CROUSE HEALTH HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CROUSE HEALTH HOSPITAL INC (EIN 16-0960470)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201203209349307195
Schema version: 2011v1.3
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T15:25:25-06:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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
Business Name Line2	D/B/A CROUSE HOSPITAL	BusinessNameLine2

Field	Value	IRS element (for citing)
In Care Of Name	% KIMBERLY BOYNTON	InCareOfName
Name Control	CROU	NameControl
Phone	3154707376	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	736 IRVING AVENUE	AddressLine1
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
Date Signed	2012-11-15	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	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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	369290498	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	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3082	TotalNbrEmployees
Total Nbr Volunteers	435	TotalNbrVolunteers
Total Gross UBI	102043	TotalGrossUBI
Contributions Grants Prior Year	193009	ContributionsGrantsPriorYear
Contributions Grants Current Year	174218	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	341709445	ProgramServiceRevenuePriorYear
Program Service Revenue CY	358132185	ProgramServiceRevenueCY
Investment Income Prior Year	2090566	InvestmentIncomePriorYear
Investment Income Current Year	1432723	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7342271	OtherRevenuePriorYear
Other Revenue Current Year	9216341	OtherRevenueCurrentYear
Total Revenue Prior Year	351335291	TotalRevenuePriorYear
Total Revenue Current Year	368955467	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	182975885	SalariesEtcPriorYear
Salaries Etc Current Year	194824815	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	163680577	OtherExpensePriorYear
Other Expenses Current Year	175903976	OtherExpensesCurrentYear
Total Expenses Prior Year	346656462	TotalExpensesPriorYear
Total Expenses Current Year	370728791	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4678829	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1773324	RevenuesLessExpensesCY
Total Assets BOY	252383318	TotalAssetsBOY
Total Assets EOY	256697384	TotalAssetsEOY
Total Liabilities BOY	232430104	TotalLiabilitiesBOY
Total Liabilities EOY	281763343	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	19953214	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-25065959	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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	243394473	Expense
Revenue	358132185	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, 66,000 emergency service patients, and more than 250,000 outpatients annually. CROUSE HOSPITAL PROVIDED APPROXIMATELY $5.9 million IN CHARITY CARE IN 2011. Additional details on crouse hospital's exempt purpose achievements are found in "second year update to crouse hospital's 2010-2013 community service plan" which can be accessed on the hospital website. www.crouse.org	Description
Total Program Service Expense	243394473	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	243	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3082	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	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	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	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Elizabeth Hartnett Esq
Director, Board Chair	1.0	X	X
Patrick Mannion
director, board vice chair	1.0	X	X
PAUL KRONENBERG MD
director, board president, ceo	40.0	X	X	641418	24497	35809
JAMES HUGHES
Director	1.0	X
JOHN FRANTZ JR
Director 1/1/11 - 6/9/11	1.0	X
MARY COTTER
Director	1.0	X
RUBEN P COWART DDS
Director 1/1/11-6/9/11	1.0	X
LOUIS GREEN MD
director	1.0	X		0	230128	0
ALBERT WERTHEIMER
Director	1.0	X
Ellen Bifano MD
Director	1.0	X
James Carrick
Director	1.0	X
Melvin Stith PhD
Director	1.0	X
RICHARD RUSSELL CPA
DIRECTOR	1.0	X
hadley falk md
director, medical staff rep	1.0	X		43000	0	0
pamela reilly
director, auxiliary rep	1.0	X
robert miron
director 6/9/2011-12/31/11	1.0	X
Derrick Suehs
board secretary, chief quality	40.0		X	216458	0	34920
KIMBERLY BOYNTON
BOARD TREASURER, CFO	40.0		X	345970	13432	37639
Mary Agnew
Chief Nursing Officer	40.0			185941	0	30327	X
Ronald Stahl MD
Chief Medical Officer	40.0			329771	0	28305	X
Michael Dupuis
VP Support Services	40.0			171034	0	30220	X
Richard Steinmann MD
PHYSICIAN EMERGENCY DEPARTMENT	40.0			357644	0	54851		X
Lawrence Moloff MD
PHYSICIAN EMERGENCY DEPARTMENT	40.0			314974	0	49874		X
Michael Jorolemon MD
Physician Emergency Department	40.0			324967	0	46949		X
sami abdul-malak md
physician neurology	40.0			330886	0	29601		X
jianxin ma md
physician neurology	40.0			322049	0	31849		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3584112	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	268057	TotalReportableCompFrmRltdOrgs
Total Other Compensation	410344	TotalOtherCompensation
Number Individuals GT100 K	184	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	2179465
MAGNETIC DIAGNOSTIC RESOURCES
4567 CROSSROADS PARK DRIVE	LIVERPOOL	NY	13088	medical testing	1594320
CNY Anesthesia Group PC
736 IRVING AVE	SYRACUSE	NY	13210	Professional medical	2352010
haynor hoyt corporation
625 erie blvd w	SYRACUSE	NY	13204	construction	8186407
crouse medical practice pllc
730 irving avenue	SYRACUSE	NY	12310	professional medical	2661000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	40	NumberOfContractorsGT100K
Government Grants	134855	GovernmentGrants
All Other Contributions	39363	AllOtherContributions
Total Contributions	174218	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REV	623000	187220561	187220561
MEDICARE/MEDICAID PAYMENTS	623000	166025781	166025781
PARKING	812930	1948261	1948261
PROPERTY MGT REV FROM AFFILIATE	531310	912466	912466
RENT	532000	515613	515613

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1509503	TotalRevenueColumn
Related Or Exempt Function Income	1509503	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	358132185	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1475865	TotalRevenueColumn
Exclusion	$1,475,865	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

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	291889	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	335031	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-43142	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-43142	TotalRevenueColumn
Exclusion	-$43,142	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	2199527	102043	$2,097,484
CAFETERIA	721110	1693969		$1,693,969
COLLEGE OF NURSING	611600	1755414		$1,755,414

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3567431	TotalRevenueColumn
Exclusion	$3,567,431	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	9216341	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	368955467	TotalRevenueColumn
Related Or Exempt Function Income	358132185	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	102043	UnrelatedBusinessRevenue
Exclusion	$10,547,021	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2143351	Total
Program Services	0	ProgramServices
Management And General	2143351	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	151734964	Total
Program Services	95769769	ProgramServices
Management And General	55965195	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1913821	Total
Program Services	1226348	ProgramServices
Management And General	687473	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	27961035	Total
Program Services	17494816	ProgramServices
Management And General	10466219	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11071644	Total
Program Services	6900956	ProgramServices
Management And General	4170688	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	675206	Total
Program Services	0	ProgramServices
Management And General	675206	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	282254	Total
Program Services	0	ProgramServices
Management And General	282254	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	127390	Total
Program Services	0	ProgramServices
Management And General	127390	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total
Fundraising	0	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19112234	Total
Program Services	11942725	ProgramServices
Management And General	7169509	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1256170	Total
Program Services	782971	ProgramServices
Management And General	473199	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1645791	Total
Program Services	1025822	ProgramServices
Management And General	619969	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2563833	Total
Program Services	1598037	ProgramServices
Management And General	965796	ManagementAndGeneral
Fundraising	0	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	11042340	Total
Program Services	6882691	ProgramServices
Management And General	4159649	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	138080	Total
Program Services	86065	ProgramServices
Management And General	52015	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	309974	Total
Program Services	193207	ProgramServices
Management And General	116767	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	2802069	Total
Program Services	0	ProgramServices
Management And General	2802069	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16773480	Total
Program Services	10454910	ProgramServices
Management And General	6318570	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5186861	Total
Program Services	3232970	ProgramServices
Management And General	1953891	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PENSION EXPENSE	10718218	6680665	4037553
PROVISION FOR BAD DEBTS	12301559	12271360	30199
SUPPLIES	61428756	41992608	19436148
PURCHASED SERVICES	20096077	18959955	1136122

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	9443684	Total
Program Services	5898598	ProgramServices
Management And General	3545086	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	370728791	Total
Program Services	243394473	ProgramServices
Management And General	127334318	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8175	BOY
EOY	8375	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21895184	BOY
EOY	20602292	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	40480420	BOY
EOY	40993483	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	3150822	BOY
EOY	4336266	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5655230	BOY
EOY	6425966	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	4598922	BOY
EOY	4901146	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	262860767	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	138462875	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	123711382	BOY
EOY	124397892	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	52675156	BOY
EOY	54823937	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	252383318	BOY
EOY	256697384	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	21789360	BOY
EOY	25370796	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	71330000	BOY
EOY	67320000	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	10017809	BOY
EOY	10527051	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	129292935	BOY
EOY	178545496	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	232430104	BOY
EOY	281763343	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-3612949	BOY
EOY	-46220526	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12378153	BOY
EOY	9819329	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11188010	BOY
EOY	11335238	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	19953214	BOY
EOY	-25065959	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	252383318	BOY
EOY	256697384	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1773324	ReconcilationRevenueExpenses
Reconcilation Other Changes	-43245849	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$150,782	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	150782	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 2/11/11 to 2/10/12 to serve as legislative counsel to the Hospital. The fee for these services is $120,000 annually plus expenses. As of December 31, 2011, 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 $23,392. 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	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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	160823292	OtherCostOrOtherBasis
Depreciation	68403850	Depreciation
Book Value	92419442	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17666936	OtherCostOrOtherBasis
Depreciation	14743165	Depreciation
Book Value	2923771	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	79519543	OtherCostOrOtherBasis
Depreciation	55315860	Depreciation
Book Value	24203683	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4565164	OtherCostOrOtherBasis
Book Value	4565164	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	124397892	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
CROUSE HEALTH FOUNDATION	19783866
ASSETS WHOSE USE IS LIMITED	30805419
FUNDS HELD IN TRUST BY OTHERS	1370701
BOND ISSUANCE/CLOSING COSTS	2863951

Field	Value	IRS element (for citing)
Total Book Value Other Assets	54823937	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescription	AmountAmount
SELF INSURED PROFESS. LIAB.	$17,807,383
ACCRUED PENSION LIABILITY	$128,708,421
POSTRETIREMENT OBLIGATION	$15,867,746
ASSET RETIREMENT OBLIGATION	$2,640,597
DUE TO/FROM RELATED PARTIES (N	$1,861,744
FUNDS HELD IN TRUST	$292,632
LIABILITIES TO THIRD PARTY PAY	$11,366,973

Field	Value	IRS element (for citing)
Total Of Amounts	178545496	TotalOfAmounts
Total Revenue	368955467	TotalRevenue
Total Expenses	370728791	TotalExpenses
Excess Or Deficit For Year	-1773324	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-737868	NetUnrealizedGLOnInvestments
Other	-$42,507,981	OtherAmount
Total Adjustments	-43245849	TotalAdjustments
Excess Or Deficit Per FS	-45019173	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	366735082	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	366735082	RevenueSubtotal
Investment Expenses Not Included	2220385	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	2220385	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	368955467	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	370728791	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	370728791	ExpensesSubtotal
Total Expenses Per Form990	370728791	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 2,199,527 investment income 64,000 net loss on sale of assets other than inventory (43,142) __________ total 2,220,385 ==========
Reconciliation of Change in Net Assets from Form 990 to FS	Part XI Line 8	contributions for property acquisitions 2,619,863 pension & post retirement charges other than periodic costs (42,716,248) net decrease in interest in net assets of crouse Health (2,300,615) foundation, inc. decrease in funds held in trust by others (110,981) ____________ total (42,507,981) ============
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 $19.8 million at december 31, 2011. the principal, with an approximate value of $12.5 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	6099551	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2532252	DirectOffsettingRevenue
Net Community Benefit Expense	3567299	NetCommunityBenefitExpense
Percent Of Total Expense	0.01000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81710022	TotalCommunityBenefitExpense
Direct Offsetting Revenue	66723600	DirectOffsettingRevenue
Net Community Benefit Expense	14986422	NetCommunityBenefitExpense
Percent Of Total Expense	0.04200	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	87809573	TotalCommunityBenefitExpense
Direct Offsetting Revenue	69255852	DirectOffsettingRevenue
Net Community Benefit Expense	18553721	NetCommunityBenefitExpense
Percent Of Total Expense	0.05200	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	446499	TotalCommunityBenefitExpense
Direct Offsetting Revenue	63940	DirectOffsettingRevenue
Net Community Benefit Expense	382559	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9739687	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5375843	DirectOffsettingRevenue
Net Community Benefit Expense	4363844	NetCommunityBenefitExpense
Percent Of Total Expense	0.01220	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4007551	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3756204	DirectOffsettingRevenue
Net Community Benefit Expense	251347	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	121191	TotalCommunityBenefitExpense
Net Community Benefit Expense	121191	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14314928	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9195987	DirectOffsettingRevenue
Net Community Benefit Expense	5118941	NetCommunityBenefitExpense
Percent Of Total Expense	0.01420	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	102124501	TotalCommunityBenefitExpense
Direct Offsetting Revenue	78451839	DirectOffsettingRevenue
Net Community Benefit Expense	23672662	NetCommunityBenefitExpense
Percent Of Total Expense	0.06620	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2851	TotalCommunityBuildingExpense
Net Community Building Expense	2851	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	44258	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	44258	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	1426	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1426	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	48535	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	48535	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,874,705	BadDebtExpenseAmount
Amount Attributable To	31126	AmountAttributableTo
Amount Reimbursed By Medicare	88843442	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	91205303	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2361861	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	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	OtherOther
Crouse Health Hospital Inc
1	736 Irving Ave	Syracuse	NY	13210	X	X	X	X
Crouse Hospital - Commonwealth Division
2	6010 East Molloy Rd	Syracuse	NY	13211					Residential Chemical dependency rehabilitation
Crouse East Hand Clinic
3	5823 Widewaters Pkwy	East Syracuse	NY	13057					Outpatient Clinic Physical THERAPY

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Uninsured DiscountUninsuredDiscount	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Permit Report To Credit AgencyPermitReportToCreditAgency	Permit LawsuitPermitLawsuit	Permit Lien On ResidencePermitLienOnResidence	Permit Other ActionsPermitOtherActions	Collection ActivitiesCollectionActivities	Report To Credit AgencyReportToCreditAgency	LawsuitLawsuit	Lien On ResidenceLienOnResidence	Other ActionsOtherActions	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Crouse Health Hospital Inc
1	true	true	100	true	300.	true	X	X	true	true	X	X	X	X	X	X	true	X	X	X	X	true	X	X	X	X	X	X	X	X	true	X	false	true
Crouse Hospital - Commonwealth Division
2	true	true	100	true	300.	true	X	X	true	true	X	X	X	X	X	X	true	X	X	X	X	true	X	X	X	X	X	X	X	X	true	X	false	true
Crouse East Hand Clinic
3	true	true	100	true	300.	true	X	X	true	true	X	X	X	X	X	X	true	X	X	X	X	true	X	X	X	X	X	X	X	X	true	X	false	true

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	5	NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
madison irving surgery center
475 irving avenue	syracuse	NY	13210	outpatient ambulatory surgery center
pob surgery center
723 irving avenue	syracuse	NY	13210	outpatient ambulatory surgery center
cny promptcare
739 irving avenue	syracuse	NY	13210	urgent care center
cny medical imaging center
739 irving avenue	syracuse	NY	13210	medical imaging testing center
crouse endoscopy
739 irving avenue	syracuse	NY	13210	endoscopy testing center

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
part vi : charity care and certain other community benefits at cost	1. required description	part i, lines 6a & 7 A copy of the Community Service Report is posted on Crouse Hospital's website - www.crouse.org. A notice of the Community Service Report's availability is posted on the Hospital's website, Facebook and Twitter accounts. A shorter summary of the CSP will be included in the hospital's community publication, YourCare, along with an offer to have the complete report mailed to individuals upon request. That same offer is presented in a news release sent to local media for inclusion in their publications and broadcasts. Additional distribution to the public is made in a brochure format that highlights key information regarding the hospital's public health programs, including Prevention Agenda priorities and non-Prevention Agenda programs. Forms of distribution occur as follows: - Mailing and e-mailing the report to public libraries, community organizations, local officials, businesses and media, hospital employees, volunteers and physicians, the hospital's board of directors and Crouse Health Foundation trustees and donors. - Posting copies of the report in public areas of the hospital and its off-site locations. - Copies made available at community health fairs/screenings and other educational events - Providing copies to prospective Crouse Hospital College of Nursing students and prospective employees at recruitment fairs - Mailed to residents and community groups upon request
part ii		Describe how our community building activities promoted the health of the community we serve. In 2009, three of the 10 priority areas outlined in the New York Prevention Agenda were identified by the Onondaga County Health Department and its partner hospitals, including Crouse, as focus areas for collaborative interventions in Onondaga County. Those areas are: - Tobacco Use; - Healthy Mothers, Healthy Babies, Healthy Children; and - Access to Quality Health Care. The scope of the plan for the priority areas remains steadfast, and is described below. The goals of our Tobacco Use prevention priority are to eliminate exposure to secondhand smoke; decrease social acceptability of tobacco use; promote tobacco cessation; prevent initiation of tobacco use among youth and young adults; and contribute to the science of tobacco control. The Syracuse hospitals and Onondaga County Health Department have committed to working closely with the local New York State Department of Health-designated Tobacco Smoking Cessation Center. The goals for the Healthy Mothers, Healthy Babies, Healthy Children priority area include developing a systematic approach to the provision of care to refugee populations of all ages, with a particular focus on the maternal and child health services system. This project is a practice-based strategy that lends itself to the identification of collaborative relationships, building on existing programs, as well as the development of a model for refugee care that may be exported to other communities. Ideally the new approach will provide a route of care that will allow Onondaga County refugees to enter the healthcare system with a primary care provider no longer than two months after their arrival (without the barriers of transportation and /or language and cultural sensitivity) and to provide a method for accurate record keeping that can follow the refugee patients. Onondaga County has been host to a number of refugee populations in recent years. Access to healthcare for the refugee population, particularly maternal and child health services, has been challenging. Refugees are brought into the community and screened for health issues, but are not connected to a regular source of care in a systematic manner. The collaborative work group continues to find solutions to this problem. The goals for the Access to Quality Health Care priority area include addressing disparities through access to healthcare, including an asthma education program for parents, students and staff of the Syracuse City School District, ensuring that eligible children are enrolled in public health insurance and by fostering an environment that encourages higher education. Additionally, there will be a strengthening of local collaborative processes as well as the design of community-action models that could improve health status through a range of initiatives, recognizing that good health status does not depend on healthcare alone. Further, the design of such an initiative should be informed by the experiences of other communities that have developed collaborative strategies that bring hospitals and public health systems together in a broad-based approach to improvement in health status for a specific population. While many health status indicators in Onondaga County suggest that the overall community health is comparable to the rest of New York State, discussion by local healthcare partners and review of these indicators on a more specific level (geographic and/or socioeconomic) reveal disparities. There is focused data collection that identifies a subset of the population as bearing a disproportionate burden of disease. This subset can be the target of an initiative to improve health status.
v, section b, line 13g		The policy is described in the hospital's annual NYS Community part Service Plan.
part vi supplemental information	2. needs assessment	In 2011, Crouse Hospital continued working with the Onondaga County Health Department (OCHD) and two other local hospitals to further the goals of our prevention agenda priorities. All four organizations functioned as equal partners, with the OCHD handling administrative duties. Crouse Hospital is actively engaged with a variety of community partners in the discussion, planning and implementation of our various community health initiatives, as outlined in this report. Additionally, Crouse Hospital's Community Health Outreach Manager served as coordinator for the annual Onondaga County Get Health Connected (GHC) Screening Fair. The group meets monthly with GHC representatives from many local health-related organizations including the OCHD and New York State Department of Health, American Cancer Society, Central New York Kidney Foundation, Coalition of Concerned Community Partners, Spanish Action League, Catholic Charities, Central New York Health Services Association, Dunbar Center, Alliance of Communities Transforming Syracuse, and many others. As stated in Crouse's 2010 community service report update, administrative and patient care staffs routinely gather and share information about issues related to our community's health. We solicit information from the groups listed below. - Focus groups with patients for feedback on specific services - Patients in the hospital who speak with management during daily rounds - Satisfaction surveys distributed to Crouse Hospital inpatient and outpatient groups - Community, educational, health-related and corporate organizations that partner with Crouse Hospital - Board of Directors' meetings - Monthly Medical Staff Executive Committee meeting - Administrative planning meetings - Feedback from Crouse Hospital's Speakers Bureau presentations - One-on-one conversations with individuals attending health fairs/screenings - Crouse Hospital School of Nursing Community Advisory Committee - Surveys distributed at community educational events and seminars - Cancer Services Partnership - Anecdotal input from patients, physicians, staff, visitors and opinion leaders from a variety of settings
3. patient education of eligibility for assistance		Describe how the organization 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 or under the organization's financial assistance policy. In 2011, Crouse Hospital assisted 3,046 families in applying for Financial Assistance Programs (up from 2,839 in 2010). Of the patients applying for Charity Care 75% received free or significantly reduced cost of care in 2011 (up from 71% in 2010). Nearly all of the remaining 25% received a discount on their hospital bill based on economic need and circumstances. In total, the amount of Charity Care Crouse Hospital provided in 2011 was $5,924,045. One reason for the statistical increase over 2010 is the larger pool of people in our service area without health insurance coverage or without adequate insurance coverage. Traditional Charity Care was targeted for the poor and indigent; today it is needed more and more by working families and individuals. Many people with health insurance are now being asked to assume much larger deductible payments, in place of higher premiums. This has led to situations where a once $500 deductible is now $1,500 or 2,500. As a result, Crouse is receiving many more requests for sliding scale discount adjustments to unpaid bills. In 2011, Crouse Hospital provided bad debt service totaling $10,874,705. We view meeting increased charity costs as a challenge and a success. Knowing our community's financial struggles has allowed Crouse Hospital financial assistance staff become much more proactive in identifying individuals who need help. It has become our practice to communicate the availability of our financial assistance policy and staff at every possible opportunity, including intake calls, registration paperwork, bills sent to patients' homes, the hospital's web site and printed materials. For the last year, the registrar's office has been asking patients about their financial needs long before their procedures are performed, eliminating the need for patients having to discuss their finances during a hospital stay and eliminating the need for patients to receive bills at home they weren't aware would arrive. We attribute a portion of our increased charity dollars to enhanced communication alone. Also, to handle increased requests, Crouse has increased staff time for inpatient needs by utilizing external facilitated enrollers at our outpatient facilities two times a week, which increases customer satisfaction. Another convenience for patients has been allowing them access to our financial assistance forms online through recent improvements made to the Crouse Hospital web site (for some it is less intimidating to present staff with completed forms printed from the web site, than to ask for the forms in person).
4. community information		Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. 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 county's 2011 population is estimated at 467,000, with approximately 145,000 residing in Syracuse.
5. promotion of community health		Below are descriptions of goals for the three priority areas outlined in the New York Prevention Agenda that were selected by the Onondaga County Health Department and its partner hospitals, including Crouse, as focus areas for collaborative interventions in Onondaga County. Tobacco Use The goals of this prevention priority are to eliminate exposure to secondhand smoke; decrease social acceptability of tobacco use; promote tobacco cessation; prevent initiation of tobacco use among youth and young adults; and contribute to the science of tobacco control. In 2010 a goal to have 50 percent of providers without a smoke-free campus launch a tobacco-free campaign each year, with 10 percent of providers without a smoke-free campus achieving a tobacco-free campus each year (2010-2013). The hospitals and OCHD have committed to working closely with the local New York State Department of Health-designated Tobacco Smoking Cessation Center. Crouse Hospital Programs Addressing Tobacco Use The following existing Crouse Hospital programs directly relate to Tobacco Use and are planned to continue through 2013. - 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. Healthy Mothers, Healthy Babies, Healthy Children Onondaga County has been host to a number of refugee populations in recent years. Access to healthcare for the refugee population, particularly maternal and child health services, has been challenging. Refugees are brought into the community and screened for health issues, but are not connected to a regular source of care in a systematic manner. The goals for this priority include developing a systematic approach to the provision of care to refugee populations of all ages with a particular focus on the maternal and child health services system. This project is a practice-based strategy that lends itself to the identification of collaborative relationships, building on existing programs, as well as the development of a model for refugee care that may be exported to other communities. Ideally the new approach will provide a route of care that will allow Onondaga County refugees to enter the healthcare system with a primary care provider no longer than two months after their arrival (without the barriers of transportation and /or language and cultural sensitivity) and to provide a method for accurate record keeping that can follow the refugee patients. Current Crouse Hospital Programs Addressing Healthy Mothers, Healthy Babies, Healthy Children The following Crouse Hospital programs directly relate to this priority prevention area and are planned to continue through 2013. - 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 (3,330 in the 2011-2012 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 2011 we equipped about 220 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 2011 launched a new nutrition education/cooking instruction program through a grant from a local foundation. The grant was renewed and expanded for the 2012/13 school year. - In addition, Crouse works with the Syracuse City School District to serve as wellness advisors and provide support for its health and wellness initiatives. The hospital provides: - health speakers for each grade; - free continuing medical education training for school nurses; - free heart health screenings for staff; and - placement of Crouse Hospital College of Nursing students in schools to assist school nurses. - Crouse Hospital Chemical Dependency Treatment Services provides comprehensive care that improves the health of our community's mothers, babies and children. - Staff provides substance abuse prevention education for parents, teachers and students in the Syracuse City School District and other rural school districts where substance abuse rates are highest. - Crouse Hospital provides a continuum of care for pregnant and post-partum mothers with alcohol and other substance abuse issues. Pregnant women can enter our residential treatment program at any time before delivery; continue to receive pre-natal care and then deliver at Crouse Hospital. Mothers also may return to treatment at any time following delivery. - Crouse Hospital's Chemical Dependency Treatment Services program serves teens between the ages of 13 and 17 with substance abuse disorders using gender-specific group training. - 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 2011 Chemical Dependency Treatment Services initiated a health and wellness fair for female clients focusing on heart health, breast health, nutrition and diabetes. - In 2011, the Crouse Breast Health Center, also recently named a Breast Imaging Center of Excellence by the American College of Radiology, began offering 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. Access to Care Many health status indicators in Onondaga County suggest that the overall community health is comparable to the rest of New York State. However, discussion by participants and review of these indicators on a more specific level (geographic and/or socioeconomic) reveal disparities. There is focused data collection that identifies a subset of the population as bearing a disproportionate burden of disease. This subset can be the target of an in
7. state filing of community benefit report		If applicable, identify all states with which the organization, or a related organization, files. New York
part v		Lines 15 & 16 - Other Actions - Wage garnishments and liens on bank accounts 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. Line 21 - 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 VI		PART III, Line 4: The costs are equal to the bad debt expense as presented in the audited financial statements. To estimate the bad debt costs of those who are eligible for charity care but whose applications are incomplete was calculated by determining the average cost of an approved charity care application times the number of incomplete applications for 2011. PART III, Line 8: The costing methodology used is the Medicare cost report for 2011. Outpatient costs are represented on Medicare Cost Report Worksheet D, Parts V & VI. Inpatient costs are on Worksheet D-4. Line 7 shows a surplus of revenue over expenses due directly to DSH revenue which is directly correlated to the large population of Medicaid patients served. PART III, Line 9B: The financial assistance policy contains provisions for installment payment and payment plans.
part iv	management companies and joint ventures	Name of entity: Laboratory Alliance of CNY, Inc. Primary activity of entity: Laboratory services Organization's profit % or stock ownership %: 33.30 Officers, directors, trustee, profit % or stock ownership %: 0.00 Physician's profit % or stock ownership %: 0.00 Name of entity: Magnetic Diagostics Resources of CNY, LLC. Primary activity of entity: Magnetic resonance imaging Organization's profit % or stock ownership %: 25.00 Officers, directors, trustee, profit % or stock ownership %: 0.00 Physician's profit % or stock ownership %: 75.00 Name of entity: Syracuse Endoscopy Associates, LLC. Primary activity of entity: Endoscopy services Organization's profit % or stock ownership %: 40.00 Officers, directors, trustee, profit % or stock ownership %: 0.00 Physician's profit % or stock ownership %: 60.00 Part VI Line 8 - All states which organization files a community benefit report: New York

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	false	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)

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
511623	24497	127195	0	2600	0	13288	2023	26199	6061	680905	32581	0	0
Derrick Suehs
216458	0	0	0	0	0	12022	0	23792	0	252272	0	0	0
KIMBERLY BOYNTON
275331	13432	70639	0	0	0	12825	1109	23231	3324	382026	17865	0	0
LOUIS GREEN MD
0	225549	0	0	0	4579	0	0	0	600	0	230728	0	0
Mary Agnew
185941	0	0	0	0	0	3837	0	30274	0	220052	0	0	0
Richard Steinmann MD
357644	0		0		0	18199	0	41204	0	417047	0	0	0
Lawrence Moloff MD
314974	0	0	0	0	0	13612	0	39687	0	368273	0	0	0
Ronald Stahl MD
329771	0		0		0	5585	0	25333	0	360689	0	0	0
Michael Dupuis
171034	0		0		0	6130	0	25896	0	203060	0	0	0
Michael Jorolemon MD
324967	0		0		0	8937	0	43612	0	377516	0	0	0
sami abdul-malak md
328386	0	2500	0		0	8381	0	33223	0	372490	0	0	0
jianxin ma md
319549	0	2500	0		0	8771	0	37173	0	367993	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Continuation of Officers, Directors, Trustees, Key Employees, & Highest	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 2010 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 2010 objectives.
emergency department physicians	part 1, question 7	In 2011 the neurology department physicians received incentive compensation. this compensation was based on productivity benchmarks and successful outcomes of patient satisfaction survey conducted during 2010.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
2003a onondaga county industrial development agenc
161093714	682747ea4	2003-09-25	7510000	refund portion of o/s series 96 bd	false	false	false
2003a syracuse industrial development agency
521380308	871720bt4	2003-09-25	20000000	refund portion of o/s series 96 bd	false	false	false
2007a onondaga county industrial development agen
161093714	682747gp9	2007-06-25	9000000	capital improvement project	false	false	false
2007a syracuse industrial development agency
521380308	871720bw7	2007-12-14	20000000	capital improvement project	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Refunding EscrowRefundingEscrow	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0	0	2003	true	false	true	true
0	0	2003	true	false	true	true
25126	670747	2009	false	false	true	true
613750	19646952	2010	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	false	false	true
false	false	false	false	false	false	true
false	false	false	false	false	false	true
false	false	false	false	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	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	Exception To RebateExceptionToRebate
0
false	true	false	false	false	false	0	false	true
0
false	true	false	false	false	false	0	false	true
0
false	true	false	false	false	false	0	false	true
0
false	true	false	false	false	false	0	false	true

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ELLEN BIFANO MD
SEE PART V EXPLANATION	247313	SEE PART V EXPLANATION	false
JOHN FRANTZ Jr
SEE PART V EXPLANATION	540679	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 was received $247,313 in 2011. LINE 2: John Frantz is an owner of the managing member of, and a member of, Crouse Physicians Office Building, LLC, which leases space (at Fair market value) to the Hospital for rent totaling approximately $540,379 in 2011. LINE 3: 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 (5 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. 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 ALL KEY EMPLOYEES, OFFICERS, CEO THROUGH THE REST OF SENIOR MANAGEMENT IS DONE BASED ON ANNUAL BOARD OF DIRECTOR REVIEW IN CONJUNCTION WITH HUMAN RESOURCES. CURRENT COMPENSATION IS COMPARED TO THE NATIONAL SALARY SURVEY AND ANY NECESSARY ADJUSTMENTS ARE DETERMINED 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.
PART VII, SECTION A, COLUMN B	Paul Kronenberg averages 2.0 hours per week for related organization Crouse Medical Practice, PLLC Kimberly Boynton averages 2.0 hours per week for related organization Crouse Medical Practice, PLLC Louis Green is an employee of related organization Crouse Medical Practice, PLLC. Dr. Green averages 40.0 hours per week for services provided to Crouse Medical Practice, PLLC.
GENERAL DISCLOSURE, CROUSE MEDICAL PRACTICE, PLLC	In 2010 the Hospital formed Crouse Medical Practice, PLLC ("PLLC") with paul kronenburg, 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. kronenburg'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 2,619,863 Decrease in unrealized gains/losses (737,868) Pension & post retirement changes other than periodic costs (42,716,248) Net decrease in interest in net assets of Crouse Health Foundation, Inc. (2,300,615) decrease in funds held in trust by others (110,981) ____________ TOTAL (43,245,849) ============	part xi line 5
PART VII, LINE 2	All members of the Board of Directors of the Hospital except ex-officio members Paul Kronenberg and Hadley Falk 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 suite 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
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	7444023	loan agreement
crouse medical practice pllc
n	108979	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