2025-11-14T14:39:19-06:00 2024-12-31 222027092 WITHUM SMITH & BROWN PC 424 MAIN STREET SUITE 800 BUFFALO NY 142023508 990 2024-01-01 161035427 CROUSE HEALTH FOUNDATION INC CROU 3154707702 736 IRVING AVENUE SYRACUSE NY 132101687 TONY FIORITO BOARD CHAIR 3154702655 2025-11-14 1 0 MARY MADONIA P00405803 7168472651 2025-11-14 2024 2025-03-06 01:10:19Z TONY FIORITO 736 IRVING AVENUE SYRACUSE NY 132101687 6514348 0 X WWW.CROUSE.ORG X 1974 NY THE MISSION OF CROUSE HEALTH FOUNDATION, INC IS TO SUPPORT CROUSE HOSPITAL INC IN PROVIDING THE BEST IN PATIENT CARE AND PROMOTING COMMUNITY HEALTH. 37 28 0 100 0 0 1969635 2014684 0 0 1457121 1901225 114773 409907 3541529 4325816 4012779 2075795 0 0 386634 666822 0 0 576871 341736 456645 4741149 3199262 -1199620 1126554 30320052 32466670 449772 145354 29870280 32321316 THE MISSION OF CROUSE HEALTH FOUNDATION, INC IS TO SUPPORT CROUSE HOSPITAL INC IN PROVIDING THE BEST IN PATIENT CARE AND PROMOTING COMMUNITY HEALTH. 0 0 2075795 2075795 CONTRIBUTIONS TO CROUSE HEALTH HOSPITAL INC FOR PURPOSES OF EQUIPMENT ACQUISTION, EDUCATION, AND SCHOLARSHIP FUNDING. IN ADDITION, CONTRIBUTIONS TO THE HOSPITAL ARE MADE FOR PURPOSES OF UNDERWRITING EXPENSES ASSOCIATED WITH PATIENT AND GUEST RELATIONS, GRANT ADMINISTRATION AND OTHER PURPOSES. 2075795 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 37 28 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X THE ORGANIZATION 3154707702 736 IRVING AVENUE SYRACUSE NY 132101687 VINCE SPINA TRUSTEE 1.00 X 0 0 0 JOYCE MAWHINNEY MACKNIGHT TRUSTEE, BOARD VICE CHAIR 1.00 X X 0 0 0 THOMAS R CURRAN JR MD TRUSTEE, BOARD VICE CHAIR 1.00 X X 0 0 0 SETH KRONENBERG MD TRUSTEE, BOARD VICE CHAIR 1.00 42.00 X X 0 1126223 62442 LISA BETHMANN TRUSTEE, BOARD SECRETARY 1.00 X X 0 0 0 JOHN O'CONNOR TRUSTEE 1.00 X 0 0 0 KEVIN RANDALL TRUSTEE, BOARD ASST TREASU 1.00 42.00 X X 0 558072 74449 ANTHONY FIORITO TRUSTEE, BOARD CHAIR 1.00 X X 0 0 0 CHRISTINE O'CONNELL MORE TRUSTEE 1.00 X 0 0 0 CARLENE LACEY DM TRUSTEE 1.00 X 0 0 0 DOUGLAS LOGAN TRUSTEE 1.00 X 0 0 0 FRANK SMITH MD TRUSTEE 1.00 X 0 20000 0 JEFFREY ASCENZO MD TRUSTEE 1.00 40.00 X 0 682218 87004 JOAN O DADEY TRUSTEE 1.00 40.00 X 114388 0 44288 JOHN GAAL TRUSTEE 1.00 X 0 0 0 TOLANI AJAGBE MD TRUSTEE 1.00 30.00 X 0 284291 46406 LELAND JACKSON MD TRUSTEE 1.00 X 0 39150 0 ANDREA AUTRY TRUSTEE 1.00 X 0 0 0 PATRICIA DEFERIO TRUSTEE 1.00 X 0 0 0 MARCELA HANFORD TRUSTEE 1.00 X 0 0 0 MELVIN T STITH PHD TRUSTEE 1.00 X 0 0 0 DAVID MASON MD TRUSTEE 1.00 40.00 X 0 486220 88572 LAURENCE G BOUSQUET TRUSTEE 1.00 X 0 0 0 TIMOTHY ATSEFF TRUSTEE 1.00 X 0 0 0 ZACHARY ZUCKERMAN TRUSTEE 1.00 X 0 0 0 PETER DERRENBACKER TRUSTEE 1.00 X 0 0 0 JUDY COWDEN TRUSTEE 1.00 X 0 0 0 SALVATORE BELLAVIA TRUSTEE 1.00 X 0 0 0 EDWARD BARNO TRUSTEE 1.00 X 0 0 0 MARK RE TRUSTEE, BOARD ASST SECRETARY 1.00 X X 0 0 0 MARK WORDEN TRUSTEE, BOARD TREASURER 1.00 X X 0 0 0 JENNIFER JACKSON DONAHOE TRUSTEE 1.00 X 0 0 0 MEGAN GRANT TRUSTEE 1.00 X 0 0 0 JEFFREY PAWLOWSKI TRUSTEE 1.00 X 0 0 0 HEATHER ALLISON WATERS TRUSTEE, EXECUTIVE DIRECTOR 40.00 X X 163132 0 39257 WILLIE REDDIC PHD TRUSTEE 1.00 X 0 0 0 JIM TOLLAR TRUSTEE 1.00 X 0 0 0 KATHLEEN MILLER-MURPHY TO 2242024 TRUSTEE, FORMER INTERIM EX DIR 40.00 X 0 141453 44165 KIMBERLY BOYNTON TO 3312023 TRUSTEE (FORMER BOARD VICE 0.00 X 0 1200000 0 277520 4537627 486583 2 1 1 0 CROUSE HEALTH HOSPTIAL INC 736 IRVING AVE SYRACUSE NY 13210 STAFF SERVICES 668822 THE ONCENTER 760 S STATE STREET SYRACUSE NY 13202 EVENT SERVICES 223343 POMEROY COLLEGE OF NURSING 5000 BRITTONFIELD PARKWAY SUITE B20 EAST SYRACUSE NY 13057 SCHOLARSHIP MONEY 101000 3 118950 1895734 2014684 742295 742295 2822604 1663674 1158930 1158930 1158930 934765 118950 524858 409907 409907 4325816 0 0 2311132 2053845 2053845 21950 21950 531409 106282 425127 135413 27083 108330 12843 12843 11500 11500 62743 62743 39000 7800 31200 10137 10137 77420 77420 166458 166458 12721 12721 OTHER EXPENSES 46064 46064 CREDIT CARD FEES 12214 12214 BAD DEBT 5545 5545 3199262 2075795 546596 576871 333795 300779 1538892 2180039 62440 53254 43722 43722 0 0 27786885 29507486 470249 296541 127791 128571 30320052 32466670 447828 143880 1944 1474 449772 145354 X 8606697 9165677 21263583 23155639 29870280 32321316 30320052 32466670 1126554 1324482 0 X X 0 1 X 1 0 X 1718657 2023533 730417 1969635 2014684 8456926 1718657 2023533 730417 1969635 2014684 8456926 275946 8180980 732062 706317 581257 755000 742295 3516931 11973857 3148902 0.68320 0.71030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 23625408 38793 3233018 2135687 24761532 23762277 24897 4338288 4500054 23625408 35726515 83575 -9694110 2353703 23762277 33210738 984073 2243853 712149 35726515 29916900 318485 3701292 725939 33210738 0.39015 0.60985 0.00000 1 0 43722 43722 0 0 LIABILITIES UNDER SPLIT-INTEREST AGREEMENT 1474 1474 X 6175156 1324482 524858 1849340 4325816 0 4325816 3724120 524858 524858 3199262 0 3199262 PART V, LINE 4: THE PURPOSE OF THE FOUNDATION'S ENDOWMENT FUND IS TO GIVE ANNUAL GRANTS TO CROUSE HOSPITAL TO UNDERWRITE HIGH-PRIORITY EQUIPMENT AND PROGRAM NEEDS. ALL DONOR RESTRICTIONS FOR ENDOWMENT FUNDS ARE HONORED. PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(1). THE FOUNDATION FOLLOWS US GAAP PERTAINING TO UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FOUNDATION FILES ITS RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX IN THE U.S. FEDERAL JURISDICTION AND THE ANNUAL FILING OF CHARITABLE ORGANIZATION IN NEW YORK STATE. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 524,858. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST REVENUE 524,858. TRIBUTE EVENING 659172 69750 589422 301846 CROUSE CLASSIC GOLF EVENT 268814 39200 229614 98097 1 125729 10000 115729 124915 1053715 118950 934765 524858 524858 409907 1 CROUSE HEALTH HOSPITAL INC 736 IRVING AVE SYRACUSE NY 13210 160960470 501(C)(3) 2053845 0 EQUIPMENT ACQUISTION, SCHOLARSHIPS & PROGRAM EXPENSES 1 CASH 3 21950 PART I, LINE 2: THE FOUNDATION REIMBURSES CROUSE HEALTH HOSPITAL, INC. ONCE DOCUMENTATION IS PROVIDED. DOCUMENTATION CONSISTS OF INVOICE COPY AND PROOF OF PAYMENT SUPPORTED BY CHECK COPY. X 1 0 0 0 0 0 0 0 0 KIMBERLY BOYNTON TO 3312023 TRUSTEE (FORMER BOARD VICE 0 1200000 0 0 0 0 0 0 0 0 0 1200000 0 0 SETH KRONENBERG MD TRUSTEE, BOARD VICE CHAIR 0 1037535 0 88688 0 0 0 12277 0 50165 0 1188665 0 0 JEFFREY ASCENZO MD TRUSTEE 0 682218 0 0 0 0 0 12896 0 74108 0 769222 0 0 KEVIN RANDALL TRUSTEE, BOARD ASST TREASU 0 465354 0 92718 0 0 0 13942 0 60507 0 632521 0 0 DAVID MASON MD TRUSTEE 0 461002 0 25218 0 0 0 14479 0 74093 0 574792 0 0 TOLANI AJAGBE MD TRUSTEE 0 273137 0 11154 0 0 0 10106 0 36300 0 330697 0 0 HEATHER ALLISON WATERS TRUSTEE, EXECUTIVE DIRECTOR 163132 0 0 0 0 0 3092 0 36165 0 202389 0 0 0 KATHLEEN MILLER-MURPHY TO 2242024 TRUSTEE, FORMER INTERIM EX DIR 0 141453 0 0 0 0 0 7604 0 36561 0 185618 0 0 JOAN O DADEY TRUSTEE 114388 0 0 0 0 0 5873 0 38415 0 158676 0 0 0 PART I, LINE 3 THE COMPENSATION FOR THE EXECUTIVE DIRECTOR OF CROUSE HEALTH FOUNDATION, INC. IS APPROVED BY THE BOARD OF CROUSE HEALTH FOUNDATION, INC. PART I, LINE 4A FORMER CEO KIMBERLY BOYNTON WAS PAID $1,200,000 IN 2024 FROM CROUSE HEALTH HOSPITAL INC. AS PART OF A SEVERANCE AGREEMENT. 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 7B THE ELECTION OF OFFICERS AND TRUSTEES OF CROUSE HEALTH FOUNDATION BY THE BOARD OF TRUSTEES OF THE FOUNDATION IS RATIFIED AND APPROVED BY CROUSE HEALTH SYSTEMS. CROUSE HEALTH FOUNDATION BY-LAWS REQUIRE CROUSE HEALTH SYSTEMS TO APPROVE ANY AMENDMENTS TO THE FOUNDATION'S BY-LAWS OR CERTIFICATE OF INCORPORATION BEFORE THE AMENDMENT CAN BE EFFECTIVE. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION IS PROVIDED TO AN INDEPENDENT ACCOUNTING FIRM THAT PREPARES THE 990 AND ALL REQUIRED SCHEDULES. THE FOUNDATION PRESIDENT AND LEGAL FOR THE FOUNDATION WILL REVIEW THE 990 AND ALL REQUIRED SCHEDULES BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE COMPLETED ANNUALLY BY THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES OF CROUSE HEALTH FOUNDATION. THE STATEMENTS ARE REVIEWED BY SENIOR STAFF. THE STATEMENTS ARE ALSO AVAILABLE FOR REVIEW BY AN INDEPENDENT AUDITOR AS PART OF THE ANNUAL FINANCIAL AUDIT. ALL POTENTIAL CONFLICTS OF INTEREST ARE EVALUATED, REPORTED TO THE AUDIT COMMITTEE, AND THEN DISCUSSED AMONG THE PARTIES. A REPORT IS THEN PROVIDED TO THE BOARD OF TRUSTEES UPON COMPLETION OF THE COMPLIANCE REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR ALL KEY EMPLOYEES, OFFICERS, CEO AND THE REST OF SENIOR MANAGEMENT OF CROUSE HEALTH HOSPITAL IS DONE BASED ON ANNUAL BOARD OF DIRECTOR REVIEW IN CONJUNCTION WITH HUMAN RESOURCES. CURRENT COMPENSATION IS COMPARED TO NATIONAL SALARY SURVEYS FOR COMPARABLE ORGANIZATIONS AND ANY NECESSARY ADJUSTMENTS ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF CROUSE HEALTH HOSPITAL FOLLOWING REQUIREMENTS OF 26 C.F.R SECTION 53.4958-6(C). FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS OF CROUSE HEALTH FOUNDATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CROUSE HEALTH FOUNDATION HAS THE SAME CONFLICT OF INTEREST POLICY AS ITS AFFILIATED ORGANIZATION, CROUSE HEALTH HOSPITAL. THE CONFLICT OF INTEREST POLICY CAN BE FOUND ON THE HOSPITAL'S WEBSITE WWW.CROUSE.ORG UNDER "CORPORATE COMPLIANCE PROGRAM HANDBOOK". THE FOUNDATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CROUSE HEALTH HOSPITAL INC 736 IRVING AVE SYRACUSE NY 13210 160960470 HEALTH CARE SERVICES NY 501(C)(3) LINE 3 CROUSE HEALTH SYSTEM INC 0 CROUSE HEALTH SYSTEM INC 736 IRVING AVE SYRACUSE NY 13210 161560473 PROVIDE OFF SITE SPACE AND SECURE CAPITAL FOR CROUSE HEALTH HOSPITAL, INC. NY 501(C)(3) LINE 12B, II N/A 0 CROUSE MEDICAL PRACTICE PLLC 736 IRVING AVE 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 AVE 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 LABORATORY ALLIANCE OF CNY LLC 115 CONTINUUM DRIVE SUITE 2A LIVERPOOL NY 13212 161536202 CLINICAL AND ANATOMIC PATHOLOGY TESTING NY 501(C)(3) LINE 3 CROUSE HEALTH HOSPITAL INC 0 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0