CAYUGA MEDICAL CENTER AT ITHACA: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: CAYUGA MEDICAL CENTER AT ITHACA (EIN 22-2325405)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-06
IRS object ID: 202313119349300906
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-06T10:17:29-07:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222325405	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAYUGA MEDICAL CENTER AT ITHACA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CAYU	BusinessNameControlTxt
Phone	6072744441	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 Dates Drive	AddressLine1Txt
City	Ithaca	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14850	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Martin Stallone	PersonNm
Person Title	President/CEO	PersonTitleTxt
Phone	6072744441	PhoneNum
Signature	2023-11-06	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	1	TrustedCustomerCd
OOB Security Verification	11	OOBSecurityVerificationCd
Last Submission Rqr OOB	1	LastSubmissionRqrOOBCd
Authentication Assurance Level	AAL2	AuthenticationAssuranceLevelCd
Profile Password Change	Yes (X)	ProfilePasswordChangeInd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Martin Stallone MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 Dates Drive	AddressLine1Txt
City	Ithaca	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14850	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$351,480,052	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.cayugamed.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	To deliver the highest quality healthcare in partnership with our community, one person at a time.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	2222	TotalEmployeeCnt
Total Volunteers	185	TotalVolunteersCnt
Total Gross UBI	$539,481	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$351,606	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,012,082	PYContributionsGrantsAmt
CY Contributions Grants	$9,054,156	CYContributionsGrantsAmt
PY Program Service Revenue	$307,293,148	PYProgramServiceRevenueAmt
CY Program Service Revenue	$329,842,861	CYProgramServiceRevenueAmt
PY Investment Income	$6,632,717	PYInvestmentIncomeAmt
CY Investment Income	$2,971,976	CYInvestmentIncomeAmt
PY Other Revenue	$2,021,456	PYOtherRevenueAmt
CY Other Revenue	$771,141	CYOtherRevenueAmt
PY Total Revenue	$325,959,403	PYTotalRevenueAmt
CY Total Revenue	$342,640,134	CYTotalRevenueAmt
PY Grants And Similar Paid	$463,365	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$404,592	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$138,256,083	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$156,530,368	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$190,476,270	PYOtherExpensesAmt
CY Other Expenses	$185,067,767	CYOtherExpensesAmt
PY Total Expenses	$329,195,718	PYTotalExpensesAmt
CY Total Expenses	$342,002,727	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,236,315	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$637,407	CYRevenuesLessExpensesAmt
Total Assets BOY	$328,652,418	TotalAssetsBOYAmt
Total Assets EOY	$306,334,753	TotalAssetsEOYAmt
Total Liabilities BOY	$160,562,946	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$118,390,244	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$168,089,472	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$187,944,509	NetAssetsOrFundBalancesEOYAmt
Mission	Cayuga 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$263,594,734	ExpenseAmt
Grant	$404,592	GrantAmt
Revenue	$329,105,900	RevenueAmt
Desc	Patient 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

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	Health Career scholarships are awarded to students pursuing a healthcare degrees and emergency funds are provide temporary funds to employees adversely affected by emergent situations. In 2022 scholarships were paid out of the Foundation due to increase in Foundation restricted funds available for scholarships.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$263,594,734	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	348	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	0	BackupWthldComplianceInd
Employee	2222	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Rebecca Gould	PersonNm
Phone	6072744441	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 Dates Drive	AddressLine1Txt
City	Ithaca	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14850	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Deidre Blake
CMC Med Staff President	0	40	Yes (X)	$0	$1,675,476	$1,675,476
Martin Stallone
President & CEO	39	1		$999,371	$0	$54,196	Yes (X)	Yes (X)
John-Paul Mead
Director	3	40		$61,343	$326,334	$326,334	Yes (X)
John Collett
CFO/VP of Finance	39	1		$522,400	$0	$37,400		Yes (X)
Srisatish Devapatla
Neonatologist	40	0		$468,576	$0	$42,754			Yes (X)
Andreia De Lima Serra
Vice President	40	0		$442,726	$0	$57,598			Yes (X)
Tracy Gates
COO	39	1		$438,142	$0	$58,769		Yes (X)
Justin Runke
Vice President	39	1		$416,548	$0	$56,154			Yes (X)
Michael Berlin
Assistant Vice President	39	1		$417,926	$0	$14,452			Yes (X)
Ramesh Vidavalur
Neonatologist	40	0		$392,626	$0	$32,454			Yes (X)
Tom LiVigne
Chair	4.00	0		$24,000	$0	$0	Yes (X)	Yes (X)
Paula Younger
Vice Chair	4	0		$19,750	$0	$0	Yes (X)	Yes (X)
John Lambert
Director	3	0		$16,750	$0	$0	Yes (X)
Brooke Hollis
Director	3	0		$16,000	$0	$0	Yes (X)
Kenneth Clarke
Director	3	0		$15,500	$0	$0	Yes (X)
Fred Wickham
Director	3	0		$15,500	$0	$0	Yes (X)
Joel Malina
Director	3	0		$8,750	$0	$0	Yes (X)
Carl Sgrecci
Director	3	0		$3,750	$0	$0	Yes (X)
Cris Donovan
Director	3	0		$2,250	$0	$0	Yes (X)
James Brown
Director	3.00	0		$2,000	$0	$0	Yes (X)
La Jerne Terry Cornish
Director	3.00	0		$1,750	$0	$0	Yes (X)
Jennifer Whitaker
Director	3	0		$1,500	$0	$0	Yes (X)
Eunice Nayo
Director	3.00	0		$1,000	$0	$0	Yes (X)
Greg Hartz
Treasurer	4.00	0		$0	$0	$0	Yes (X)
Suzanne Blowers
Secretary	4	0		$0	$0	$0	Yes (X)
Laurie Mante
Director	3	0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,288,158	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,001,810	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,355,587	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	222	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Mayo Collaborative Services
PO BOX 4100	ROCHESTER	MN	55903	LAB TESTING	$3,467,521
CORNELL UNIVERSITY
146 LANGMUIR LAB	ITHACA	NY	14850	LAB TESTING	$3,064,236	95 BROWN ROAD
MEDUIT HEALTH SERVICES
8085 KNUE RD	INDIANAPOLIS	IN	46250	OUTSOURCED REVENUE CYCLE SERVICES	$2,671,821
MEDICAL SOLUTIONS LLC
666 WALNUT ST	DES MOINES	IA	50309	TEMP STAFFING	$2,518,503	SUITE 700
HEALTH CAROUSEL
PO BOX 714216	CINCINNATI	OH	45271	TEMPORARY STAFFING	$1,591,969

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	73	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$363,000	RelatedOrganizationsAmt
Government Grants	$8,659,176	GovernmentGrantsAmt
All Other Contributions	$31,980	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$9,054,156	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient Revenue	Desc
Business	622000	BusinessCd
Total Revenue Column	$302,440,002	TotalRevenueColumnAmt
Related Or Exempt Func Income	$302,440,002	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,402,859	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,402,859	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$329,842,861	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,613,168	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$325,774	UnrelatedBusinessRevenueAmt
Exclusion	$3,287,394	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$8,152,979	SecuritiesAmt
Other	$45,747	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$8,794,171	SecuritiesAmt
Other	$45,747	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$641,192	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$641,192	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$641,192	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	Cafeteria Meals	Desc
Business	722212	BusinessCd
Total Revenue Column	$1,294,395	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,294,395	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$523,254	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$736,961	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$213,707	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$771,141	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$342,640,134	TotalRevenueColumnAmt
Related Or Exempt Func Income	$329,105,900	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$539,481	UnrelatedBusinessRevenueAmt
Exclusion	$3,940,597	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$404,592	TotalAmt
Program Services	$404,592	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,128,074	TotalAmt
Management And General	$2,128,074	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$112,553,348	TotalAmt
Program Services	$81,829,504	ProgramServicesAmt
Management And General	$30,723,844	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$11,687,242	TotalAmt
Program Services	$8,496,959	ProgramServicesAmt
Management And General	$3,190,283	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,204,894	TotalAmt
Program Services	$16,180,597	ProgramServicesAmt
Management And General	$6,024,297	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,956,810	TotalAmt
Program Services	$5,784,829	ProgramServicesAmt
Management And General	$2,171,981	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,685,455	TotalAmt
Program Services	$363,550	ProgramServicesAmt
Management And General	$1,321,905	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$524,438	TotalAmt
Program Services	$194,042	ProgramServicesAmt
Management And General	$330,396	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$130,220	TotalAmt
Management And General	$130,220	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$18,522	TotalAmt
Management And General	$18,522	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$52,500	TotalAmt
Management And General	$52,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$69,610,894	TotalAmt
Program Services	$56,986,426	ProgramServicesAmt
Management And General	$12,624,468	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,126,842	TotalAmt
Management And General	$2,126,842	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$67,802,037	TotalAmt
Program Services	$61,922,448	ProgramServicesAmt
Management And General	$5,879,589	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$5,028,408	TotalAmt
Program Services	$4,218,984	ProgramServicesAmt
Management And General	$809,424	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,056,770	TotalAmt
Program Services	$3,856,232	ProgramServicesAmt
Management And General	$3,200,538	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$263,837	TotalAmt
Program Services	$69,668	ProgramServicesAmt
Management And General	$194,169	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$489,788	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$489,788	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,532,306	TotalAmt
Program Services	$6,808,374	ProgramServicesAmt
Management And General	$5,723,932	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,774,568	TotalAmt
Program Services	$1,508,383	ProgramServicesAmt
Management And General	$266,185	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Licenses/Certifications/Permit Fees	$134,635	$76,177	$58,458
Purchased Services	$15,836,547	$14,893,969	$942,578

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$342,002,727	TotalAmt
Program Services	$263,594,734	ProgramServicesAmt
Management And General	$78,407,993	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,360	BOYAmt
EOY	$4,360	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,533,747	BOYAmt
EOY	$6,195,866	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,628,993	BOYAmt
EOY	$33,575,285	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,845,524	BOYAmt
EOY	$12,086,785	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,699,155	BOYAmt
EOY	$15,957,691	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$318,808,863	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$213,701,672	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$97,631,177	BOYAmt
EOY	$105,107,191	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$100,852,477	BOYAmt
EOY	$86,530,046	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,529,995	BOYAmt
EOY	$1,529,995	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$33,926,990	BOYAmt
EOY	$45,347,534	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$328,652,418	BOYAmt
EOY	$306,334,753	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,550,999	BOYAmt
EOY	$43,121,968	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,615,493	BOYAmt
EOY	$19,472,532	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$99,396,454	BOYAmt
EOY	$55,795,744	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$160,562,946	BOYAmt
EOY	$118,390,244	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$160,595,305	BOYAmt
EOY	$180,636,486	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,494,167	BOYAmt
EOY	$7,308,023	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$168,089,472	BOYAmt
EOY	$187,944,509	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$328,652,418	BOYAmt
EOY	$306,334,753	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$637,407	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$17,039,119	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$36,256,749	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$20,173	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$20,173	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	Cayuga 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,728,201	BeginningYearBalanceAmt
Contributions	$29,316	ContributionsAmt
Investment Earnings Or Losses	$216	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$7,226	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,750,507	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,703,145	BeginningYearBalanceAmt
Contributions	$35,761	ContributionsAmt
Investment Earnings Or Losses	$199	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$10,904	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,728,201	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.362	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.638	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$176,822,078	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$104,511,056	DepreciationAmt
Book Value	$72,311,022	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,641,403	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$2,361,091	DepreciationAmt
Book Value	$280,312	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$121,441,668	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$102,209,069	DepreciationAmt
Book Value	$19,232,599	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$15,074,252	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$4,620,456	DepreciationAmt
Book Value	$10,453,796	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$105,107,191	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Beneficial interest in assets of foundation	$9,051,814
Right of use asset	$14,266,257
Life insurance	$2,270,162
Equity in related parties	$19,759,301

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$45,347,534	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
Lease liability	$14,441,334
Accrued pension cost	$8,049,750
Accrued postretirement	$9,495,225
Due 3rd party payors	$18,252,213
Due to Affiliate	$4,972,321
Medicare Advance	$584,901

Field	Value	IRS element (for citing)
Total Liability	$55,795,744	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$361,857,517	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$17,039,119	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	$36,256,502	OtherRevenueAmt
Revenue Not Reported	$19,217,383	RevenueNotReportedAmt
Revenue Subtotal	$342,640,134	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$342,640,134	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$342,002,727	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$342,002,727	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$342,002,727	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	The 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 2d	Unrealized Gain on Interest Rate Swap = $14,183 Other Changes in Pension & Post-Retirement Benefit (Gain in CY) = $36,242,319

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$189,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$189,612	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$47,887,103	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,052,851	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,834,252	NetCommunityBenefitExpnsAmt
Total Expense	0.0405	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$48,076,715	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,052,851	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,023,864	NetCommunityBenefitExpnsAmt
Total Expense	0.0411	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$46,975,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$293,763	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,681,269	NetCommunityBenefitExpnsAmt
Total Expense	0.1365	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,421,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,421,942	NetCommunityBenefitExpnsAmt
Total Expense	0.01	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$25,166,641	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,351,997	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,814,644	NetCommunityBenefitExpnsAmt
Total Expense	0.0141	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,958	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$75,577,573	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,645,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,931,813	NetCommunityBenefitExpnsAmt
Total Expense	0.1606	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$123,654,288	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,698,611	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$68,955,677	NetCommunityBenefitExpnsAmt
Total Expense	0.2017	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$189,612	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$25,649,939	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$22,880,738	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,769,201	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	0	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Cayuga Medical Center at Ithaca	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 Dates Drive	AddressLine1Txt
City	Ithaca	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14850	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.cayugamed.org	WebsiteAddressTxt
State License	5401001H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Cayuga Medical Center at Ithaca	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.cayugamed.org/wp-content/uploads/2020/08/2019-2024_CHA-CHIP-Tompkins-1.pdf	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	http://www.cayugamed.org/wp-content/uploads/2020/08/2019-2024_CHA-CHIP-Tompkins-1.pdf	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.cayugamed.org/visiting-us/paying-for-your-care/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.cayugamed.org/visiting-us/paying-for-your-care/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.cayugamed.org/visiting-us/paying-for-your-care/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Cayuga 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 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 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 Health 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.

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
Cayuga Medical Center - CHOA
10 Arrowwood drive	ithaca	NY	14850	diagnostic imaging, hematology/oncology services
Cayuga Medical Center - Urgent Care Cortland
1129 Commons ave	Cortland	NY	13045	urgent care, diagnostic imaging, lab services, outpatient physical therapy.
Cayuga Medical Center - Cayuga Wellness Center
310 Taughannock Blvd	Ithaca	NY	14850	cardiac rehab, outpatient physical therapy, bariatric clinic & nutritional services
Cayuga Medical Center - CHOA
201 Dates Drive	ithaca	NY	14850	Hematology & Oncology Services
Cayuga Medical Center - Surgicare
10 Arrowwood drive	ithaca	NY	14850	outpatient surgical services
Cayuga Medical Center - Brentwood PT
10 Brentwood Drive	ithaca	NY	14850	outpatient rehabilitation services
Cayuga Medical Center - Brentwood Imaging
10 Brentwood drive	ithaca	NY	14850	Diagnostic Imaging services
Cayuga Medical Center - Cayuga Endoscopy Center
2435 N Triphammer rd	ithaca	NY	14850	Endoscopy services
Cayuga Medical Center - Dryden Draw Station
5 Evergreen st	Dryden	NY	13053	lab draw station
Cayuga Medical Center - craft road lab draw
1020 craft rd	ithaca	NY	14850	lab draw station	suite b
Cayuga Medical Center - cayuga heights lab draw
905 hanshaw road	ithaca	NY	14850	lab draw station
Cayuga Medical Center - it offices
767 warren road	ithaca	NY	14850	information & technology systems.
Cayuga Medical Center - mass sampling site
40 catherwood drive	ithaca	NY	14850	COVID collection site and inventory warehousing.
Cayuga Medical Center - lab processing
53 Brown Rd	ithaca	NY	14850	lab processing
Cayuga Medical Center - Cortland MOB
1123 Commons Ave	Cortland	NY	13045	Medical Offices
Cayuga Medical Center - Cortland CHOA
1081 Commons ave	cortland	NY	13045	hematology & cancer services

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	Cayuga Medical Center utilized its cost accounting system to obtain the cost of services related to financial assistance and subsidized health services, lines 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 f	No 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 4	"The Medical Center recognizes patient service revenue at amounts that reflect the consideration to which they expect to be entitled in exchange for providing patient care. These amounts are due from patients, third-party payors (including commercial payors and government programs) and others, and they include variable consideration for retroactive revenue adjustments due to settlement of audits, reviews and investigations. The Medical Center recognizes patient service revenue in the period in which they satisfy performance obligations under contracts by providing healthcare services to patients. The Medical Center determines its performance obligations based on the nature of the services provided. Revenues for performance obligations satisfied over time are recognized based on actual charges incurred in relation to total expected charges as this method provides a reasonable estimate of the transfer of services over the term of performance obligations based on the inputs needed to satisfy the obligations. Generally, performance obligations satisfied over time relate to patients receiving inpatient acute care services. The Medical Center measures performance obligations from admission to the point when there are no further services required for the patient, which is generally the time of discharge. The Medical Center recognizes revenues for performance obligations satisfied at a point in time, which generally relate to patients receiving outpatient services, when services are provided and the patient does not require additional services. Because all of the Medical Center's patient service performance obligations generally relate to contracts with a duration of less than one year and as a result, they have elected to apply the optional exemption provided in FASB Accounting Standards Codification (ASC) 606-10-50-14(a) and, therefore, do not disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The unsatisfied or partially unsatisfied performance obligations referred to above are primarily related to inpatient acute care services at the end of the reporting period. The performance obligations for these contracts are generally completed when the patients are discharged, which generally occur within days or weeks of the end of the reporting period. The Medical Center determines the 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 uninsured patients that do not qualify for charity care, the Medical Center recognizes revenue on the basis of its standard rates for services provided. Based on its historical experience, a significant portion of the Medical Center's uninsured patients will likely be unable or unwilling to pay for the services provided. Thus, the Medical Center records an implicit price concession to reduce accounts to their net realizable value at the time management believes it is probable a receivable will not be recovered. There are various factors that can impact 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 rates 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 and 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 chargesThe Medical Center grants unsecured credit to its patients, most of whom 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 footnote. The Amount on line 3 is the amount from line two 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 8	The cost to charge ratio of 47.99% 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 $166,227,348. The result was then reduced by the worksheet 6 Medicare cost of $35,445,999 for the FY 2022 allowable cost of care. The revenue was reduced by Final Deductions of $105,131,410 and then reduced by the worksheet 6 Medicare revenue of $56,891,766 for the FY 2022.
Schedule H, Part III, Section C, Line 9b	CMC'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 2	To 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 for 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. Information for this assessment was collected in a different manner this year, as the CHNA and Community Health Improvement Plan (CHIP) was a combined effort with the Local Health Department of Tompkins County. 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. For example, data on hospitalizations related to mental health and substance abuse showed steep increases over the last 2-10 years, indicating that mental health and substance abuse continues to be a priority for Tompkins County. 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 VI, Line 3	There 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 4	Located 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 residents 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 azged 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 hilly 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 5	Cayuga 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 investing over $20 million to renovate a portion of the local mall to provide consolidated services to patients in the community with access to public transportation. CMC has also investing heavily in a new state of the art downtown campus with a medical office building, affordable housing, and market rate housing/business locations. The medical office building will include a Medicaid friendly primary care, a women's health center, and expansive oncology services. CMC operates several programs at a loss every year to ensure such services are available in the community including Neonatology, Cardiac Rehab, and Behavioral Services.
Schedule H, Part VI, Line 6	As 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 7	New York State

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
Reach Medical PLLC
1001 W Seneca Street	ITHACA	NY	14850	823284560	501(c)(3)	$343,938	$0	CASH BASIS	N/A	TO COLLABORATE IN CONNECTION WITH THE TRAINING OF MEDICAL RESIDENTS AND NURSING STUDENTS ON THE CARE OF PATIENTS WITH SUBSTANCE ABUSE DISORDERS.
CAYUGA MEDICAL ASSOCIATES
101 TRUMANSBURG ROAD	ITHACA	NY	14850	204356115	501(c)(3)	$7,642	$0	CASH BASIS	N/A	TO COLLABORATE IN CONNECTION WITH THE TRAINING OF MEDICAL RESIDENTSA ND NURSING STUDENTS ON THE CARE OF PATIENTS WITH SUBSTANCE ABUSE DISORDERS.
TOMPKINS CORTLAND COMMUNITY COLLEGE
170 NORTH STREET	DRYDEN	NY	13053	160928736	501(c)(3)	$53,012	$0	CASH BASIS	N/A	TO COLLABORATE IN CONNECTION WITH THE TRAINING OF MEDICAL RESIDENTSA ND NURSING STUDENTS ON THE CARE OF PATIENTS WITH SUBSTANCE ABUSE DISORDERS.	PO BOX 139

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	The 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

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Martin Stallone
President & CEO	$772,870	$0	$205,613	$0	$20,888	$0	$44,700	$0	$9,496	$0	$1,053,567	$0	$0	$0
John Collett
CFO/VP of Finance	$432,706	$0	$81,350	$0	$8,344	$0	$37,400	$0	$0	$0	$559,800	$0	$0	$0
Tracy Gates
COO	$362,150	$0	$68,531	$0	$7,461	$0	$56,400	$0	$2,369	$0	$496,911	$0	$0	$0
Srisatish Devapatla
Neonatologist	$447,008	$0	$1,200	$0	$20,367	$0	$30,800	$0	$11,954	$0	$511,329	$0	$0	$0
Andreia De Lima Serra
Vice President	$383,730	$0	$58,997	$0	$0	$0	$49,200	$0	$8,398	$0	$500,325	$0	$0	$0
Justin Runke
Vice President	$349,104	$0	$67,444	$0	$0	$0	$46,700	$0	$9,454	$0	$472,702	$0	$0	$0
Michael Berlin
Assistant Vice President	$371,388	$0	$43,538	$0	$3,000	$0	$13,725	$0	$727	$0	$432,378	$0	$0	$0
Ramesh Vidavalur
Neonatologist	$375,625	$0	$1,000	$0	$16,000	$0	$23,000	$0	$9,454	$0	$425,079	$0	$0	$0
John-Paul Mead
Director	$0	$318,704	$0	$7,630	$0	$0	$0	$9,150	$0	$15,286	$0	$350,770	$0	$0
Deidre Blake
CMC Med Staff President	$0	$867,238	$0	$808,238	$0	$0	$0	$9,150	$0	$26,951	$0	$1,711,577	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	All employees are eligible for a health club membership subsidy for which the medical center will reimburse employees 50% of the monthly single membership fee. The CEO was given a tax gross up payment in 2022 to cover life insurance premiums recognized as income by the CEO.
Schedule J, Part I, Line 4	CEO 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 3 years.
Schedule J, Part I, Line 6	Incentive compensation paid to executives are based on goals and metrics communicated prior to the start of the fiscal year. The Board regularly reviews performance against the goals and metrics and determines if they have been attained and an incentive compensation payment is earned.
Schedule J, Part I, Line 7	All employees, including officers, were permitted to exchange a portion of the PTO for a cash payout.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
TOMPKINS COUNTY DEVELOPMENT CORP
A	272290745	890096AA8	2010-08-31	$14,275,000	FINANCE CONSTRUCTION AND EQUIPMENT PURCHASES	0	0	0
TOMPKINS COUNTY DEVELOPMENT CORPORATION
B	272290745	890096AA8	2013-04-09	$25,000,000	FINANCE CONSTRUCTION AND EQUIPMENT PURCHASES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$14,275,000	$0	$14,275,000	$0	$0	$0	$285,500	$0	$142,750	$13,846,750	$0	$0	2010	0	0	Yes (1)	Yes (1)
B	$9,961,570	$0	$25,000,000	$0	$0	$0	$613,238	$0	$0	$24,386,762	$0	$0	2013	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0	Yes (1)	0	Yes (1)
B	0	0	0	0	0	0	0	Yes (1)	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
DEUTSHE BANK
A	Yes (1)	Yes (1)	Yes (1)	12	0	0	0	0	0
(no name)
B	Yes (1)	0	0				0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	The 990 is prepared by the accountant and assistant controller 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 12c	Cayuga 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 15	Cayuga Medical Center determines compensation of the CEO and other officers by utilizing independent compensation consultants and/or compensation surveys. A formal written contract for the CEO is reviewed and approved by the executive committee of the Board of Directors.
Form 990, Part VI, Section C, Line 19	Form 990, conflict of interest statement, financial statements, and other governing documents are available upon request to any community members
Form 990, Part IX, Line 11g	Primarily maintenance contracts, COVID reference lab costs, and other misc purchased services/contracted services expenses, CMA subsidy, and primary recruitment expenses
Form 990, Part XI, Line 9	Pension Gains - $36,242,319 Gain on Interest Rate Swaps - $14,183 Rounding $247

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CAYUGA HEALTH SYSTEM INC
101 DATES DRIVE	ITHACA	NY	14850	471899601	SUPPORT COMMUNITY HEALTHCARE	NY	501(c)(3)	12	N/A	0
SCHUYLER HOSPITAL
220 STEUBEN STREET	MONTOUR FALLS	NY	14865	150533564	HOSPITAL	NY	501(c)(3)	3	N/A	0
CAYUGA MEDICAL ASSOCIATES
1301 TRUMANSBURG ROAD	ITHACA	NY	14850	204356115	MEDICAL PRACTICES	NY	501(c)(3)	9		0	CAYUGA MEDICAL CENTER AT ITHACA
Cayuga Medical Center Foundation
101 Dates Drive	Ithaca	NY	14850	161072414	Charitable Support	NY	501(c)(3)	11		0	Cayuga Medical Center at Ithaca

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	201 DATES DRIVE	AddressLine1Txt
City	ITHACA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14850	ZIPCd

Field	Value	IRS element (for citing)
EIN	161261492	EIN
Primary Activities	BUILDING MANAGEMENT	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	Related	PredominantIncomeTypeTxt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.73	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
TOMPKINS OFFICE MANAGEMENT SYSTEM
101 DATES DRIVE	ITHACA	NY	14850	161437217	OFFICE MANAGEMENT	NY	CAYUGA MEDICAL CENTER AT ITHACA	C	1	Yes (1)
ISLAND HEALTH & FITNESS
310 TAUGHANNOCK BLVD	ITHACA	NY	14850	203036206	FITNESS	NY	TOMPKINS OFFICE MANAGEMENT SYSTEM	C	0.7	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAYUGA MEDICAL ASSOCIATES
b	$43,331,573	2022 SUBSIDY FOR MEDICAL PRACTICES OPERATING AT A LOSS
CAYUGA MEDICAL ASSOCIATES
j	$188,617	XRAY EQUIPMENT LEASE AND BUILDING LEASES
CAYUGA MEDICAL ASSOCIATES
k	$65,128	RADIOLOGICAL, LAB AND COVID-RELATED SPACES
CAYUGA MEDICAL ASSOCIATES
m	$2,978,592	HOSPITALIST AND INTENSIVIST SERVICES
CAYUGA MEDICAL ASSOCIATES
l	$3,498,074	SALE OF SERVICES, OVERSIGHT, STAFFING, AND OTHER CONTRACTUAL AGREEMENTS
CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION
k	$495,738	LEASE OF MEDICAL OFFICE SPACE
CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION
l	$182,788	LAND, LEASE AND MAINTENANCE FEES
Cayuga Medical Center Foundation
q	$52,800	CONTRACTED SERVICES
Cayuga Medical Center Foundation
m	$427,630	FUNDRAISING SERVICES
TOMPKINS OFFICE MANAGEMENT SYSTEM
k	$52,690	LEASE OF MEDICAL OFFICE SPACE
SCHUYLER HOSPITAL
p	$2,060,562	SCHUYLER HOSPITAL REIMBURSES CAYUGA MEDICAL CENTER FOR THE FOLLOWING SERVICES:ANESTHESIA, 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	$605,954	SCHUYLER HOSPITAL UTILIZES CAYUGA MEDICAL CENTER TO PERFORM THE FOLLOWING SERVICES: SLEEP, EKG STAFF, PAYROLL, AP, WOUND CLINIC STAFF, REMOTE PHARMACY, 340B SERVICES, RADIOLOGY TECHS, CASE MANAGEMENT, OVERSIGHT, AND BIO-ENGINEERING
SCHUYLER HOSPITAL
l	$124,423	SCHUYLER HOSPITAL PROVIDES STAFFING FOR NURSING, PHARMACY, LAB AND NURSE AIDE TRAINING POSITIONS AS NEEDED TO CMC

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Submission of the 990 was postponed until post-single audit which is completed in the late summer.	ExplanationTxt