CAYUGA MEDICAL CENTER AT ITHACA: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CAYUGA MEDICAL CENTER AT ITHACA (EIN 22-2325405)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-06
IRS object ID: 201703129349301355
Schema version: 2016v3.0
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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-06T09:51:54-07:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	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	2017-09-26	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	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	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	$240,814,406	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	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1622	TotalEmployeeCnt
Total Volunteers	167	TotalVolunteersCnt
Total Gross UBI	$961,294	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$148,576	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$491,259	PYContributionsGrantsAmt
CY Contributions Grants	$532,842	CYContributionsGrantsAmt
PY Program Service Revenue	$180,651,855	PYProgramServiceRevenueAmt
CY Program Service Revenue	$194,725,274	CYProgramServiceRevenueAmt
PY Investment Income	$3,997,251	PYInvestmentIncomeAmt
CY Investment Income	$971,238	CYInvestmentIncomeAmt
PY Other Revenue	$1,366,844	PYOtherRevenueAmt
CY Other Revenue	$2,390,827	CYOtherRevenueAmt
PY Total Revenue	$186,507,209	PYTotalRevenueAmt
CY Total Revenue	$198,620,181	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$91,451,751	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$98,208,153	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$90,219,582	PYOtherExpensesAmt
CY Other Expenses	$90,802,114	CYOtherExpensesAmt
PY Total Expenses	$181,675,833	PYTotalExpensesAmt
CY Total Expenses	$189,014,267	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,831,376	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$9,605,914	CYRevenuesLessExpensesAmt
Total Assets BOY	$259,344,620	TotalAssetsBOYAmt
Total Assets EOY	$261,995,416	TotalAssetsEOYAmt
Total Liabilities BOY	$113,056,707	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$106,979,702	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$146,287,913	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$155,015,714	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	$141,388,234	ExpenseAmt
Grant	$3,000	GrantAmt
Revenue	$196,301,387	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 2016	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	$141,389,234	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	339	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1622	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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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 (16 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
CHAIR	1	0	Yes (X)	Yes (X)	$0	$0	$0
BRIAN MCAREE
VICE CHAIR	1	0	Yes (X)	Yes (X)	$0	$0	$0
SAMI HUSSEINI MD
SECRETARY	1	0	Yes (X)	Yes (X)	$0	$0	$0
GREG HARTZ
TREASURER	1	0	Yes (X)	Yes (X)	$0	$0	$0
KENNETH CLARKE
DIRECTOR	1	0	Yes (X)		$0	$0	$0
PAULA E F YOUNGER
DIRECTOR	1	0	Yes (X)		$0	$0	$0
JOHN LAMBERT MD
DIRECTOR	1	0	Yes (X)		$0	$0	$0
JOEL MALINA
DIRECTOR	1	0	Yes (X)		$0	$0	$0
STEVEN ROGERS
DIRECTOR	1	0	Yes (X)		$0	$0	$0
JOHN RUDD
PRESIDENT/CEO	40	0	Yes (X)	Yes (X)	$484,338	$0	$12,962
JOHN COLLETT
VP/CFO	40	0		Yes (X)	$238,000	$0	$6,190
TIMOTHY BAEL MD
ONCOLOGIST	40	0			$724,005	$0	$9,948	Yes (X)
CHARLES GARBO MD
ONCOLOGIST	40	0			$653,294	$0	$11,502	Yes (X)
JULIE CAMBELL MD
ONCOLOGIST	40	0			$526,209	$0	$10,960	Yes (X)
SRISATISH DEVAPATLA MD
NEONATOLOGIST	40	0			$420,145	$0	$13,460	Yes (X)
RAMESH VIDAVALUR
NEONATOLOGIST	40	0			$346,831	$0	$10,693	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,392,822	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$75,715	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	76	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
NAVIGANT CONSULTING
2875 MICHELLE DRIVE SUITE 250	IRVINE	CA	92606	REVENUE CYCLE SERVICES	$3,300,918
CAYUGA ANESTHESIA ASSOCIATES PLLC
PO BOX 366	ITHACA	NY	14850	ANESTHESIOLOGY SERVICES	$2,859,346
CONWAY CONSTRUCTION
1465 DRYDEN RD	FREEVILLE	NY	13068	CONSTRUCTION CONTRACTOR	$2,041,142
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	55480	LABORATORY SERVICES	$1,489,577
ROSWELL PARK CANCER INSTITUTE
ELM AND CARLTON STREET	BUFFALO	NY	14263	CANCER SERVICES	$1,121,074

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	42	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$249,428	GovernmentGrantsAmt
All Other Contributions	$283,414	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$532,842	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT REVENUE	Desc
Business	622000	BusinessCd
Total Revenue Column	$190,408,607	TotalRevenueColumnAmt
Related Or Exempt Func Income	$190,408,607	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,316,667	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,316,667	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$194,725,274	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,280,014	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$146,580	UnrelatedBusinessRevenueAmt
Exclusion	$2,133,434	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	$40,890,495	SecuritiesAmt
Other	-$5,046	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$42,194,225	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,303,730	SecuritiesAmt
Other	-$5,046	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,308,776	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$1,308,776	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	$372,643	$234,077	$138,566	$0
CAFETERIA MEALS REVENUE	722212	$1,342,036	$1,342,036	$0	$0

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$676,148	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$676,148	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,390,827	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$198,620,181	TotalRevenueColumnAmt
Related Or Exempt Func Income	$196,301,387	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$961,294	UnrelatedBusinessRevenueAmt
Exclusion	$824,658	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	$4,000	TotalAmt
Program Services	$4,000	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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$741,490	TotalAmt
Management And General	$741,490	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$69,818,154	TotalAmt
Program Services	$53,151,203	ProgramServicesAmt
Management And General	$16,666,951	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,305,951	TotalAmt
Program Services	$5,847,197	ProgramServicesAmt
Management And General	$2,458,754	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,535,148	TotalAmt
Program Services	$10,949,043	ProgramServicesAmt
Management And General	$3,586,105	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,807,410	TotalAmt
Program Services	$3,622,311	ProgramServicesAmt
Management And General	$1,185,099	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,797,477	TotalAmt
Program Services	$489,290	ProgramServicesAmt
Management And General	$1,308,187	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$448,663	TotalAmt
Program Services	$336,497	ProgramServicesAmt
Management And General	$112,166	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$195,110	TotalAmt
Management And General	$195,110	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$79,418	TotalAmt
Management And General	$79,418	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$166,851	TotalAmt
Management And General	$166,851	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,120,535	TotalAmt
Program Services	$6,253,876	ProgramServicesAmt
Management And General	$8,866,659	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$895,833	TotalAmt
Management And General	$895,833	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,286,174	TotalAmt
Program Services	$34,556,201	ProgramServicesAmt
Management And General	$3,729,973	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,062,824	TotalAmt
Program Services	$1,547,118	ProgramServicesAmt
Management And General	$515,706	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,130,671	TotalAmt
Program Services	$2,955,122	ProgramServicesAmt
Management And General	$1,175,549	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$200,264	TotalAmt
Program Services	$124,066	ProgramServicesAmt
Management And General	$76,198	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,062,431	TotalAmt
Management And General	$1,062,431	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,846,239	TotalAmt
Program Services	$10,621,144	ProgramServicesAmt
Management And General	$4,225,095	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,228,300	TotalAmt
Program Services	$1,044,055	ProgramServicesAmt
Management And General	$184,245	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PHYSICIAN ADVANCE FORGIVENESS	$3,246	$0	$3,246	$0
LICENSE/CERTIFICATES/PERMIT FEES	$132,924	$86,066	$46,858	$0
PURCHASED SERVICES	$10,145,154	$9,802,045	$343,109	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$189,014,267	TotalAmt
Program Services	$141,389,234	ProgramServicesAmt
Management And General	$47,625,033	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,864	BOYAmt
EOY	$7,087	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,032,457	BOYAmt
EOY	$14,556,357	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	$31,956,321	BOYAmt
EOY	$31,180,546	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	$183,949	BOYAmt
EOY	$228,962	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,587,128	BOYAmt
EOY	$7,651,071	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,997,789	BOYAmt
EOY	$11,764,385	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$252,160,626	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$141,308,661	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$114,142,476	BOYAmt
EOY	$110,851,965	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$69,150,468	BOYAmt
EOY	$70,270,238	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,722,451	BOYAmt
EOY	$13,920,088	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$259,344,620	BOYAmt
EOY	$261,995,416	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,079,568	BOYAmt
EOY	$21,995,223	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	$35,219,870	BOYAmt
EOY	$33,942,587	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	$56,757,269	BOYAmt
EOY	$51,041,892	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,056,707	BOYAmt
EOY	$106,979,702	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$141,523,091	BOYAmt
EOY	$149,883,257	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,371,287	BOYAmt
EOY	$3,738,922	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	$146,287,913	BOYAmt
EOY	$155,015,714	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$259,344,620	BOYAmt
EOY	$261,995,416	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$9,605,914	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,463,263	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$5,341,376	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

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$50,984	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$28,434	RalliesDemonstrationsAmt
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$79,418	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1	FormAndLineReferenceDesc
Explanation	CAYUGA MEDICAL CENTER 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	$1,711,653	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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,393,535	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$0	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$1,393,535	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.759	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.241	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$141,602,079	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$64,099,292	DepreciationAmt
Book Value	$77,502,787	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,517,239	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$1,651,196	DepreciationAmt
Book Value	$866,043	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$95,434,059	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$71,507,564	DepreciationAmt
Book Value	$23,926,495	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$9,777,787	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Depreciation	$4,050,609	DepreciationAmt
Book Value	$5,727,178	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$110,851,965	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN ASSETS OF FOUNDATION	$5,763,570
INSURANCE RECEIVABLE	$2,017,232
EQUITY IN RELATED PARTIES	$4,315,300
OTHER ASSETS	$1,823,986

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,920,088	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYERS	$6,364,418
FAIR VALUE OF INTEREST RATE SWAP	$53,870
ACCRUED INSURANCE CLAIMS	$2,017,232
ACCRUED PENSION COST	$31,211,271
ACCRUED POSTRETIREMENT COSTS	$11,395,101

Field	Value	IRS element (for citing)
Total Liability	$51,041,892	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$197,742,068	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$4,463,263	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants	$0	RecoveriesPriorYearGrantsAmt
Other Revenue	-$5,341,376	OtherRevenueAmt
Revenue Not Reported	-$878,113	RevenueNotReportedAmt
Revenue Subtotal	$198,620,181	RevenueSubtotalAmt
Investment Expenses Not Incld	$0	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$198,620,181	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$189,014,267	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	$189,014,267	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$0	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$189,014,267	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 THE HOSPITAL'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	PENSION AND POST RETIREMENT CHANGES OF $8,750,331: UNREALIZED GAIN ON INTEREST RATE SWAP OF $188,876: AND RESERVE FOR CMA LOAN OF $14,280,583.

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	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,911	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,342,764	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,263,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,079,174	NetCommunityBenefitExpnsAmt
Total Expense	0.0216	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	$26,433,675	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,263,590	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,170,085	NetCommunityBenefitExpnsAmt
Total Expense	0.0221	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,292,440	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$623,976	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,668,464	NetCommunityBenefitExpnsAmt
Total Expense	0.0882	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$755,878	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$755,878	NetCommunityBenefitExpnsAmt
Total Expense	0.004	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,783,618	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,922,848	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,860,770	NetCommunityBenefitExpnsAmt
Total Expense	0.0204	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	$74,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$74,624	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$28,906,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,546,824	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,359,736	NetCommunityBenefitExpnsAmt
Total Expense	0.1130	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$55,340,235	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,810,414	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,529,821	NetCommunityBenefitExpnsAmt
Total Expense	0.1351	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,473,024	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,405,376	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$35,033,228	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,959,059	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,925,831	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	101 DATES DRIVE	AddressLine1Txt
City	ITHACA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14850	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	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	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	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	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 CLINIC, DIAGNOSTIC IMAGING, LAB SERVICES, OUTPATIENT PHYSICAL THERAPY
CAYUGA MEDICAL CENTER
310 TAUGHANNOCK BLVD	ITHACA	NY	14850	CARDIAC REHAB, SPORTS MEDICINE, OUTPATIENT REHAB, DIAGNOSTIC, NUTRITIONAL
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 SERVICE
CAYUGA MEDICAL CENTER
16 BRENTWOOD DRIVE	ITHACA	NY	14850	DIAGNOSTIC IMAGING
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	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	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 $664,139.
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. THE MEDICAL CENTER DOES NOT ACCRUE INTEREST ON THESE RECEIVABLES. THE MEDICAL CENTER ESTIMATES THE AMOUNT TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS FOR DOUBTFUL ACCOUTNS 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 THE MEDICAL CENTER, THE DENIAL RATE WAS APPLIED TO THE REPORTED BAD DEBT EXPENSE. THIS ALLOWS THE MEDICAL CENTER TO BE CONSERVATIVE IN THE ESTIMATE OF WHAT AMOUNT THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS. * 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 53.93% WAS CALCULATED FROM OUR FACILITIES COST ACCOUNTING SYSTEM BASED ON THE TOTAL COST TO TOTAL CHARGES ON MEDICARE ACCOUNT ONLY WAS APPLIED TO THE MEDICARE GROSS PATIENT REVENUE OF $107,425,779. THE RESULT WAS THEN REDUCED BY THE WORKSHEET 6 MEDICARE COSTS OF $6,975,664 FOR THE FY 2016.
Schedule H, Part III, Section C, Line 9b	* Part III, Line 9b - CMC'S STANDARD OPERATING PRACTICE IS TO STOP ALL COLLECTION EFFORTS AND HOLD ACCOUNTS BACK FROM BAD DEBT UNTIL THE PATIENT IS GIVEN SUFFICIENT TIME TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. REVIEW OF THE APPLICATION WILL BE MADE BY THE HOSPITAL AND PATIENTS ARE NOTIFIED OF DETERMINATION WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. IF A PATIENT DOES NOT QUALIFY FOR EITHER PARTIAL OR FULL ASSISTANCE, THEN A MONTHLY PAYMENT PLAN IS OFFERED TO THE PATIENT FOR ANY REMAINING BALANCES DUE. IF THE PATIENT QUALIFIES FOR ANY FINANCIAL ASSISTANCE, AN ADJUSTMENT IS IMMEDIATELY POSTED TO THE PATIENTS ACCOUNT UPON DETERMINATION OF QUALIFICATION.
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 - Patients who request a financial assistance application are provided with the organization's policy and are connected with a financial counselor. Patients receive billing statements that provide information on financial policies and contact information for help with their bills. Patients are called and financial assistance is offered if the bills are unpaid. The organization has facilitated enrollers from Medicaid Managed Care plan on-site and refers patients to them for determination of Medicaid eligibility. In addition, information on the organizations financial assistance policy, Medicare and Medicaid enrollment is available on www.cayugamed.org.
Schedule H, Part VI, Line 4	Part VI, Line 4 - Located in the Finger Lakes region, CMC 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 now 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, CMC is now a subsidiary member of Cayuga Health System. Schuyler Hospital is also a subsidiary hospital 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 now 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	$484,338	$0	$0	$0	$0	$0	$5,300	$0	$7,662	$0	$497,300	$0	$0	$0
JOHN COLLETT
VP/CFO	$238,000	$0	$0	$0	$0	$0	$4,760	$0	$1,430	$0	$244,190	$0	$0	$0
TIMOTHY BAEL MD
ONCOLOGIST	$549,848	$0	$174,157	$0	$0	$0	$5,300	$0	$4,648	$0	$733,953	$0	$0	$0
CHARLES GARBO MD
ONCOLOGIST	$545,998	$0	$107,296	$0	$0	$0	$5,300	$0	$6,202	$0	$664,796	$0	$0	$0
JULIE CAMBELL MD
ONCOLOGIST	$431,062	$0	$95,147	$0	$0	$0	$5,300	$0	$5,660	$0	$537,169	$0	$0	$0
SRISATISH DEVAPATLA MD
NEONATOLOGIST	$397,700	$0	$22,445	$0	$0	$0	$5,300	$0	$8,160	$0	$433,605	$0	$0
RAMESH VIDAVALUR
NEONATOLOGIST	$333,586	$0	$13,245	$0	$0	$0	$3,733	$0	$6,960	$0	$357,524	$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 IN WHICH THE HOSPITAL 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 CRIETERA, THEY WILL NOT RECEIVE THE SUBSIDY.
Schedule J, Part I, Line 6	THE HOSPITAL 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 & PURCHASE OF EQUIPMENT	0	0	0
TOMPKINS COUNTY DEVELOPMENT CORP
B	272290745	2010-08-31	$14,275,000	FINANCE CONSTRUCTION & PURCHASE OF EQUIPMENT	0	0	0	890096AA8
TOMPKINS COUNTY DEVELOPMENT CORP
C	272290745	2013-04-09	$25,000,000	FINANCE CONSTRUCTION & PURCHASE OF EQUIPMENT	0	0	0

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
DEUTSCHE 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 AND FOUNDER/CFO/MINORITY SHAREHOLDER OF THE COMPUTING CENTER	RelationshipDescriptionTxt
Transaction	$445,547	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 ORGANIZATION BASED ON ONGOING ANALYSIS OF VALUE, LOCAL SERVICES, AND HISTORY OF QUALITY SERVICE. THE ORGANIZATION'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	THE FORM IS REVIEWED WITH THE FINANCE, AUDIT AND PERSONNEL COMMITTEE AND IS MADE AVAIALBE TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING.
Form 990, Part VI, Section B, Line 12c	CAYUGA MEDICAL CENTER AT ITHACA MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMEBERS ARE REQUIRED TO SIGN ANNUALLY. THE HOSPITAL REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY REVIEWING STATEMENTS 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 AT ITHACA DETERMINES COMPENSATION OF THE CEO AND OTHER OFFICERS BY UTILIZING INDEPENDENT COMPENSTAITON CONSULTANTS AND/OR COMPENSTTION SURVEYS. A FORMAL WRITTEN CONTRACT FOR THE CEO IS REVEIWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Section C, Line 19	THE FORM IS REVIEWED WITH THE FINANCE, AUDIT AND PERSONNEL COMMITTEE AND IS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING.
Form 990, Part XI, Line 9	UNREALIZED GAIN ON INTEREST RATE SWAP OF $188,876; PENSION AND POST RETIREMENT RELATED CHANGES OF $8,750,331; INVESTMENT IN CMA OF ($14,280,583)

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
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 ASSOCIATES
1301 TRUMANSBURG ROAD	ITHACA	NY	14850	204356115	MEDICAL PRACTICE	NY	501(C)(3)	9		0	N/A
SCHUYLER HOSPITAL
220 STEUBEN STREET	MONTOUR FALLS	NY	14865	150533564	HOSPITAL	NY	501(C)(3)	3		0	N/A
CAYUGA HEALTH SYSTEM INC
101 DATES DRIVE	ITHACA	NY	14850	471899601	TO BRING TOGETHER ORGANIZATIONS TO SERVE COMMUNITIY HEALTHCARE NEEDS	NY	501(C)(3)	12			N/A

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	$186,635	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,339,406	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
UBI Code V	$1,085	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	$132,301	$1,156,488	1	Yes (1)
CAYUGA AREA PLAN INC
101 DATES DRIVE	ITHACA	NY	14850	161298390	HEALTHCARE	NY		C	$0	$0	0.5	0	N/A
CAYUGA AREA PREFERRED INC
101 DATES DRIVE	ITHACA	NY	14850	161542122	HEALTHCARE	NY		C	-$7,594	$618,175	0.5	0	N/A
ISLAND HEALTH & FITNESS
310 TAUGHANNOCK BLVD	ITHACA	NY	14850	203036206	FITNESS	NY	TOMPKINS OFFICE MANAGMENT SYSTEM	C	$0	$0	0	0
RASA SPA
310 TAUGHANNOCK BLVD	ITHACA	NY	14850	204467386	HOLISTIC HEALTH	NY	ISLAND HEALTH & FITNESS	C	$0	$0	0	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	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	Yes (1)	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 (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAYUGA MEDICAL ASSOCIATES
b	$14,280,583	ACKNOWLEDGEMENT LETTER
CAYUGA MEDICAL ASSOCIATES
g	$236,691	COST
CAYUGA MEDICAL ASSOCIATES
j	$83,695	CONTRACT
CAYUGA MEDICAL ASSOCIATES
k	$21,206	CONTRACT
CAYUGA MEDICAL ASSOCIATES
m	$2,443,391	CONTRACT
CAYUGA MEDICAL ASSOCIATES
l	$524,068	CONTRACT
TOMPKINS OFFICE MANAGEMENT SYSTEM
a-i	$1,990	CONTRACT
TOMPKINS OFFICE MANAGEMENT SYSTEM
l	$58,640	CONTRACT
CAYUGA AREA PREFERRED INC
l	$1,050,667	CONTRACT
CAYUGA MEDICAL OFFICE BUILDING
k	$440,226	CONTRACT
CAYUGA MEDICAL OFFICE BUILDING
l	$94,900	CONTRACT
SCHUYLER HOSPITAL
l	$406,142	CONTRACT
SCHUYLER HOSPITAL
q	$762,273	COST
SCHUYLER HOSPITAL
m	$98,871	CONTRACT
CAYUGA MEDICAL CENTER FOUNDATION
c	$531,031	CASH TRANSFER
CAYUGA MEDICAL CENTER FOUNDATION
l	$270,300	CONTRACT