2024-11-15T14:51:20-06:00 2023-12-31 454051133 FREED MAXICK CPAS PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2023-01-01 161560473 CROUSE HEALTH SYSTEM INC CROU 3154707111 736 IRVING AVENUE SYRACUSE NY 132101687 SETH KRONENBERG MD PRESIDENT & CEO 3154707111 2024-11-14 1 0 MARY MADONIA P00405803 7168472651 2024-11-14 2023 2024-10-15 13:58:12Z SETH KRONENBERG MD 736 IRVING AVENUE SYRACUSE NY 132101687 0 0 X NONE X 2003 NY CROUSE HEALTH SYSTEM, INC. PROVIDES SUPPORT TO CROUSE HEALTH HOSPITAL, INC. THROUGH PROVISION OF OFF-SITE SPACE, BUILDINGS TO HOUSE CROUSE HOSPITAL COLLEGE OF NURSING AND MADISON IRVING SURGERY CENTER, THEREBY INCREASING SPACE WITHIN THE HOSPITAL FOR DIRECT PATIENT CARE; AS WELL AS PROVISION OF PARKING FACILITIES FOR EMPLOYEES, PATIENTS AND STAFF. 14 13 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1926504 1926504 0 0 1926504 1926504 X CROUSE HEALTH SYSTEM, INC. IS FORMED TO SUPPORT CROUSE HEALTH HOSPITAL, INC. IN ITS DELIVERY OF AN INTERGRATED HEALTH CARE SYSTEM. ADDITIONALLY, CROUSE HEALTH SYSTEM INC. WILL SECURE, RAISE AND ARRANGE CAPITAL; PROMOTE EDUCATION OF GRADUATE AND UNDERGRADUATE MEDICAL STUDENTS AND OTHER HEALTHCARE PROFESSIONALS; ADVANCE SCIENCE THROUGH CLINICAL RESEARCH; AND INVEST IN FOR-PROFIT ACTIVITIES THAT ARE CONSISTENT WITH, AND IN FURTHERANCE OF, ITS CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. 0 0 EXPENSES INCURRED IN CONNECTION WITH THE SUPPORT OF CROUSE HEALTH HOSPITAL, INC. IN ITS DELIVERY OF AN INTERGRATED HEALTHCARE SYSTEM. ADDITIONALLY, CROUSE HEALTH SYSTEM, INC. WILL SECURE, RAISE AND ARRANGE CAPITAL FOR THE HOSPITAL AND ITS AFFILIATES. 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KEVIN RANDALL CFO 3154707589 736 IRVING AVENUE SYRACUSE NY 13210 X ELIZABETH HARTNETT DIRECTOR, BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 PATRICK MANNION DIRECTOR, BOARD CHAIR 1.00 1.00 X X 0 0 0 PAUL KRONENBERG MD DIRECTOR, BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 RICHARD RUSSELL DIRECTOR 1.00 1.00 X 0 0 0 ROBERT MIRON DIRECTOR 1.00 1.00 X 0 0 0 BARBARA ASHKIN DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA BLACK DIRECTOR 1.00 1.00 X 0 0 0 KENT SYVERUD DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY KENNEDY BOARD SECRETARY 1.00 1.00 X X 0 0 0 J MICHAEL HAYNIE DIRECTOR 1.00 1.00 X 0 0 0 THOMAS HARTZHEIM MD DIRECTOR 1.00 1.00 X 0 123000 0 EDWARD BARNO DIRECTOR 1.00 1.00 X 0 0 0 MARY COTTER DIRECTOR 1.00 1.00 X 0 0 0 MELVIN STITH PHD DIRECTOR 1.00 1.00 X 0 0 0 SETH KRONENBERG MD PRESIDENT & CEO 1.00 42.00 X 0 922633 61469 KEVIN RANDALL BOARD TREASURER/CFO 1.00 42.00 X 0 416253 64138 KIMBERLY BOYNTON TO 3312023 FORMER CEO 1.00 42.00 X 0 1499311 29017 0 2961197 154624 0 1 1 0 0 0 0 0 0 0 0 0 0 44 44 20943879 19196229 1747650 1747650 178810 178810 1926504 1926504 0 0 X 1926504 1926504 1926504 1926504 1926504 1926504 0 0 X X 0 1 X 1 0 X X 1 CROUSE HEALTH HOSPITAL INC 160960470 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1747650 1747650 19104182 19104182 0 92047 92047 0 1747650 DUE FROM CROUSE HEALTH HOSPITAL, INC. 178810 178810 1 0 0 0 0 0 0 0 0 KIMBERLY BOYNTON TO 3312023 FORMER CEO 0 1499311 0 0 0 0 0 13423 0 15594 0 1528328 0 0 SETH KRONENBERG MD PRESIDENT & CEO 0 922633 0 0 0 0 0 11580 0 49889 0 984102 0 0 KEVIN RANDALL BOARD TREASURER/CFO 0 416253 0 0 0 0 0 11725 0 52413 0 480391 0 0 PART I, LINE 4A FORMER CEO KIMBERLY BOYNTON WAS PAID $1,200,000 IN 2023 FROM CROUSE HEALTH HOSPITAL INC. AS PART OF A SETTLEMENT AGREEMENT SCHEDUE J, PART II - CEO COMPENSATION THE COMPENSATION FOR THE CEO OF CROUSE HEALTH HOSPITAL, INC. IS BASED ON THE TERMS OF A WRITTEN EMPLOYMENT AGREEMENT AND THE INFORMATION OBTAINED FROM A COMPENSATION SURVEY, AND IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF CROUSE HEALTH HOSPITAL. PART II THE ORGANIZATION DOES NOT COMPENSATE FOR BOARD SERVICE. THE SALARIES LISTED ARE FOR SERVICES PROVIDED AS EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 2 PAUL AND SETH KRONENBERG ARE RELATED. PAUL KRONENBERG IS SETH KROENBERG'S FATHER. FORM 990, PART VI, SECTION B, LINE 11B CROUSE HOSPITAL ACCOUNTING STAFF PROVIDES DATA TO AN INDEPENDENT ACCOUNTING FIRM THAT PREPARES 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 CROUSE HEALTH SYSTEM, INC. BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF CROUSE HEALTH HOSPITAL, INC. ONCE COLLECTED, THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY MEMBERS OF THE CORPORATE COMPLIANCE OFFICE. ALL REPORTED POTENTIAL CONFLICTS OF INTEREST ARE EVALUATED AND DISCUSSED AMONG THE PARTIES. A REPORT IS PROVIDED TO THE BOARD OF DIRECTORS UPON COMPLETION OF THE COMPLIANCE REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE CEO IS BASED ON AN ANNUAL EXECUTIVE COMMITTEE REVIEW IN CONJUNCTION WITH HUMAN RESOURCES. CURRENT COMPENSATION IS COMPARED TO THE NATIONAL SALARY SURVEY AND ANY NECESSARY ADJUSTMENTS ARE REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. THE COMPENSATION FOR ALL KEY EMPLOYEES, OFFICERS, AND THE REST OF SENIOR MANAGEMENT IS DETERMINED BY THE CEO AND REVIEWED WITH HUMAN RESOURCES. FORM 990, PART VI, SECTION C, LINE 19 CROUSE HEALTH SYSTEM, INC. FOLLOWS THE SAME CONFLICT OF INTEREST POLICY AS AFFILIATE CROUSE HEALTH HOSPITAL, INC. THE CONFLICT OF INTEREST POLICY FOR CROUSE HEALTH HOSPITAL, INC. CAN BE FOUND ON THE HOSPITAL WEBSITE AT WWW.CROUSE.ORG UNDER "CONFLICT OF INTEREST HANDBOOK". AUDITED FINANCIAL STATEMENTS FOR CROUSE HEALTH SYSTEM, INC. ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS OF CROUSE HEALTH SYSTEM, INC. ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII 2, GENERAL STATEMENT ALL MEMBERS OF THE BOARD OF DIRECTORS OF CROUSE HEALTH SYSTEM, INC. ARE VOLUNTARY. NO COMPENSATION, EMPLOYEE BENEFITS, OR EXPENSE ACCOUNT ALLOWANCES ARE RECEIVED FOR BOARD SERVICES. COMPENSATION IS DISCLOSED FOR EMPLOYEE SERVICES TO CROUSE HOSPITAL AND ITS RELATED ORGANIZATIONS. FORM 990, PART XII, LINE 2C NEITHER THE OVERSIGHT OR SELECTION PROCESS USED BY THE AUDIT AND FINANCE COMMITTEE HAS CHANGED DURING THE CURRENT YEAR. CROUSE HEALTH HOSPITAL INC 736 IRVING AVENUE SYRACUSE NY 13210 160960470 TO PROVIDE HEALTH CARE SERVICES NY 501(C)(3) LINE 3 CROUSE HEALTH SYSTEM INC 1 CROUSE HEALTH FOUNDATION INC 736 IRVING AVENUE SYRACUSE NY 13210 161035427 TO SUPPORT CROUSE HOSPITAL IN PROVIDING THE BEST IN PATIENT CARE NY 501(C)(3) LINE 7 N/A 0 CROUSE MEDICAL PRACTICE PLLC 730 S CROUSE AVENUE SUITE 204 SYRACUSE NY 13210 800548096 FURTHER CROUSE HOSPITAL'S PURPOSE BY PROVIDING PROFESSIONAL MEDICAL SERVICES NY 501(C)(3) LINE 10 N/A 0 CROUSE HEALTH NETWORK LLC 736 IRVING AVENUE SYRACUSE NY 13210 472918011 ESTABLISH/OPERATE ACCTABLE CARE ORG OF CLINICALLY INTEGR HLTHCARE PROVIDERS NY 501(C)(3) LINE 3 CROUSE HEALTH HOSPITAL INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0