SOUTHAMPTON HOSPITAL ASSOCIATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: SOUTHAMPTON HOSPITAL ASSOCIATION (EIN 11-1667765)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-16
IRS object ID: 201513209349316801
Schema version: 2014v5.0
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	2015-11-16T22:01:28-06:00	ReturnTs
Tax Period End	2014-12-31	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	10017	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Phone	6317268301	PhoneNum
Signature	2015-11-16	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

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	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	$147,834,915	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	26	VotingMembersGoverningBodyCnt
Voting Members Independent	25	VotingMembersIndependentCnt
Total Employee	1178	TotalEmployeeCnt
Total Volunteers	26	TotalVolunteersCnt
Total Gross UBI	$2,661,086	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$78,867	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$14,246,386	PYContributionsGrantsAmt
CY Contributions Grants	$11,272,875	CYContributionsGrantsAmt
PY Program Service Revenue	$118,993,172	PYProgramServiceRevenueAmt
CY Program Service Revenue	$130,907,809	CYProgramServiceRevenueAmt
PY Investment Income	$4,569,836	PYInvestmentIncomeAmt
CY Investment Income	$1,094,544	CYInvestmentIncomeAmt
PY Other Revenue	$983,671	PYOtherRevenueAmt
CY Other Revenue	$941,126	CYOtherRevenueAmt
PY Total Revenue	$138,793,065	PYTotalRevenueAmt
CY Total Revenue	$144,216,354	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	$81,639,605	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$83,145,144	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$46,682,031	PYOtherExpensesAmt
CY Other Expenses	$51,888,924	CYOtherExpensesAmt
PY Total Expenses	$128,321,636	PYTotalExpensesAmt
CY Total Expenses	$135,034,068	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,471,429	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,182,286	CYRevenuesLessExpensesAmt
Total Assets BOY	$106,330,964	TotalAssetsBOYAmt
Total Assets EOY	$112,332,163	TotalAssetsEOYAmt
Total Liabilities BOY	$83,493,537	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$82,418,298	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$22,837,427	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$29,913,865	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. THE ORGANIZATION IS A MEMBER OF THE EAST END HEALTH ALLIANCE, THE ARTICLE 28 PARENT OF EASTERN LONG ISLAND HOSPITAL, PECONIC BAY MEDICAL CENTER AND SOUTHAMPTON HOSPITAL. CONSISTENT WITH THE MISSION OF THE ORGANIZATION, THE GOALS OF THE ALLIANCE ARE AS FOLLOWS: 1) TO COLLABORATIVELY DEVELOP HIGH QUALITY, COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY SERVED; 2) TO RATIONALIZE HEALTH CARE SERVICES ACROSS THE SYSTEM; AND 3) TO REALIZE MANAGEMENT EFFICIENCIES. Southampton Hospital is currently affiliated with Stony Brook Medicine. The two institutions are	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$113,347,833	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$130,907,809	RevenueAmt
Desc	SOUTHAMPTON HOSPITAL ASSOCIATION OFFERS A FULL CONTINUUM OF AMBULATORY AND INPATIENT SERVICES RANGING FROM PRIMARY MEDICAL CARE TO SPECIALIZED SURGICAL PROCEDURES, AND IS STAFFED BY MORE THAN 280 PHYSICIANS, DENTISTS AND ALLIED HEALTH PROFESSIONALS REPRESENTING 44 MEDICAL SPECIALTIES. THE ORGANIZATION 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 Hospital's service area. It is anticipated that the Affordable Care Act and the insurance exchanges will result in many more people accessing primary care and the Hospital continues to prepare for this inevitability through its medical education program. SINCE THE ORGANIZATION'S SERVICE AREA EXTENDS FROM WESTHAMPTON BEACH TO MONTAUK, THE HOSPITAL HAS A NUMBER OF SATELLITE OFFICES TO PROVIDE CONVENIENT, SPECIALIZED CARE TO THESE COMMUNITIES. THESE INCLUDE: A) MEETING HOUSE LANE MEDICAL PRACTICE - the practice continues to add new offices in primary, internal medicine, and specialty care on the South Fork. Specialty care services include rheumatology, nephrology, neurology, allergy/asthma, pulmonology, psychiatry, infectious disease, gastroenterology, as well as nutritional and diabetes education. In Southampton, an office was added to the four existing sites, bringing the total to five and a surgical specialty office was also opened in 2015, offering general, orthopedic and bariatric surgery. Other offices include locations in Amagansett, East Hampton (two offices), Hampton Bays (three offices), Montauk, Riverhead, Sag Harbor, Wainscott, and Water Mill. B) WESTHAMPTON PRIMARY CARE CENTER - PROVIDING CARE FOR THE WESTHAMPTON, WESTHAMPTON BEACH, QUOGUE, AND REMSENBURG COMMUNITIES. C) LABORATORY AND IMAGING SERVICES - PROVIDING SERVICES IN EAST HAMPTON, HAMPTON BAYS AND SOUTHAMPTON. D) 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. E) CENTER FOR PHYSICAL THERAPY AND SPORTS REHABILITATION - PROVIDING CARE FOR THE WESTHAMPTON, WESTHAMPTON BEACH, EAST QUOGUE, QUOGUE, AND REMSENBURG COMMUNITIES. F) THE SHINNECOCK INDIAN HEALTH CLINIC - SINCE APRIL OF 1995, SOUTHAMPTON HOSPITAL HAS WORKED WITH THE SHINNECOCK NATION TO PROVIDE SERVICES AT THE SHINNECOCK INDIAN HEALTH CLINIC THROUGH A CONTRACT WITH THE NEW YORK STATE DEPARTMENT OF HEALTH. ON AN ANNUAL BASIS, THE CLINIC PROVIDES APPROXIMATELY 2,100 MEDICAL AND 1,000 DENTAL VISITS FOR ELIGIBLE MEMBERS OF THE SHINNECOCK NATION. DENTAL SERVICES, INCLUDING COMMUNITY EDUCATION, SCREENING, RADIOLOGICAL EXAMS, DENTAL HYGIENE AND RESTORATIVE CARE ARE PROVIDED THROUGH A SUBCONTRACT WITH STONY BROOK UNIVERSITY SCHOOL OF MEDICINE. CURRENTLY, DENTAL SERVICES ARE AVAILABLE EIGHT DAYS PER MONTH FOR ADULTS AND TWO DAYS FOR CHILDREN. IN ADDITION TO PRIMARY CARE, DENTAL SERVICES, NUTRITIONAL COUNSELING, PRENATAL CARE AND ENDOCRINE SERVICES, THE CLINIC PROVIDES MENTAL HEALTH AND SUBSTANCE ABUSE COUNSELING. HEALTH SCREENING DAY IS ALSO HELD ANNUALLY IN COLLABORATION WITH LOCAL HEALTHCARE PROVIDERS AND INSTITUTIONS. G) THE DAVID E. ROGERS CENTER FOR HIV/AIDS CARE (DRC) provides comprehensive HIV medical care, with 24/7 on call service; mental health counseling; psychiatry care; medical case management with treatment adherence; nutritional counseling; Hepatitis C treatment; Pre-Exposure Prophylaxis (PrEP) care; Post-Exposure Prophylaxis (PEP) care; free HIV testing; help with advocacy, case management, entitlements, and legal service; Wellness Fund, financial support for patient's special needs; and other support services to people living with HIV/AIDS. The Center also provides education and outreach to affected friends and families. From initial diagnosis of HIV through all stages of illness, our medical team of credentialed HIV specialists provides state-of-the-art care. SINCE 1994 THE DRC HAS PROVIDED HIV CARE TO RESIDENTS OF THE EAST END OF LONG ISLAND, A GEOGRAPHIC AREA PREVIOUSLY UNDERSERVED DESPITE A HIGH HIV PREVALENCE RATE. FROM ITS INCEPTION, THE DRC HAS ENJOYED THE COOPERATIVE EFFORTS OF ITS PARTNER ORGANIZATIONS SOUTHAMPTON HOSPITAL AND THE STONY BROOK UNIVERSITY MEDICAL CENTER AS WELL AS THE SUPPORT OF THE COMMUNITIES OF THE EAST END. THE CENTER HAS MET ITS OBJECTIVES BY PROVIDING CONTINUITY AND ACCESSIBILITY OF CARE BY ESTABLISHING LINKAGES BETWEEN THE HOSPITALS AND WITH COMMUNITY BASED ORGANIZATIONS AND THE COMMUNITY AT LARGE. THE DRC DEPENDS ON THE COOPERATIVE EFFORTS OF ALL HEALTH & HUMAN SERVICE AGENCIES FOR OUTREACH, TO ENSURE A CONTINUITY OF CARE FOR OUR PATIENTS, AND TO PROVIDE SERVICES FOR THE EAST END COMMUNITY. Annually the DRC provides approximately: 802 Medical visits; 384 Mental Health - Social Work visits; 109 Mental Health Counseling visits; 190 Psychiatry visits; 45 Nutritional Counseling visits; 28 HIV Testing visits; 7 Post Exposure Prophylaxis (PEP) visits; for a total of 1,565 visits provided for 199 active patients. H) CENTER FOR PRENATAL CARE - THE CENTER FOR PRENATAL CARE AT GREENPORT PROVIDES COMPREHENSIVE PRENATAL, GYNECOLOGIC AND FAMILY PLANNING SERVICES FOR WOMEN AND IS AN IMPORTANT OUTREACH ACTIVITY THAT PERMITS THE HOSPITAL TO TAILOR ITS PROGRAMS TO COMMUNITY NEEDS. THE CENTER'S STAFF PROVIDES EXTENSIVE EDUCATION AND COUNSEL TO THEIR PATIENTS IN THE AREAS OF NUTRITION, CHILDBIRTH EDUCATION, DOMESTIC VIOLENCE, AS WELL AS DRUG AND ALCOHOL ABUSE, WHILE ALSO PROVIDING IMMEDIATE ACCESS TO MEDICAID ASSISTANCE, FOR MOTHERS MEETING THE ELIGIBILITY REQUIREMENTS, THROUGH THE PRENATAL CARE ASSISTANCE PROGRAM (PCAP). THE CENTER HAS SUCCESSFULLY WORKED WITH THE LOCAL TOWN GOVERNMENT TO OBTAIN THE AGREEMENT OF LOCAL GROCERS TO ACCEPT WIC VOUCHERS. STAFF ALSO UTILIZES FLYERS, BROCHURES, AND POSTERS TO INCREASE AWARENESS OF HOSPITAL SERVICES AND OFFERS TRANSLATION SERVICES TO THE SIGNIFICANT NUMBER OF HISPANIC WOMEN SEEKING CARE AT THE CENTER. THE CENTER RECENTLY STARTED IMPLEMENTING GENETIC SCREEING, WHICH IS AVAILABLE TO ALL ITS PATIENTS AND CAN BE PERFORMED AT 10 WEEKS GESTATION. THE SCREENING INCLUDES TESTING FOR DOWN SYNDROME CF, AS WELL AS PROVIDING THE SEX OF THE CHILD. THE CENTER PROVIDES PRENATAL CARE TO APPROXIMATELY 50 MOTHERS ANNUALLY IN AN UNDERSERVED AND GEOGRAPHICALLY REMOTE AREA. ALL OF THESE BABIES ARE BORN AT SOUTHAMPTON HOSPITAL. IN ADDITION, THE ORGANIZATION IS PROUD OF THE EXCEPTIONAL SPECIALTY SERVICES IT PROVIDES TO THE COMMUNITY. THESE INCLUDE: 1) Audrey and Martin Gruss Heart & Stroke Center - opened in April 2015, providing vascular surgery and diagnostics in a state-of-the-art operating suite. This is particularly critical to the Hospital's service area since the nearest tertiary medical center is 46 miles away in Stony Brook, NY. 2) 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. We maintain a dedicated phone "help" line for advice, include information about the complex set of tick-borne diseases on the Hospital website, and raise public awareness by presenting educational programs throughout the East End community. 3) 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. 4) THE ED & PHYLLIS DAVIS WELLNESS INSTITUTE - OFFERS THE ONLY HOSPITAL-BASED INTEGRATIVE MEDICINE ON LONG ISLAND'S 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. 5) 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 SOPHISTICA	Desc
Total Program Service Expenses	$113,347,833	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	256	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1178	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	26	GoverningBodyVotingMembersCnt
Independent Voting Member	25	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	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	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	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
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 (35 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	38.8	0.5	Yes (X)	Yes (X)	$667,335	$0	$39,886
KENNETH B WRIGHT
CHAIRMAN	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
PETER M LARSEN THRU 714
CHAIRMAN	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD J HIEGEL ESQ
VICE CHAIR	1.25	0.0	Yes (X)	Yes (X)	$0	$0	$0
STANLEY D FRIEDMAN
VICE PRESIDENT	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
JEAN LITTLE FITZSIMMONS
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
JAMES FORBES
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
RALPH M GIBSON MD FROM 414
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	0.0	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
DOROTHY LEWIS
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
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 FROM 114
TRUSTEE	1.25	0.0	Yes (X)		$0	$0	$0
CHIRSTOPHER J SCHULTHEIS
CHIEF FINANCIAL OFFICER	37.5	0.5		Yes (X)	$287,130	$0	$38,577
FREDERIC I WEINBAUM
CHIEF MEDICAL OFFICER & COO	37.5	0.0		Yes (X)	$493,951	$0	$42,534
PATRICIA A DARCEY
CHIEF NURSING OFFICER	37.5	0.0			$220,138	$0	$40,199	Yes (X)
STEVEN GEORGOPOULOS
PHYSICIAN	37.5	0.0			$894,761	$0	$42,534		Yes (X)
KRISTIN P NASO
PHYSICIAN	37.5	0.0			$532,464	$0	$42,534		Yes (X)
NEEMA POURTAHERI
PHYSICIAN	37.5	0.0			$461,982	$0	$17,018		Yes (X)
GEORGE KECKEISEN
PHYSICIAN	37.5	0.0			$400,230	$0	$42,534		Yes (X)
EDNA KAPENHAS
DIRECTOR/BREAST SURGEON	37.5	0.0			$399,396	$0	$39,886		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,357,387	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$345,702	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	102	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
MORRISON MANAGEMENT SPECIALIST
4721 MORRISON DRIVE SUITE 300	MOBILE	AL	36609	FOOD SERVICES	$1,263,276
HAMPTONS GYNECOLOGY OB
595 HAMPTONS ROAD	SOUTHAMPTON	NY	11968	MEDICAL	$574,577
CROTHALL HEALTHCARE SERVICES
1500 LIBERTY RIDGE DRIVE 210	WAYNE	PA	19087	HEALTHCARE SERVICES	$357,722
PROSKAUER ROSE LLP
11 TIMES SQUARE	NEW YORK	NY	10036	LEGAL	$352,757
SOUTHAMPTON RADIOLOGY PC
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	RADIOLOGY	$270,031

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$112,188	FederatedCampaignsAmt
Related Organizations	$6,780,982	RelatedOrganizationsAmt
Government Grants	$3,584,943	GovernmentGrantsAmt
All Other Contributions	$794,762	AllOtherContributionsAmt
Total Contributions	$11,272,875	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT SERVICES	624200	$67,237,645	$67,237,645
OUTPATIENT SERVICES	624200	$64,329,830	$64,329,830
LABORATORY EXTENDED SERVICES	621500	$2,270,087		$2,270,087
LESS: PROVISION FOR UNCOLLECTIBLES, NET	624200	-$4,800,000	-$4,800,000
SURGICAL PROFESSIONAL INSTITUTE	624200	$720,000	$720,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,150,247	TotalRevenueColumnAmt
Related Or Exempt Func Income	$759,248	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$390,999	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$130,907,809	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$247,371	TotalRevenueColumnAmt
Exclusion	$247,371	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	$747,198	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$747,198	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$747,198	TotalRevenueColumnAmt
Exclusion	$747,198	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,465,734	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,618,561	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$847,173	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$847,173	TotalRevenueColumnAmt
Exclusion	$847,173	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	$47,535	$47,535
VENDOR REBATES	900099	$40,261	$40,261
FILM COPIES	900099	$4,610	$4,610

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$101,522	TotalRevenueColumnAmt
Exclusion	$101,522	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$193,928	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$144,216,354	TotalRevenueColumnAmt
Related Or Exempt Func Income	$128,246,723	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,661,086	UnrelatedBusinessRevenueAmt
Exclusion	$2,035,670	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	$1,829,750	TotalAmt
Management And General	$1,829,750	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	$60,000,585	TotalAmt
Program Services	$51,640,972	ProgramServicesAmt
Management And General	$8,359,613	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,025,080	TotalAmt
Program Services	$3,463,394	ProgramServicesAmt
Management And General	$561,686	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,959,100	TotalAmt
Program Services	$11,151,732	ProgramServicesAmt
Management And General	$1,807,368	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,330,629	TotalAmt
Program Services	$3,724,341	ProgramServicesAmt
Management And General	$606,288	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$850,262	TotalAmt
Program Services	$731,225	ProgramServicesAmt
Management And General	$119,037	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$532,031	TotalAmt
Management And General	$532,031	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$289,150	TotalAmt
Management And General	$289,150	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$17,943	TotalAmt
Program Services	$15,431	ProgramServicesAmt
Management And General	$2,512	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	$107,772	TotalAmt
Management And General	$107,772	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,128,206	TotalAmt
Program Services	$4,410,257	ProgramServicesAmt
Management And General	$717,949	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,695	TotalAmt
Program Services	$5,758	ProgramServicesAmt
Management And General	$937	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,856,352	TotalAmt
Program Services	$13,636,463	ProgramServicesAmt
Management And General	$2,219,889	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,175,614	TotalAmt
Program Services	$1,011,028	ProgramServicesAmt
Management And General	$164,586	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,630,169	TotalAmt
Program Services	$1,401,945	ProgramServicesAmt
Management And General	$228,224	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$266,933	TotalAmt
Management And General	$266,933	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	$2,572	TotalAmt
Management And General	$2,572	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,459,961	TotalAmt
Program Services	$2,115,566	ProgramServicesAmt
Management And General	$344,395	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,430,566	TotalAmt
Program Services	$5,530,287	ProgramServicesAmt
Management And General	$900,279	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,501,031	TotalAmt
Program Services	$3,010,887	ProgramServicesAmt
Management And General	$490,144	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER PURCHASE SERVICES	$8,883,160	$7,639,518	$1,243,642
UTILITIES	$2,203,546	$1,895,049	$308,497
OTHER DIRECT EXPENSES	$1,918,052	$1,649,525	$268,527
MISCELLANEOUS	$628,909	$314,455	$314,454

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$135,034,068	TotalAmt
Program Services	$113,347,833	ProgramServicesAmt
Management And General	$21,686,235	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$92,989	BOYAmt
EOY	$3,966,458	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,336,913	BOYAmt
EOY	$1,979,735	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	$18,130,683	BOYAmt
EOY	$18,825,248	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	$1,786,889	BOYAmt
EOY	$2,178,899	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$437,340	BOYAmt
EOY	$553,011	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$169,769,383	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$112,707,889	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$45,598,044	BOYAmt
EOY	$57,061,494	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	$30,869,856	BOYAmt
EOY	$26,787,892	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	$1,078,250	BOYAmt
EOY	$979,426	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$106,330,964	BOYAmt
EOY	$112,332,163	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,460,814	BOYAmt
EOY	$21,142,884	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	$32,927,605	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	$12,430,276	BOYAmt
EOY	$6,794,600	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	$16,674,842	BOYAmt
EOY	$20,980,814	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,493,537	BOYAmt
EOY	$82,418,298	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,102,681	BOYAmt
EOY	$26,211,281	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$900,728	BOYAmt
EOY	$868,566	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,834,018	BOYAmt
EOY	$2,834,018	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$22,837,427	BOYAmt
EOY	$29,913,865	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$106,330,964	BOYAmt
EOY	$112,332,163	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,182,286	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$136,645	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,242,493	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	$17,943	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$17,943	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 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........$ 9,037. American Hospital Association...................$ 6,718. Nassau Suffolk Hospital Council.................$ 1,212. Greater NY Hospital Association.................$ 976. Total...........................................$17,943.	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	$10,808,731	BeginningYearBalanceAmt
Contributions	$698,598	ContributionsAmt
Investment Earnings Or Losses	$351,153	InvestmentEarningsOrLossesAmt
End Year Balance	$11,858,482	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,213,766	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$98,387	InvestmentEarningsOrLossesAmt
End Year Balance	$4,115,379	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,943,577	BeginningYearBalanceAmt
Investment Earnings Or Losses	$371,238	InvestmentEarningsOrLossesAmt
Other Expenditures	$95,021	OtherExpendituresAmt
Administrative Expenses	$6,028	AdministrativeExpensesAmt
End Year Balance	$4,213,766	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.76101	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.23899	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	$1,366,274	OtherCostOrOtherBasisAmt
Book Value	$1,366,274	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$44,580,150	OtherCostOrOtherBasisAmt
Depreciation	$37,016,565	DepreciationAmt
Book Value	$7,563,585	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$111,337,042	OtherCostOrOtherBasisAmt
Depreciation	$74,755,540	DepreciationAmt
Book Value	$36,581,502	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,485,917	OtherCostOrOtherBasisAmt
Depreciation	$935,784	DepreciationAmt
Book Value	$11,550,133	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,061,494	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
SHORT TERM INVESTMENTS	$9,856,726	F
RESTRICTIONS	$3,702,584	F
INVESTMENTS IN SHA PROPERTIES	$6,300,000	C
DEBT SERVICE FUND	$104,222	F
MALPRACTICE SELF INSURANCE-FD	$6,774,000	F
IDB PROJECT FYND	$50,360	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$26,787,892	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$6,363,288
DUE TO THIRD-PARTY PAYORS, NET	$7,843,526
MALPRACTICE SELF-INSURANCE LIAB.	$6,774,000

Field	Value	IRS element (for citing)
Total Liability	$20,980,814	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$140,113,261	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$136,645	NetUnrealizedGainsInvstAmt
Other Revenue	-$4,131,966	OtherRevenueAmt
Revenue Not Reported	-$3,995,321	RevenueNotReportedAmt
Revenue Subtotal	$144,108,582	RevenueSubtotalAmt
Investment Expenses Not Incld	$107,772	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$107,772	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$144,216,354	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$135,007,841	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$81,545	OtherExpensesIncludedAmt
Expenses Not Reported	$81,545	ExpensesNotReportedAmt
Expenses Subtotal	$134,926,296	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$107,772	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$107,772	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$135,034,068	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	SOUTHAMPTON HOSPITAL ASSOCIATION CURRENTLY REPORTS ENDOWMENT FUNDS WITHIN ITS DECEMBER 31, 2014 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 (THE "REPORTING ORGANIZATION") 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 REPORTING ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE REPORTING 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, 2014, THERE WAS NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE REPORTING ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2011, WHICH IS THE STATUTE OF LIMITATION LOOK BACK PERIOD.
PART XI, LINE 2D:	SHA PROPERTIES INCOME.........$ 30,447 PENSION OBLIGATION............$(2,940,069) BOND EXTINGUISHMENT...........$(1,222,344) TOTAL.........................$(4,131,966)
PART XII, LINE 2D:	SHA PROPERTIES EXPENSES.......$81,545

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	361	PersonsServedCnt
Total Community Benefit Expns	$2,519,132	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	-$1,842,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$676,180	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,125,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,618,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,507,429	NetCommunityBenefitExpnsAmt
Total Expense	0.07780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	361	PersonsServedCnt
Total Community Benefit Expns	$21,644,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,775,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,183,609	NetCommunityBenefitExpnsAmt
Total Expense	0.08280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,441,194	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,149,131	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,292,063	NetCommunityBenefitExpnsAmt
Total Expense	0.02440	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$41,093,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,748,677	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,344,492	NetCommunityBenefitExpnsAmt
Total Expense	0.09140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$48,534,363	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,897,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,636,555	NetCommunityBenefitExpnsAmt
Total Expense	0.11580	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	361	PersonsServedCnt
Total Community Benefit Expns	$70,178,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,672,889	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,820,164	NetCommunityBenefitExpnsAmt
Total Expense	0.19860	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$209,281	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,281	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$209,281	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,800,000	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,259,658	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,259,701	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$41,210,869	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,951,168	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	MEETINGHOUSE LN PRAC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PRIMARY/SPECIALTY	PrimaryActivitiesTxt
Org Profit Or Ownership	1.00000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	14	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (14 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 MEETINGHOUSE 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 MEETINGHOUSE 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 MEETINGHOUSE 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 MEETINGHOUSE 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
MEETINGHOUSE LANE PRACTICE
14	PO BOX 2340	SOUTHAMPTON	NY	11968		B	Yes (X)	PRIMARY/SPECIALTY PHYSICIAN PATIENT CARE

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	Community Health NeedsCommunityHealthNeedsInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	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	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	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	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Medicare RatesMedicareRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
A
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	14	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.SOUTHAMPTONHOSPITAL.ORG	Yes (X)	Yes (true)	14	Yes (true)	WWW.SOUTHAMPTONHOSPITAL.ORG	false	false	Yes (true)	400.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	X	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (X)	false	false
B
	false	false	false																				false	Yes (true)	400.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	X	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	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 2014 - 2017. THE CHNA WAS DEEMED CONDUCTED IN 2014 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.
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 CLAIMED 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 CLAIMED DEPENDENTS OR OTHER HOUSEHOLD MEMBERS THAT LIVE WITH THE PATIENT. A CLAIMED DEPENDENT IS DEFINED AS A PERSON WHO IS LISTED OR WOULD BE LISTED AS A DEPENDENT FOR THE PURPOSES OF AN INCOME TAX SUBMISSION TO THE IRS. 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 (E.G. RADIOLOGY, PATHOLOGY, ANESTHESIOLOGY, EMERGENCY). C) DISCOUNT - SELF-PAY ACCOUNTS ARE DISCOUNTED AT A RATE OF 75% 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 $4,800,000 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 $4,800,000. THIS COST WAS THEN MULTIPLIED BY 67.9095% - THE SELF PAY PERCENTAGE AS DETERMINED BY THE 2014 INSTITUTIONAL COST REPORT. THIS RESULTED IN A COST OF BAD DEBT FOR PATIENTS ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY OF $3,259,658.
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 $41,210,869 ARE GREATER THAN THE TOTAL MEDICARE REVENUE OF $36,259,701 FOR 2014; THEREFORE THE SHORTFALL OF $4,951,168 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:	Assessment and Selection of Prevention Agenda Priorities: Assessment - 1) Community Needs Assessment through Suffolk County Community Health Needs Assessments (CHNAs) - A summary report (April 2013) by Jane Corrarino, MD, Suffolk County Department of Health, provided relevant public health data from the NYS Department of Health Prevention Agenda. 2) Needs Assessment Public Participation As a member of Nassau/Suffolk Hospital Council (NSHC), Southampton Hospital is participating in the Long Island Health Collaborative (LIHC), a group organized by NSHC that includes representatives from 23 member hospitals, the Suffolk and Nassau County Health Departments, Long Island colleges and universities, school systems and various other agencies, including the YWMCA of Long Island, Western Suffolk BOCES, Asthma Coalition of Long Island, among others. - In preparation for submitting our individual Community Service Plans, the LIHC members met monthly, February-October 2013, to assess community health needs, review the results of a community survey, select prevention agenda priorities based on those results, discuss methods of data collection, and eventual analysis of our efforts. - At Southampton Hospital, a group that included our VP/Quality Assurance, Director of Rehabilitation Services, Cardiac Nurse Manager, Coordinator of Wellness Institute Services, and our Diabetes Educator met regularly to discuss local health needs in relation to the work being done at LIHC meetings. - The group re-worked a Suffolk County Health Department's (SCDOH) draft survey to give it a Community Based Organization (CBO) focus in order to seek input from the communities served and to engage these potential partners in implementation of the Community Health Improvement Plan. With input from the member hospitals, The Nassau-Suffolk Hospital Council created a master list of CBO contacts including school districts, BOCES, Patchogue Community Development Agency, South Fork Community Health Initiative, Catholic Charities, Cornell Cooperative Extension, American Lung Association, LI Youth Mentoring, LI Men's Center, chambers of commerce, fire departments, volunteer ambulance groups, libraries, civic associations, and senior centers. - The uniform survey was sent collectively to approximately 200 CBOs via Survey Monkey. The SCDOH distributed the same survey to about 100 additional contacts and each organization also sent the survey to its local CBO contacts. Duplicate surveys were eliminated from the tabulations. 102 unique responses were received for a response rate of 35%. Prevention Agenda Priorities: The selection of our priorities was informed by the results from the CBO survey, the health issues addressed in the Suffolk County Community Health Assessment 2014-2017 and the priorities set forth in the NYS Department of Health Prevention Agenda 2013-17. LICH members reached a consensus and selected Prevent Chronic Disease, with the focus areas of Reduce Obesity and Reduce the Risk for Diabetes. In addition, Southampton Hospital chose another priority of concern to our local community, Prevention of Mental Health Illness. PREVENT CHRONIC DISEASE: Focus Area 1: Reduce obesity in children and adults (NYS Prevention Agenda Focus Area) Obesity and overweight are currently the second leading preventable causes of death in the US. According to the Suffolk County, NY Student Weight Status Category Reporting System 2010-2012, 17.5% of children and adolescents in the County are categorized as obese. In the County Health Rankings & Roadmaps (Robert Wood Johnson Foundation) 25% of Suffolk County adults were overweight or obese. Rates of obesity in Suffolk County are recognized as a major public health challenge and the number one public health nutrition problem. 23% of County residents are physically inactive, a number that is remarkable considering 90% of Suffolk County residents report having access to physical activity options. According to the Youth Risk behavior Surveillance System (YRBSS), 73% of New York State high schools students drank a can, bottle or glass of sugar sweetened soda during the seven days before the survey, 21.4% drank one or more per day, and 14.3% drank two or more per day. In addition almost half of students did not meet minimum standards for physical activity. These children and their parents are in need of counseling and education to decrease their mortality rate and risk for chronic, life-threatening disease. - Purpose: Reduce obesity by modifying behaviors through education and access to primary healthcare. - Audience: school-age children and their parents in the Town of Southampton. - Objectives: modify behavioral risks by 1) encouraging and increasing physical activity, 2) encouraging healthy over unhealthy food choices through nutritional counseling programs and coordination with the school district, and 3) achieve a weight loss of 5-10% of the participant's initial weight. - Action: 1. Disseminate information about the consequences of obesity at community outreach events (lectures, school health fairs, library programs), in external communications (monthly Hospital e-newsletter to 5,000+ contacts, Patch.com blog, Facebook, Twitter) and to inpatients through the admitting process and the Hospital's Dietary Services Department. 2. Implement "Rethink the Drink" program in 2014. Reduce or eliminate sugar-sweetened beverages in Hospital vending machines and in the cafeteria (open to the public as well as Hospital staff), replacing them with water, seltzer, and milk. Educate staff to standardize the message that the healthy beverage program represents. Communicate the message to the community in the Hospital's monthly e newsletter, signage at the point-of-sale, social media, and the Hospital's internal monthly "Fast Facts" and quarterly "Pulse" newsletter. 3. Increase availability of healthy foods in Hospital vending machines and in the cafeteria. 4. Expand the role of the Hospital's Wellness Institute through programs for the QuarterBackers (Hospital supporters who are local business owners). 5. "Take the Stairs" (rather than the elevator) program for Hospital staff. 6. Continue "Hypnosis for Weight Loss" program for adults. 7. Partner with nutrition and physical activity programs in Southampton High School with female athletes and their families as the target group. After school and evening programs will include nutrition, mindfulness training, yoga/Tai Chi/Pilates. 8. Partner with community-organized annual walking events (Ellen's Run, Joe Koziarz Run, Hamptons Marathon, Bariatric Surgery Walk, LI2Day Walk, American Heart Association). - Outcome measurement: 1. Weekly health log will quantify data over the 6-week period and track progress for follow up assessment. 2. Weekly clinical evaluations will further track progress and customize program for individuals. 3. Assessment/questionnaire along with BMI screening and waist circumference measurements will quantify data for participation. Focus Area 2: Reduce risk for Diabetes (NYS Prevention Agenda Focus Area) Diabetes is the seventh leading cause of death based on US death certificates in 2007 and is suspected to be underreported. According to the Suffolk County Health Needs Assessment Report, two of the risk factors for the development of diabetes (type 2) include physical inactivity and overweight/obesity. - Purpose: Increase access to high quality chronic disease preventative care and management in both clinical and community settings and assess risk of diabetes in advance of diagnosis. - Audience: adults who are at risk and are patients of medical practices in the Town of Southampton. - Objectives: 1) educate patients on risk factors, 2) alert patients already at risk, 3) provide methods for self-management to improve blood sugar control, increase insulin sensitivity, reduce triglyceride levels, increase "good" HDL cholesterol levels, and lower blood pressure, and 4) improve post-intervention measures. - Action: 1. Southampton Hospital's ADA-certified program "Living with Diabetes," coordinated by a certified Diabetes Educator, enables patients to self-manage the disease through nutrition, exercise, medication, and blood glucose level monitoring. 2. Assist patients with coping mechanisms for stress and in making psychosocial adjustments. 3. Educate participants on how to detect and prevent chronic complications. 4. Provide free monthly lecture programs, individual and group counseling sessions, and educational materials. 5. Encourage participation in exercise and nutrition programs available at the Hospitals Ed & Phyllis Davis Wellness Institute. - Data Collection: 1. Participants will complete the Hospital's "Health Survey" (addendum) at the beginning of their participation in the program. 2. Results will be measured at completion of the program and post-program to determine if participants were able to sustain their behavioral changes. 3. Data will be collected by our ADA-certified Diabetes
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 2,000 medical and 800 dental visits for eligible members of the Shinnecock Nation. Southampton Hospital's service area has a year-round population of approximately 115,536 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 85,000 RESIDENTS. THE AREA IS PROJECTED TO SEE A SIGNIFICANT INCREASE IN POPULATION, MORE THAN 4 PERCENT OVER THE NEXT FIVE YEARS. DEMOGRAPHIC CHARACTERISTICS SELECTED AREA USA 2010 TOTAL POPULATION............64,886............308,745,538 2013 TOTAL POPULATION............65,894............314,861,807 2018 TOTAL POPULATION............67,518............325,322,277 % CHANGE 2013 - 2018...............2.5%...................3.3% AVERAGE HOUSEHOLD INCOME.......$120,403................$69,637 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 2013 AGE GROUP 2013 % OF TOTAL 2018 % OF TOTAL % OF TOTAL 0-14 10,712 16.3% 10,873 16.1% 19.6% 15-17 2,428 3.7% 2,432 3.6% 4.1% 18-24 5,040 7.6% 5,286 7.8% 10.0% 25-34 7,166 10.9% 7,186 10.6% 13.1% 35-54 18,372 27.9% 17,100 25.3% 26.9% 55-64 9,689 14.7% 10,656 15.8% 12.4% 65+ 12,487 19.0% 13,985 20.7% 13.9% TOTAL 65,894 100.0% 67,518 100.0% 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 2013 POP % OF TOTAL USA % OF TOTAL WHITE NON-HISPANIC 45,825 69.5% 62.3% BLACK NON-HISPANIC 1,872 2.8% 12.3% HISPANIC 15,879 24.1% 17.3% ASIAN & PACIFIC IS. 855 1.3% 5.1% ALL OTHERS 1,463 2.2% 2.9% TOTAL 70,978 100.0% 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 2014 OUTREACH SCHEDULE INCLUDED THE FOLLOWING PROGRAMS AT: A) SOUTHAMPTON'S ROGERS MEMORIAL LIBRARY - Defining Reflexology, Mindfulness: The Art of Calm. B) WESTHAMPTON FREE LIBRARY - Natural Solutions for Better Sleep, Headaches: the Cure, Seasonal Allergies, Defining Reflexology, Women's Health: Physical Therapy, Diagnosis of Heel and Foot Pain, Happy Legs: New Treatments for Varicose Veins. C) CUTCHOGUE/NEW SUFFOLK FREE LIBRARY - Lyme and Other Tick-Borne Disease, Healthy Eyes, Healthy Vision, Oh My Aching Back, Seasonal Allergies. D) HAMPTON BAYS PUBLIC LIBRARY - Lyme and Other Tick-Borne Disease, Headaches: the Cure, Oh My Aching Back. E) MONTAUK LIBRARY - Lyme and Other Tick-Borne Disease. F) RIVERHEAD LIBRARY - Lyme and Other Tick-Borne Disease. 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 SOUTH FORK. IN ADDITION, THIS INFORMATION, ALONG WITH THE HOSPITAL'S 2014-17 COMMUNITY SERVICE PLAN, IS AVAILABLE ON THE HOSPITAL'S 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	false	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	$507,536	$0	$106,250	$0	$53,549	$0	$15,600	$0	$24,286	$0	$707,221	$0	$0	$0
CHIRSTOPHER J SCHULTHEIS
CHIEF FINANCIAL OFFICER	$237,214	$0	$46,991	$0	$2,925	$0	$14,291	$0	$24,286	$0	$325,707	$0	$0	$0
FREDERIC I WEINBAUM
CHIEF MEDICAL OFFICER & COO	$395,062	$0	$59,909	$0	$38,980	$0	$15,600	$0	$26,934	$0	$536,485	$0	$0	$0
PATRICIA A DARCEY
CHIEF NURSING OFFICER	$219,253	$0	$0	$0	$885	$0	$13,265	$0	$26,934	$0	$260,337	$0	$0	$0
STEVEN GEORGOPOULOS
PHYSICIAN	$678,071	$0	$0	$0	$216,690	$0	$15,600	$0	$26,934	$0	$937,295	$0	$0	$0
KRISTIN P NASO
PHYSICIAN	$498,174	$0	$0	$0	$34,290	$0	$15,600	$0	$26,934	$0	$574,998	$0	$0	$0
NEEMA POURTAHERI
PHYSICIAN	$408,982	$0	$6,000	$0	$47,000	$0	$7,799	$0	$9,219	$0	$479,000	$0	$0	$0
GEORGE KECKEISEN
PHYSICIAN	$298,174	$0	$100,000	$0	$2,056	$0	$15,600	$0	$26,934	$0	$442,764	$0	$0	$0
EDNA KAPENHAS
DIRECTOR/BREAST SURGEON	$399,036	$0	$0	$0	$360	$0	$15,600	$0	$24,286	$0	$439,282	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A:

THE 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 EMPLOYEE'S REGULAR PAYCHECK AND THEY ARE MADE IN ACCORDANCE WITH THE GUIDELINES OF A NON-ACCOUNTABLE EXPENSE PLAN. ANNUAL ALLOWANCES ARE AS LISTED BELOW: ROBERT CHALONER, PRESIDENT & CEO - Housing Allowance: $38,000. Auto Allowance: $4,375. FREDRIC WEINBAUM, MD, EVP, COO & CMO - Housing Allowance: $30,000. Auto Allowance: $7,000. CHRISTOPHER J. SCHULTHEIS, CHIEF FINANCIAL OFFICER - AUTO ALLOWANCE: $2,585. NEEMA POURTAHERI, PHYSICIAN - HOUSING ALLOWANCE: $36,000.

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 2014 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	$272,918	OtherSpentProceedsAmt
Unspent	$550,351	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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINES 6, 7A AND 7B:	THE ORGANIZATION'S SOLE MEMBER IS EAST END HEALTH ALLIANCE, A NOT-FOR-PROFIT CORPORATION THAT CAN ELECT ONE OR MORE MEMBERS OF THE HOSPITAL'S GOVERNING BODY. THE EAST END HEALTH ALLIANCE, THE ARTICLE 28 PARENT OF EASTERN LONG ISLAND HOSPITAL, PECONIC BAY MEDICAL CENTER AND SOUTHAMPTON HOSPITAL, WAS CREATED IN RESPONSE TO THE RECOMMENDATIONS OF THE COMMISSION ON HEALTH CARE IN THE 21ST CENTURY. CONSISTENT WITH THE MISSION OF SOUTHAMPTON HOSPITAL, THE GOALS OF THE ALLIANCE ARE AS FOLLOWS: A) TO COLLABORATIVELY DEVELOP HIGH QUALITY, COMPREHENSIVE AND ACCESSIBLE HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY SERVED; B) TO RATIONALIZE HEALTH CARE SERVICES ACROSS THE SYSTEM; AND C) TO REALIZE MANAGEMENT EFFICIENCIES. THE FOLLOWING DECISIONS MADE BY THE GOVERNING BODY OF SOUTHAMPTON HOSPITAL REQUIRE EAST END HEALTH ALLIANCE APPROVAL: ADOPTION OF OPERATING AND CAPITAL BUDGETS, APPLICATION FOR NEW CERTIFICATES OF NEED, AND CERTAIN BORROWING TRANSACTIONS.
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 CFO's 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 CFO's 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 July 2, 2014.
FORM 990, PART VI, SECTION C, LINE 19:	SOUTHAMPTON HOSPITAL'S FORM 990, AS WELL AS ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY, ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. INTERESTED PARTIES MAY REQUEST THE DOCUMENTS AT 240 MEETINGHOUSE LANE, SOUTHAMPTON, NY 11968 OR BY CALLING THE ORGANIZATION DIRECTLY AT (631)726-8200.
FORM 990, PART XI, LINE 9:	SHA PROPERTIES INCOME...................$ 30,447 SHA PROPERTIES EXPENSES.................$ (81,545) SHA NET ASSETS TRANSFERRED TO SOUTHAMPTON HOSPITAL ASSOCIATION......$ 2,003,180 PENSION OBLIGATION......................$(2,940,069) LOSS ON BOND EXTINGUISHMENT.............$(1,222,344) CHARITABLE TRUST REALIZED GAINS.........$ (32,162) TOTAL...................................$(2,242,493)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd
SOUTHAMPTON CARE CENTER
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	112658403	NURSING HOME	NY	501(c)(3)	9	false
THE SOUTHAMPTON HOSPITAL FOUNDATION
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	113466516	SRVC PROVIDER	NY	501(C)(3)	7	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 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
MEETINGHOUSE LANE MEDICAL PRACTICE
PO BOX 2340	SOUTHAMPTON	NY	11968	208853938	PATIENT CARE	NY	NA	C	$286,501	$1,718,535	1.00000	Yes (true)
SHA PROPERTIES
240 MEETING HOUSE LANE	SOUTHAMPTON	NY	11968	112563612	REAL ESTATE	NY	NA	C	$1,632,360	$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	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
SHA PROPERTIES
D	$65,260	FMV
SHA PROPERTIES
S	$1,601,913	FMV