CROUSE HEALTH HOSPITAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CROUSE HEALTH HOSPITAL INC (EIN 16-0960470)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201313199349307856
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:00:01-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 677 BROADWAY | AddressLine1 |
| City | ALBANY | City |
| State | NY | State |
| ZIP Code | 12207 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160960470 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HEALTH HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % KIMBERLY BOYNTON | InCareOfName |
| Name Control | CROU | NameControl |
| Phone | 3154707111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 132101687 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY BOYNTON | Name |
| Title | CFO | Title |
| Phone | 3154707589 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey C Hamilton | Name |
| Phone | 5184622030 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Paul Kronenberg MD CEO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 Irving Avenue | AddressLine1 |
| City | Syracuse | City |
| State | NY | State |
| ZIP Code | 13210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 374748041 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CROUSE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1913 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3122 | TotalNbrEmployees |
| Total Nbr Volunteers | 400 | TotalNbrVolunteers |
| Total Gross UBI | 203175 | TotalGrossUBI |
| Contributions Grants Prior Year | 174218 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 222101 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 358132185 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 362823789 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1432723 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1628333 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9216341 | OtherRevenuePriorYear |
| Other Revenue Current Year | 10004235 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 368955467 | TotalRevenuePriorYear |
| Total Revenue Current Year | 374678458 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 194824815 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 200669362 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 175903976 | OtherExpensePriorYear |
| Other Expenses Current Year | 181362123 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 370728791 | TotalExpensesPriorYear |
| Total Expenses Current Year | 382031485 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1773324 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -7353027 | RevenuesLessExpensesCY |
| Total Assets BOY | 256697384 | TotalAssetsBOY |
| Total Assets EOY | 252459763 | TotalAssetsEOY |
| Total Liabilities BOY | 281763343 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 275881641 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -25065959 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -23421878 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 246896379 | Expense |
| Revenue | 362823789 | Revenue |
| Description | 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 $6.9 million IN CHARITY CARE IN 2012. 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 | Description |
| Total Program Service Expense | 246896379 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 297 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3122 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KIMBERLY BOYNTON | NamePerson |
| Telephone Number | 3154707376 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 IRVING AVENUE | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13210 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| ELIZABETH HARNETT ESQ | |||||||||
| DIRECTOR, BOARD VICE CHAIR | 1.0 | 1.0 | X | ||||||
| Patrick Mannion | |||||||||
| director, board chair | 1.0 | 1.0 | X | X | |||||
| PAUL KRONENBERG MD | |||||||||
| director, board president, ceo | 38.0 | 3.0 | X | X | 649061 | 27127 | 38220 | ||
| MELVIN STITH PHD | |||||||||
| Director | 1.0 | 1.0 | X | ||||||
| MARY COTTER | |||||||||
| Director | 1.0 | 1.0 | X | ||||||
| LOUIS GREEN MD | |||||||||
| director | 1.0 | 41.0 | X | 0 | 248795 | 8829 | |||
| Ellen Bifano MD | |||||||||
| Director | 1.0 | 1.0 | X | ||||||
| James Carrick | |||||||||
| Director | 1.0 | 1.0 | X | ||||||
| RICHARD RUSSELL | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | ||||||
| robert miron | |||||||||
| director | 1.0 | 1.0 | X | ||||||
| BARBARA ASKIN | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | ||||||
| JAMES HUGHES | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | ||||||
| PATTY BLACK | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | ||||||
| ALBERT WERTHEIMER | |||||||||
| DIRECTOR 1/1-8/24/12 Deceased | 1.0 | 1.0 | X | ||||||
| PAM REILLY | |||||||||
| DIRECTOR, AUXILIARY REP | 1.0 | 1.0 | X | ||||||
| MICHAEL DUFFY MD | |||||||||
| DIRECTOR, MEDICAL STAFF REP | 1.0 | 1.0 | X | 7500 | 0 | 0 | |||
| Derrick Suehs | |||||||||
| board secretary, chief quality | 40.0 | 1.0 | X | 235248 | 0 | 32541 | |||
| KIMBERLY BOYNTON | |||||||||
| BOARD TREASURER, CFO | 38.0 | 3.0 | X | 428653 | 17685 | 44836 | |||
| Mary Agnew | |||||||||
| Chief Nursing Officer | 40.0 | 201561 | 0 | 30303 | X | ||||
| Ronald Stahl MD | |||||||||
| Chief Medical Officer | 40.0 | 342617 | 0 | 38307 | X | ||||
| Michael Dupuis | |||||||||
| VP Support Services | 40.0 | 182408 | 0 | 34518 | X | ||||
| Richard Steinmann MD | |||||||||
| PHYSICIAN EMERGENCY DEPARTMENT | 40.0 | 387341 | 0 | 67254 | X | ||||
| Michael Jorolemon MD | |||||||||
| Physician Emergency Department | 40.0 | 337089 | 0 | 66693 | X | ||||
| sami abdul-malak md | |||||||||
| physician neurology | 40.0 | 345336 | 0 | 43802 | X | ||||
| HECTOR BIAGGI MD | |||||||||
| PHYSICIAN CHEMICAL DEPENDANCY | 40.0 | 346304 | 0 | 35199 | X | ||||
| CRISTINA TOPOR MD | |||||||||
| PHYSICIAN HOSPITALIST | 40.0 | 324341 | 0 | 45215 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3787459 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 293607 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 485717 | TotalOtherCompensation |
| Number Individuals GT100 K | 201 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CROUSE MEDICAL GROUP PC | |||||
| 401 N SALINA STREET SUITE 400 | SYRACUSE | NY | 13203 | Professional Medical | 2510882 |
| CNY Anesthesia Group PC | |||||
| 736 IRVING AVE | SYRACUSE | NY | 13210 | Professional medical | 2266033 |
| haynor hoyt corporation | |||||
| 625 erie blvd w | SYRACUSE | NY | 13204 | construction | 3644759 |
| MAGNETIC DIAGNOSTIC RESOURCES OF CN | |||||
| 4567 CROSSROADS PARK DRIVE | LIVERPOOL | NY | 13088 | professional medical | 1617000 |
| UNIVERSITY MEDICAL ASSOCIATES | |||||
| 750 EAST ADAMS STREET CAB 322 | SYRACUSE | NY | 13210 | PROFESSIONAL MEDICAL | 1673194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 53 | NumberOfContractorsGT100K |
| Government Grants | 133961 | GovernmentGrants |
| All Other Contributions | 88140 | AllOtherContributions |
| Total Contributions | 222101 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REV | 623000 | 174395828 | 174395828 |
| MEDICARE/MEDICAID PAYMENTS | 623000 | 182890535 | 182890535 |
| PARKING | 812930 | 2014335 | 2014335 |
| PROPERTY MGT REV FROM AFFILIATE | 531310 | 942912 | 942912 |
| RENT | 532000 | 522372 | 522372 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2057807 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2057807 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 362823789 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1613318 | TotalRevenueColumn |
| Exclusion | $1,613,318 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 84598 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 69583 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 15015 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15015 | TotalRevenueColumn |
| Exclusion | $15,015 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER INVESTMENT INCOME | 525990 | 1290067 | 203175 | $1,086,892 |
| CAFETERIA | 721110 | 1664963 | $1,664,963 | |
| COLLEGE OF NURSING | 611600 | 2117744 | $2,117,744 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4931461 | TotalRevenueColumn |
| Exclusion | $4,931,461 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10004235 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 374678458 | TotalRevenueColumn |
| Related Or Exempt Function Income | 362823789 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 203175 | UnrelatedBusinessRevenue |
| Exclusion | $11,429,393 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2039548 | Total |
| Management And General | 2039548 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157043631 | Total |
| Program Services | 100222403 | ProgramServices |
| Management And General | 56821228 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1494049 | Total |
| Program Services | 957464 | ProgramServices |
| Management And General | 536585 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28556253 | Total |
| Program Services | 17867235 | ProgramServices |
| Management And General | 10689018 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11535881 | Total |
| Program Services | 7190315 | ProgramServices |
| Management And General | 4345566 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 754925 | Total |
| Management And General | 754925 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262880 | Total |
| Management And General | 262880 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127390 | Total |
| Management And General | 127390 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16988994 | Total |
| Program Services | 10611336 | ProgramServices |
| Management And General | 6377658 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199444 | Total |
| Program Services | 747614 | ProgramServices |
| Management And General | 451830 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1688970 | Total |
| Program Services | 1047161 | ProgramServices |
| Management And General | 641809 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2817972 | Total |
| Program Services | 1747143 | ProgramServices |
| Management And General | 1070829 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10806333 | Total |
| Program Services | 6699926 | ProgramServices |
| Management And General | 4106407 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158115 | Total |
| Program Services | 98031 | ProgramServices |
| Management And General | 60084 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 323841 | Total |
| Program Services | 200781 | ProgramServices |
| Management And General | 123060 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2509835 | Total |
| Management And General | 2509835 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17687700 | Total |
| Program Services | 11024744 | ProgramServices |
| Management And General | 6662956 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3989152 | Total |
| Program Services | 2486438 | ProgramServices |
| Management And General | 1502714 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PENSION EXPENSE | 15871516 | 9892716 | 5978800 |
| MAINTENANCE CONTRACTS | 3794583 | 2352642 | 1441941 |
| SUPPLIES | 65060006 | 44474925 | 20585081 |
| PURCHASED SERVICES | 18972098 | 17899519 | 1072579 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18348369 | Total |
| Program Services | 11375986 | ProgramServices |
| Management And General | 6972383 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382031485 | Total |
| Program Services | 246896379 | ProgramServices |
| Management And General | 135135106 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8375 | BOY |
| EOY | 8425 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20602292 | BOY |
| EOY | 21123757 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40993483 | BOY |
| EOY | 37667853 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4336266 | BOY |
| EOY | 4661847 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6425966 | BOY |
| EOY | 7092876 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4901146 | BOY |
| EOY | 5323237 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 272206004 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 153287083 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124397892 | BOY |
| EOY | 118918921 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208027 | BOY |
| EOY | 208027 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54823937 | BOY |
| EOY | 57454820 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256697384 | BOY |
| EOY | 252459763 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25370796 | BOY |
| EOY | 25967636 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67320000 | BOY |
| EOY | 67630000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10527051 | BOY |
| EOY | 2203251 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178545496 | BOY |
| EOY | 180080754 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 281763343 | BOY |
| EOY | 275881641 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -46220526 | BOY |
| EOY | -46229557 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9819329 | BOY |
| EOY | 11322706 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11335238 | BOY |
| EOY | 11484973 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -25065959 | BOY |
| EOY | -23421878 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 256697384 | BOY |
| EOY | 252459763 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -7353027 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -310929 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 9308037 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $154,390 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 154390 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORG. EXEMPT UNDER SEC. 501(c)(3) - DIRECT CONTACT WITH LEGISLATORS | Identifier |
| Return Reference | PART II-B LINE 1G | ReturnReference |
| Explanation | Crouse Health Hospital, Inc. contracted with the firm of Wilson, Elser, Moskowitz, Edelman & Dicker, LLP effective 2/11/12 to 3/10/13 to serve as legislative counsel to the Hospital. The fee for these services is $120,000 annually plus expenses. As of December 31, 2012, Crouse Hospital has paid the firm $120,000 in professional service fees and $7,390 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 or opposing legislation. Attendance at public health hearings, committee meeting, 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 the current status of pending legislation. Discussions and recommendations 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 communications, 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. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19814130 | BeginningOfYearBalance |
| Contributions | 50269 | Contributions |
| Investment Earnings Or Losses | 2546629 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 38000 | GrantsOrScholarships |
| Other Expenditures | 809092 | OtherExpenditures |
| Administrative Expenses | 28637 | AdministrativeExpenses |
| End Of Year Balance | 21535299 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21220353 | BeginningOfYearBalance |
| Contributions | 259960 | Contributions |
| Investment Earnings Or Losses | -742382 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 41500 | GrantsOrScholarships |
| Other Expenditures | 843933 | OtherExpenditures |
| Administrative Expenses | 38368 | AdministrativeExpenses |
| End Of Year Balance | 19814130 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19569523 | BeginningOfYearBalance |
| Contributions | 57126 | Contributions |
| Investment Earnings Or Losses | 2430827 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 28500 | GrantsOrScholarships |
| Other Expenditures | 770515 | OtherExpenditures |
| Administrative Expenses | 38108 | AdministrativeExpenses |
| End Of Year Balance | 21220353 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16978156 | BeginningOfYearBalance |
| Contributions | 63493 | Contributions |
| Investment Earnings Or Losses | 3388889 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 28750 | GrantsOrScholarships |
| Other Expenditures | 797265 | OtherExpenditures |
| Administrative Expenses | 35000 | AdministrativeExpenses |
| End Of Year Balance | 19569523 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 24198431 | BeginningOfYearBalance |
| Contributions | 129183 | Contributions |
| Investment Earnings Or Losses | -6351133 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 34000 | GrantsOrScholarships |
| Other Expenditures | 929075 | OtherExpenditures |
| Administrative Expenses | 35250 | AdministrativeExpenses |
| End Of Year Balance | 16978156 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.40000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.50000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.10000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 285832 | OtherCostOrOtherBasis |
| Book Value | 285832 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 164721450 | OtherCostOrOtherBasis |
| Depreciation | 76483639 | Depreciation |
| Book Value | 88237811 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16374087 | OtherCostOrOtherBasis |
| Depreciation | 14799155 | Depreciation |
| Book Value | 1574932 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 83232467 | OtherCostOrOtherBasis |
| Depreciation | 62004289 | Depreciation |
| Book Value | 21228178 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7592168 | OtherCostOrOtherBasis |
| Book Value | 7592168 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 118918921 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CROUSE HEALTH FOUNDATION | 21353601 |
| ASSETS WHOSE USE IS LIMITED | 32042802 |
| FUNDS HELD IN TRUST BY OTHERS | 1454078 |
| BOND ISSUANCE/CLOSING COSTS | 2604339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 57454820 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURED PROFESS. LIAB. | $20,664,026 |
| ACCRUED PENSION LIABILITY | $129,363,821 |
| POSTRETIREMENT OBLIGATION | $13,320,080 |
| ASSET RETIREMENT OBLIGATION | $2,732,728 |
| DUE TO/FROM RELATED PARTIES (N | $2,157,824 |
| FUNDS HELD IN TRUST | $234,336 |
| LIABILITIES TO THIRD PARTY PAY | $11,188,970 |
| DEFERRED RENT & REBATE | $418,969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 180080754 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 373305376 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 373305376 | RevenueSubtotal |
| Investment Expenses Not Included | 1373082 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1373082 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 374678458 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 382031485 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 382031485 | ExpensesSubtotal |
| Total Expenses Per Form990 | 382031485 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Reconciliation of Revenue Per Audited FS with Revenue Per Return | Part XII, Line 2d & Line 4b | net income from equity investments 1,290,067 investment income 68,000 net gain on sale of assets other than inventory 15,015 ___________ TOTAL 1,373,082 =========== |
| Endowment Fund | 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 $21.5 million at december 31, 2012. the principal, with an approximate value of $10.0 million, remains untouched; while the investment income is used to fund equipment and programs required for hospital services and initatives. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6146663 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2499863 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3646800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00960 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85899947 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 62198247 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23701700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06230 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 92046610 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 64698110 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 27348500 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07190 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 289694 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 289694 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10219731 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5956745 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4262986 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01120 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4642090 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4368714 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 273377 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 133022 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 133022 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15284537 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10325459 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4959079 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01300 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 107331147 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 75023569 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32307579 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08490 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 43309 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 43309 | NetCommunityBuildingExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 2810 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2810 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 46119 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 46119 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $13,082,903 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 88197784 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 93148629 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4950845 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| LACNY INC | ||
| LABORATORY SERVICES | 0.33300 | |
| MDR LLC | ||
| MAGNETIC RESONANCE IMAGING | 0.25000 | 0.75000 |
| SEA LLC | ||
| ENDOSCOPY SERVICES | 0.40000 | 0.60000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crouse Health Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 736 Irving Ave | AddressLine1 |
| City | Syracuse | City |
| State | NY | State |
| ZIP Code | 13210 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROUSE HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 100 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Other Actions | X | OtherActions |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 9 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (9 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| CROUSE HOSPITAL-410 SOUTH CROUSE DIVISIO | ||||
| 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 RD | 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 AMBULATORY 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 AMBULATORY SURGERY CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE H PART VI | LINE 1. Crouse Hospital's Community Health Outreach Manager spends 50% of her time (12 hours per week) working with health and social service agencies throughout the county and region to enhance healthcare for those living in poverty and/or with little access to care. These activities include serving on the boards of the Healthy Syracuse Coalition and the Onondaga County Health Department's Cancer Services Program, as well as the health committees for the Syracuse City School District, the school district's Say Yes to Education program, and Hughes Elementary School. The goal of this participation is to influence and positively affect health policies, as well as to enhance coalitions for improvement. Additionally, the hospital's Employee Wellness Coordinator and Asthma Education Staff work with the Healthy Syracuse Coalition specifically to reduce and eliminate tobacco consumption in Onondaga County, and to increase employers' knowledge and application of worksite wellness policies and procedures. Crouse was a major sponsor of the first Worksite Wellness Conference in Syracuse in 2012. | |
| SCHEDULE H PART VI | LINE 2. Onondaga County Community Health Needs Assessment Community Engagement Process To assess the health care needs of the communities Crouse Hospital serves, the hospital and the Onondaga County Health Department (LHD) partnered with the other two hospitals in Onondaga County to conduct a community health assessment process that engaged health improvement efforts already underway and drew on local resources. The process was designed to result in a clear picture of the health of the community and to identify meaningful and realistic community health improvement initiatives that are supported by key constituencies. The process began with meetings between 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 (St. Joseph's Hospital Health Center, Crouse Hospital and Upstate University Hospital (including the Golisano Children's Hospital and Upstate at Community General)) to discuss the process and gain support of the leadership. The outcome of the meeting was an agreement that the community health assessment process would be a collaborative effort that would focus on building on existing partnerships to ensure that the outcome would incorporate initiatives that have a strong base of support. The community health assessment process undertaken in Onondaga County was also structured to meet the requirements of the New York State Prevention Agenda and Title IX of the Patient Protection and Affordable Care Act of 2010. The process was supported by 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. The Lerner Center for Public Health Promotion at the Maxwell School for Citizenship and Public Affairs at Syracuse University provided logistical support and assistance with recruiting forum participants in collaboration with the Onondaga County Advisory Board of Health, the Syracuse City Schools, and Say YES to Education. The forums were held at the Central New York Community Foundation Philanthropy Center; the school-focused forum was held at the Say Yes to Education offices. Altogether, 92 people participated in the forums. The purpose of the forums was to find out what health issues are perceived to be of importance in the community. These qualitative findings provided a backdrop against which data was collected and analyzed to better understand the concerns raised by community members. The results of the forum are summarized in a report issued in January of 2012 (included in an Appendix to Crouse Hospital's 2013 CHNA). The data collection and analysis phase followed. Data from a number of sources were utilized, including the New York State Prevention Agenda, the 2013 Community Needs Assessment Report developed by the United Way of CNY as well as internal information from the LHD and hospitals. Again, students from the CNYMPH program were engaged to support the community health assessment effort. Teams of students were paired with the hospitals and with the LHD to support data collection and analysis. The teams, at the direction of the hospital and LHD, collected and organized data that was used by the leadership of the organizations to understand the health needs of the community. The students provided formal reports to each of the organizations in the Spring of 2013. Over the course of 2012/2013, a task force composed of representatives from the LHD and the hospitals met regularly to review the data and explore areas for collaboration. During the course of the community health assessment, an issue related to neonatal abstinence syndrome, drug withdrawal in a baby, surfaced. The issue was identified initially by local physicians and hospital staff; it was brought to the Onondaga County Advisory Board of Health by a neonatologist. A review of the data revealed that Onondaga County has the highest rate of hospital discharges for newborns with drug-related issues. A community solution, detailed in later sections of the community health assessment, is under development and is one of the priority/focus areas chosen in Onondaga County. The findings of the community health assessment revealed that one of the priority issues revolved around chronic disease and more specifically physical activity and nutrition as it relates to chronic disease. The data supports the community perception that chronic disease is an important issue and will be discussed in later sections of the community health assessment as one of the priority/focus area chosen in Onondaga County. Through discussions with the task force and the leadership of the LHD and the hospitals, two priority areas were chosen: " Prevent Chronic Disease " Promote Mental Health and Substance Abuse o Neonatal Abstinence Syndrome At a meeting on May 1, 2013 of the Thursday Morning Roundtable, a community forum sponsored by Syracuse University, the Commissioner of Health and Chair of the Advisory Board of Health presented "The State of our County's Health: An Assessment of Onondaga County's Health". This presentation is also included as Appendix II. With the priority areas identified, the LHD and hospitals have collaborated to refine the focus areas and strategies, building on community health initiatives that are underway, that will be undertaken to address these issues. | |
| SCHEDULE H 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, as 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 government 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.http://www.crouse.org/visit/patients/financial-assistance/ - Crouse Hospital developed a simpler, one-page application that is easier to fill out and eliminates duplication of paperwork and documentation. - The Hospital's financial assistance staff bring computers directly to patients' bedsides to electronically complete financial aid applications. 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 please contact 315/470-5664 or 315/470-7030, and/or accessing the policy through the Crouse website, www.crouse.org - 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. | |
| SCHEDULE H PART VI | LINE 4. No changes to Crouse Hospital's service area were made in 2012. Crouse Hospital serves a 15-county region in New York that extends south to Binghamton and north to Malone. Its primary service area is Onondaga County and the contiguous surrounding counties. Seventy-five percent of inpatient and outpatient admissions are from Onondaga County; 25 percent are from outside Onondaga County. A major contributor to out-of-county admissions is the fact that Crouse is the New York State-designated regional referral center for perinatal and neonatal intensive care services (60% of NICU admissions at Crouse come from outside Onondaga County). Onondaga County is included in the Syracuse, NY Metropolitan Statistical Area (MSA). The US Census data estimates the county's 2011 population at 467,000, with approximately 145,000 people residing in Syracuse. | |
| SCHEDULE H 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 BOCES 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: o health speakers for each grade; o free continuing medical education training for school nurses; o free heart health screenings for staff; and o 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. - In collaboration 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 heath and social service agencies to provide free screenings for blood pressure, cholesterol and blood glucose levels to more than 2,000 individuals annually, most of whom 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), COPD patients and patients with comp | |
| SCHEDULE H PART V SECTION B | LINE 7. Crouse Hospital files a community benefit report in New York State only. | |
| SCHEDULE H PART V SECTION B | LINE 16- Other Actions - Wage garnishments and liens on bank accounts | |
| SCHEDULE H PART V SECTION B | LINE 17 - Other Actions - Wage garnishments and liens on bank accounts | |
| SCHEDULE H PART V SECTION B | LINE 19 - Other -. 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 uninsured individual adjustment to gross charges is based on the hospitals income guidelines adjusted against our lowest commercial insurance rate. | |
| SCHEDULE H PART V SECTION B | LINE 22 - Other - 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. | |
| SCHEDULE H PART V | QUESTION 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. | SECTION B |
| SCHEDULE H PART V | QUESTION 4 - The CHNA was conducted in conjunction with St. Joseph's Hospital Health Center and Upstate Medical Center University. | SECTION B |
| SCHEDULE H PART V | QUESTION 5 - 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 hospitals 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. | SECTION B |
| SCHEDULE H PART V | QUESTION 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. | SECTION B |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL KRONENBERG MD | ||||||||||||||
| director, board president, ceo | 509138 | 26595 | 137578 | 532 | 2345 | 0 | 14056 | 740 | 22848 | 576 | 685965 | 28443 | 0 | 0 |
| Derrick Suehs | ||||||||||||||
| board secretary, chief quality | 230448 | 0 | 4800 | 0 | 0 | 0 | 13134 | 0 | 19407 | 0 | 267789 | 0 | 0 | 0 |
| KIMBERLY BOYNTON | ||||||||||||||
| BOARD TREASURER, CFO | 347711 | 17315 | 80942 | 370 | 0 | 0 | 11811 | 622 | 31293 | 1110 | 471757 | 19417 | 0 | 0 |
| LOUIS GREEN MD | ||||||||||||||
| director | 0 | 245243 | 0 | 3552 | 0 | 0 | 0 | 0 | 0 | 8829 | 0 | 257624 | 0 | 0 |
| Mary Agnew | ||||||||||||||
| Chief Nursing Officer | 199502 | 0 | 2059 | 0 | 0 | 0 | 2399 | 0 | 27904 | 0 | 231864 | 0 | 0 | 0 |
| Richard Steinmann MD | ||||||||||||||
| PHYSICIAN EMERGENCY DEPARTMENT | 373725 | 0 | 13616 | 0 | 0 | 0 | 19468 | 0 | 47786 | 0 | 454595 | 0 | 0 | 0 |
| Ronald Stahl MD | ||||||||||||||
| Chief Medical Officer | 335817 | 0 | 6800 | 0 | 0 | 0 | 7730 | 0 | 30577 | 0 | 380924 | 0 | 0 | 0 |
| Michael Dupuis | ||||||||||||||
| VP Support Services | 178668 | 0 | 3740 | 0 | 0 | 0 | 6539 | 0 | 27979 | 0 | 216926 | 0 | 0 | 0 |
| Michael Jorolemon MD | ||||||||||||||
| Physician Emergency Department | 324233 | 0 | 12856 | 0 | 0 | 0 | 9310 | 0 | 57383 | 0 | 403782 | 0 | 0 | 0 |
| sami abdul-malak md | ||||||||||||||
| physician neurology | 339536 | 0 | 5800 | 0 | 0 | 0 | 8157 | 0 | 35645 | 0 | 389138 | 0 | 0 | 0 |
| HECTOR BIAGGI MD | ||||||||||||||
| PHYSICIAN CHEMICAL DEPENDANCY | 341522 | 0 | 4782 | 0 | 0 | 0 | 9103 | 0 | 26096 | 0 | 381503 | 0 | 0 | 0 |
| CRISTINA TOPOR MD | ||||||||||||||
| PHYSICIAN HOSPITALIST | 318971 | 0 | 5370 | 0 | 0 | 0 | 8913 | 0 | 36302 | 0 | 369556 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Continuation of Officers, Directors, Trustees, Key Employees, & Highest | Compensated | Part I 1a Health or social club dues: Paul Kronenberg was reimbursed for his social club dues. |
| officers, directors, trustees, key employees & highest compensated employe | Part II | all individuals listed with the exception of #4 are employees of and compensated by Crouse Health Hospital, Inc. individual 4 is an employee of and compensated by a related organization, crouse medical practice, pllc. Compensation is disclosed for services provided to the Hospital or its related organizations. All members of the Board of Directors of the Hospital except the Ex-Officio members are voluntary. No compensation, employee benefits or expense account allowances are received for Board services. |
| CHIEF EXECUTIVE OFFICER | PART I, QUESTION 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 Executive's achievement 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 2011 was based on achievement of 2011 objectives. |
| CHIEF FINANCIAL OFFICER | PART I, QUESTION 7 | As stipulated by employment contract, the Hospital CFO receives incentive compensation in an amount to be determined by the Board of Directors, not to exceed 25% of base salary, based upon 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 upon the Hospital's financial performance. The Board in consultation with the CEO determines the amount of incentive compensation. Incentive compensation received in 2011 was based upon achievement of 2011 objectives. |
| emergency department physicians | part 1, question 7 | In 2012 the emergency department physicians received incentive compensation. this compensation was based on productivity benchmarks and successful outcomes of patient satisfaction survey conducted during 2011. |
| Severance Payment | Part 1, Question 4a | Mary Agnew received a severance of $110,812 during 2012. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| 2003a onondaga county industrial development agenc | ||||||||
| A | 161093714 | 682747ea4 | 2003-09-25 | 7510000 | refund portion of o/s series 96 bd | false | false | false |
| 2003a syracuse industrial development agency | ||||||||
| B | 521380308 | 871720bt4 | 2003-09-25 | 20000000 | refund portion of o/s series 96 bd | false | false | false |
| 2007a onondaga county industrial development agen | ||||||||
| C | 161093714 | 682747gp9 | 2007-06-25 | 9000000 | capital improvement project | false | false | false |
| 2007a syracuse industrial development agency | ||||||||
| D | 521380308 | 871720bw7 | 2007-12-14 | 20000000 | capital improvement project | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2003 | true | false | true | true |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2003 | true | false | true | true |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 25126 | 0 | 0 | 670747 | 0 | 0 | 2009 | false | false | true | true |
| D | 0 | 0 | 0 | 0 | 0 | 613750 | 0 | 0 | 0 | 19646952 | 0 | 0 | 2010 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Prcntge Bond Financed PropPrcntgeBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | 0.00000 | true |
| B | false | false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true | |
| C | false | false | false | false | false | false | 0 | true | |||
| D | false | false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Exception To RebateExceptionToRebate | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | No Rebate DueNoRebateDue |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||||
| A | false | true | true | false | false | false | false | 0 | false | true | |
| 0 | |||||||||||
| B | false | true | true | false | false | false | false | 0 | false | true | |
| 0 | |||||||||||
| C | false | true | false | false | false | false | 0 | false | true | true | |
| 0 | |||||||||||
| D | false | true | false | false | false | false | 0 | false | true | true | |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Dates of Rebate Calculations | Identifier |
| Return Reference | Part IV, Line 2C | ReturnReference |
| Explanation | 2007A Onondaga County IDA - September 30, 2013 2007A Syracuse IDA - September 30, 2013 2007B Syracuse IDA - September 30, 2013 | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 2007b syracuse industrial devel agency | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521380308 | IssuerEIN |
| CUSIP Number | 871720bx5 | CUSIPNumber |
| Date Issued | 2007-12-14 | DateIssued |
| Issue Price | 7850000 | IssuePrice |
| Description Of Purpose | capital improvement project | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 0 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 0 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 0 | RefundingEscrow |
| Issuance Costs From Proceeds | 0 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 0 | CapitalExpenditures |
| Other Spent Proceeds | 0 | OtherSpentProceeds |
| Amount Unspent | 0 | AmountUnspent |
| Year Of Subst Completion | 2008 | YearOfSubstCompletion |
| Current Refunding | false | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | false | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Engage Bond Counsel Research | false | EngageBondCounselResearch |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| No Rebate Due | true | NoRebateDue |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Superintegrated Hedge | false | SuperintegratedHedge |
| Hedge Terminated | false | HedgeTerminated |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | true | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | true | ProcToUndertkCorrectiveAction |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| ELLEN BIFANO MD | |||
| SEE PART V EXPLANATION | 317931 | SEE PART V EXPLANATION | false |
| PAUL KRONENBERG MD | |||
| SEE PART V EXPLANATION | SEE PART V EXPLANATION | false | |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV | Identifier |
| Explanation | LINE 1: Ellen Bifano, MD is a partner in neonatal associates of cny which provides neonatal services to the hospital and for which payments totaling $317,931 were received from the hospital in 2012. LINE 2: 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, PLCC AND THE HOSPITAL'S TRANSACTIONS WITH THIS ENTITY, PLEASE REFER TO SCHEDULE 0 AND SCHEDULE R. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI | Question 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. Question 2: Richard Russell, a Director, provided accounting and tax advice to Albert Wertheimer, who is also a Director. Patrick Mannion has utilized services of MacKenzie Hughes law firm where Ms. Hartnett is a partner. QUESTION 6: CROUSE HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF CROUSE HEALTH HOSPITAL, INC. QUESTION 7A: CROUSE HEALTH SYSTEM, INC. APPROVES AND ELECTS THE BOARD OF DIRECTORS OF CROUSE HEALTH HOSPITAL, INC. QUESTION 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. QUESTION 11b: HOSPITAL ACCOUNTING STAFF PROVIDES DATA TO AN INDEPENDENT ACCOUNTING FIRM (PRICEWATERHOUSECOOPERS, LLP) 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. QUESTION 12C: CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF CROUSE HEALTH HOSPITAL, INC. 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. QUESTIONS 15A & 15B: 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. Question 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. | |
| GENERAL DISCLOSURE, CROUSE MEDICAL PRACTICE, PLLC | In 2010 the Hospital formed Crouse Medical Practice, PLLC ("PLLC") with paul kronenberg, m.d. 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 PLLC's financial statements are consolidated with the System for financial statement purposes. dr. kronenberg's son is employed as a physician by the pllc. Louis Green, MD, a voting member of the Board of Directors, is an employee of the pllc. as a result, dr. green is considered as not an independent voting member of the hospital's board. All members of the Hospital's Board of Directors complete annual conflict of interest disclosures. The Board's conflict of interest policy would prevent Dr. Green from using his voting powers on the hospital Board of Directors to his own advantage as an employee of the PLLC. | |
| Part XI Reconciliation of net assets | Contributions for property acquisitions 1,794,487 Pension & post retirement changes other than periodic costs 5,860,438 Net decrease in interest in net assets of Crouse Health Foundation,Inc. 1,569,735 decrease in funds held in trust by others 83,377 ___________ TOTAL 9,308,037 =========== | part xi line 5 |
| 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| CROUSE HEALTH SYSTEM INC | ||||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 161560473 | SEE PART VII | NY | 501 C 3 | 11A | NA | false |
| CROUSE HEALTH FOUNDATION INC | ||||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 161035427 | SEE PART VII | NY | 501 C 3 | 7 | NA | false |
| crouse medical practice pllc | ||||||||||
| 730 s crouse avenue ste 204 | syracuse | NY | 13210 | 800548096 | SEE PART VII | NY | SEE PT VII | 7 | SEE PART VII | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| crouse medical practice pllc | ||
| d | 10052155 | loan agreement |
| crouse medical practice pllc | ||
| o | 292423 | interco agrmt |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE R, PART II | Identifier |
| Explanation | column b, line 1 - crouse health system, inc.'s primary activity is to provide off-site space and secure captial. column b, line 2 - crouse health foundation, inc.'s primary activity is fundraising for crouse health hospital, inc. column b, line 3 - crouse medical practice, pllc was formed to further the hospital's charitable purproses through the acquisition of physician practices and the employment of physicians. column d, line 3 - crouse medical practice, pllc filed irs form 1023, application for tax exempt status as a 501(c)(3) corporation on april 30, 2012. column f, line 3 - direct controlling entity is crouse health hospital, inc. | Explanation |
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