CAYUGA MEDICAL CENTER AT ITHACA: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CAYUGA MEDICAL CENTER AT ITHACA (EIN 22-2325405)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-10-19
IRS object ID: 201833179349301318
Schema version: 2017v2.0
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 J
Schedule K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-10-19T09:22:32-07:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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	2018-10-31	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	66.152.124.189	IPv4AddressTxt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John Rudd	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	$260,213,559	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	20	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	1730	TotalEmployeeCnt
Total Volunteers	164	TotalVolunteersCnt
Total Gross UBI	$949,419	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$269,674	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$532,842	PYContributionsGrantsAmt
CY Contributions Grants	$404,188	CYContributionsGrantsAmt
PY Program Service Revenue	$194,725,274	PYProgramServiceRevenueAmt
CY Program Service Revenue	$209,179,911	CYProgramServiceRevenueAmt
PY Investment Income	$971,238	PYInvestmentIncomeAmt
CY Investment Income	$4,075,885	CYInvestmentIncomeAmt
PY Other Revenue	$2,390,827	PYOtherRevenueAmt
CY Other Revenue	$2,773,561	CYOtherRevenueAmt
PY Total Revenue	$198,620,181	PYTotalRevenueAmt
CY Total Revenue	$216,433,545	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$98,208,153	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$100,859,776	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$90,802,114	PYOtherExpensesAmt
CY Other Expenses	$99,920,889	CYOtherExpensesAmt
PY Total Expenses	$189,014,267	PYTotalExpensesAmt
CY Total Expenses	$200,781,665	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,605,914	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,651,880	CYRevenuesLessExpensesAmt
Total Assets BOY	$261,995,416	TotalAssetsBOYAmt
Total Assets EOY	$264,911,114	TotalAssetsEOYAmt
Total Liabilities BOY	$106,979,702	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$109,258,088	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$155,015,714	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$155,653,026	NetAssetsOrFundBalancesEOYAmt
Mission	To deliver the highest quality healthcare in partnership with our community, one person at a time.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$146,316,604	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$211,280,817	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 to 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	$1,000	ExpenseAmt
Grant	$1,000	GrantAmt
Revenue	$0	RevenueAmt
Desc	A health career scholarship awarded to students pursuing a healthcare degree. Two participants in 2017.	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	$146,317,604	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	328	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1730	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	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	19	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 (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Larry Baum
Chairman	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Kyle Tuttle
Vice Chair	1	0	Yes (X)	Yes (X)	$0	$0	$0
Tom LiVigne
Secretary	1	0	Yes (X)	Yes (X)	$0	$0	$0
Greg Hartz
Treasurer	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Peter Bardaglio
Director	1	0	Yes (X)		$0	$0	$0
Suzanne Blowers
Director	1	0	Yes (X)		$0	$0	$0
Paula Younger
Director	1	0	Yes (X)		$0	$0	$0
Joel Malina
Director	1	0	Yes (X)		$0	$0	$0
James Brown
Director	1	0	Yes (X)		$0	$0	$0
Noel Desch
Director	1	0	Yes (X)		$0	$0	$0
Gary Ferguson
Director	1	0	Yes (X)		$0	$0	$0
Ben Saks DO
Director	1	0	Yes (X)		$0	$0	$0
Rev Dr Ken Clarke
Director	1	0	Yes (X)		$0	$0	$0
Rick Weakland
Director	1	0	Yes (X)		$0	$0	$0
John Lambert MD
Director	1	0	Yes (X)		$0	$0	$0
Jerry Mickelson
Director	1	0	Yes (X)		$0	$0	$0
Carl Sgrecci
Director	1	0	Yes (X)		$0	$0	$0
Fred Wickham
Director	1	0	Yes (X)		$0	$0	$0
Eunice Nayo
Director	1	0	Yes (X)		$0	$0	$0
John Rudd
President/CEO	40	0	Yes (X)	Yes (X)	$642,838	$0	$13,896
John Collett
CFO/VP	40	0		Yes (X)	$324,357	$0	$5,400
Timothy Bael MD
Oncologist	40	0			$734,994	$0	$10,336	Yes (X)
Julie Campbell MD
Oncologist	40	0			$589,235	$0	$13,896	Yes (X)
Charles Garbo MD
Oncologist	40	0			$556,778	$0	$11,396	Yes (X)
Srisatish Devapaltla MD
Neonatologist	40	0			$417,317	$0	$13,896	Yes (X)
David Evelyn MD
VP of Medical Affairs	40	0			$381,010	$0	$12,046	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,646,529	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$80,866	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	86	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	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Cayuga Anesthesia Associates PLLC
101 Dates Drive	Ithaca	NY	14850	Anesthesiology Services	$3,826,905
Navigant Consulting
150 North Riverside Plaza	Chicago	IL	60606	Revenue Cycle Services	$3,473,556	Suite 2100
Conway Construction of Ithaca Inc
1465 Dryden Road	Freeville	NY	13068	Construction Contractor	$2,549,554
Mayo Collaborative Services Inc
PO Box 9146	Minneapolis	MN	55480	Laboratory Services	$2,305,183
Fastaff LLC
5700 South Quebec Street	Greenwood Village	CO	80111	Short Term Staffing	$2,211,016	Suite 300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$368,500	GovernmentGrantsAmt
All Other Contributions	$35,688	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$404,188	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Net Patient Revenue	Desc
Business	622000	BusinessCd
Total Revenue Column	$201,416,060	TotalRevenueColumnAmt
Related Or Exempt Func Income	$201,416,060	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,763,851	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,763,851	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$209,179,911	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,872,418	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$276,764	UnrelatedBusinessRevenueAmt
Exclusion	$1,595,654	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	$46,002,517	SecuritiesAmt
Other	-$19,036	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$43,780,014	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,222,503	SecuritiesAmt
Other	-$19,036	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,203,467	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,203,467	ExclusionAmt

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Other Revenue	622000	$936,038	$780,777	$155,261	$0
Cafeteria Meals Revenue	722212	$1,320,129	$0	$0	$1,320,129

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$517,394	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$517,394	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,773,561	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,433,545	TotalRevenueColumnAmt
Related Or Exempt Func Income	$209,960,688	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$949,419	UnrelatedBusinessRevenueAmt
Exclusion	$5,119,250	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,000	TotalAmt
Program Services	$1,000	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	$986,491	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$986,491	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	$72,797,942	TotalAmt
Program Services	$55,372,510	ProgramServicesAmt
Management And General	$17,425,432	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,617,348	TotalAmt
Program Services	$4,974,182	ProgramServicesAmt
Management And General	$1,643,166	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,381,933	TotalAmt
Program Services	$11,549,952	ProgramServicesAmt
Management And General	$3,831,981	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,076,062	TotalAmt
Program Services	$3,861,020	ProgramServicesAmt
Management And General	$1,215,042	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,740,502	TotalAmt
Program Services	$518,887	ProgramServicesAmt
Management And General	$1,221,615	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$876,905	TotalAmt
Program Services	$657,679	ProgramServicesAmt
Management And General	$219,226	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$259,526	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$259,526	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$103,576	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$103,576	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	$118,931	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$118,931	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,054,139	TotalAmt
Program Services	$6,573,549	ProgramServicesAmt
Management And General	$10,480,590	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,073,696	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,073,696	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,513,843	TotalAmt
Program Services	$38,354,047	ProgramServicesAmt
Management And General	$5,159,796	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,465,840	TotalAmt
Program Services	$1,849,380	ProgramServicesAmt
Management And General	$616,460	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	$3,978,993	TotalAmt
Program Services	$2,184,006	ProgramServicesAmt
Management And General	$1,794,987	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$331,620	TotalAmt
Program Services	$147,246	ProgramServicesAmt
Management And General	$184,374	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	$940,089	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$940,089	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	$14,683,253	TotalAmt
Program Services	$8,059,403	ProgramServicesAmt
Management And General	$6,623,850	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,019,859	TotalAmt
Program Services	$866,880	ProgramServicesAmt
Management And General	$152,979	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Physician Advance Forgiveness	$50,144	$0	$50,144	$0
License/Certificates/Permit Fees	$109,429	$69,180	$40,249	$0
Purchased Services	$11,600,544	$11,278,683	$321,861	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$200,781,665	TotalAmt
Program Services	$146,317,604	ProgramServicesAmt
Management And General	$54,464,061	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,087	BOYAmt
EOY	$7,313	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,556,357	BOYAmt
EOY	$15,664,425	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	$31,180,546	BOYAmt
EOY	$24,654,747	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	$228,962	BOYAmt
EOY	$303,645	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,651,071	BOYAmt
EOY	$8,039,143	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,764,385	BOYAmt
EOY	$8,991,214	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$271,201,001	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$154,099,066	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$110,851,965	BOYAmt
EOY	$117,101,935	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$70,270,238	BOYAmt
EOY	$72,772,255	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,564,717	BOYAmt
EOY	$1,564,717	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,920,088	BOYAmt
EOY	$15,811,720	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,995,416	BOYAmt
EOY	$264,911,114	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,995,223	BOYAmt
EOY	$22,859,917	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	$33,942,587	BOYAmt
EOY	$29,889,856	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	$51,041,892	BOYAmt
EOY	$56,508,315	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$106,979,702	BOYAmt
EOY	$109,258,088	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$149,883,257	BOYAmt
EOY	$150,264,474	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,738,922	BOYAmt
EOY	$3,995,017	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,393,535	BOYAmt
EOY	$1,393,535	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$155,015,714	BOYAmt
EOY	$155,653,026	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,995,416	BOYAmt
EOY	$264,911,114	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$15,651,880	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,728,134	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$21,742,702	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

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	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$106,364	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$25,113	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$131,477	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 Hospital at Ithaca has consultants that lobby on the hospital's behalf and it also belongs to an organization that lobbies on their members' behalf.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,711,653	BeginningYearBalanceAmt
Contributions	$30,144	ContributionsAmt
Investment Earnings Or Losses	$181	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$21,316	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,720,662	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,674,520	BeginningYearBalanceAmt
Contributions	$43,088	ContributionsAmt
Investment Earnings Or Losses	$136	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$6,091	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,711,653	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,647,374	BeginningYearBalanceAmt
Contributions	$41,237	ContributionsAmt
Investment Earnings Or Losses	$105	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$14,196	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,674,520	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,734,183	BeginningYearBalanceAmt
Contributions	$261,328	ContributionsAmt
Investment Earnings Or Losses	$97	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$348,234	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,647,374	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.818	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.182	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	$12,899,485	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$12,899,485	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$148,506,418	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$71,251,149	DepreciationAmt
Book Value	$77,255,269	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,528,371	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$1,763,099	DepreciationAmt
Book Value	$765,272	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$99,399,070	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$76,948,141	DepreciationAmt
Book Value	$22,450,929	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$7,867,657	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$4,136,677	DepreciationAmt
Book Value	$3,730,980	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$117,101,935	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Beneficial interest in assets of foundation	$6,737,889
Insurance Receivable	$2,677,831
Equity in Related Parties	$4,786,139
Other Assets	$1,609,861

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,811,720	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Due to Third Party Payers	$7,331,262
Fair Value of Interest Rate Swaps	$104,178
Accrued Insurance Claims	$2,677,831
Accrued Pension Cost	$34,037,852
Accrued Post Retirement Costs	$12,357,192

Field	Value	IRS element (for citing)
Total Liability	$56,508,315	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$201,418,977	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$6,728,134	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	-$21,742,702	OtherRevenueAmt
Revenue Not Reported	-$15,014,568	RevenueNotReportedAmt
Revenue Subtotal	$216,433,545	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$216,433,545	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$200,781,665	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$0	DonatedServicesUseFcltsAmt
Prior Year Adjustments	$0	PriorYearAdjustmentsAmt
Losses Reported	$0	LossesReportedAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$200,781,665	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$200,781,665	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part V, Line 4	The intended use of the endowment funds is to support Cayuga Medical Center's ongoing mission to deliver the highest quality healthcare in partnership with our community, one person at a time.
Schedule D, Part XI, Line 2d	Unrealized Loss on interest rate swap: ($50,308); Realized gain on terminated interest rate swap: $108,000; Other changes in pension and post retirement obligation: ($4,829,051); Transfer to related party: ($16,971,343).

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	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$258,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$258,331	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,803,096	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,895,616	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,907,480	NetCommunityBenefitExpnsAmt
Total Expense	0.0471	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
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	$28,061,427	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,895,616	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,165,811	NetCommunityBenefitExpnsAmt
Total Expense	0.0485	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,300,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$402,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,898,685	NetCommunityBenefitExpnsAmt
Total Expense	0.1053	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$956,093	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,892	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$928,201	NetCommunityBenefitExpnsAmt
Total Expense	0.0049	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,893,164	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,014,837	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,878,327	NetCommunityBenefitExpnsAmt
Total Expense	0.0311	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
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)
Total Community Benefit Expns	$60,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,209	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,210,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,444,960	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,765,422	NetCommunityBenefitExpnsAmt
Total Expense	0.1416	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$65,271,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,340,576	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,931,233	NetCommunityBenefitExpnsAmt
Total Expense	0.1901	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,861,091	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,046,399	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,181,745	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$69,106,328	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$27,924,583	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 INC	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
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 INC	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	16	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	WWW.CAYUGAMED.ORG/DOCS/CHIP-TOMP-2016-2018.PDF	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CAYUGAMED.ORG/DOCS/CHIP-TOMP-2016-2018.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
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
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	WWW.CAYUGAMED.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CAYUGAMED.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CAYUGAMED.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-CAYUGA MEDICAL CENTER AT ITHACA INC	Part V, Section B, Line 5 - As in years past, the qualitative process provided crucial community input into this assessment. 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 presentations 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 V, Section B, Line 6b-CAYUGA MEDICAL CENTER AT ITHACA INC	Part V, Section b, Line 6b - Tompkins County Health Department and Human Services Coalition, Alcohol and Drug Council of Tompkins County, Collaborative Solutions Network, Family & Children's Services of Tompkins County, Mental Health Association of Tompkins County, and Tompkins County Mental Health Department.
Schedule H, Part V, Section B, Line 11-CAYUGA MEDICAL CENTER AT ITHACA INC	Part V, Section B, Line 11 - Cayuga Medical Center is actively working to address the needs of individuals suffering from mental health and/or substance abuse conditions by improving the care available to this population within the hospital setting and actively collaborating with community-based providers for the outpatient setting. Cayuga Medical Center is directly participating in the Tompkins County CHNA/CHIP Steering Committee, and has representation from our Cayuga Center for Healthy Living, a service within CMC that focuses on chronic disease prevention and treatment. The Health needs not addressed by the document include: % of population (all ages) living in Poverty, % of population (under age 18) living in poverty, % of single parent-households with children under the age of 18 living in the home, Percent of individuals uninsured and the Housing affordability rate. CMC is not directly addressing these health conditions. CMC is however aligned with and supports the United Way in Tompkins County which helps address housing and poverty needs. CMC additionally is aligned with the Health Planning Council which assists in enrolling individuals into Medicaid and other affordable insurance programs and CMC provides space at the hospital for enrollment of individuals into these programs.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Business Name Line2BusinessName/BusinessNameLine2Txt
CAYUGA MEDICAL CENTER
10 ARROWWOOD DRIVE	ITHACA	NY	14850	URGENT CARE CLINIC, DIAGNOSTIC IMAGING, HEMATOLOGY/ONCOLOGY SERVICES
CAYUGA MEDICAL CENTER
1129 COMMONS AVE	CORTLAND	NY	13045	URGENT CARE, DIAGNOSTIC IMAGING, LAB SERVICES, OUTPATIENT PHYSICAL THERAPY
CAYUGA MEDICAL CENTER
310 TAUGHANNOCK BLVD	ITHACA	NY	14850	CARDIAC REHAB, SPORTS MEDICINE, OUTPATIENT PHYSICAL THERAPY, BARIATRIC CLINIC, NUTRITIONAL CLINIC
CAYUGA MEDICAL CENTER
201 DATES DRIVE	ITHACA	NY	14850	HEMATOLOGY AND ONCOLOGY SERVICES
CAYUGA MEDICAL CENTER
10 ARROWWOOD DRIVE	ITHACA	NY	14850	OUTPATIENT SURGICAL SERVICES
CAYUGA MEDICAL CENTER
10 BRENTWOOD DRIVE	ITHACA	NY	14850	OUTPATIENT REHAB SERVICES
CAYUGA MEDICAL CENTER
16 BRENTWOOD DRIVE	ITHACA	NY	14850	DIAGNOSTIC IMAGING SERVICES
CAYUGA MEDICAL CENTER
2435 NORTH TRIPHAMMER RD	ITHACA	NY	14850	ENDOSCOPY CENTER	CAYUGA ENDOSCOPY CENTER

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7	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	Part 1, Line 7, Column F - The amount of bad debt expense that was included in Form 990, Part IX, line 25, column (A), but subtracted for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f) is $430,936.
Schedule H, Part III, Section A, Line 4	Part III, Line 2: THE MEDICAL CENTER PROVIDES SERVICES THAT ARE PAID FOR BY THIRD-PARTY PAYERS AND INDIVIDUALS. CAYUGA MEDICAL CENTER DOES NOT ACCRUE INTEREST ON THESE RECEIVABLES. CAYUGA MEDICAL CENTER ESTIMATES THE AMOUNT TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS FOR DOUBTFUL ACCOUNTS BY ANALYZING PATIENT ACCOUNTS FOR COLLECTIBILITY AND APPLYING HISTORICALLY ESTABLISHED PERCENTAGES FOR SELF-PAY AND VARIOUS THIRD-PARTY PAYERS TO THE AGING CATEGORIES IN THE ACCOUNTS RECEIVABLE AGING. ACCOUNTS FOR WHICH NO PAYMENTS HAVE BEEN RECEIVED FOR A SIGNIFICANT AMOUNT OF TIME ARE CONSIDERED DELINQUENT AND THE ACCOUNT IS WRITTEN-OFF WHEN CUSTOMARY COLLECTION EFFORTS ARE EXHAUSTED. Part III, Line 3: FOR CALCULATING THE BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY OF CAYUGA MEDICAL CENTER, THE DENIAL RATE WAS APPLIED TO THE REPORTED BAD DEBT EXPENSE. THIS ALLOWS CAYUGA MEDICAL CENTER TO BE CONSERVATIVE IN THE ESTIMATE OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE. Part III, Line 4: THE PAGE NUMBER IN THE ATTACHED FINANCIAL STATEMENTS ON WHICH THE FOOTNOTE IS CONTAINED THAT DESCRIBES BAD DEBT IS PAGE 6, FOOTNOTE # 2 - SUMMARY SIGNIFICANT ACCOUNTING POLICIES - NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE.
Schedule H, Part III, Section B, Line 8	Part III, Line 8: THE COST TO CHARGE RATIO OF 59.51% WAS CALCULATED FROM CAYUGA MEDICAL CENTER'S COST ACCOUNTING SYSTEM BASED ON THE TOTAL COST TO TOTAL CHARGES ON MEDICARE ACCOUNTS ONLY APPLIED TO THE MEDICARE GROSS PATIENT REVENUE OF $122,519,691. THE RESULT WAS THEN REDUCED BY THE WORKSHEET 6 MEDICARE COSTS OF $3,805,140 FOR THE FY 2017.
Schedule H, Part III, Section C, Line 9b	Part III, Line 9b - CAYUGA MEDICAL CENTER'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 IS MADE BY CAYUGA MEDICAL CENTER AND PATIENTS ARE NOTIFIED OF DETERMINATION WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. IF THE PATIENT QUALIFIES FOR ANY FINANCIAL ASSISTANCE, AN ADJUSTMENT IS IMMEDIATELY POSTED TO THE PATIENTS ACCOUNT UPON DETERMINATION OF QUALIFICATION. IF A PATIENT DOES NOT QUALIFY FOR FULL ASSISTANCE, A MONTHLY PAYMENT PLAN IS OFFERED TO THE PATIENT FOR ANY REMAINING BALANCES DUE.
Schedule H, Part VI, Line 2	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 health care * 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 * 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 w/o New York City (NYC) 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 presentations 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	Part VI, Line 3 - There is signage in all patient registration areas, 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 Cayuga Medical Center's 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. Cayuga Medical Center'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 Cayuga Medical Center's website at www.cayugamed.org. Cayuga Medical Center 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 Cayuga Medical Center's web site at www.Cayugamed.org.
Schedule H, Part VI, Line 4	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 NYS'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. According to HANYS, 11.3% of adults are 55-64 years of age. 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 2016-2021. 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% of those aged 85 and over (National Health Statistics Reports, Health Characteristics of Adults Aged 55 Years and Over: United States, 2004-2007, CDC, 2009). B) Access to health care professionals within the Region is problematic. Many of the counties have zip codes within that county with Health Professional Shortage Areas (HPSAs) 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 service area are fiscally challenged. The median salary within the Region is $52,624, which is $6,645 below the state average (ACS 5-year Estimate, Census Bureau).
Schedule H, Part VI, Line 5	Part VI, Line 5 - Cayuga Medical Center has a mirror board at the Cayuga Health System level, Cayuga Medical Center's active parent holding company. The majority of Cayuga Health System's board of directors are all residents of Tompkins County, Cayuga Medical Center'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, Cayuga Medical Center reinvests any surplus in annual operating margin to improve medical care for the community, including patient-side and technology improvements, facility structure and infrastructure, and improvements in care delivery. As an example, Cayuga Medical Center is investing in a $6.9 million facilities project to renovate and expand its inpatient Behavioral Services Unit starting in 2017. Part of this project will be funded through a NYS grant ($2.47 million), but the majority of the project will be funded through Cayuga Medical Center's own reserves. Despite the fact that this crucial community resource does not generate surplus revenue, Cayuga Medical Center 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.
Schedule H, Part VI, Line 6	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. For 2016, 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	Part VI, Line 7 - New York State

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
John Rudd
President/CEO	$503,208	$0	$139,630	$0	$0	$0	$5,400	$0	$8,496	$0	$656,734	$0	$0	$0
John Collett
CFO/VP	$283,421	$0	$40,936	$0	$0	$0	$5,400	$0	$0	$0	$329,757	$0	$0	$0
Timothy Bael MD
Oncologist	$734,994	$0	$0	$0	$0	$0	$5,400	$0	$4,936	$0	$745,330	$0	$0	$0
Julie Campbell MD
Oncologist	$589,265	$0	$0	$0	$0	$0	$5,400	$0	$8,496	$0	$603,161	$0	$0	$0
Charles Garbo MD
Oncologist	$556,778	$0	$0	$0	$0	$0	$5,400	$0	$5,996	$0	$568,174	$0	$0	$0
Srisatish Devapaltla MD
Neonatologist	$416,147	$0	$1,170	$0	$0	$0	$5,400	$0	$8,496	$0	$431,213	$0	$0	$0
David Evelyn MD
VP of Medical Affairs	$327,690	$0	$53,320	$0	$0	$0	$5,400	$0	$6,646	$0	$393,056	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a	All employees are eligible for a health club membership subsidy, for which Cayuga Medical Center will reimburse employees 50% of the monthly single membership fee when they attend the health club at least 24 times a quarter. If an employee does not meet the criteria for a quarter, they will not receive the subsidy for that quarter.
Schedule J, Part I, Line 6	Cayuga Medical Center has a year end bonus program for all employees based on the operating margin, participation in an annual safety training, and reaching predetermined customer satisfaction scores.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
Tompkins County Area Development Inc
A	166058339	2003-10-09	$15,000,000	Finance construction and purchase of equipment	0	0	0
Tompkins County Development Corporation
B	272290745	2010-08-31	$14,275,000	Finance construction and purchase of equipment	0	0	0	890096AA8
Tompkins County Development Corporation
C	272290745	2013-04-09	$25,000,000	Finance construction and purchase of equipment	0	0	0	890096AA8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$15,000,000	$0	$0	$0	$205,375	$0	$369,000	$14,525,625	$0	$0	2003	Yes (1)	Yes (1)
B	$0	$0	$14,275,000	$0	$0	$0	$285,500	$0	$142,750	$13,846,750	$0	$0	2010	Yes (1)	Yes (1)
C	$0	$0	$25,000,000	$0	$0	$0	$613,238	$0	$0	$24,386,762	$0	$0	2013	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0.0082	0.0082	Yes (1)	Yes (1)
B	0	0	0	0	Yes (1)	Yes (1)
C	0	0	0	0	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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
JP Morgan
A	Yes (1)	Yes (1)	Yes (1)	15	0	0	0	0	0
Deutshe Bank
B	Yes (1)	Yes (1)	Yes (1)	12	0	0	0	0	0
(no name)
C	Yes (1)	0	0				0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Computing Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	Board Chair/Founder, CFO/Minority Shareholder of the Computing Center	RelationshipDescriptionTxt
Transaction	$667,926	TransactionAmt
Transaction	Payments to the Computing Center for certain computer products, consumables, and services. Transactions entered into were fair, reasonable, and in the best interest of the Hospital based on ongoing analysis of value, local services, and history of quality service. The hospital's conflict-of-interest policy was followed related to these transactions.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	Form 990 is reviewed with the finance, audit, and personnel committees and is made available to the entire Board of Directors prior to filing.
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. 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 a conflict of interest transaction.
Form 990, Part VI, Section B, Line 15	Cayuga Medical Center determines compensation of the CEO and other officers by utilizing independent compensation consultants and/or compensation surveys. A formal written contract for the CEO is reviewed and approved by the executive committee of the Board of Directors.
Form 990, Part VI, Section C, Line 19	Form 990 is reviewed with the Finance, Audit, and Personnel Committees and is made available to the entire Board of Directors prior to filing.
Form 990, Part XI, Line 9	Unrealized loss on interest rate swap: ($50,308) Realized gain on terminated interest rate swap: $108,000 Other changes in pension and post retirement obligation: ($4,829,051) Transfer to related parties: ($16,971,343) Total: ($21,742,702)

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	To bring together organizations to serve community healthcare needs	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 Practice	NY	501 (c)(3)	9	N/A	0
Cayuga Medical Center Foundation
101 Dates Drive	Ithaca	NY	14850	161072414	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	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)
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	$276,764	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,558,146	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	$1,123	UBICodeVAmt
General Or Managing Partner	Yes (1)	GeneralOrManagingPartnerInd
Ownership	0.58	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 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	Direct Controlling NADirectControllingNACd
Tompkins Office Management System
101 Dates Drive	Ithaca	NY	14850	161437217	Office Management	NY	Cayuga Medical Center at Ithaca	C	$153,282	$1,354,779	1	Yes (1)
Cayuga Area Plan Inc
101 Dates Drive	Ithaca	NY	14850	161298390	Healthcare	NY		C			0.5	0	N/A
Cayuga Area Preferred Inc
101 Dates Drive	Ithaca	NY	14850	161542122	Healthcare	NY		C	$3,672	$630,046	0.5	0	N/A
Island Health & Fitness
310 Taughannock Blvd	Ithaca	NY	14850	203036206	Fitness	NY	Tompkins Office Management System	C			0	0
Rasa Spa
310 Taughannock Blvd	Ithaca	NY	14850	204467386	Holistic Health	NY	Island Health & Fitness	C			0	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	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	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 (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Cayuga Medical Associates
b	$16,971,343	ACKNOWLEDGEMENT LETTER
Cayuga Medical Associates
j	$87,206	CONTRACT
Cayuga Medical Associates
k	$21,206	CONTRACT
Cayuga Medical Associates
m	$2,837,133	CONTRACT
Cayuga Medical Associates
l	$879,686	CONTRACT
Schuyler Hospital
l	$357,308	CONTRACT
Schuyler Hospital
m	$81,989	CONTRACT
Schuyler Hospital
q	$663,908	COST
Tompkins Office Management System
l	$61,572	CONTRACT
Cayuga Area Preferred Inc
l	$1,640,158	CONTRACT
Cayuga Medical Center Foundation
l	$304,304	CONTRACT
Cayuga Medical Center Foundation
c	$203,390	CONTRACT
Cayuga Medical Office Building
l	$99,715	CONTRACT
Cayuga Medical Office Building
k	$438,787	CONTRACT

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	Per Extension.	ExplanationTxt