CROUSE HEALTH HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- CROUSE HEALTH HOSPITAL INC (EIN 16-0960470)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201133199349302318
- Schema version
- 2010v3.4
- 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 | 2011-11-15T08:57:06-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 2010-01-01 | 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) |
|---|---|---|
| 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 | 2011-11-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey C Hamilton | Name |
| Phone | 5184622030 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | 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 | 351341349 | 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 | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3014 | TotalNbrEmployees |
| Total Nbr Volunteers | 456 | TotalNbrVolunteers |
| Total Gross UBI | 345400 | TotalGrossUBI |
| Contributions Grants Prior Year | 154268 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 193009 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 321655505 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 341709445 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2086268 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2090566 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8024684 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7342271 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 331920725 | TotalRevenuePriorYear |
| Total Revenue Current Year | 351335291 | 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 | 172491701 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 182975885 | 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 | 152985909 | OtherExpensePriorYear |
| Other Expenses Current Year | 163680577 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 325477610 | TotalExpensesPriorYear |
| Total Expenses Current Year | 346656462 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6443115 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4678829 | RevenuesLessExpensesCY |
| Total Assets BOY | 243582247 | TotalAssetsBOY |
| Total Assets EOY | 252383318 | TotalAssetsEOY |
| Total Liabilities BOY | 229926788 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 232430104 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 13655459 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19953214 | 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 | 221783313 | Expense |
| Revenue | 341709445 | 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 23,000 inpatients, 66,000 emergency service patients, and more than 250,000 outpatients annually. CROUSE HOSPITAL PROVIDED APPROXIMATELY $7.6 million IN CHARITY CARE IN 2010. Additional details on crouse hospital exempt purpose achievements are found in the "2010 community servie report" which can be accessed on the hospital website: www.crouse.org. | Description |
| Total Program Service Expense | 221783313 | 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 | true | 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 | 209 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3014 | 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 | 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 |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (27 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 | 0 | 0 | 0 | ||
| Patrick Mannion | ||||||||
| director, board vice chair | 1.0 | X | X | 0 | 0 | 0 | ||
| PAUL KRONENBERG MD | ||||||||
| director, board president, ceo | 38.0 | X | X | 630109 | 20414 | 28587 | X | |
| JAMES HUGHES | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| JOHN FRANTZ JR | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| MARY COTTER | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| RUBEN P COWART DDS | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| LOUIS GREEN MD | ||||||||
| director | 1.0 | X | 0 | 78078 | 0 | |||
| ALBERT WERTHEIMER | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Ellen Bifano MD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| James Carrick | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| Michele Johnson | ||||||||
| Director, auxiliary representa | 1.0 | X | 0 | 0 | 0 | |||
| Melvin Stith PhD | ||||||||
| Director | 1.0 | X | 0 | 0 | 0 | |||
| RICHARD RUSSELL CPA | ||||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | |||
| James Mills MD | ||||||||
| Director, med staff rep jan-ju | 40.0 | X | 305234 | 0 | 50266 | |||
| hadley falk md | ||||||||
| director, med staff rep jul-de | 1.0 | X | 0 | 0 | 29500 | |||
| pamela reilly | ||||||||
| director, auxillary rep jul-de | 1.0 | X | 0 | 0 | 0 | |||
| Derrick Suehs | ||||||||
| board secretary, chief quality | 40.0 | X | 206921 | 0 | 29267 | X | ||
| KIMBERLY BOYNTON | ||||||||
| BOARD TREASURER,CFO | 38.0 | X | 333783 | 10868 | 42576 | X | ||
| Mary Agnew | ||||||||
| Chief Nursing Officer | 40.0 | 180312 | 0 | 22006 | X | |||
| Ronald Stahl MD | ||||||||
| Chief Medical Officer | 40.0 | 293426 | 0 | 22993 | X | |||
| Michael Dupuis | ||||||||
| VP Support Services | 40.0 | 165140 | 0 | 24568 | X | |||
| Richard Steinmann MD | ||||||||
| PHYSICIAN EMERGENCY DEPARTMENT | 40.0 | 368273 | 0 | 53249 | X | |||
| Lawrence Moloff MD | ||||||||
| PHYSICIAN EMERGENCY DEPARTMENT | 40.0 | 345522 | 0 | 49538 | X | |||
| Mark Barasz MD | ||||||||
| PHYSICIAN EMERGENCY DEPARTMENT | 40.0 | 315417 | 0 | 26773 | X | |||
| Cristina Topor MD | ||||||||
| physician HOSPITALIST | 40.0 | 292227 | 0 | 26159 | X | |||
| Michael Jorolemon MD | ||||||||
| Physician Emergency Department | 40.0 | 319157 | 0 | 43302 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3755521 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 109360 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 448784 | TotalOtherCompensation |
| Number Individuals GT100 K | 167 | 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 | 2008963 |
| MAGNETIC DIAGNOSTIC RESOURCES | |||||
| 4567 CROSSROADS PARK DRIVE | LIVERPOOL | NY | 13088 | medical testing | 1408980 |
| CNY Anesthesia Group PC | |||||
| 736 IRVING AVE | SYRACUSE | NY | 13210 | Professional medical | 2353075 |
| southern ny neurosurgial group pc | |||||
| 46 harrison street | JOHNSON CITY | NY | 13790 | professional medical | 1134845 |
| aramark corporation | |||||
| 12483 collections center drive | CHICAGO | IL | 60693 | biomed engineers | 1460588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 39 | NumberOfContractorsGT100K |
| Government Grants | 52780 | GovernmentGrants |
| All Other Contributions | 140229 | AllOtherContributions |
| Total Contributions | 193009 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SER. REV | 623000 | 175166189 | 175166189 |
| MEDICARE/MEDICAID PAYMENTS | 623000 | 161691867 | 161691867 |
| PARKING | 812930 | 1914869 | 1914869 |
| PROPERTY MGT REV FROM AFFILIATE | 531310 | 1008207 | 1008207 |
| RENT | 532000 | 503061 | 503061 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1425252 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1425252 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 341709445 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2035997 | TotalRevenueColumn |
| Exclusion | $2,035,997 | 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 | 60627 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6058 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 54569 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54569 | TotalRevenueColumn |
| Exclusion | $54,569 | 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 | 1500416 | 345400 | $1,155,016 |
| CAFETERIA | 721110 | 1653935 | $1,653,935 | |
| COLLEGE OF NURSING | 611600 | 1504355 | $1,504,355 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2683565 | TotalRevenueColumn |
| Exclusion | $2,683,565 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 7342271 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 351335291 | TotalRevenueColumn |
| Related Or Exempt Function Income | 341709445 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 345400 | UnrelatedBusinessRevenue |
| Exclusion | $9,087,437 | 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 | 2374110 | Total |
| Program Services | 359611 | ProgramServices |
| Management And General | 2014499 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 143091537 | Total |
| Program Services | 89951131 | ProgramServices |
| Management And General | 53140406 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1761959 | Total |
| Program Services | 1118086 | ProgramServices |
| Management And General | 643873 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25220115 | Total |
| Program Services | 15740100 | ProgramServices |
| Management And General | 9480015 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10528164 | Total |
| Program Services | 6543254 | ProgramServices |
| Management And General | 3984910 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 757858 | Total |
| Management And General | 757858 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295600 | Total |
| Management And General | 295600 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127200 | Total |
| Management And General | 127200 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
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 | 15866744 | Total |
| Program Services | 9864002 | ProgramServices |
| Management And General | 6002742 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1281940 | Total |
| Program Services | 796726 | ProgramServices |
| Management And General | 485214 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1685137 | Total |
| Program Services | 1047313 | ProgramServices |
| Management And General | 637824 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2548229 | Total |
| Program Services | 1583724 | ProgramServices |
| Management And General | 964505 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10891657 | Total |
| Program Services | 6769165 | ProgramServices |
| Management And General | 4122492 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129954 | Total |
| Program Services | 80766 | ProgramServices |
| Management And General | 49188 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 305815 | Total |
| Program Services | 190064 | ProgramServices |
| Management And General | 115751 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2625772 | Total |
| Management And General | 2625772 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3680 | Total |
| Management And General | 3680 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13328087 | Total |
| Program Services | 8283406 | ProgramServices |
| Management And General | 5044681 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2713775 | Total |
| Program Services | 1680919 | ProgramServices |
| Management And General | 1032856 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PENSION EXPENSE | 11247272 | 6990180 | 4257092 |
| PROVISION FOR BAD DEBTS | 13503386 | 13479277 | 24109 |
| SUPPLIES | 50868382 | 31614699 | 19253683 |
| PURCHASED SERVICES | 17964306 | 11414308 | 6549998 |
| DRUGS | 8897994 | 8897994 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8637789 | Total |
| Program Services | 5378588 | ProgramServices |
| Management And General | 3259201 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 346656462 | Total |
| Program Services | 221783313 | ProgramServices |
| Management And General | 124873149 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8025 | BOY |
| EOY | 8175 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26348346 | BOY |
| EOY | 21895184 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35089932 | BOY |
| EOY | 40480420 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2219927 | BOY |
| EOY | 3150822 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6293849 | BOY |
| EOY | 5655230 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5681300 | BOY |
| EOY | 4598922 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 251380215 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 127668833 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102831005 | BOY |
| EOY | 123711382 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208027 | BOY |
| EOY | 208027 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64901836 | BOY |
| EOY | 52675156 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243582247 | BOY |
| EOY | 252383318 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23570910 | BOY |
| EOY | 21789360 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75405000 | BOY |
| EOY | 71330000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10148046 | BOY |
| EOY | 10017809 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 120802832 | BOY |
| EOY | 129292935 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229926788 | BOY |
| EOY | 232430104 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -8684798 | BOY |
| EOY | -3612949 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11303796 | BOY |
| EOY | 12378153 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11036461 | BOY |
| EOY | 11188010 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13655459 | BOY |
| EOY | 19953214 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 243582247 | BOY |
| EOY | 252383318 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4678829 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1618926 | 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 | $148,802 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 148802 | 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 2/11/10 to 2/10/11 to serve as legislative counsel to the Hospital. The fee for these services is $120,000 annually plus expenses. As of December 31, 2010, Crouse Hospital has paid the firm $120,000 in professional service fees and $7,200 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 $21,602. 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 | 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 Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 | 0.42000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.46000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.12000 | 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 | 154528915 | OtherCostOrOtherBasis |
| Depreciation | 64425220 | Depreciation |
| Book Value | 90103695 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16367877 | OtherCostOrOtherBasis |
| Depreciation | 13143348 | Depreciation |
| Book Value | 3224529 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75786038 | OtherCostOrOtherBasis |
| Depreciation | 50100265 | Depreciation |
| Book Value | 25685773 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4411553 | OtherCostOrOtherBasis |
| Book Value | 4411553 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 123711382 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| CROUSE HEALTH FOUNDATION | 22084481 |
| ASSETS WHOSE USE IS LIMITED | 25937011 |
| FUNDS HELD IN TRUST BY OTHERS | 1481682 |
| BOND ISSUANCE/CLOSING COSTS | 3148275 |
| 410 S CROUSE CLOSING COSTS-NET | 23707 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 52675156 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SELF INSURED PROFESS. LIAB. | $16,290,762 |
| ACCRUED PENSION LIABILITY | $79,335,989 |
| POSTRETIREMENT OBLIGATION | $16,306,971 |
| ASSET RETIREMENT OBLIGATION | $2,563,911 |
| DUE TO/FROM RELATED PARTIES (NET) | $1,631,724 |
| FUNDS HELD IN TRUST | $246,611 |
| LIABILITIES TO THIRD PARTY PAY | $12,916,967 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 129292935 | TotalOfAmounts |
| Total Revenue | 351335291 | TotalRevenue |
| Total Expenses | 346656462 | TotalExpenses |
| Excess Or Deficit For Year | 4678829 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -193572 | NetUnrealizedGLOnInvestments |
| Other | $1,812,498 | OtherAmount |
| Total Adjustments | 1618926 | TotalAdjustments |
| Excess Or Deficit Per FS | 6297755 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 349720306 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 349720306 | RevenueSubtotal |
| Other Revenues Not Included | 1614985 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1614985 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 351335291 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 346656462 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 346656462 | ExpensesSubtotal |
| Total Expenses Per Form990 | 346656462 | 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 1,500,416 investment income 60,000 net gain on sale of assets other than inventory 54,569 _________ total 1,614,985 ========= |
| Reconciliation of Change in Net Assets from Form 990 to FS | Part XI Line 8 | contributions for property acquisitions 2,940,455 pension & post retirement charges other than periodic (2,353,863) costs net increase in interest in net assets of crouse Health 1,131,571 foundation, inc. increase in funds held in trust by others 94,335 _________ total 1,812,498 ========= |
| 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 million at december 31, 2010. the principal, with an approximate value of $12 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 |
| 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 | 6597622 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3083952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3513670 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 73113728 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55116167 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17997561 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05420 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 79711350 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58200119 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 21511231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06480 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 415491 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 72681 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 342810 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9894203 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5495175 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4399028 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01320 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3829971 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3466836 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 363135 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 95871 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 95871 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14235536 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9034692 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5200844 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01560 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93946886 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 67234811 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26712075 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08040 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $9,887,446 | BadDebtExpenseAmount |
| Amount Attributable To | 930477 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 88290202 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 86627943 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 1662259 | 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 | 0.00000 |
| 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 | Asset LevelAssetLevel | 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 | 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 | 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 | 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 | Describe how the organization assessed the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B. Crouse Hospital is actively engaged with a variety of community partners in the discussion, planning and implementation of our various community health initiatives. Administrative and patient care staffs routinely gather and share information about issues related to our community's health. We solicit information via the following methods: - Focus groups with patients for feedback on specific services - 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 meetings - 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 - Get Health Connected Consortium - Transcending Boundaries Planning Committee - 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. Crouse Hospital cares for 37 percent of all Medicaid patients in our service area, the largest percentage seen by any of the Syracuse hospitals. In 2010, we assisted 2,839 families in applying for financial assistance programs (up from 2,334 in 2009). Of patients applying for charity care 71% received free or significantly reduced cost of care in 2010 (up from 65% in 2009). Nearly all of the remaining 29% received a discount on their hospital bill based on economic need and circumstances. In total, the amount of charity care Crouse Hospital provided in 2010 was $7,567,733 (up from $5,928,500 in 2009). One reason for these statistics increasing over 2009 is because there is now a much larger pool of people in our service area without insurance coverage or without adequate insurance coverage. Traditional charity care was 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, instead of higher premiums. This leads to situations where a once $500 deductible is now $1,200 or $1,500. As a result, Crouse is receiving many more requests for sliding scale adjustments to unpaid bills. In 2010, Crouse provided bad debt service totaling $7,567,733. 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 three 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 2010 population is estimated at 467,026, with approximately 140,658 residing in Syracuse. | |
| 5. promotion of community health | Provide any other information important to describing how the organization's hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc Crouse Hospital has a dedicated manager of community health outreach who works closely with hospital departments to maximize efforts to improve community health. This focused area remains the second component of Crouse Hospital's mission to provide the best in patient care and to promote community health. Below are outlined current activities Crouse Hospital independently supports to address our three NYS Prevention Agenda focus areas and following that is a list of additional community health-related activities that the hospital continues to maintain and enhance on an annual basis. Current Crouse Hospital Programs Addressing NYS Prevention Agenda Items 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 school 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 all fourth grade students at Hughes Magnet Elementary School, a Syracuse city school located in an economically disadvantaged area. 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 experiences 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 Every Person Influences Children (EPIC) and the Children's Consortium of Central New York to offer parents the Ready, Set, Parent education program to help reduce the risk of child abuse and increase parenting skills for those with children from infancy to age 3. There is no charge for this program. - Since 1976 Crouse Hospital has been educating first-grade students throughout Onondaga County (3,956 in the 2010 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. Annually we equip nearly 400 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 is launching a new nutrition education/cooking instruction program through a grant from a local foundation. In addition, Crouse works with the Syracuse City School District to serve as wellness advisors and provide support for their 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. The 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. Access to Quality Health Care The following Crouse Hospital programs directly relate to this priority prevention area and are planned to continue through 2013. 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. For 2010 Crouse Hospital served as the event organizer. 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 2010, 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 the only Central New York hospital designated as a NICHE organization (Nurses Improving Care for Healthcare Elders), Crouse continues a newly expanded Care Transitions program for patients with a variety of cardiac conditions (CHF, AFib, MI), COPD patients and patients with complex transition. Utilizing a registered nurse as a Transition Coach, the program enables patients to successfully manage their chronic conditions at home. The primary outcomes of this program a | |
| 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 denied or incomplete was calculated by determining the average cost of an approved charity care application times the number of denied or incomplete applications for 2010. PART III, Line 8: The costing methodology used is the Medicare cost report for 2010. 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 | |||||||||||||
| 507943 | 20414 | 119990 | 0 | 2176 | 0 | 8620 | 1686 | 22259 | 5051 | 660988 | 27151 | 0 | 0 |
| Derrick Suehs | |||||||||||||
| 206921 | 0 | 0 | 0 | 0 | 0 | 10986 | 0 | 23505 | 0 | 241412 | 0 | 0 | 0 |
| KIMBERLY BOYNTON | |||||||||||||
| 266507 | 10868 | 67276 | 0 | 0 | 0 | 13044 | 898 | 29679 | 2689 | 376506 | 14455 | 0 | 0 |
| James Mills MD | |||||||||||||
| 297985 | 0 | 7249 | 0 | 0 | 0 | 16946 | 0 | 40582 | 0 | 362762 | 0 | 0 | 0 |
| Mary Agnew | |||||||||||||
| 180312 | 0 | 0 | 0 | 0 | 0 | 3725 | 0 | 25591 | 0 | 209628 | 0 | 0 | 0 |
| Richard Steinmann MD | |||||||||||||
| 359149 | 0 | 9124 | 0 | 0 | 0 | 19929 | 0 | 44486 | 0 | 432688 | 0 | 0 | 0 |
| Lawrence Moloff MD | |||||||||||||
| 334523 | 0 | 10999 | 0 | 0 | 0 | 16218 | 0 | 44050 | 0 | 405790 | 0 | 0 | 0 |
| Mark Barasz MD | |||||||||||||
| 303820 | 0 | 10999 | 0 | 598 | 0 | 8784 | 0 | 24689 | 0 | 348890 | 0 | 0 | 0 |
| Cristina Topor MD | |||||||||||||
| 247550 | 0 | 0 | 0 | 44677 | 0 | 7878 | 0 | 35276 | 0 | 335381 | 0 | 0 | 0 |
| Ronald Stahl MD | |||||||||||||
| 293426 | 0 | 0 | 0 | 0 | 0 | 4712 | 0 | 24598 | 0 | 322736 | 0 | 0 | 0 |
| Michael Dupuis | |||||||||||||
| 162390 | 0 | 0 | 0 | 2750 | 0 | 6287 | 0 | 29761 | 0 | 201188 | 0 | 0 | 0 |
| Michael Jorolemon MD | |||||||||||||
| 311908 | 0 | 7249 | 0 | 0 | 0 | 9482 | 0 | 50682 | 0 | 379321 | 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 of 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 are employees of and compensated by Crouse Health Hospital, Inc. 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 2010 was based on achievement of 2009 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 2010 was based upon achievement of 2009 objectives. |
| emergency department physicians | part 1, question 7 | In 2010 the emergency department physician received incentive compensation . This compensation was based on productivity benchmarks, successful outcomes of patient satisfaction survey conducted during 2009 and achievement of clinical/operational incentive goals for 2009. |
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 1 | false | false | false |
| 2003a syracuse industrial development agency | |||||||
| 521380308 | 871720bt4 | 2003-09-25 | 20000000 | Refund Portion of O/S Series 1 | false | false | false |
| 2007a onondaga county industrial development agenc | |||||||
| 161093714 | 682747gp9 | 2007-06-25 | 9000000 | Capital Improvement Project at | false | false | false |
| 2007a syracuse industrial development agency | |||||||
| 521380308 | 871720bw7 | 2007-12-14 | 20000000 | Capital Improvement Project at | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 0 | 0 | 25126 | 0 | 0 | 0 | 0 | 670747 | 0 | 0 | 2009 | false | false | true | true |
| 0 | 0 | 0 | 0 | 613750 | 0 | 0 | 0 | 0 | 19646952 | 0 | 0 | 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 | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| false | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | 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 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|
| false | true | false | false | false | false | false | true |
| false | true | false | false | false | false | false | true |
| false | true | false | false | false | false | false | true |
| false | true | false | false | false | false | false | true |
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 | 323829 | SEE PART V EXPLANATION | false |
| JOHN FRANTZ Jr | |||
| SEE PART V EXPLANATION | 458379 | 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 holds a research grant from which the Hospital receives a 10% payment covering overhead expenses in the amount of $11,892 in 2010. Dr. Bifano is a partner in Neonatal Associates of CNY which provides neonatal services to the Hospital and for which it received $311,937 in 2010. 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 $458,379 in 2010. LINE 3: PAUL KRONENBERG MD IS THE PHYSICIAN CEO AND SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC. PLEASE 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 2: Elizabeth Hartnett, a Director, is a partner in a law firm which provides legal services to James Carrick, who is also a Director. Question 2: Richard Russell, a Director provides 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 effective October 1, 2010. Dr. Green averages 40.0 hours per week for services provided to Crouse Medical Practice, PLLC. | |
| GENERAL DISCLOSURE, CROUSE MEDICAL PRACTICE, PLLC | On February 9, 2010 the Hospital, through its physician CEO as sole member, formed Crouse Medical Practice, PLLC ("PLLC"). The PLLC was formed to further the Hospital's charitable purposes through the acquisition of physician practices and the employment of physicians. In March 2010, the PLLC leased the services of a robotic urology surgeon to expand the scope of urology services available in the community and that lease expired on October 31, 2010. On September 30, 2010 the PLLC purchased the assets of Internist Associates of Central New York, PC ("IACNY"), a primary care practice and hired its physician employees. Effective November 22, 2010, The PLLC entered into another lease arrangement for the employment of two neurosurgeons to ensure neurosurgical coverage for the Hospital's Stroke Center This arrangement expires October 31, 2011. 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. The son of Paul Kronenberg, MD, Hospital CEO and non-voting member of the Hospital Board of Directors, is a partner in IACNY (which is no longer providing medical services) and is employed as a physician by the PLLC. Louis Green, MD is a voting member of the Board of Directors of Crouse Health Hospital, Inc. Dr. Green was an employee of Internist Associates of Central New York when the IACNY was purchased by Crouse Medical Practice, PLLC on September 30, 2010, thereby becoming an employee of the PLLC. As a result, Dr. Green is considered as not independent as a voting member of the Hospital's Board of Directors. All members of the Hospital's Board of Directors, including Dr. Green, complete annual conflict of interest disclosures. The Board's conflict of interest policy would prevent Dr. Green from using his voting powers on the Crouse Board of Directors from operating to his advantage as an employee of Crouse Medical Practice, PLLC. | |
| Part XI Reconciliation of net assets | Contributions for property acquisitions 2,940,455 Decrease in unrealized gains/losses (193,572) Pension & post retirement changes other than periodic costs (2,353,863) Net increase in interest in net assets of Crouse Health Foundation, Inc. 1,131,571 Increase in funds held in trust by others 94,335 _________ TOTAL 1,618,926 ========= | 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 James Mills (January - June 2010)/Hadley Falk (July - December 2010) 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 |
|---|---|---|---|---|---|---|---|---|---|
| CROUSE HEALTH SYSTEM INC | |||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 161560473 | SEE PART VII | NY | 501(c)(3) | 11A | NA |
| CROUSE HEALTH FOUNDATION INC | |||||||||
| 736 IRVING AVENUE | SYRACUSE | NY | 13210 | 161035427 | SEE PART VII | NY | 501(c)(3) | 7 | NA |
| crouse medical practice pllc | |||||||||
| 730 s crouse avenue suite 204 | syracuse | NY | 13210 | 800548096 | SEE PART VII | NY | seepartvii | 7 | SEE PART VII |
| 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 | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | 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 (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CROUSE HEALTH FOUNDATION INC | |
| C | 1886531 |
| CROUSE HEALTH FOUNDATION INC | |
| e | 2877711 |
| crouse health foundation inc | |
| l | 1715684 |
| crouse health foundation inc | |
| n | 417871 |
| crouse health foundation inc | |
| p | 303701 |
| crouse health system inc | |
| j | 3199995 |
| crouse health system inc | |
| p | 1008207 |
| crouse medical practice pllc | |
| d | 5192629 |
| crouse medical practice pllc | |
| n | 98000 |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE R, PART II | Identifier |
| Explanation | LINE 2 - CROUSE HEALTH SYSTEM, INC. COLUMN B - PRIMARY ACTIVITY CROUSE HEALTH SYSTEM, INC.'S pRIMARY ACTIVITY IS TO PROVIDE OFf-SITE SPACE AND SECURE CAPITAL FOR CROUSE HEALTH HOSPITAL, INC. LINE 3 - CROUSE HEALTH FOUNDATION, INC. COLUMN B - PRIMARY ACTIVITY CROUSE HEALTH FOUNDATION, INC.'S PRIMARY ACTIVITY IS FUNDRAISING FOR CROUSE HEALTH HOSPITAL, INC. LINE 3 - CROUSE MEDICAL PRACTICE, PLLC COLUMN B - PRIMARY ACTIVITY CROUSE MEDICAL PRACTICE, PLLC WAS FORMED TO FURTHER THE HOSPITAL'S CHARITABLE PURPOSES THROUGH THE ACQUISITION OF PHYSICIAn PRACTICES AND THE EMPLOYMENT OF PHYSICIANS. column d exempt code section: crouse medical practice, pllc intends to file form 1023 "application for tax exempt status" as a 501(c)(3) corporation. COLUMN F - DIRECT CONTROLLING ENTITY CROUSE HEALTH HOSPITAL, INC. part v line 2(1)(d): monies transferred to crouse health hospital, inc. pursuant to crouse health foundation, inc.'s purpose. part v line 2(3)(d): monies raised on behalf of crouse health hospital, inc. pursuant to crouse health foundation, inc.'s purpose. | Explanation |