2018-10-19T09:22:32-07:00 2017-12-31 990 2017-01-01 222325405 CAYUGA MEDICAL CENTER AT ITHACA CAYU 6072744441 101 Dates Drive Ithaca NY 14850 John Collett VP/CFO 6072744441 2018-10-31 66.152.124.189 2017 2019-02-21 02:37:17Z John Rudd 101 Dates Drive Ithaca NY 14850 260213559 0 X www.cayugamed.org X 1981 NY To deliver the highest quality healthcare in partnership with our community, one person at a time. 20 19 1730 164 949419 269674 532842 404188 194725274 209179911 971238 4075885 2390827 2773561 198620181 216433545 4000 1000 0 0 98208153 100859776 0 0 0 90802114 99920889 189014267 200781665 9605914 15651880 261995416 264911114 106979702 109258088 155015714 155653026 To deliver the highest quality healthcare in partnership with our community, one person at a time. 0 0 146316604 0 211280817 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. 1000 1000 0 A health career scholarship awarded to students pursuing a healthcare degree. Two participants in 2017. 0 0 0 146317604 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 328 0 1730 1 1 1 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X John Collett 6072744441 101 Dates Drive Ithaca NY 14850 Larry Baum Chairman 1.0 0 X X 0 0 0 Kyle Tuttle Vice Chair 1 0 X X 0 0 0 Tom LiVigne Secretary 1 0 X X 0 0 0 Greg Hartz Treasurer 1.0 0 X X 0 0 0 Peter Bardaglio Director 1 0 X 0 0 0 Suzanne Blowers Director 1 0 X 0 0 0 Paula Younger Director 1 0 X 0 0 0 Joel Malina Director 1 0 X 0 0 0 James Brown Director 1 0 X 0 0 0 Noel Desch Director 1 0 X 0 0 0 Gary Ferguson Director 1 0 X 0 0 0 Ben Saks DO Director 1 0 X 0 0 0 Rev Dr Ken Clarke Director 1 0 X 0 0 0 Rick Weakland Director 1 0 X 0 0 0 John Lambert MD Director 1 0 X 0 0 0 Jerry Mickelson Director 1 0 X 0 0 0 Carl Sgrecci Director 1 0 X 0 0 0 Fred Wickham Director 1 0 X 0 0 0 Eunice Nayo Director 1 0 X 0 0 0 John Rudd President/CEO 40 0 X X 642838 0 13896 John Collett CFO/VP 40 0 X 324357 0 5400 Timothy Bael MD Oncologist 40 0 X 734994 0 10336 Julie Campbell MD Oncologist 40 0 X 589235 0 13896 Charles Garbo MD Oncologist 40 0 X 556778 0 11396 Srisatish Devapaltla MD Neonatologist 40 0 X 417317 0 13896 David Evelyn MD VP of Medical Affairs 40 0 X 381010 0 12046 3646529 0 80866 86 0 1 0 Cayuga Anesthesia Associates PLLC 101 Dates Drive Ithaca NY 14850 Anesthesiology Services 3826905 Navigant Consulting 150 North Riverside Plaza Suite 2100 Chicago IL 60606 Revenue Cycle Services 3473556 Conway Construction of Ithaca Inc 1465 Dryden Road Freeville NY 13068 Construction Contractor 2549554 Mayo Collaborative Services Inc PO Box 9146 Minneapolis MN 55480 Laboratory Services 2305183 Fastaff LLC 5700 South Quebec Street Suite 300 Greenwood Village CO 80111 Short Term Staffing 2211016 65 0 0 0 0 368500 35688 0 404188 Net Patient Revenue 622000 201416060 201416060 0 0 7763851 7763851 0 0 209179911 1872418 0 276764 1595654 0 0 0 0 0 0 0 0 0 0 46002517 -19036 43780014 0 2222503 -19036 2203467 0 0 2203467 0 Other Revenue 622000 936038 780777 155261 0 Cafeteria Meals Revenue 722212 1320129 0 0 1320129 517394 0 517394 0 2773561 216433545 209960688 949419 5119250 0 0 1000 1000 0 0 0 0 986491 0 986491 0 0 0 0 0 72797942 55372510 17425432 0 6617348 4974182 1643166 0 15381933 11549952 3831981 0 5076062 3861020 1215042 0 1740502 518887 1221615 0 876905 657679 219226 0 259526 0 259526 0 103576 0 103576 0 0 0 118931 0 118931 0 17054139 6573549 10480590 0 1073696 0 1073696 0 43513843 38354047 5159796 0 2465840 1849380 616460 0 0 0 0 0 3978993 2184006 1794987 0 331620 147246 184374 0 0 0 0 0 0 0 0 0 940089 0 940089 0 0 0 0 0 14683253 8059403 6623850 0 1019859 866880 152979 0 Physician Advance Forgiveness 50144 0 50144 0 License/Certificates/Permit Fees 109429 69180 40249 0 Purchased Services 11600544 11278683 321861 0 200781665 146317604 54464061 0 7087 7313 14556357 15664425 0 0 31180546 24654747 0 0 0 0 228962 303645 7651071 8039143 11764385 8991214 271201001 154099066 110851965 117101935 70270238 72772255 0 0 1564717 1564717 13920088 15811720 261995416 264911114 21995223 22859917 0 0 0 0 33942587 29889856 0 0 0 0 0 0 0 0 51041892 56508315 106979702 109258088 X 149883257 150264474 3738922 3995017 1393535 1393535 155015714 155653026 261995416 264911114 X 15651880 6728134 0 0 0 -21742702 X 0 1 X 1 0 X 0 0 0 0 0 0 1 106364 1 25113 0 131477 0 Schedule C, Part II-B, Line 1 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. 1720662 97 193 0 17807 0 1703145 1711653 30144 181 0 21316 0 1720662 1674520 43088 136 0 6091 0 1711653 1647374 41237 105 0 14196 0 1674520 1734183 261328 97 0 348234 0 1647374 0 0.818 0.182 0 1 1 12899485 0 12899485 148506418 0 71251149 77255269 2528371 0 1763099 765272 99399070 0 76948141 22450929 7867657 0 4136677 3730980 117101935 Beneficial interest in assets of foundation 6737889 Insurance Receivable 2677831 Equity in Related Parties 4786139 Other Assets 1609861 15811720 0 Due to Third Party Payers 7331262 Fair Value of Interest Rate Swaps 104178 Accrued Insurance Claims 2677831 Accrued Pension Cost 34037852 Accrued Post Retirement Costs 12357192 56508315 201418977 6728134 0 0 -21742702 -15014568 216433545 0 0 0 216433545 200781665 0 0 0 0 0 200781665 0 0 0 200781665 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). 1 1 1 X 1 X 1 1 0 0 258331 0 258331 0.0014 27803096 18895616 8907480 0.0471 0 0 0 0 0 0 28061427 18895616 9165811 0.0485 20300916 402231 19898685 0.1053 956093 27892 928201 0.0049 15893164 10014837 5878327 0.0311 0 0 0 0 60209 0 60209 0.0003 0 0 37210382 10444960 26765422 0.1416 0 0 65271809 29340576 35931233 0.1901 1 5861091 5046399 41181745 69106328 -27924583 X 1 0 1 1 CAYUGA MEDICAL CENTER AT ITHACA INC 101 DATES DRIVE ITHACA NY 14850 WWW.CAYUGAMED.ORG 5401001H X X X CAYUGA MEDICAL CENTER AT ITHACA INC 1 0 0 1 X X X X X X X X X 16 1 0 1 1 X WWW.CAYUGAMED.ORG/DOCS/CHIP-TOMP-2016-2018.PDF X 1 16 1 WWW.CAYUGAMED.ORG/DOCS/CHIP-TOMP-2016-2018.PDF 0 0 1 X 100 300 X X 1 1 X X X 1 X WWW.CAYUGAMED.ORG X WWW.CAYUGAMED.ORG X WWW.CAYUGAMED.ORG X X X X X X 1 X 0 X X X 1 X 0 0 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. 8 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 CAYUGA ENDOSCOPY CENTER 2435 NORTH TRIPHAMMER RD ITHACA NY 14850 ENDOSCOPY CENTER 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 X 1 1 X X X X 0 0 0 0 0 1 0 0 0 John Rudd President/CEO 503208 0 139630 0 0 0 5400 0 8496 0 656734 0 0 0 John Collett CFO/VP 283421 0 40936 0 0 0 5400 0 0 0 329757 0 0 0 Timothy Bael MD Oncologist 734994 0 0 0 0 0 5400 0 4936 0 745330 0 0 0 Julie Campbell MD Oncologist 589265 0 0 0 0 0 5400 0 8496 0 603161 0 0 0 Charles Garbo MD Oncologist 556778 0 0 0 0 0 5400 0 5996 0 568174 0 0 0 Srisatish Devapaltla MD Neonatologist 416147 0 1170 0 0 0 5400 0 8496 0 431213 0 0 0 David Evelyn MD VP of Medical Affairs 327690 0 53320 0 0 0 5400 0 6646 0 393056 0 0 0 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. A Tompkins County Area Development Inc 166058339 2003-10-09 15000000 Finance construction and purchase of equipment 0 0 0 B Tompkins County Development Corporation 272290745 890096AA8 2010-08-31 14275000 Finance construction and purchase of equipment 0 0 0 C Tompkins County Development Corporation 272290745 890096AA8 2013-04-09 25000000 Finance construction and purchase of equipment 0 0 0 A 0 0 15000000 0 0 0 205375 0 369000 14525625 0 0 2003 0 0 1 1 B 0 0 14275000 0 0 0 285500 0 142750 13846750 0 0 2010 0 0 1 1 C 0 0 25000000 0 0 0 613238 0 0 24386762 0 0 2013 0 0 1 1 A 1 1 0 0 0 0.0082 0.0082 1 0 1 B 0 0 0 0 0 0 0 1 0 1 C 0 0 0 0 0 0 0 1 0 1 A 1 1 1 JP Morgan 15 0 0 0 0 0 B 1 1 1 Deutshe Bank 12 0 0 0 0 0 C 1 0 0 0 0 0 A 1 B 1 C 1 The Computing Center Board Chair/Founder, CFO/Minority Shareholder of the Computing Center 667926 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. 0 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) 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 Cayuga Medical Center at Ithaca 0 Cayuga Medical Office Building 101 Dates Drive Ithaca NY 14850 161261492 Building Management NY N/A Related 276764 1558146 0 1123 1 0.58 Tompkins Office Management System 101 Dates Drive Ithaca NY 14850 161437217 Office Management NY Cayuga Medical Center at Ithaca C 153282 1354779 1 1 Cayuga Area Plan Inc 101 Dates Drive Ithaca NY 14850 161298390 Healthcare NY N/A C 0.5 0 Cayuga Area Preferred Inc 101 Dates Drive Ithaca NY 14850 161542122 Healthcare NY N/A C 3672 630046 0.5 0 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 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 1 0 0 Cayuga Medical Associates b 16971343 ACKNOWLEDGEMENT LETTER Cayuga Medical Associates j 87206 CONTRACT Cayuga Medical Associates k 21206 CONTRACT Cayuga Medical Associates m 2837133 CONTRACT Cayuga Medical Associates l 879686 CONTRACT Schuyler Hospital l 357308 CONTRACT Schuyler Hospital m 81989 CONTRACT Schuyler Hospital q 663908 COST Tompkins Office Management System l 61572 CONTRACT Cayuga Area Preferred Inc l 1640158 CONTRACT Cayuga Medical Center Foundation l 304304 CONTRACT Cayuga Medical Center Foundation c 203390 CONTRACT Cayuga Medical Office Building l 99715 CONTRACT Cayuga Medical Office Building k 438787 CONTRACT Per Extension.