SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CROUSE HEALTH HOSPITAL INC
 
Employer identification number

16-0960470
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    3,434,348 783,797 2,650,551 0.560 %
b Medicaid (from Worksheet 3, column a) . . . . .     122,256,826 85,006,490 37,250,336 7.830 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     125,691,174 85,790,287 39,900,887 8.390 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     344,654   344,654 0.070 %
f Health professions education (from Worksheet 5) . . .     12,330,540 6,520,708 5,809,832 1.220 %
g Subsidized health services (from Worksheet 6) . . . .     5,116,254 2,770,167 2,346,087 0.490 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     82,223   82,223 0.020 %
j Total. Other Benefits . .     17,873,671 9,290,875 8,582,796 1.800 %
k Total. Add lines 7d and 7j .     143,564,845 95,081,162 48,483,683 10.190 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other     166,183   166,183 0.030 %
10 Total     166,183   166,183 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
9,608,311
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
72,986,790
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
82,526,177
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-9,539,387
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2021
Schedule H (Form 990) 2021
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 CROUSE HEALTH HOSPITAL INC
736 IRVING AVE
SYRACUSE,NY13210 		X X   X     X      
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CROUSE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): CROUSE.ORG/COMMUNITY-SERVICE-PLAN
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CROUSE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/
b
HTTP://CROUSE.ORG/VISIT/PATIENTS/FINANCIAL-ASSISTANCE/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Billing and Collections
CROUSE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CROUSE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
CROUSE HOSPITAL PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) DEVELOPED WITH THE ONONDAGA COUNTY HEALTH DEPARTMENT CONDUCTED A SURVEY THROUGHOUT THE COUNTY THAT RECEIVED RESPONSES FROM OVER 3,000 PEOPLE. TO REACH COMMUNITIES THAT DID NOT COMPLETE THE SURVEY, THE COUNTY AS WELL AS THE HOSPITALS INVOLVED ATTENDED MEETINGS OF COMMUNITY GROUPS TO RECEIVE THEIR FEEDBACK ON HEALTH NEEDS. CROUSE PROMOTED THE SURVEY THROUGH ITS WEBSITE, SOCIAL MEDIA PLATFORMS, EMPLOYEE NEWSLETTERS AND THROUGH AN EMAIL LIST OF OVER 6,000. CROUSE REACHES OUT FOR FEEDBACK THROUGH THE PATIENT AND GUEST RELATIONS DEPARTMENT AND DIVERSITY & INCLUSION COMMITTEE.
CROUSE HOSPITAL PART V, SECTION B, LINE 6A: CROUSE HEALTH'S CHNA WAS CONDUCTED WITH SAINT JOSEPH HOSPITAL HEALTH CENTER AND UPSTATE UNIVERSITY HOSPITAL.
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. PRIORITY AREA 1: PREVENT CHRONIC DISEASES: TO SUPPORT HEALTHY FOOD CHOICES CROUSE OFFERS THE HEALTHY CHOICES EDUCATION PROGRAM INCLUDING PROVIDING HEALTHY RECIPES AND OFFERS A WEIGHT WATCHERS PROGRAM AT A LOWER COST. CROUSE SCREENS PATIENTS UPON DISCHARGE FOR FOOD INSECURITY AND PROVIDES RESOURCES FOR THOSE WHO SCREEN POSITIVE. TO SUPPORT TOBACCO PREVENTION CROUSE CREATED 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. CROUSE INCREASED THE REACH OF EVIDENCE-BASED SMOKING CESSATION TRAINING TO SUD COUNSELORS WORKING WITH HIGHER RISK PATIENTS. ANOTHER FOCUS AREA IS PREVENTIVE CARE AND MANAGEMENT WITH A GOAL TO INCREASE EARLY DETECTION OF CHRONIC DISEASE. IN 2020, CROUSE PARTICIPATED IN THE AHA'S BLOOD PRESSURE MONITORING PROGRAMS TO ENGAGE THE COMMUNITY IN SELF-MANAGEMENT OF HYPERTENSION. THIS EFFORT WAS CURTAILED BY THE COVID PANDEMIC. ANOTHER PRIORITY AREA IS TO PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS. THIS INCLUDES SUPPORTING TRAININGS TO INCREASE THE AVAILABILITY OF PROVIDERS WHO PRESCRIBE MAT AND TRAINING MEMBERS OF THE PUBLIC ON THE USE OF NALOXONE TO PREVENT OVERDOSE DEATHS. STAFF OF THE HOSPITAL'S ADDICTION TREATMENT SERVICES HAVE BEEN TRAINED IN NALOXONE AND PROVIDE KITS TO PATIENTS AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT CONTINUES TO GIVE OUT NARCAN KITS. ALSO TO PREVENT OPIOID AND OTHER SUBSTANCE MISUSE AND DEATHS 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 PROVIDED EVIDENCE-BASED TRAUMA PROGRAMS TO OUTPATIENTS WITH SUD. CROUSE PROVIDED TWICE WEEKLY FREE GROUP MEETINGS FOR ANY WOMAN SUFFERING WITH POST-PARTUM MOOD AND ANXIETY DISORDERS (PMAD) AND HAS EDUCATED CLINICIANS THROUGHOUT CENTRAL NEW YORK ON PROVIDING SUPPORT FOR WOMEN WITH PMAD. CROUSE PROVIDES SUICIDE SCREENING THROUGHOUT THE HOSPITAL, INCLUDING THE EMERGENCY DEPARTMENT AND FOR THOSE WHO SCREEN POSITIVE PROVIDE RESOURCES AND DECREASE TIME TO RECEIVE FOLLOW-UP.
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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address Type of Facility (describe)
1 1 - CROUSE HOSPITAL-410 SOUTH CROUSE DIV
410 SOUTH CROUSE AVENUE
SYRACUSE,NY13210 		CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES
2 2 - CNY MEDICAL IMAGING CENTER
739 IRVING AVENUE
SYRACUSE,NY13210 		MEDICAL IMAGING TESTING CENTER
3 3 - CROUSE HOSPITAL-COMMONWEALTH DIVISION
6010 EAST MOLLY ROAD
SYRACUSE,NY13211 		RESIDENTIAL CHEMICAL DEPENDENCY REHABILITATION
4 4 - POB SURGERY CENTER
723 IRVING AVENUE
SYRACUSE,NY13210 		OUTPATIENT ABULATORY SURGERY CENTER
5 5 - MADISON IRVING SURGERY CENTER
475 IRVING AVENUE
SYRACUSE,NY13210 		OUTPATIENT ABULATORY SURGERY CENTER
6 6 - PHYSICAL THERAPY - CNY
739 IRVING AVENUE
SYRACUSE,NY13210 		PHYSICAL THERAPY CENTER
7 7 - PHYSICAL THERAPY - BRITTONFIELD
5000 BRITTONFIELD PKWY STE A123
EAST SYRACUSE,NY13057 		PHYSICAL THERAPY CENTER
8 8 - HELP PEOPLE
890 7TH NORTH ST SUITE 203
LIVERPOOL,NY13088 		EMPLOYEE ASSISTANCE PROGRAM
9 9 - CROUSE HOSPITAL - 2775 ERIE BLVD DIVISIO
2775 ERIE BLVD
EAST SYRACUSE,NY13210 		CHEMICAL DEPENDENCY OUTPATIENT TREATMENT SERVICES
10
Schedule H (Form 990) 2021
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Schedule H (Form 990) 2021
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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. DURING THE PANDEMIC THOSE MEETINGS MOVED TO ZOOM.THOUGH GREATLY REDUCED DURING THE COVID PANDEMIC, CROUSE PROVIDED HEALTH INFORMATION ON BREAST HEALTH, HEART HEALTH, PELVIC HEALTH, REPRODUCTIVE HEALTH AND WELLNESS AMONG OTHER TOPICS THROUGH FREE EVENTS AND EDUCATIONAL OUTREACH. ALSO INCLUDES A COMPUTER BASED LEARNING PROGRAM AND VIDEO WHICH WAS DEVELOPED ABOUT VAPING WHICH IS OFFERED FREE OF CHARGE TO ALL AREA HIGH SCHOOLS AND RESOURCE OFFICERS.IN JANUARY 2021 CROUSE OFFERED A FREE COVID VACCINE CLINIC TO ALL EMS AND FIRST RESPONDERS THROUGHOUT THE AREA.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 COMMUNITYPROVIDED 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 2021 CROUSE PROVIDED 92,324 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 2021. 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 2019 - 2021 COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN. THE PROCESS IS NOW UNDERWAY FOR THE 2021 - 2024 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 AND INCLUSION AS WELL AS THE DIVERSITY AND INCLUSION 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 IN THE SERVICE AREA. 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
Schedule H (Form 990) 2021
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