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1","explanation":"Schedule C, Part II Line 1 - The Hospital paid $10,307 in Lobbying expense through membership fees paid to organizations that lobby on behalf of its members. These lobbying efforts are intended to discuss and review legislative matters that further the Hospital's exempt purpose."}]},"ScheduleD":{"endowment_funds":{"current_year":{"beginning_year_balance":510909,"contributions":0,"investment_earnings_or_losses":0,"grants_or_scholarships":0,"other_expenditures":0,"administrative_expenses":0,"end_year_balance":510909},"current_year_minus1":{"beginning_year_balance":510909,"contributions":0,"investment_earnings_or_losses":0,"grants_or_scholarships":0,"other_expenditures":0,"administrative_expenses":0,"end_year_balance":510909},"current_year_minus2":{"beginning_year_balance":510909,"contributions":0,"investment_earnings_or_losses":0,"grants_or_scholarships":0,"other_expenditures":0,"administrative_expenses":0,"end_year_balance":510909},"board_designated_eoy_percentage":0.0,"permanent_endowment_eoy_percentage":1.0,"term_endowment_eoy_percentage":0.0,"held_by_unrelated_organizations":false,"held_by_related_organizations":true,"related_organizations_listed_schedule_r":true},"land_buildings_equipment":{"land":{"investment_cost_or_other_basis":0,"other_cost_or_other_basis":1,"book_value":1},"buildings":{"investment_cost_or_other_basis":0,"other_cost_or_other_basis":57642644,"book_value":17572776,"depreciation":40069868},"leasehold_improvements":{"investment_cost_or_other_basis":0,"other_cost_or_other_basis":0,"book_value":0,"depreciation":0},"equipment":{"investment_cost_or_other_basis":0,"other_cost_or_other_basis":47705711,"book_value":9272296,"depreciation":38433415},"other_land_buildings":{"investment_cost_or_other_basis":0,"other_cost_or_other_basis":2501644,"book_value":2501644,"depreciation":0},"total_book_value":29346717},"program_related_investments":{"investments":[{"description":"Security for Letter of Credit","book_value":455314,"method_of_valuation":"C"},{"description":"Self Insurance Funding","book_value":1322030,"method_of_valuation":"C"},{"description":"Restricted Fund for Capital Purchase","book_value":1686613,"method_of_valuation":"C"},{"description":"Restricted Fund for Pension Funding","book_value":2510729,"method_of_valuation":"C"},{"description":"Bonded Debt Reserves","book_value":2298988,"method_of_valuation":"C"},{"description":"Bonded Payment Escrow","book_value":915485,"method_of_valuation":"C"},{"description":"Equipment Loan Proceeds","book_value":68,"method_of_valuation":"C"},{"description":"Other","book_value":11261,"method_of_valuation":"C"}],"total_book_value":9200488},"other_assets":{"assets":[{"description":"Due from Affiliates and Related Organizations","book_value":3251787},{"description":"Interest in assets of Community General Foundation (affiliate)","book_value":2241881},{"description":"Deferred Financing costs","book_value":136092},{"description":"Grants Receivable","book_value":175727},{"description":"Intangible Asset","book_value":2469659}],"total_book_value":8275146},"other_liabilities":{"liabilities":[{"description":"Accrued Salary & Related Withholding","amount":2186877},{"description":"Accrued Vacation","amount":2697938},{"description":"Accrued Bond Interest","amount":193070},{"description":"Accrued Other Laibilities","amount":425509},{"description":"Advances from Third Party Payors","amount":2201000},{"description":"Estimated Third Party Payor Settlements","amount":1485097},{"description":"Estimated Self-Insurance Liability","amount":1859544},{"description":"Accrued Post Retirement Obligations","amount":5020000},{"description":"Accrued Pension Liability","amount":33175362}],"total_liability":49244397},"net_assets_reconciliation":{"total_revenue":120963081,"total_expenses":122572502,"excess_or_deficit_for_year":-1609421,"net_unrealized_gains_losses_on_investments":0,"donated_services_and_facilities":0,"investment_expenses":0,"prior_period_adjustments":0,"other_amount":0,"total_adjustments":0,"excess_or_deficit_per_financial_statements":-1609421},"revenue_reconciliation":{"total_revenue_audited_financial_statements":125713211,"net_unrealized_gains_investments":0,"donated_services_and_use_facilities":0,"recoveries_prior_year_grants":0,"other_revenue":4750130,"revenue_not_reported":4750130,"revenue_subtotal":120963081,"investment_expenses_not_included":0,"other_revenues_not_included":0,"revenue_not_reported_financial_statement":0,"total_revenue_per_990":120963081},"expense_reconciliation":{"total_expenses_audited_financial_statements":127322632,"donated_services_use_facilities":0,"prior_year_adjustments":0,"losses_reported":0,"other_expenses_included":4750130,"expenses_not_reported":4750130,"expenses_subtotal":122572502,"investment_expenses_not_included":0,"other_expenses_not_included":0,"expenses_not_reported_financial_statement":0,"total_expenses_per_990":122572502},"supplemental_information":[{"identifier":"SchD_P05_S00_L04","form_and_line_reference":"Schedule D, Part V, Line 4","explanation":"The Hospital's Endowment Fund represents its equity interest in Community General Foundation's permanently restricted funds. The intended use of these funds is to provide scholarships for students pursuing Health related careers and to provide funds for ongoing maintenance of the Hospital and other area Health Care providers."},{"identifier":"SchD_P12_S00_L02d","form_and_line_reference":"Schedule D, Part XII, Line 2d","explanation":"Bad Debt Expense 4,750,130"},{"identifier":"SchD_P13_S00_L02d","form_and_line_reference":"Schedule D, Part XIII, Line 2d","explanation":"Bad Debt Expense $4,750,130."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"policy_applied_to_all_hospitals":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_250":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":4750130,"bad_debt_expense_attributable_to_financial_assistance":0,"reimbursed_by_medicare":31056120,"cost_of_care_reimbursed_by_medicare":39722821,"medicare_surplus_or_shortfall":-8666701,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":575415,"direct_offsetting_revenue":31116,"net_community_benefit_expense":544299,"total_expense_percentage":0.0044},"unreimbursed_medicaid":{"total_community_benefit_expense":13694334,"direct_offsetting_revenue":9286077,"net_community_benefit_expense":4408257,"total_expense_percentage":0.0359},"unreimbursed_costs":{"total_community_benefit_expense":94075,"direct_offsetting_revenue":50865,"net_community_benefit_expense":43210,"total_expense_percentage":0.0004},"total_financial_assistance":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":14363824,"direct_offsetting_revenue":9368058,"net_community_benefit_expense":4995766,"total_expense_percentage":0.0407},"community_health_services":{"total_community_benefit_expense":192791,"direct_offsetting_revenue":126179,"net_community_benefit_expense":66612,"total_expense_percentage":0.0004},"health_professions_education":{"total_community_benefit_expense":806775,"direct_offsetting_revenue":296575,"net_community_benefit_expense":510200,"total_expense_percentage":0.0042},"total_other_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":999566,"direct_offsetting_revenue":422754,"net_community_benefit_expense":576812,"total_expense_percentage":0.0046},"total_community_benefits":{"activities_or_programs":0,"persons_served":0,"total_community_benefit_expense":15363390,"direct_offsetting_revenue":9790812,"net_community_benefit_expense":5572578,"total_expense_percentage":0.0453}},"management_companies":[{"business_name_line1":"Laboratory Alliance of CNY LLC","primary_activities":"Laboratory Services","organization_profit_or_ownership_percentage":0.33,"name":"Laboratory Alliance of CNY LLC"},{"business_name_line1":"EPC LLC","primary_activities":"Endoscopic procedures","organization_profit_or_ownership_percentage":0.5,"name":"EPC LLC"}],"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"Community General Hospital of Greater Syracuse","address_line1":"4900 Broad Road","city":"Syracuse","state":"NY","zip":"13215","general_medical_and_surgical":true,"name":"Community General Hospital of Greater Syracuse","address":"4900 Broad Road, Syracuse, NY, 13215"}],"facility_policies":[{"business_name_line1":"Community General Hospital of Greater Syracuse","facility_number":1,"name":"Community General Hospital of Greater Syracuse"}],"other_health_care_facility_count":2,"other_health_care_facilities":[{"business_name_line1":"CGH-Outpatient Physicial Therapy","address_line1":"5108 Velasko Road","city":"Syracuse","state":"NY","zip":"13215","facility_type":"Physical, Occupational and Speech Therapy Services","name":"CGH-Outpatient Physicial Therapy","address":"5108 Velasko Road, Syracuse, NY, 13215"},{"business_name_line1":"CGH-Outpatient Physical Therapy","address_line1":"5415 West Genesee Street","city":"Camillus","state":"NY","zip":"13031","facility_type":"Physical, Occupational and Speech Therapy Services","name":"CGH-Outpatient Physical Therapy","address":"5415 West Genesee Street, Camillus, NY, 13031"}],"supplemental_information":[{"form_and_line_reference":"Schedule H, Part I, Line 3c","explanation":"Community General Hospital offers charity care and financial assistance for qualified patients who meet eligibility requirements including annual gross income up to 300% of the Federal Poverty Level with a sliding discount. This meets (exceeds) the provision to discount so that we are not charging more than our largest commercial payors. CGH has successfully increased the amount of charity care and financial assistance provided year after year. One of the challenges faced in providing charity care and financial assistance is raising awareness of the program's existence. This has improved over recent years. Application information is available at several key locations throughout the hospital, and the forms are also available on the hospital's website, http://cgh-home.org. There is a full time Financial Caseworker on staff to provide patients and their families' guidance throughout the application process. The Financial Caseworker will also assist them in applying for Medicaid. However charity care and financial assistance is not dependent on whether or not they qualify for Medicaid and the charity care and financial assistance application is independent from the Medicaid application. Community General Hospital follows the New York State Department of Health (NYS DOH) guidelines for charity care and financial assistance policies. Based on the guidelines, the hospital has reduced the amount of documentation requested from the applicant. The hospital does not request copies of tax returns or a list of monthly expenses from the applicant. Proof of income is requested, however, it cannot be overly burdensome on the applicant. Community General Hospital requests standard documentation such as recent paystubs, child support, and worker's compensation. This information is used to assess the applicant's financial situation. The hospital also requests asset information. According to the NYS DOH, charity care and financial assistance cannot be denied based on asset levels. Assets can only be used in upgrading the payment obligation of the patient. There is no clear guidance on how to adjust the payment obligation. The Hospital only takes into consideration assets in excess of three times the Federal Asset Level when determining the level of charity care and financial assistance offered. If an application is denied based on income levels or if there are extenuating circumstances and the applicant appeals, the case will be reviewed by an Appeals Committee made up of financial and clinical members within the hospital. The NYS DOH guidelines also require that charity care and financial assistance must be provided to residents, not just U.S. citizens. Charity care and financial assistance is available for all qualified NYS residents for emergent services, and for residents of the hospital's primary service area for non-emergent services. Community General Hospital's primary service area is Onondaga County and all contiguous counties. In the past year, the hospital has implemented a program to further assist patients in obtaining health care coverage. A representative from a Medicaid Managed Care Payor is available on-site weekly to help patients apply for any Medicaid Managed Care free or low-cost health insurance program. Forms are available in the hospital for any patients who want to schedule an appointment to apply for coverage."},{"form_and_line_reference":"Schedule H, Part I, Line 6a","explanation":"Annually, Community General Hospital (CGH) prepares and makes available the complete community benefit report on the CGH website, http://cgh-home.org."},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"Community benefit expense calculations reported in Part I Lines 7 (a), (b), and (c) is calculated using the ratio of cost to charges as reported in the Institutional Cost Report. The costs reported for Part I Lines (e) and (f) are actual, incurred costs. The sources for charges, GME, IME and Health Assessments are the Institutional Cost Report, the GME Budget Report to NYS and Statistical Report, and payment history of Community General Hospital used in these calculations is the Institutional Cost Report. For the 12 months ended December 31, 2010 Community General Hospital provided charity care and certain other community benefits of $5,500,957, representing 4.49% of total expenses reported on Form 990, Part IX, Line 25, column (a)."},{"form_and_line_reference":"Schedule H, Part I, Line 7, Column f","explanation":"Community benefit expense calculations reported in Part I Lines 7 (a), (b), and (c) is calculated using the ratio of cost to charges as reported in the Institutional Cost Report. The costs reported for Part I Lines (e) and (f) are actual, incurred costs. The sources for charges, GME, IME and Health Assessments are the Institutional Cost Report, the GME Budget Report to NYS and Statistical Report, and payment history of Community General Hospital used in these calculations is the Institutional Cost Report. For the 12 months ended December 31, 2010 Community General Hospital provided charity care and certain other community benefits of $5,500,957, representing 4.49% of total expenses reported on Form 990, Part IX, Line 25, column (a)."},{"form_and_line_reference":"Schedule H, Part III, Section A, Line 4","explanation":"Bad debt is calculated using the ratio of cost to charges. The source for both the ratio of cost to charges and charges is the Institutional Cost Report."},{"form_and_line_reference":"Schedule H, Part III, Section B, Line 8","explanation":"Since 1964, when Community Hospital merged with the 69-year-old Syracuse General Hospital, Community General Hospital of Greater Syracuse has served the populations of Onondaga and surrounding counties. \"The core purpose of Community General Hospital is to advance high quality, safe, compassionate and cost-effective health care for the Central New York community.\" This commitment extends to all patients regardless of ability to pay or type of insurance. Approximately 43% of all inpatient stays and 24% of all outpatient visits are Medicare patients. The reimbursement from Medicare is less than 42% and 31% of inpatient and outpatient charges respectively. At this level of reimbursement the payments are not nearly adequate to cover the costs of the delivery of care. Community General Hospital does not and will not discriminate with regard to a patient's ability to pay. Consequently, the hospital has absorbed significant shortfalls in Medicare and will continue to find ways to deliver services to its Medicare population regardless of the financial impact on the hospital."},{"form_and_line_reference":"Schedule H, Part III, Section C, Line 9b","explanation":"Patients without the ability to meet their financial obligations are contacted and evaluated for charity care and financial assistance. Educational materials are readily available in the hospital and there is full time personal assistance available to help patients with the charity care and financial assistance program at Community General Hospital. As stated in the Community General Hospital Charity Care and Financial Assistance Policy, \"The hospital provides assistance to low-income, uninsured or under-insured individuals who cannot afford to pay in full or in part for the care they received. Community General Hospital will consider a patient's income, assets (excluding primary residence, primary vehicle, retirement or college savings programs) and health care needs. This policy is not intended to eliminate personal responsibility for meeting financial obligations, including amounts owed for health care services. All patients are expected to contribute to their hospital care based on their individual ability to pay.\""},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"The following are excerpts from the 2009 and 2010 reports. The determination of community needs has been developed as part of a broader process conducted by the Onondaga County Department of Health to define the health care needs of the community. The outcome of the process was to identify the following areas of focus which Community General Hospital embraces in its mission to \"to advance high quality, safe, compassionate and cost-effective health care for the Central New York community.\" The prevention agenda priorities identified in 2009 were: * Access to quality health care * Healthy mothers, healthy babies, healthy children * Tobacco use The prevention agenda priorities: * Community status improvement with an emphasis on school age children * Healthy mothers, healthy babies/access to care with an emphasis on refugee health * Tobacco use The health improvement goals identified are as follows: Community status improvement: * Promote preventive care * Provide incentives for doctors to focus in primary care * Decrease wait times in hospital emergency departments * Lower rates of chronic disease * Decrease number of unintended pregnancies * Establish a generally healthier, more active community Healthy mothers, healthy babies, healthy children: * Organize refugee health care, particularly for maternal and child health services * Improve the health of refugee children, mothers and babies Tobacco use: * Implement smoke-free campuses * Engage public policy system through development of targeted laws and regulation * Reduce chronic diseases associated with tobacco use and secondhand smoke exposure"},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"Community General Hospital strives to reach out to anyone who might require need financial assistance for the health services provided by the hospital and its related facilities. Patients are informed of the availability of the financial assistance program through signage throughout the facilities; brochures provided on site and online; information available at points of entry, including the emergency room, doctor's offices, the billing office, and patient intake. As a specific goal of the program, the hospital makes every attempt to reach all self-pay patients through letters and personal contact."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"Description of Service Area Community General Hospital's primary service area (PSA) consists of 22 zip codes representing approximately 70% of all 2008 inpatient discharges, excluding newborns. A minimum discharge contribution percentage of one percent, or approximately 150 discharges, was established for the five-county area. Zip codes in the five-county area that fell below the one percent discharge contribution threshold were classified as being part of the secondary service area (SSA). The SSA has a similar number of zip codes as the PSA and represents about 19% of total hospital discharges. Those hospital discharges from zip codes outside the five-county area, which all had a discharge contribution percent of less than one percent, were classified as the third tier. This methodology was developed for market and strategic planning purposes, and is useful in concentrating the hospital's focus on services that effectively meet community needs. Hospital Service Area The hospital's service area is categorized into three separate tiers. The primary service area includes the following zip codes: * 13021 * 13027 * 13031 * 13203 * 13208 * 13205 * 13204 * 13202 * 13206 * 13207 * 13219 * 13078 * 13084 * 13090 * 13088 * 13108 * 13120 * 13212 * 13215 * 13152 * 13209 * 13210 The secondary service area includes the following zip codes: * 13057 * 13104 * 13066 * 13159 * 13039 * 13060 * 13126 * 13069 * 13214 * 13037 * 13166 * 13224 * 13041 * 13080 * 13110 * 13036 * 13035 * 13032 * 13045 * 13029 * 13132 * 13135 * 13112 * 13077 * 13211 * 13164 * 13141 The third tier of the hospital's service area includes the following zip codes: * 13033 * 13040 * 13030 * 13082 * 13063"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":true,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Thomas Quinn","base_compensation_filing_org":297281,"bonus_filing_org":20000,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":350348,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":15198,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":332479,"total_compensation_related_orgs":0,"name":"Thomas Quinn"},{"person_name":"Pamela E Johnson","base_compensation_filing_org":203548,"bonus_filing_org":20175,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":238513,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":14478,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":238201,"total_compensation_related_orgs":0,"name":"Pamela E Johnson"},{"person_name":"Christine Stryker","base_compensation_filing_org":172754,"bonus_filing_org":15746,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":192359,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":13698,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":202198,"total_compensation_related_orgs":0,"name":"Christine Stryker"},{"person_name":"Mitchell Rozonkiewiecz","base_compensation_filing_org":139298,"bonus_filing_org":10319,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":167872,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":14065,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":163682,"total_compensation_related_orgs":0,"name":"Mitchell Rozonkiewiecz"},{"person_name":"John Zacharek","base_compensation_filing_org":121723,"bonus_filing_org":23597,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":133583,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":10633,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":155953,"total_compensation_related_orgs":0,"name":"John Zacharek"},{"person_name":"Paul Bess","base_compensation_filing_org":151477,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":1133,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":152610,"total_compensation_related_orgs":0,"name":"Paul Bess"},{"person_name":"Frederick Goldberg MD","base_compensation_filing_org":117425,"bonus_filing_org":0,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":279339,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":4480,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":121905,"total_compensation_related_orgs":0,"name":"Frederick Goldberg MD"}],"supplemental_information":[{"identifier":"SchJ_P01_S00_L03","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"The Board of Directors of CGH maintained active oversight and approval of executive compensation. The Executive Compensation Committee of the Board oversaw executive compensation by its: Annual review of base and incentive compensation for each member of senior management in comparison with information from two salary surveys for comparable positions from comparable organizations; Annual review of reimbursement for any member of senior management having business-related travel or business expense; Annual review regarding policies on executive benefits and contracts, as well as any changes in benefits or contracts; Review of compensation information as reported on the annual IRS 990 reports; Review of annual management goals, as well as quantified documentation of management performance by individuals and by executive teams. Review of any change in base compensation for members of senior management; and Review of any incentive award, based on performance, for any member of senior management. Recommendations of the Executive Compensation Committee were made to the Executive Committee of the Board, which had the authority to affirm or change the recommendations. Decisions of the Executive Committee were routinely reported to the full Board in executive session with respect to the annual performance reviews of all senior managers, as well as any adjustments to base or total compensation (including objective comparative information). No member of management was present for parts of committee or Board meetings when there was deliberation or voting with respect to executive compensation or contracts. The Board also obtained legal advice with respect to executive compensation and nonprofit organizations and consulted with Yaffee & Associates on senior-level compensation and contracting. The Board considered base and total compensation for senior management in relation to the 50th percentile of compensation at comparable positions and organizations. The Executive Committee also met in confidence with the Corporate Compliance Officer twice each year, and no member of senior management was present for such discussions. No member of the Board received compensation for her or his responsibilities on Boards or Committees. Two ex officio members of the Board received compensation for management responsibilities at the hospital, namely, the President of the Medical Staff (who was compensated by the Medical Staff from its dues) and the President & CEO of CGH (who was compensated by CGH as a member of senior management under an employment contract approved by the Executive Committee)."},{"identifier":"SchJ_P01_S00_L07","form_and_line_reference":"Schedule J, Part I, Line 7","explanation":"On an annual basis, executive management goals were established and approved by the Executive Compensation Committee of the Board and an incentive compensation pool value identified. At the end of the year the Committee reviewed quantified documentation of management performance by individuals and by executive teams and approved any payments. Payments for 2010 are included in Schedule J Part II column Bii. Annually the Committee also reviews base and total compensation for each member of senior management in comparison with information from two salary surveys for comparable positions from comparable organizations to ensure reasonableness. In 2010 the board's executive committee also contracted with an external consultant for a comprehensive overview and opinion as to the reasonableness of the hospital executive compensation policy and payment levels."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":146000293,"business_name_line1":"Dormitory Authority of New York State","cusip_number":"000000000","date_issued":"2005-08-31T00:00:00","issue_price":4870000,"purpose":"Equipment Purchase","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"Dormitory Authority of New York State"},{"issuer_ein":146000293,"business_name_line1":"Dormitory Authority of New York State","cusip_number":"000000000","date_issued":"2008-12-31T00:00:00","issue_price":3500000,"purpose":"Equipment Purchase","defeased":false,"on_behalf_of_issuer":false,"pool_financing":false,"name":"Dormitory Authority of New York 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Company","ownership_percentage":0.0,"legal_domicile_state":"NY","address_line1":"Broad Rd","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","name":"CG Enterprises","address":"Broad Rd, Syracuse, NY, 13215"},{"ein":161261965,"business_name_line1":"CGE Care Systems","primary_activity":"Home Care Infusion","ownership_percentage":0.0,"legal_domicile_state":"NY","address_line1":"Broad Road","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","name":"CGE Care Systems","address":"Broad Road, Syracuse, NY, 13215"},{"ein":161445722,"business_name_line1":"Community Care Systems of CNY","primary_activity":"Outpatient Radiology","ownership_percentage":0.0,"legal_domicile_state":"NY","address_line1":"Broad Rd","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","name":"Community Care Systems of CNY","address":"Broad Rd, Syracuse, NY, 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Pursuant to an Asset Purchase Agreement effective July 7, 2011 (the Transaction), the Hospital and its related organizations CGH Office Building, CGH Properties and CGH Health Services transferred substantially all assets and certain liabilities to the State of New York Upstate Medical University (Upstate). As a result, CGH ceased operations and has been in the process of winding down its affairs.","primary_activities":"Pursuant to an Asset Purchase Agreement effective July 7, 2011 (the Transaction), the Hospital and its related organizations CGH Office Building, CGH Properties and CGH Health Services transferred substantially all assets and certain liabilities to the State of New York Upstate Medical University (Upstate). As a result, CGH ceased operations and has been in the process of winding down its affairs.","year":2012,"name":"COMMUNITY GENERAL HOSPITAL OF GREATER","phone":"3152188163","type":"990","principal_officer":"Pamela E Johnson","year_formation":1966,"state_legal_domicile":"NY","tax_period_begin":"2012-01-01T00:00:00","tax_period_end":"2012-12-31T00:00:00","address":"c/o BSK 110 W Fayette Street, SYRACUSE, NY, 13202, USA","city":"SYRACUSE","state":"NY","country":"USA","zip_code":"13202"},"Governance":{"501c3 determination":true,"Number of voting members":4,"Number of independent voting members":4,"Number of employees total":0,"Total Gross UBI":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation 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Johnson"}]},"ScheduleN":{"termination_or_liquidation":{"assets_distributed":true,"liabilities_paid":true,"bonds_outstanding":false,"bond_liabilities_discharged":false,"required_to_notify_attorney_general":true,"attorney_general_notified":true},"successor_relationships":{"director_of_successor":false,"employee_of_successor":true,"owner_of_successor":false},"liquidations":[{"irc_section":"501(c)(3)","distribution_date":"2012-03-27T00:00:00","description":"Partial distribution of net assets","fair_market_value":3800000,"method_of_fmv_determination":"Cash","address_line1":"750 E Adams Street","city":"Syracuse","state":"NY","zip":"13210","address":"750 E Adams Street, Syracuse, NY, 13210"}],"supplemental_information":[{"form_and_line_reference":"Sch N, Part III, Additional Information","explanation":"The $3,800,000 partial distribution of net assets was paid to Allscripts Healthcare LLC on behalf of Upstate University Hospital (Upstate): Pursuant to the Asset Purchase Agreement, Upstate assumed the Hospital's obligations under a multi-year contract for the maintenance and upgrading of the information system used at the Hospital (the \"Allscripts Contract\"). Subsequently, in early 2012, Upstate negotiated to buyout the Allscripts Contract for a payment of $3.8 million. At the time, approximately six (6) months had passed since the Transaction closing, and it had become apparent that the value of the assets retained by the Hospital far exceeded the amount required to provide for the excluded liabilities retained by the Hospital. Accordingly, Upstate requested that the Hospital make the $3.8 million buyout payment directly to Allscripts on behalf of Upstate, as an advance against the remainder that was due to be transferred to Upstate at the end of the Hospital's dissolution process. The Hospital transferred $3.8 million to Allscripts, as requested, with prior consent from the Charities Bureau of the New York State Attorney General's Office and with prior approval by New York State Supreme Court."},{"form_and_line_reference":"Part I & 2, Line 2e - Name and Explanation for Involvement in Successor","explanation":"Community General Hospital of Greater Syracuse (Hospital) and its related organizations CGH Properties, CGH Office Building and CGH Health Services transferred substantially all assets and certain liabilities to the State of New York Upstate Medical University (Upstate) pursuant to an Asset Purchase Agreement effective July 7, 2011 by and between Upstate, the Hospital, CGH Properties, CGH Office Building, and CGH Health Services (the Transaction). In connection with the Transaction, substantially all of the Hospital's employees were offered similar positions at the facility as employees of Upstate or one of itscontractors. President T. Quinn and Officers P. Johnson and P. Bess became employees of Upstate."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":161264796,"business_name_line1":"CGH Properties","primary_activities":"Title holding - inactive","exempt_code_section":"501(c)(2)","controlled_organization":false,"legal_domicile_state":"NY","address_line1":"c/o BSK 110 W Fayette St","city":"Syracuse","state":"NY","zip":"13202","name":"CGH Properties","address":"c/o BSK 110 W Fayette St, Syracuse, NY, 13202"},{"ein":161264798,"business_name_line1":"CGH Office Building","primary_activities":"Inactive","exempt_code_section":"501(c)(2)","controlled_organization":false,"legal_domicile_state":"NY","direct_controlling_business_name_line1":"NA","address_line1":"c/o BSK 110 W Fayette St","city":"Syracuse","state":"NY","zip":"13215","name":"CGH Office Building","address":"c/o BSK 110 W Fayette St, Syracuse, NY, 13215"},{"ein":161264800,"business_name_line1":"CGH Health Services","primary_activities":"Title Holding","exempt_code_section":"501(c)(3)","public_charity_status":"5090A 3","controlled_organization":false,"legal_domicile_state":"NY","direct_controlling_business_name_line1":"NA","address_line1":"c/o BSK 110 W Fayette St","city":"Syracuse","state":"NY","zip":"13202","name":"CGH Health Services","address":"c/o BSK 110 W Fayette St, Syracuse, NY, 13202"}],"taxable_corporations_and_trusts":[{"ein":161261965,"business_name_line1":"CGE Care Systems","primary_activity":"Dissolved","legal_domicile_state":"NY","address_line1":"4900 Broad Road","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","controlled_organization":false,"name":"CGE Care Systems","address":"4900 Broad Road, Syracuse, NY, 13215"},{"ein":161525149,"business_name_line1":"CG Enterprises Inc","primary_activity":"Dissolved","legal_domicile_state":"NY","address_line1":"4900 Broad Road","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","controlled_organization":false,"name":"CG Enterprises Inc","address":"4900 Broad Road, Syracuse, NY, 13215"},{"ein":161445722,"business_name_line1":"Community Care Services of CNY","primary_activity":"Dissolved","legal_domicile_state":"NY","address_line1":"4900 Broad Road","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","controlled_organization":false,"name":"Community Care Services of CNY","address":"4900 Broad Road, Syracuse, NY, 13215"}],"transaction_flags":{"dividends_from_related_organization":false,"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":false,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":false,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"Community Care Services of CNY","amount_involved":84892,"method_of_amount_determination":"Cash","transaction_type":"c","name":"Community Care Services of CNY"},{"business_name_line1":"CGH Properties","amount_involved":5836,"method_of_amount_determination":"Cash","transaction_type":"c","name":"CGH Properties"},{"business_name_line1":"CGH Office Building","amount_involved":722046,"method_of_amount_determination":"Cash","transaction_type":"c","name":"CGH Office Building"}]},"source_xml":"201341349349304229_public.xml"},{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"The core purpose of Community General Hospital is to advance high quality, safe, compassionate and cost effective healthcare for the Central New York community. In 2011, the Hospital cared for 4,110 (acute admissions) inpatients, provided outpatient services by way of 18,738 visits, provided emergency care by way of 12,195 Emergency Room patients and provided ambulatory surgery services for 2,067 patients.","primary_activities":"Inpatient Services: The hospital provided acute medical care and diagnostic services for 4,110 inpatient admissions who stayed a total of 21,379 days before discharge. Included in this total were medical and surgical, psychiatric, maternity, newborn and acute physical rehabilitation patients.\n\nOutpatient services: There were 18,738 outpatient diagnostic visits during 2011. Included in these services were medical imaging testing, medical laboratory testing, rehabilitation services (provided in both an on and off campus setting) and two outpatient specialty services delivered in the hospital's wound care center and sleep center.\n\nEmergency services: The hospital provided emergency care services to 12,195 patients in 2011. Emergency services were provided to all parties regardless of their ability to pay.\n\nThe hospital provided ambulatory surgery services to 2,067 patients in 2011. These services were delivered on an outpatient basis to patients who benefited from the proximity of a fully equipped acute care facility in the event of post-surgical complications. The hospital also had other revenue consisting of parking fees, leased employee reimbursement, cafeteria revenue and reimbursement from governmental agencies for indigent care and graduate medical education.\n\nCommunity General Hospital of Greater Syracuse (CGH) and its related organizations CGH Office Building, CGH Properties and CGH Health Services transferred substantially all assets and certain liabilities to the State of New York Upstate Medical University (Upstate) pursuant to an Asset Purchase Agreement effective July 7, 2011 by and between Upstate, CGH, CGH Office Building, CGH Properties and CGH Health Services (the Transaction). 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The standards for accounting for uncertainty in income taxes establish a recognition threshold and measurement for income tax positions recognized in a hospital's financial statements. These standards had no impact on the accompanying financial statements. The tax years open to examination by federal and state taxing authorities are 2008 through 2011."},{"identifier":"SchD_P11_S00_L08","form_and_line_reference":"Schedule D, Part XI, Line 8","explanation":"The audited financial statements are for the period January 1, 2011 through July 7, 2011, the date that substantially all of the assets of the Hospital were acquired by the State of New York Upstate Medical University (Upstate) through the assumption of certain liabilities pursuant to an Asset Purchase Agreement (the Transaction). In connection with the Transaction, a settlement gain in the amount of $5,064,269 resulting from the termination of post-retirement benefits was recorded. This gain was reflected as a gain in the statement of operations in the audited financial statements and as a component of the statement of changes in net assets on the Form 990 financial statements. The remaining difference, a loss of $754,186, is the post-Transaction net loss."},{"identifier":"SchD_P12_S00_L02d","form_and_line_reference":"Schedule D, Part XII, Line 2d","explanation":"The $2,583,812 represents $2,366,364 of bad debt expense netted against revenues for purposes of Form 990 presentation and $217,448 of adjustments to revenue for the period from the date of the Transaction to year end (July 8, 2011 through December 31, 2011)."},{"identifier":"SchD_P13_S00_L04b","form_and_line_reference":"Schedule D, Part XIII, Line 4b","explanation":"The $3,234,643 includes $5,064,269 of pension settlement gain that was shown as a reduction to expenses in the audited Statement of Operations. 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Road","city":"Syracuse","state":"NY","zip":"13215","other_description":"Physical, occupational and speech therapy services","name":"CGH Outpatient Physical Therapy","address":"5108 Velasko Road, Syracuse, NY, 13215"},{"facility_number":3,"business_name_line1":"CGH Outpatient Physical Therapy","address_line1":"5415 West Genesee Street","city":"Camillus","state":"NY","zip":"13031","other_description":"Physical, occupational and speech therapy","name":"CGH Outpatient Physical Therapy","address":"5415 West Genesee Street, Camillus, NY, 13031"}],"facility_policies":[{"business_name_line1":"Community General Hospital of Greater Syracuse","facility_number":1,"name":"Community General Hospital of Greater Syracuse"},{"business_name_line1":"CGH Outpatient Physical Therapy","facility_number":2,"name":"CGH Outpatient Physical Therapy"},{"business_name_line1":"CGH Outpatient Physical Therapy","facility_number":3,"name":"CGH Outpatient Physical Therapy"}],"supplemental_information":[{"form_and_line_reference":"Schedule H, Part I, Line 3c","explanation":"Community General Hospital offered charity care and financial assistance for qualified patients who met eligibility requirements including annual gross income up to 300% of the Federal Poverty Level with a sliding discount that met (exceeded) the provision to discount so that qualified patients were not charged more than Medicare, Medicaid or the Hospital's highest non-government payor. CGH successfully increased the amount of charity care and financial assistance provided year after year. One of the challenges faced in providing charity care and financial assistance is raising awareness of the program's existence. This improved over recent years. Application information was made available at several key locations throughout the hospital, and the forms were also available on the hospital's website, http://cgh-home.org. The Hospital employed a full time Financial Caseworker to provide patients and their families' guidance throughout the application process. The Financial Caseworker also assisted them in applying for Medicaid. It should be noted that charity care and financial assistance was not dependent on whether or not they qualify for Medicaid, and the charity care and financial assistance application was independent from the Medicaid application. Community General Hospital followed the New York State Department of Health (NYS DOH) guidelines for charity care and financial assistance policies. Based on the guidelines, the hospital reduced the amount of documentation requested from the applicant. Copies of tax returns or a list of monthly expenses was not required from the applicant. Proof of income was requested, however, the Hospital made sure obtaining such proof was not overly burdensome on the applicant. Community General Hospital requested standard documentation such as recent paystubs, child support, and worker's compensation. This information was used to assess the applicant's financial situation. The hospital also requested asset information. According to the NYS DOH, charity care and financial assistance cannot be denied based on asset levels. Assets can only be used in upgrading the payment obligation of the patient but there is no clear guidance on how to adjust the payment obligation. The Hospital only takes into consideration assets in excess of three times the Federal Asset Level when determining the level of charity care and financial assistance offered. If an application is denied based on income levels or if there are extenuating circumstances and the applicant appeals, the case will be reviewed by an Appeals Committee made up of financial and clinical members within the hospital. The NYS DOH guidelines also require that charity care and financial assistance must be provided to residents, not just U.S. citizens. The Hospital's policy provided for charity care and financial assistance for all qualified NYS residents for emergent services, and for residents of the hospital's primary service area for non-emergent services. Community General Hospital's primary service area was Onondaga County and all contiguous counties. During 2010, the Hospital has implemented a program to further assist patients in obtaining health care coverage. A representative from a Medicaid Managed Care Payor was available on-site weekly to help patients apply for any Medicaid Managed Care, free or low-cost health insurance program. Forms were made available in the hospital for any patients who wanted to schedule an appointment to apply for coverage."},{"form_and_line_reference":"Schedule H, Part I, Line 6a","explanation":"Annually, Community General Hospital (CGH) prepared and made available the complete community benefit report on the CGH website, http://cgh-home.org. On July 7, 2011, with the approval of New York State, Community General Hospital sold substantially all of its assets to SUNY Upstate Medical University which is operating the hospital as a campus of its main facility. Therefore, no Community General Hospital community benefit report was available subsequent to the sale."},{"form_and_line_reference":"Schedule H, Part I, Line 7","explanation":"Community benefit expense calculations reported in Part I Lines 7 (a), (b), and (c) are calculated using the ratio of cost to charges as reported in the Institutional Cost Report. The costs reported for Part I Lines (e) and (f) are actual, incurred costs. The sources for charges, GME, IME and Health Assessments are the Institutional Cost Report, the GME Budget Report to NYS and Statistical Report, and payment history of Community General Hospital. For the calendar year ended December 31, 2011, during which Community General Hospital operated as an independent hospital for approximately 6 months (through July 7, 2011), the Hospital provided charity care and certain other community benefits, representing 4.66% of total expenses reported on Form 990, Part IX, Line 25, column (a)."},{"form_and_line_reference":"Schedule H, Part I, Line 7, Column f","explanation":"Community benefit expense calculations reported in Part I Lines 7 (a), (b), and (c) are calculated using the ratio of cost to charges as reported in the Institutional Cost Report. The costs reported for Part I Lines (e) and (f) are actual, incurred costs. The sources for charges, GME, IME and Health Assessments are the Institutional Cost Report, the GME Budget Report to NYS and Statistical Report, and payment history of Community General Hospital. For the calendar year ended December 31, 2011, during which Community General Hospital operated as an independent hospital for approximately 6 months (through July 7, 2011), the Hospital provided charity care and certain other community benefits, representing 4.66% of total expenses reported on Form 990, Part IX, Line 25, column (a)."},{"form_and_line_reference":"Schedule H, Part III, Section A, Line 4","explanation":"Bad debt is calculated using the ratio of cost to charges. The source for both the ratio of cost to charges and charges is the Institutional Cost Report."},{"form_and_line_reference":"Schedule H, Part III, Section B, Line 8","explanation":"Since 1964, when Community Hospital merged with the 69-year-old Syracuse General Hospital, through July 6, 2011 when, as discussed previously, its operations ceased. Community General Hospital of Greater Syracuse served the populations of Onondaga and surrounding counties. \"The core purpose of Community General Hospital is to advance high quality, safe, compassionate and cost-effective health care for the Central New York community.\" This commitment extended to all patients regardless of ability to pay or type of insurance. Historically approximately 43% of all inpatient stays and 24% of all outpatient visits were Medicare patients. The reimbursement from Medicare is less than 42% and 31% of inpatient and outpatient charges respectively. At this level of reimbursement the payments are not nearly adequate to cover the costs of the delivery of care. Community General Hospital did not discriminate with regard to a patient's ability to pay. Consequently, the hospital absorbed significant shortfalls in Medicare."},{"form_and_line_reference":"Schedule H, Part III, Section C, Line 9b","explanation":"Patients without the ability to meet their financial obligations were contacted and evaluated for charity care and financial assistance. Educational materials were readily available in the hospital and there was full time assistance available to help patients with the charity care and financial assistance program at Community General Hospital. As stated in the Community General Hospital Charity Care and Financial Assistance Policy, \"The hospital provides assistance to low-income, uninsured or under-insured individuals who cannot afford to pay in full or in part for the care they received. Community General Hospital will consider a patient's income, assets (excluding primary residence, primary vehicle, retirement or college savings programs) and health care needs. This policy is not intended to eliminate personal responsibility for meeting financial obligations, including amounts owed for health care services. All patients are expected to contribute to their hospital care based on their individual ability to pay.\""},{"form_and_line_reference":"Schedule H, Part VI, Line 2","explanation":"The following are excerpts from the 2009 and 2010 reports. The determination of community needs has been developed as part of a broader process conducted by the Onondaga County Department of Health to define the health care needs of the community. The outcome of the process was to identify the following areas of focus which Community General Hospital embraces in its mission to \"to advance high quality, safe, compassionate and cost-effective health care for the Central New York community.\" The prevention agenda priorities identified in 2009 were: * Access to quality health care * Healthy mothers, healthy babies, healthy children * Tobacco use The prevention agenda priorities: * Community status improvement with an emphasis on school age children * Healthy mothers, healthy babies/access to care with an emphasis on refugee health * Tobacco use The health improvement goals identified are as follows: Community status improvement: * Promote preventive care * Provide incentives for doctors to focus in primary care * Decrease wait times in hospital emergency departments * Lower rates of chronic disease * Decrease number of unintended pregnancies * Establish a generally healthier, more active community Healthy mothers, healthy babies, healthy children: * Organize refugee health care, particularly for maternal and child health services * Improve the health of refugee children, mothers and babies Tobacco use: * Implement smoke-free campuses * Engage public policy system through development of targeted laws and regulation * Reduce chronic diseases associated with tobacco use and secondhand smoke exposure"},{"form_and_line_reference":"Schedule H, Part VI, Line 3","explanation":"Community General Hospital offered charity care and financial assistance for qualified patients who met eligibility requirements including annual gross income up to 300% of the Federal Poverty Level with a sliding discount that met (exceeded) the provision to discount so that qualified patients were not charged more than Medicare, Medicaid or the Hospital's highest non-government payor. CGH successfully increased the amount of charity care and financial assistance provided year after year. One of the challenges faced in providing charity care and financial assistance is raising awareness of the program's existence. This improved over recent years. Application information was made available at several key locations throughout the hospital, and the forms were also available on the hospital's website, http://cgh-home.org. The Hospital employed a full time Financial Caseworker to provide patients and their families' guidance throughout the application process. The Financial Caseworker also assisted them in applying for Medicaid. It should be noted that charity care and financial assistance was not dependent on whether or not they qualify for Medicaid, and the charity care and financial assistance application was independent from the Medicaid application. Community General Hospital followed the New York State Department of Health (NYS DOH) guidelines for charity care and financial assistance policies. Based on the guidelines, the hospital reduced the amount of documentation requested from the applicant. Copies of tax returns or a list of monthly expenses was not required from the applicant. Proof of income was requested, however, the Hospital made sure obtaining such proof was not overly burdensome on the applicant. Community General Hospital requested standard documentation such as recent paystubs, child support, and worker's compensation. This information was used to assess the applicant's financial situation. The hospital also requested asset information. According to the NYS DOH, charity care and financial assistance cannot be denied based on asset levels. Assets can only be used in upgrading the payment obligation of the patient but there is no clear guidance on how to adjust the payment obligation. The Hospital only takes into consideration assets in excess of three times the Federal Asset Level when determining the level of charity care and financial assistance offered. If an application is denied based on income levels or if there are extenuating circumstances and the applicant appeals, the case will be reviewed by an Appeals Committee made up of financial and clinical members within the hospital. The NYS DOH guidelines also require that charity care and financial assistance must be provided to residents, not just U.S. citizens. The Hospital's policy provided for charity care and financial assistance for all qualified NYS residents for emergent services, and for residents of the hospital's primary service area for non-emergent services. Community General Hospital's primary service area was Onondaga County and all contiguous counties. During 2010, the Hospital has implemented a program to further assist patients in obtaining health care coverage. A representative from a Medicaid Managed Care Payor was available on-site weekly to help patients apply for any Medicaid Managed Care, free or low-cost health insurance program. Forms were made available in the hospital for any patients who wanted to schedule an appointment to apply for coverage."},{"form_and_line_reference":"Schedule H, Part VI, Line 4","explanation":"On July 7, 2011 Community General sold substantially all of its assets and turned over the hospital operations to SUNY Upstate Medical University. The following information represents the most recent information regarding the Community General Service Area. Community General Hospital's primary service area (PSA) consisted of 22 zip codes representing approximately 70% of all 2008 inpatient discharges, excluding newborns. A minimum discharge contribution percentage of one percent, or approximately 150 discharges, was established for the five-county area. Zip codes in the five-county area that fell below the one percent discharge contribution threshold were classified as being part of the secondary service area (SSA). The SSA has a similar number of zip codes as the PSA and represents about 19% of total hospital discharges. Those hospital discharges from zip codes outside the five-county area, which all had a discharge contribution percent of less than one percent, were classified as the third tier. This methodology was developed for market and strategic planning purposes, and was useful in concentrating the hospital's focus on services that effectively meet community needs. Hospital Service Area The hospital's service area was categorized into three separate tiers. The primary service area included the following zip codes: * 13021 * 13027 * 13031 * 13203 * 13208 * 13205 * 13204 * 13202 * 13206 * 13207 * 13219 * 13078 * 13084 * 13090 * 13088 * 13108 * 13120 * 13212 * 13215 * 13152 * 13209 * 13210 The secondary service area included the following zip codes: * 13057 * 13104 * 13066 * 13159 * 13039 * 13060 * 13126 * 13069 * 13214 * 13037 * 13166 * 13224 * 13041 * 13080 * 13110 * 13036 * 13035 * 13032 * 13045 * 13029 * 13132 * 13135 * 13112 * 13077 * 13211 * 13164 * 13141 The third tier of the hospital's service area included the following zip codes: * 13033 * 13040 * 13030 * 13082 * 13063"}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"Thomas Quinn","base_compensation_filing_org":159771,"bonus_filing_org":74770,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":332479,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":8508,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":243049,"total_compensation_related_orgs":0,"name":"Thomas Quinn"},{"person_name":"Pamela E Johnson","base_compensation_filing_org":109638,"bonus_filing_org":127926,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":238201,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":8346,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":245910,"total_compensation_related_orgs":0,"name":"Pamela E Johnson"},{"person_name":"Christine Stryker","base_compensation_filing_org":92880,"bonus_filing_org":112348,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":202198,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":7700,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":0,"other_compensation_related_orgs":0,"total_compensation_filing_org":212928,"total_compensation_related_orgs":0,"name":"Christine Stryker"},{"person_name":"John Zacharek","base_compensation_filing_org":88120,"bonus_filing_org":26931,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":155953,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":6020,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":57112,"other_compensation_related_orgs":0,"total_compensation_filing_org":178183,"total_compensation_related_orgs":0,"name":"John Zacharek"}],"supplemental_information":[{"identifier":"SchJ_P01_S00_L03","form_and_line_reference":"Schedule J, Part I, Line 3","explanation":"The Board of Directors of CGH maintained active oversight and approval of executive compensation. The Executive Compensation Committee of the Board oversaw executive compensation by its: Annual review of base and incentive compensation for each member of senior management in comparison with information from two salary surveys for comparable positions from comparable organizations; Annual review of reimbursement for any member of senior management having business-related travel or business expense; Annual review regarding policies on executive benefits and contracts, as well as any changes in benefits or contracts; Review of compensation information as reported on the annual IRS 990 reports, Review of annual management goals, as well as quantified documentation of management performance by individuals and by executive teams. Review of any change in base compensation for members of senior management; and review of any incentive award for any member of senior management. Recommendations of the Executive Compensation Committee were made to the Executive Committee of the Board, which had the authority to affirm or change the recommendations. Decisions of the Executive Committee were routinely reported to the full Board in executive session with respect to the annual performance reviews of all senior managers, as well as any adjustments to base or total compensation (including objective comparative information). No member of management was present for parts of committee or Board meetings when there was deliberation or voting with respect to executive compensation or contracts. The Board also obtained legal advice with respect to executive compensation and nonprofit organizations and consulted with Yaffee & Associates on senior-level compensation and contracting. The Board considered base and total compensation for senior management in relation to the 50th percentile of compensation at comparable positions and organizations. The Executive Committee also met in confidence with the Corporate Compliance Officer twice each year, and no member of senior management was present for such discussions. No member of the Board received compensation for her or his responsibilities on Boards or Committees. Two ex officio members of the Board received compensation for management responsibilities at the hospital, namely, the President of the Medical Staff (who was compensated by the Medical Staff from its dues) and the President and CEO of CGH (who was compensated by CGH as a member of senior management under an employment contract approved by the Executive Committee)."},{"identifier":"SchJ_P01_S00_L04","form_and_line_reference":"Schedule J, Part I, Line 4","explanation":"Highly compensated employee J. Zacharek received $57,112 in severance payments related to the sale of CGH and its related organizations CGH Office Building, CGH Properties, and CGH Health Services to the State of New York Upstate Medical University (the Transaction). Please refer to Schedule N, Part III for further information regarding the Transaction."}]},"ScheduleL":{"business_transactions_involving_interested_persons":[{"person_name":"Bradley Glaister","relationship":"Son of Assistant Secretary","description":"Salary","amount":17643,"sharing_of_revenues":false,"name":"Bradley Glaister"},{"person_name":"Christopher Glaister","relationship":"Son of Assistant Secretary","description":"Salary","amount":12191,"sharing_of_revenues":false,"name":"Christopher Glaister"},{"person_name":"Stephen Johnson","relationship":"Partner in a law firm","description":"Legal services","amount":838812,"sharing_of_revenues":false,"name":"Stephen Johnson"},{"person_name":"Pamela Johnson","relationship":"Board member","description":"Medical laboratory testing","amount":2758948,"sharing_of_revenues":false,"name":"Pamela Johnson"},{"person_name":"Thomas Quinn","relationship":"Board member","description":"Medical laboratory testing","amount":2758948,"sharing_of_revenues":false,"name":"Thomas Quinn"}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":161264798,"business_name_line1":"CGH Office Building","primary_activities":"Medical Office Space leasing","exempt_code_section":"501 c 2","public_charity_status":"n/a","legal_domicile_state":"NY","address_line1":"Broad Road","city":"Syracuse","state":"NY","zip":"13215","name":"CGH Office Building","address":"Broad Road, Syracuse, NY, 13215"},{"ein":222563384,"business_name_line1":"Community General Foundation","primary_activities":"Fundraising","exempt_code_section":"501 c 3","public_charity_status":"170 (b) (1) (A) (vi)","legal_domicile_state":"NY","address_line1":"Broad Road","city":"Syracuse","state":"NY","zip":"13215","name":"Community General Foundation","address":"Broad Road, Syracuse, NY, 13215"},{"ein":161264800,"business_name_line1":"CGH Health Services","primary_activities":"Title Holding","exempt_code_section":"501 c 3","public_charity_status":"5090A 3","legal_domicile_state":"NY","address_line1":"Broad Road","city":"Syracuse","state":"NY","zip":"13215","name":"CGH Health Services","address":"Broad Road, Syracuse, NY, 13215"},{"ein":161264796,"business_name_line1":"CGH Properties","primary_activities":"Holds title to Rental Properties","exempt_code_section":"501 c 2","public_charity_status":"n/a","legal_domicile_state":"NY","address_line1":"Broad road","city":"Syracuse","state":"NY","zip":"13215","name":"CGH Properties","address":"Broad road, Syracuse, NY, 13215"}],"taxable_corporations_and_trusts":[{"ein":161525149,"business_name_line1":"CG Enterprises","primary_activity":"Holding Company","ownership_percentage":0.0,"legal_domicile_state":"NY","address_line1":"Broad Rd","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","name":"CG Enterprises","address":"Broad Rd, Syracuse, NY, 13215"},{"ein":161261965,"business_name_line1":"CGE Care Systems","primary_activity":"Home Care Infusion","ownership_percentage":0.0,"legal_domicile_state":"NY","address_line1":"Broad Road","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","name":"CGE Care Systems","address":"Broad Road, Syracuse, NY, 13215"},{"ein":161445722,"business_name_line1":"Community Care Systems of CNY","primary_activity":"Outpatient Radiology","ownership_percentage":0.0,"legal_domicile_state":"NY","address_line1":"Broad Rd","city":"Syracuse","state":"NY","zip":"13215","type_of_entity":"C","name":"Community Care Systems of CNY","address":"Broad Rd, Syracuse, NY, 13215"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":false,"gift_grant_or_capital_contribution_to_other_org":true,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":false,"performance_of_services_for_other_orgs":true,"sharing_of_facilities":false,"sharing_of_paid_employees":false,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":true,"rental_of_facilities_to_other_orgs":true,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":false,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"CGH Office Building","amount_involved":110891,"method_of_amount_determination":"Cost","transaction_type":"j","name":"CGH Office Building"},{"business_name_line1":"CGH Office Building","amount_involved":132454,"method_of_amount_determination":"Cost","transaction_type":"k","name":"CGH Office Building"},{"business_name_line1":"CGH Office Building","amount_involved":160538,"method_of_amount_determination":"Cost","transaction_type":"p","name":"CGH Office Building"},{"business_name_line1":"CGH Properties","amount_involved":510253,"method_of_amount_determination":"Cost","transaction_type":"b","name":"CGH Properties"},{"business_name_line1":"CGH Properties","amount_involved":23250,"method_of_amount_determination":"Cost","transaction_type":"i","name":"CGH Properties"},{"business_name_line1":"CGH Properties","amount_involved":100000,"method_of_amount_determination":"Cost","transaction_type":"p","name":"CGH Properties"}]},"source_xml":"201203209349301725_public.xml"}],"Latest":{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Through July 7, 2011, the core purpose of Community General Hospital of Greater Syracuse (the Hospital) was to advance high quality, safe, compassionate and cost effective healthcare for the Central New York Community. Pursuant to an Asset Purchase Agreement effective July 7, 2011 (the Transaction), the Hospital and its related organizations CGH Office Building, CGH Properties and CGH Health Services transferred substantially all assets and certain liabilities to the State of New York Upstate Medical University (Upstate). As a result, CGH ceased operations and has been in the process of winding down its affairs.","primary_activities":"Pursuant to an Asset Purchase Agreement effective July 7, 2011 (the Transaction), the Hospital and its related organizations CGH Office Building, CGH Properties and CGH Health Services transferred substantially all assets and certain liabilities to the State of New York Upstate Medical University (Upstate). As a result, CGH ceased operations and has been in the process of winding down its affairs.","year":2012,"name":"COMMUNITY GENERAL HOSPITAL OF GREATER","phone":"3152188163","type":"990","principal_officer":"Pamela E Johnson","year_formation":1966,"state_legal_domicile":"NY","tax_period_begin":"2012-01-01T00:00:00","tax_period_end":"2012-12-31T00:00:00","address":"c/o BSK 110 W Fayette Street, SYRACUSE, NY, 13202, USA","city":"SYRACUSE","state":"NY","country":"USA","zip_code":"13202"},"Governance":{"501c3 determination":true,"Number of voting members":4,"Number of independent voting members":4,"Number of employees total":0,"Total Gross UBI":0,"Number of employees":0,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":true,"Election of board members":true,"Decisions subject to approval":true,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":false,"Accountant compile or review":false,"Financial statements audited by independent accountant":false,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":false,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":true},"Revenues":{"value":0,"Contributions":{"value":0},"Program revenue":{"value":0},"Investment income":{"value":0,"Investment income total":0,"Net investment gain":0,"Income from invest bond proceeds":0},"Other revenues":{"value":0,"Other total":0,"Royalties revenue":0,"Net rental income":0,"Net income from fundraising events":0,"Net income from gaming":0,"Net income":0}},"Expenses":{"value":0,"Grant expense":{"value":0,"Grants to domestic orgs":0,"Grants to domestic individuals":0,"Foreign grants":0},"Total professional fundraising expense":{"value":0,"Fundraising professional":0},"Benefits paid to members":{"value":0,"Benefits paid to members Total":0},"Salaries":{"value":0,"Current officers":0,"Disqualified persons":0,"Other salaries and wages":0,"Pension plan contributions":0,"Other employee benefits":0,"Payroll taxes":0},"Other expenses":{"value":0,"Management 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