Community Benefit Insight - Tax-exempt hospital

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Crouse Health Hospital Inc

Crouse Hospital

736 Irving Ave
Syracuse, NY 13210

Bed count	466	Medicare provider number	330203	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 160960470

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

10.19%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 2,650,551 0.56 %
Medicaid as % of operating expenses	$ 37,250,336 7.83 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 5,809,832 1.22 %
Subsidized health services as % of operating expenses	$ 2,346,087 0.49 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 344,654 0.07 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 82,223 0.02 %
Community building* as % of operating expenses	$ 166,183 0.03 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 166,183 0.03 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 166,183 100 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 9,608,311 2.02 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 420202443 including grants of $ 0) (Revenue $ 440907346)
"PROVISION OF HEALTHCARE SERVICES. CROUSE HEALTH HOSPITAL, INC. PROVIDES A VARIETY OF HEALTHCARE SERVICES TO A 15-COUNTY AREA IN CENTRAL NEW YORK. THE HOSPITAL OPERATES 505 ACUTE-CARE BEDS INCLUDING 57 BASSINETS. CROUSE HOSPITAL SERVICES APPROXIMATELY 21,200 INPATIENTS, MORE THAN 57,200 EMERGENCY SERVICE PATIENTS, AND MORE THAN 343,000 OUTPATIENTS ANNUALLY. CROUSE HOSPITAL PROVIDED APPROXIMATELY $2.4 MILLION IN CHARITY CARE IN 2021. ADDITIONAL DETAILS ON CROUSE HOSPITAL'S EXEMPT PURPOSE ACHIEVEMENTS ARE FOUND IN ""CROUSE HOSPITAL'S 2020-2022 COMMUNITY SERVICE PLAN"" WHICH CAN BE ACCESSED ON THE HOSPITAL WEBSITE WWW.CROUSE.ORG."

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

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.

Supplemental Information

Schedule H (Form 990) Part VI

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 7, REPORTS FILED WITH STATES
NY

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.

Operating expenses	$ 475,565,878
Total amount spent on community benefits as % of operating expenses	$ 48,483,683 10.19 %