CROUSE HEALTH HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CROUSE HEALTH HOSPITAL INC (EIN 16-0960470)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201643209349316704
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T17:45:14-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 454051133 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREED MAXICK CPAS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 MAIN STREET SUITE 800 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142023508 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160960470 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HEALTH HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CROU | BusinessNameControlTxt |
| Phone | 3154707111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVENUE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 132101687 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELLI HARRIS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3154707111 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DALTON | PreparerPersonNm |
| PTIN | P00645802 | PTIN |
| Phone | 7168472651 | PhoneNum |
| Preparation | 2016-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIMBERLY BOYNTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVENUE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 132101687 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $424,712,817 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CROUSE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1913 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 3364 | TotalEmployeeCnt |
| Total Volunteers | 551 | TotalVolunteersCnt |
| Total Gross UBI | -$595,866 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$615,989 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,398,966 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,030,983 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $381,365,073 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $403,636,993 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,913,822 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,993,104 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,942,895 | PYOtherRevenueAmt |
| CY Other Revenue | $12,584,332 | CYOtherRevenueAmt |
| PY Total Revenue | $397,620,756 | PYTotalRevenueAmt |
| CY Total Revenue | $424,245,412 | 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 | $202,357,086 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $219,173,396 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $179,221,255 | PYOtherExpensesAmt |
| CY Other Expenses | $201,759,594 | CYOtherExpensesAmt |
| PY Total Expenses | $381,578,341 | PYTotalExpensesAmt |
| CY Total Expenses | $420,932,990 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,042,415 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,312,422 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $289,336,283 | TotalAssetsBOYAmt |
| Total Assets EOY | $294,743,020 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $256,574,471 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $250,310,310 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,761,812 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,432,710 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $269,829,521 | ExpenseAmt |
| Revenue | $403,636,993 | RevenueAmt |
| Desc | PROVISION OF HEALTHCARE SERVICES. CROUSE HEALTH HOSPITAL, INC. PROVIDES A VARIETY OF HEALTHCARE SERVICES TO A 15-COUNTY AREA IN CENTRAL NEW YORK. THE HOSPITAL OPERATES 506 ACUTE-CARE BEDS INCLUDING 57 BASSINETS. CROUSE HOSPITAL SERVES MORE THAN 23,400 INPATIENTS, 82,700 EMERGENCY SERVICE PATIENTS, AND MORE THAN 339,000 OUTPATIENTS ANNUALLY. CROUSE HOSPITAL PROVIDED APPROXIMATELY $4.2 MILLION IN CHARITY CARE IN 2015. ADDITIONAL DETAILS ON CROUSE HOSPITAL'S EXEMPT PURPOSE ACHIEVEMENTS ARE FOUND IN "CROUSE HOSPITAL'S 2014-2017 COMMUNITY SERVICE PLAN" WHICH CAN BE ACCESSED ON THE HOSPITAL WEBSITE WWW.CROUSE.ORG | Desc |
| Total Program Service Expenses | $269,829,521 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 322 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3364 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | 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 | KELLI HARRIS CFO | PersonNm |
| Phone | 3154708058 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVENUE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ELIZABETH HARNETT ESQ | ||||||||
| DIRECTOR, VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PATRICK MANNION | ||||||||
| DIRECTOR, BOARD CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL KRONENBERG MD | ||||||||
| DIRECTOR, VICE CHAIR, EXEC | 31.00 | 12.00 | Yes (X) | Yes (X) | $267,635 | $76,129 | $23,631 | |
| MELVIN STITH PHD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY COTTER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HAYES WANAMAKER MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $26,200 | $0 | $0 | ||
| JAMES CARRICK | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD RUSSELL | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MIRON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA ASHKIN | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES HUGHES | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATTY BLACK | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES LONGO MD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $8,750 | $185,292 | $2,047 | ||
| KENT SYVERUD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BENJAMIN HIMPLER | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $15,805 | $0 | $0 | ||
| TIMOTHY KENNEDY | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LEOLA RODGERS MPH | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIMBERLY BOYNTON | ||||||||
| PRESIDENT AND CEO | 39.00 | 3.00 | Yes (X) | $633,814 | $35,370 | $56,521 | ||
| DERRICK SUEHS | ||||||||
| BOARD SECRETARY, CQO | 41.00 | 1.00 | Yes (X) | $272,536 | $0 | $35,017 | ||
| KELLI HARRIS | ||||||||
| BOARD TREASURER, CFO | 38.00 | 4.00 | Yes (X) | $301,988 | $23,180 | $37,695 | ||
| KIMBERLY ROSE | ||||||||
| CHIEF INFORMATION OFFICER | 34.00 | 6.00 | Yes (X) | $189,387 | $33,422 | $39,091 | ||
| ANN SEDORE PHD RN | ||||||||
| CHIEF NURSING OFFICER | 40.00 | Yes (X) | $254,613 | $0 | $12,114 | |||
| SETH KRONENBERG MD | ||||||||
| CHIEF MEDICAL OFFICER | 31.00 | 10.00 | Yes (X) | $275,090 | $78,937 | $35,792 | ||
| JIANXIN MA | ||||||||
| PHYSICIAN | 40.00 | $469,240 | $0 | $49,876 | Yes (X) | |||
| SAMI ABDUL-MALAK MD | ||||||||
| PHYSICIAN NEUROLOGY | 40.00 | $427,766 | $0 | $50,847 | Yes (X) | |||
| DAVID MASON | ||||||||
| PHYSICIAN EMERGENCY DEPT | 40.00 | $404,170 | $0 | $56,209 | Yes (X) | |||
| RICHARD STEINMANN MD | ||||||||
| PHYSICIAN EMERGENCY DEPT | 40.00 | $372,796 | $0 | $63,275 | Yes (X) | |||
| GINA HAYES | ||||||||
| PHYSICIAN | 40.00 | $355,706 | $0 | $45,238 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,275,496 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $432,330 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $507,353 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 254 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LABORATORY ALLIANCE | |||||
| 1304 BUCKLEY RD | SYRACUSE | NY | 13212 | PROFESSIONAL MEDICAL | $9,761,844 |
| BEACON CONSULTANTS | |||||
| 97 LIBBEY PARKWAY SUITE 310 | WEYMOUTH | MA | 02189 | IT CONSULTING | $3,704,082 |
| CROUSE MEDICAL GROUP PC | |||||
| 401 N SALINA STREET SUITE 400 | SYRACUSE | NY | 13203 | PROFESSIONAL MEDICAL | $3,616,574 |
| CNY ANESTHESIA GROUP PC | |||||
| 736 IRVING AVE | SYRACUSE | NY | 13210 | PROFESSIONAL MEDICAL | $3,201,140 |
| LOUIS A PORCARO | |||||
| 1304 BUCKLEY RD | SYRACUSE | NY | 13212 | ARCHITECT | $1,872,187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 62 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,572,114 | RelatedOrganizationsAmt |
| Government Grants | $149,663 | GovernmentGrantsAmt |
| All Other Contributions | $309,206 | AllOtherContributionsAmt |
| Total Contributions | $3,030,983 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 623000 | $399,856,853 | $399,856,853 |
| PARKING | 812930 | $2,198,610 | $2,198,610 |
| PROPERTY MGT REV FROM AFFILIATE | 531310 | $562,082 | $562,082 |
| ARRA INCOME | 623000 | $545,688 | $545,688 |
| RENT | 532000 | $473,760 | $473,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $403,636,993 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,880,962 | TotalRevenueColumnAmt |
| Exclusion | $1,880,962 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,525,000 | SecuritiesAmt |
| Other | $54,547 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $462,405 | SecuritiesAmt |
| Other | $5,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,062,595 | SecuritiesAmt |
| Other | $49,547 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,112,142 | TotalRevenueColumnAmt |
| Exclusion | $3,112,142 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER REVENUE | 623000 | $3,145,764 | $3,145,764 |
| COLLEGE OF NURSING | 611600 | $2,810,049 | $2,810,049 |
| CAFETERIA | 721110 | $2,013,372 | $2,013,372 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,615,147 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$595,866 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,211,013 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,584,332 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $424,245,412 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $403,636,993 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$595,866 | UnrelatedBusinessRevenueAmt |
| Exclusion | $18,173,302 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,279,240 | TotalAmt |
| Management And General | $2,279,240 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,965,809 | TotalAmt |
| Program Services | $105,378,802 | ProgramServicesAmt |
| Management And General | $64,587,007 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,324,231 | TotalAmt |
| Program Services | $1,441,023 | ProgramServicesAmt |
| Management And General | $883,208 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,083,939 | TotalAmt |
| Program Services | $19,892,042 | ProgramServicesAmt |
| Management And General | $12,191,897 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,520,177 | TotalAmt |
| Program Services | $7,762,510 | ProgramServicesAmt |
| Management And General | $4,757,667 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,287 | TotalAmt |
| Management And General | $786,287 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,700 | TotalAmt |
| Management And General | $184,700 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,267 | TotalAmt |
| Management And General | $148,267 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,305,412 | TotalAmt |
| Program Services | $10,729,355 | ProgramServicesAmt |
| Management And General | $6,576,057 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,988,463 | TotalAmt |
| Program Services | $1,232,847 | ProgramServicesAmt |
| Management And General | $755,616 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,314,258 | TotalAmt |
| Program Services | $1,434,840 | ProgramServicesAmt |
| Management And General | $879,418 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,148,756 | TotalAmt |
| Program Services | $2,572,229 | ProgramServicesAmt |
| Management And General | $1,576,527 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,359,189 | TotalAmt |
| Program Services | $7,662,697 | ProgramServicesAmt |
| Management And General | $4,696,492 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,052 | TotalAmt |
| Program Services | $53,352 | ProgramServicesAmt |
| Management And General | $32,700 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,763 | TotalAmt |
| Program Services | $110,213 | ProgramServicesAmt |
| Management And General | $67,550 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,392,966 | TotalAmt |
| Management And General | $2,392,966 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,894,905 | TotalAmt |
| Program Services | $10,474,841 | ProgramServicesAmt |
| Management And General | $6,420,064 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,560,840 | TotalAmt |
| Program Services | $967,721 | ProgramServicesAmt |
| Management And General | $593,119 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $78,986,322 | $53,710,699 | $25,275,623 |
| PURCHASED SERVICES | $24,070,604 | $22,626,368 | $1,444,236 |
| PENSION | $6,086,945 | $3,773,906 | $2,313,039 |
| MAINTENANCE CONTRACTS | $4,321,729 | $2,679,472 | $1,642,257 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,946,136 | TotalAmt |
| Program Services | $17,326,604 | ProgramServicesAmt |
| Management And General | $10,619,532 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,932,990 | TotalAmt |
| Program Services | $269,829,521 | ProgramServicesAmt |
| Management And General | $151,103,469 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,500 | BOYAmt |
| EOY | $9,300 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,579,973 | BOYAmt |
| EOY | $19,121,361 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,037,669 | BOYAmt |
| EOY | $48,953,148 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,350,681 | BOYAmt |
| EOY | $5,885,623 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,039,722 | BOYAmt |
| EOY | $8,764,567 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,860,802 | BOYAmt |
| EOY | $6,477,611 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $327,537,439 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $195,097,812 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,570,534 | BOYAmt |
| EOY | $132,439,627 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $865,549 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361 | BOYAmt |
| EOY | $361 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,022,492 | BOYAmt |
| EOY | $73,091,422 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,336,283 | BOYAmt |
| EOY | $294,743,020 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,270,145 | BOYAmt |
| EOY | $37,060,127 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,145,000 | BOYAmt |
| EOY | $55,220,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,309,828 | BOYAmt |
| EOY | $6,352,712 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,849,498 | BOYAmt |
| EOY | $151,677,471 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,574,471 | BOYAmt |
| EOY | $250,310,310 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,147,074 | BOYAmt |
| EOY | $15,386,020 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,776,257 | BOYAmt |
| EOY | $16,208,504 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,838,481 | BOYAmt |
| EOY | $12,838,186 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,761,812 | BOYAmt |
| EOY | $44,432,710 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,336,283 | BOYAmt |
| EOY | $294,743,020 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,312,422 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$588,164 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $8,946,640 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $261,858 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $261,858 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE FIRM OF WILSON, ELSER, MOSKOWITZ, EDELMAN & DICKER, LLP EFFECTIVE 2/11/15 TO 10/31/15 TO SERVE AS LEGISLATIVE COUNSEL TO THE HOSPITAL. THE FEE FOR THOSE SERVICES IS $120,000 ANNUALLY PLUS EXPENSES. AS OF DECEMBER 31, 2015, CROUSE HOSPITAL HAS PAID THE FIRM $90,000 IN PROFESSIONAL SERVICE FEES AND $5,870 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. PROFESSIONAL SERVICES INCLUDE: LEGISLATIVE ADVOCACY ENCOMPASSING PRESENTATION OF HOSPITAL VIEWS TO THE LEGISLATIVE AND EXECUTIVE BRANCHES OF NEW YORK STATE GOVERNMENT, REVIEW AND ANALYSIS OF ALL PROPOSED NEW YORK STATE LEGISLATION OF POTENTIAL IMPACT, PREPARATION OF AFFIRMATIVE LEGISLATION, PREPARATION OF MEMORANDA SUPPORTING OF OPPOSING LEGISLATION, ATTENDANCE AT PUBLIC HEALTH HEARINGS, COMMITTEE MEETINGS, AND OTHER RELATED ACTIVITIES TO INSURE THAT LEGISLATORS ARE AWARE OF HOSPITAL VIEWS AND INFORMED OF THE IMPACT OF THE LEGISLATION AFFECTING HOSPITAL INTERESTS, PREPARATION OF REGULAR REPORTS ADVISING OF THE CURRENT STATUS PENDING LEGISLATION, DISCUSSIONS AND RECOMMENDATIOS REGARDING AN AFFIRMATIVE LEGISLATION PROGRAM, CONFERENCES WITH THE HOSPITAL OR ITS REPRESENTATIVES AS NECESSARY. ADMINISTRATIVE EXPENSE REIMBURSEMENT INCLUDES: TELEPHONE, FAXES AND ALL OTHER WIRELESS FORMS OF COMMUNICATION, POSTAGE AND DELIVERY SERVICES, REPRODUCTION AND PRESENTATION MATERIALS, IN-HOUSE COMPUTER SERVICES, RESEARCH AND DATABASE INTERFACES. PAID STAFF OF CROUSE HEALTH HOSPITAL, INC. HAD DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS AND LEGISLATIVE BODIES. THE COST OF THESE ACTIVITIES IS $27,000. CROUSE HEALTH HOSPITAL, INC. BELONGS TO PROFESSIONAL ORGANIZATIONS THAT PROVIDE LOBBYING ON BEHALF OF ITS MEMBERS. THESE ORGANIZATIONS ARE GREATER NEW YORK HOSPITAL ASSOCIATION, HOSPITAL ASSOCIATION OF NEW YORK STATE, AND CENTERSTATE CEO. CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE WLADIS LAW FIRM EFFECTIVE 3/17/15 TO 3/17/16 TO SERVE AS STRATEGIC PLANNING, ECONOMIC DEVELOPMENT, AND FUNDING OBJECTIVES COUNSEL TO THE HOSPITAL. THE FEE FOR THOSE SERVICES IS $72,000 ANNUALLY PLUS EXPENSES. AS OF DECEMBER 31, 2015, CROUSE HEALTH HOSPITAL, INC HAS PAID THE FIRM $72,000 IN PROFESSIONAL SERVICE FEES AND $16 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE WHITEMAN, OSTERMAN & HANNA LLP EFFECTIVE 5/1/2014 TO 4/30/2015 TO PROVIDE LEGAL AND GOVERNMENTAL RELATIONS COUNSEL. THE FEE FOR THOSE SERVICES IS $90,000 ANNUALLY PLUS EXPENSES. AS OF DECEMBER 31, 2015, CROUSE HEALTH HOSPITAL, INC HAS PAID THE FIRM $30,000 IN PROFESSIONAL SERVICES FEES AND $1,352 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. CROUSE HEALTH HOSPITAL, INC. ALSO CONTRACTED WITH THE WHITEMAN, OSTERMAN & HANNA LLP EFFECTIVE 10/1/2015 TO 12/31/2015 TO PROVIDE LEGAL AND GOVERNMENTAL RELATIONS COUNSEL. THE FEE FOR THOSE SERVICES IS $5,000 MONTHLY PLUS EXPENSES. AS OF DECEMBER 31, 2015, CROUSE HEALTH HOSPITAL, INC HAS PAID THE FIRM $15,000 IN PROFESSIONAL SERVICES FEES AND $420 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH SHENKER RUSSO & CLARK LLP EFFECTIVE 11/1/2015 TO 12/31/2016 TO PROVIDE GOVERNMENT AFFAIRS COUNSEL AND TO LOBBY ON BEHALF OF THE HOSPITAL IN NEW YORK STATE. THE FEE FOR THOSE SERVICES IS $20,000 PLUS EXPENSES FOR THE REMAINDER OF 2015 AND $72,000 PLUS EXPENSES FOR 2016. AS OF DECEMBER 31, 2015 CROUSE HEALTH HOSPITAL, INC HAS PAID THE FIRM $20,000 IN PROFESSIONAL SERVICES FEES AND $200 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,667,814 | BeginningYearBalanceAmt |
| Contributions | $104,449 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,304,218 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,189,384 | OtherExpendituresAmt |
| End Year Balance | $22,278,661 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,312,798 | BeginningYearBalanceAmt |
| Contributions | $644,533 | ContributionsAmt |
| Investment Earnings Or Losses | $461,758 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,751,275 | OtherExpendituresAmt |
| End Year Balance | $24,667,814 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,535,299 | BeginningYearBalanceAmt |
| Contributions | $594,965 | ContributionsAmt |
| Investment Earnings Or Losses | $3,363,504 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $180,970 | OtherExpendituresAmt |
| End Year Balance | $25,312,798 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,814,130 | BeginningYearBalanceAmt |
| Contributions | $50,269 | ContributionsAmt |
| Investment Earnings Or Losses | $2,546,629 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $38,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $809,092 | OtherExpendituresAmt |
| Administrative Expenses | $28,637 | AdministrativeExpensesAmt |
| End Year Balance | $21,535,299 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,220,353 | BeginningYearBalanceAmt |
| Contributions | $259,960 | ContributionsAmt |
| Investment Earnings Or Losses | -$742,382 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $41,500 | GrantsOrScholarshipsAmt |
| Other Expenditures | $843,933 | OtherExpendituresAmt |
| Administrative Expenses | $38,368 | AdministrativeExpensesAmt |
| End Year Balance | $19,814,130 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.32880 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.51220 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.15900 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $285,832 | OtherCostOrOtherBasisAmt |
| Book Value | $285,832 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $174,301,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,324,024 | DepreciationAmt |
| Book Value | $73,977,333 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,467,338 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,150,802 | DepreciationAmt |
| Book Value | $3,316,536 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,836,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,622,986 | DepreciationAmt |
| Book Value | $34,213,461 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,646,465 | OtherCostOrOtherBasisAmt |
| Book Value | $20,646,465 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $132,439,627 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| CROUSE HEALTH FOUNDATION | $27,618,812 |
| ASSETS WHOSE USE IS LIMITED | $42,091,352 |
| FUNDS HELD IN TRUST BY OTHERS | $1,427,878 |
| BOND ISSUANCE/CLOSING COSTS | $1,953,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $73,091,422 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF INSURED PROFESSIONAL LIABILITY | $17,453,211 |
| ACCRUED PENSION LIABILITY | $97,986,251 |
| POST RETIREMENT OBLIGATIONS | $12,725,271 |
| ASSET RETIREMENT OBLIGATIONS | $2,602,726 |
| DUE TO RELATED PARTIES | $3,478,039 |
| FUNDS HELD IN TRUST | $208,704 |
| LIABILITIES TO THIRD PARTY PAYERS | $17,037,224 |
| DEFERRED RENT AND REBATE | $186,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $151,677,471 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME. MANAGEMENT BELIEVES THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR YEARS PRIOR TO 2012. |
| PART V, LINE 4 | ENDOWMENT FUNDS - CROUSE HEALTH FOUNDATION, INC., A RELATED ORGANIZATION, IS IN POSSESSION OF ENDOWMENT FUNDS TO SUPPORT CROUSE HEALTH HOSPITAL, INC. THESE ENDOWMENT FUNDS ARE VALUED AT APPROXIMATELY $27 MILLION AT DECEMBER 31, 2015. THE PRINCIPAL, WITH AN APPROXIMATE VALUE OF $11 MILLION, REMAINS UNTOUCHED, WHILE THE INVESTMENT INCOME IS USED TO FUND EQUIPMENT AND PROGRAMS REQUIRED FOR HOSPITAL SERVICES AND INITIATIVES. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 340.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,336,550 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,452,049 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,884,501 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,286,896 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $68,758,580 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,528,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,623,446 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,210,629 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,412,817 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08180 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $496,829 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $496,829 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,942,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,377,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,565,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,396,089 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,224,580 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $171,509 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,745 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $43,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $164,232 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $164,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,043,561 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,601,581 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,441,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01770 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $124,667,007 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $82,812,210 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,854,797 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09950 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $242,654 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $242,654 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,820 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $288,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $288,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,190,161 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $80,650,781 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $87,766,422 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$7,115,641 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 MDRCROUSE TECHNICAL SERVICES LLC | ||
| IMAGING | 0.25000 | 0.75000 |
| 2 SYRACUSE ENDOSCOPY ASSOCIATES LLC - DISPOSED OF IN 2015 | ||
| ENDOSCOPY SERVICES | 0.40000 | 0.60000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HEALTH HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | CROUSE.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTP://CROUSE.ORG/ABOUT/COMMUNITY/ | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 340.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CROUSE HOSPITAL | PART V, SECTION B, LINE 5: CROUSE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY IT SERVES, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN PUBLIC HEALTH. OUR STAFF HAS WORKED CLOSELY WITH THE ONONDAGA COUNTY DEPARTMENT OF HEALTH ON OUR CHNA SINCE 2013. WE WERE GUIDED BY DR. TOM DENNISON, DIRECTOR OF SYRACUSE UNIVERSITY'S PROGRAM IN HEALTH SERVICES MANAGEMENT AND POLICY. HE ALSO IS THE ASSOCIATE DIRECTOR OF THE CNY MPH PROGRAM AND DIRECTOR FOR THE LERNER CENTER OF PUBLIC HEALTH. CROUSE HOSPITAL ALSO WORKED WITH COLLEAGUES FROM TWO OTHER LOCAL HOSPITALS, A MUTLITUDE OF HEALTH AGENCIES, LIKE THE AMERICAN CANCER SOCIETY, ACR HEALTH, MARCH OF DIMES AND SOCIAL SUPPORT AGENICES LIKE THE SPANISH ACTION LEAGUE OF CNY, THE NORTHEAST COMMUNITY CENTER, YMCA, ETC. USING MPH STUDENTS AND A RECENT COMMUNITY ASSESSMENT FROM THE UNITED WAY, WE CONDUCTED FOCUS GROUPS, AND INTERVIEWED CEOS AND EXECUTIVE DIRECTORS OF VARIOUS AGENCIES AND BUSINESSES, AS WELL AS THE SYRACUSE CITY SCHOOL DISTRICT, THE LARGEST AND MOST IMPOVERISHED DISTRICT IN OUR SERVICE AREA. |
| CROUSE HOSPITAL | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH ST. JOSEPH'S HOSPITAL HEALTH CENTER AND UPSTATE MEDICAL CENTER UNIVERSITY. WE ALSO WORKED WITH THE ONONDAGA COUNTY DEPARTMENT OF HEALTH AND THE LERNER CENTER OF PUBLIC HEALTH. |
| CROUSE HOSPITAL | PART V, SECTION B, LINE 7D: OTHER MEANS OF DISTRIBUTING CHNA: MAILING AND E-MAILING THE REPORT TO PUBLIC LIBRARIES, COMMUNITY ORGANIZATIONS, HOSPITAL EMPLOYEES, VOLUNTEERS AND PHYSICIANS, THE HOSPITAL'S BOARD OF DIRECTORS AND CROUSE HEALTH FOUNDATION TRUSTEES AND DONORS; PROVIDE COPIES AT COMMUNITY HEALTH FAIRS/SCREENINGS AND OTHER EDUCATIONAL EVENTS AS WELL AS TO POTENTIAL EMPLOYEES AND OUR COLLEGE OF NURSING STUDENTS. |
| CROUSE HOSPITAL | PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA INCLUDE:CHRONIC DISEASE: OBESITY; DIABETES; PHYSICAL ACTIVITY; NUTRITION; ASTHMAGENERAL MENTAL HEALTH: SUBSTANCE ABUSE; NEONATAL ABSTINENCE SYNDROME (ONONDAGA COUNTY HAS AN EXTREMELY HIGH RATE OF NEONATAL DRUG-RELATED DISCHARGES.)DESCRIPTIONS OF THE CHNA AND CROUSE HOSPITAL'S COMMUNITY SERVICE PLAN ACTIVITIES ARE AVAILABLE AT CROUSE.ORG/ABOUT/COMMUNITY. CROUSE HOSPITAL IS ADDRESSING PREVENTION OF CHRONIC DISEASE WITH FREE HEALTH SCREENINGS, HEALTH FAIRS AND SPECIFIC DISEASE EDUCATION. THOSE ACTIVITIES ARE TARGETED TO INCREASE AWARENESS OF DIABETES RISK FACTORS AND PREVENTION AMONG HISPANIC/LATINO AND AFRICAN-AMERICAN POPULATIONS, WITH A FOCUS ON NUTRITION, OBESITY AND PHYSICAL ACTIVITY. CROUSE ACTIVELY PROMOTES EDUCATION ON THESE CONDITIONS THROUGH HEART HEALTH INFORMATION PRESENTATIONS IN THE COMMUNITY AND THROUGH ITS SPIRIT OF WOMEN AND HEART CARING PROGRAMS. ADDITIONALLY, CROUSE MAINTAINS BOARD AND COMMITTEE MEMBERSHIP WITH THE HEALTHY SYRACUSE COALITION, WHICH ADDRESSES DIABETES PREVENTION, YOUTH WELLNESS AND TOBACCO CONTROL. HEALTHY SYRACUSE ALSO WORKS TO REDUCE EXPOSURE TO OUTDOOR SECONDHAND SMOKE FOR SYRACUSE RESIDENTS AND EMPLOYEES.CROUSE HAS AN IMPORTANT REGIONAL ROLE TO PLAY IN TREATING SUBSTANCE ABUSE, INCLUDING THE TREATMENT OF NEONATAL ABSTINENCE SYNDROME (NAS) INFANTS. AS THE ONLY HOSPITAL-BASED TREATMENT SERVICE, CROUSE CHEMICAL DEPENDENCY TREATMENT SERVICES IN 2015 LOGGED 159,294 PATIENT VISITS TO THE OPIOID TREATMENT PROGRAM, WITH 200,413 OUTPATIENT VISITS OVERALL. DRUG USE HAS INCREASED THE INCIDENCE OF NAS IN NEWBORNS. ONONDAGA COUNTY HAS THE SECOND HIGHEST RATE IN NEW YORK STATE FOR NEWBORN DRUG-RELATED DIAGNOSES (248.8 PER 10,000 NEWBORN DISCHARGES FROM 2011 - 2013). OVER THE PAST TWO YEARS CROUSE CDTS HAS EXPERIENCED A SIGNIFICANT INCREASE IN PREGNANT WOMEN SEEKING OPIOID TREATMENT SERVICES. IN 2014, 40% OF WOMEN SEEKING SERVICES WERE PREGNANT; IN 2015 IT INCREASED TO 52%. AS THE NEW YORK STATE DOH-DESIGNATED REGIONAL PERINATAL CENTER FOR NEONATAL INTENSIVE CARE SERVICES, CROUSE CARES FOR THOSE NAS NEWBORNS IN ITS BAKER NEONATAL INTENSIVE CARE UNIT. IN 2013, CROUSE CARED FOR 59 NAS INFANTS IN 2015 THAT NUMBER INCREASED TO 70 NAS INFANTS.CROUSE CHEMICAL DEPENDENCY TREATMENT STAFF IS ACTIVELY ENGAGED IN EDUCATIONAL AND COMMUNITY AWARENESS AROUND THIS AND OTHER SUBSTANCE ABUSE ISSUES. STAFF FROM CROUSE CDTS IS ROUTINELY INVITED TO PARTICIPATE IN COMMUNITY EDUCATIONAL AWARENESS FORUMS ON THE ISSUE OF SUBSTANCE ABUSE AND THE COMMUNITY-WIDE OPIOID EPIDEMIC. IN 2015, CDTS EXPERTS TOOK PART IN MORE THAN 30 COMMUNITY AND SCHOOL FORUMS AND EDUCATIONAL OPPORTUNITIES TO EXPAND AWARENESS ON THESE ISSUES.CROUSE OPERATES THE WOMEN OF WORTH (WOW) PROGRAM IN PARTNERSHIP WITH SYRACUSE DRUG TREATMENT COURT. THIS PROGRAM FOCUSES ON WOMEN WHO HAVE SUBSTANCE USE DISORDER AND THEIR FAMILIES. DRUG TREATMENT COUNSELING IS PROVIDED AS WELL AS COUNSELING AND ANCILLARY SERVICES TO IMPROVE PARENTING SKILLS, HEAL FROM TRAUMATIC EXPERIENCES AND GAIN USEFUL LIFE SKILLS. |
| CROUSE HOSPITAL | PART V, SECTION B, LINE 16I: CROUSE HOSPITAL'S FINANCIAL POLICY ALSO PRINTED IN THE HOSPITAL'S COMMUNITY BENEFIT REPORT WHICH IS ON THE HOSPITAL WEBSITE AND DISTRIBUTED WIDELY IN PRINT. |
| CROUSE HOSPITAL | PART V, SECTION B, LINE 21D: UNINSURED PATIENTS WHO RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE INFORMED OF A RANGE OF FINANCIAL ASSISTANCE OPTIONS THAT INCLUDE ASSISTANCE IN APPLYING FOR MEDICAID AND FOR CHARITY CARE DISCOUNTS. THE HOSPITAL CHARGES CONSISTENTLY ACROSS ALL PAYORS. THEREFORE, THE BILL FOR UNINSURED PATIENTS WHO RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS AT GROSS CHARGES. THE UNISURED INDIVIDUAL ADJUSTMENT TO GROSS CHARGES IS BASED ON THE HOSPITALS INCOME GUIDELINES ADJUSTED AGAINST OUR LOWEST COMMERCIAL INSURANCE RATE. |
| CROUSE HOSPITAL | PART V, SECTION B, LINE 22D: THE HOSPITAL USED THE LARGEST VOLUME COMMERCIAL PAYOR RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CROUSE HOSPITAL-410 SOUTH CROUSE DIV | ||||
| 410 SOUTH CROUSE AVENUE | SYRACUSE | NY | 13210 | CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES |
| 2 - CNY MEDICAL IMAGING CENTER | ||||
| 739 IRVING AVENUE | SYRACUSE | NY | 13210 | MEDICAL IMAGING TESTING CENTER |
| 3 - CNY PROMPTCARE | ||||
| 739 IRVING AVENUE | SYRACUSE | NY | 13210 | URGENT CARE CENTER |
| 4 - CROUSE HOSPITAL-COMMONWEALTH DIVISION | ||||
| 6010 EAST MOLLY ROAD | SYRACUSE | NY | 13211 | RESIDENTIAL CHEMICAL DEPENDENCY REHABILITATION |
| 5 - PHYSICAL THERAPY-LIVERPOOL | ||||
| 7375 OSWEGO ROAD | LIVERPOOL | NY | 13090 | PHYSICAL THERAPY CENTER |
| 6 - CROUSE ENDOSCOPY | ||||
| 739 IRVING AVENUE | SYRACUSE | NY | 13210 | ENDOSCOPY TESTING CENTER |
| 7 - POB SURGERY CENTER | ||||
| 723 IRVING AVENUE | SYRACUSE | NY | 13210 | OUTPATIENT ABULATORY SURGERY CENTER |
| 8 - PHYSICAL THERAPY - DEWITT | ||||
| 5823 WIDEWATERS PARKWAY | EAST SYRACUSE | NY | 13057 | PHYSICAL THERAPY CENTER |
| 9 - MADISON IRVING SURGERY CENTER | ||||
| 475 IRVING AVENUE | SYRACUSE | NY | 13210 | OUTPATIENT ABULATORY SURGERY CENTER |
| 10 - PHYSICAL THERAPY - CNY | ||||
| 739 IRVING AVENUE | SYRACUSE | NY | 13210 | PHYSICAL THERAPY CENTER |
| 11 - HELP PEOPLE | ||||
| 600 E GENESEE STREET | SYRACUSE | NY | 13202 | EMPLOYEE ASSISTANCE PROGRAM |
| 12 - PHYSICAL THERAPY - BRITTONFIELD | ||||
| 5000 BRITTONFIELD PKWY STE A123 | EAST SYRACUSE | NY | 13057 | PHYSICAL THERAPY CENTER |
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | BAD DEBT EXPENSE IS THE AMOUNT PRESENTED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 4: | THE FOOTNOTE DESCRIBING THE ORGANIZATION'S BAD DEBT EXPENSE IS INCLUDED IN THE 'SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES' THAT BEGINS ON PAGE 6 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE COSTING METHODOLOGY USED IS THE MEDICARE COST REPORT FOR 2015. OUTPATIENT COSTS ARE REPRESENTED ON MEDICARE COST REPORT WORKSHEET D, PARTS V AND VI. INPATIENT COSTS ARE ON WORKSHEET D-4. |
| PART VI, LINE 2: | CROUSE HOSPITAL PARTNERED WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT (OCHD) AND TWO OTHER SYRACUSE HOSPITALS TO CONDUCT A COMMUNITY HEALTH ASSESSMENT PROCESS THAT ENGAGED AND BUILT ON HEALTH IMPROVEMENT EFFORTS ALREADY UNDERWAY, WHILE DRAWING ON LOCAL RESOURCES. THE PROCESS INCLUDED LEADERSHIP MEETINGS, A FORMAL STRUCTURE, PUBLIC FORUMS - AVAILABLE TO ALL, DATA COLLECTION AND ANALYSIS. IT BEGAN WITH MEETINGS TO DISCUSS THE ASSESSMENT PROCESS AND GAIN SUPPORT OF THE LEADERSHIP OF THE ONONDAGA COUNTY HEALTH DEPARTMENT (COMMISSIONER OF HEALTH AND CHAIR OF THE ADVISORY BOARD OF HEALTH) WITH THE CHIEF EXECUTIVE OFFICERS OF THE THREE HOSPITALS IN THE COMMUNITY: CROUSE HOSPITAL, ST. JOSEPH'S HOSPITAL HEALTH CENTER, UPSTATE UNIVERSITY HOSPITAL.THE PROCESS WAS SUPPORTED WITH WORK DONE BY GRADUATE STUDENTS IN THE CENTRAL NEW YORK MASTER OF PUBLIC HEALTH PROGRAM (CNYMPH), A GRADUATE PROGRAM IN PUBLIC HEALTH SPONSORED BY SYRACUSE UNIVERSITY AND UPSTATE MEDICAL UNIVERSITY. THE GRADUATE STUDENTS BEGAN THEIR WORK BY CONVENING AND FACILITATING FIVE FORUMS. ALTOGETHER, 92 PEOPLE PARTICIPATED IN THE FORUMS. THE QUALITATIVE FINDINGS FROM THE FORUMS PROVIDED A BACKDROP AGAINST WHICH DATA WAS COLLECTED AND ANALYZED TO BETTER UNDERSTAND THE CONCERNS RAISED BY COMMUNITY MEMBERS. THE RESULTS OF THE FORUMS ARE SUMMARIZED IN A REPORT INCLUDED IN THE CHNA.THE DATA COLLECTION AND ANALYSIS PHASE FOLLOWED. DATA FROM A NUMBER OF SOURCES WERE UTILIZED, INCLUDING:- THE NEW YORK STATE PREVENTION AGENDA,- THE 2013 COMMUNITY NEEDS ASSESSMENT REPORT FROM THE UNITED WAY OF CNY,- INTERNAL INFORMATION FROM THE OCHD AND HOSPITALS, INCLUDING DISCHARGE DATA AND PROGRAM MEASUREMENTS.ADDITIONALLY, IN SUPPORT OF NEW YORK STATE'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PLANNING PROCESS, A THOROUGH COMMUNITY NEEDS ASSESSMENT WAS PERFORMED DURING 2014 IN COLLABORATION WITH THE PERFORMING PARTNER SYSTEM. THE ASSESSMENT SHOWED THE SAME HEALTH NEEDS DESCRIBED IN THE COMMUNITY SERVICE PLAN. CROUSE HOSPITAL AND ITS CHEMICAL DEPENDENCY TREATMENT SERVICES ENGAGES THE COMMUNITY THROUGH FOCUS GROUPS, SURVEYS, INTERVIEWS AND SOCIAL MEDIA FORUMS TO AID IN ASSESSING CURRENT PROGRAMS AND PATHS TO IMPROVEMENT. CDTS, THROUGH ITS GENDER SPECIFIC PROGRAM FOR WOMEN, RECEIVED VALUABLE FEEDBACK FROM ITS PARTICIPANTS WHICH HAS HELPED TO SHAPE CURRENT PLANS FOR PROGRAM EXPANSION. ONONDAGA COUNTY SURVEYS RECIPIENTS OF THEIR AGENCY SERVICES. CROUSE HAS PARTNERED WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY-BASED HEALTH AND HUMAN SERVICES AGENCIES/ORGANIZATIONS TO DEVELOP AND DISSEMINATE AN ONLINE HEALTH NEEDS ASSESSMENT SURVEY TO ALL RESIDENTS IN ALL CITY/COUNTY ZIP CODES. |
| PART VI, LINE 3: | THERE ARE SEVERAL WAYS CROUSE HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, WAS WELL AS UNDER OUR ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THOSE METHODS INCLUDE: A DEDICATED HOSPITAL DEPARTMENT WITH FOUR FULL-TIME EMPLOYEES WHOSE SOLE RESPONSIBILITY IS TO HELP INDIVIDUALS APPLY FOR GOVERNEMNET OR OTHER FREE INSURANCE PROGRAMS, AS WELL AS TO NAVIGATE PATIENTS THROUGH THE CROUSE HOSPITAL FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED ON THE CROUSE HOSPITAL WEBSITE, WWW.CROUSE.ORG, AND THERE IS A LINK ON EVERY PAGE OF THE WEBSITE THAT PEOPLE CAN CLICK TO FIND HELP WITH THEIR HOSPITAL BILL. FOLLOWING BEST PRACTICE MODELS, CROUSE HOSPITAL HAS DEVELOPED AN ONLINE APPLICATION FOR FINANCIAL AID. IT APPEARS ON THE HOSPITAL'S WEBSITE ALONG WITH THE FINANCIAL AID POLICY. CROUSE HOSPITAL DEVELOPED A SIMPLER, ONE-PAGE APPLICATION THAT IS EASIER TO FILL OUT AND ELIMINATED DUPLICATION OF PAPERWORK AND DOCUMENTATION - THE HOSPITAL'S FINANCIAL ASSISTANCE STAFF BRING COMPUTERS DIRECTLY TO PATIENTS' BEDSIDES TO ELECTRONICALLY COMPLETE FINANCIAL AID APPLICATION. THIS PROCEDURE IS INTENDED TO ELIMINATE BARRIERS TO ACCESSING CARE AND FINANCIAL ASSISTANCE BY AVOIDING LITERACY CONCERNS, ALLOWING PATIENTS TO ASK QUESTIONS IN REAL TIME, AND RECEIVE TRANSLATION SERVICES AS NECESSARY. EVERY CROUSE HOSPITAL BILLING NOTIFICATION INCLUDES A STATEMENT AT THE BOTTOM REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE BY CALLING CROUSE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND/OR ACCESSING THE POLICY THROUGH THE CROUSE WEBSITE. CROUSE HOSPITAL'S FINANCIAL ASSISTANCE IS POSTED IN THE FACILITY'S EMERGENCY ROOM, PROMPTCARE, AND WAITING ROOMS AS WELL AS IN THE HOSPITAL'S ADMISSIONS OFFICES. THE POLICY IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. THE POLICY IS ALWAYS AVAILABLE ON REQUEST, AND IS EXPLAINED IN CROUSE HOSPITAL'S ANNUAL COMMUNITY SERVICE PLAN, WHICH IS WIDELY DISTRIBUTED TO THE PUBLIC AND IS POSTED ON THE HOSPITAL'S WEBSITE. |
| PART VI, LINE 4: | CROUSE HOSPITAL IS LOCATED IN NEW YORK'S ONONDAGA COUNTY IN THE CITY OF SYRACUSE. THE COUNTY INCLUDES URBAN, SUBURBAN AND RURAL AREAS. A ZIP CODE ANALYSIS OF DISCHARGES SHOWS 75 PERCENT OF CROUSE HOSPITAL'S INPATIENT AND OUTPATIENT ADMISSIONS ARE FROM ONONDAGA COUNTY - WITH 46 PERCENT OF THOSE FROM THE CITY OF SYRACUSE - AND 25 PERCENT OUTSIDE ONONDAGA COUNTY. A MAJOR CONTRIBUTOR TO OUT-OF-COUNTY ADMISSIONS IS THAT CROUSE IS THE NEW YORK STATE-DESIGNATED REGIONAL REFERRAL CENTER FOR PERINATAL AND NEONATAL INTENSIVE CARE SERVICES. IN ALL, CROUSE SERVES A 14-COUNTY REGION THAT EXTENDS SOUTH TO BINGHAMTON AND NORTH TO MALONE. THERE ARE TWO OTHER HOSPITALS SERVING THE AREA: ST. JOSEPH'S HOSPITAL HEALTH CENTER AND UPSTATE UNIVERSITY HOSPITAL/COMMUNITY GENERAL HOSPITAL. IN 2015, THE PERCENTAGE OF INPATIENT MEDICAID DISCHARGES WAS 27.1. CENTRALLY LOCATED IN NEW YORK STATE, ONONDAGA COUNTY COVERS 780 SQUARE MILES CONSISTING PRIMARILY OF FORESTS AND AGRICULTURAL LAND. ITS POPULATION IS 468,463, MAKING IT THE SIXTH MOST POPULOUS COUNTY IN UPSTATE NEW YORK. SYRACUSE IS THE LARGEST CITY IN THE CENTRAL NEW YORK (CNY) REGION WITH A POPULATION OF 144,142. ITS RESIDENTS ACCOUNT FOR ALMOST ONE-THIRD OF THE TOTAL ONONDAGA COUNTY POPULATION, AND IT IS THE FOURTH LARGEST UPSTATE NEW YORK CITY, AFTER BUFFALO, ROCHESTER AND YONKERS. A NUMBER OF AREAS WITHIN THE CITY OF SYRACUSE, DETERMINED BY ZIP CODES ARE MEDICALLY UNDERSERVED IN PRIMARY CARE AND MENTAL HEALTH SERVICES. THE MEDIAN AGE IN ONONDAGA COUNTY IS 38 YEARS, GREATER THAN THE MEDIAN AGE OF 29.2 YEARS IN SYRACUSE, WITH A HIGHER PROPORTION OF RESIDENTS UNDER AGE FIVE YEARS AND A LOWER PROPORTION OVER AGE 65. WOMEN COMPRISE 51.8 PERCENT OF THE POPULATION OF ONONDAGA COUNTY AND 52.3 PERCENT OF THE POPULATION OF SYRACUSE. AMONG ONONDAGA COUNTY RESIDENTS 80.4 PERCENT ARE WHITE AND 11.8 PERCENT ARE BLACK. THE MAJORITY OF COUNTY'S BLACK RESIDENTS LIVE IN SYRACUSE, PARTICULARLY ON THE NEAR-SOUTH AND WEST SIDES OF THE CITY. IN THE COUNTY, 3.9 PERCENT OF THE POPULATION IS ASIAN AND AMERICAN INDIAN/ALASKA NATIVES ARE .9 PERCENT. HISPANIC ETHNICITY IS REPORTED BY 4.8 PERCENT OF THE POPULATIONIN ONONDAGA COUNTY, 7.3 PERCENT OF RESIDENTS ARE FOREIGN-BORN, WITH THE GREATEST PERCENTAGE BORN IN ASIA, FOLLOWED BY EUROPE, LATIN AMERICA AND AFRICA. AN ESTIMATED 12,000 REFUGEES AND FORMER REFUGEES CURRENTLY RESIDE IN SYRACUSE. NEWLY ARRIVED REFUGEES HAVE SPECIFIC HEALTHCARE NEEDS, AS WELL AS A UNIQUE SET OF BARRIERS TO ACCESSING APPROPRIATE CARE INCLUDING LANGUAGE, EDUCATION AND TRANSPORTATION. ALTHOUGH, ENGLISH IS THE MOST COMMONLY SPOKEN LANGUAGE, THE NEXT MOST COMMONLY SPOKEN LANGUAGE IS SPANISH.AMONG ADULTS AGE 25 YEARS AND OLDER IN ONONDAGA COUNTY, 90.1 PERCENT HAVE A HIGH SCHOOL EDUCATION OR HIGHER AND 33.5 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THESE FALL TO 80.1 PERCENT AND 26.0 PERCENT IN SYRACUSE, RESPECTIVELY.THERE ARE 18 SCHOOL DISTRICTS IN ONONDAGA COUNTY WITH AN ENROLLMENT OF 72,443 STUDENTS, INCLUDING 21,185 STUDENTS IN THE SYRACUSE CITY SCHOOL DISTRICT (SCSD). DISPARITIES IN EDUCATION BETWEEN SYRACUSE AND THE REST OF THE COUNTY ARE EVIDENT, AS SCSD STUDENTS CONSISTENTLY TEST SIGNIFICANTLY BELOW THE STATE AVERAGE ON STANDARDIZED TESTS. IN ADDITION, THE HIGH SCHOOL DROPOUT RATE IN SYRACUSE WAS 11 PERCENT FOR THE 2011-12 SCHOOL YEARS, SIGNIFICANTLY HIGHER THAN THE AVERAGE RATE OF ONE PERCENT SEEN IN SUBURBAN SCHOOLS. THE PERCENT OF GRADUATES IN SYRACUSE WHO WILL GO ON TO SOME TYPE OF COLLEGE IS 77.2 PERCENT, COMPARED WITH 86.8 PERCENT AMONG SUBURBAN STUDENTS. WITHIN THE SCSD, THE AVERAGE GRADUATION RATE IS 55 PERCENT COMPARED WITH SUBURBAN SCHOOL DISTRICTS IN ONONDAGA COUNTY THAT HAVE AN AVERAGE GRADUATION RATE OF 84.4 PERCENT.ACCORDING TO THE U.S. BUREAU OF LABOR STATISTICS, THE UNEMPLOYMENT RATE IN ONONDAGA COUNTY WAS 4.9 PERCENT IN APRIL 2015 AND HAS DECLINED SLOWLY FROM A HIGH OF 8.8 PERCENT IN JANUARY 2010. THE CURRENT UNEMPLOYMENT RATE IS LESS THAN THE U.S. RATE OF 5.4 PERCENT AS WELL AS THE UNEMPLOYMENT RATE IN THE CITY OF SYRACUSE OF 6.4 PERCENT. IN GENERAL, WHITE RESIDENTS HAVE LOWER UNEMPLOYMENT RATES THAN OTHER RACES. THE MEDIAN HOUSEHOLD INCOME IN ONONDAGA COUNTY IS $54,498. AMONG ALL RESIDENTS, 16.1 PERCENT HAD INCOME IN THE LAST 12 MONTHS THAT WAS BELOW THE FEDERAL POVERTY LEVEL. ESPECIALLY STRIKING IS THE POVERTY RATE AMONG CHILDREN IN SYRACUSE, WHERE 49.0 PERCENT OF THOSE UNDER AGE 18 LIVE IN POVERTY, COMPARED WITH 21 PERCENT IN ONONDAGA COUNTY. POVERTY RATES ARE CONSISTENTLY HIGHER IN SYRACUSE THAN IN ONONDAGA COUNTY, PEAKING AT 56.0 PERCENT AMONG FEMALE-HEADED HOUSEHOLDS WITH RELATED CHILDREN UNDER AGE 18. |
| PART VI, LINE 5: | A MAJORITY OF CROUSE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF INDIVIDUALS WHO LIVE IN THE AREA AND ARE NOT EMPLOYEES, INDEPENDENT CONTRACTORS OR FAMILY MEMBERS. CROUSE EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY WHO REQUEST PRIVILEGES. THE HOSPITAL FUNDS PATIENT CARE IMPROVEMENTS SUCH AS A NEW NURSE CALL SYSTEM, MEDICATION RECONCILIATION AND GLUCOSE CONTROL PROGRAM IMPROVEMENTS THROUGH ITS OWN FUNDS FROM OPERATIONS. IN ADDITION, CROUSE LOSES OVER $12,000 PER CASE WHEN TREATING NAS INFANTS FROM COSTS THAT ARE NOT REIMBURSED.ADDITIONAL WAYS CROUSE HOSPITAL PROMOTES COMMUNITY HEALTH, FOR NO COST AND AVAILABLE TO ALL, ARE LISTED BELOW. - SPIRIT OF WOMEN PROGRAMS (WHICH COMMUNITY MEMORIAL HOSPITAL IN HAMILTON, NY ALSO)- HEART HEALTH SCREENINGS FOR UNDERINSURED AND UNINSURED- MAMMOGRAM INFORMATION LADIES NIGHTS - PROSTATE CANCER SCREENINGS- OPIOID USE PREVENTION AND TREATMENT EDUCATION- HEALTH FAIRS FOR LOCAL EMPLOYERS, LOCAL JUNETEENTH CELEBRATION, SCHOOLS, GOVERNMENT AGENCIES, REFUGEE AND SENIOR GROUPS- INFANT LOSS SUPPORT GROUP; OSTOMY SUPPORT GROUP; BREAST CANCER SURVIVOR SUPPORT GROUP- PROGRAMS ON PERINATAL MOOD DISORDERS INCLUDING DEPRESSION- EXTRACORPOREAL MEMBRANE OXYGENATION FOR INFANTS AND THE REGION'S ONLY PEDIATRIC CARDIAC CATHETERIZATION PROGRAM, AS WELL AS A PEDIATRIC FIRST-AID PROGRAM- BABY BEGINNINGS PROGRAM TO REDUCE THE RISK OF CHILD ABUSE/IMPROVE PARENTING SKILLS - VISIT TO HOSPITAL-LAND COMMUNITY SERVICE PROGRAM FOR FIRST-GRADERS - PARTNERSHIP WITH HEALTHY SYRACUSE COALITION AND THE SYRACUSE CITY SCHOOL DISTRICT TO SERVE AS WELLNESS ADVISORS AND PROVIDE SUPPORT FOR SCHOOL HEALTH AND WELLNESS INITIATIVES - CROUSE HOSPITAL CHEMICAL DEPENDENCY TREATMENT SERVICES PROVIDES COMPREHENSIVE CARE THAT IMPROVES THE HEALTH OF OUR COMMUNITY'S MOTHERS, BABIES AND CHILDREN- CROUSE BREAST HEALTH CENTER OFFERS WOMEN DEDICATED BREAST HEALTH NAVIGATORS- UTILIZE NATIONAL PROGRAMMING TO EDUCATE CONSUMERS AND CLINICIANS ON CARDIOVASCULAR DISEASE-STATES AS THEY RELATE TO WOMEN- CROUSE ANNUALLY PLANS AND PARTICIPATES IN AN INNER-CITY FREE HEALTH SCREENING FAIR PROMOTED TO UNDERINSURED AND UNINSURED INDIVIDUALS- SPONSOR OF SYRACUSE'S ANNUAL JUNETEENTH HEALTH PAVILION- SUPPORT AND MEMBERS OF PARTNERSHIP FOR PATIENTS, A PUBLIC-PRIVATE PARTNERSHIP TO IMPROVE THE QUALITY, SAFETY AND AFFORDABILITY OF HEALTHCARE FOR ALL AMERICANS. - CHOICES PROGRAM PROVIDES HIGH SCHOOL STUDENTS WITH A YEAR-LONG "INSIDE LOOK" AT CLINICAL DEPARTMENTS WITHIN THE HOSPITAL INCLUDING MONTHLY TOURS AND SPEAKERS.- COMMUNITY EDUCATION SEMINARS PRESENTED BY PHYSICIANS AND OTHER CLINICIANS, OFFERED APPROXIMATELY EIGHT TIMES A YEAR ON A VARIETY TOPICS- DEDICATED MRSA UNIT WITH SPECIALLY TRAINED CLINICIANS - EMERGENCY MEDICAL SERVICE CLINICAL TRAININGS ON TOPICS LIKE STROKE CARE AND SEPSIS- DONATED FAMILY AND FRIENDS CPR AND FIRST AID TRAINING FOR PERSONS UNABLE TO PAY- HEALTH CARE PROXY CARD PROGRAM DISTRIBUTION BY MAIL AND AT EVENTS- CROUSE HOSPITAL MEDICAL LIBRARY IS OPEN TO THE COMMUNITY AND STAFF SERVE AS HEALTH LITERACY NETWORK FOR CNY MEMBERS - REIKI THERAPY FOR PATIENTS FROM NURSES, VOLUNTEERS AND OTHER STAFF- STUDENT MENTORING PROGRAM FOR HUNDREDS OF HEALTHCARE STUDENTS EACH YEAR |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL KRONENBERG MD | ||||||||||||||
| DIRECTOR, VICE CHAIR, EXEC | $266,069 | $76,129 | $0 | $0 | $1,566 | $0 | $9,193 | $3,064 | $9,287 | $2,087 | $286,115 | $81,280 | $0 | $0 |
| JAMES LONGO MD | ||||||||||||||
| DIRECTOR | $8,750 | $185,292 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,047 | $8,750 | $187,339 | $0 | $0 |
| KIMBERLY BOYNTON | ||||||||||||||
| PRESIDENT AND CEO | $580,154 | $32,720 | $50,350 | $2,650 | $3,310 | $0 | $16,920 | $891 | $37,737 | $973 | $688,471 | $37,234 | $0 | $0 |
| DERRICK SUEHS | ||||||||||||||
| BOARD SECRETARY, CQO | $272,536 | $0 | $0 | $0 | $0 | $0 | $11,118 | $0 | $23,899 | $0 | $307,553 | $0 | $0 | $0 |
| KELLI HARRIS | ||||||||||||||
| BOARD TREASURER, CFO | $301,988 | $23,180 | $0 | $0 | $0 | $0 | $11,247 | $912 | $24,076 | $1,460 | $337,311 | $25,552 | $0 | $0 |
| KIMBERLY ROSE | ||||||||||||||
| CHIEF INFORMATION OFFICER | $189,387 | $33,422 | $0 | $0 | $0 | $0 | $4,173 | $736 | $31,275 | $2,907 | $224,835 | $37,065 | $0 | $0 |
| ANN SEDORE PHD RN | ||||||||||||||
| CHIEF NURSING OFFICER | $254,613 | $0 | $0 | $0 | $0 | $0 | $5,857 | $0 | $6,257 | $0 | $266,727 | $0 | $0 | $0 |
| SETH KRONENBERG MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $275,090 | $78,937 | $0 | $0 | $0 | $0 | $5,354 | $1,510 | $24,647 | $4,281 | $305,091 | $84,728 | $0 | $0 |
| JIANXIN MA | ||||||||||||||
| PHYSICIAN | $267,740 | $0 | $201,500 | $0 | $0 | $0 | $8,558 | $0 | $41,318 | $0 | $519,116 | $0 | $0 | $0 |
| SAMI ABDUL-MALAK MD | ||||||||||||||
| PHYSICIAN NEUROLOGY | $291,666 | $0 | $136,100 | $0 | $0 | $0 | $8,627 | $0 | $42,220 | $0 | $478,613 | $0 | $0 | $0 |
| DAVID MASON | ||||||||||||||
| PHYSICIAN EMERGENCY DEPT | $367,576 | $0 | $36,594 | $0 | $0 | $0 | $6,756 | $0 | $49,453 | $0 | $460,379 | $0 | $0 | $0 |
| RICHARD STEINMANN MD | ||||||||||||||
| PHYSICIAN EMERGENCY DEPT | $351,637 | $0 | $21,159 | $0 | $0 | $0 | $15,573 | $0 | $47,702 | $0 | $436,071 | $0 | $0 | $0 |
| GINA HAYES | ||||||||||||||
| PHYSICIAN | $317,260 | $0 | $38,446 | $0 | $0 | $0 | $6,385 | $0 | $38,853 | $0 | $400,944 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PAUL KRONENBERG AND KIMBERLY BOYNTON WERE REIMBURSED FOR SOCIAL CLUB DUES. |
| PART I, LINE 7 | AS STIPULATED BY EMPLOYMENT CONTRACT, THE HOSPITAL CEO RECEIVED INCENTIVE COMPENSATION IN AN AMOUNT THAT WAS DETERMINED BY THE BOARD OF DIRECTORS, NOT TO EXCEED 25% OF BASE SALARY. THE INCENTIVE WAS BASED UPON THE EXECUTIVES ACHEIVEMENT OF OBJECTIVES THAT WERE MUTUALLY AGREED UPON BY THE EXECUTIVE AND THE BOARD OF DIRECTORS, OR A COMMITTEE THEREOF. THE OBJECTIVES WERE ESTABLISHED ANNUALLY. THE BOARD OF DIRECTORS DETERMINED THE AMOUNT OF INCENTIVE COMPENSATION. INCENTIVE COMPENSATION RECEIVED IN 2015 WAS BASED ON 2014 OBJECTIVES. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| 2003A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY | ||||||||
| A | 161093714 | 682747EA4 | 2003-10-01 | $7,510,000 | REFUND PORTION OF O/S SERIES 96 BD | 0 | 0 | 0 |
| 2003A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY | ||||||||
| B | 521380308 | 871720BT4 | 2003-10-01 | $20,000,000 | REFUND PORTION OF O/S SERIES 96 BD | 0 | 0 | 0 |
| 2007A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY | ||||||||
| C | 161093714 | 682747GP9 | 2007-06-28 | $9,000,000 | CAPITAL IMPROVEMENT PROJECT | 0 | 0 | 0 |
| 2007A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY | ||||||||
| D | 521380308 | 871720BW7 | 2007-12-20 | $20,000,000 | CAPITAL IMPROVEMENT PROJECT | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $7,510,000 | $569,963 | $6,940,037 | 2003 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $20,000,000 | $20,000,000 | 2003 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $9,000,000 | $43,563 | 2009 | 0 | 0 | Yes (1) | Yes (1) | $8,956,437 | |
| D | $20,000,000 | 2010 | 0 | 0 | Yes (1) | Yes (1) | $20,000,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
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 | 2007B SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521380308 | BondIssuerEIN |
| CUSIP | 871720BX5 | CUSIPNum |
| Bond Issued | 2007-12-20 | BondIssuedDt |
| Issue Price | $7,850,000 | IssuePriceAmt |
| Purpose | CAPITAL IMPROVEMENT PROJECT | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $7,850,000 | TotalProceedsAmt |
| Capital Expenditures | $7,850,000 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| PAUL KRONENBERG MD | |||
| SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC THRU 6/30/15 | $0 | PAUL KRONENBERG, MD WAS THE PHYSICIAN CEO AND SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC THROUGH THE END OF JUNE 2015. TO SEE A MORE DETAILED EXPLANATION OF CROUSE MEDICAL PRACTICE, PLLC AND THE HOSPITAL'S TRANSACTIONS WITH THIS ENTITY, PLEASE REFER TO SCHEDULE O AND SCHEDULE R. | 0 |
| JAMES LONGO MD | |||
| PARTNER IN CARDIOLOGY PC | $88,958 | JAMES LONGO, MD IS A PARTNER IN CARDIOLOGY PC WHICH PROVIDES CARDIOLOGY SERVICES TO THE HOSPITAL AND FOR WHICH PAYMENTS TOTALING $88,958 WERE RECEIVED FROM THE HOSPITAL IN 2015. | 0 |
| SETH KRONENBERG MD | |||
| SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC AS OF 7/1/15 | $0 | SETH KRONENBERG, MD TOOK OVER AS THE PHYSICIAN CEO AND SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC AS OF JULY 1, 2015. TO SEE A MORE DETAILED EXPLANATION OF CROUSE MEDICAL PRACTICE, PLLC AND THE HOSPITAL'S TRANSACTIONS WITH THIS ENTITY, PLEASE REFER TO SCHEDULE O AND SCHEDULE R. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | TWO EX OFFICIO DIRECTORS OF THE HOSPITAL BOARD OF DIRECTORS, THE HOSPITAL CEO AND THE PRESIDENT OF THE HOSPITAL AUXILIARY, SERVE WITHOUT VOTE. THE HOSPITAL BYLAWS AUTHORIZE THE USE OF AN EXECUTIVE COMMITTEE WHICH HAS THE RIGHT TO EXERCISE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD AND WITH THE GENERAL POWER TO DISCHARGE THE DUTIES OF THE BOARD, EXCEPT AS SUCH POWER MAY BE LIMITED BY LAW, THE BYLAWS OR THE BOARD ITSELF. |
| FORM 990, PART VI, SECTION A, LINE 2 | PATRICK MANNION HAS UTILIZED SERVICES OF MACKENZIE HUGHES LAW FIRM WHERE MS. HARTNETT IS A PARTNER. PATRICIA BLACK PROVIDES FINANCIAL SERVICES ADVICE TO JAMES HUGHES. |
| FORM 990, PART VI, SECTION A, LINE 6 | CROUSE HEALTH SYSTEM, INC IS THE SOLE MEMBER OF CROUSE HEALTH HOSPITAL, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | CROUSE HEALTH SYSTEM, INC APPROVES AND ELECTS THE BOARD OF DIRECTORS OF CROUSE HEALTH HOSPITAL, INC |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE BOARD OF DIRECTORS OF CROUSE HEALTH HOSPITAL, INC. SUCH AS APPOINTMENT OF THE HOSPITAL PRESIDENT, ARE SUBJECT TO APPROVAL BY CROUSE HEALTH SYSTEM, INC |
| FORM 990, PART VI, SECTION B, LINE 11 | HOSPITAL ACCOUNTING STAFF PROVIDES DATA TO AN INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE FORM 990 AND ALL REQUIRED SCHEDULES. IT IS REVIEWED BY LEGAL COUNSEL AND THE HOSPITAL CFO. THE REVIEWED FORM IS THEN PRESENTED TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. COPIES OF FORM 990 AND ALL REQUIRED SCHEDULES ARE MADE AVAILABLE TO OTHER MEMBERS OF THE BOARD OF DIRECTORS, UPON THEIR REQUEST, PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF CROUSE HEALTH HOSPITAL. ONCE COLLECTED, THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY MEMBERS OF THE CORPORATE COMPLIANCE OFFICE. ALL REPORTED POTENTIAL CONFLICTS OF INTEREST ARE EVALUATED AND DISCUSSED AMONG THE PARTIES. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS UPON COMPLETION OF THE COMPLIANCE REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION FOR THE CEO IS BASED ON AN ANNUAL EXECUTIVE COMMITTEE REVIEW IN CONJUNCTION WITH HUMAN RESOURCES. THE COMPENSATION FOR ALL KEY EMPLOYEES, OFFICERS, AND THE REST OF SENIOR MANAGEMENT IS DETERMINED BY THE CEO AND REVIEWED BY THE EXECUTIVE COMMITTEE. CURRENT COMPENSATION IS COMPARED TO THE NATIONAL SALARY SURVEY AND ANY NECESSARY ADJUSTMENTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONFLICT OF INTEREST POLICY OF CROUSE HOSPITAL CAN BE FOUND ON THE HOSPITAL'S WEBSITE, WWW.CROUSE.ORG UNDER "CORPORATE COMPLIANCE HANDBOOK'. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS OF CROUSE HOSPITAL ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | PENSION AND POST-RETIREMENT CHANGES OTHER THAN PERIOD COSTS 6,514,688. INCREASE IN INTEREST IN NET ASSETS OF CROUSE HEALTH FOUNDATION 2,537,014. DECREASE IN FUNDS HELD IN TRUST BY OTHERS -105,062. |
| FORM 990, PART XII, LINE 2C | CROUSE HEALTH HOSPITAL, INC. HAS NOT CHANGED THE PROCESS BY WHICH IT SELECTS ITS INDEPENDENT ACCOUNTANT OR OVERSEES THE AUDIT PROCESS FROM LAST YEAR. |
| FORM 990, PART IV, LINE 34 | IN 2010 THE HOSPITAL FORMED CROUSE MEDICAL PRACTICE, PLLC ("PLLC") WITH PAUL KRONENBERG, MD - THEN HOSPITAL CEO AND NON-VOTING MEMBER OF THE HOSPITAL BOARD OF DIRECTORS AND SOLE MEMBER OF THE PLLC. THE PLLC WAS FORMED TO FURTHER THE HOSPITAL'S CHARITABLE PURPOSES THROUGH THE ACQUISITION OF PHYSICIAN PRACTICES AND THE EMPLOYMENT OF PHYSICIANS. THE PLLC BORROWED ITS START-UP CAPITAL ON A FAIR MARKET NOTE FROM THE HOSPITAL, WHICH ACCRUES INTEREST DAILY. BECAUSE THE HOSPITAL EFFECTIVELY CONTROLS THE PLLC THROUGH CONTRACTUAL ARRANGEMENTS AND MAINTAINS SIGNIFICANT FINANCIAL SUPPORT OF THE PLLC, THE PLLCS FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE SYSTEM FOR FINANCIAL STATEMENT PURPOSES. PAUL KRONENBERG'S SON, SETH, TOOK OVER AS THE SOLE MEMBER OF THE PLLC AS OF JULY 1, 2015. ALL MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURES. |
| FORM 990, PART VII, LINE 2 | ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL, EXCEPT MEMBERS KIMBERLY BOYNTON AND PAUL KRONENBERG, ARE VOLUNTARY. NO COMPENSATION, EMPLOYEE BENEFITS, OR EXPENSE ACCOUNT ALLOWANCES ARE RECEIVED FOR BOARD SERVICES. COMPENSATION IS DISCLOSED FOR EMPLOYEE SERVICES PROVIDED TO THE HOSPITAL OR ITS RELATED ORGANIZATIONS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HEALTH NETWORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVENUE | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472918011 | EIN |
| Primary Activities | ESTABLISH/OPERATE ACCTABLE CARE ORG OF CLINICALLY INTEGR HLTHCARE PROVIDERS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HEALTH HOSPITAL INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CROUSE HEALTH SYSTEM INC | |||||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 161560473 | TO PROVIDE OFF SITE SPACE AND SECURE CAPITAL | NY | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| CROUSE HEALTH FOUNDATION INC | |||||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 161035427 | FUNDRAISING FOR CROUSE HEALTH HOSPITAL | NY | 501(C)(3) | LINE 7 | N/A | 0 | |
| CROUSE MEDICAL PRACTICE PLLC | |||||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 800548096 | FURTHER HOSPITAL'S PURPOSE THROUGH ACQUISITION OF PHYSICIAN PRACTICES | NY | 501(C)(3) | LINE 7 | Yes (1) | CROUSE HEALTH HOSPITAL | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CROUSE MEDICAL PRACTICE PLLC | ||
| D | $36,034,378 | LOAN AGREEMENT |
| CROUSE MEDICAL PRACTICE PLLC | ||
| O | $683,326 | INTERCO AGREEMENT |
| CROUSE HEALTH FOUNDATION INC | ||
| C | $3,162,318 | |
| CROUSE HEALTH SYSTEM INC | ||
| O | $562,082 | INTERCO AGREEMENT |
| CROUSE HEALTH SYSTEM INC | ||
| J | $3,119,019 | LEASE AGREEMENT |
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