CROUSE HEALTH HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CROUSE HEALTH HOSPITAL INC (EIN 16-0960470)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201703199349314605
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T15:50:36-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	454051133	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FREED MAXICK CPAS PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	424 MAIN STREET SUITE 800	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	142023508	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	160960470	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CROUSE HEALTH HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CROU	BusinessNameControlTxt
Phone	3154707111	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	736 IRVING AVENUE	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	132101687	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KELLI HARRIS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3154707111	PhoneNum
Signature	2017-11-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	THOMAS DALTON	PreparerPersonNm
PTIN	P00645802	PTIN
Phone	7168472651	PhoneNum
Preparation	2017-11-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	104.193.28.34	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-10	IPDt
IP Tm	11:10:11	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6C9B1A35775087DBDB8A6D25ECA509C7F6C27838	AtSubmissionCreationDeviceId
At Submission Filing Device Id	6CCE69B8D4AB845C63AC932EFE73665EABB1BF6F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	CROUSE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KIMBERLY BOYNTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	736 IRVING AVENUE	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	132101687	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$421,043,599	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CROUSE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3319	TotalEmployeeCnt
Total Volunteers	570	TotalVolunteersCnt
Total Gross UBI	$260,579	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,030,983	PYContributionsGrantsAmt
CY Contributions Grants	$5,656,802	CYContributionsGrantsAmt
PY Program Service Revenue	$403,636,993	PYProgramServiceRevenueAmt
CY Program Service Revenue	$401,232,216	CYProgramServiceRevenueAmt
PY Investment Income	$4,993,104	PYInvestmentIncomeAmt
CY Investment Income	$2,122,108	CYInvestmentIncomeAmt
PY Other Revenue	$12,584,332	PYOtherRevenueAmt
CY Other Revenue	$12,032,473	CYOtherRevenueAmt
PY Total Revenue	$424,245,412	PYTotalRevenueAmt
CY Total Revenue	$421,043,599	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$219,173,396	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$219,618,104	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$201,759,594	PYOtherExpensesAmt
CY Other Expenses	$201,440,905	CYOtherExpensesAmt
PY Total Expenses	$420,932,990	PYTotalExpensesAmt
CY Total Expenses	$421,059,009	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,312,422	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$15,410	CYRevenuesLessExpensesAmt
Total Assets BOY	$294,743,020	TotalAssetsBOYAmt
Total Assets EOY	$317,879,374	TotalAssetsEOYAmt
Total Liabilities BOY	$250,310,310	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$277,035,931	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$44,432,710	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$40,843,443	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF CROUSE HEALTH HOSPITAL, INC. IS TO PROVIDE THE BEST IN PATIENT CARE AND TO PROMOTE COMMUNITY HEALTH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$270,268,420	ExpenseAmt
Revenue	$401,232,216	RevenueAmt
Desc	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 INCLUDING 57 BASSINETS. CROUSE HOSPITAL SERVICES MORE THAN 22,700 INPATIENTS, 82,200 EMERGENCY SERVICE PATIENTS, AND MORE THAN 441,000 OUTPATIENTS ANNUALLY. CROUSE HOSPITAL PROVIDED APPROXIMATELY $4.5 MILLION IN CHARITY CARE IN 2016. ADDITIONAL DETAILS ON CROUSE HOSPITAL'S EXEMPT PURPOSE ACHIEVEMENTS ARE FOUND IN "CROUSE HOSPITAL'S 2016-2018 COMMUNITY SERVICE PLAN" WHICH CAN BE ACCESSED ON THE HOSPITAL WEBSITE WWW.CROUSE.ORG.	Desc
Total Program Service Expenses	$270,268,420	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	312	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3319	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KELLI HARRIS CFO	PersonNm
Phone	3154708058	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	736 IRVING AVENUE	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13210	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ELIZABETH HARNETT ESQ
DIRECTOR, VICE CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
PATRICK MANNION
DIRECTOR, BOARD CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL KRONENBERG MD
DIRECTOR, VICE CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
MELVIN STITH PHD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MARY COTTER
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
HAYES WANAMAKER MD
DIRECTOR	1.00	1.00	Yes (X)		$27,000	$0	$0
JAMES CARRICK
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
RICHARD RUSSELL
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
ROBERT MIRON
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
BARBARA ASHKIN
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JAMES HUGHES
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
PATTY BLACK
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JAMES LONGO MD
DIRECTOR	1.00	1.00	Yes (X)		$0	$472,307	$11,437
KENT SYVERUD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
LEOLA RODGERS MPH
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
TIMOTHY KENNEDY
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
DAVID LANDSBERG
DIRECTOR	1.00	1.00	Yes (X)		$56,875	$0	$0
KIMBERLY BOYNTON
PRESIDENT AND CEO	39.00	3.00		Yes (X)	$698,510	$39,845	$60,528
DERRICK SUEHS
BOARD SECRETARY (THRU JUNE), CQO	41.00	1.00		Yes (X)	$399,244	$0	$31,576
KELLI HARRIS
BOARD TREASURER, CFO	37.00	5.00		Yes (X)	$301,501	$32,701	$39,992
KIMBERLY ROSE
CHIEF INFORMATION OFFICER	34.00	6.00		Yes (X)	$199,653	$35,233	$31,964
SETH KRONENBERG MD
CHIEF MEDICAL OFFICER, BOARD SEC (AFTER JUNE)	37.00	6.00		Yes (X)	$357,166	$35,004	$40,045
ELIZABETH O'CONNOR
CHIEF NURSING OFFICER	40.00			Yes (X)	$228,921	$0	$40,047
DAVID MASON
PHYSICIAN EMERGENCY DEPT	40.00				$440,563	$0	$55,645	Yes (X)
GINA HAYES
PHYSICIAN	40.00				$385,683	$0	$46,522	Yes (X)
RICHARD STEINMANN MD
PHYSICIAN EMERGENCY DEPT	40.00				$380,212	$0	$64,803	Yes (X)
NAVEEN SETH
PHYSICIAN	40.00				$377,963	$0	$43,849	Yes (X)
MICHAEL JOROLEMON
PHYSICIAN	40.00				$370,058	$0	$58,665	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,223,349	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$615,090	TotReportableCompRltdOrgAmt
Total Other Compensation	$525,073	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	284	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HAYNER HOYT
625 ERIE BLVD	WEST SYRACUSE	NY	13204	CONTRACTOR	$10,783,477
LABORATORY ALLIANCE
1304 BUCKLEY RD	SYRACUSE	NY	13212	PROFESSIONAL MEDICAL	$8,847,314
KPMG LLP
DEPT 0511 PO BOX 120511	DALLAS	TX	75312	IT CONSULTANT	$8,753,682
CERNER HEALTH SERVICES
PO BOX 959156	ST LOUIS	MO	63195	IT CONSULTANT	$6,829,757
CROUSE MEDICAL GROUP PC
401 N SALINA STREET SUITE 400	SYRACUSE	NY	13203	PROFESSIONAL MEDICAL	$4,537,519

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	69	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,247,516	RelatedOrganizationsAmt
Government Grants	$99,621	GovernmentGrantsAmt
All Other Contributions	$309,665	AllOtherContributionsAmt
Total Contributions	$5,656,802	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	623000	$397,912,989	$397,912,989
PARKING	812930	$2,194,014	$2,194,014
PROPERTY MGT REV FROM AFFILIATE	531310	$510,852	$510,852
RENT	532000	$466,556	$466,556
NYS DSRIP PROGRAM REVENUE	623000	$147,805	$147,805

Field	Value	IRS element (for citing)
Total Program Service Revenue	$401,232,216	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,094,012	TotalRevenueColumnAmt
Exclusion	$2,094,012	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$28,096	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$28,096	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,096	TotalRevenueColumnAmt
Exclusion	$28,096	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
OTHER REVENUE	623000	$3,360,664	$3,360,664
COLLEGE OF NURSING	611600	$2,603,375	$2,603,375
CAFETERIA	721110	$2,422,567	$2,422,567

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,645,867	TotalRevenueColumnAmt
Unrelated Business Revenue	$260,579	UnrelatedBusinessRevenueAmt
Exclusion	$3,385,288	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,032,473	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$421,043,599	TotalRevenueColumnAmt
Related Or Exempt Func Income	$401,232,216	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$260,579	UnrelatedBusinessRevenueAmt
Exclusion	$13,894,002	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,268,870	TotalAmt
Management And General	$2,268,870	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$171,170,153	TotalAmt
Program Services	$106,011,406	ProgramServicesAmt
Management And General	$65,158,747	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,309,223	TotalAmt
Program Services	$1,431,718	ProgramServicesAmt
Management And General	$877,505	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$31,371,781	TotalAmt
Program Services	$19,450,504	ProgramServicesAmt
Management And General	$11,921,277	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,498,077	TotalAmt
Program Services	$7,748,808	ProgramServicesAmt
Management And General	$4,749,269	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$529,147	TotalAmt
Management And General	$529,147	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$190,000	TotalAmt
Management And General	$190,000	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$148,357	TotalAmt
Management And General	$148,357	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$19,162,911	TotalAmt
Program Services	$11,881,005	ProgramServicesAmt
Management And General	$7,281,906	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,534,458	TotalAmt
Program Services	$951,364	ProgramServicesAmt
Management And General	$583,094	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,287,839	TotalAmt
Program Services	$1,418,460	ProgramServicesAmt
Management And General	$869,379	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,872,690	TotalAmt
Program Services	$3,021,068	ProgramServicesAmt
Management And General	$1,851,622	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,150,069	TotalAmt
Program Services	$8,153,043	ProgramServicesAmt
Management And General	$4,997,026	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$123,687	TotalAmt
Program Services	$76,686	ProgramServicesAmt
Management And General	$47,001	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$49,855	TotalAmt
Program Services	$30,910	ProgramServicesAmt
Management And General	$18,945	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,012,964	TotalAmt
Management And General	$2,012,964	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,482,505	TotalAmt
Program Services	$11,459,153	ProgramServicesAmt
Management And General	$7,023,352	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,442,839	TotalAmt
Program Services	$2,134,560	ProgramServicesAmt
Management And General	$1,308,279	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$75,223,385	$51,151,902	$24,071,483
PURCHASED SERVICES	$25,015,972	$23,515,014	$1,500,958
MAINTENANCE CONTRACTS	$4,871,190	$3,020,138	$1,851,052
PENSION	-$1,644,674	-$1,019,698	-$624,976

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,987,711	TotalAmt
Program Services	$19,832,379	ProgramServicesAmt
Management And General	$12,155,332	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$421,059,009	TotalAmt
Program Services	$270,268,420	ProgramServicesAmt
Management And General	$150,790,589	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,300	BOYAmt
EOY	$23,450	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$19,121,361	BOYAmt
EOY	$17,632,719	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,953,148	BOYAmt
EOY	$52,022,837	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,885,623	BOYAmt
EOY	$6,640,014	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,764,567	BOYAmt
EOY	$7,527,039	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,477,611	BOYAmt
EOY	$6,653,264	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$357,541,706	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$209,264,028	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$132,439,627	BOYAmt
EOY	$148,277,678	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$361	BOYAmt
EOY	$361	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$73,091,422	BOYAmt
EOY	$79,102,012	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$294,743,020	BOYAmt
EOY	$317,879,374	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,060,127	BOYAmt
EOY	$41,692,196	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,220,000	BOYAmt
EOY	$76,717,609	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$6,352,712	BOYAmt
EOY	$4,769,106	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$151,677,471	BOYAmt
EOY	$153,857,020	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$250,310,310	BOYAmt
EOY	$277,035,931	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,386,020	BOYAmt
EOY	$9,271,426	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,208,504	BOYAmt
EOY	$18,186,660	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,838,186	BOYAmt
EOY	$13,385,357	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$44,432,710	BOYAmt
EOY	$40,843,443	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$294,743,020	BOYAmt
EOY	$317,879,374	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$15,410	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$565,091	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$3,008,766	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$165,172	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$165,172	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE WLADIS LAW FIRM EFFECTIVE 3/18/16 TO 3/18/17 TO SERVE AS STRATEGIC PLANNING, ECONOMIC DEVELOPMENT, AND FUNDING OBJECTIVES COUNSEL TO THE HOSPITAL. THE FEE FOR THOSE SERVICES IS $72,000 ANNUALLY PLUS EXPENSES. FOR THE YEAR ENDED DECEMBER 31, 2016, CROUSE HEALTH HOSPITAL, INC. PAID THE FIRM $72,000 IN PROFESSIONAL SERVICE FEES AND $107 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH THE WHITEMAN, OSTERMAN & HANNA LLP EFFECTIVE 5/1/2015 TO 4/30/2016 TO PROVIDE LEGAL AND GOVERNMENTAL RELATIONS COUNSEL. THE FEE FOR THOSE SERVICES IS $90,000 ANNUALLY PLUS EXPENSES. FOR THE YEAR ENDED DECEMBER 31, 2016, CROUSE HEALTH HOSPITAL, INC. PAID THE FIRM $20,400 IN PROFESSIONAL SERVICES FEES AND $418 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT. CROUSE HEALTH HOSPITAL, INC. CONTRACTED WITH SHENKER RUSSO & CLARK LLP EFFECTIVE 11/1/2015 TO 12/31/2016 TO PROVIDE GOVERNMENT AFFAIRS COUNSEL AND TO LOBBY ON BEHALF OF THE HOSPITAL IN NEW YORK STATE. THE FEE FOR THOSE SERVICES IS $72,000 PLUS EXPENSES FOR 2016. FOR THE YEAR ENDED DECEMBER 31, 2016 CROUSE HEALTH HOSPITAL, INC. PAID THE FIRM $72,000 IN PROFESSIONAL SERVICES FEES AND $247 IN ADMINISTRATIVE EXPENSE REIMBURSEMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,278,661	BeginningYearBalanceAmt
Contributions	$1,062,111	ContributionsAmt
Investment Earnings Or Losses	$2,083,238	InvestmentEarningsOrLossesAmt
Other Expenditures	$785,128	OtherExpendituresAmt
End Year Balance	$24,638,882	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,667,814	BeginningYearBalanceAmt
Contributions	$104,449	ContributionsAmt
Investment Earnings Or Losses	-$1,304,218	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,189,384	OtherExpendituresAmt
End Year Balance	$22,278,661	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,312,798	BeginningYearBalanceAmt
Contributions	$644,533	ContributionsAmt
Investment Earnings Or Losses	$461,758	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,751,275	OtherExpendituresAmt
End Year Balance	$24,667,814	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,535,299	BeginningYearBalanceAmt
Contributions	$594,965	ContributionsAmt
Investment Earnings Or Losses	$3,363,504	InvestmentEarningsOrLossesAmt
Other Expenditures	$180,970	OtherExpendituresAmt
End Year Balance	$25,312,798	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,814,130	BeginningYearBalanceAmt
Contributions	$50,269	ContributionsAmt
Investment Earnings Or Losses	$2,546,629	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$38,000	GrantsOrScholarshipsAmt
Other Expenditures	$809,092	OtherExpendituresAmt
Administrative Expenses	$28,637	AdministrativeExpensesAmt
End Year Balance	$21,535,299	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.34090	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.48520	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.17390	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$285,832	OtherCostOrOtherBasisAmt
Book Value	$285,832	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$178,168,907	OtherCostOrOtherBasisAmt
Depreciation	$107,826,813	DepreciationAmt
Book Value	$70,342,094	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,840,230	OtherCostOrOtherBasisAmt
Depreciation	$14,738,819	DepreciationAmt
Book Value	$3,101,411	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$140,183,439	OtherCostOrOtherBasisAmt
Depreciation	$86,698,396	DepreciationAmt
Book Value	$53,485,043	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$21,063,298	OtherCostOrOtherBasisAmt
Book Value	$21,063,298	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$148,277,678	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
CROUSE HEALTH FOUNDATION	$30,142,172
ASSETS WHOSE USE IS LIMITED	$44,041,705
FUNDS HELD IN TRUST BY OTHERS	$1,429,845
BOND ISSUANCE/CLOSING COSTS, NET	$3,180,213
BCBS ADVANCE	$308,077

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$79,102,012	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
SELF INSURED PROFESSIONAL LIABILITY	$16,483,812
ACCRUED PENSION LIABILITY	$100,694,586
POST RETIREMENT OBLIGATIONS	$9,692,137
ASSET RETIREMENT OBLIGATIONS	$2,611,674
DUE TO RELATED PARTIES	$4,113,954
FUNDS HELD IN TRUST	$268,521
LIABILITIES TO THIRD PARTY PAYERS	$19,885,008
DEFERRED RENT AND REBATE	$107,328

Field	Value	IRS element (for citing)
Total Liability	$153,857,020	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 2013.

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 $30 MILLION AT DECEMBER 31, 2016. 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	340.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,675,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,668,253	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,007,359	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$100,008,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,917,348	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,091,324	NetCommunityBenefitExpnsAmt
Total Expense	0.07860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,684,284	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,585,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,098,683	NetCommunityBenefitExpnsAmt
Total Expense	0.08570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$597,390	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$597,390	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,395,383	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,930,682	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,464,701	NetCommunityBenefitExpnsAmt
Total Expense	0.01770	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,551,652	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,008,504	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$543,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$276,360	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$276,360	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,820,785	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,939,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,881,599	NetCommunityBenefitExpnsAmt
Total Expense	0.02110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,505,069	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,524,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,980,282	NetCommunityBenefitExpnsAmt
Total Expense	0.10680	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$270,480	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$270,480	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$270,480	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$270,480	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,251,259	BadDebtExpenseAmt
Reimbursed By Medicare	$75,576,264	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$84,280,750	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$8,704,486	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 MDRCROUSE TECHNICAL SERVICES LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	IMAGING	PrimaryActivitiesTxt
Org Profit Or Ownership	0.25000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.75000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CROUSE HEALTH HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	736 IRVING AVE	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13210	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CROUSE HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	CROUSE.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://CROUSE.ORG/ABOUT/COMMUNITY/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	340.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CROUSE HOSPITAL	PART V, SECTION B, LINE 5: IN 2016, CROUSE HEALTH WORKED WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT AND OTHERS TO DEVELOP THE 2016 - 2018 COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLAN. A COMMUNITY ENGAGEMENT SURVEY WAS IMPLEMENTED THAT REACHED OVER 3,000 COUNTY RESIDENTS. FOCUS GROUPS WERE CONDUCTED TO IDENTIFY ISSUES IN POPULATIONS AT HIGHER RISK FOR POOR HEALTH OUTCOMES, THESE INCLUDED: RISE, THE NEW AMERICANS AT REFUGEE & IMMIGRANT SELF-EMPOWERMENT; COUNTY EAST FAMILY RESOURCE CENTER OF P.E.A.C.E. INC.; SYRACUSE HEALTHY START EXECUTIVE COUNCIL; THE GREATER SYRACUSE H.O.P.E. ANTI-POVERTY COALITION HEALTH COMMITTEE AND THE ONONDAGA COUNTY DRUG TASK FORCE.
CROUSE HOSPITAL	PART V, SECTION B, LINE 6A: CROUSE HEALTH'S CHNA WAS DEVELOPED BY A STEERING COMMITTEE CONVENED BY THE ONONDAGA COUNTY HEALTH DEPARTMENT. THE OTHER HOSPITALS INCLUDED WERE ST. JOSEPH'S HOSPITAL HEALTH CENTER AND UPSTATE UNIVERSITY HOSPITAL.
CROUSE HOSPITAL	PART V, SECTION B, LINE 6B: THE CHNA STEERING COMMITTEE INCLUDED REPRESENTATIVES FROM SYRACUSE UNIVERSITY'S LERNER CENTER FOR PUBLIC HEALTH; HEALTHECONNECTIONS, POPULATION HEALTH IMPROVEMENT PROGRAM AND THE CENTRAL NEW YORK CARE COLLABORATIVE, A PERFORMING PROVIDER SYSTEM ORGANIZED TO WORK TOWARDS NEW YORK STATE'S GOALS TO REDUCE MEDICAID USE.
CROUSE HOSPITAL	PART V, SECTION B, LINE 11: A LIST OF THE ACTIVITIES THE CROUSE HEALTH WILL PLAN AND IMPLEMENT DURING THE 2016 - 2018 CHNA IS INCLUDED IN THE CHNA AS WELL AS CROUSE'S COMMUNITY SERVICE PLAN.SOME OF CROUSE'S ACTIVITIES ARE:PRIORITY AREA: PREVENT CHRONIC DISEASES. FOCUS AREA 1: REDUCE OBESITY IN CHILDREN AND ADULTS.GOAL 1: CREATE COMMUNITY ENVIRONMENTS THAT SUPPORT HEALTHY FOOD AND BEVERAGE CHOICES AND PHYSICAL ACTIVITY.- CROUSE WILL EXPAND THE "SIMPLY WELL" NUTRITION, EXERCISE AND WELLNESS PROGRAM.GOAL 2: EXPAND THE ROLE OF HEALTHCARE AND HEALTH SERVICE PROVIDERS AND INSURERS IN OBESITY PREVENTION.- CROUSE WILL COLLABORATE WITH UPSTATE UNIVERSITY HOSPITAL TO ENCOURAGE WOMEN TO ENTER CENTERINGPREGNANCY PROGRAM FOR SUBSTANCE ABUSING WOMEN.- CROUSE WILL ACHIEVE ALL NYS DOH MANDATES RELATED TO BREAST FEEDING AND MOVE TOWARD BABY FRIENDLY DESIGNATION.FOCUS AREA 2: REDUCE ILLNESS, DISABILITY AND DEATH RELATED TO TOBACCO USE AND SECONDHAND SMOKE EXPOSURE.GOAL 1: PROMOTE TOBACCO USE CESSATION, ESPECIALLY AMONG LOW SES POPULATIONS AND THOSE WITH POOR MENTAL HEALTH.- CROUSE WILL CONTINUE AND EXPAND "QUIT FOR LIFE" PROGRAM.- CROUSE WILL STRENGTHEN SMOKING CESSATION AND SUPPORT FOR PATIENTS IN OUTPATIENT CHEMICAL DEPENDENCY SERVICES.- CROUSE WILL WORK WITH CROUSE MEDICAL PRACTICE TO IMPLEMENT MILLION HEARTS CAMPAIGN.- CROUSE WILL WORK THROUGH CROUSE HEART CARING PROGRAM TO INITIATE 100 CONGREGATIONS FOR MILLION HEARTS CAMPAIGN.- CROUSE WILL JOIN THE EFFORT TO RAISE THE SALE AGE FOR TOBACCO PRODUCTS TO 21.FOCUS AREA 3: INCREASE ACCESS TO HIGH QUALITY CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENT IN BOTH CLINICAL AND COMMUNITY SETTINGS.- CROUSE WILL PROVIDE OUTREACH TO REFUGEE COMMUNITIES THROUGH EDUCATION DURING VISIT TO HOSPITAL LAND AND PROGRAMS THROUGH HEART CARING INITIATIVES.- CROUSE WILL INCREASE USE OF DATA WITH MEDICAL PRACTICES FOR CHRONIC CARE MANAGEMENT INCLUDING CARE COORDINATION TO INCREASE NUMBER OF PATIENTS REFERRED TO CHRONIC DISEASE SELF-MANAGEMENT CLASSES.PRIORITY AREA: PROMOTE MENTAL HEALTH AND PREVENT SUBSTANCE ABUSE.FOCUS AREA: PREVENT SUBSTANCE ABUSE AND OTHER MEB DISORDERS.GOAL 1: PREVENT UNDERAGE DRINKING, NONMEDICAL USE OF PRESCRIPTION DRUGS BY YOUTH, AND EXCESSIVE ALCOHOL CONSUMPTION BY ADULTS.- CROUSE WILL PROVIDE EDUCATION TO INPATIENTS' PROVIDERS ON PATIENT PAIN MANAGEMENT.- CROUSE WILL INCREASE DATA SHARING ON PATIENTS' PAIN MANAGEMENT WITHIN THE CROUSE NETWORK.- CROUSE WILL ENHANCE EXISTING PROGRAM AND STRENGTHEN PARTNERSHIPS WITH CBOS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH.- CROUSE WILL PROMOTE ONONDAGA COUNTY'S COMMUNITY EDUCATION WEBSITE ON HOSPITAL WEBSITE AND AT ALL EVENTS.- CROUSE WILL PROVIDE PRESCRIBER EDUCATION ON OPIOIDS TO MEDICAL STUDENTS WHO ATTEND PROGRAMS AT CROUSE'S SUBSTANCE USE DISORDER TREATMENT PROGRAMS.- CROUSE WILL CONTINUE AND ENHANCE THE HOSPITAL'S INTERVENTION SERVICE.- CROUSE WILL WORK COLLABORATIVELY WITH OTHER AREA HOSPITALS FOR INPATIENT ASSESSMENT FOR SUBSTANCE ABUSE FOR MEDICAID PATIENTS.- TO INCREASE REFERRALS FOR PATIENTS WITH SUBSTANCE USE DISORDER CROUSE WILL EXPAND THE USE OF SBIRT IN THE ED AND WILL CREATE LINKS TO COMBAT HEROIN WEBSITE AND THE PREVENTION NETWORK'S LIST OF RESOURCES.
CROUSE HOSPITAL	PART V, SECTION B, LINE 16J: CROUSE HOSPITAL'S FINANCIAL POLICY ALSO PRINTED IN THE HOSPITAL'S COMMUNITY BENEFIT REPORT WHICH IS ON THE HOSPITAL WEBSITE AND DISTRIBUTED WIDELY IN PRINT.
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.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CROUSE HOSPITAL-410 SOUTH CROUSE DIV
410 SOUTH CROUSE AVENUE	SYRACUSE	NY	13210	CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES
2 - CNY MEDICAL IMAGING CENTER
739 IRVING AVENUE	SYRACUSE	NY	13210	MEDICAL IMAGING TESTING CENTER
3 - CNY PROMPTCARE
739 IRVING AVENUE	SYRACUSE	NY	13210	URGENT CARE CENTER
4 - CROUSE HOSPITAL-COMMONWEALTH DIVISION
6010 EAST MOLLY ROAD	SYRACUSE	NY	13211	RESIDENTIAL CHEMICAL DEPENDENCY REHABILITATION
5 - PHYSICAL THERAPY-LIVERPOOL
7375 OSWEGO ROAD	LIVERPOOL	NY	13090	PHYSICAL THERAPY CENTER
6 - CROUSE ENDOSCOPY
739 IRVING AVENUE	SYRACUSE	NY	13210	ENDOSCOPY TESTING CENTER
7 - POB SURGERY CENTER
723 IRVING AVENUE	SYRACUSE	NY	13210	OUTPATIENT ABULATORY SURGERY CENTER
8 - PHYSICAL THERAPY - DEWITT
5823 WIDEWATERS PARKWAY	EAST SYRACUSE	NY	13057	PHYSICAL THERAPY CENTER
9 - MADISON IRVING SURGERY CENTER
475 IRVING AVENUE	SYRACUSE	NY	13210	OUTPATIENT ABULATORY SURGERY CENTER
10 - PHYSICAL THERAPY - CNY
739 IRVING AVENUE	SYRACUSE	NY	13210	PHYSICAL THERAPY CENTER
11 - HELP PEOPLE
600 E GENESEE STREET	SYRACUSE	NY	13202	EMPLOYEE ASSISTANCE PROGRAM
12 - PHYSICAL THERAPY - BRITTONFIELD
5000 BRITTONFIELD PKWY STE A123	EAST SYRACUSE	NY	13057	PHYSICAL THERAPY CENTER

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 7(E) AND 7(I)	COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDE:- MANY STAFF MEMBERS WORKED WITH THE CENTRAL NEW YORK CARE COLLABORATIVE TO DECREASE HEALTH DISPARITIES AND MEDICAID USE THROUGH TARGETED PROGRAMS.- PROVIDED OPIOID AND DRUG ADDICTION AND PREVENTION RESOURCE EDUCATION TO COMMUNITY MEMBERS THROUGH EDUCATIONAL EVENTS AT SCHOOLS, CLUBS, ETC. SIT ON PANELS. PROVIDE INFORMATION AND EXPERTISE TO COMMUNITY-BASED ORGANIZATIONS.- PROVIDED EDUCATION/INFORMATION CONCERNING STROKE AND EDUCATION ON SPINE HEALTH TO THE COMMUNITY.- PROVIDED MONTHLY, WEEKLY, BI-WEEKLY SUPPORT GROUPS FOR THE COMMUNITY INCLUDING SURVIVORS AND FAMILIES FOR OSTOMY, BREAST CANCER, STROKE, PERINATAL MOOD DISORDER AND WEIGHT LOSS.- PROVIDED HEALTH INFORMATION ON BREAST HEALTH, HEART HEALTH, REPRODUCTIVE HEALTH, STRESS REDUCTION AMONG OTHER TOPICS THROUGH SPIRIT OF WOMEN FREE EVENTS, HEALTH FAIRS, AND EDUCATIONAL OUTREACH.- PROVIDED FREE CLASSES ON NEWBORN CARE, CPR AS WELL AS FREE VISIT TO HOSPITAL LAND, AN EDUCATIONAL PROGRAM ON WHAT A HOSPITAL DOES, TO GRADE SCHOOL CHILDREN AND REFUGEES.- CROUSE PROVIDES BREAST FEEDING EDUCATION TO NEW MOTHERS IN BOTH THE L & D RECOVERY ROOM AND THE NEONATAL INTENSIVE CARE UNIT.- CROUSE HAD DEDICATED STAFF TO COMMUNITY BENEFIT OPERATIONS AS WELL AS STAFF TIME SPENT ON DEVELOPING THE CHNA AND THE COMMUNITY SERVICE PLAN.- PROVIDED FREE TEACHING DAYS TO THE EMS COMMUNITY SEVERAL TIMES A YEAR.COMMUNITY BENEFIT OPERATIONS INCLUDE:- CAMPAIGN CHAIRS FOR COMMUNITY BENEFIT NON-PROFITS.- AID FOR PATIENTS IN POVERTY INCLUDING MEDICATIONS OFFERED AT NO COST, TRANSPORTATION PROVIDED AND ADMINISTRATIVE SUPPORT.- CROUSE PROVIDED IN-KIND SUPPORT TO SUPPORT GROUPS, EDUCATIONAL ACTIVITIES AND TRAINING.- CROUSE MANAGEMENT GAVE VOLUNTEER HOURS TO VARIOUS COMMUNITY-BASED ORGANIZATIONS WORKING TOWARDS COMMUNITY HEALTH.- CROUSE PROVIDED CASH SUPPORT TO COMMUNITY BENEFIT ACTIVITIES.- STAFF PROVIDED GRANT ADMINISTRATIVE SUPPORT OF PUBLIC HEALTH BENEFIT ACTIVITIES.
PART III, LINE 2:	BAD DEBT EXPENSE IS THE AMOUNT PRESENTED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS.
PART II, LINE 3	CROUSE PROVIDES EDUCATIONAL OPPORTUNITIES TO STUDENTS THROUGH CLINICALS, OBSERVATIONS AND INTERNSHIPS. IN 2016 CROUSE PROVIDED 163,928 HOURS TO 1,091 STUDENTS FROM 100 SCHOOLS. 15% OF THOSE STUDENTS WERE FROM UNDER-REPRESENTED POPULATIONS.
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 2016. 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:	IN ADDITION TO THE CHNA PROCESS SPEARHEADED BY THE ONONDAGA COUNTY HEALTH DEPARTMENT CROUSE PARTICIPATED IN THE COMMUNITY NEEDS ASSESSMENT IMPLEMENTED IN 2014 FOR THE STATE'S DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROCESS. THE ASSESSMENT WAS COMPLETED BY THE CENTRAL NEW YORK CARE COLLABORATIVE AS THE PERFORMING PARTNER SYSTEM. THE NEEDS IDENTIFIED IN THAT REPORT CORRESPOND TO THE 2016 - 2018 CHNA.CROUSE HEALTH ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH FOCUS GROUPS WITH SPECIFIC PATIENT POPULATIONS. THE HOSPITAL'S CHEMICAL DEPENDENCY TREATMENT SERVICES GATHERS INFORMATION FROM OUTPATIENTS ON THEIR NEEDS ESPECIALLY WHEN DISCUSSING NEEDS BASED ON THE SOCIAL DETERMINANTS OF HEALTH. THE PATIENT AND GUEST SERVICES DEPARTMENT FREQUENTLY CONVENES PATIENTS AND THEIR FAMILIES TO DISCUSS PATIENT NEEDS. CROUSE, ALONG WITH UPSTATE UNIVERSITY HOSPITAL, IS ONE OF THE NEW YORK STATE'S REGIONAL PERINATAL CENTERS WHICH GATHER A LARGE AMOUNT OF DATA ABOUT MOTHERS AND BABIES FROM A 14 COUNTY REGION. THIS INFORMATION INFORMS THE SERVICES PROVIDED IN THAT SERVICE LINE. CROUSE GATHERS INFORMATION ABOUT THE COMMUNITY IT SERVES DURING ALL OUTREACH ACTIVITIES.
PART VI, LINE 3:	THERE ARE SEVERAL WAYS CROUSE HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, WAS WELL AS UNDER OUR ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THOSE METHODS INCLUDE: A DEDICATED HOSPITAL DEPARTMENT WITH FOUR FULL-TIME EMPLOYEES WHOSE SOLE RESPONSIBILITY IS TO HELP INDIVIDUALS APPLY FOR GOVERNEMNET OR OTHER FREE INSURANCE PROGRAMS, AS WELL AS TO NAVIGATE PATIENTS THROUGH THE CROUSE HOSPITAL FINANCIAL ASSISTANCE POLICY. THE POLICY IS POSTED ON THE CROUSE HOSPITAL WEBSITE, WWW.CROUSE.ORG, AND THERE IS A LINK ON EVERY PAGE OF THE WEBSITE THAT PEOPLE CAN CLICK TO FIND HELP WITH 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. CROUSE HOSPITAL'S FINANCIAL ASSISTANCE IS POSTED IN THE FACILITY'S EMERGENCY ROOM, PROMPTCARE, AND WAITING ROOMS AS WELL AS IN THE HOSPITAL'S ADMISSIONS OFFICES. THE POLICY IS PROVIDED, IN WRITING, TO PATIENTS ON ADMISSION TO THE HOSPITAL FACILITY. THE POLICY IS ALWAYS AVAILABLE ON REQUEST, AND IS EXPLAINED IN CROUSE HOSPITAL'S ANNUAL COMMUNITY SERVICE PLAN, WHICH IS WIDELY DISTRIBUTED TO THE PUBLIC AND IS POSTED ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4:	ONONDAGA COUNTY COVERS 780 SQUARE MILES IN CENTRAL NEW YORK STATE. WITH A POPULATION OF 468,463 (2015), ONONDAGA IS THE SIXTH MOST POPULOUS COUNTY IN UPSTATE NEW YORK. ONONDAGA COUNTY IS COMPRISED PRIMARILY OF FORESTS AND AGRICULTURAL LANDS, RESULTING IN A POPULATION DENSITY OF 600 PERSONS/MI. THE COUNTY SEAT IS THE CITY OF SYRACUSE, WHERE NEARLY ONE-THIRD OF COUNTY RESIDENTS RESIDE. IN ADDITION TO SYRACUSE, 19 TOWNS, 15 VILLAGES, AND THE ONONDAGA NATION TERRITORY LIE WITHIN THE COUNTY'S BORDERS. INTERSTATES 90 AND 81 ARE MAJOR EAST-WEST AND NORTH-SOUTH HIGHWAYS THAT INTERSECT JUST NORTH OF SYRACUSEWITH A POPULATION OF 144,142 (2015) SYRACUSE IS THE LARGEST CITY IN THE CENTRAL NEW YORK REGION AND THE FOURTH LARGEST UPSTATE NEW YORK CITY. THE SUBSTANTIAL DIFFERENCES IN THE SOCIO-DEMOGRAPHICS BETWEEN RESIDENTS OF SYRACUSE AND THE REST OF ONONDAGA COUNTY LEAD TO GEOGRAPHIC DISPARITIES IN HEALTH STATUS AND ARE A CRUCIAL CONSIDERATION DURING THE COMMUNITY HEALTH PLANNING PROCESS. IN ONONDAGA COUNTY THE MEDIAN AGE IS 38.8 YEARS WHILE IN SYRACUSE THE MEDIAN AGE IS 29.9 YEARS. WOMEN COMPRISE 51.8% OF THE POPULATION IN THE COUNTY AND 53% IN SYRACUSE. THERE ARE NEARLY 94,000 WOMEN OF CHILDBEARING AGE IN ONONDAGA COUNTY WITH ROUGHLY 37,000 RESIDING IN SYRACUSE. IN ONONDAGA COUNTY 80.4% SELF-IDENTIFY AS WHITE AND 11.1% AS BLACK WHILE IN THE CITY OF SYRACUSE 55% SELF-IDENTIFY AS WHITE AND 29% AS BLACK. ASIAN POPULATION IS 4% IN THE COUNTY AND 7% IN SYRACUSE. OVER 21,000 COUNTY RESIDENTS REPORT HISPANIC ETHNICITY AND AN ESTIMATED 12,000 REFUGEES AND FORMER REFUGEES CURRENTLY RESIDE IN SYRACUSE. CURRENT DATA SHOW THAT SYRACUSE HAS 30 "EXTREME POVERTY" CENSUS TRACTS (WHERE MORE THAN 40% OF RESIDENTS LIVE IN POVERTY). THE POVERTY RATE AMONG CHILDREN UNDER AGE 18 IN SYRACUSE IS 50% COMPARED TO 23% OF CHILDREN COUNTY-WIDE. CURRENTLY, ONLY 47.2% OF CHILDREN IN ONONDAGA COUNTY AND 42.8% IN SYRACUSE PARTICIPATE IN PRESCHOOL PROGRAMS. THERE ARE 18 PUBLIC SCHOOL DISTRICTS IN ONONDAGA COUNTY WITH AN ENROLLMENT OF APPROXIMATELY 70,000 STUDENTS, INCLUDING NEARLY 20,000 STUDENTS IN THE SYRACUSE CITY SCHOOL DISTRICT (SCSD). THIRTY-FOUR PRIVATE OR PAROCHIAL SCHOOLS IN THE COUNTY EDUCATE AN ADDITIONAL 8,000 STUDENTS. DISPARITIES IN EDUCATION OUTCOMES BETWEEN SYRACUSE AND THE REST OF THE COUNTY ARE EVIDENT, AS SCSD STUDENTS CONSISTENTLY SCORE SIGNIFICANTLY BELOW THE STATE AVERAGE ON STANDARDIZED TESTS. THE DISTRICT IS GENERALLY CONSIDERED ONE OF THE LOWEST PERFORMING IN NYS. IN ADDITION, THE HIGH SCHOOL DROPOUT RATE IN SYRACUSE WAS 11% FOR THE 2015-2016 SCHOOL YEAR, COMPARED TO 4% COUNTY-WIDE. THE PERCENT OF GRADUATES IN SYRACUSE WHO WILL GO ON TO SOME TYPE OF COLLEGE IS 71%, COMPARED WITH 81% COUNTY-WIDE.HOUSING IN ONONDAGA COUNTY REMAINS RELATIVELY AFFORDABLE. THE AGE AND CONDITION OF HOUSING STOCK VARIES ACROSS THE COUNTY. SYRACUSE IS AN OLDER CITY, WITH 43.7% OF THE HOUSING BUILT PRIOR TO 1940, AND 72.5% BUILT BEFORE 1960. MOST OF THE RECENT NEW HOME BUILDING HAS OCCURRED IN THE COUNTY SUBURBS, THOUGH A RECENT DOWNTOWN REVITALIZATION EFFORT HAS LED TO AN INCREASE IN HIGH END APARTMENTS AND CONDOMINIUMS IN POPULAR BUSINESS AND SHOPPING DISTRICTS. SYRACUSE HOUSING UNITS ARE LESS LIKELY TO BE OWNER-OCCUPIED (38.5%) COMPARED TO ONONDAGA COUNTY (81.0%), WHICH CONTRIBUTES TO SOME OF THE POOR HOUSING CONDITIONS THAT EXIST WITHIN SPECIFIC SYRACUSE NEIGHBORHOODS.
PART VI, LINE 5:	CROUSE HEALTH PROMOTES COMMUNITY HEALTH THROUGH ACTIVITIES SUCH AS THOSE LISTED IN PART V. IN ADDITION CROUSE PROVIDES:- CARE NAVIGATION IN THE EMERGENCY DEPARTMENT AND BREAST HEALTH CENTER- PROVIDES AN INFANT LOSS SUPPORT GROUP- IS NOW IN THE PLANNING STAGES TO PROVIDE LARC TO NEW MOTHERS ON MEDICAID AT NO COST- PROVIDES THE CHOICES PROGRAM TO HIGH SCHOOL STUDENTS WITH A YEARLONG "INSIDER LOOK" AT CLINICAL DEPARTMENTS- HEALTHCARE PROXY CARD DISTRIBUTION PROGRAM- REIKI THERAPY- MASSAGE THERAPY FOR VETERANS SUFFERING FROM PTSD- WORKS WITH OVER 50 OTHER AGENCIES ON THE COUNTY DRUG TASK FORCE- PROVIDES SPEAKERS TO COMMUNITY EVENTS WHEN REQUESTED- ENCOURAGES AND SUPPORTS ALL EMPLOYEE EFFORTS TO IMPROVE THE COMMUNITY'S HEALTH - COAT/CLOTHING DRIVES FOR THE ED AND CHEMICAL DEPENDENCY AREAS, CHRISTMAS BUREAU DONATIONS, SCHOOL SUPPLIES FOR SYRACUSE GRADE SCHOOL STUDENTS, ETC.- COLLABORATING WITH SU AND OTHERS TO BUILD A PROGRAM FOR NAS BABIES AND THEIR MOTHERS
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES LONGO MD
DIRECTOR	$0	$472,307	$0	$0	$0	$0	$0	$10,600	$0	$837	$0	$483,744	$0	$0
KIMBERLY BOYNTON
PRESIDENT AND CEO	$639,396	$36,908	$55,794	$2,937	$3,320	$0	$16,507	$869	$42,131	$1,021	$757,148	$41,735	$0	$0
DERRICK SUEHS
BOARD SECRETARY (THRU JUNE), CQO	$399,244	$0	$0	$0	$0	$0	$12,580	$0	$18,996	$0	$430,820	$0	$0	$0
KELLI HARRIS
BOARD TREASURER, CFO	$301,501	$32,701	$0	$0	$0	$0	$10,754	$1,194	$26,002	$2,042	$338,257	$35,937	$0	$0
KIMBERLY ROSE
CHIEF INFORMATION OFFICER	$199,653	$35,233	$0	$0	$0	$0	$3,611	$637	$24,662	$3,054	$227,926	$38,924	$0	$0
SETH KRONENBERG MD
CHIEF MEDICAL OFFICER, BOARD SEC (AF	$357,166	$35,004	$0	$0	$0	$0	$6,097	$677	$31,229	$2,042	$394,492	$37,723	$0	$0
ELIZABETH O'CONNOR
CHIEF NURSING OFFICER	$228,921	$0	$0	$0	$0	$0	$13,514	$0	$26,533	$0	$268,968	$0	$0	$0
DAVID MASON
PHYSICIAN EMERGENCY DEPT	$398,088	$0	$42,475	$0	$0	$0	$6,951	$0	$48,694	$0	$496,208	$0	$0	$0
GINA HAYES
PHYSICIAN	$363,033	$0	$22,650	$0	$0	$0	$7,052	$0	$39,470	$0	$432,205	$0	$0	$0
RICHARD STEINMANN MD
PHYSICIAN EMERGENCY DEPT	$373,962	$0	$6,250	$0	$0	$0	$15,573	$0	$49,230	$0	$445,015	$0	$0	$0
NAVEEN SETH
PHYSICIAN	$344,630	$0	$33,333	$0	$0	$0	$3,359	$0	$40,490	$0	$421,812	$0	$0	$0
MICHAEL JOROLEMON
PHYSICIAN	$361,445	$0	$8,613	$0	$0	$0	$9,959	$0	$48,706	$0	$428,723	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	KIMBERLY BOYNTON WAS REIMBURSED FOR SOCIAL CLUB DUES.
PART I, LINE 4A	DERRICK SUEHS RECEIVED SEVERANCE PAYMENTS OF $205,711 DURING 2016. THAT AMOUNT IS INCLUDED IN THE TOTAL WAGES REPORTED IN PART II OF THIS SCHEDULE.
PART I, LINE 7	AS STIPULATED BY EMPLOYMENT CONTRACT, THE HOSPITAL CEO RECEIVED INCENTIVE COMPENSATION IN AN AMOUNT THAT WAS DETERMINED BY THE BOARD OF DIRECTORS, NOT TO EXCEED 25% OF BASE SALARY. THE INCENTIVE WAS BASED UPON THE EXECUTIVES ACHEIVEMENT 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 DETERMINED THE AMOUNT OF INCENTIVE COMPENSATION. INCENTIVE COMPENSATION RECEIVED IN 2016 WAS BASED ON 2015 OBJECTIVES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
2003A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY
A	161093714	682747EA4	2003-10-01	$7,510,000	REFUND PORTION OF O/S SERIES 96 BD	0	0	0
2003A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY
B	521380308	871720BT4	2003-10-01	$20,000,000	REFUND PORTION OF O/S SERIES 96 BD	0	0	0
2007A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY
C	161093714	682747GP9	2007-06-28	$9,000,000	CAPITAL IMPROVEMENT PROJECT	0	0	0
2007A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY
D	521380308	871720BW7	2007-12-20	$20,000,000	CAPITAL IMPROVEMENT PROJECT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$7,510,000	$569,963	$6,940,037	2003	Yes (1)	Yes (1)	Yes (1)
B	$20,000,000		$20,000,000	2003	Yes (1)	Yes (1)	Yes (1)
C	$9,000,000		$43,563	2009	0	Yes (1)	Yes (1)	$8,956,437
D	$20,000,000			2010	0	Yes (1)	Yes (1)	$20,000,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)
C	0	0	0	0	0	0	Yes (1)
D	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	0	Yes (1)	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: 2003A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2013 ISSUER NAME: 2003A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2013 ISSUER NAME: 2007A ONONDAGA COUNTY INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/28/2012 ISSUER NAME: 2007A SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/20/2012 ISSUER NAME: 2007B SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/20/2012	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
2007B SYRACUSE INDUSTRIAL DEVELOPMENT AGENCY
A	521380308	871720BX5	2007-12-20	$7,850,000	CAPITAL IMPROVEMENT PROJECT	0	0	0
2016A SYRACUSE LOCAL DEVELOPMENT CORPORATION
B	474795153		2016-03-09	$12,800,000	CAPITAL IMPROVEMENT PROJECT	0	0	0
2016B SYRACUSE LOCAL DEVELOPMENT CORPORATION
C	474795153		2016-03-09	$9,820,000	CAPITAL IMPROVEMENT PROJECT	0	0	0
2016C SYRACUSE LOCAL DEVELOPMENT CORPORATION
D	474795153		2016-03-09	$20,000,000	CAPITAL IMPROVEMENT PROJECT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,850,000	$7,850,000	2008	Yes (1)	Yes (1)
B	$12,800,000	$12,800,000		0	Yes (1)
C	$9,820,000	$9,820,000		0	Yes (1)
D	$20,000,000	$20,000,000		0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)
D	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Sharing Of RevenuesSharingOfRevenuesInd	Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionDesc
(no name)
0
(no name)
0
SETH KRONENBERG MD
0	SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC AS OF 7/1/15	SETH KRONENBERG, MD TOOK OVER AS THE PHYSICIAN CEO AND SOLE MEMBER OF CROUSE MEDICAL PRACTICE PLLC AS OF JULY 1, 2015. TO SEE A MORE DETAILED EXPLANATION OF CROUSE MEDICAL PRACTICE, PLLC AND THE HOSPITAL'S TRANSACTIONS WITH THIS ENTITY, PLEASE REFER TO SCHEDULE O AND SCHEDULE R.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	TWO EX OFFICIO DIRECTORS OF THE HOSPITAL BOARD OF DIRECTORS, THE HOSPITAL CEO AND THE PRESIDENT OF THE HOSPITAL AUXILIARY, SERVE WITHOUT VOTE. THE HOSPITAL BYLAWS AUTHORIZE THE USE OF AN EXECUTIVE COMMITTEE WHICH HAS THE RIGHT TO EXERCISE ALL THE AUTHORITY OF THE BOARD OF DIRECTORS BETWEEN MEETINGS OF THE BOARD AND WITH THE GENERAL POWER TO DISCHARGE THE DUTIES OF THE BOARD, EXCEPT AS SUCH POWER MAY BE LIMITED BY LAW, THE BYLAWS OR THE BOARD ITSELF.
FORM 990, PART VI, SECTION A, LINE 2	PATRICK MANNION HAS UTILIZED SERVICES OF MACKENZIE HUGHES LAW FIRM WHERE MS. HARTNETT IS A PARTNER. PATRICIA BLACK PROVIDES FINANCIAL SERVICES ADVICE TO JAMES HUGHES.
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. THE COMPENSATION FOR ALL KEY EMPLOYEES, OFFICERS, AND THE REST OF SENIOR MANAGEMENT IS DETERMINED BY THE CEO AND REVIEWED BY THE EXECUTIVE COMMITTEE. CURRENT COMPENSATION IS COMPARED TO THE NATIONAL SALARY SURVEY AND ANY NECESSARY ADJUSTMENTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE CONFLICT OF INTEREST POLICY OF CROUSE HOSPITAL CAN BE FOUND ON THE HOSPITAL'S WEBSITE, WWW.CROUSE.ORG UNDER "CORPORATE COMPLIANCE HANDBOOK'. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS OF CROUSE HOSPITAL ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	PENSION AND POST-RETIREMENT CHANGES OTHER THAN PERIOD COSTS -5,534,093. INCREASE IN INTEREST IN NET ASSETS OF CROUSE HEALTH FOUNDATION 2,523,360. INCREASE IN FUNDS HELD IN TRUST BY OTHERS 1,967.
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 ACQUISITION OF PHYSICIAN PRACTICES AND THE EMPLOYMENT OF PHYSICIANS. THE PLLC BORROWED ITS START-UP CAPITAL ON A FAIR MARKET NOTE FROM THE HOSPITAL, WHICH ACCRUES INTEREST DAILY. BECAUSE THE HOSPITAL EFFECTIVELY CONTROLS THE PLLC THROUGH CONTRACTUAL ARRANGEMENTS AND MAINTAINS SIGNIFICANT FINANCIAL SUPPORT OF THE PLLC, THE PLLCS FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE SYSTEM FOR FINANCIAL STATEMENT PURPOSES. 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CROUSE HEALTH NETWORK LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	736 IRVING AVENUE	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13210	ZIPCd

Field	Value	IRS element (for citing)
EIN	472918011	EIN
Primary Activities	ESTABLISH/OPERATE ACCTABLE CARE ORG OF CLINICALLY INTEGR HLTHCARE PROVIDERS	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CROUSE HEALTH HOSPITAL INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CROUSE HEALTH SYSTEM INC
736 IRVING AVENUE	SYRACUSE	NY	13210	161560473	TO PROVIDE OFF SITE SPACE AND SECURE CAPITAL	NY	501(C)(3)	LINE 12A, I	N/A	0
CROUSE HEALTH FOUNDATION INC
736 IRVING AVENUE	SYRACUSE	NY	13210	161035427	FUNDRAISING FOR CROUSE HEALTH HOSPITAL	NY	501(C)(3)	LINE 7	N/A	0
CROUSE MEDICAL PRACTICE PLLC
736 IRVING AVENUE	SYRACUSE	NY	13210	800548096	FURTHER HOSPITAL'S PURPOSE THROUGH ACQUISITION OF PHYSICIAN PRACTICES	NY	501(C)(3)	LINE 7		Yes (1)	CROUSE HEALTH HOSPITAL

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CROUSE MEDICAL PRACTICE PLLC
D	$51,990,940	LOAN AGREEMENT
CROUSE MEDICAL PRACTICE PLLC
O	$754,610	INTERCO AGREEMENT
CROUSE HEALTH FOUNDATION INC
C	$5,380,406
CROUSE HEALTH SYSTEM INC
O	$510,852	INTERCO AGREEMENT
CROUSE HEALTH SYSTEM INC
J	$3,119,019	LEASE AGREEMENT