2023-11-15T09:47:05-06:00 2022-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2022-01-01 160960470 CROUSE HEALTH HOSPITAL INC CROU 3154707111 736 IRVING AVENUE SYRACUSE NY 132101687 SETH KRONENBERG MD CURRENT CEO 3154707376 2023-11-15 1 SETH KRONENBERG MD XXX-XX-XXXX 0 MARY MADONIA P00405803 7168472651 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CROUSE HOSPITAL SETH KRONENBERG MD 736 IRVING AVENUE SYRACUSE NY 132101687 533366869 0 X WWW.CROUSE.ORG X 1913 NY TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH 16 13 3344 17 -112298 0 16691331 2901917 440907346 512480912 29916940 4251859 103051750 13713610 590567367 533348298 0 0 0 0 251928825 255579711 0 0 0 223637053 261976405 475565878 517556116 115001489 15792182 301643556 289637124 233764130 240374416 67879426 49262708 THE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH. 0 0 447095956 512480912 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 505 ACUTE-CARE BEDS INCLUDING 57 BASSINETS. CROUSE HOSPITAL SERVICES APPROXIMATELY 20,800 INPATIENTS, MORE THAN 56,000 EMERGENCY SERVICE PATIENTS, AND MORE THAN 456,000 OUTPATIENTS ANNUALLY. CROUSE HOSPITAL PROVIDED APPROXIMATELY $3.7 MILLION IN CHARITY CARE IN 2022. ADDITIONAL DETAILS ON CROUSE HOSPITAL'S EXEMPT PURPOSE ACHIEVEMENTS ARE FOUND IN "CROUSE HOSPITAL'S 2020-2022 COMMUNITY SERVICE PLAN" WHICH CAN BE ACCESSED ON THE HOSPITAL WEBSITE WWW.CROUSE.ORG. 447095956 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 321 0 1 3344 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KEVIN RANDALL CFO 3154707589 736 IRVING AVENUE SYRACUSE NY 13210 PATRICK MANNION DIRECTOR, BOARD CHAIR 1.00 1.00 X X 0 0 0 ELIZABETH HARTNETT DIRECTOR, BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 PAUL KRONENBERG MD DIRECTOR, BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 EDWARD BARNO DIRECTOR 1.00 1.00 X 0 0 0 MARY COTTER DIRECTOR 1.00 1.00 X 0 0 0 THOMAS HARTZHEIM MD DIRECTOR 1.00 1.00 X 123000 0 0 RICHARD RUSSELL DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MIRON DIRECTOR 1.00 1.00 X 0 0 0 BARBARA ASHKIN DIRECTOR 1.00 1.00 X 0 0 0 JAMES HUGHES DIRECTOR 1.00 1.00 X 0 0 0 PATTY BLACK DIRECTOR 1.00 1.00 X 0 0 0 JAMES LONGO MD DIRECTOR 1.00 1.00 X 0 416009 36221 KENT SYVERUD DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY KENNEDY DIRECTOR 1.00 1.00 X 0 0 0 MELVIN STITH PHD DIRECTOR 1.00 1.00 X 0 0 0 MICHELLE BODE MD EX-OFFICIO 41.00 0.00 X 260950 0 45678 KIMBERLY BOYNTON PRESIDENT AND CEO 39.00 4.00 X 978997 57939 84906 KIMBERLY ROSE CHIEF INFORMATION OFFICER 36.00 4.00 X 227128 26215 48690 SETH KRONENBERG MD BOARD SECRETARY, CMO 39.00 4.00 X 635502 35338 49625 KEVIN RANDALL BOARD TREASURER/CFO 37.00 6.00 X 309617 37574 57608 SOHEIL ALTAFI MD PHYSICIAN 40.00 0.00 X 496307 0 55410 KRISTA KANDEL MD PHYSICIAN 40.00 0.00 X 383340 0 81527 DAVID MASON MD PHYSICIAN EMERGENCY DEPT 40.00 0.00 X 432271 0 92499 RICHARD STEINMANNMD PHYSICIAN 40.00 0.00 X 396194 0 81592 JOSEPH CUDJOE MD PHYSICIAN 40.00 0.00 X 396252 0 59246 4639558 573075 693002 450 0 1 0 LABORATORY ALLIANCE OF CNY 1304 BUCKLEY RD SYRACUSE NY 13212 PROFESSIONAL MEDICAL 15741151 CROSS COUNTRY STAFFING 6551 PARK OF COMMERCE BLVD BOCA RATON FL 33487 PROFESSIONAL RECRUITMENT 13025358 SHC SERVICES INC 6955 UNION PARK CENTER DRIVE SUITE COTTONWOOD HEIGHTS UT 84047 PROFESSIONAL RECRUITMENT 10724175 AMERICAN ANESTHESIOLOGY OF NEW YORK PC PO BOX 281034 ATLANTA GA 30384 PROFESSIONAL MEDICAL 9984035 CROUSE MEDICAL GROUP PC 401 N SALINA STREET SUITE 400 SYRACUSE NY 13203 PROFESSIONAL MEDICAL 4827364 66 2130404 79542 691971 2901917 PATIENT REVENUE 623000 509562104 509562104 PARKING 812930 2355476 2355476 RENT 532000 347097 347097 DSS REVENUE 623000 216235 216235 512480912 1120455 -112298 1232753 3149975 18571 3131404 3131404 3131404 OTHER REVENUE 623000 7813354 7813354 COLLEGE OF NURSING 611600 3150710 3150710 CAFETERIA 721110 1580656 1580656 1168890 1168890 13713610 533348298 512480912 -112298 18077767 2151245 2151245 205803006 195003916 10799090 5103753 4785917 317836 27734637 21367677 6366960 14787070 10350949 4436121 712493 712493 222184 222184 66463 66463 24078481 23060887 1017594 1117183 1117183 1186178 735430 450748 7057482 4375639 2681843 7324434 4541149 2783285 36121 22395 13726 10388 6441 3947 3738459 3738459 19059826 12337661 6722165 4694652 894798 3799854 SUPPLIES 95168453 95168453 PURCHASED SERVICES 34301472 30916409 3385063 TEMPORARY HELP 34016905 34016905 ALL OTHER EXPENSES 22389122 954833 21434289 6796109 4818038 1978071 517556116 447095956 70460160 0 X 25645 25750 57088693 40119891 50245296 56124442 1176177 330442 10617489 11916636 8500407 10382055 388798471 286871921 114303275 101926550 361 361 59686213 68810997 301643556 289637124 68896113 80113136 76238779 72846285 1750000 0 86879238 87414995 233764130 240374416 X 30187962 19732149 37691464 29530559 67879426 49262708 301643556 289637124 X 15792182 -2611389 -31797511 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 66463 0 0 66463 0 PART II-B, LINE 1: CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE WLADIS LAW FIRM EFFECTIVE 3/18/22 TO 3/18/23 TO SERVE AS STRATEGIC PLANNING, ECONOMIC DEVELOPMENT, AND FUNDING OBJECTIVES COUNSEL TO THE HOSPITAL. THE FEE FOR THOSE SERVICES IS $65,750 ANNUALLY PLUS EXPENSES. FOR THE YEAR ENDED DECEMBER 31, 2022, CROUSE HEALTH HOSPITAL, INC. PAID THE FIRM $65,750 IN PROFESSIONAL FEES AND $713 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. 35726515 83575 -9694110 2353703 23762277 33210738 984073 2243853 712149 35726515 29916900 318485 3701292 725939 33210738 26074042 270273 4294127 721542 29916900 27601980 690564 -1306174 912328 26074042 0.35376 0.64624 0.00000 0 1 1 1545681 1545681 228141688 157518531 70623157 10865217 8154904 2710313 140162008 121198486 18963522 8083877 8083877 101926550 INTEREST IN NET ASSETS OF CROUSE HEALTH FOUNDATION 28131063 ASSETS WHOSE USE IS LIMITED 22205580 FUNDS HELD IN TRUST BY OTHERS 1399496 RIGHT OF USE ASSET - OPERATING LEASES 17074858 68810997 SELF INSURED PROFESSIONAL LIABILITY 21184218 ACCRUED PENSION LIABILITY 23603252 POST RETIREMENT OBLIGATIONS 5766494 ASSET RETIREMENT OBLIGATIONS 3198476 FUNDS HELD IN TRUST 284947 LIABILITIES TO THIRD PARTY PAYERS 16129942 DUE TO AFFILIATES 178810 RIGHT OF USE LIABILITY - OPERATING LEASES 17068856 87414995 X PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME. MANAGEMENT BELIEVES THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES FOR YEARS PRIOR TO 2019. 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 $23.8 MILLION AT DECEMBER 31, 2022. 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 INITIATIVES. 1 1 X 1 X 1 X 1 1 1 0 0 1920365 214608 1705757 0.00330 130090747 146580370 0 0.00000 132011112 146794978 1705757 0.00330 347128 347128 0.00070 11702981 6316304 5386677 0.01040 1330125 1051490 278635 0.00050 150393 150393 0.00030 13530627 7367794 6162833 0.01190 145541739 154162772 7868590 0.01520 249523 249523 0.00050 249523 249523 0.00050 1 13808269 69597165 90561244 -20964079 X 1 1 1 1 CROUSE HEALTH HOSPITAL INC 736 IRVING AVE SYRACUSE NY 13210 X X X X CROUSE HOSPITAL 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X CROUSE.ORG/ABOUT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ X ONGOV.NET/HEALTH/DOCUMENTS/ONONDAGACOUNTYCHA-CHIP X 1 22 1 CROUSE.ORG/ABOUT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ 0 1 X 100.000000000000 400.000000000000 1 1 X X X X 1 X HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/ X HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/ X HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X 1 0 0 CROUSE HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WERE DEVELOPED WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT WHO CONDUCTED A SURVEY THROUGHOUT THE COUNTY THAT RECEIVED RESPONSES FROM OVER 3,500 PEOPLE. TO REACH COMMUNITIES THAT WOULD NOT FILL OUT THE SURVEY, THE COUNTY AS WELL AS THE HOSPITALS INVOLVED ATTENDED MEETINGS OF COMMUNITY GROUPS TO RECEIVE THEIR FEEDBACK ON HEALTH NEEDS. ALSO CONDUCTED SURVEYS AT THE LARGEST TRANSPORTATION HUB IN SYRACUSE. CROUSE PROMOTED THE SURVEY THROUGH THE WEBSITE, SOCIAL MEDIA PAGES, EMPLOYEE NEWSLETTER AND THROUGH AN EMAIL LIST OF OVER 6,000. CROUSE REACHES OUT FOR FEEDBACK THROUGH THE PATIENT AND GUEST RELATIONS DEPARTMENT AND DIVERSITY, EQUITY, INCLUSION AND BELONGING COMMITTEE. CROUSE HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH ST. JOSEPH HOSPITAL HEALTH CENTER AND UPSTATE UNIVERSITY HOSPITAL IN 2022. CROUSE HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS SPEARHEADED BY THE ONONDAGA COUNTY DEPARTMENT OF HEALTH. CROUSE HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA/CHIP IS ALSO AVAILABLE ON OTHER AGENCIES' WEBSITES THROUGHOUT THE COUNTY. CROUSE HOSPITAL PART V, SECTION B, LINE 11: THE CHNA AND CHIP WERE BASED UPON NYS PREVENTION AGENDA 2019 - 2024. FOR THE 2022 - 2024 CHIP PRIORITY AREA IS TO PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN. A GOAL FOR THIS PRIORITY IS TO REDUCE RACIAL, ETHNIC, ECONOMIC AND GEOGRAPHIC DISPARITIES IN MATERNAL AND CHILD HEALTH OUTCOMES. CROUSE WILL WORK WITH THE OTHER SYRACUSE HOSPITALS AND THE NEW YORK STATE BIRTH EQUITY IMPROVEMENT COLLABORATIVE AND THE HEALTHCARE ASSOCIATION OF NEW YORK STATE HEALTH EQUITY TASK FORCE. CROUSE WILL WORK TOWARDS INCLUDING DOULAS IN THE SERVICES OF LABOR AND DELIVERY TO INCORPORATE CULTURALLY APPROPRIATE CAREGIVERS IN THE CARE TEAM. TO INCREASE ACCESS TO CARE CROUSE WILL TRAIN PUBLIC HEALTH WORKERS ON PERINATAL MOOD AND ANXIETY DISORDER AND WORK WITH COMMUNITY GROUPS. CROUSE OFFERS CHILDBIRTH CLASSES SCHOLARSHIPS SO ANY ONE CAN ACCESS THEM. ALSO CROUSE ACTIVELY ENGAGES WITH THE CENTRAL NEW YORK HEALTHCARE EQUITY TASK FORCE TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT MATERNAL AND INFANT HEALTH OUTCOMES. ANOTHER PRIORITY CHOSEN FOR THE CHIP IS PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. ONE GOAL IS TO PREVENT EXCESSIVE ALCOHOL CONSUMPTION IN ADULTS. CROUSE WILL PROVIDE INTERVENTION IN THE HOSPITAL FOR ANY PATIENT WITH SUSPECTED ADDICTION TO ALCOHOL. FOR THE GOAL TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATH CROUSE WILL PROVIDE MEDICATION ASSISTED TREATMENT IN THE EMERGENCY ROOM AND REMAIN IN THE NEW YORK STATE OPIOID OVERDOSE PREVENTION PROGRAM AND PROVIDE NARCAN KITS AND TRAINING ON USAGE TO THE COMMUNITY. CROUSE WILL PROVIDE CERTIFIED RECOVERY PEER ADVOCATE SUPPORT. FOR THE GOAL TO PREVENT MENTAL AND SUBSTANCE USE DISORDERS CROUSE PROVIDES GROUP THERAPY, SCREENING AND ASSESSMENT FREE OF CHARGE FOR WOMEN WHO FEEL AT RISK OF PERINATAL MOOD AND ANXIETY DISORDER. FOR THE GOAL TO PREVENT SUICIDE CROUSE PROVIDERS WILL SCREEN FOR SUICIDE THROUGHOUT THE CROUSE SYSTEM AT THE BEDSIDE, OUTPATIENT SITES AND NEW ADMISSIONS AND CONTINUES TO IMPLEMENT THE ZERO SUICIDE PROGRAM. THE PRIOR CHIP'S PRIORITY AREA 1: PREVENT CHRONIC DISEASES: CROUSE SCREENS PATIENTS UPON DISCHARGE FOR FOOD INSECURITY AND PROVIDES RESOURCES FOR THOSE WHO SCREEN POSITIVE. TO SUPPORT TOBACCO PREVENTION CROUSE PROVIDES A COMPUTER-BASED EDUCATION PROGRAM AND VIDEO ABOUT VAPING FOR HIGH SCHOOL STUDENTS AND PROVIDES THE RESOURCE FREE OF CHARGE TO ALL SCHOOLS WHO REQUEST IT. AS LISTED IN THE PRIOR CHIP CROUSE HAS: WORKED WITH THE JAIL-BASED POPULATION TO DEVELOP TRANSITION PLANS TO ENSURE TREATMENT POST DISCHARGE; ESTABLISHED ELECTRONIC REFERRALS TO TREATMENT AND PROVIDED ON-CALL PEER SUPPORT IN THE ED; ADMINISTERED SUBOXONE IN THE ED AND SET UP NEXT DAY APPOINTMENT AND PUBLICIZED NATIONAL DRUG TAKE BACK DAYS. CROUSE HOSPITAL PART V, SECTION B, LINE 19E: 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 HOSPITAL INCOME GUIDELINES ADJUSTED AGAINST OUR LOWEST COMMERCIAL INSURANCE RATE. CROUSE HOSPITAL PART V, SECTION B, LINE 20E: 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. CROUSE HOSPITAL PART V, SECTION B, LINE 21D: UNINSURED PATIENTS WHO RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE INFORMED OF A RANGE OF FINANCIAL ASSISTANCE OPTIONS THAT INCLUDE ASSISTANCE IN APPLYING FOR MEDICAID AND FOR CHARITY CARE DISCOUNTS. THE HOSPITAL CHARGES CONSISTENTLY ACROSS ALL PAYORS. THEREFORE, THE BILL FOR UNINSURED PATIENTS WHO RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS AT GROSS CHARGES. THE UNISURED INDIVIDUAL ADJUSTMENT TO GROSS CHARGES IS BASED ON THE HOSPITALS INCOME GUIDELINES ADJUSTED AGAINST OUR LOWEST COMMERCIAL INSURANCE RATE. 10 2 - CNY MEDICAL IMAGING CENTER 739 IRVING AVENUE SYRACUSE NY 13210 MEDICAL IMAGING TESTING CENTER 3 - CROUSE HOSPITAL-COMMONWEALTH DIVISION 6010 EAST MOLLY ROAD SYRACUSE NY 13211 RESIDENTIAL CHEMICAL DEPENDENCY REHABILITATION 4 - POB SURGERY CENTER 723 IRVING AVENUE SYRACUSE NY 13210 OUTPATIENT ABULATORY SURGERY CENTER 5 - MADISON IRVING SURGERY CENTER 475 IRVING AVENUE SYRACUSE NY 13210 OUTPATIENT ABULATORY SURGERY CENTER 6 - PHYSICAL THERAPY - CNY 739 IRVING AVENUE SYRACUSE NY 13210 PHYSICAL THERAPY CENTER 7 - PHYSICAL THERAPY - BRITTONFIELD 5000 BRITTONFIELD PKWY STE A123 EAST SYRACUSE NY 13057 PHYSICAL THERAPY CENTER 8 - HELP PEOPLE 890 7TH NORTH ST SUITE 203 LIVERPOOL NY 13088 EMPLOYEE ASSISTANCE PROGRAM 9 - CROUSE HOSPITAL - 2775 ERIE BLVD DIVISIO 2775 ERIE BLVD EAST SYRACUSE NY 13210 CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES 10 - HELP PEOPLE - AUBURN 37 WEST GARDEN STREET STE 103 AUBURN NY 13201 EMPLOYEE ASSISTANCE PROGRAM 11 - HELP PEOPLE - FULTON 522 SOUTH 4TH STREET STE 400 FULTON NY 13069 EMPLOYEE ASSISTANCE PROGRAM PART I, LINES 7(E) AND 7(I) PART I 7(E)COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE:PROVIDED MONTHLY, WEEKLY, BI-WEEKLY SUPPORT GROUPS FOR THE COMMUNITY INCLUDING SURVIVORS AND FAMILIES FOR BREAST CANCER, STROKE, WEIGHT LOSS AND PMAD. CROUSE ALSO PRODUCED AND PROVIDED PODCASTS WITH PHYSICIANS WHO PROVIDED EDUCATION IN THEIR AREA OF EXPERTISE.CROUSE PROVIDED HEALTH INFORMATION ON BREAST HEALTH, HEART HEALTH, PELVIC HEALTH, REPRODUCTIVE HEALTH AND WELLNESS AMONG OTHER TOPICS THROUGH FREE EVENTS AND EDUCATIONAL OUTREACH INCLUDING A NEWSLETTER SENT TO A MAILING LIST OF 6,000. ALSO INCLUDES A COMPUTER BASED LEARNING PROGRAM AND VIDEO WAS DEVELOPED ABOUT VAPING WHICH IS OFFERED FREE OF CHARGE TO ALL AREA HIGH SCHOOLS AND RESOURCE OFFICERS.COMMUNITY BENEFIT OPERATIONS INCLUDE:DEDICATED STAFF FOR COMMUNITY BENEFIT OPERATIONS WHICH INCLUDES DEVELOPING THE CHNA AND CHIP. STAFF ASSISTING CENTRAL NEW YORKERS IN ACCESSING MEDICAID.CROUSE PROVIDES SUPPORT FOR THE CME PROGRAMS, GRANT ADMINISTRATION FOR COMMUNITY BENEFIT ACTIVITIES.PART I 7(I)PROVIDED CASH SUPPORT FOR NON-PROFITS WORKING TO IMPROVE THE HEALTH OF THE COMMUNITY.PROVIDED AID TO PATIENTS IN POVERTY INCLUDING MEDICATIONS OFFERED AT NO COST, TRANSPORTATION AND ORGANIZING DISCHARGE AND ADMINISTRATION OF THE PROGRAMS.PROVIDED IN-KIND CME ACTIVITIES. PART III, LINE 2: BAD DEBT EXPENSE IS THE AMOUNT PRESENTED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. PART II, OTHER CROUSE PROVIDED EDUCATIONAL OPPORTUNITIES BY OFFERING OBSERVATIONS, INTERNSHIPS AND CLINICALS. IN 2022 CROUSE PROVIDED 138,624 HOURS IN TOTAL. PART III, LINE 4: THE FOOTNOTE DESCRIBING THE ORGANIZATION'S BAD DEBT EXPENSE IS INCLUDED IN THE 'SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES' THAT BEGINS ON PAGE 6 OF THE AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY USED IS THE MEDICARE COST REPORT FOR 2022. OUTPATIENT COSTS ARE REPRESENTED ON MEDICARE COST REPORT WORKSHEET D, PARTS V AND VI. INPATIENT COSTS ARE ON WORKSHEET D-4. PART VI, LINE 2: CROUSE HEALTH WORKED WITH A STEERING COMMITTEE LED BY ONONDAGA COUNTY DEPARTMENT OF HEALTH TO DEVELOP THE 2022 - 2024 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. IN ADDITION CROUSE ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH FOCUS GROUPS WITH TARGETED PATIENT POPULATIONS. ADDICTION TREATMENT SERVICES INTERVIEWS/SURVEYS OUTPATIENTS ABOUT THEIR NEEDS, ESPECIALLY WHEN DISCUSSING SOCIAL DETERMINANTS OF HEALTH. THE PATIENT AND GUEST SERVICES DEPARTMENT FREQUENTLY CONVENES PATIENTS AND THEIR FAMILIES TO DISCUSS PATIENT NEEDS. THE DIRECTOR OF DIVERSITY, EQUITY, INCLUSION AND BELONGING AS WELL AS THE COMMITTEE PROVIDE OUTREACH TO UNDERSERVED COMMUNITIES TO LEARN ABOUT COMMUNITY NEEDS. CROUSE SENIOR STAFF WORK WITH AGENCIES ACROSS THE HEALTH/SOCIAL SERVICES SPECTRUM TO LEARN ABOUT NEEDS IN THE COMMUNITY. CROUSE, ALONG WITH UPSTATE UNIVERSITY HOSPITAL, IS ONE OF NYS'S REGIONAL PERINATAL CENTERS AND GATHERING INFORMATION ABOUT MOTHERS AND BABIES IS AN IMPORTANT PART OF THE MISSION. CROUSE GATHERS INFORMATION FROM 18 BIRTHING HOSPITALS IN A 14 COUNTY REGION. CROUSE STAFF GATHERS INFORMATION ABOUT THE COMMUNITY IT SERVES DURING ALL OUTREACH ACTIVITIES AND THROUGH THE SPIRIT OF WOMEN OUTREACH WITH AN EMAIL LIST OF 6,000. PART VI, LINE 3: THERE ARE SEVERAL WAYS CROUSE HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS UNDER OUR ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THOSE METHODS INCLUDE: A DEDICATED HOSPITAL DEPARTMENT WITH FOUR FULL-TIME EMPLOYEES WHOSE SOLE RESPONSIBILITY IS TO HELP INDIVIDUALS APPLY FOR GOVERNMENT OR OTHER FREE INSURANCE PROGRAMS, AS WELL AS TO NAVIGATE PATIENTS THROUGH THE CROUSE HOSPITAL FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED ON THE CROUSE HOSPITAL WEBSITE, WWW.CROUSE.ORG, AND THERE IS A LINK ON EVERY PAGE OF THE WEBSITE THAT PEOPLE CAN CLICK TO FIND HELP WITH THEIR HOSPITAL BILL. FOLLOWING BEST PRACTICE MODELS, CROUSE HOSPITAL HAS DEVELOPED AN ONLINE APPLICATION FOR FINANCIAL AID. IT APPEARS ON THE HOSPITAL'S WEBSITE ALONG WITH THE FINANCIAL AID POLICY. CROUSE HOSPITAL DEVELOPED A SIMPLER, ONE-PAGE APPLICATION THAT IS EASIER TO FILL OUT AND ELIMINATED DUPLICATION OF PAPERWORK AND DOCUMENTATION - THE HOSPITAL'S FINANCIAL ASSISTANCE STAFF BRING COMPUTERS DIRECTLY TO PATIENTS' BEDSIDES TO ELECTRONICALLY COMPLETE FINANCIAL AID APPLICATION. THIS PROCEDURE IS INTENDED TO ELIMINATE BARRIERS TO ACCESSING CARE AND FINANCIAL ASSISTANCE BY AVOIDING LITERACY CONCERNS, ALLOWING PATIENTS TO ASK QUESTIONS IN REAL TIME, AND RECEIVE TRANSLATION SERVICES AS NECESSARY. EVERY CROUSE HOSPITAL BILLING NOTIFICATION INCLUDES A STATEMENT AT THE BOTTOM REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE BY CALLING CROUSE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM AND/OR ACCESSING THE POLICY THROUGH THE CROUSE WEBSITE. THE POLICY IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. THE POLICY IS ALWAYS AVAILABLE ON REQUEST. PART VI, LINE 4: ONONDAGA COUNTY IS CENTRALLY LOCATED IN NYS AND COVERS 780 SQUARE MILES. THERE IS A TOTAL OF 467,669 RESIDENTS, A POPULATION DENSITY OF 600 PERSONS PER SQUARE MILE. SYRACUSE IS THE COUNTY'S HUB WITH A POPULATION OF 144,405 RESIDENTS. THERE ARE ALSO 19 TOWNS AND 15 VILLAGES. THE ONONDAGA NATION TERRITORY FALLS WITHIN ONONDAGA COUNTY.SYRACUSE HAS A HIGHER PROPORTION OF RESIDENTS LESS THAN 5 YEARS OLD AND A LOWER PROPORTION OF RESIDENTS OVER AGE 65 THAN ONONDAGA COUNTY. SYRACUSE HAS A LOWER MEDIAN AGE (30.6) THAN ONONDAGA COUNTY (38.8). IN ONONDAGA COUNTY 5.7% OF THE POPULATION IS UNDER 5 YEARS WHILE 6.6% POPULATION IN UNDER 5 IN SYRACUSE. NEARLY 16% OF THE COUNTY'S POPULATION IS 65 OR OLDER. IN ONONDAGA COUNTY NEARLY 80% OF THE POPULATION IDENTIFIES AS WHITE (SYRACUSE 55%) WITH 11.2% IDENTIFYING AS BLACK OR AFRICAN AMERICAN (SYRACUSE 29%), 3.9% ASIAN, 0.9% AS AMERICAN INDIAN. NEARLY 5% OF THE COUNTY'S POPULATION (OF ALL RACES) IDENTIFIES AS HISPANIC. WITHIN SYRACUSE 9.1% IDENTIFY AS HISPANIC.90.8% OF ONONDAGA COUNTY RESIDENTS HAVE A HIGH SCHOOL EDUCATION OR HIGHER, SYRACUSE 81.5% HAVE A HIGH SCHOOL EDUCATION OR HIGHER. OVERALL 14.9% OF ONONDAGA COUNTY RESIDENTS LIVE IN POVERTY, IN SYRACUSE 32.6% LIVE IN POVERTY. MORE THAN A THIRD OF BLACK OR AFRICAN AMERICAN RESIDENTS IN ONONDAGA COUNTY LIVE IN POVERTY COMPARED TO 10.3% OF WHITES. THE CITY OF SYRACUSE HAS SEVERAL HIGH-POVERTY NEIGHBORHOODS, DEFINED AS CENSUS TRACTS WHERE MORE THAN 40% OF RESIDENTS LIVE IN POVERTY. PART VI, LINE 5: CROUSE PROMOTES COMMUNITY HEALTH THROUGH ACTIVITIES SUCH AS THOSE LISTED IN PART V. IN ADDITION CROUSE:PROVIDES CARE COORDINATION THROUGHOUT THE HOSPITALPROVIDES PEER RECOVERY ADVOCATES TO ATS PATIENTSPROVIDES AN INFANT LOSS SUPPORT GROUPHEALTHCARE PROXY CARD DISTRIBUTION PROGRAMWORK WITH OVER 50 OTHER AGENCIES ON THE COUNTY DRUG TASK FORCEPROVIDES SPEAKERS TO COMMUNITY EVENTS WHEN REQUESTEDHAS MADE A CONCERTED EFFORT THROUGH THE DIVERSITY AND INCLUSION COMMITTEE TO REACH OUT TO DIVERSE GROUPS IN THE COMMUNITY WITH INFORMATION ABOUT HEALTH, CROUSE AND WORKPLACE OPPORTUNITIES.PROVIDES EDUCATION ABOUT CHRONIC DISEASES THROUGH FREE EDUCATIONAL SEMINARSED CAN PROVIDE FIRST DOSE OF MEDICATION FOR ADDICTION TREATMENT AND SCHEDULE FOLLOW UPOUTREACH TO APPROPRIATE AGENCIES WITHIN SYRACUSE TO REACH PREGNANT AND PARENTING WOMEN WHO ARE USING DRUGS OR ALCOHOL.ENCOURAGE AND SUPPORT ALL EMPLOYEE EFFORTS TO IMPROVE COMMUNITY HEALTH COAT/CLOTHING DRIVES FOR THE ED AND ADDICTION TREATMENT SERVICES, SCHOOL SUPPLIES FOR SYRACUSE SCHOOL CHILDREN, MONTHLY VOLUNTEERING WITH AN AGENCY PROVIDING FOOD FOR THE HOMELESSPROVIDE FREE TRAINING TO CLINICIANS FROM ALL OVER CENTRAL NEW YORK IN HOW TO SUPPORT PATIENTS WITH PMAD ACTIVELY PARTICIPATES IN HEALTH EQUITY EFFORTS WITH STATE AND NATIONAL ORGANIZATIONS INCLUDING GREATER NEW YORK HOSPITAL ASSOCIATION, HOSPITAL ASSOCIATION OF NEW YORK STATE AND THE AMERICAN HOSPITAL ASSOCIATION. PART VI, LINE 7, REPORTS FILED WITH STATES NY X 1 1 X X X X X X 0 0 0 0 0 0 0 1 0 KIMBERLY BOYNTON PRESIDENT AND CEO 872520 52507 103210 5432 3267 0 25482 1341 56531 1552 1061010 60832 0 0 SETH KRONENBERG MD BOARD SECRETARY, CMO 612002 33838 23500 1500 0 0 11101 584 36388 1552 682991 37474 0 0 SOHEIL ALTAFI MD PHYSICIAN 496307 0 0 0 0 0 7644 0 47766 0 551717 0 0 0 DAVID MASON MD PHYSICIAN EMERGENCY DEPT 418727 0 13544 0 0 0 14402 0 78097 0 524770 0 0 0 RICHARD STEINMANNMD PHYSICIAN 383694 0 12500 0 0 0 20639 0 60953 0 477786 0 0 0 KRISTA KANDEL MD PHYSICIAN 364621 0 18719 0 0 0 7608 0 73919 0 464867 0 0 0 JOSEPH CUDJOE MD PHYSICIAN 274082 0 122170 0 0 0 9921 0 49325 0 455498 0 0 0 JAMES LONGO MD DIRECTOR 0 416009 0 0 0 0 0 12000 0 24221 0 452230 0 0 KEVIN RANDALL BOARD TREASURER/CFO 300617 36574 9000 1000 0 0 8944 994 44703 2967 363264 41535 0 0 MICHELLE BODE MD EX-OFFICIO 235900 0 25050 0 0 0 6385 0 39293 0 306628 0 0 0 KIMBERLY ROSE CHIEF INFORMATION OFFICER 227128 26215 0 0 0 0 7512 835 37240 3103 271880 30153 0 0 PART I, LINE 1A KIMBERLY BOYNTON WAS REIMBURSED FOR SOCIAL CLUB DUES. PART I, LINE 7 AS STIPULATED BY THE EMPLOYMENT CONTRACT, THE HOSPITAL CEO RECEIVED INCENTIVE COMPENSATION IN AN AMOUNT THAT WAS DETERMINED BY THE BOARD OF DIRECTORS, NOT TO EXCEED 10% OF BASE SALARY. THE INCENTIVE WAS BASED UPON THE EXECUTIVE'S ACHIEVEMENT OF OBJECTIVES THAT WERE MUTUALLY AGREED UPON BY THE EXECUTIVE AND THE BOARD OF DIRECTORS, OR A COMMITTEE THEREOF. THE OBJECTIVES WERE ESTABLISHED ANNUALLY. THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF DETERMINED THE AMOUNT OF INCENTIVE COMPENSATION. INCENTIVE COMPENSATION RECEIVED IN 2022 WAS BASED ON 2021 OBJECTIVES. A 2016A SYRACUSE LOCAL DEVELOPMENT CORPORATION 474795153 2016-03-09 12800000 CAPITAL IMPROVEMENT PROJECT 0 0 0 B 2016B SYRACUSE LOCAL DEVELOPMENT CORPORATION 474795153 2016-03-09 9820000 CAPITAL IMPROVEMENT PROJECT 0 0 0 C 2016C SYRACUSE LOCAL DEVELOPMENT CORPORATION 474795153 2016-03-09 20000000 CAPITAL IMPROVEMENT PROJECT 0 0 0 D 2017A SYRACUSE LOCAL DEVELOPMENT CORPORATION 474795153 2017-11-15 17465000 DEFEASANCE OF OLDER BONDS 0 0 0 A 12800000 12800000 2018 0 0 1 1 B 9820000 9820000 2018 0 0 1 1 C 20000000 20000000 2018 0 0 1 1 D 17465000 17465000 2017 1 0 1 1 A 0 0 1 1 0 0 0 1 B 0 0 1 1 0 0 0 1 C 0 0 1 1 0 0 0 1 D 0 0 1 1 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 1 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 0 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A SERIES 2019A ONONDAGA CIVIC DEVELOPMENT CORPORATION 800458240 2019-03-13 22915000 REVENUE REFUNDING BONDS 0 0 0 A 22915000 22915000 2019 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A THE HOSPITAL CEO IS AN EX OFFICIO DIRECTOR OF THE HOSPITAL BOARD AND SERVES WITHOUT VOTE. THE HOSPITAL BYLAWS AUTHORIZE THE USE OF AN EXECUTIVE COMMITTEE WHICH HAS THE RIGHT TO EXERCISE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD AND WITH THE GENERAL POWER TO DISCHARGE THE DUTIES OF THE BOARD, EXCEPT AS SUCH POWER MAY BE LIMITED BY LAW, THE BYLAWS OR THE BOARD ITSELF. FORM 990, PART VI, SECTION A, LINE 2 PATRICIA BLACK PROVIDES FINANCIAL SERVICES ADVICE TO JAMES HUGHES. FORM 990, PART VI, SECTION A, LINE 2 PAUL AND SETH KRONENBERG ARE RELATED. PAUL KRONENBERG IS SETH KROENBERG'S FATHER. FORM 990, PART VI, SECTION A, LINE 6 CROUSE HEALTH SYSTEM, INC IS THE SOLE MEMBER OF CROUSE HEALTH HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 7A CROUSE HEALTH SYSTEM, INC APPROVES AND ELECTS THE BOARD OF DIRECTORS OF CROUSE HEALTH HOSPITAL, INC FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE BOARD OF DIRECTORS OF CROUSE HEALTH HOSPITAL, INC. SUCH AS APPOINTMENT OF THE HOSPITAL PRESIDENT, ARE SUBJECT TO APPROVAL BY CROUSE HEALTH SYSTEM, INC FORM 990, PART VI, SECTION B, LINE 11B HOSPITAL ACCOUNTING STAFF PROVIDES DATA TO AN INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE FORM 990 AND ALL REQUIRED SCHEDULES. IT IS REVIEWED BY LEGAL COUNSEL AND THE HOSPITAL CFO. THE REVIEWED FORM IS THEN PRESENTED TO THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. COPIES OF FORM 990 AND ALL REQUIRED SCHEDULES ARE MADE AVAILABLE TO OTHER MEMBERS OF THE BOARD OF DIRECTORS, UPON THEIR REQUEST, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF CROUSE HEALTH HOSPITAL. ONCE COLLECTED, THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY MEMBERS OF THE CORPORATE COMPLIANCE OFFICE. ALL REPORTED POTENTIAL CONFLICTS OF INTEREST ARE EVALUATED AND DISCUSSED AMONG THE PARTIES. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS UPON COMPLETION OF THE COMPLIANCE REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS BASED ON AN ANNUAL EXECUTIVE COMMITTEE REVIEW IN CONJUNCTION WITH HUMAN RESOURCES. CURRENT COMPENSATION IS COMPARED TO THE NATIONAL SALARY SURVEY AND ANY NECESSARY ADJUSTMENTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE COMPENSATION FOR ALL KEY EMPLOYEES, OFFICERS, AND THE REST OF SENIOR MANAGEMENT IS DETERMINED BY THE CEO AND REVIEWED WITH HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY OF CROUSE HOSPITAL CAN BE FOUND ON THE HOSPITAL'S WEBSITE, WWW.CROUSE.ORG UNDER "CORPORATE COMPLIANCE HANDBOOK'. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS OF CROUSE HOSPITAL ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART X, LINES 20 AND 23 DEFERRED FINANCING COSTS LESS RELATED ACCUMULATED AMORTIZATION FOR THE YEARS 2021 AND 2022 HAVE BEEN NETTED WITH THE RELATED LONG-TERM DEBT IN ACCORDANCE WITH ASU 2015-03, "INTEREST-IMPUTATION OF INTEREST (SUBTOPIC 835-30): SIMPLIFYING THE PRESENTATION OF DEBT ISSUANCE COSTS" TO CONFORM WITH THE PRESENTATION USED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 9: PENSION AND POST-RETIREMENT CHANGES OTHER THAN PERIOD COSTS -110,272. INCREASE IN INTEREST IN NET ASSETS OF CROUSE HEALTH FOUNDATION -7,835,433. CHANGE IN FUNDS HELD IN TRUST BY OTHERS -325,472. EQUITY TRANSFER TO CROUSE MEDICAL PRACTICE, PLLC, A RELATED PARTY -25,116,994. OTHER COMPONENTS OF NET PERIODIC PENSION COSTS 1,590,660. FORM 990, PART XII, LINE 2C CROUSE HEALTH HOSPITAL, INC. HAS NOT CHANGED THE PROCESS BY WHICH IT SELECTS ITS INDEPENDENT ACCOUNTANT OR OVERSEES THE AUDIT PROCESS FROM LAST YEAR. FORM 990, PART IV, LINE 34 IN 2010 THE HOSPITAL FORMED CROUSE MEDICAL PRACTICE, PLLC ("PLLC"). THE PLLC WAS FORMED TO FURTHER THE HOSPITAL'S CHARITABLE PURPOSES THROUGH THE PROVISION OF PHYSICIAN SERVICES TO THE COMMUNITY BY ITS EMPLOYED PHYSICIANS, HELPING TO INSURE ACCESS TO CARE FOR ALL MEMBERS OF THE COMMUNITY. BECAUSE THE HOSPITAL EFFECTIVELY CONTROLS THE PLLC THROUGH CONTRACTUAL ARRANGEMENTS AND MAINTAINS SIGNIFICANT FINANCIAL SUPPORT OF THE PLLC, THE PLLCS FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE SYSTEM FOR FINANCIAL STATEMENT PURPOSES. SETH KRONENBERG IS THE SOLE MEMBER OF THE PLLC. ALL MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURES. FORM 990, PART VII, LINE 2 ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE HOSPITAL, EXCEPT MEMBER KIMBERLY BOYNTON, ARE VOLUNTARY. NO COMPENSATION, EMPLOYEE BENEFITS, OR EXPENSE ACCOUNT ALLOWANCES ARE RECEIVED FOR BOARD SERVICES. COMPENSATION IS DISCLOSED FOR EMPLOYEE SERVICES PROVIDED TO THE HOSPITAL OR ITS RELATED ORGANIZATIONS. CROUSE HEALTH NETWORK LLC 736 IRVING AVENUE SYRACUSE NY 13210 472918011 ESTABLISH/OPERATE ACCTABLE CARE ORG OF CLINICALLY INTEGR HLTHCARE PROVIDERS NY 0 0 CROUSE HEALTH HOSPITAL INC CROUSE HEALTH SYSTEM INC 736 IRVING AVENUE SYRACUSE NY 13210 161560473 TO PROVIDE OFF SITE SPACE AND SECURE CAPITAL NY 501(C)(3) LINE 12B, II N/A 0 CROUSE HEALTH FOUNDATION INC 736 IRVING AVENUE SYRACUSE NY 13210 161035427 FUNDRAISING FOR CROUSE HEALTH HOSPITAL NY 501(C)(3) LINE 7 N/A 0 CROUSE MEDICAL PRACTICE PLLC 736 IRVING AVENUE SYRACUSE NY 13210 800548096 FURTHER HOSPITAL'S PURPOSE BY PROVIDING PROFESSIONAL MEDICAL SERVICES NY 501(C)(3) LINE 10 CROUSE HEALTH HOSPITAL 1 CROUSE HOSPITAL AUXILIARY 736 IRVING AVENUE SYRACUSE NY 13210 156018947 TO SUPPORT CROUSE HOSPITAL NY 501(C)(3) LINE 12C, III-FI N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 0 CROUSE MEDICAL PRACTICE PLLC O 937300 INTERCO AGREEMENT CROUSE HEALTH FOUNDATION INC C 2130404