2025-11-17T09:09:20-06:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 113466516 THE SOUTHAMPTON HOSPITAL FOUNDATION INC SOUT 6317268301 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 CHRISTOPHER SCHULTHEIS CFO 6317268301 2025-11-12 1 1 THOMAS J GIUFRE P00841958 3154463600 2025-11-12 2024 2025-03-06 01:10:19Z EMILY MASTALER 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 58961724 0 X WWW.SOUTHAMPTON.STONYBROOKMEDICINE.EDU X 1996 NY TO HEIGHTEN AWARENESS, PROMOTE GOODWILL AND MAXIMIZE PRIVATE PHILANTHROPY TO ADVANCE AND STRENGTHEN THE MISSION AND VISION OF STONY BROOK SOUTHAMPTON HOSPITAL AS WELL AS SOUTHAMPTON HOSPITALASSOCIATION, A RELATED 501(C)(3) ORGANIZATION. 9 9 0 9 0 0 17452733 19093240 0 0 750487 1487353 -477302 -627267 17725918 19953326 19415592 26537160 0 0 746335 963738 514496 129429 1728387 730809 658127 21407232 28288454 -3681314 -8335128 21667686 13997166 3706385 5267365 17961301 8729801 X THE SOUTHAMPTON HOSPITAL FOUNDATION, INC., A SEPARATE NONPROFIT CORPORATION WITH AN INDEPENDENT BOARD OF TRUSTEES, SUPPORTS STONY BROOK SOUTHAMPTON HOSPITAL'S MISSION TO DELIVER HEALTHCARE SERVICES AND EXPAND CLINICAL PROGRAMS TO MEET THE NEEDS OF ITS EAST ENDCOMMUNITIES. ALTHOUGH THE SOUTHAMPTON HOSPITAL FOUNDATION, INC., HAS EXISTED FOR SOME TIME, RECENT CHANGES TO ITS STRUCTURE AND MISSION HAVE PUT GREATER EMPHASIS ON FUND RAISING FOR AND INCREASED PUBLIC AWARENESS OF THE HOSPITAL'S PROGRAMS AND SERVICES. THE FOUNDATION CONCENTRATES ITS EFFORTS ON INCREASING CRITICAL PHILANTHROPIC SUPPORT TO ENSURE HIGH-QUALITY HEALTHCARE FOR ALL OUR NEIGHBORS ON THE EAST END. IN 2025, WE ANTICIPATE FURTHERING MONIES RAISED TOWARD THE NEW GOAL FOR THE EAST HAMPTON EMERGENCY DEPARTMENT OF $50M RESULTING FROM POST-COVID SUPPLY COST INCREASES, AS WELL AS FURTHERING THE CAPITAL CAMPAIGN TO BUILD A NEW STONY BROOK SOUTHAMPTON HOSPITAL. 0 0 26537160 26537160 0 SEE SCHEDULE OSOUTHAMPTON HOSPITAL FOUNDATION IS THE FUND-RAISING ORGANIZATION OF THE SOUTHAMPTON HOSPITAL ASSOCIATION. A SEPARATE, NOT-FOR-PROFIT CORPORATION, THE FOUNDATION SEEKS TO HEIGHTEN AWARENESS AND MAXIMIZE PRIVATE PHILANTHROPY TO ADVANCE AND STRENGTHEN THE MISSION AND VISION OF STONY BROOK SOUTHAMPTON HOSPITAL.IN CALENDAR YEAR 2024, THE FOUNDATION RAISED A TOTAL OF $19,291,905 IN CASH AND PLEDGES, FROM PRIVATE FOUNDATIONS, BUSINESSES, AND INDIVIDUALS IN SUPPORT OF STONY BROOK SOUTHAMPTON HOSPITAL'S GENERAL AND RESTRICTED PURPOSES. OF THIS TOTAL, $17,295,335 WERE CASH CONTRIBUTIONS. CONTRIBUTIONS ARE USED TO SUPPORT GENERAL OPERATING NEEDS AS WELL AS A RANGE OF SPECIFIC CLINICAL PROGRAMS AND SERVICES, MEDICAL TECHNOLOGY, AND EQUIPMENT AS WELL AS UNCOMPENSATED CARE AND SUPPORT SERVICES FOR VULNERABLE POPULATIONS.THE FOUNDATION RAISES FUNDS THROUGH A BROAD ARRAY OF FUNDRAISING ACTIVITIES INCLUDING SPECIAL EVENTS, GRANTS, DIRECT MAIL, CAPITAL CAMPAIGNS, PLANNED GIFTS, MAJOR GIFT SOLICITATIONS AND SOCIAL NETWORKING. THE FOUNDATION ALSO COLLABORATES WITH LOCAL AND REGIONAL COMMUNITY AND FRATERNAL ORGANIZATIONS TO RAISE FUNDS TO ADVANCE THE MISSION OF STONY BROOK SOUTHAMPTON HOSPITAL.IN 2024, IN ADDITION TO UNRESTRICTED FUNDS, THE FOUNDATION UNDERTOOK FUND RAISING INITIATIVES IN SUPPORT OF KEY CLINICAL INITIATIVES THAT WERE SUPPORTIVE OF THE HOSPITAL'S STRATEGIC PLAN. THESE CLINICAL INITIATIVES INCLUDED THE STONY BROOK EAST HAMPTON EMERGENCY DEPARTMENT, THE PAULSON FAMILY EMERGENCY DEPARTMENT, THE AUDREY AND MARTIN GRUSS HEART & STROKE CENTER, THE ED & PHYLLIS DAVIS WELLNESS INSTITUTE, THE ELLEN HERMANSON BREAST CENTER, THE KATHLEEN D. ALLEN MATERNITY CENTER, THE EDIE WINDSOR HEALTHCARE CENTER, THE REGIONAL TICK-BORNE DISEASE RESOURCE CENTER, AND THE PHILLIPS FAMILY CANCER CENTER. THE FOUNDATION ALSO PLANNED AND IMPLEMENTED ITS 66TH ANNUAL SUMMER PARTY THE OBJECTIVE OF WHICH IS TO HEIGHTEN AWARENESS OF AND RAISE FUNDS IN SUPPORT OF THE HOSPITAL'S NEEDS. 26537160 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 1 20 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X CHRISTOPHER J SCHULTHEIS 6317268301 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 JACKIE MITCHELL TRUSTEE 0.50 1.25 X 0 0 0 JEAN SHAFIROFF TRUSTEE 0.50 1.25 X 0 0 0 SARAH J WETENHALL TRUSTEE 0.50 X 0 0 0 LAURA LOFARO FREEMAN TRUSTEE 0.50 X 0 0 0 JIM FORBES EX-OFFICIO 0.50 X 0 0 0 FR ALEX KARLOUTSOS TRUSTEE 0.50 X 0 0 0 EMILY MASTALER PRESIDENT & CAO, EX-OFFICIO 0.50 2.50 X X 0 0 0 ADAM MILLER TRUSTEE 0.50 X 0 0 0 JULIA MCCORMACK PRESIDENT & CDO 37.50 X X 252829 0 27000 PAUL C BRENNAN TRUSTEE 0.50 X 0 0 0 BETTINA A STELLE TRUSTEE 0.50 X 0 0 0 KENNETH B WRIGHT EX-OFFICIO 0.50 X 0 0 0 HOWARD M LORBER CHAIRMAN THRU 6/24 0.50 X X 0 0 0 GILBERT W HARRISON TREASURER THRU 6/24 0.50 X X 0 0 0 JEAN REMMEL LITTLE SECRETARY THRU 5/24 0.50 X X 0 0 0 JOHN M HADLOCK ESQ TRUSTEE 0.50 X 0 0 0 CHARLES B KRUSEN TRUSTEE 0.50 X 0 0 0 CHRISTOPHER J SCHULTHEIS CHIEF FINANCIAL OFFICER 0.50 2.50 X 0 0 0 252829 0 27000 1 0 1 0 RSA CATERING LLC DBA ELEGANT AFFAIRS GLEN COVE NY 11542 CATERING SERVICES 192097 DEJUAN STROUD INC 348 WEST 36TH ST NEW YORK NY 10018 EVENT DESIGN SERVICES 138000 ORR GROUP INC 3000 K STREET NW WASHINGTON DC 20007 FUNDRAISING SERVICES 129429 LUMINOUS DESIGNS 141 CENTRAL AVE UNIT F FARMINGDALE NY 11735 EVENT LIGHTING SERVICES 106350 4 1797905 17295335 1395561 19093240 608524 608524 39061295 38182466 878829 878829 878829 198665 1797905 825932 -627267 -627267 19953326 0 0 860086 26537160 26537160 274360 274360 77939 77939 485088 485088 14672 14672 57745 57745 53934 53934 129429 129429 22907 22907 114788 114788 4957 4957 36607 36607 4450 4450 OTHER DIRECT EXPENSES 451364 451364 EVENT EXPENSES 23054 23054 28288454 26537160 22907 1728387 582327 2485210 19645781 8358518 1439578 3057350 96088 21667686 13997166 3962 3706385 5263403 3706385 5267365 X 2716100 2813788 15245201 5916013 17961301 8729801 21667686 13997166 -8335128 -896372 0 X X 0 1 X 1 0 X 11488853 6362285 11393853 10972733 14300025 54517749 11488853 6362285 11393853 10972733 14300025 54517749 1766816 52750933 7443 814 269697 479471 608524 1365949 55883698 0.94390 0.98280 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: BEQUEST DATE: 01/17/24 AMOUNT: 4793215. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO STONY BROOK SOUTHHAMPTON 379587 REFUNDABLE ADVANCES 4883816 5263403 X PART X, LINE 2: THE SOUTHAMPTON HOSPITAL FOUNDATION IS INCORPORATED IN THE STATE OF NEW YORK AND IS EXEMPT FROM FEDERAL, STATE, AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE), AND THEREFORE HAS MADE NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, THE FOUNDATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE (IRS) NOT TO BE "PRIVATE FOUNDATIONS" WITHIN THE MEANING OF SECTION 509(A) OF THE CODE. THE FOUNDATION HAS NOT TAKEN AN UNSUBSTANTIATED TAX POSITION THAT WOULD REQUIRE PROVISION OF A LIABILITY UNDER ASC 740, INCOME TAXES. UNDER ASC 740, AN ORGANIZATION MUST RECOGNIZE THE TAX EFFECTS ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE FOUNDATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE FOUNDATION HAS FILED IRS FORM 990 TAX RETURNS, AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURISDICTIONS WHEN IT IS REQUIRED. TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 THROUGH 2024. X X X X X X X 1 ORR ASSOCIATES INC 747 THIRD AVENUE SUITE 34A NEW YORK NY 10017 CAMPAIGN MANAGEMENT 0 0 129429 0 129429 NY SUMMER PARTY 1515593 1363073 152520 0 0 410184 229949 22150 67905 GOLF TOURNAMENT 225332 217027 8305 0 0 51228 0 0 1499 1 255645 217805 37840 0 0 36156 0 0 6861 1996570 1797905 198665 497568 229949 22150 76265 825932 -627267 1 SOUTHAMPTON HOSPITAL ASSOCIATION 240 MEETING HOUSE LN SOUTHAMPTON NY 11968 111667765 501 (C) (3) 23542917 0 GENERAL SUPPORT STONY BROOK SOUTHAMPTON HOSPITAL 240 MEETING HOUSE LN SOUTHAMPTON NY 11968 113243405 2994243 0 GENERAL SUPPORT PART I, LINE 2: SOUTHAMPTON HOSPITAL FOUNDATION PERIODICALLY TRANSFERS FUNDS TO STONY BROOK SOUTHAMPTON HOSPITAL FOR REIMBURSEMENT OF THEIR OPERATING EXPENSES, AS WELL AS FOR THE PAYMENT OF DONOR RESTRICTED PURCHASES. THE PROCESS INVOLVES THE DRAFTING OF A TRANSFER REQUEST BY THE HOSPITAL, WHICH IS THEN FORWARDED TO THE FOUNDATION FOR PROPER APPROVAL AND SIGNATURES. THE PAYMENTS (CHECKS) ASSOCIATED WITH THE TRANSFER OF THE FUNDS ATTRIBUTABLE TO THEIR OPERATING EXPENSES ARE THEN RETURNED TO THE FOUNDATION FOR THEIR INSPECTION AND RECORD KEEPING. X X X 0 0 0 0 0 0 0 0 0 JULIA MCCORMACK PRESIDENT & CDO 247360 0 0 0 5469 0 0 0 27000 0 279829 0 0 0 ALEXA SCHULTHEIS SEE PART V 77939 EMPLOYMENT 0 PART IV, LINE 1 ALEXA SCHULTHEIS, SENIOR DEVELOPMENT MANAGER AND CHRISTOPHER SCHULTHEIS, CHIEF FINANCIAL OFFICER, HAVE A FAMILY RELATIONSHIP. X 29 1395560 MARKET QUOTATION 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART I, LINE 5; PART V, LINE 2A; PART VII, SECTION A: LINE 1 AND SCHEDULE J: THE SOUTHAMPTON HOSPITAL FOUNDATION, INC. DOES NOT EMPLOY ANY EMPLOYEES DIRECTLY. THE FORM W-2 FOR JULIA MCCORMACK, PRESIDENT & CDO OF THE ORGANIZATION, IS ISSUED BY THE SOUTHAMPTON PROFESSIONAL EMPLOYER ORGANIZATION (PEO). FORM 990, PART VI, SECTION A, LINE 6 SOUTHAMPTON HOSPITAL ASSOCIATION IS THE PARENT COMPANY OF THE SOUTHAMPTON HOSPITAL FOUNDATION, INC. THE ORGANIZATION WAS INCORPORATED AS A MEMBER CORPORATION WITH SOUTHAMPTON HOSPITAL ASSOCIATION AS ITS SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE THE POWER TO ELECT MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION AND HEREBY DELEGATES TO THE BOARD OF TRUSTEES THE AUTHORITY TO ELECT MEMBERS OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF SOUTHAMPTON HOSPITAL FOUNDATION, INC., SHALL BE THE SOUTHAMPTON HOSPITAL ASSOCIATION (THE MEMBER). THE MEMBER SHALL HAVE THE POWER TO: I. ELECT MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION AND HEREBY DELEGATES TO THE BOARD OF TRUSTEES THE AUTHORITY TO ELECT MEMBERS OF THE BOARD OF TRUSTEES; II. APPROVE ANY DISSOLUTION, MERGER OR SALE OF SUBSTANTIALLY ALL THE ASSETS OF THE CORPORATION; III. AUTHORIZE ANY AMENDMENT TO THE CORPORATION'S CERTIFICATE OF INCORPORATION AND AMEND OR REPEAL ANY PROVISION OF THE CORPORATION'S BYLAWS; IV. TAKE ANY OTHER ACTION REQUIRED BY LAW. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION 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 THE SOUTHAMPTON HOSPITAL FOUNDATION UTILIZES THE SOUTHAMPTON PROFESSIONAL EMPLOYER ORGANIZATION'S EMPLOYEES TO CARRY OUT ITS MISSION. THEREFORE, THE FOUNDATION FOLLOWS STONY BROOK SOUTHAMPTON'S CONFLICT OF INTEREST POLICY, AS WELL AS THEIR WHISTLEBLOWER POLICY. BOTH POLICIES ARE CURRENTLY IN PLACE. FORM 990, PART VI, SECTION B, LINE 15B ON A PERIODIC BASIS, HUMAN RESOURCES CONDUCTS A SALARY SURVEY/COMPARISON FOR THE INTERIM CHIEF DEVELOPMENT OFFICER. THE SURVEY IS THEN REVIEWED AND ANY CHANGES TO COMPENSATION ARE APPROVED BY THE CHAIRMAN AND TREASURER OF THE SOUTHAMPTON HOSPITAL FOUNDATION AND THE PRESIDENT OF SOUTHAMPTON HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION C, LINE 19 SOUTHAMPTON HOSPITAL FOUNDATION'S FORM 990, AS WELL AS ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY, ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST, AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. INTERESTED PARTIES MAY REQUEST THE DOCUMENTS AT 240 MEETING HOUSE LANE, SOUTHAMPTON, NY 11968 OR BY CALLING THE ORGANIZATION DIRECTLY AT (631)726-8300. FORM 990, PART XII, LINE 2C: NO CHANGES FROM THE PRIOR YEAR. SOUTHAMPTON HOSPITAL ASSOCIATION 240 MEETING HOUSE LANE SOUTHAMPTON NY 11968 111667765 SERVICE PROVIDER NY 501(C)(3) LINE 10 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0