CAYUGA MEDICAL CENTER AT ITHACA: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CAYUGA MEDICAL CENTER AT ITHACA (EIN 22-2325405)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-09
- IRS object ID
- 202233159349303303
- Schema version
- 2021v4.0
- 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 | 2022-11-09T22:16:58-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | 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 | John Collett | PersonNm |
| Person Title | VP/CFO | PersonTitleTxt |
| Phone | 6072744441 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
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 | 0 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Martin Stallone | 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 | $354,500,454 | 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 | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 2148 | TotalEmployeeCnt |
| Total Volunteers | 148 | TotalVolunteersCnt |
| Total Gross UBI | $149,996 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $20,354 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,833,772 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,012,082 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $254,459,185 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $307,293,148 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,838,798 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,632,717 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,223,450 | PYOtherRevenueAmt |
| CY Other Revenue | $2,021,456 | CYOtherRevenueAmt |
| PY Total Revenue | $278,355,205 | PYTotalRevenueAmt |
| CY Total Revenue | $325,959,403 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $231,870 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $463,365 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $121,292,499 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $138,256,083 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $156,748,898 | PYOtherExpensesAmt |
| CY Other Expenses | $190,476,270 | CYOtherExpensesAmt |
| PY Total Expenses | $278,273,267 | PYTotalExpensesAmt |
| CY Total Expenses | $329,195,718 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $81,938 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,236,315 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $317,408,433 | TotalAssetsBOYAmt |
| Total Assets EOY | $328,652,418 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $176,808,617 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $160,562,946 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $140,599,816 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $168,089,472 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Cayuga Health System will remain the region's leading healthcare system, 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 | $256,845,557 | ExpenseAmt |
| Grant | $458,028 | GrantAmt |
| Revenue | $309,149,308 | 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 | $5,337 | ExpenseAmt |
| Grant | $5,337 | 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. | 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 | $256,850,894 | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 362 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 2148 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | Yes (1) | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | John Collett | 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 (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Deidre Blake | ||||||||
| CMC Med Staff President | 1 | 39 | Yes (X) | $0 | $1,633,314 | $10,000 | ||
| Martin Stallone | ||||||||
| President & CEO | 39 | 1 | Yes (X) | $973,096 | $0 | $47,206 | Yes (X) | |
| David Evelyn | ||||||||
| VP of Medical Affairs | 39 | 1 | $377,584 | $0 | $199,060 | Yes (X) | ||
| John Collett | ||||||||
| CFO/VP of Finance | 39 | 1 | $485,911 | $0 | $49,000 | Yes (X) | ||
| Srisatish Devapatla | ||||||||
| Neonatologist | 40 | 0 | $465,230 | $0 | $32,646 | Yes (X) | ||
| Tracy Gates | ||||||||
| COO | 39 | 1 | $423,970 | $0 | $49,361 | Yes (X) | ||
| Auguste Duplan | ||||||||
| Psychologist | 40 | 0 | $376,418 | $0 | $39,160 | Yes (X) | ||
| Ramesh Vidavalur | ||||||||
| Neonatologist | 40 | 0 | $381,821 | $0 | $29,160 | Yes (X) | ||
| Justin Runke | ||||||||
| Vice President | 39 | 1 | $344,409 | $0 | $47,669 | Yes (X) | ||
| Tom LiVigne | ||||||||
| Chair | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Paula Younger | ||||||||
| Vice Chair | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Greg Hartz | ||||||||
| Treasurer | 1 | 0 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Carl Sgrecci | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| John Lambert | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Suzanne Blowers | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Fred Wickham | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Kenneth Clarke | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Eunice Nayo | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Joel Malina | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Brooke Hollis | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Jennifer Whitaker | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Laurie Mante | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| La Jerne Terry Cornish | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Cris Donovan | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| James Brown | ||||||||
| Director | 1 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,828,439 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,633,314 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $503,262 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 144 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| Mayo Collaborative Services | |||||
| PO BOX 4100 | ROCHESTER | MN | 55903 | LAB TESTING | $3,108,831 |
| GUIDEHOUSE MANAGED SERVICES | |||||
| 150 N RIVERSIDE PLZ STE 2100 | CHICAGO | IL | 60606 | OUTSOURCED REVENUE CYCLE SERVICES | $2,022,775 |
| MEDUIT HEALTH SERVICES | |||||
| 8085 KNUE RD | INDIANAPOLIS | IN | 46250 | OUTSOURCED REVENUE CYCLE SERVICES | $1,797,925 |
| HOWELL LIBERATORE AND ASSOC INC | |||||
| 50 PENNSYLVANIA AVE | ELMIRA | NY | 14904 | Marketing and Communication services | $1,588,954 |
| WEATHERBY LOCUMS | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | TEMPORARY STAFFING | $1,296,824 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 91 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $720,746 | RelatedOrganizationsAmt |
| Government Grants | $9,259,356 | GovernmentGrantsAmt |
| All Other Contributions | $31,980 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $10,012,082 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Revenue | Desc |
| Business | 622000 | BusinessCd |
| Total Revenue Column | $273,962,361 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $273,962,361 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,330,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,330,787 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $307,293,148 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,686,242 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$15,300 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,701,542 | 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 | $29,367,210 | SecuritiesAmt |
| Other | $120,316 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,420,735 | SecuritiesAmt |
| Other | $120,316 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $946,475 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $946,475 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $946,475 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| 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 |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria Meals | Desc |
| Business | 722212 | BusinessCd |
| Total Revenue Column | $1,210,143 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,210,143 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $811,313 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $646,017 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $165,296 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,021,456 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $325,959,403 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $309,149,308 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $149,996 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,648,017 | 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 | $458,028 | TotalAmt |
| Program Services | $458,028 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,337 | TotalAmt |
| Program Services | $5,337 | 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 | $2,270,984 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,270,984 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,728,369 | TotalAmt |
| Program Services | $74,507,444 | ProgramServicesAmt |
| Management And General | $27,220,925 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,355,329 | TotalAmt |
| Program Services | $6,851,989 | ProgramServicesAmt |
| Management And General | $2,503,340 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,863,800 | TotalAmt |
| Program Services | $13,113,568 | ProgramServicesAmt |
| Management And General | $4,750,232 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,037,601 | TotalAmt |
| Program Services | $5,154,449 | ProgramServicesAmt |
| Management And General | $1,883,152 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,254,327 | TotalAmt |
| Program Services | $328,870 | ProgramServicesAmt |
| Management And General | $925,457 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,454 | TotalAmt |
| Program Services | $164,078 | ProgramServicesAmt |
| Management And General | $279,376 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,475 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $139,475 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,522 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $18,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
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 |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $52,500 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,547,908 | TotalAmt |
| Program Services | $65,502,121 | ProgramServicesAmt |
| Management And General | $13,045,787 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,049,214 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,049,214 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,459,192 | TotalAmt |
| Program Services | $63,404,805 | ProgramServicesAmt |
| Management And General | $6,054,387 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,879,127 | TotalAmt |
| Program Services | $3,331,846 | ProgramServicesAmt |
| Management And General | $547,281 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,396,588 | TotalAmt |
| Program Services | $3,511,474 | ProgramServicesAmt |
| Management And General | $2,885,114 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,602 | TotalAmt |
| Program Services | $31,793 | ProgramServicesAmt |
| Management And General | $97,809 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,982 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $543,982 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,641,434 | TotalAmt |
| Program Services | $6,885,241 | ProgramServicesAmt |
| Management And General | $5,756,193 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,568,422 | TotalAmt |
| Program Services | $1,333,159 | ProgramServicesAmt |
| Management And General | $235,263 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Licenses/Certificates/Permits | $132,641 | $85,433 | $47,208 | $0 |
| Purchased Services | $13,219,882 | $12,181,259 | $1,038,623 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,195,718 | TotalAmt |
| Program Services | $256,850,894 | ProgramServicesAmt |
| Management And General | $72,344,824 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,237 | BOYAmt |
| EOY | $4,360 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,685,719 | BOYAmt |
| EOY | $31,533,747 | 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 | $26,674,036 | BOYAmt |
| EOY | $32,628,993 | 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 | $12,096,167 | BOYAmt |
| EOY | $11,845,524 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,172,182 | BOYAmt |
| EOY | $18,699,155 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $298,919,510 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $201,288,333 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,957,182 | BOYAmt |
| EOY | $97,631,177 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,691,226 | BOYAmt |
| EOY | $100,852,477 | 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 | $18,597,689 | BOYAmt |
| EOY | $33,926,990 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,408,433 | BOYAmt |
| EOY | $328,652,418 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,828,205 | BOYAmt |
| EOY | $43,550,999 | 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 | $20,421,601 | BOYAmt |
| EOY | $17,615,493 | 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 | $116,558,811 | BOYAmt |
| EOY | $99,396,454 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,808,617 | BOYAmt |
| EOY | $160,562,946 | 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 | $134,359,733 | BOYAmt |
| EOY | $160,595,305 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,240,083 | BOYAmt |
| EOY | $7,494,167 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,599,816 | BOYAmt |
| EOY | $168,089,472 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,408,433 | BOYAmt |
| EOY | $328,652,418 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,236,315 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,549,281 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $25,176,690 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $18,522 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $18,522 | 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 | $1,764,186 | 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,720,662 | BeginningYearBalanceAmt |
| Contributions | $97 | ContributionsAmt |
| Investment Earnings Or Losses | $193 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $17,807 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $1,703,145 | 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 | $2,829,467 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $2,829,467 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $170,974,977 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,334,686 | DepreciationAmt |
| Book Value | $73,640,291 | 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 | $2,239,012 | DepreciationAmt |
| Book Value | $402,391 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $114,793,510 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,221,534 | DepreciationAmt |
| Book Value | $17,571,976 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $7,680,153 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,493,101 | DepreciationAmt |
| Book Value | $3,187,052 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $97,631,177 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| beneficial interests in assets of foundation | $10,227,913 |
| insurance receivable | $2,053,439 |
| Equity in Related Parties | $19,319,513 |
| Life Insurance | $2,326,125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $33,926,990 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| CARES Funding Advance | $14,032,765 |
| Accrued Postretirement | $12,999,967 |
| Due 3rd Party Payors | $32,085,727 |
| Accrued Pension Cost | $38,210,373 |
| Accrued Insurance Claims | $2,053,439 |
| Fair Value Interest Rate Swap | $14,183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $99,396,454 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $331,508,684 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $5,549,281 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $5,549,281 | RevenueNotReportedAmt |
| Revenue Subtotal | $325,959,403 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $325,959,403 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $303,998,473 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | -$25,197,245 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$25,197,245 | ExpensesNotReportedAmt |
| Expenses Subtotal | $329,195,718 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $329,195,718 | 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 XII, Line 2d | Unrealized Gains (Loss) on Interest Rate Swap = ($41,696) + Other Changes in Pension & Postretirement Benefits ($25,155,549) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| 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 | $102,240 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $102,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0003 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $44,109,242 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,902,643 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,206,599 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0826 | 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 | $44,211,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,902,643 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,308,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0829 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $52,433,365 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $363,704 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $52,069,661 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1582 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $2,951,329 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,951,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.009 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $6,408,979 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,334,522 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,074,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0093 | 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 | $22,908 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $61,816,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,698,226 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $58,118,355 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1766 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $106,028,063 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,600,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $85,427,194 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.2595 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,661,804 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $102,240 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $60,284,521 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $74,497,397 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,212,876 | 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 | 19 | 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 | 19 | 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 (4 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, 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. |
| Schedule H, Part V, Section B, Line 20d-Cayuga Medical Center at Ithaca | Per third party revenue cycle company, presumptive eligiblity is not currently utilized. |
| 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 49.47% 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 $158,038,968. The result was then reduced by the worksheet 6 Medicare cost of $1,742,333 for the FY 2021 allowable cost of care. The revenue was reduced by Final Deductions of $96,012,114 and then reduced by the worksheet 6 Medicare revenue of $3,684,480 for the FY 2021. 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 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 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 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. In2019, 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) | $358,580 | $0 | CASH BASIS | N/A | TO COLLABORATE IN CONNECTION WITH THE TRAINING OF MEDICAL RESIDENTS AND NURSING STUDENTS ON THE CARE OF PATIENTS WITH SUSBTANCE ABUSE DISORDERS. | |
| CAYUGA MEDICAL ASSOCIATES | |||||||||||
| 101 TRUMANSBURG ROAD | ITHACA | NY | 14850 | 204356115 | 501(C)(3) | $41,658 | $0 | CASH BASIS | N/A | TO COLLABORATE IN CONNECTION WITH THE TRAINING OF MEDICAL RESIDENTS AND NURSING STUDENTS ON THE CARE OF PATIENTS WITH SUSBTANCE ABUSE DISORDERS. | |
| Tompkins Cortland Community College | |||||||||||
| 170 North Street | DRYDEN | NY | 13053 | 160928736 | 501(c)(3) | $41,637 | $0 | CASH BASIS | N/A | TO COLLABORATE IN CONNECTION WITH THE TRAINING OF MEDICAL RESIDENTS AND NURSING STUDENTS ON THE CARE OF PATIENTS WITH SUSBTANCE ABUSE DISORDERS. | PO Box 139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CMC PROVIDES DISASTER FUNDS TO EMPLOYEES WHO APPLY FOR IT WHEN MAJOR EVENTS AFFECT THEIR LIVES. | GrantTypeTxt |
| Recipient | 18 | RecipientCnt |
| Cash Grant | $5,337 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | CASH BASIS | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
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 he 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 (9 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 | $750,833 | $0 | $216,674 | $0 | $5,589 | $0 | $39,000 | $0 | $8,206 | $0 | $1,020,302 | $0 | $0 | $0 |
| John Collett | ||||||||||||||
| CFO/VP of Finance | $400,495 | $0 | $79,207 | $0 | $6,209 | $0 | $49,000 | $0 | $0 | $0 | $534,911 | $0 | $0 | $0 |
| Tracy Gates | ||||||||||||||
| COO | $336,708 | $0 | $66,725 | $0 | $20,537 | $0 | $46,992 | $0 | $2,369 | $0 | $473,331 | $0 | $0 | $0 |
| Srisatish Devapatla | ||||||||||||||
| Neonatologist | $446,350 | $0 | $1,000 | $0 | $17,880 | $0 | $26,000 | $0 | $6,646 | $0 | $497,876 | $0 | $0 | $0 |
| David Evelyn | ||||||||||||||
| CMO/VP of Medical Affairs | $377,584 | $0 | $0 | $0 | $0 | $0 | $190,100 | $0 | $8,960 | $0 | $576,644 | $0 | $0 | $0 |
| Ramesh Vidavalur | ||||||||||||||
| Neonatologist | $366,621 | $0 | $1,000 | $0 | $14,200 | $0 | $20,200 | $0 | $8,960 | $0 | $410,981 | $0 | $0 | $0 |
| Justin Runke | ||||||||||||||
| Vice President | $259,646 | $0 | $64,763 | $0 | $20,000 | $0 | $40,777 | $0 | $6,892 | $0 | $392,078 | $0 | $0 | $0 |
| Auguste Duplan | ||||||||||||||
| Psychologist | $375,418 | $0 | $1,000 | $0 | $0 | $0 | $30,200 | $0 | $8,960 | $0 | $415,578 | $0 | $0 | $0 |
| Deidre Blake | ||||||||||||||
| CMC Med Staff President | $0 | $792,992 | $0 | $808,238 | $0 | $0 | $0 | $18,700 | $0 | $23,384 | $0 | $1,643,314 | $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 2021 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 4 years. |
| Schedule J, Part I, Line 6 | Bonuses to staff and leadership are dependent on the fiscal performance of the organization. |
| 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 | $12,850,000 | $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 | $8,765,981 | $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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The 990 is prepared by the Assistant Controller of the Organization, 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 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 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 | Maintenance contracts and other misc purchase services - 22,891,738, Cayuga Medical Associates subsidy - 46,933,086, other provider service agreements - 7,465,706, other - 1,242,668 |
| Form 990, Part XI, Line 9 | Unrealized Gain on Interest Rate Swaps = $41,696. Other Changes in Pension and Postretirement Obligation = $25,155,549. Release from Restrictions = ($20,555) |
| Form 990, Part XII, Line 2c | No changes have occurred in this process since prior year. |
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 |
| Share Of Total Income | -$15,300 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,807,626 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOMPKINS OFFICE MANAGEMENT SYSTEM | ||||||||||||
| 101 DATES DRIVE | ITHACA | NY | 14850 | 161437217 | OFFICE MANAGEMENT | NY | CAYUGA MEDICAL CENTER AT ITHACA | C | $605,405 | $15,455,005 | 1 | Yes (1) |
| ISLAND HEALTH & FITNESS | ||||||||||||
| 310 TAUGHANNOCK BLVD | ITHACA | NY | 14850 | 203036206 | FITNESS | NY | TOMPKINS OFFICE MANAGEMENT SYSTEM | C | $0 | $0 | 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 | Yes (1) | 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 | Yes (1) | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SCHUYLER HOSPITAL | ||
| q | $2,241,347 | SCHUYLER HOSPITAL REIMBURSES CAYUGA MEDICAL CENTER FOR THE FOLLOWING SERVICES: ANESTHESIA, LAB TESTING, IT PROGRAMS, MARKETING COSTS, SUPPLIES, INSRUANCE, AND LEGAL FEES. |
| SCHUYLER HOSPITAL | ||
| l | $1,320,023 | CMC PERFORMS THE FOLLOWING SERVICES FOR SCHUYLER HOSPITAL: SLEEP, VARIOUS DEPARTMENTAL STAFFING, PAYROLL, AP, 340B SERVICES, OVERSIGHT, AND BIO-ENGINEERING. |
| SCHUYLER HOSPITAL | ||
| m | $151,460 | SCHUYLER HOSPITAL PROVIDES STAFFING FOR NURSING, PHARMACY, LAB, AND NURSE AID TRAINING POSITIONS AS NEEDED TO CMC. |
| CAYUGA MEDICAL ASSOCIATES | ||
| b | $41,450,434 | 2021 SUBSIDY FOR MEDICAL PRACTICES OPERATING AT A LOSS. |
| CAYUGA MEDICAL ASSOCIATES | ||
| j | $241,991 | XRAY EQUIPMENT LEASE AND BUILDING LEASES |
| CAYUGA MEDICAL ASSOCIATES | ||
| k | $62,826 | RADIOLOGY, LAB, AND COVID SPACE RENTALS. |
| CAYUGA MEDICAL ASSOCIATES | ||
| m | $2,837,292 | HOSPITALIST AND INTENSIVIST SERVICES |
| CAYUGA MEDICAL ASSOCIATES | ||
| l | $4,993,977 | SALE OF SERVICES, OVERSIGHT, STAFFING, AND OTHER CONTRACTUAL AGREEMENTS |
| TOMPKINS OFFICE MANAGEMENT SYSTEM | ||
| i | $10,070,022 | TRANSFER OF LAND FROM CAYUGA MEDICAL CENTER TO TOMS. DEVELOPMENT ON THE LAND HAS STARTED SO THE LAND WAS TRANSFERED TO ALIGN BUILDING MANAGEMENT UNDER ONE ENTITY (TOMS). |
| TOMPKINS OFFICE MANAGEMENT SYSTEM | ||
| b | $1,901,661 | CAPITAL CONTRIBUTION TO SUPPORT PURCHASE OF MEDICAL PRACTICE. |
| Cayuga Medical Center Foundation | ||
| c | $1,000,000 | Transfer of estate contribution |
| Cayuga Medical Center Foundation | ||
| q | $51,700 | Contracted Services |
| Cayuga Medical Center Foundation | ||
| m | $431,961 | Fundraising Services |
| CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION | ||
| k | $470,484 | lease of medical office space |
| CAYUGA MEDICAL OFFICE BUILDING ASSOCIATION | ||
| l | $142,211 | land lease and maintenance fees. |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Due to late guidance on provider relief funds CMC's 990 single audit submission was extended to allow sufficient time to complete. Submission of the 990 was postponed until post-single audit. | ExplanationTxt |