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CAYUGA MEDICAL CENTER AT ITHACA: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CAYUGA MEDICAL CENTER AT ITHACA (EIN 22-2325405)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-08
IRS object ID
202423139349302027
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-08T10:08:01-07:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222325405EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL CENTER AT ITHACABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAYUBusinessNameControlTxt
Phone6072744441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Dates DriveAddressLine1Txt
CityIthacaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14850ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMartin StallonePersonNm
Person TitlePresident/CEOPersonTitleTxt
Phone6072744441PhoneNum
Signature2024-11-08SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMartin Stallone MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Dates DriveAddressLine1Txt
CityIthacaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14850ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$348,785,292GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cayugamed.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTo deliver the highest quality healthcare in partnership with our community, one person at a time.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee2304TotalEmployeeCnt
Total Volunteers260TotalVolunteersCnt
Total Gross UBI$553,317TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$377,792NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,054,156PYContributionsGrantsAmt
CY Contributions Grants$12,868,713CYContributionsGrantsAmt
PY Program Service Revenue$329,842,861PYProgramServiceRevenueAmt
CY Program Service Revenue$323,222,615CYProgramServiceRevenueAmt
PY Investment Income$2,971,976PYInvestmentIncomeAmt
CY Investment Income$1,237,232CYInvestmentIncomeAmt
PY Other Revenue$771,141PYOtherRevenueAmt
CY Other Revenue$986,319CYOtherRevenueAmt
PY Total Revenue$342,640,134PYTotalRevenueAmt
CY Total Revenue$338,314,879CYTotalRevenueAmt
PY Grants And Similar Paid$404,592PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$34,535,537CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,530,368PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$164,589,241CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$185,067,767PYOtherExpensesAmt
CY Other Expenses$166,032,733CYOtherExpensesAmt
PY Total Expenses$342,002,727PYTotalExpensesAmt
CY Total Expenses$365,157,511CYTotalExpensesAmt
PY Revenues Less Expenses$637,407PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$26,842,632CYRevenuesLessExpensesAmt
Total Assets BOY$306,334,753TotalAssetsBOYAmt
Total Assets EOY$380,755,220TotalAssetsEOYAmt
Total Liabilities BOY$118,390,244TotalLiabilitiesBOYAmt
Total Liabilities EOY$206,587,828TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$187,944,509NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$174,167,392NetAssetsOrFundBalancesEOYAmt
MissionCayuga Medical Center will remain the region's leading hospital, healthcare provider, and most trusted driver of integrated health services, together with valued partners. We empower our people and employ our capabilities to equitably improve the well-being of the communities we serve.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$277,844,963ExpenseAmt
Grant$0GrantAmt
Revenue$321,821,077RevenueAmt
DescPatient Service - General inpatient and outpatient hospital care. Services are provided to those in need regardless of the patients' ability to pay, race, creed, national origin, life circumstances, or disease. Cayuga Medical Center works closely with the community to determine health needs and support the development of programs and services that improve the health status of the community.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$277,844,963TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document346IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2304EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRebecca GouldPersonNm
Phone6072744441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Dates DriveAddressLine1Txt
CityIthacaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14850ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Deidre Blake
Former CMC Med Staff President1.0039.00Yes (X)$0$1,683,865$0
Martin Stallone
President & CEO39.001.00$872,692$0$16,013Yes (X)Yes (X)
Srisatish Devapatla
Neonatologist40.000.00$496,948$0$19,141Yes (X)
Rebecca Gould
CFO/VP of Finance35.005.00$0$418,607$56,769Yes (X)
Andreia De Lima Serra
Vice President40.000.00$419,906$0$15,586Yes (X)
Ramesh Vidavalur
Neonatologist40.000.00$415,041$0$16,641Yes (X)
Justin Runke
Vice President39.001.00$408,975$0$16,641Yes (X)
Michael Berlin
Assistant Vice President39.001.00$413,425$0$10,041Yes (X)
Tracy Gates
COO39.001.00$404,815$0$9,029Yes (X)
Jeffrey Penoyer
COO1.0039.00$227,491$136,025$0Yes (X)
John-Paul Mead
Director1.0040.00$0$313,224$0Yes (X)
John Collett
Former CFO/ VP of Finance39.001.00Yes (X)$205,754$0$4,115
Eunice Nayo
Director1.000.00$0$23,300$25,000Yes (X)
Cris Donovan
Director1.000.00$0$0$30,500Yes (X)
James Brown
Director1.000.00$0$0$29,500Yes (X)
Thomas LiVigne
Chair1.000.00$0$0$20,500Yes (X)Yes (X)
Yvette Conyers
Director1.000$0$0$17,500Yes (X)
Paul J Streeter
Director1.000.00$0$0$17,000Yes (X)
Paula Younger
Vice Chair1.000.00$0$0$16,750Yes (X)Yes (X)
R Brooke Hollis
Director1.000.00$0$0$16,750Yes (X)
Fred Wickham
Director1.000.00$0$0$15,500Yes (X)
Kenneth Clarke
Director1.000.00$0$0$15,250Yes (X)
Jennifer Whittaker
Director1.000.00$0$0$14,250Yes (X)
Joel Malina
Director1.000.00$0$0$12,000Yes (X)
Carl Sgrecci
Director1.000.00$0$0$5,375Yes (X)
Greg Hartz
Treasurer1.000.00$0$0$0Yes (X)Yes (X)
Suzanne Blowers
Secretary1.000.00$0$0$0Yes (X)
Laurie Mante
Director1.000.00$0$0$0Yes (X)
La Jerne Terry Cornish
Director1.000.00$0$0$0Yes (X)
Gary Koretzky
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,865,047TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,575,021TotReportableCompRltdOrgAmt
Total Other Compensation$399,851TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K296IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Mayo Collaborative Services
PO BOX 4100ROCHESTERMN55903LAB TESTING$4,728,676
EPIC SYSTEMS CORPORATION
1979 MILKY WAYVERONAWI53593SOFTWARE IMPLEMENTATION$2,797,467
MEDUIT HEALTH SERVICES
8085 KNUE RDINDIANAPOLISIN46250OUTSOURCED REVENUE CYCLE SERVICES$1,896,075
CAYUGA ENT-HEAD AND NECK SURGERY
2 ASCOT PLACEITHACANY14850PHYSICIAN SERVICES$1,240,918
HOWELL LIBERATORE & ASSOC INC
50 PENNSYLVANIA AVEELMIRANY14904FULL SERVICE MARKETING$1,232,180
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K80CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$12,851,794GovernmentGrantsAmt
All Other Contributions$16,919AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$12,868,713TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient RevenueDesc
Business622000BusinessCd
Total Revenue Column$303,389,642TotalRevenueColumnAmt
Related Or Exempt Func Income$303,389,642RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,832,973TotalRevenueColumnAmt
Related Or Exempt Func Income$19,832,973RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$323,222,615TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,868,951TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$313,545UnrelatedBusinessRevenueAmt
Exclusion$1,555,406ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,824,727SecuritiesAmt
Other$13,967OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,456,446SecuritiesAmt
Other$13,967OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$631,719SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$631,719TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$631,719ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteria MealsDesc
Business722514BusinessCd
Total Revenue Column$1,519,781TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,519,781ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$533,462TotalRevenueColumnAmt
Related Or Exempt Func Income-$773,234RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$239,772UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$986,319OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$338,314,879TotalRevenueColumnAmt
Related Or Exempt Func Income$322,449,381RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$553,317UnrelatedBusinessRevenueAmt
Exclusion$2,443,468ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$34,535,537TotalAmt
Program Services$34,535,537ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,478,800TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,478,800ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$121,558,802TotalAmt
Program Services$84,714,418ProgramServicesAmt
Management And General$36,844,384ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,830,302TotalAmt
Program Services$6,850,744ProgramServicesAmt
Management And General$2,979,558ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,285,143TotalAmt
Program Services$16,264,464ProgramServicesAmt
Management And General$7,020,679ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,436,194TotalAmt
Program Services$5,879,190ProgramServicesAmt
Management And General$2,557,004ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,455,703TotalAmt
Program Services$240,092ProgramServicesAmt
Management And General$2,215,611ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,523,742TotalAmt
Program Services$563,785ProgramServicesAmt
Management And General$959,957ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$192,179TotalAmt
Program Services$0ProgramServicesAmt
Management And General$192,179ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$17,953TotalAmt
Program Services$0ProgramServicesAmt
Management And General$17,953ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$73,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$73,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,081,734TotalAmt
Program Services$19,320,521ProgramServicesAmt
Management And General$11,761,213ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,811,612TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,811,612ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$72,392,372TotalAmt
Program Services$66,362,288ProgramServicesAmt
Management And General$6,030,084ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,156,712TotalAmt
Program Services$4,326,635ProgramServicesAmt
Management And General$830,077ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,606,203TotalAmt
Program Services$4,702,933ProgramServicesAmt
Management And General$3,903,270ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$249,621TotalAmt
Program Services$77,053ProgramServicesAmt
Management And General$172,568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$714,186TotalAmt
Program Services$0ProgramServicesAmt
Management And General$714,186ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,053,773TotalAmt
Program Services$6,586,887ProgramServicesAmt
Management And General$5,466,886ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,358,267TotalAmt
Program Services$2,004,527ProgramServicesAmt
Management And General$353,740ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
License/Certificates/Permit Fees$202,880$142,595$60,285$0
Purchased Services$27,142,796$25,273,294$1,869,502$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$365,157,511TotalAmt
Program Services$277,844,963ProgramServicesAmt
Management And General$87,312,548ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,360BOYAmt
EOY$4,360EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,195,866BOYAmt
EOY$5,912,166EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,575,285BOYAmt
EOY$30,020,089EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,086,785BOYAmt
EOY$11,774,996EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,957,691BOYAmt
EOY$18,396,124EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$342,469,083LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$225,752,279LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$105,107,191BOYAmt
EOY$116,716,804EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$86,530,046BOYAmt
EOY$86,639,188EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,529,995BOYAmt
EOY$1,529,995EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$45,347,534BOYAmt
EOY$109,761,498EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$306,334,753BOYAmt
EOY$380,755,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,121,968BOYAmt
EOY$62,125,747EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,472,532BOYAmt
EOY$30,616,784EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,795,744BOYAmt
EOY$113,845,297EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,390,244BOYAmt
EOY$206,587,828EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$180,636,486BOYAmt
EOY$167,715,103EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,308,023BOYAmt
EOY$6,452,289EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$187,944,509BOYAmt
EOY$174,167,392EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$306,334,753BOYAmt
EOY$380,755,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$26,842,632ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,943,104NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$3,122,411OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (1)FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$17,953RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$17,953TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationCayuga Medical Center belongs to organizations that lobby on the behalf of their members. This includes HANYS and Iroquois Healthcare Association.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,467,580BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$201,538InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,669,118EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,770,578BeginningYearBalanceAmt
Contributions$982,867ContributionsAmt
Investment Earnings Or Losses-$285,865InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,467,580EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,764,186BeginningYearBalanceAmt
Contributions$6,391ContributionsAmt
Investment Earnings Or Losses$1InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,770,578EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,750,507BeginningYearBalanceAmt
Contributions$16,066ContributionsAmt
Investment Earnings Or Losses$129InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,516OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,764,186EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,728,201BeginningYearBalanceAmt
Contributions$29,316ContributionsAmt
Investment Earnings Or Losses$216InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$7,226OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$1,750,507EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.312PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.688TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,829,462InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$2,829,462BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$204,894,630InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$111,842,096DepreciationAmt
Book Value$93,052,534BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,641,403InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$2,461,556DepreciationAmt
Book Value$179,847BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$126,809,284InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$106,702,159DepreciationAmt
Book Value$20,107,125BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,294,304InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$4,746,468DepreciationAmt
Book Value$547,836BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$116,716,804TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest in Assets of Foundation$8,178,544
Right of Use Asset$75,334,202
Life Insurance$2,950,619
Equity in related parties$20,576,901
Other Assets$2,721,232
FieldValueIRS element (for citing)
Total Book Value Other Assets$109,761,498TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Lease liability$75,548,024
Accrued pension cost$6,957,068
Accrued postretirement$9,099,629
Due 3rd party payors$19,519,345
Other Accrued Liabilities$2,721,231
FieldValueIRS element (for citing)
Total Liability$113,845,297TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$351,380,394TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$9,943,104NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$3,122,411OtherRevenueAmt
Revenue Not Reported$13,065,515RevenueNotReportedAmt
Revenue Subtotal$338,314,879RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$338,314,879TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$365,157,511TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$365,157,511ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$365,157,511TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4The intended use of the endowment funds is to support Cayuga Medical Center's ongoing mission to deliver the highest quality healthcare in partnership with our community, one person at a time.
Schedule D, Part XI, Line 2dOther Changes in Pension & Post-Retirement Benefit (Gain in CY) - 3,122,411

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$391,769TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$391,769NetCommunityBenefitExpnsAmt
Total Expense0.0011TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$48,449,295TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,043,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,406,043NetCommunityBenefitExpnsAmt
Total Expense0.0749TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$48,841,064TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,043,252DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,797,812NetCommunityBenefitExpnsAmt
Total Expense0.0760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$43,356,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$948,588DirectOffsettingRevenueAmt
Net Community Benefit Expns$42,407,935NetCommunityBenefitExpnsAmt
Total Expense0.124TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,272,185TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,272,185NetCommunityBenefitExpnsAmt
Total Expense0.0089TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$26,794,502TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,026,148DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,768,354NetCommunityBenefitExpnsAmt
Total Expense0.0081TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$24,911TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,911NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$73,448,121TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,974,736DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,473,385NetCommunityBenefitExpnsAmt
Total Expense0.1411TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$122,289,185TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,017,988DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,271,197NetCommunityBenefitExpnsAmt
Total Expense0.2171TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$23,451,513BadDebtExpenseAmt
Bad Debt Expense Attributable$391,769BadDebtExpenseAttributableAmt
Reimbursed By Medicare$13,496,232ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$22,156,909CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,660,677MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cayuga Medical Center at IthacaBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Dates DriveAddressLine1Txt
CityIthacaCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14850ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.cayugamed.orgWebsiteAddressTxt
State License5401001HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Cayuga Medical Center at IthacaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.cayugamed.org/wp-content/uploads/2020/08/2019-2024_CHA-CHIP-Tompkins-1.pdfOwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.cayugamed.org/wp-content/uploads/2020/08/2019-2024_CHA-CHIP-Tompkins-1.pdfStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.cayugamed.org/visiting-us/paying-for-your-care/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.cayugamed.org/visiting-us/paying-for-your-care/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.cayugamed.org/visiting-us/paying-for-your-care/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Cayuga Medical Center at IthacaCayuga Medical Center at Ithaca - As in years past, the qualitative process provided crucial community input into this assessment. The CHNA/CHIP team was comprised of representatives from Tompkins County, Cayuga Medical Center, and several Community-based non-profit organizations. Much of the information driving the selection/confirmation of our priorities was gathered through conversations with service providers and through panels and presentation by peers and providers. Key data indicators were reviewed to guide selection decisions for our priority focus areas. Finally, review of chronic disease indicators revealed that Tompkins County is in the second quartile statewide, indicating the need to continue our efforts to focus on underserved populations, particularly in the rural parts of the county.
Schedule H, Part V, Section B, Line 6b-Cayuga Medical Center at IthacaCayuga Medical Center at Ithaca - Tompkins County Health Department, Tompkins County Mental Health, Office for the Aging, Cayuga Health System, Health Planning Council, Horn Research Consulting, Ithaca College, Cornell University, Human Services Coalition, and Cornell Cooperative Extension of Tompkins County.
Schedule H, Part V, Section B, Line 11-Cayuga Medical Center at IthacaCayuga Medical Center at Ithaca - Cayuga Medical Center (CMC) is actively working to address the needs of individuals suffering from mental health and/or substance abuse conditions by improving the care available to this population within the hospital setting and actively collaborating with community-based providers for the outpatient setting. Cayuga Medical Center is directly participating in the Tompkins County CHNA/CHIP Steering Committee and has representation from our Cayuga Center for Healthy Living, a service within CMC that focuses on chronic disease prevention and treatment. The health needs not addressed by the document include: percent of population (all ages) living in poverty, percent of population (under age 18) living in poverty, percent of single parent households with children under the age of 18 living in the home, percent of individuals uninsured and the housing affordability rate. CMC is not directly addressing these health conditions. CMC is however, aligned with and supports the United Way in Tompkins County which helps address housing and poverty needs. CMC additionally is aligned with the Health Planning Council which assists in enrolling individuals into Medicaid and other affordable insurance programs and CMC provides space at the hospital for enrollment of individuals into these programs.
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
Cayuga Medical Center - CHOA
10 Arrowwood driveithacaNY14850diagnostic imaging, hematology/oncology services
Cayuga Medical Center - Urgent Care Cortland
1129 Commons aveCortlandNY13045urgent care, diagnostic imaging, lab services, outpatient physical therapy.
Cayuga Medical Center - Cayuga Wellness Center
310 Taughannock BlvdIthacaNY14850cardiac rehab, outpatient physical therapy, bariatric clinic & nutritional services
Cayuga Medical Center - CHOA
201 Dates DriveithacaNY14850Hematology & Oncology Services
Cayuga Medical Center - Surgicare
10 Arrowwood driveithacaNY14850outpatient surgical services
Cayuga Medical Center - Brentwood PT
10 Brentwood DriveithacaNY14850outpatient rehabilitation services
Cayuga Medical Center - Brentwood Imaging
10 Brentwood driveithacaNY14850Diagnostic Imaging services
Cayuga Medical Center - Cayuga Endoscopy Center
2435 N Triphammer rdithacaNY14850Endoscopy services
Cayuga Medical Center - Dryden Draw Station
5 Evergreen stDrydenNY13053lab draw station
Cayuga Medical Center - craft road lab draw
1020 craft rdithacaNY14850lab draw stationsuite b
Cayuga Medical Center - cayuga heights lab draw
905 hanshaw roadithacaNY14850lab draw station
Cayuga Medical Center - it offices
767 warren roadithacaNY14850information & technology systems.
Cayuga Medical Center - mass sampling site
40 catherwood driveithacaNY14850COVID collection site and inventory warehousing.
Cayuga Medical Center - lab processing
53 Brown RdithacaNY14850lab processing
Cayuga Medical Center - Cortland MOB
1123 Commons AveCortlandNY13045Medical Offices
Cayuga Medical Center - Cortland CHOA
1081 Commons avecortlandNY13045hematology & cancer services

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7Cayuga Medical Center utilized its cost accounting system to obtain the cost of services related to financial assistance and subsidized health services, line 7a and 7g. All other costs were derived from actual expenses incurred in the period that were directly related to the provision of the service or program.
Schedule H, Part I, Line 7, Column fNo bad debt expense that was incurred in Form 990, Part IX, line 25, column (A), was subtracted for the purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).
Schedule H, Part III, Section A, Line 4The Medical Center recognizes patient service revenue at amounts that reflect the consideration to patient service performance obligations generally relate to contracts with a duration of less than one year and as a result, they have elected uninsured patients that do not qualify for charity care, the Medical Center recognizes revenue on the basis of its standard rates for services transaction price based on standard charges for services provided, reduced by contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with its financial aid policies, and implicit price concessions. Estimates of contractual adjustments and discounts are determined based on contractual agreements, discount policies and historical experience. For obligations from admission to the point when there are no further services required for the patient, which is generally the time of discharge. the purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f). through the emergency department, the increased burden of co-pays, co-insurance amounts and deductibles to be made by patients with obligations satisfied over time relate to patients receiving inpatient acute care services. The Medical Center measures performance to pay for the services provided. Thus, the Medical Center records an implicit price concession to reduce accounts to their net realizable the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above are primarily related to inpatient patient service revenue in the period of the change. Estimates of implicit price concessions are determined based on historical collection patients are discharged, which generally occur within days or weeks of the end of the reporting period. The Medical Center determines the acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the trends and the estimation process. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to value at the time management believes it is probable a receivable will not be recovered. There are various factors that can impact collection insurance, and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends, such as changes in the economy, unemployment rates, the number of uninsured and underinsured patients, the volume of patients through the emergency department, the increased burden of co-pays, co-insurance amounts and deductibles to be made by patients with insurance, and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the estimation process. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Estimates of implicit price concessions are determined based on historical collection experience with these classes of patients using a portfolio approach as a practical expedient to account for patient contracts as collective groups rather than as individual contracts. The financial statement effect of using this practical expedient are not materially different from an individual contract approach. Hospitals are typically paid for services at amounts that are negotiated with insurance companies or are set by the government. The Medical Center has contractual rate agreements with third-party payors that provide for payments at amounts different from established charges. These contractual rate agreements with third-party payors that provide for payments at amounts different from established charges. These contractual rate agreements include prospectively determined rates per discharge or visit, cost-based reimbursement, discounted charges, per diem payments and fee-for-service payments. The Medical Center recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of these contractual rates for the services rendered. Settlements with third-party payors for retroactive revenue adjustments due to audits, reviews or investigations are considered variable consideration are included in the determination of the estimated transaction price for providing patient care. These settlements are estimated based on the terms of the contractual agreement with the payor, correspondence from the payor and historical settlement activity, including an assessment to ensure that it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty associated with the retroactive adjustment is subsequently resolved. Estimated settlements are adjusted in future periods as adjustments become known (that is, as new information becomes available), or as years are settled or are no longer subject to such audits, reviews, and investigations. Agreements with third-party payors typically provide for payments at amounts less than established charges. The Medical Center grants unsecured credit to its patients, most of who are local residents and are insured under third-party payor agreements. The Medical Center does not believe significant audit risks exists for government payors, commercial and other third-party payors. When the Medical Center has unconditional right to payment, subject only to the passage of time, the right is treated as a receivable. Patient accounts receivable, including billed and unbilled accounts for which the Medical Center has the unconditional right to payment, and estimated amounts due from third-party payors for retroactive adjustments, are receivables if the right to consideration is unconditional and only the passage of time is required before payment of the consideration is due. For patient accounts receivable, the estimated uncollectible amounts are generally considered implicit price concessions that are a direct reduction of patient accounts receivable rather than an allowance for doubtful accounts. The amount on line 2 is total implicit contract concessions multiplied by the percentage of cost vs charges for Charity Care per our audited financial statement footnotes. The Amount on line 3 is the amount from line 2 multiplied by the percent of financial assistance gross patient charges divided by total gross patient charges. This eligible portion is immaterial and only the cost of the charity care is included in our reported community benefit.
Schedule H, Part III, Section B, Line 8The cost to charge ratio of 44.89% was calculated from our facilities cost accounting system based on the total cost to total charges on Medicare account only was applied to the Medicare gross patient revenue of $184,281,319. The result was then reduced by the worksheet 6 Medicare cost of $38,092,753 for the FY 2023 allowable cost of care. The revenue was reduced by Final Deductions of $132,692,334 and then reduced by the worksheet 6 Medicare revenue of $60,566,975 for the FY 2023. All of the shortfall is considered community benefit as none of it is included in Part I Line 7 and reflects services provided at a loss in our community.
Schedule H, Part III, Section C, Line 9bCMC's standard operating practice is to stop all collection efforts and hold accounts back from bad debt until the patient is given sufficient time to complete a financial assistance application. Review of the application will be made by the hospital and patients are notified of determination within 30 days of receipt of a completed application. If a patient does not qualify for either partial or full assistance, then a monthly payment plan is offered to the patient for any remaining balances due. If the patient qualifies for any financial assistance, an adjustment is immediately posted to the patients account upon determination of qualification. The accounts for patient's qualifying for financial assistance are earmarked as "charity." Such accounts do not qualify for collection.
Schedule H, Part VI, Line 2To determine the health needs of our community, a comprehensive analysis was conducted through quantitative and qualitative methods. In the quantitative analysis, multiple sources provided the reportable statistics including the New York State Community Health Indicators, the County Health Rankings Report, as well as internal data from Cayuga Medical Center. The data collected for the quantitative assessment was then sorted into the following health categories: Demographics and socioeconomic status, Access to healthcare, Health status of overall population and priority populations, Risk factor behaviors and conditions related to top 5 causes of death, child health, infectious diseases, Natural environment, Social and mental health environment, and Resources/Assets. For every indicator, comparisons were made utilizing the mean value of each individual county, the aggregate value for the total community, the New York State without New York City state value and the U.S. value where applicable to generate context for interpretation.
Schedule H, Part VI, Line 3There is signage in all patient registration areas at Cayuga Medical Center (CMC), as well as in other patient waiting areas, advising patients that financial assistance is available. Financial assistance brochures are also available at all registration areas. Patients who request financial assistance are provided with the CMC policy and an application. Financial counselors are available to assist patients in completion of the application and to answer any questions. Self-pay billing statements provide information on financial assistance policies, as well as the contact information to call for assistance. CMC's call center contacts patients regarding unpaid bills and advises patients of the availability of financial assistance. The Financial Assistance Policy and application are posted and available on the CMC website at www.cayugamed.org. CMC has facilitated enrollers from Medicaid Managed Care Plans on-site. Patients are referred to the facilitated enrollers for determination of Medicaid eligibility. Information regarding the on-site facilitated enrollers is also available on CMC's website.
Schedule H, Part VI, Line 4Located in the Finger Lakes region, Cayuga Medical Center serves populations from six counties: Cayuga, Cortland, Schuyler, Seneca, Tioga, and Tompkins counties. Many of these areas are designated rural counties and Tompkins County is New York State's smallest Metropolitan Statistical Area. The total service area spans, approximately 1,000 square miles in the middle of the state with an average population density of fewer than 125 persons per square mile. There are several distinct health and health-related factors affecting resides of this area: A) The region is home to an older community. Since the 2000 Census, growth in the 65+ age cohort has ranged from 15% to 32% across the region and is projected to increase by 18% between 2016 and 2021. Issues with chronic disease and psychological distress are well documented for this demographic. Overall, 22.9% of adults aged 55 and over are likely to be in fair or poor health, ranging from 19.6% of those aged 55-64 to 32.1% or those aged 85 and over (National Health Statistics Reports, Health Characteristics of Adults Aged 55 Years and Over: United States, 2004-2007, CDC, 2009). B) Access to health care professionals within the region is problematic. Many of the counties have zip codes within that county with Health Professional Shortage Areas (HPSA's) designations for physician, dental, and mental health care for Medicaid beneficiaries. Even when a provider is available, the rural environment, defined by hill terrains and lakes as geographic barriers, creates transportation challenges that can limit access. C) In aggregate, residents of the services are fiscally challenged. The median household within the region in 2019 was $58,743, which was $6,580 below the state average (QuickFacts, Census Bureau).
Schedule H, Part VI, Line 5Cayuga Medical Center (CMC) has a mirror board at the Cayuga Health System (CHS) level, CMC's active parent holding company. The majority of the CHS board of directors are all residents of Tompkins County, CMC's primary service area. Additionally, any qualified healthcare professional that meets the high-quality standards of our credentialing process may apply and secure medical staff privileges within an identified department or specialty. As a 501(c)(3) organization, CMC reinvests any surplus in annual operating margin to improve the medical care for the community, including patient-side and technology improvements, facility structure and infrastructure, and improvements in care delivery. As an example, CMC is invested in a $6.9 million facilities project to renovate and expand its inpatient Behavioral Services Unit which was completed in late 2019. Part of this project was funded through a NYS grant; however, the majority of the project will be funded through CMC's own reserves. Despite the fact that this crucial community resource does not generate surplus revenue, CMC believes it is a vital service for the community, and as such, continues to invest its limited resources to ensure the community's needs are met. CMC operates several programs at a loss ever year to ensure such services are available in the community including Neonatology, Cardiac Rehab, and Behavioral Services.
Schedule H, Part VI, Line 6As of September 2014, Cayuga Medical Center is a subsidiary member of Cayuga Health System. Schuyler Hospital is also a subsidiary member of Cayuga Health System. Each subsidiary organization has their own separately identified primary and secondary service areas and is responsible for improving the health of those communities. In 2019, Schuyler Hospital collaborated with its local health department to complete its CHNA/CHIP. As of 2017, Cayuga Health System has a mirror board with representatives from each of the former subsidiary boards as members. The organizations are exploring a more unified approach to the CHNA/CHIP process in future years. The strategic plan is now aligned at the system level, and the needs of each community have been incorporated across the plan.
Schedule H, Part VI, Line 7New York State

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL ASSOCIATESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 TRUMANSBURG ROADAddressLine1Txt
CityITHACACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14850ZIPCd
FieldValueIRS element (for citing)
Recipient EIN204356115RecipientEIN
Cash Grant$34,535,537CashGrantAmt
Purpose Of GrantCMA subsidyPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationThe Medical Center provides funds to organization to collaborate for nursing programs. The grants operate under individual agreements with defined terms and conditions on which an organization is granted funds. The grantees are required to report the expenditures and outcomes. The Medical Center maintains the books and records consistent with its record retention policy.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Martin Stallone
President & CEO$796,276$0$70,577$0$5,839$0$6,600$0$9,413$0$888,705$0$0$0
Srisatish Devapatla
Neonatologist$476,848$0$500$0$19,600$0$6,600$0$12,541$0$516,089$0$0$0
Andreia De Lima Serra
Vice President$399,454$0$20,452$0$0$0$6,600$0$8,986$0$435,492$0$0$0
Tracy Gates
COO$373,614$0$23,529$0$7,240$0$6,600$0$2,429$0$413,412$0$0$0
Justin Runke
Vice President$384,245$0$24,729$0$0$0$6,600$0$10,041$0$425,615$0$0$0
Michael Berlin
Assistant Vice President$388,494$0$24,931$0$0$0$0$0$10,041$0$423,466$0$0$0
Ramesh Vidavalur
Neonatologist$402,941$0$500$0$11,600$0$6,600$0$10,041$0$431,682$0$0$0
Deidre Blake
CMC Med Staff President$0$875,627$0$808,238$0$0$0$9,900$0$31,939$0$1,725,704$0$0
John-Paul Mead
Director$0$305,594$0$7,630$0$0$0$9,369$0$21,837$0$344,430$0$0
Jeffrey Penoyer
COO$0$89,586$0$46,439$0$0$0$4,205$0$14,741$0$154,971$0$0
Rebecca Gould
CFO/VP of Finance$0$393,888$0$24,719$0$0$0$0$0$56,769$0$475,376$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aAll employees are eligible for a health club membership subsidy for which the medical center will reimburse employees 50% of the monthly single membership fee.
Schedule J, Part I, Line 4CEO Dr. Martin Stallone participates in an economic regime collateral assignment split-dollar life insurance plan with CMC. The Medical Center makes annual fixed premium payments on the policy for the next 2 years.
Schedule J, Part I, Line 6Bonuses to staff and leadership are dependent on the fiscal performance of the organization.
Schedule J, Part I, Line 7All employees, including officers, were permitted to exchange a portion of the PTO for a cash payout.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1TOMPKINS COUNTY DEVELOPMENT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN272290745BondIssuerEIN
CUSIP890096AA8CUSIPNum
Bond Issued2013-04-09BondIssuedDt
Issue Price$25,000,000IssuePriceAmt
PurposeFINANCE CONSTRUCTION AND EQUIPMENT PURCHASESPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$11,190,031RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$25,000,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$613,238IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$24,386,762CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0PrivateBusConcerningUBIPct
Total Private Business Use0TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (1)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bThe 990 is prepared by the accountant of Cayuga Medical Center. The 990 is then reviewed by the Controller, external accountants, CFO, and then all members of the board, in that order.
Form 990, Part VI, Section B, Line 12cCayuga Medical Center maintains a conflict of interest policy which board members are required to sign annually. CMC regularly and consistently monitors and enforces compliance with the policy by reviewing statement for conflicts, identifying disqualified persons, and recording all proceeds related to conflict of interest transactions.
Form 990, Part VI, Section B, Line 15Cayuga Medical Center maintains a conflict of interest policy which board members are required to sign annually. Cayuga Medical Center regularly and consistently monitors and enforces compliance with the policy by reviewing statement for conflicts, identifying disqualified persons, and recording all proceedings related to conflict of interest transactions.
Form 990, Part VI, Section C, Line 19Form 990, conflict of interest statement, financial statements, and other governing documents are available upon request to any community members.
Form 990, Part IX, Line 11gPrimarily maintenance contracts, COVID reference lab costs, and other misc purchased services/contracted services expenses - 18,140,770 CMA Subsidy - 34,535,537 Primarily recruitment expense - 185,459
Form 990, Part XI, Line 9Pension Gains - $3,122,411

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line2USAddress/AddressLine2Txt
CAYUGA HEALTH SYSTEM INC
101 DATES DRIVEITHACANY14850471899601SUPPORT COMMUNITY HEALTHCARENY501(c)(3)12N/A0
SCHUYLER HOSPITAL
220 STEUBEN STREETMONTOUR FALLSNY14865150533564HOSPITALNY501(c)(3)30CAYUGA HEALTH SYSTEM
CAYUGA MEDICAL ASSOCIATES
1301 TRUMANSBURG ROADITHACANY14850204356115MEDICAL PRACTICESNY501(c)(3)90CAYUGA MEDICAL CENTER AT ITHACA
Cayuga Medical Center Foundation
101 Dates DriveIthacaNY14850161072414Charitable SupportNY501(c)(3)110Cayuga Medical Center at Ithaca
ITHACA ALPHA HOUSE CENTER INC
334 W State StIthacaNY14850160991369OPERATE SUBSTANCE/ALCOHOL ABUSE PROGRAMNY501(c)(3)70CAYUGA HEALTH SYSTEMPO Box 789

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL OFFICE BUILDING ASSOCIATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 DATES DRIVEAddressLine1Txt
CityITHACACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14850ZIPCd
FieldValueIRS element (for citing)
EIN161261492EIN
Primary ActivitiesBUILDING MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.73OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
TOMPKINS OFFICE MANAGEMENT SYSTEM
101 DATES DRIVEITHACANY14850161437217OFFICE MANAGEMENTNYCAYUGA MEDICAL CENTER AT ITHACAC1Yes (1)
ISLAND HEALTH & FITNESS
310 TAUGHANNOCK BLVDITHACANY14850203036206FITNESSNYTOMPKINS OFFICE MANAGEMENT SYSTEMC0.70
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CAYUGA MEDICAL ASSOCIATES
b$46,573,1692023 SUBSIDY FOR MEDICAL PRACTICES OPERATING AT A LOSS
CAYUGA MEDICAL ASSOCIATES
j$157,465XRAY EQUIPMENT LEASE AND BUILDING LEASES
CAYUGA MEDICAL ASSOCIATES
k$123,677RADIOLOGICAL, LAB AND COVID-RELATED SPACES
CAYUGA MEDICAL ASSOCIATES
m$16,644,439HOSPITALIST AND INTENSIVIST SERVICES
CAYUGA MEDICAL ASSOCIATES
l$3,786,696SALES OF SERVICES, OVERSIGHT, STAFFING, AND OTHER CONTRACTUAL AGREEMENTS
CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION
k$535,464LEASE OF MEDICAL OFFICE SPACE
CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION
l$212,789LAND, LEASE AND MAINTENANCE FEES
Cayuga Medical Center Foundation
q$55,500CONTRACTED SERVICES
Cayuga Medical Center Foundation
m$174,493FUNDRAISING SERVICES
TOMPKINS OFFICE MANAGEMENT SYSTEM
k$54,163LEASE OF MEDICAL OFFICE SPACE
SCHUYLER HOSPITAL
p$3,060,811Schuyler Hospital reimburses Cayuga Medical Center for the following services: Lab testing, Insights, Kronos and Relay Health Software Costs, AP mailings, Split Advertising, RL Solutions and IContracts, supplies, as well as shared insurance and legal fees.
SCHUYLER HOSPITAL
m$1,920,890Schuyler Hospital utilizes Cayuga Medical Center to perform the following services: Sleep, Payroll, AP, Wound Clinic Staff, Remote Pharmacy, 340B Services, Radiology Techs, Case Management, Oversight and Bio-Engineering.
SCHUYLER HOSPITAL
l$710,922Schuyler Hospital provides staffing for nursing, finance, medical records, radiology, pharmacy, lab, and nurse aid training positions as needed to CMC. In 2023, total services amount to $710,922.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationThis is not due until November 15th, we are not filing late.ExplanationTxt