CROUSE HEALTH HOSPITAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CROUSE HEALTH HOSPITAL INC (EIN 16-0960470)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201503209349312020
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T15:26:24-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454051133PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREED MAXICK CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1424 MAIN STREET SUITE 800AddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP142023508ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160960470EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CROUSE HEALTH HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCROUBusinessNameControlTxt
Phone3154707111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1736 IRVING AVENUEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP132101687ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKELLI HARRISPersonNm
Person TitleCFOPersonTitleTxt
Phone3154707111PhoneNum
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DALTONPreparerPersonNm
PTINP00645802PTIN
Phone7168472651PhoneNum
Preparation2015-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CROUSE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKIMBERLY BOYNTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1736 IRVING AVENUEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP132101687ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$398,335,203GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CROUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1913FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTHActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee3122TotalEmployeeCnt
Total Volunteers500TotalVolunteersCnt
Total Gross UBI$152,610TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$118,338NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,158,425PYContributionsGrantsAmt
CY Contributions Grants$2,398,966CYContributionsGrantsAmt
PY Program Service Revenue$358,372,825PYProgramServiceRevenueAmt
CY Program Service Revenue$381,365,073CYProgramServiceRevenueAmt
PY Investment Income$2,206,711PYInvestmentIncomeAmt
CY Investment Income$1,913,822CYInvestmentIncomeAmt
PY Other Revenue$11,888,201PYOtherRevenueAmt
CY Other Revenue$11,942,895CYOtherRevenueAmt
PY Total Revenue$374,626,162PYTotalRevenueAmt
CY Total Revenue$397,620,756CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$194,830,409PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$202,357,086CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$168,786,588PYOtherExpensesAmt
CY Other Expenses$179,221,255CYOtherExpensesAmt
PY Total Expenses$363,616,997PYTotalExpensesAmt
CY Total Expenses$381,578,341CYTotalExpensesAmt
PY Revenues Less Expenses$11,009,165PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,042,415CYRevenuesLessExpensesAmt
Total Assets BOY$265,304,935TotalAssetsBOYAmt
Total Assets EOY$289,336,283TotalAssetsEOYAmt
Total Liabilities BOY$201,531,464TotalLiabilitiesBOYAmt
Total Liabilities EOY$256,574,471TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$63,773,471NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,761,812NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$250,153,176ExpenseAmt
Revenue$381,365,073RevenueAmt
DescPROVISION 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 23,500 INPATIENTS, 76,500 EMERGENCY SERVICE PATIENTS, AND MORE THAN 315,000 OUTPATIENTS ANNUALLY. CROUSE HOSPITAL PROVIDED APPROXIMATELY $5 MILLION IN CHARITY CARE IN 2014. 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.ORGDesc
Total Program Service Expenses$250,153,176TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document308IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3122EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKELLI HARRIS CFOPersonNm
Phone3154708058PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1736 IRVING AVENUEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ELIZABETH HARNETT ESQ
DIRECTOR, VICE CHAIR1.001.00Yes (X)Yes (X)$0$0$0
PATRICK MANNION
DIRECTOR, BOARD CHAIR1.001.00Yes (X)Yes (X)$0$0$0
PAUL KRONENBERG MD
DIRECTOR, VICE CHAIR, EXEC VICE PRESIDENT31.0012.00Yes (X)Yes (X)$590,519$162,225$33,105
MELVIN STITH PHD
DIRECTOR1.001.00Yes (X)$0$0$0
MARY COTTER
DIRECTOR1.001.00Yes (X)$0$0$0
HAYES WANAMAKER MD
DIRECTOR1.001.00Yes (X)$27,000$0$0
JAMES CARRICK
DIRECTOR1.001.00Yes (X)$0$0$0
RICHARD RUSSELL
DIRECTOR1.001.00Yes (X)$0$0$0
ROBERT MIRON
DIRECTOR1.001.00Yes (X)$0$0$0
BARBARA ASHKIN
DIRECTOR1.001.00Yes (X)$0$0$0
JAMES HUGHES
DIRECTOR1.001.00Yes (X)$0$0$0
PATTY BLACK
DIRECTOR1.001.00Yes (X)$0$0$0
JAMES LONGO MD
DIRECTOR1.001.00Yes (X)$13,750$0$0
KIMBERLY BOYNTON
BOARD PRESIDENT AND CEO39.003.00Yes (X)Yes (X)$529,084$28,468$53,753
KENT SYVERUD
DIRECTOR1.001.00Yes (X)$0$0$0
BENJAMIN HIMPLER
DIRECTOR1.001.00Yes (X)$0$0$0
LINDA CLEARY
DIRECTOR1.001.00Yes (X)$0$0$0
DERRICK SUEHS
BOARD SECRETARY, CQO41.001.00Yes (X)$262,280$0$34,117
KELLI HARRIS
BOARD TREASURER, CFO38.004.00Yes (X)$291,316$22,419$36,406
ANN SEDORE PHD RN
CHIEF NURSING OFFICER40.00$241,579$0$11,219Yes (X)
RONALD STAHL MD
CHIEF MEDICAL OFFICER40.00$341,074$0$34,449Yes (X)
SETH KRONENBERG MD
CHIEF PHYSICIAN INTEGRATION OFFICER22.0019.00$140,066$134,743$28,683Yes (X)
HECTOR BIAGGI MD
PHYSICIAN CHEMICAL DEPENDANCY40.00$460,573$0$29,997Yes (X)
JIANXIN MA
PHYSICIAN40.00$442,642$0$50,484Yes (X)
SAMI ABDUL-MALAK MD
PHYSICIAN NEUROLOGY40.00$414,050$0$50,922Yes (X)
RICHARD STEINMANN MD
PHYSICIAN EMERGENCY DEPT40.00$358,189$0$60,799Yes (X)
GINA HAYES
PHYSICIAN40.00$316,180$0$45,104Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,428,302TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$347,855TotReportableCompRltdOrgAmt
Total Other Compensation$469,038TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K188IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LABORATORY ALLIANCE
1304 BUCKLEY RDSYRACUSENY13212PROFESSIONAL MEDICAL$10,150,927
CROUSE MEDICAL GROUP PC
401 N SALINA STREET SUITE 400SYRACUSENY13203PROFESSIONAL MEDICAL$3,316,895
BEACON CONSULTANTS
97 LIBBEY PARKWAY SUITE 310WEYMOUTHMA02189IT CONSULTING$3,156,724
HAYNOR HOYT CORPORATION
625 ERIE BOULEVARD WESTSYRACUSENY13204CONSTRUCTION$2,985,991
CNY ANESTHESIA GROUP PC
736 IRVING AVESYRACUSENY13210PROFESSIONAL MEDICAL$2,591,794
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K63CntrctRcvdGreaterThan100KCnt
Related Organizations$2,281,334RelatedOrganizationsAmt
Government Grants$51,721GovernmentGrantsAmt
All Other Contributions$65,911AllOtherContributionsAmt
Total Contributions$2,398,966TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE623000$376,653,155$376,653,155
PARKING812930$2,225,708$2,225,708
ARRA INCOME623000$1,112,700$1,112,700
PROPERTY MGT REV FROM AFFILIATE531310$896,355$896,355
RENT532000$477,155$477,155
FieldValueIRS element (for citing)
Total Program Service Revenue$381,365,073TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,886,233TotalRevenueColumnAmt
Exclusion$1,886,233ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$742,036OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$714,447OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$27,589OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,589TotalRevenueColumnAmt
Exclusion$27,589ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
COLLEGE OF NURSING611600$3,231,783$3,231,783
OTHER REVENUE623000$2,827,597$2,827,597
CAFETERIA721110$1,732,788$1,732,788

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,150,727TotalRevenueColumnAmt
Unrelated Business Revenue$152,610UnrelatedBusinessRevenueAmt
Exclusion$3,998,117ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,942,895OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$397,620,756TotalRevenueColumnAmt
Related Or Exempt Func Income$381,365,073RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$152,610UnrelatedBusinessRevenueAmt
Exclusion$13,704,107ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,436,668TotalAmt
Management And General$2,436,668ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$156,359,843TotalAmt
Program Services$96,936,817ProgramServicesAmt
Management And General$59,423,026ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,901,485TotalAmt
Program Services$1,178,921ProgramServicesAmt
Management And General$722,564ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,245,248TotalAmt
Program Services$18,752,054ProgramServicesAmt
Management And General$11,493,194ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,413,842TotalAmt
Program Services$7,076,582ProgramServicesAmt
Management And General$4,337,260ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$662,538TotalAmt
Management And General$662,538ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$189,206TotalAmt
Management And General$189,206ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$121,443TotalAmt
Management And General$121,443ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,066,642TotalAmt
Program Services$10,581,318ProgramServicesAmt
Management And General$6,485,324ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,235,826TotalAmt
Program Services$766,212ProgramServicesAmt
Management And General$469,614ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,275,307TotalAmt
Program Services$1,410,690ProgramServicesAmt
Management And General$864,617ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,551,148TotalAmt
Program Services$2,201,712ProgramServicesAmt
Management And General$1,349,436ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,623,094TotalAmt
Program Services$7,206,318ProgramServicesAmt
Management And General$4,416,776ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$80,834TotalAmt
Program Services$50,117ProgramServicesAmt
Management And General$30,717ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$136,593TotalAmt
Program Services$84,688ProgramServicesAmt
Management And General$51,905ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,299,291TotalAmt
Management And General$2,299,291ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,206,534TotalAmt
Program Services$10,944,728ProgramServicesAmt
Management And General$5,261,806ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,406,674TotalAmt
Program Services$2,111,618ProgramServicesAmt
Management And General$295,056ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$71,320,171$48,497,716$22,822,455
PURCHASED SERVICES$22,363,521$21,021,709$1,341,812
MAINTENANCE CONTRACTS$4,002,711$2,243,984$1,758,727
PENSION$1,568,708$5,379,163-$3,810,455

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,111,014TotalAmt
Program Services$13,708,829ProgramServicesAmt
Management And General$8,402,185ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$381,578,341TotalAmt
Program Services$250,153,176ProgramServicesAmt
Management And General$131,425,165ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,300BOYAmt
EOY$8,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,744,755BOYAmt
EOY$27,579,973EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,652,757BOYAmt
EOY$46,037,669EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,862,510BOYAmt
EOY$5,350,681EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,792,304BOYAmt
EOY$8,039,722EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,666,346BOYAmt
EOY$6,860,802EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$304,246,352LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$179,675,818LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$115,023,354BOYAmt
EOY$124,570,534EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,665,572BOYAmt
EOY$865,549EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$208,027BOYAmt
EOY$361EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$64,681,010BOYAmt
EOY$70,022,492EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$265,304,935BOYAmt
EOY$289,336,283EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,787,116BOYAmt
EOY$28,270,145EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,895,000BOYAmt
EOY$59,145,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,168,827BOYAmt
EOY$7,309,828EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,680,521BOYAmt
EOY$161,849,498EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$201,531,464BOYAmt
EOY$256,574,471EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$37,023,458BOYAmt
EOY$6,147,074EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,538,670BOYAmt
EOY$13,776,257EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,211,343BOYAmt
EOY$12,838,481EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,773,471BOYAmt
EOY$32,761,812EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$265,304,935BOYAmt
EOY$289,336,283EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,042,415ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$634,647NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$46,419,427OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$235,273DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$235,273TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationCROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE FIRM OF WILSON, ELSER, MOSKOWITZ, EDELMAN & DICKER, LLP EFFECTIVE 2/11/14 TO 2/10/15 TO SERVE AS LEGISLATIVE COUNSEL TO THE HOSPITAL. THE FEE FOR THOSE SERVICES IS $120,000 ANNUALLY PLUS EXPENSES. AS OF DECEMBER 31, 2014, CROUSE HOSPITAL HAS PAID THE FIRM $120,000 IN PROFESSIONAL SERVICE FEES AND $7,379 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 3/17/14 TO 3/16/15 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, 2014, CROUSE HEALTH HOSPITAL, INC HAS PAID THE FIRM $60,000 IN PROFESSIONAL SERVICE FEES AND $570 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 $30,000 ANNUALLY PLUS EXPENSES. AS OF DECEMBER 31, 2014, CROUSE HEALTH HOSPITAL, INC HAS PAID THE FIRM $20,000 IN PROFESSIONAL SERVICES FEES AND $324 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,312,798BeginningYearBalanceAmt
Contributions$644,533ContributionsAmt
Investment Earnings Or Losses$461,758InvestmentEarningsOrLossesAmt
Other Expenditures$1,751,275OtherExpendituresAmt
End Year Balance$24,667,814EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,535,299BeginningYearBalanceAmt
Contributions$594,965ContributionsAmt
Investment Earnings Or Losses$3,363,504InvestmentEarningsOrLossesAmt
Other Expenditures$180,970OtherExpendituresAmt
End Year Balance$25,312,798EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,814,130BeginningYearBalanceAmt
Contributions$50,269ContributionsAmt
Investment Earnings Or Losses$2,546,629InvestmentEarningsOrLossesAmt
Grants Or Scholarships$38,000GrantsOrScholarshipsAmt
Other Expenditures$809,092OtherExpendituresAmt
Administrative Expenses$28,637AdministrativeExpensesAmt
End Year Balance$21,535,299EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,220,353BeginningYearBalanceAmt
Contributions$259,960ContributionsAmt
Investment Earnings Or Losses-$742,382InvestmentEarningsOrLossesAmt
Grants Or Scholarships$41,500GrantsOrScholarshipsAmt
Other Expenditures$843,933OtherExpendituresAmt
Administrative Expenses$38,368AdministrativeExpensesAmt
End Year Balance$19,814,130EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$19,569,523BeginningYearBalanceAmt
Contributions$57,126ContributionsAmt
Investment Earnings Or Losses$2,430,827InvestmentEarningsOrLossesAmt
Grants Or Scholarships$28,500GrantsOrScholarshipsAmt
Other Expenditures$770,515OtherExpendituresAmt
Administrative Expenses$38,108AdministrativeExpensesAmt
End Year Balance$21,220,353EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.33400BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.45800PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.20800TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$285,832OtherCostOrOtherBasisAmt
Book Value$285,832BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,696,675OtherCostOrOtherBasisAmt
Depreciation$92,485,769DepreciationAmt
Book Value$77,210,906BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,098,798OtherCostOrOtherBasisAmt
Depreciation$14,935,677DepreciationAmt
Book Value$3,163,121BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,664,875OtherCostOrOtherBasisAmt
Depreciation$72,254,372DepreciationAmt
Book Value$36,410,503BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,500,172OtherCostOrOtherBasisAmt
Book Value$7,500,172BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$124,570,534TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
CROUSE HEALTH FOUNDATION$25,081,798
ASSETS WHOSE USE IS LIMITED$41,263,089
FUNDS HELD IN TRUST BY OTHERS$1,532,940
BOND ISSUANCE/CLOSING COSTS$2,144,665
FieldValueIRS element (for citing)
Total Book Value Other Assets$70,022,492TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
SELF INSURED PROFESSIONAL LIABILITY$18,059,808
ACCRUED PENSION LIABILITY$101,940,296
POST RETIREMENT OBLIGATIONS$14,247,538
ASSET RETIREMENT OBLIGATIONS$2,587,286
DUE TO RELATED PARTIES$4,585,679
FUNDS HELD IN TRUST$175,380
LIABILITIES TO THIRD PARTY PAYERS$19,988,749
DEFERRED RENT AND REBATE$264,762
FieldValueIRS element (for citing)
Total Liability$161,849,498TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2011.
PART V, LINE 4ENDOWMENT 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 $25 MILLION AT DECEMBER 31, 2014. 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,212,029TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,534,685DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,677,344NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,526,322TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,964,884DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,561,438NetCommunityBenefitExpnsAmt
Total Expense0.05910TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$96,738,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$70,499,569DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,238,782NetCommunityBenefitExpnsAmt
Total Expense0.06870TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$766,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$74,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$691,797NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,528,394TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,298,845DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,229,549NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,014,037TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,497,587DirectOffsettingRevenueAmt
Net Community Benefit Expns$516,450NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,289TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$50,289NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$192,324TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$192,324NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,551,605TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,871,196DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,680,409NetCommunityBenefitExpnsAmt
Total Expense0.02010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$113,289,956TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,370,765DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,919,191NetCommunityBenefitExpnsAmt
Total Expense0.08880TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$246,774TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$246,774NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,269TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,269NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,355TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,355NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$281,398TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$281,398NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$12,035,223BadDebtExpenseAmt
Reimbursed By Medicare$82,143,296ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$82,454,610CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$311,314MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 LACNY INC
LABORTATORY SERVICES0.33330
2 MDR LLC
MAGNETIC RESONANCE IMAGING0.250000.75000
3 SEA LLC
ENDOSCOPY SERVICES0.400000.60000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CROUSE HEALTH HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1736 IRVING AVEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13210ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CROUSE HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLCROUSE.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://CROUSE.ORG/ABOUT/COMMUNITY/StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CROUSE HOSPITALPART 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 2010. 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 HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 11: FOLLOWING IS A GENERAL OVERVIEW OF CROUSE HOSPITAL'S WORK TO ADDRESS TWO PRIORITY AREAS AFFECTED BY HEALTH DISPARITIES: PREVENTING CHRONIC DISEASE AND PROMOTING HEALTHY WOMEN, INFANTS AND CHILDREN. THE LATTER INCLUDES PROMOTING MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION WITH FOCUSED ATTENTION ON PREVENTING NEONATAL ABSTINENCE SYNDROME, A MAJOR PROBLEM IN OUR SERVICE AREA. DETAILED DESCRIPTIONS OF THIS WORK ARE INCLUDED IN THE HOSPITAL'S COMMUNITY SERVICE PLAN 2014 UPDATE AT CROUSE.ORG/ABOUT/COMMUNITY.CROUSE HOSPITAL IS ADDRESSING PREVENTION OF CHRONIC DISEASE WITH FREE HEALTH SCREENINGS, HEALTH FAIRS AND COMMUNITY SPEAKERS. 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. ADDITIONALLY, CROUSE MAINTAINS BOARD AND COMMITTEE MEMBERSHIP WITH THE HEALTHY SYRACUSE COALITION, WHICH ADDRESSES DIABETES PREVENTION, YOUTH WELLNESS AND TOBACCO CONTROL. IN 2014, THE GROUP INTRODUCED AND IMPLEMENTED INTERVENTIONS TO PROMOTE NUTRITION AND REDUCE CHILDHOOD OBESITY. HEALTHY SYRACUSE ALSO WORKS TO REDUCE EXPOSURE TO OUTDOOR SECONDHAND SMOKE FOR SYRACUSE RESIDENTS AND EMPLOYEES.CROUSE ALSO SUPPORTS COLLABORATION AMONG LEADERS, PROFESSIONALS AND COMMUNITY MEMBERS WORKING IN MENTAL HEALTH PROMOTION, SUBSTANCE ABUSE AND OTHER MENTAL HEALTH DISORDERS AND CHRONIC DISEASE PREVENTION, TREATMENT AND RECOVERY. SPECIFICALLY, CROUSE HAS WORKED WITH AGENCIES AND WITHIN OUR FACILITY TO INCREASE SCREENINGS FOR BRIEF INTERVENTION (SBIRT), TOOK OUT "TO PREGNANT WOMEN", INCLUDING PARTICIPATING ON AND SBIRT ADVISORY GROUP FOR REACHING PREGNANT WOMEN. ADDITIONALLY, CROUSE HAS PARTICIPATED IN THE DEVELOPMENT OF EDUCATIONAL ADVERTISEMENTS AND A VIDEO TO HELP REDUCE THE NEGATIVE STIGMA OF TREATING INDIVIDUALS WITH SUBSTANCE USE DISORDER, PARTICULARLY PREGNANT WOMEN. CROUSE ALSO CONDUCTS A HEALTH FAIR WITH CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS FOR PATIENTS ENROLLED IN ITS CHEMICAL DEPENDENCY TREATMENT PROGRAMS. THOSE SAME PATIENTS RECEIVE NO-COST ACCESS TO CHILDBIRTH PREPARATION, CPR AND PARENTING CLASSES. ADDITIONALLY, CROUSE HOSPITAL'S POMEROY COLLEGE OF NURSING AND CHEMICAL DEPENDENCY TREATMENT STAFF DEVELOPED CLASSES FOR PREGNANT WOMEN IN TREATMENT FOR SUBSTANCE ABUSE. THESE INCLUDE BASIC BABY CARE; INFANT CPR AND FIRST AID; AND BREASTFEEDING. THE CLASSES, PROVIDED DURING TREATMENT, SERVE AS AN OPPORTUNITY TO ENCOURAGE PARTICIPANTS TO GET AND STAY HEALTHY, AS WELL AS LOOK FORWARD TO MOTHERHOOD, KNOWING THEY HAVE SKILLS TO SUCCEED.DUE TO LIMITED RESOURCES, CROUSE HOSPITAL IS NOT ABLE TO FOCUS EFFORTS ON THE FOLLOWING HEALTH NEEDS OF OUR COMMUNITY AT THIS TIME: IMPROVED SIDEWALKS AND TRANSPORTATION; PRIMARY CARE FOR AN EVER-GROWING REFUGEE POPULATION; AND SUICIDE PREVENTION.
CROUSE HOSPITALPART 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 HOSPITALPART 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 HOSPITALPART V, SECTION B, LINE 22D: THE HOSPITAL USED THE LARGEST VOLUME COMMERCIAL PAYOR RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED.
PART V, SECTION B, LINE 16FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
CROUSE HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/
CROUSE HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/
CROUSE HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/
FieldValueIRS element (for citing)
Facility11FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CROUSE HOSPITAL-410 SOUTH CROUSE DIV
410 SOUTH CROUSE AVENUESYRACUSENY13210CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES
CNY MEDICAL IMAGING CENTER
739 IRVING AVENUESYRACUSENY13210MEDICAL IMAGING TESTING CENTER
CNY PROMPTCARE
739 IRVING AVENUESYRACUSENY13210URGENT CARE CENTER
CROUSE HOSPITAL-COMMONWEALTH DIVISION
6010 EAST MOLLY ROADSYRACUSENY13211RESIDENTIAL CHEMICAL DEPENDENCY REHABILITATION
PHYSICAL THERAPY-LIVERPOOL
7375 OSWEGO ROADLIVERPOOLNY13090PHYSICAL THERAPY CENTER
CROUSE ENDOSCOPY
739 IRVING AVENUESYRACUSENY13210ENDOSCOPY TESTING CENTER
POB SURGERY CENTER
723 IRVING AVENUESYRACUSENY13210OUTPATIENT ABULATORY SURGERY CENTER
PHYSICAL THERAPY - DEWITT
5823 WIDEWATERS PARKWAYEAST SYRACUSENY13057PHYSICAL THERAPY CENTER
MADISON IRVING SURGERY CENTER
475 IRVING AVENUESYRACUSENY13210OUTPATIENT ABULATORY SURGERY CENTER
PHYSICAL THERAPY - CNY
739 IRVING AVENUESYRACUSENY13210PHYSICAL THERAPY CENTER
HELP PEOPLE
600 E GENESEE STREETSYRACUSENY13202EMPLOYEE ASSISTANCE PROGRAM

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 7 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE COSTING METHODOLOGY USED IS THE MEDICARE COST REPORT FOR 2014. 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, 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 IN OCTOBER AND NOVEMBER 2011. 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:O THE NEW YORK STATE PREVENTION AGENDA,O THE 2013 COMMUNITY NEEDS ASSESSMENT REPORT FROM THE UNITED WAY OF CNY,O INTERNAL INFORMATION FROM THE OCHD AND HOSPITALS, INCLUDING DISCHARGE DATA AND PROGRAM MEASUREMENTS.AGAIN, STUDENTS FROM THE CNYMPH PROGRAM WERE ENGAGED TO SUPPORT THE COMMUNITY HEALTH ASSESSMENT EFFORT. OVER THE COURSE OF 2012/2013, A LOCAL HEALTH IMPROVEMENT TASK FORCE COMPRISED OF REPRESENTATIVES FROM THE OCHD AND THE HOSPITALS MET REGULARLY TO REVIEW THE DATA AND EXPLORE AREAS FOR COLLABORATION. DATA GATHERED REFLECTED CONCERNS RELATED TO CHRONIC DISEASE, PARTICULARLY OBESITY, AFFECTED BY A LACK OF OPPORTUNITIES FOR PHYSICAL ACTIVITY AND ACCESS TO FRESH FRUITS AND VEGETABLES; SUBSTANCE ABUSE; HOMICIDE RATES; ACCESS TO CARE; TEEN PREGNANCY AND STDS; AND TOBACCO USE CESSATION.
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 YOUR 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. A 2012 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 16-COUNTY REGION THAT EXTENDS SOUTH TO BINGHAMTON AND NORTH TO MALONE. CENTRALLY LOCATED IN NEW YORK STATE, ONONDAGA COUNTY COVERS 780 SQUARE MILES. ITS POPULATION IS 466,615, 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 145,135. 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. THE MEDIAN AGE IN ONONDAGA COUNTY IS 38.7 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. THERE ARE NEARLY 95,000 WOMEN IN THIS CATEGORY IN ONONDAGA COUNTY, WITH ROUGHLY 37,000 RESIDING IN SYRACUSE.AMONG ONONDAGA COUNTY RESIDENTS, 97.6 PERCENT IDENTIFIED AS BEING ONE RACE. OF THESE, 81.6 PERCENT ARE WHITE AND 10.9 PERCENT ARE BLACK. THE MAJORITY OF COUNTY'S BLACK RESIDENTS LIVE IN SYRACUSE, PARTICULARLY ON THE NEAR-SOUTH AND WEST SIDES OF THE CITY. ASIANS AND AMERICAN INDIAN/ALASKA NATIVES ARE THE OTHER ETHNIC GROUPS REPRESENTED IN COMPARATIVELY LARGE NUMBERS. THERE ARE 15,000 ASIANS LIVING IN THE COUNTY, COMPRISING 3.2 PERCENT OF THE TOTAL POPULATION. INDIVIDUALS OF NATIVE AMERICAN DESCENT ACCOUNT FOR 0.7 PERCENT OF THE POPULATION. HISPANIC ETHNICITY IS REPORTED BY MORE THAN 19,000 COUNTY RESIDENTS OF ALL RACES (4.1 PERCENT).IN 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, 89.3 PERCENT HAVE A HIGH SCHOOL EDUCATION OR HIGHER AND 32.6 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THESE FALL TO 80.2 PERCENT AND 26.1 PERCENT IN SYRACUSE, RESPECTIVELY.THERE ARE 18 SCHOOL DISTRICTS IN ONONDAGA COUNTY WITH AN ENROLLMENT OF APPROXIMATELY 70,000 STUDENTS, INCLUDING NEARLY 20,000 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 YEAR, 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 52 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 7.1 PERCENT IN APRIL 2013 AND HAS DECLINED SLOWLY FROM A HIGH OF 8.8 PERCENT IN JANUARY 2010. THE CURRENT UNEMPLOYMENT RATE IS NEARLY IDENTICAL TO THE STATEWIDE UNEMPLOYMENT RATE OF 7.3 PERCENT IN APRIL 2013. IN GENERAL, WHITE RESIDENTS HAVE LOWER UNEMPLOYMENT RATES THAN OTHER RACES. THE HIGHEST UNEMPLOYMENT IS SEEN IN THOSE WHO IDENTIFY AS SOME OTHER RACE.THE MEDIAN HOUSEHOLD INCOME IN ONONDAGA COUNTY IS $52,520. AMONG ALL RESIDENTS, 14.7 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. THE MEDIAN HOME VALUE IN ONONDAGA COUNTY IN 2010 WAS $134,700, COMPARED WITH $88,400 IN SYRACUSE. ALSO, IN ONONDAGA COUNTY, 9 PERCENT OF RESIDENTS DO NOT HAVE ANY HEALTH INSURANCE. THIS INCREASES TO 13 PERCENT IN SYRACUSE.
PART VI, LINE 5:ADDITIONAL WAYS CROUSE HOSPITAL PROMOTES COMMUNITY HEALTH, FOR NO COST AND AVAILABLE TO ALL, ARE LISTED BELOW. - HEART HEALTH SCREENINGS FOR UNDERINSURED AND UNINSURED- MAMMOGRAM INFORMATION LADIES NIGHTS- HEALTH FAIRS FOR LOCAL EMPLOYERS, SCHOOLS AND CHURCH GROUPS- INFANT LOSS SUPPORT GROUP; OSTOMY SUPPORT GROUP; BREAST CANCER SURVIVOR SUPPORT GROUP- 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 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 THROUGHOUT THE YEAR ON A VARIETY HEALTH AND WELLNESS TOPICS - DEDICATED MRSA UNIT WITH SPECIALLY TRAINED CLINICIANS - EMERGENCY MEDICAL SERVICE CLINICAL TRAININGS ON TOPICS SUCH AS 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 COMMUNITY EVENTS/FORUMS (6,000 DISTRIBUTED IN 2014)- CROUSE HOSPITAL MEDICAL LIBRARY OPEN TO THE COMMUNITY, WITH STAFF SERVING AS HEALTH LITERACY NETWORK FOR CNY MEMBERS - REIKI THERAPY FOR PATIENTS FROM NURSES, VOLUNTEERS AND OTHER STAFF- SPEAKERS BUREAU PROVIDING PRESENTATIONS UPON REQUEST- STUDENT MENTORING PROGRAM FOR HUNDREDS OF HEALTHCARE STUDENTS EACH YEAR- EXCLUSIVE REGIONAL PROVIDER OF SPIRIT OF WOMEN WELLNESS AND EDUCATIONAL INITIATIVE
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL KRONENBERG MD
DIRECTOR, VICE CHAIR, EXEC VICE PRES$471,101$156,104$116,304$6,121$3,114$0$8,913$2,971$17,651$3,570$617,083$168,766$0$0
KIMBERLY BOYNTON
BOARD PRESIDENT AND CEO$526,213$28,468$0$0$2,871$0$15,177$799$36,844$933$581,105$30,200$0$0
DERRICK SUEHS
BOARD SECRETARY, CQO$262,280$0$0$0$0$0$10,862$0$23,255$0$296,397$0$0$0
KELLI HARRIS
BOARD TREASURER, CFO$291,316$22,419$0$0$0$0$10,893$820$23,391$1,302$325,600$24,541$0$0
ANN SEDORE PHD RN
CHIEF NURSING OFFICER$241,579$0$0$0$0$0$5,546$0$5,673$0$252,798$0$0$0
RONALD STAHL MD
CHIEF MEDICAL OFFICER$341,074$0$0$0$0$0$7,672$0$26,777$0$375,523$0$0$0
SETH KRONENBERG MD
CHIEF PHYSICIAN INTEGRATION OFFICER$140,066$134,743$0$0$0$0$3,292$2,693$14,962$7,736$158,320$145,172$0$0
HECTOR BIAGGI MD
PHYSICIAN CHEMICAL DEPENDANCY$237,669$0$222,904$0$0$0$5,944$0$24,053$0$490,570$0$0$0
JIANXIN MA
PHYSICIAN$262,805$0$179,837$0$0$0$8,730$0$41,754$0$493,126$0$0$0
SAMI ABDUL-MALAK MD
PHYSICIAN NEUROLOGY$339,090$0$74,960$0$0$0$9,189$0$41,733$0$464,972$0$0$0
RICHARD STEINMANN MD
PHYSICIAN EMERGENCY DEPT$348,814$0$9,375$0$0$0$14,742$0$46,057$0$418,988$0$0$0
GINA HAYES
PHYSICIAN$278,415$0$37,765$0$0$0$6,737$0$38,367$0$361,284$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APAUL KRONENBERG AND KIMBERLY BOYNTON WERE REIMBURSED FOR SOCIAL CLUB DUES.
PART I, LINE 7AS STIPULATED BY EMPLOYMENT CONTRACT, THE PREVIOUS 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 2014 WAS BASED ON 2013 OBJECTIVES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
2003A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY
A161093714682747EA42003-10-01$7,510,000REFUND PORTION OF O/S SERIES 96 BD000
2003A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY
B521380308871720BT42003-10-01$20,000,000REFUND PORTION OF O/S SERIES 96 BD000
2007A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY
C161093714682747GP92007-06-28$9,000,000CAPITAL IMPROVEMENT PROJECT000
2007A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY
D521380308871720BW72007-12-20$20,000,000CAPITAL IMPROVEMENT PROJECT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$7,510,000$569,963$6,940,0372003Yes (1)0Yes (1)Yes (1)
B$20,000,000$20,000,0002003Yes (1)0Yes (1)Yes (1)
C$9,000,000$43,563200900Yes (1)Yes (1)$8,956,437
D$20,000,000201000Yes (1)Yes (1)$20,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000Yes (1)
B000000Yes (1)
C000000Yes (1)
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)Yes (1)Yes (1)000Yes (1)
B00Yes (1)0Yes (1)000Yes (1)
C000Yes (1)Yes (1)000Yes (1)
D000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line12007B SYRACUSE INDUSTRIAL DEVELOPMENT AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521380308BondIssuerEIN
CUSIP871720BX5CUSIPNum
Bond Issued2007-12-20BondIssuedDt
Issue Price$7,850,000IssuePriceAmt
PurposeCAPITAL IMPROVEMENT PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$7,850,000TotalProceedsAmt
Capital Expenditures$7,850,000CapitalExpendituresAmt
Substantial Completion2008SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PAUL KRONENBERG MD
SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC$0PAUL KRONENBERG, MD IS THE PHYSICIAN CEO AND SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC. 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$139,791JAMES LONGO, MD IS A PARTNER IN CARDIOLOGY PC WHICH PROVIDES CARDIOLOGY SERVICES TO THE HOSPITAL AND FOR WHICH PAYMENTS TOTALING $139,791 WERE RECEIVED FROM THE HOSPITAL IN 2014.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1TWO 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 2PATRICK 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 6CROUSE HEALTH SYSTEM, INC IS THE SOLE MEMBER OF CROUSE HEALTH HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7ACROUSE HEALTH SYSTEM, INC APPROVES AND ELECTS THE BOARD OF DIRECTORS OF CROUSE HEALTH HOSPITAL, INC
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN 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 11HOSPITAL 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 12CCONFLICT 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 15THE 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 19THE 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 -46,280,254. DECREASE IN INTEREST IN NET ASSETS OF CROUSE HEALTH FOUNDATION -116,238. DECREASE IN FUNDS HELD IN TRUST BY OTHERS -22,935.
FORM 990, PART XII, LINE 2CCROUSE 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 34IN 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. DR KRONENBERG'S SON IS EMPLOYED AS A PHYSICIAN BY THE PLLC. ALL MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURES.
FORM 990, PART VII, LINE 2ALL 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 Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CROUSE HEALTH SYSTEM INC
736 IRVING AVENUESYRACUSENY13210161560473TO PROVIDE OFF SITE SPACE AND SECURE CAPITALNY501(C)(3)LINE 11A, IN/A0
CROUSE HEALTH FOUNDATION INC
736 IRVING AVENUESYRACUSENY13210161035427FUNDRAISING FOR CROUSE HEALTH HOSPITALNY501(C)(3)LINE 7N/A0
CROUSE MEDICAL PRACTICE PLLC
736 IRVING AVENUESYRACUSENY13210800548096FURTHER HOSPITAL'S PURPOSE THROUGH ACQUISITION OF PHYSICIAN PRACTICESNY501(C)(3)LINE 7Yes (1)CROUSE HEALTH HOSPITAL
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CROUSE MEDICAL PRACTICE PLLC
D$22,837,830LOAN AGREEMENT
CROUSE MEDICAL PRACTICE PLLC
O$706,358INTERCO AGREEMENT
CROUSE HEALTH FOUNDATION INC
C$2,509,259
CROUSE HEALTH SYSTEM INC
O$896,357INTERCO AGREEMENT
CROUSE HEALTH SYSTEM INC
J$3,159,507LEASE AGREEMENT

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