2014-11-17T12:45:19-06:00 2013-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2013-01-01 160960470 CROUSE HEALTH HOSPITAL INC CROU 3154707111 736 IRVING AVENUE SYRACUSE NY 132101687 KELLI HARRIS CFO 3154707111 2014-11-13 1 THOMAS DALTON P00645802 7168472651 2013 2015-11-30 17:44:51Z CROUSE HOSPITAL PAUL KRONENBERG MD 736 IRVING AVENUE SYRACUSE NY 132101687 374685197 0 X WWW.CROUSE.ORG X 1913 NY TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH 13 10 3061 458 7993 0 222101 2158425 362823789 358372825 1628333 2206711 10004235 11888201 374678458 374626162 0 0 0 0 200669362 194830409 0 0 0 181362123 168786588 382031485 363616997 -7353027 11009165 252459763 265304935 275881641 201531464 -23421878 63773471 THE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH. 0 0 233612542 358372825 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 AND 57 BASSINETS. CROUSE HOSPITAL SERVES MORE THAN 24,000 INPATIENTS, 69,000 EMERGENCY SERVICE PATIENTS, AND MORE THAN 270,000 OUTPATIENTS ANNUALLY. CROUSE HOSPITAL PROVIDED APPROXIMATELY $7 MILLION IN CHARITY CARE IN 2013. ADDITIONAL DETAILS ON CROUSE HOSPITAL'S EXEMPT PURPOSE ACHIEVEMENTS ARE FOUND IN "CROUSE HOSPITAL'S 2010-2013 COMMUNITY SERVICE PLAN" WHICH CAN BE ACCESSED ON THE HOSPITAL WEBSITE WWW.CROUSE.ORG 233612542 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 0 1 275 0 1 3061 1 1 1 0 0 0 0 0 0 0 0 0 X 13 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X X KELLI HARRIS 3154708058 736 IRVING AVENUE SYRACUSE NY 13210 ELIZABETH HARNETT ESQ DIRECTOR, BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 PATRICK MANNION DIRECTOR, BOARD CHAIR 1.00 1.00 X X 0 0 0 PAUL KRONENBERG MD DIRECTOR, BOARD PRESIDENT, CEO 39.00 4.00 X X 578308 30345 34276 MELVIN STITH PHD DIRECTOR 1.00 1.00 X 0 0 0 MARY COTTER DIRECTOR 1.00 1.00 X 0 0 0 HAYES WANAMAKER MD DIRECTOR 1.00 1.00 X 15000 0 0 JAMES CARRICK DIRECTOR 1.00 1.00 X 0 0 0 RICHARD RUSSELL CPA DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MIRON DIRECTOR 1.00 1.00 X 0 0 0 BARBARA ASHKIN DIRECTOR 1.00 1.00 X 0 0 0 JAMES HUGHES DIRECTOR 1.00 1.00 X 0 0 0 PATTY BLACK DIRECTOR 1.00 1.00 X 0 0 0 JAMES LONGO MD DIRECTOR 1.00 1.00 X 15000 0 0 MICHELE JOHNSON DIRECTOR, AUXILLARY REP 1.00 0.00 X 0 0 0 MICHAEL DUFFY MD DIRECTOR, MEDICAL STAFF REP 1.00 0.00 X 15000 0 0 DERRICK SUEHS BOARD SECRETARY, CHIEF QUALITY OFFR 41.00 1.00 X X 237831 0 31886 KIMBERLY BOYNTON BOARD TREASURER, CFO 39.00 3.00 X X 346320 18480 43125 ANN SEDORE PHD RN CHIEF NURSING OFFICER 40.00 X 203877 0 14878 RONALD STAHL MD CHIEF MEDICAL OFFICER 40.00 X 341936 0 46345 MICHAEL DUPUIS VP SUPPORT SERVICES 40.00 X 181889 0 35522 RICHARD STEINMANN MD PHYSICIAN EMERGENCY DEPT 40.00 X 371893 0 60738 MICHAEL JOROLEMON MD PHYSICIAN EMERGENCY DEPT 40.00 X 336606 0 58218 SAMI ABDUL-MALAK MD PHYSICIAN NEUROLOGY 40.00 X 314361 0 42474 HECTOR BIAGGI MD PHYSICIAN CHEMICAL DEPENDANCY 40.00 X 331921 0 31439 LAWRENCE MOLOFF PHYSICIAN 40.00 X 308570 0 58669 3598512 48825 457570 192 0 1 0 LABORATORY ALLIANCE 1304 BUCKLEY ROAD SYRACUSE NY 13212 PROFESSIONAL MEDICAL 9499353 CROUSE MEDICAL GROUP PC 401 N SALINA STREET SUITE 400 SYRACUSE NY 13203 PROFESSIONAL MEDICAL 3055154 HAYNOR HOYT CORPORATION 625 ERIE BOULEVARD WEST SYRACUSE NY 13204 CONSTRUCTION 2961244 CNY ANESTHESIA GROUP PC 736 IRVING AVE SYRACUSE NY 13210 PROFESSIONAL MEDICAL 2383975 BEACON CONSULTANTS 97 LIBBEY PARKWAY SUITE 310 WEYMOUTH MA 02189 IT CONSULTING 2373750 61 1769908 117951 270566 2158425 PATIENT REVENUE 623000 351397392 351397392 ARRA INCOME 623000 3212676 3212676 PARKING 812930 2275266 2275266 PROPERTY MGT REV FROM AFFILIATE 531310 1013019 1013019 RENT 532000 474472 474472 358372825 1635481 1635481 712 629553 0 59035 712 570518 571230 571230 OTHER REVENUE 623000 2538091 2538091 COLLEGE OF NURSING 611600 2459648 2459648 OTHER INVESTMENT INCOME 525990 1659298 7993 1651305 5231164 5231164 11888201 374626162 358372825 7993 14086919 1890161 1890161 151123939 94868742 56255197 1557355 965560 591795 29183836 18093978 11089858 11075118 6866573 4208545 681313 681313 214489 214489 118038 118038 15620526 9684726 5935800 1243319 770858 472461 2001468 1240910 760558 3220345 1996614 1223731 10803392 6698103 4105289 147450 91419 56031 116885 72469 44416 2441502 2441502 17652787 10944728 6708059 3405836 2111618 1294218 SUPPLIES 62944409 42802198 20142211 PURCHASED SERVICES 20423913 19198478 1225435 PENSION 8676066 5379161 3296905 MAINTENANCE CONTRACTS 3619329 2243984 1375345 15455521 9582423 5873098 363616997 233612542 130004455 0 8425 8300 21123757 19744755 37667853 40652757 4661847 4862510 7092876 6792304 5323237 7666346 282452744 167429390 118918921 115023354 5665572 208027 208027 57454820 64681010 252459763 265304935 25967636 24787116 67630000 62895000 2203251 1168827 180080754 112680521 275881641 201531464 X -46229557 37023458 11322706 14538670 11484973 12211343 -23421878 63773471 252459763 265304935 X 11009165 -1087511 77273695 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 143903 0 0 143903 0 PART II-B, LINE 1: CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE FIRM OF WILSON, ELSER, MOSKOWITZ, EDELMAN & DICKER, LLP EFFECTIVE 2/11/13 TO 3/10/14 TO SERVE AS LEGISLATIVE COUNSEL TO THE HOSPITAL. THE FEE FOR THOSE SERVICES IS $100,000 ANNUALLY PLUS EXPENSES. AS OF DECEMBER 31, 2013, CROUSE HOSPITAL HAS PAID THE FIRM $100,000 IN PROFESSIONAL SERVICE FEES AND $16,903 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. 21535299 594965 3363504 180970 25312798 19814130 50269 2546629 38000 809092 28637 21535299 21220353 259960 -742382 41500 843933 38368 19814130 19569523 57126 2430827 28500 770515 38108 21220353 16978156 63493 3388889 28750 797265 35000 19569523 0.37670 0.42100 0.20230 0 1 1 285832 285832 165389004 84595520 80793484 15724469 14720552 1003917 97577052 68113318 29463734 3476387 3476387 115023354 CROUSE HEALTH FOUNDATION 25194138 ASSETS WHOSE USE IS LIMITED 35595046 FUNDS HELD IN TRUST BY OTHERS 1555875 BOND ISSUANCE/CLOSING COSTS 2335951 64681010 SELF INSURED PROFESSIONAL LIABILITY 17988275 ACCRUED PENSION LIABILITY 60999473 POST RETIREMENT OBLIGATIONS 12305615 ASSET RETIREMENT OBLIGATIONS 2510030 DUE TO RELATED PARTIES 2440859 FUNDS HELD IN TRUST 267070 LIABILITIES TO THIRD PARTY PAYERS 15828947 DEFERRED RENT AND REBATE 340252 112680521 X 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 2010. 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 $25 MILLION AT DECEMBER 31, 2013. THE PRINCIPAL, WITH AN APPROXIMATE VALUE OF $10 MILLION, REMAINS UNTOUCHED, WHILE THE INVESTMENT INCOME IS USED TO FUND EQUIPMENT AND PROGRAMS REQUIRED FOR HOSPITAL SERVICES AND INITIATIVES. 1 1 X 1 X 1 X 1 1 1 0 1 1 9243388 2702935 6540453 0.01800 80010791 66454549 13556242 0.03730 89254179 69157484 20096695 0.05530 686463 14060 672403 0.00180 9329855 5643965 3685890 0.01010 4591823 4520856 70967 0.00020 85368 85368 0.00020 14693509 10178881 4514628 0.01230 103947688 79336365 24611323 0.06760 244918 244918 0.00070 32716 32716 0.00010 7316 7316 0.00000 284950 284950 0.00080 1 12290730 79441881 82805850 -3363969 X 1 1 1 LACNY INC LABORTATORY SERVICES 0.33330 2 MDR LLC MAGNETIC RESONANCE IMAGING 0.25000 0.75000 3 SEA LLC ENDOSCOPY SERVICES 0.40000 0.60000 1 1 CROUSE HEALTH HOSPITAL INC 736 IRVING AVE SYRACUSE NY 13210 X X X X CROUSE HOSPITAL 1 1 X X X X X X X X X 13 1 1 1 X CROUSE.ORG X X X X X X X X X 0 0 1 1 100.000000000000 1 300.000000000000 1 X X 1 1 X X X X X X X 1 X X X X 1 X X X X X X X X 1 X 0 0 CROUSE HOSPITAL PART V, SECTION B, LINE 3: 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 (MOST FREQUENTLY THE COMMISSIONER) 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 HOSPITAL PART V, SECTION B, LINE 4: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH ST. JOSEPH'S HOSPITAL HEALTH CENTER AND UPSTATE MEDICAL CENTER UNIVERSITY. CROUSE HOSPITAL PART V, SECTION B, LINE 5D: OTHER MEANS OF DISTRIBUTING CHNA: MAILING AND E-MAILING THE REPORT TO PUBLIC LIBRARIES, COMMUNITY ORGANIZATIONS, LOCAL OFFICIALS, BUSINESS LEADERS, MEDIA, 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 7: DUE TO LIMITED RESOURCES, AND THE AVAILABILITY OF OTHER PROVIDERS TO HELP, CROUSE HOSPITAL WILL NOT BE FOCUSING ITS EFFORTS ON THE FOLLOWING HEALTH NEEDS OF OUR COMMUNITY: IMPROVED SIDEWALKS AND TRANSPORTATION, PRIMARY CARE FOR AN EVER-GROWING REFUGEE POPULATION AND SUICIDE PREVENTION. CROUSE HOSPITAL PART V, SECTION B, LINE 14G: THE POLICY ALSO PRINTED IN THE HOSPITAL'S COMMUNITY BENEFIT REPORT WHICH IS ON THE WEBSITE AND DISTRIBUTED WIDELY. CROUSE HOSPITAL PART V, SECTION B, LINE 16E: WAGE GARNISHMENTS AND LIENS ON BANK ACCOUNTS. CROUSE HOSPITAL PART V, SECTION B, LINE 17E: WAGE GARNISHMENTS AND LIENS ON BANK ACCOUNTS. CROUSE HOSPITAL PART V, SECTION B, LINE 19D: 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 20D: THE HOSPITAL MAKES EVERY ATTEMPT TO WORK WITH PATIENTS TO SECURE FINANCIAL ASSISTANCE TO ALLOW THE CHARGE TO BE REDUCED TO A LOWER RATE FOR PAYMENT. 9 CROUSE HOSPITAL-410 SOUTH CROUSE DIV 410 SOUTH CROUSE AVENUE SYRACUSE NY 13210 CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES CNY MEDICAL IMAGING CENTER 739 IRVING AVENUE SYRACUSE NY 13210 MEDICAL IMAGING TESTING CENTER CNY PROMPTCARE 739 IRVING AVENUE SYRACUSE NY 13210 URGENT CARE CENTER CROUSE HOSPITAL-COMMONWEALTH DIVISION 6010 EAST MOLLY ROAD SYRACUSE NY 13211 RESIDENTIAL CHEMICAL DEPENDENCY REHABILITATION PHYSICAL THERAPY-LIVERPOOL 7375 OSWEGO ROAD LIVERPOOL NY 13090 PHYSICAL THERAPY CENTER CROUSE ENDOSCOPY 739 IRVING AVENUE SYRACUSE NY 13210 ENDOSCOPY TESTING CENTER POB SURGERY CENTER 723 IRVING AVENUE SYRACUSE NY 13210 OUTPATIENT ABULATORY SURGERY CENTER PHYSICAL THERAPY - DEWITT 5823 WIDEWATERS PARKWAY EAST SYRACUSE NY 13057 PHYSICAL THERAPY CENTER MADISON IRVING SURGERY CENTER 475 IRVING AVENUE SYRACUSE NY 13210 OUTPATIENT ABULATORY SURGERY CENTER 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 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 EFLECTED 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 CONSISTING PRIMARILY OF FORESTS AND AGRICULTURAL LAND. 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. PERSONS 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 ONONDAG 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: CROUSE HOSPITAL STAFF PROVIDE AN ABUNDANCE OF COMMUNITY HEALTH IMPROVEMENT PROMOTION THROUGHOUT OUR SERVICE AREA, AND IN CONJUNCTION WITH COMMUNITY PARTNERS. BELOW ARE DESCRIPTIONS OF ACTIONS TAKEN TO ADDRESS THE THREE PRIORITY AREAS OUTLINED IN CROUSE HOSPITAL'S NEW YORK PREVENTION AGENDA. THEY WERE SELECTED IN CONJUNCTION WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT AND THE OTHER LOCAL HOSPITALS, FOR COLLABORATIVE INTERVENTIONS FROM 2010-2012 IN ONONDAGA COUNTY CROUSE HOSPITAL PROGRAMS ADDRESSING TOBACCO USE "AS A SMOKE-FREE HOSPITAL, CROUSE PROVIDES ONGOING SMOKING CESSATION PROGRAMS FOR PATIENTS, EMPLOYEES, VOLUNTEERS AND COLLEGE OF NURSING STUDENTS." ALL PATIENTS WHO IDENTIFY THEMSELVES AS SMOKERS ARE COUNSELED ABOUT QUITTING SMOKING BEFORE THEY LEAVE THE HOSPITAL" SMOKING CESSATION COUNSELORS PROVIDE NECESSARY EDUCATION TO ALL PATIENTS IN OUR OUTPATIENT DIABETES PROGRAM AND TO THE NEARLY 2,000 INDIVIDUALS WHO ANNUALLY PARTICIPATE IN FREE COMMUNITY HEART-HEALTH AND PULMONARY FUNCTION SCREENINGS, AS WELL AS HEALTH FAIRS SPONSORED BY THE HOSPITAL" CROUSE STAFF MEMBERS PROVIDE ANNUAL ON-SITE SMOKING PREVENTION/AVOIDANCE PROGRAMS FOR STUDENTS AT HUGHES MAGNET ELEMENTARY SCHOOL, A SYRACUSE CITY SCHOOL LOCATED IN AN ECONOMICALLY DISADVANTAGED AREA, AS WELL AS FOR THE ONONDAGA COUNTY BO CES MIDDLE SCHOOL ALTERNATIVE PROGRAM, FOR STUDENTS AT RISK OF DROPPING OUT OF SCHOOL CROUSE HOSPITAL PROGRAMS ADDRESSING HEALTHY MOTHERS, HEALTHY BABIES, HEALTHY CHILDREN " CROUSE HOSPITAL, IN PARTNERSHIP WITH SUNY UPSTATE MEDICAL UNIVERSITY, SERVES AS THE ONLY NEW YORK STATE-DESIGNATED REGIONAL PERINATAL CENTER PROGRAM IN CENTRAL NEW YORK, CARING FOR THE HIGHEST RISK AND MOST COMPLICATED OBSTETRICAL AND NEONATAL (NICU) PATIENTS IN THE 15-COUNTY REGION ANNUALLY, CROUSE SEES 4,000 BIRTHS AND 900 NICU ADMISSIONS THE REGION AVERAGES 19,000 BIRTHS PER YEAR, WITH 1,582 OF THOSE BIRTHS RECEIVING NICU CARE" CROUSE HOSPITAL'S WALTER R G BAKER NEONATAL INTENSIVE CARE UNIT ANNUALLY ADMITS MORE THAN 900 PREMATURE AND CRITICALLY ILL INFANTS, WITH AN ON-SITE, ROUND-THE-CLOCK STAFF OF NEONATOLOGISTS, NEONATAL NURSE PRACTITIONERS AND HIGHLY SKILLED REGISTERED NURSES" UNIQUE PEDIATRIC CARE SERVICES AT CROUSE INCLUDE EXTRACORPOREAL MEMBRANE OXYGENATION FOR INFANTS AND THE REGION'S ONLY PEDIATRIC CARDIAC CATHETERIZATION PROGRAM" CROUSE STAFF MEMBERS FACILITATE A MONTHLY INFANT-LOSS SUPPORT GROUP FOR PARENTS AND THEIR FAMILIES THROUGHOUT THE REGION. THE INFANT-LOSS BEREAVEMENT STAFF ALSO PROVIDES TRAINING FOR MEDICAL RESIDENTS AND OTHER OB/GYN STAFF " PREVENTIVE HEALTHCARE OFFERINGS INCLUDE A PEDIATRIC FIRST-AID PROGRAM AND COMPREHENSIVE CHILDBIRTH EDUCATION PROGRAMS THAT PROMOTE THE MATERNAL/CHILD BENEFITS OF WAITING UNTIL 39 WEEKS FOR ANY SCHEDULED BIRTH, AND BREASTFEEDING, PLUS LACTATION CONSULTANT SERVICES FOR ANY MOTHER NEEDING ASSISTANCE DURING AND/OR AFTER HER HOSPITAL STAY. CROUSE CONTINUES WORKING WITH THE CHILDREN'S CONSORTIUM OF CENTRAL NEW YORK TO OFFER PARENTS THE BABY BEGINNINGS PROGRAM (PREVIOUSLY READY, SET, PARENT) TO HELP REDUCE THE RISK OF CHILD ABUSE AND INCREASE PARENTING SKILLS FOR THOSE WITH CHILDREN FROM INFANCY TO AGE THREE. OFFERED FREE TO PARENTS, CROUSE IS THE ONLY LOCAL HOSPITAL THAT PROVIDES THIS PROGRAM. ANNUALLY, THE BABY BEGINNINGS STAFF MEETS ONE-ON-ONE WITH 2,000 MOTHERS AND TEACHES NEWBORN CARE CLASSES TO NEARLY 800 MOTHERS." SINCE 1976 CROUSE HOSPITAL HAS BEEN EDUCATING FIRST-GRADE STUDENTS THROUGHOUT ONONDAGA COUNTY (MORE THAN 3,000 IN THE 2012-2013 SCHOOL YEAR) WITH OUR FREE VISIT TO HOSPITAL-LAND COMMUNITY SERVICE PROGRAM THE PROGRAM IS DESIGNED TO LESSEN THE FEARS AND CONFUSION OF YOUNG CHILDREN WHO MAY HAVE TO VISIT A LOVED ONE IN THE HOSPITAL, OR STAY IN A HOSPITAL THEMSELVES" CROUSE OFFERS BABYSITTERS TRAINING COURSE FOR SIXTH GRADE STUDENTS IN SEVERAL ELEMENTARY SCHOOLS ACROSS ONONDAGA COUNTY. IN 2012 WE EQUIPPED ABOUT 40 STUDENTS WITH THE SKILLS AND TOOLS NEEDED TO PROVIDE SAFE CARE FOR YOUNGER CHILDREN, AS WELL AS FOR STAYING HOME ALONE" CROUSE HOSPITAL ALSO CONTINUES ITS PARTNERSHIP WITH HUGHES MAGNET SCHOOL IN SYRACUSE AND IN 2012 LAUNCHED A NEW NUTRITION EDUCATION/COOKING INSTRUCTION PROGRAM THROUGH A GRANT FROM A LOCAL FOUNDATION THE GRANT WAS RENEWED AND EXPANDED FOR THE 2012/13 SCHOOL YEAR. IN ADDITION, CROUSE WORKS WITH THE SYRACUSE CITY SCHOOL DISTRICT TO SERVE AS WELLNESS ADVISORS AND PROVIDE SUPPORT FOR ITS HEALTH AND WELLNESS INITIATIVES. THE HOSPITAL PROVIDES HEALTH SPEAKERS FOR EACH GRADE, FREE CONTINUING MEDICAL EDUCATION TRAINING FOR SCHOOL NURSES, FREE HEART HEALTH SCREENINGS FOR STAFF, AND PLACEMENT OF CROUSE HOSPITAL COLLEGE OF NURSING STUDENTS IN SCHOOLS TO ASSIST SCHOOL NURSES. CROUSE HOSPITAL CHEMICAL DEPENDENCY TREATMENT SERVICES PROVIDES COMPREHENSIVE CARE THAT IMPROVES THE HEALTH OF OUR COMMUNITY'S MOTHERS, BABIES AND CHILDREN- STAFF PROVIDES SUBSTANCE ABUSE PREVENTION EDUCATION FOR PARENTS, TEACHERS AND STUDENTS IN THE SYRACUSE CITY SCHOOL DISTRICT AND OTHER RURAL SCHOOL DISTRICTS WHERE SUBSTANCE ABUSE RATES ARE HIGHEST. CROUSE HOSPITAL PROVIDES A CONTINUUM OF CARE FOR PREGNANT AND POST-PARTUM MOTHERS WITH ALCOHOL AND OTHER SUBSTANCE ABUSE ISSUES. PREGNANT WOMEN CAN ENTER OUR RESIDENTIAL TREATMENT PROGRAM AT ANY TIME BEFORE DELIVERY, CONTINUE TO RECEIVE PRE-NATAL CARE AND THEN DELIVER AT CROUSE HOSPITAL. MOTHERS ALSO MAY RETURN TO TREATMENT AT ANY TIME FOLLOWING DELIVERY. CROUSE HOSPITAL'S CHEMICAL DEPENDENCY TREATMENT SERVICES PROGRAM SERVES TEENS BETWEEN THE AGES OF 13 AND 17 WITH SUBSTANCE ABUSE DISORDERS USING GENDER-SPECIFIC GROUP TRAINING. INCOLLABORATION WITH THE ELMCREST CHILDREN'S CENTER IN SYRACUSE, CROUSE HOSPITAL SUPPORTS AN ON-SITE CHEMICAL DEPENDENCY TREATMENT UNIT ADDRESSING THE RECOVERY NEEDS OF THE CHILDREN. WE ARE INTEGRATING ADDICTION TREATMENT FOR CHILDREN TO PROVIDE THEM WITH A COMPREHENSIVE SYSTEM OF SUPPORT WHILE THEY ARE RESIDING AT ELMCREST AND WHEN THEY MOVE ON TO AFTER-CARE IN THEIR COMMUNITY - IN 2012 CHEMICAL DEPENDENCY TREATMENT SERVICES CONTINUED A HEALTH AND WELLNESS FAIR FOR FEMALE CLIENTS FOCUSING ON HEART HEALTH, BREAST HEALTH, NUTRITION AND DIABETES THE CROUSE BREAST HEALTH CENTER OFFERS WOMEN THE SERVICES OF THREE DEDICATED BREAST HEALTH NAVIGATORS. THE NAVIGATORS HELP LESSEN THE ANXIETY AND APPREHENSION OF HAVING ROUTINE MAMMOGRAMS AND OTHER DIAGNOSTIC IMAGING OR PROCEDURES, AND GUIDE WOMEN THROUGH ANY ADDITIONAL NEEDED TESTS OR PROCEDURES CURRENT CROUSE HOSPITAL PROGRAMS ADDRESSING ACCESS TO CARE. CROUSE HOSPITAL STAFF WORK CLOSELY WITH MANY LOCAL HEALTH AND SOCIAL SERVICE AGENCIES TO PROVIDE FREE SCREENINGS FOR BLOOD PRESSURE, CHOLESTEROL AND BLOOD GLUCOSE LEVELS TO MORE THAN2,000 INDIVIDUALS ANNUALLY, MOST OF WHO ARE FROM UNDERSERVED OR UNDERINSURED GROUPS. WE ALSO SUPPORT DOZENS OF COMMUNITY EDUCATION HEALTH FAIRS AND OTHER EVENTS ANNUALLY. AS A MEMBER OF THE ONONDAGA COUNTY GET HEALTH CONNECTED CONSORTIUM, CROUSE ANNUALLY PLANS AND PARTICIPATES IN AN INNER-CITY FREE HEALTH SCREENING FAIR PROMOTED TO UNDERINSURED AND UNINSURED INDIVIDUALS. IN 2013 AND 2011, CROUSE HOSPITAL SERVED AS THE EVENT ORGANIZER. IN 2012, CROUSE OVERSAW EVENT PUBLICITY AND ADVERTISING FOR THE EVENT. SERVING AS A SPONSOR OF SYRACUSE'S ANNUAL JUNETEENTH HEALTH PAVILION, CROUSE NURSING STAFF ARE ON SITE PROVIDING FREE BLOOD PRESSURE CHECKS, HEALTHCARE PROXY CARDS, MEDICATION RECORDS AND A WIDE VARIETY OF HELPFUL HEALTH RELATED INFORMATION. IN 2011, 2012 AND 2013, MORE THAN 300 PEOPLE HAD THEIR BLOOD PRESSURE CHECKED AND REVIEWED. WORKING WITH THE SYRACUSE SAY YES TO EDUCATION STAFF AND VOLUNTEERS, CROUSE PROVIDES LEADERSHIP SUPPORT AND HEALTHCARE EXPERTISE FOR THE PROGRAM SYRACUSE UNIVERSITY AND THE SYRACUSE CITY SCHOOL DISTRICT HAVE JOINED FORCES TO DEVELOP AND LAUNCH THIS FIRST DISTRICT-WIDE PROGRAM THAT WILL PROMOTE LIFELONG SUCCESS FOR SYRACUSE SCHOOL DISTRICT STUDENTS AND THEIR FAMILIES BY INCREASING BOTH HIGH SCHOOL AND COLLEGE GRADUATION RATES. CROUSE HOSPITAL'S CHEMICAL DEPENDENCY TREATMENT SERVICES PROGRAM PROVIDES SEVERAL SERVICES THAT FOCUS ON ACCESS TO CARE, INCLUDING A HOSPITAL INTERVENTION SERVICE FOR PATIENTS IDENTIFIED WITH ADDICTIVE COMPLICATIONS IN THEIR PRIMARY CARE THAT PROVIDES IN-HOSPITAL CLINICAL INTERVENTION AND ACCESS TO TREATMENT AFTER DISCHARGE, - THE REGION'S ONLY MEDICAL DETOXIFICATION UNIT, - THE REGION'S ONLY OPIOID MAINTENANCE TREATMENT PROGRAM, - THE REGION'S ONLY SERVICE FOR OLDER ADULTS SUFFERING WITH ADDICTION - AND SERVING AS THE AREA'S LARGEST PROVIDER OF ADDICTION TREATMENT TO THE HISPANIC COMMUNITY IN THE PATIENTS' PRIMARY LANGUAGE AND WITH CULTURAL ENHANCED UNDERSTANDING OF THE HISPANIC COMMUNITY " AS CENTRAL NEW YORK'S FIRST HOSPITAL DESIGNATED AS A NICHE ORGANIZATION(NURSES IMPROVING CARE FOR HEALTHCARE ELDERS), CROUSE CONTINUED ITS INNOVATIVE CARE TRANSITIONS PROGRAM FOR PATIENTS WITH A VARIETY OF CARDIAC CONDITIONS (CHF, AFIB, MI), CO PD PATIENTS, AND PATIENT WITH COMP. PART VI, LINE 7, REPORTS FILED WITH STATES NY X 1 1 X X X 0 0 0 0 0 0 0 1 0 PAUL KRONENBERG MD DIRECTOR, BOARD PRESIDENT, CEO 505189 26595 71250 3750 1869 0 12185 641 20777 673 611270 31659 0 0 DERRICK SUEHS BOARD SECRETARY, CHIEF QUALITY OFFR 237831 0 0 0 0 0 11077 0 20809 0 269717 0 0 0 KIMBERLY BOYNTON BOARD TREASURER, CFO 346320 18480 0 0 0 0 11331 596 30089 1109 387740 20185 0 0 ANN SEDORE PHD RN CHIEF NURSING OFFICER 203877 0 0 0 0 0 5145 0 9733 0 218755 0 0 0 RONALD STAHL MD CHIEF MEDICAL OFFICER 341936 0 0 0 0 0 8492 0 37853 0 388281 0 0 0 MICHAEL DUPUIS VP SUPPORT SERVICES 181889 0 0 0 0 0 4891 0 30631 0 217411 0 0 0 RICHARD STEINMANN MD PHYSICIAN EMERGENCY DEPT 362823 0 9070 0 0 0 15604 0 45134 0 432631 0 0 0 MICHAEL JOROLEMON MD PHYSICIAN EMERGENCY DEPT 327536 0 9070 0 0 0 6968 0 51250 0 394824 0 0 0 SAMI ABDUL-MALAK MD PHYSICIAN NEUROLOGY 289071 0 25290 0 0 0 6546 0 35928 0 356835 0 0 0 HECTOR BIAGGI MD PHYSICIAN CHEMICAL DEPENDANCY 273175 0 58746 0 0 0 6714 0 24725 0 363360 0 0 0 LAWRENCE MOLOFF PHYSICIAN 299500 0 9070 0 0 0 12426 0 46243 0 367239 0 0 0 PART I, LINE 1A PAUL KRONENBERG WAS REIMBURSED FOR HIS SOCIAL CLUB DUES. PART I, LINE 7 AS STIPULATED BY EMPLOYMENT CONTRACT, THE HOSPITAL CEO RECEIVES INCENTIVE COMPENSATION IN AN AMOUNT DETERMINED BY THE BOARD OF DIRECTORS, NOT TO EXCEED 25% OF BASE SALARY. THE INCENTIVE IS BASED UPON THE EXECUTIVES ACHEIVEMENT OF OBJECTIVES THAT ARE MUTUALLY AGREED UPON BY THE EXECUTIVE AND THE BOARD OF DIRECTORS, OR A COMMITTEE THEREOF. THE OBJECTIVES ARE ESTABLISHED ANNUALLY. THE BOARD OF DIRECTORS DETERMINES THE AMOUNT OF INCENTIVE COMPENSATION. INCENTIVE COMPENSATION RECEIVED IN 2013 WAS BASED ON 2013 OBJECTIVES. AS STIPULATED BY EMPLOYMENT CONTRACT, THE HOSPITAL CFO RECEIVES INCENTIVE COMPENSATION IN AN AMOUNT DETERMINED BY THE BOARD OF DIRECTORS, NOT TO EXCEED 25% OF BASE SALARY, BASED ON THE CFO'S ACHIEVEMENT OF REASONABLE OBJECTIVES THAT ARE MUTUALLY AGREED UPON BY THE CFO AND BY THE CEO AND THE BOARD, OR A COMMITTEE THEREOF. THE OBJECTIVES ARE ESTABLISHED ANNUALLY AND ARE NOT BASED ON THE HOSPITAL'S FINANCIAL PERFORMANCE. THE BOARD, IN CONSULTATION WITH THE CEO, DETERMINES THE AMOUNT OF INCENTIVE COMPENSATION. A 2003A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161093714 682747EA4 2003-09-25 7510000 REFUND PORTION OF O/S SERIES 96 BD 0 0 0 B 2003A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY 521380308 871720BT4 2003-09-25 20000000 REFUND PORTION OF O/S SERIES 96 BD 0 0 0 C 2007A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY 161093714 682747GP9 2007-06-25 9000000 CAPITAL IMPROVEMENT PROJECT 0 0 0 D 2007A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY 521380308 871720BW7 2007-12-14 20000000 CAPITAL IMPROVEMENT PROJECT 0 0 0 A 7510000 569963 6940037 2003 1 0 1 1 B 20000000 20000000 2003 1 0 1 1 C 9000000 8956437 43563 2009 0 0 1 1 D 20000000 20000000 2010 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 0 1 1 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 A 2007B SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY 521380308 871720BX5 2007-12-14 7850000 CAPITAL IMPROVEMENT PROJECT 0 0 0 A 7850000 7850000 2008 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 0 1 A 1 PAUL KRONENBERG MD PHYSICIAN CEO AND SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC PAUL 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 152500 JAMES LONGO, MD IS A PARTNER IN CARDIOLOGY PC WHICH PROVIDES CARDIOLOGY SERVICES TO THE HOSPITAL AND FOR WHICH PAYMENTS TOTALING $152,500 WERE RECEIVED FROM THE HOSPITAL IN 2013. 0 MICHAEL DUFFY MD PARTNER IN CNY ANESTHESIA GROUP PC 2383975 MICHAEL DUFFY, MS IS A PARTNER IN CNY ANESTHESIA GROUP PC WHICH PROVIDES ANESTHESIA SERVIES TO THE HOSPITAL AND FOR WHICH PAYMENTS TOTALING $2,383,975 WERE RECEIVED FROM THE HOSPITAL IN 2013. 0 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. 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 FINANCE / COMPENSATION 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 FINANCE / COMPENSATION COMMITTEE. CURRENT COMPENSATION IS COMPARED TO THE NATIONAL SALARY SURVEY AND ANY NECESSARY ADJUSTMENTS ARE REVIEWED BY THE FINANCE AND AUDIT 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 73,117,582. INCREASE IN INTEREST IN NET ASSETS OF CROUSE HEALTH FOUNDATION 3,840,537. INCREASE IN FUNDS HELD IN TRUST BY OTHERS 101,797. CHANGE IN ACCOUNTING ESTIMATE - POST RETIREMENT OBLIGATIONS 213,779. 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- 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 2 ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL, EXCEPT EX-OFFICIO MEMBER 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. 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 CROUSE HEALTH SYSTEM 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 CROUSE HEALTH HOSPITAL INC 1 0 0 1 1 1 0 0 0 0 1 0 0 1 0 1 0 1 0 0 CROUSE MEDICAL PRACTICE PLLC D 14418187 LOAN AGREEMENT CROUSE MEDICAL PRACTICE PLLC O 266953 INTERCO AGREEMENT CROUSE HEALTH FOUNDATION INC C 1769908 CROUSE HEALTH SYSTEM INC O 1013019 INTERCO AGREEMENT CROUSE HEALTH SYSTEM INC J 3199995 LEASE AGREEMENT