact of prevention activities. Healthy People 2020 is the product of an extensive stakeholder feedback process that is unparalleled in government and health. It integrates input from public health and prevention experts, a wide range of federal, state and local government officials, a consortium of more than 2,000 organizations, and perhaps most importantly, the public. More than 8,000 comments were considered in drafting a comprehensive set of Healthy People 2020 objectives. Determining Significance - Differences noted in this report represent those determined to be significant. For survey-derived indicators (which are subject to sampling error), statistical significance is determined based on confidence intervals (at the 95 percent confidence level) using question-specific samples and response rates. Information Gaps - While this assessment is quite comprehensive, it cannot measure all possible aspects of health in the community, nor can it adequately represent all possible populations of interest. It must be recognized that these information gaps might in some ways limit the ability to assess all of the communitys health needs. For example, certain population groups - such as homeless, instutionalized persons, or those who only speack a language other than English or Spanish - are not represented in the survey data. Other population groups - for example, pregnant women, lesbian/gay/bisexual/transgender residents, undocumented residents, and members or certain racial/ethnic or immigrant groups - might not be identifiable or might not be represented in numbers sufficient for independent analyses. In addition, this assessment does not include secondary data from existing sources which can provide relevant data collected through death certificates, birth certificates, or notifications or infectious disease cases in the community. In terms of content, this assessment was designed to provide a comprehensive and broad picture of the health of the overall community. However, there are certainly a great number of medical conditions that are not specifically addressed. Prioritization of Health Needs - On December 11, 2015, more than 30 individuals (representing local health providers, social service providers, and community leaders, as well as Southampton Hospital senior leaders and other internal stakeholders) met to evaluate, discuss and prioritize health issues for the community, based on findings of the 2015 PRC Community Health Needs Assessment (CHNA). Professional Research Consultants, Inc. (PRC) began the meetings with a presentation of key findings from the CHNA, highlighting the significant health issues identified from the research (see Areas of Opportunity above). Following the data review, PRC answered any questions and facilitated a group dialogue, allowing participants to advocate for any of the h
PART VI, LINE 3:	FINANCIAL AID PROGRAM: SOUTHAMPTON HOSPITAL'S COMMITMENT AND DETERMINATION TO PROVIDE QUALITY HEALTHCARE AT AFFORDABLE RATES HAS LEAD US TO DESIGN A CHARITY CARE PROGRAM THAT GOES "ABOVE AND BEYOND" THE EXPECTATIONS AND MINIMUM REQUIREMENTS SET FORTH BY NEW YORK STATE LAW. IT IS THE HOSPITAL'S "ABOVE AND BEYOND" ATTITUDE THAT IS OUR PROGRAMS GREATEST STRENGTH AND CAN BEST BE SEEN IN OUR POLICY TO PROVIDE CHARITY CARE DISCOUNTED RATES TO PATIENTS MAKING UP TO 400% OF THE FEDERAL POVERTY LEVEL GUIDELINE (FPG) RATHER THAN THE MINIMUM REQUIREMENT OF 300% FPG. IN ADDITION, THE HOSPITAL INCLUDES A FORM TO APPLY FOR CHARITY CARE IN EVERY SELF-PAY BILL TO BE RETURNED TO PATIENT FINANCIAL SERVICES. SELF-PAY PATIENTS ARE GIVEN A 75% DISCOUNT OF CHARGES, AS WELL. SOUTHAMPTON HOSPITAL CONTINUES TO FACE FINANCIAL CHALLENGES INCLUDING CONTINUED REDUCTIONS IN NEW YORK STATE AND FEDERAL REIMBURSEMENT RATES AT THE SAME TIME THAT HOSPITAL FACES THE INCREASING COST OF PROVIDING CARE, INCLUDING DOUBLE DIGIT EXPENSES INCREASES IN SOME CATEGORIES. WHILE THE HOSPITAL WAITS TO UNDERSTAND THE IMPACT ON ITS CHARITY POLICIES THAT MAY RESULT FROM EXPANDING RESIDENT ACCESS TO HEALTH CARE INSURANCE THAT IS PART OF HEALTH CARE REFORM, THE HOSPITAL REMAINS CONCERNED THAT A SIGNIFICANT PART OF THE INDIGENT CARE THE HOSPITAL PROVIDES TO UNDOCUMENTED WORKERS WILL NOT BE COVERED.
PART VI, LINE 4:	Southampton's Service area extends from Montauk to the East to Westhampton Beach to the West and the Southern area of Riverhead in the center of the East End of Long Island. The service area accounts for approximately eight-five (85) percent of total admissions to the Hospital and includes the following zip codes: Amagansett (11930); East Hampton (11937); Bridgehampton (11932); Southampton (11968); Hampton Bays (11946); Sag Harbor (11963); Sagaponack (11962); Montauk (11954); Riverhead (11901); East Quogue (11942); Quogue (11959); Remsenburg (11960); Water Mill (11976); Westhampton Beach (11978); and Westhampton (11977). In addition, the Hospital's service area is home to the Shinnecock Nation. Since April of 1995, Southampton Hospital has worked with the Nation to provide services at the Shinnecock Indian Health Clinic through a contract with the NYS Department of Health. On an annual basis, the Clinic provides approximately 2,100 medical and 1,600 dental visits for eligible members of the Shinnecock Nation. Southampton Hospital's service area has a year-round population of approximately 102,689 residents. The population in the Hospital's service area, a resort destination, more than doubles during the summer season when tourists and seasonal residents from all over the world come to the South Fork of Long Island. AS THE TABLE BELOW INDICATES, THIS SERVICE AREA HAS A YEAR ROUND POPULATION OF APPROXIMATELY 102,000 RESIDENTS. THE AREA IS PROJECTED TO SEE A SIGNIFICANT INCREASE IN POPULATION, APPROXIMATELY 3.5 PERCENT OVER THE NEXT FIVE YEARS. DEMOGRAPHIC CHARACTERISTICS SELECTED AREA USA 2010 TOTAL POPULATION............98,218............308,745,538 2016 TOTAL POPULATION...........102,217............322,431,073 2021 TOTAL POPULATION...........105,759............334,341,965 % CHANGE 2016 - 2021...............3.5%...................3.7% AVERAGE HOUSEHOLD INCOME........$99,958................$77,135 THE POPULATION ON THE HOSPITAL'S SERVICE AREA, A RESORT DESTINATION, MORE THAN DOUBLES DURING THE SUMMER SEASON WHEN TOURISTS FROM ALL OVER THE WORLD VISIT THE SOUTH FORK OF LONG ISLAND. AS A RESULT, DEMAND FOR SOUTHAMPTON HOSPITAL SERVICES INCREASES SIGNIFICANTLY DURING THE SUMMER, IN PARTICULAR DEMAND FOR THE HOSPITAL'S EMERGENCY SERVICES. THE HOSPITAL HAS RESPONDED TO THIS NEED BY MAKING A CAPITAL INVESTMENT IN EXPANDING AND RENOVATING THE EMERGENCY DEPARTMENT AND IMPLEMENTING A STATE-OF-THE-ART EMERGENCY DEPARTMENT INFORMATION SYSTEMS THAT PERMITS THE HOSPITAL TO TRACK PATIENTS, AND READ AND INTERPRET LABORATORY AND RADIOLOGICAL RESULTS. AS THE TABLE BELOW INDICATES, THE SERVICE AREA HAS A SIGNIFICANT PERCENTAGE OF THEIR POPULATION AGED FIFTY-FIVE (55) AND OVER, A POPULATION THAT HAS GREATER NEED FOR HEALTH CARE SERVICES. AGE DISTRIBUTION: USA 2016 AGE GROUP 2016 % OF TOTAL 2021 % OF TOTAL % OF TOTAL 0-14 16,541 16.2% 16,493 15.6% 19.0% 15-17 3,610 3.5% 3,808 3.6% 4.0% 18-24 8,080 7.9% 8,455 8.0% 9.8% 25-34 11,704 11.5% 11,819 11.2% 13.3% 35-54 26,985 26.4% 25,969 24.6% 26.0% 55-64 14,993 14.7% 15,878 15.0% 12.8% 65+ 20,304 19.9% 23,337 22.1% 15.1% TOTAL 102,217 100.0% 105,759 100.0% 100.0% THERE ARE NO FIRM ESTIMATES OF THE NUMBER OF MIGRANT AGRICULTURAL WORKERS THAT COME INTO THIS AREA. AGRICULTURE IS ONE OF SUFFOLK COUNTY'S LEADING INDUSTRIES. ITS SUCCESS RELIES ON WORKERS WHO MOVE THROUGH THE EASTERN UNITED STATES IN RESPONSE TO THE AVAILABILITY OF SEASONAL WORK. SOUTHAMPTON HOSPITAL RECOGNIZES THAT THIS POPULATION PRESENTS SERIOUS HEALTH PROBLEMS AND IS COMMITTED TO PROVIDING CARE FOR ITS CULTURALLY DIVERSE PATIENT POPULATION. MANY OF THESE INDIVIDUALS ARE UNINSURED AND UNABLE TO SPEAK ENGLISH. THEY RELY ON THE HOSPITAL'S EMERGENCY DEPARTMENT, AS WELL AS THE SUFFOLK COUNTY HEALTH CLINIC, LOCATED ON THE HOSPITAL'S CAMPUS, FOR HEALTH CARE. AS ARESULT, THE HOSPITAL'S OFFICE OF CULTURAL DIVERSITY PROVIDES TRANSLATION AND INTERPRETATION SERVICES, AS WELL AS COUNSELING ON MEDICAL INSURANCE AND BILLING FOR THOSE INDIVIDUALS WHO DO NOT SPEAK ENGLISH. THE HOSPITAL PROVIDES BI-LINGUAL PUBLICATIONS AND SIGNAGE AND ACTIVELY ASSISTS THE CULTURALLY DIVERSE COMMUNITIES IT CARES FOR.RACE/ETHNICITY: RACE/ETHNICITY DISTRIBUTION RACE/ETHNICITY 2016 POP % OF TOTAL USA % OF TOTAL WHITE NON-HISPANIC 66,679 65.2% 61.3% BLACK NON-HISPANIC 5,028 4.9% 12.3% HISPANIC 26,780 26.2% 17.8% ASIAN & PACIFIC IS. 1,376 1.3% 5.4% ALL OTHERS 2,354 2.3% 3.1% TOTAL 102,217 100.0% 100.0%
PART VI, LINE 5:	SOUTHAMPTON HOSPITAL SPONSORS "FOCUS ON SOUTHAMPTON HOSPITAL" ON SEA-TV, A MONTHLY PUBLIC ACCESS INTERVIEW PROGRAM FOR THE TOWNS OF EAST HAMPTON AND SOUTHAMPTON THAT COVERS HEALTH-RELATED INFORMATION OF INTEREST TO THE COMMUNITY AND PROVIDES INFORMATION ON HEALTHCARE SERVICES AVAILABLE AT SOUTHAMPTON HOSPITAL. THE HOSPITAL HAS DEVELOPED NUMEROUS SERVICES AND OUTREACH TO RESPOND TO THE NEEDS OF THESE PATIENTS, INCLUDING RECRUITING ADDITIONAL PRIMARY CARE PHYSICIANS AND IMPLEMENTING A GRADUATE MEDICAL EDUCATION PROGRAM THAT WILL HOPEFULLY ATTRACT THESE YOUNG PHYSICIANS TO STAY AND PRACTICE IN THE COMMUNITY. THE HOSPITAL'S WEBSITE, WWW.SOUTHAMPTONHOSPITAL.ORG, PROVIDES INFORMATION ON HOSPITAL SERVICES, SPECIAL PROGRAMS AND EVENTS. THE SITE ENABLES PATIENTS TO FIND PHYSICIANS IN DIFFERENT SPECIALTIES, ALLOWS ON-LINE INQUIRIES THAT ARE ANSWERED DAILY, AND PROVIDES ACCESS TO AVAILABLE EMPLOYMENT OPPORTUNITY AND JOB APPLICATIONS. SERVICES FOR SHORT-TERM AND LONG-TERM CARE FOR CHRONIC AND ACUTE ILLNESS ARE CONTINUALLY EVALUATED THROUGH STATISTICAL DATA THAT INCLUDE QUALITY INDICATORS AND PATIENT OUTCOMES. THIS DATA IS COMPARED NATIONALLY WITH OTHER HEALTH FACILITIES AND INFORMS THE HOSPITAL'S STRATEGIC PLAN AND COMMUNITY SERVICE PLAN. THE HOSPITAL'S STRATEGIC PLANNING COMMITTEE INCLUDES COMMUNITY MEMBERS, HOSPITAL STAFF AND HOSPITAL AND FOUNDATION BOARD MEMBERS WHO WORK COLLABORATIVELY TO ASSESS COMMUNITY NEEDS AND DEVELOP STRATEGIES TO MEET THESE NEEDS. THE HOSPITAL'S PUBLIC AFFAIRS COMMITTEE IS RESPONSIVE TO COMMUNITY INTERESTS AND CONCERNS. MEMBERSHIP IS A CROSS-SECTION OF PHYSICIANS, HOSPITAL MANAGEMENT, BOARD MEMBERS AND HOSPITAL EMPLOYEES. BASED ON THE HOSPITAL'S ASSESSMENT OF INTEREST IN THE COMMUNITY, A NUMBER OF HEALTH LECTURES AND PROGRAMS ARE PROVIDED THROUGHOUT THE YEAR. THESE PROGRAMS ARE SOMETIMES SPONSORED THROUGH OUR PARTNERSHIPS WITH LOCAL ORGANIZATIONS INCLUDING FIGHTING CHANCE, NEW YORK ORGAN DONOR NETWORK, COMMUNITY LIBRARIES, AND SERVICE CLUBS (LIONS, KIWANIS, ELKS). THE 2016 OUTREACH SCHEDULE INCLUDED THE FOLLOWING PROGRAMS AT: 1) WESTHAMPTON LIBRARY - ALZHEIMER'S DISEASE; MANAGING CHRONIC DISEASE WITH PALLATIVE CARE; INTRODUCING HIEGEL HEALTH-CARE CENTER; ZIKA VIRUS; HEALTHY TRANSITION, START WITH NUTRITION; BABY FAIR; AORTIC ANEURYSM; SPA DAY - MASSAGE; GOUT - A FORM OR ARTHRITIS; ORTHOPEDIC SURGERY; GETTING UNSTUCK FROM DEPRESSION & ANXIETY; PET THERAPY 2) MATTITUCK-LAUREL LIBRARY - HEALTHY EYES, HEALTHY VISION; SEASONAL ALLERGIES; OH MY ACHING BACK!; GUIDED IMAGERY - RELAX 3) ROGERS LIBRARY, SOUTHAMPTON - HEALTHY TRANSITION, START WITH NUTRITION; AORTIC ANEURYSM; NATURAL SLEEP SOLUTIONS; OH MY ACHING BACK!; DEFINING REFLEXOLOGY 4) CUTCHOGUE NEW SUFFOLK LIBRARY - RELAX & HEAL WITH MASSAGE; DEFINING REFLEXOLOGY; NEUROLOGIC & ARTHRITIC COMPLICATIONS OF LYME DISEASE; NATURAL SLEEP SOLUTIONS 5) HAMPTON BAYS LIBRARY - HEART HEALTH AWARENESS; TICKWISE FOR KIDS; LYME & TICK-BORNE DISEASE; MIGRAINE HEADACHES; SEASONAL ALLERGIES; BREAST CANCER AWARENESS; ALZHEIMER'S DISEASE; STROKE AWARENESS 6) QUOGUE LIBRARY - OH MY ACHING BACK!; RELAX & HEAL WITH MASSAGE; LYME & TICK-BORNE DISEASE 7) SENIOR CENTER HAMPTON BAYS - OCCUPATIONAL THERAPY HEALTH FAIR; MASSAGE FOR SENIORS H) ENCORE ATLANTIC/EASTPORT - GUIDED IMAGERY; DEFINING REFLEXOLOGY; OH MY ACHING BACK! 8) OYSTERPONDS ORIENT PTA - LYME & TICK-BORNE DISEASE 9) CMEE - BRIDGEHAMPTON - TICKWISE FOR KIDS 10) QUOGUE WILDLIFE REFUGE - LYME & TICK-BORNE DISEASE; ZIKA VIRUS 11) SENIOR CENTER BRIDGEHAMPTON - MASSAGE FOR SENIORS 12) PULASKI STREET SCHOOL RIVERHEAD - TICKWISE 13) SPRINGS SCHOOL - TICK EDUCATION FOR KIDS 14) SOUTHAMPTON ELEMENTARY SCHOOL - TICKWISE 15) THE ROSS SCHOOL BRIDGEHAMPTON - TICKWISE 16) RIVERHEAD GARDEN CLUB - LYME & TICK-BORNE DISEASE 17) EAST MARION COMMUNITY ASSOCIATION - LYME & TICK-BORNE DISEASE 18) RIVERHEAD LIBRARY - LYME & TICK-BORNE DISEASE; ALPHA-GAL MEAT ALLERGY-TICKS; TICKWISE FOR KIDS 19) SOUTHAMPTON TOWN SUMMER CAMP - EAST QUOGUE - TICKWISE 20) BISHOP RYAN SR. CENTER HAMPTON BAYS - LYME & TICK-BORNE DISEASE 21) SOUTHAMPTON TOWN SUMMER CAMP-SAG HARBOR - TICKWISE 22) OFFICE OF LILY STEEL, MD RIVERHEAD - GUIDED IMAGERY RELAXATION 23) SOUTHAMPTON TOWN SUMMER CAMP-HAMPTON BAYS - TICKWISE 24) EAST HAMPTON YMCA - TICKWISE FOR KIDS 25) CAMP PA-QUA-TUCK CENTER MORICHES - TICKWISE TRAINING FOR CAMP COUNSELORS 26) CAMP SOULGROW HAMPTON BAYS - TICKWISE 27) SHINNECOCK INDIAN RESERVATION - LYME & TICK BORNE DISEASE 28) BAY STREET THEATER SAG HARBOR - LYME & TICK BORNE DISEASE 29) SOUTHAMPTON HOSPITAL MEDICAL SYMPOSIUM - LYME DISEASE & NERVOUS SYSTEM; UNDERSTANDING & INTERPRETING LAB TESTS FOR LYME DISEASE 30) THE HAMPTON CLASSIC BRIDGEHAMPTON - TICKWISE-EDUCATION FOR KIDS AND PARENTS 31) EASTERN LI AUDUBON SOCIETY - LYME & TICK BORNE DISEASE 32) TOWN OF SOUTHAMPTON ANTI-BIAS TASK FORCE PICNIC - LYME & TICK BORNE DISEASE 33) SUFFOLK COUNTY COMMUNITY COLLEGE-RIVERHEAD CAMPUS - LYME & TICK BORNE DISEASE 34) WINDCREST CONDO COMMUNITY CALVERTON - LYME & TICK BORNE DISEASE 35) JOHN JERMAIN LIBRARY SAG HARBOR - TICKWISE FOR KIDS 36) BRIDGEHAMPTON LIBRARY - NATURAL SLEEP SOLUTIONS 37) SOUTHAMPTON HIGH SCHOOL - IMMIGRATION PANEL & HEALTH INFORMATION TABLE PUBLIC INFORMATION: Southampton Hospital understands the importance of educating the community about its available services. Brochures detailing these services are distributed and displayed on every floor of the hospital, at community and school health fairs, and at hospital satellite facilities and physician offices across the North and South Forks. In addition, this information, along with the Hospitals 2015-17 Community Service Plan, is available on the Hospitals website, www.southamptonhospital.org.
GENERAL INFORMATION:	PATIENT SATISFACTION SURVEYS: IN ADDITION, SOUTHAMPTON HOSPITAL CONTINUALLY SOLICITS PATIENT INPUT THROUGH ITS PATIENT SATISFACTION SURVEY PROCESS, WHICH INCLUDES EVERY INPATIENT, AMBULATORY SURGERY PATIENT AND EMERGENCY ROOM PATIENT. THE DATA COLLECTED FROM THESE COMPREHENSIVE SURVEYS PROVIDES VALUABLE INFORMATION ON A WIDE RANGE OF QUALITY INDICATORS AND AREAS OF INTEREST TO THE HOSPITAL'S PATIENTS. RESULTS FROM THESE SURVEYS ARE REGULARLY DISTRIBUTED TO HOSPITAL AND MEDICAL STAFFS AND THE BOARD OF DIRECTORS. THE QUALITY MANAGEMENT AND PUBLIC AFFAIRS DEPARTMENTS, AS WELL AS THE OFFICE OF THE PRESIDENT, CAREFULLY REVIEW CORRESPONDENCE FROM PATIENTS AND THE COMMUNITY AT LARGE. A MEMBER OF THE HOSPITAL STAFF PERSONALLY ANSWERS ALL CORRESPONDENCE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROBERT S CHALONER
PRESIDENT & CEO	$612,000	$0	$127,500	$0	$44,860	$0	$15,900	$0	$27,117	$0	$827,377	$0	$0	$0
CHIRSTOPHER J SCHULTHEIS
CHIEF FINANCIAL OFFICER	$291,458	$0	$50,878	$0	$4,869	$0	$15,900	$0	$27,068	$0	$390,173	$0	$0	$0
FREDERIC I WEINBAUM
CHIEF MEDICAL OFFICER & COO	$453,000	$0	$59,908	$0	$35,986	$0	$15,900	$0	$27,687	$0	$592,481	$0	$0	$0
PATRICIA A DARCEY
CHIEF NURSING OFFICER	$243,366	$0	$0	$0	-$452	$0	$14,602	$0	$27,068	$0	$284,584	$0	$0	$0
STEVEN GEORGOPOULOS
PHYSICIAN	$725,000	$0	$0	$0	$49,260	$0	$15,900	$0	$27,040	$0	$817,200	$0	$0	$0
JAMES A MOORE
PHYSICIAN	$570,000	$0	$0	$0	$32,520	$0	$15,900	$0	$27,040	$0	$645,460	$0	$0	$0
KRISTIN P NASO
PHYSICIAN	$500,000	$0	$0	$0	-$2,189	$0	$15,900	$0	$27,040	$0	$540,751	$0	$0	$0
MICHAEL ELLIS
PHYSICIAN	$430,987	$0	$0	$0	$28,424	$0	$0	$0	$22,469	$0	$481,880	$0	$0	$0
NEEMA POURTAHERI
PHYSICIAN	$459,397	$0	$0	$0	-$720	$0	$15,900	$0	$10,147	$0	$484,724	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A:

Southampton Hospital Association provides the following special allowances/perquisites to the President & CEO, as well as to certain key executives. These allowances for housing and automobile are stipulated in the executives Employment Agreement/terms at time of hire. All payments of these perquisites are made on a bi-weekly basis with the employees regular paycheck and they are made in accordance with the guidelines of a non-accountable expense plan. Annual allowances are as listed below: 1) ROBERT S. CHALONER, PRESIDENT & CEO - Housing Allowance: $38,000. 2) FREDRIC I. WEINBAUM, MD, EVP, COO & CMO - Housing Allowance: $30,000. Auto Allowance: $7,000. 3) CHRISTOPHER J. SCHULTHEIS, CFO & VP of Finance - AUTO ALLOWANCE: $8,400. 4) JAMES A. MOORE, PHYSICIAN - HOUSING ALLOWANCE: $36,000. 5) MICHAEL ELLIS, PHYSICIAN - HOUSING ALLOWANCE: $31,846.

PART I, LINE 7 AND PART II, COLUMN (B)(II):

THE PRESIDENT & CEO, EXECUTIVE VICE PRESIDENT/CHIEF MEDICAL OFFICER, AND CFO OF SOUTHAMPTON HOSPITAL WERE ELIGIBLE FOR A PERFORMANCE BONUS IN 2016 WHICH WAS BASED UPON CRITERIA THAT THE EXECUTIVE COMMITTEE OF THE BOARD ESTABLISHED. THE PRESIDENT & CEO'S BONUS IS AN ANNUAL BONUS SET FORTH IN HIS EMPLOYMENT AGREEMENT AND IS DETERMINED AFTER A REVIEW OF HOW WELL HE PERFORMED IN THE PRIOR YEAR AGAINST GOALS AND OBJECTIVES ESTABLISHED BY THE EXECUTIVE COMMITTEE. THE EXECUTIVE VICE PRESIDENT/CHIEF MEDICAL OFFICER AND CFO WERE AWARDED A PERFORMANCE BONUS BASED UPON THE RECOMMENDATION OF THE PRESIDENT & CEO AS WELL AS A REVIEW OF THEIR PERFORMANCE AGAINST GOALS AND OBJECTIVES ESTABLISHED BY THE PRESIDENT AND THE EXECUTIVE COMMITTEE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	SUFFOLK COUNTY ECONOMIC DEVELOPMENT CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	273722095	BondIssuerEIN
Bond Issued	2014-10-02	BondIssuedDt
Issue Price	$33,500,000	IssuePriceAmt
Purpose	refinance series 1999a and 1999b	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$33,500,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$28,644,501	RefundingEscrowAmt
Issuance Costs From Proceeds	$607,619	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$3,931,601	CapitalExpendituresAmt
Other Spent Proceeds	$823,269	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.01400	PrivateBusConcerningUBIPct
Total Private Business Use	0.01400	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	false	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 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 CURRENTLY HAS A CONFLICT OF INTEREST POLICY AND A PROCEDURE FOR ANNUAL DISCLOSURE BY KEY EMPLOYEES, PHYSICIAN LEADERS, AND SENIOR MANAGEMENT. WHEN NEW/POTENTIAL CONFLICTS/RELATIONSHIPS ARE IDENTIFIED, THEY ARE INVESTIGATED BY THE CORPORATE COMPLIANCE OFFICER AND ANY RECOMMENDATIONS AND/OR CORRECTIVE ACTIONS ARE PRESENTED TO THE PRESIDENT AND CEO. AS APPROPRIATE, THESE POTENTIAL CONFLICTS/DISCLOSURES ARE ALSO REVIEWED WITH THE CFO AND MEDICAL DIRECTOR/COO. WHEN A POTENTIAL CONFLICT IS IDENTIFIED, THE STAFF MEMBER IS PROHIBITED FROM TAKING PART IN ANY HOSPITAL DECISIONS THAT MAY RELATE TO THE INTEREST OR RELATIONSHIP, UNTIL THE REVIEW IS COMPLETED AND A DETERMINATION IS MADE THAT THERE IS NO CONFLICT. SIMILARLY, ON AN ANNUAL BASIS, ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. ALL POTENTIAL CONFLICTS OF INTEREST THAT MAY EXIST MUST BE DISCLOSED. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE AFFECTED MEMBER WILL BE NOTIFIED AND THE EXECUTIVE COMMITTEE OF THE BOARD WILL INVESTIGATE AND MAKE THE DETERMINATION AS TO WHAT, IF ANY RECUSAL OR OTHER CORRECTIVE ACTION MAY BE REQUIRED TO AVOID ANY POTENTIAL CONFLICT. THE RESULTS OF THE INVESTIGATION WILL THEN BE REPORTED TO THE GOVERNING BODY. IF AN ACTUAL CONFLICT OF INTEREST EXISTS, THE AFFECTED MEMBER WILL BE NOTIFIED OF THIS DETERMINATION AND THEIR PARTICIPATION IN RELATED MATTERS AND/OR VOTING RIGHTS, PERTAINING TO THE AREA OF CONFLICT, WILL BE RELINQUISHED.
FORM 990, PART VI, SECTION B, LINES 15A AND 15B:	Southampton Hospital has established an Executive Compensation Policy which sets forth the terms and criteria for the review of the compensation of the President & CEO, the Chief Medical Officer/COO and the Vice President of Finance/CFO as well as other executive leaders. The policy outlines the procedures and criteria the Executive Committee will follow in evaluating the CEO's, the CMO/COO's, and the CFOs performance against established goals. It also outlines the Executive Committees' role and responsibility in determining all aspects of the CEO's, Chief Medical Officer/COO's, and CFOs compensation including any incentive or bonus compensation. The Committee reviews contract terms which cover compensation and benefits including, but not limited to, housing allowances, automobile allowances, severance or change of control payments. On a periodic basis, the Executive Committee meets to review the terms of compensation and reviews external compensation data and studies to ensure that compensation decisions are reasonable and consistent with fair market value. The Committee documents the full terms of compensation approved and includes date of the decision, details of the comparability data obtained and relied upon, and how the data was obtained. Members of the Executive Committee must be free from any conflict of interest that may relate to the arrangement. All members of the Committee who were present during the discussion of the arrangement will be documented in the Meeting minutes along with their votes. The compensation review process for the President & CEO, Chief Medical Officer and CFO was last undertaken March 11, 2016.
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 XI, LINE 9:	PENSION OBLIGATION..................................$ 495,069 REDUCTION IN BASIS OF DONOR RESTRICTED ASSETS.......$(249,288) CHARITABLE REALIZED GAINS/LOSSES & DISTRIBUTIONS....$ 1,615 TOTAL...............................................$ 247,396

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd
SOUTHAMPTON CARE CENTER
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	112658403	NURSING HOME	NY	501(c)(3)	10	false
THE SOUTHAMPTON HOSPITAL FOUNDATION
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	113466516	SRVC PROVIDER	NY	501(C)(3)	7	false
MEETING HOUSE LANE MEDICAL PRACTICE
PO BOX 2340	SOUTHAMPTON	NY	11968	208853938	PATIENT CARE	NY	501(C)(3)	12	false

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 Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
SHA PROPERTIES
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	112563612	REAL ESTATE	NY	NA	C	$0	$13,162	1.00000	Yes (true)
OLD TOWN MEDICAL PRACTICE PC
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	452430883	MEDICAL PRACTICE	NY	NA	C	$0	$0	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd