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CAYUGA MEDICAL CENTER AT ITHACA: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CAYUGA MEDICAL CENTER AT ITHACA (EIN 22-2325405)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201443189349300944
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T08:43:24-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222325405EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL CENTER AT ITHACABusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCAYUBusinessNameControlTxt
Phone6072744441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DATES DRIVEAddressLine1
CityITHACACity
StateNYState
ZIP Code14850ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN B RUDDPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone6072744441PhoneNum
Signature2014-11-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN B RUDDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DATES DRIVEAddressLine1
CityITHACACity
StateNYState
ZIP Code14850ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$182,234,051GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAYUGAMED.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO DELIVER THE HIGHEST QUALITY HEALTHCARE IN PARTNERSHIP WITH OUR COMMUNITY, ONE PERSON AT A TIME.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1499TotalEmployeeCnt
Total Volunteers145TotalVolunteersCnt
Total Gross UBI$1,167,007TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$194,873NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$535,325PYContributionsGrantsAmt
CY Contributions Grants$490,182CYContributionsGrantsAmt
PY Program Service Revenue$163,989,019PYProgramServiceRevenueAmt
CY Program Service Revenue$171,681,227CYProgramServiceRevenueAmt
PY Investment Income$8,446,588PYInvestmentIncomeAmt
CY Investment Income$7,987,250CYInvestmentIncomeAmt
PY Other Revenue$1,904,710PYOtherRevenueAmt
CY Other Revenue$1,891,702CYOtherRevenueAmt
PY Total Revenue$174,875,642PYTotalRevenueAmt
CY Total Revenue$182,050,361CYTotalRevenueAmt
PY Grants And Similar Paid$7,715PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,650CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$82,611,722PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$88,489,906CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$78,314,862PYOtherExpensesAmt
CY Other Expenses$81,929,749CYOtherExpensesAmt
PY Total Expenses$160,934,299PYTotalExpensesAmt
CY Total Expenses$170,428,305CYTotalExpensesAmt
PY Revenues Less Expenses$13,941,343PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,622,056CYRevenuesLessExpensesAmt
Total Assets BOY$268,551,156TotalAssetsBOYAmt
Total Assets EOY$302,594,841TotalAssetsEOYAmt
Total Liabilities BOY$98,917,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,446,079TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$169,633,813NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$194,148,762NetAssetsOrFundBalancesEOYAmt
MissionTO DELIVER THE HIGHEST QUALITY HEALTHCARE IN PARTNERSHIP WITH OUR COMMUNITY, ONE PERSON AT A TIME.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$129,898,142ExpenseAmt
Grant$7,650GrantAmt
Revenue$172,773,841RevenueAmt
DescPATIENT 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

FieldValueIRS element (for citing)
Expense$1,000ExpenseAmt
Grant$1,000GrantAmt
DescA HEALTH CAREER SCHOLARSHIP AWARDED TO STUDENTS PURSUING A HEALTHCARE DEGREE. TWO PARTICIPANTS IN 2013.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$129,899,142TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document216IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1499EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN COLLETT VPCFOBusinessNameLine1
FieldValueIRS element (for citing)
Phone6072744441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DATES DRIVEAddressLine1
CityITHACACity
StateNYState
ZIP Code14850ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN B RUDD
PRESIDENT/CEO40.00Yes (X)Yes (X)$407,500$0$28,100
PETER BARDAGLIO PHD
DIRECTOR1.00Yes (X)$0$0$0
LARRY BAUM
CHAIR1.00Yes (X)Yes (X)$0$0$0
JOANNE DESTEFANO
DIRECTOR1.00Yes (X)$0$0$0
TONY EISENHUT
DIRECTOR1.00Yes (X)$0$0$0
GARY FERGUSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
SAMI HUSSEINI MD
SECRETARY1.00Yes (X)Yes (X)$0$0$0
BONITA LINDBERG
DIRECTOR1.00Yes (X)$0$0$0
BRIAN MCARE
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JOHN NEUMAN
DIRECTOR1.00Yes (X)$0$0$0
PAULA YOUNGER
DIRECTOR1.00Yes (X)$0$0$0
DREW KOCH DO
DIRECTOR1.00Yes (X)$0$0$0
GREG HARTZ
DIRECTOR1.00Yes (X)$0$0$0
JOHN LAMBERT MD
DIRECTOR1.00Yes (X)$0$0$0
JOHN COLLETT
VP/CFO40.00Yes (X)$205,650$0$26,840
TIMOTHY BAEL MD
DIRECTOR/ONCOLOGIST40.00$562,778$0$10,858Yes (X)
CHARLES GARBO MD
ONCOLOGIST40.00$578,253$0$9,558Yes (X)
JULIE CAMPBELL MD
ONCOLOGIST40.00$446,982$0$9,558Yes (X)
DAVID EVELYN MD
MEDICAL DIRECTOR/V.P40.00$303,515$0$24,183Yes (X)
AUGUSTE DUPLAN MD
ADOL. PSYCHIATRIST40.00$293,319$0$9,558Yes (X)
D ROBERT MACKENZIE MD
FORMER CEO1.00$2,110,554$0$4,000Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,908,551TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$122,655TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
LP CIMINELLI
2421 MAIN STBUFFALONY14214CONSTRUCTION SERVICES$9,279,471
CAYUGA ANESTHESIA ASSOCIATES PLLC
PO BOX 366ITHACANY14850ANESTHESIOLOGY SERVICES$1,703,715
HEALTHCARE SERVICES MANAGEMENT
1 BATTERMARCH PARK SUITE 311QUINCYMA02169CONSULTING SERVICES$1,521,918
MAYO COLLABORATIVE SERVICES
PO BOX 9146MINNEAPOLISMN55480LABORATORY SERVICES$1,445,614
FASTAFF
PO BOX 911452DENVERCO80291TEMPORARY SERVICES$1,265,283
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Federated Campaigns$17,000FederatedCampaignsAmt
Government Grants$204,652GovernmentGrantsAmt
All Other Contributions$268,530AllOtherContributionsAmt
Total Contributions$490,182TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE RE900099$168,881,448$168,881,448
CAFETERIA MEALS REVENU722210$1,282,464$1,282,464
MEDICAL SERVICES REVEN621400$920,704$920,704
ATHLETIC TRAINING REVE621990$437,018$437,018
RENTAL INCOME531120$118,735$118,735

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,858TotalRevenueColumnAmt
Related Or Exempt Func Income$40,858RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$171,681,227TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,912,568TotalRevenueColumnAmt
Related Or Exempt Func Income$260,036RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$214,318UnrelatedBusinessRevenueAmt
Exclusion$2,438,214ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$50,920PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Personal$77,255PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Personal-$26,335PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,335TotalRevenueColumnAmt
Unrelated Business Revenue-$26,335UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,181,117SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$106,435OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,181,117SecuritiesAmt
Other-$106,435OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,074,682TotalRevenueColumnAmt
Related Or Exempt Func Income-$106,435RelatedOrExemptFuncIncomeAmt
Exclusion$5,181,117ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER OPERATING REVENU900099$1,112,841$939,013$173,828
PROFESSIONAL SERVICES541200$805,196$805,196
FieldValueIRS element (for citing)
Other Revenue Total$1,918,037OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$182,050,361TotalRevenueColumnAmt
Related Or Exempt Func Income$172,773,841RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,167,007UnrelatedBusinessRevenueAmt
Exclusion$7,619,331ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,650TotalAmt
Program Services$8,650ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$668,090TotalAmt
Management And General$668,090ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$62,501,087TotalAmt
Program Services$47,632,698ProgramServicesAmt
Management And General$14,868,389ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,762,998TotalAmt
Program Services$6,610,773ProgramServicesAmt
Management And General$2,152,225ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,181,522TotalAmt
Program Services$9,316,350ProgramServicesAmt
Management And General$2,865,172ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,376,209TotalAmt
Program Services$3,305,792ProgramServicesAmt
Management And General$1,070,417ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,161,708TotalAmt
Program Services$8,989,646ProgramServicesAmt
Management And General$1,172,062ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$354,313TotalAmt
Program Services$21,900ProgramServicesAmt
Management And General$332,413ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$164,964TotalAmt
Management And General$164,964ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,393TotalAmt
Management And General$29,393ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$70,000TotalAmt
Management And General$70,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,500,485TotalAmt
Program Services$4,572,105ProgramServicesAmt
Management And General$4,928,380ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,068,014TotalAmt
Management And General$1,068,014ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$37,691,194TotalAmt
Program Services$33,782,515ProgramServicesAmt
Management And General$3,908,679ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,273,595TotalAmt
Program Services$1,705,196ProgramServicesAmt
Management And General$568,399ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,920,583TotalAmt
Program Services$2,677,948ProgramServicesAmt
Management And General$1,242,635ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$286,590TotalAmt
Program Services$133,628ProgramServicesAmt
Management And General$152,962ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,153,832TotalAmt
Management And General$1,153,832ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,694,045TotalAmt
Program Services$9,511,709ProgramServicesAmt
Management And General$3,182,336ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,517,791TotalAmt
Program Services$1,517,791ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
NYS FEES ASSESSMENT$682,565$682,565
PHYSICIAN ADVANCE FORGI$210,909$210,909
LICENSE/CERTIFICATES/PE$149,768$37,327$112,441

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$170,428,305TotalAmt
Program Services$129,899,142ProgramServicesAmt
Management And General$40,529,163ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,253BOYAmt
EOY$6,535EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,676,900BOYAmt
EOY$9,908,975EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,410,307BOYAmt
EOY$45,358,471EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$269,775BOYAmt
EOY$324,314EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,723,671BOYAmt
EOY$7,010,742EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,630,367BOYAmt
EOY$10,115,671EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$212,675,422LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$101,343,905LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$103,237,938BOYAmt
EOY$111,331,517EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$81,630,015BOYAmt
EOY$101,008,061EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,529,995BOYAmt
EOY$1,529,995EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,435,935BOYAmt
EOY$16,000,560EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$268,551,156BOYAmt
EOY$302,594,841EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,452,906BOYAmt
EOY$54,779,951EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,667,745BOYAmt
EOY$41,698,508EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,796,692BOYAmt
EOY$11,967,620EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,917,343BOYAmt
EOY$108,446,079EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,558,404BOYAmt
EOY$189,927,037EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,681,874BOYAmt
EOY$2,828,190EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,393,535BOYAmt
EOY$1,393,535EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$169,633,813BOYAmt
EOY$194,148,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$268,551,156BOYAmt
EOY$302,594,841EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$11,622,056ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$8,471,048NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$4,421,845OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$29,393RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$29,393TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,075,409BeginningYearBalanceAmt
Contributions$285,530ContributionsAmt
Investment Earnings Or Losses$260,036InvestmentEarningsOrLossesAmt
Grants Or Scholarships$399,250GrantsOrScholarshipsAmt
End Year Balance$4,221,725EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,827,599BeginningYearBalanceAmt
Contributions$338,453ContributionsAmt
Investment Earnings Or Losses$120,664InvestmentEarningsOrLossesAmt
Grants Or Scholarships$211,307GrantsOrScholarshipsAmt
End Year Balance$4,075,409EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,579,792BeginningYearBalanceAmt
Contributions$285,603ContributionsAmt
Investment Earnings Or Losses-$24,461InvestmentEarningsOrLossesAmt
Grants Or Scholarships$13,335GrantsOrScholarshipsAmt
End Year Balance$3,827,599EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,339,356BeginningYearBalanceAmt
Contributions$241,036ContributionsAmt
Investment Earnings Or Losses$113,370InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,625GrantsOrScholarshipsAmt
Other Expenditures$112,345OtherExpendituresAmt
End Year Balance$3,579,792EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,018,724BeginningYearBalanceAmt
Contributions$268,842ContributionsAmt
Investment Earnings Or Losses$153,608InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,125GrantsOrScholarshipsAmt
Other Expenditures$100,693OtherExpendituresAmt
End Year Balance$3,339,356EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.66990BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.33010PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,829,462OtherCostOrOtherBasisAmt
Book Value$2,829,462BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,173,284OtherCostOrOtherBasisAmt
Depreciation$46,641,923DepreciationAmt
Book Value$58,531,361BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,415,369OtherCostOrOtherBasisAmt
Depreciation$1,211,398DepreciationAmt
Book Value$1,203,971BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,832,972OtherCostOrOtherBasisAmt
Depreciation$50,489,754DepreciationAmt
Book Value$28,343,218BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,424,335OtherCostOrOtherBasisAmt
Depreciation$3,000,830DepreciationAmt
Book Value$20,423,505BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$111,331,517TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM FOUNDATION$5,580,115
EQUITY IN RELATED PARTIES$4,529,261
INSURANCE RECEIVABLE$4,831,855
UNAMORTIZED BOND COSTS$1,059,329
FieldValueIRS element (for citing)
Total Book Value Other Assets$16,000,560TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYERS$8,026,198
FAIR VALUE OF INTEREST RATE SWAP$697,346
ACCRUED INSURANCE CLAIMS$3,244,076
FieldValueIRS element (for citing)
Total Liability$11,967,620TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$195,020,509TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$8,471,048NetUnrealizedGainsInvstAmt
Other Revenue$4,499,100OtherRevenueAmt
Revenue Not Reported$12,970,148RevenueNotReportedAmt
Revenue Subtotal$182,050,361RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$182,050,361TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$170,505,560TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$77,255OtherExpensesIncludedAmt
Expenses Not Reported$77,255ExpensesNotReportedAmt
Expenses Subtotal$170,428,305ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$170,428,305TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE INTENDED USE FOR THE ENDOWMENT FUND OF THE CAYUGA MEDICAL CENTER AT ITHACA IS TO SUPPORT THE HOSPITAL'S ONGOING MISSION TO DELIVER THE HIGHEST QUALITY HEALTHCARE IN PARTNERSHIP WITH OUR COMMUNITY, ONE PERSON AT A TIME.
PART X, LINE 2:THE MEDICAL CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE MEDICAL CENTER HAS ALSO BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE (IRS) AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION. AS OF DECEMBER 31, 2013 AND 2012, THE MEDICAL CENTER DID NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE MEDICAL CENTER FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE MEDICAL CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED LOSS ON INTEREST RATE SWAP 594,354. PENSION AND POST RETIREMENT RELATED CHANGES 11,921,977. RENTAL EXPENSES 77,255. EQUITY IN OTHER CORPORATIONS -8,094,486.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 77,255.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$178,430TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$178,430NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$16,947,940TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,575,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,372,176NetCommunityBenefitExpnsAmt
Total Expense0.02570TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,126,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,575,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,550,606NetCommunityBenefitExpnsAmt
Total Expense0.02670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,891,183TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$725,977DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,165,206NetCommunityBenefitExpnsAmt
Total Expense0.05960TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$755,512TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$755,512NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$56,344,986TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,279,687DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,065,299NetCommunityBenefitExpnsAmt
Total Expense0.07670TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,577TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$119,577NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,111,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,005,664DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,105,594NetCommunityBenefitExpnsAmt
Total Expense0.14140TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$85,237,628TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,581,428DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,656,200NetCommunityBenefitExpnsAmt
Total Expense0.16810TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$6,778,247BadDebtExpenseAmt
Bad Debt Expense Attributable$2,930,914BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,809,773ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,989,786CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,180,013MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL CENTER AT ITHACABusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DATES DRIVEAddressLine1
CityITHACACity
StateNYState
ZIP Code14850ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.CAYUGAMED.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL CENTER AT ITHACABusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CAYUGAMED.ORG/DOCS/CHNA13.PDFOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Medicaid MedicareYes (X)MedicaidMedicareInd
ResidencyYes (X)ResidencyInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit LawsuitYes (X)PermitLawsuitInd
Permit Lien On ResidenceYes (X)PermitLienOnResidenceInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
LawsuitYes (X)LawsuitInd
Liens On ResidencesYes (X)LiensOnResidencesInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CAYUGA MEDICAL CENTER AT ITHACAPART V, SECTION B, LINE 3: INFORMATION FOR THE CHNA WAS GATHERED IN FOUR WAYS: A META-ANALYSIS OF HEALTH ASSESSMENTS FOR CAYUGA, CORTLAND, SCHUYLER, SENECA, TIOGA, AND TOMPKINS COUNTIES; PARTICIPATION AND USE OF TOMPKINS COUNTY HEALTH PLANNING COUNCIL'S COMMUNITY SURVEY; CONDUCTED FOCUS GROUPS WITHIN THE ITHACA COMMUNITY; AND FEEDBACK GATHERED THROUGH PARTICIPATION ON OVER 15 COMMUNITY BOARDS. TARGET REQUESTS FOR PARTICIPATION ON THE ONLINE SURVEY WERE MADE TO COUNTY DEPARTMENTS, COMMUNITY ORGANIZATIONS, HEALTH COUNCIL BOARD EDUCATORS, HEALTH CARE PROFESSIONALS, LOCAL LEGISLATORS, AND THE BOARD OF HEALTH. THE TWO FOCUS GROUPS WERE CONDUCTED WITHIN THE DOWNTOWN ITHACA, NY AREA. THIS AREA HAS SOME OF THE HIGHEST CONCENTRATION OF SOME OF THE MOST DISPARATE GROUPS WITHIN CAYUGA MEDICAL CENTERS PRIMARY SERVICE AREA. THE FIRST FOCUS GROUP WAS COMPRISED OF BUSINESS OWNERS AND OPERATORS TO ADDRESS THE HEALTH NEEDS OF THE INDIVIDUALS WHO COMMUTE INTO ITHACA FOR WORK. THE SECOND FOCUS GROUP ADDRESSED THE CONCERNS OF THE DOWNTOWN ITHACA AREA, WITH A STRONG SEGMENT OF THE GROUP MADE UP OF INDIVIDUALS IN LOW-INCOME SITUATIONS.
CAYUGA MEDICAL CENTER AT ITHACAPART V, SECTION B, LINE 7: CAYUGA MEDICAL CENTER DID NOT DEVELOP A PLAN TO ADDRESS THE ISSUES OF 1) % OF UNINSURED CHILDREN EXCEEDS STATE AVERAGE IN FIVE OUT OF SIX COUNTIES; OR 2) PHYSICIAN AVAILABILITY FOR MEDICAID PERSONS. BOTH OF THESE ISSUES REQUIRE SUBSTANTIAL COLLABORATION ACROSS CARE DELIVERY SYSTEMS AND ARE NOT SOMETHING THAT CAYUGA MEDICAL CENTER IS POISED TO ADDRESS INDPENDENTLY AT THIS TIME.
CAYUGA MEDICAL CENTER AT ITHACAPART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USED THE RATES NEGOTIATED OF THE LARGEST COMMERCIAL PAYERS IN THE MARKET.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
CAYUGA MEDICAL CENTER
10 ARROWWOOD DRIVEITHACANY14850URGENT CARE CLINIC & DIAGNOSTIC IMAGING, HEMATOLOGY/ONCOLOGY SERVICE, LAB SV
CAYUGA MEDICAL CENTER
1129 COMMON AVECORTLANDNY13045URGENT CARE CLINIC & DIAGNOSTIC IMAGING,LAB SERVICES
CAYUGA MEDICAL CENTER
310 TAUGHANOCK BLVDITHACANY14850CARDIO, REHAB, SPORTS MEDICINE, OUTPATIENT REHAB,DIAGNOSTIC, NUTRITIONAL COU
CAYUGA MEDICAL CENTER
201 DATES DRIVEITHACANY14850HEMATOLOGY & ONCOLOGY SERVICES
CAYUGA MEDICAL CENTER
10 ARROWWOOD DRIVEITHACANY14850OUTPATIENT SURGICAL SERVICES
CAYUGA MEDICAL CENTER
10 BRENTWOOD DRIVEITHACANY14850OUTPATIENT REHAB

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):PART III, LINE 6: THE COST TO CHARGE RATIO CALCULATED ON SUPPLEMENTAL WORKSHEET 6 FROM PART 1 LINE 7 OF 57.09% WAS APPLIED TO THE MEDICARE GROSS PATIENT REVENUE OF $82,759,185 FOR THE FY 2012.
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 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 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 ORGANIZATIONS 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 5, FOOTNOTE # 2 - SUMMARY SIGNIFICANT ACCOUNTING POLICIES - NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE.
PART VI, LINE 2:THE CAYUGA MEDICAL CENTER AT ITHACA WORKS DIRECTLY WITH THE HEALTH PLANNING COUNCIL OF TOMPKINS COUNTY, BOTH ARE MEMBERS OF THE ADVISORY BOARD OF TOMPKINS COUNTY AND SURROUNDING AREAS AND SOLICIT VARIOUS FEEDBACK ON SERVICE GROWTH. AFTER CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013, CMC'S COMMUNITY HEALTH COUNCIL IDENTIFIED THE FOLLOWING COMMUNITY HEALTH NEEDS FOR CMC TO IMPACT: 1. CHILD OBESITY2. ADULT OBESITY3. IMPROVING BREAST CANCER SCREENING4. IMPACTING CHRONIC LOWER RESPIRATORY DISEASE THROUGH ASTHMA TREATMENT AND PREVENTION5. ASSIST IN IMPROVING MENTAL HEALTH RESOURCE COORDINATION6. IMPACTING THE SUICIDE RATE
PART VI, LINE 3:CAYUGA MEDICAL CENTER AT ITHACA'S (CMC) BAD DEBT COLLECTION POLICY DOES NOT MAKE ANY SPECIFIC PROVISION FOR COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. HOWEVER 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 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.
PART VI, LINE 4:EACH YEAR MORE THAN 155,000 PATIENTS FROM THE GREATER CENTRAL NEW YORK REGION, INCLUDING, BUT NOT LIMITED TO TOMPKINS COUNTY AND PORTIONS OF CAYUGA, CHEMUNG, CORTLAND, SCHUYLER, SENECA AND TIOGA COUNTIES USE THE MEDICAL CENTER'S COMPREHENSIVE ACUTE CARE, URGENT CARE CENTERS, AND OUTPATIENT SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDesc
EMPLOYEE DISASTER FUND15$7,650$0BOOK
KOMARMI SCHOLARSHIP2$1,000$0BOOK

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE EMPLOYEE DISASTER FUND (EDF) IS TO PROVIDE TEMPORARY AID TO EMPLOYEES WITH A DISASTER OR OTHER EMERGENCY HARDSHIP SITUATION. THE EDF COMMITTEE IS COMPRISED OF HOSPITAL EMPLOYEES, WITH A MAJORITY OF THE MEMBERS BEING IN A NON-MANAGEMENT POSITION. TO BE ELIGIBLE FOR ASSISTANCE, APPLICANTS MUST MEET CERTAIN CRITERIA AS SPECIFIED IN THE EDF POLICY. THE EDF COMMITTEE MAKES AWARDS BASED ON THE MERITS OF EACH CASE IN ACCORDANCE WITH THE POLICY. THE EDF COMMITTEE MAINTAINS COMPLETE AND ACCURATE MINUTES OF ITS PROCEEDINGS. THE KOMARMI SCHOLARSHIP IS A HEALTH CAREER SCHOLARSHIP THAT IS ADMINISTERED BY A COMMITTEE MADE UP OF TWO VOLUNTEER COMMUNITY MEMBERS, A REPRESENTATIVE FROM THE BOARD OF DIRECTORS AND A MEMBER OF THE ADMINISTRATIVE TEAM. THE COMMITTEE IDENTIFIES SPECIFIC AREAS EACH YEAR IN THE HOSPITAL WHICH ARE EXPERIENCING OR ANTICIPATING RECRUITMENT DIFFICULTIES RELATED TO THE SHORTAGE OF QUALIFIED CANDIDATES. THE COMMITTEE WORKS WITH THE ITHACA HIGH SCHOOL ADMINISTRATION TO IDENTIFY A GRADUATING SENIOR WHO IS PLANNING ON PURSUING A CAREER IN THE SELECTED HEALTH PROFESSION. THE AMOUNT OF THE SCHOLARSHIP CAN BE UP TO $1,000, TO BE AWARDED AT GRADUATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN B RUDD
PRESIDENT/CEO$385,000$0$22,500$0$0$0$5,100$0$23,000$0$435,600$0$0$0
JOHN COLLETT
VP/CFO$192,000$0$13,650$0$0$0$3,840$0$23,000$0$232,490$0$0$0
TIMOTHY BAEL MD
DIRECTOR/ONCOLOGIST$512,123$0$50,655$0$0$0$5,100$0$5,758$0$573,636$0$0$0
CHARLES GARBO MD
ONCOLOGIST$504,890$0$73,363$0$0$0$5,100$0$4,458$0$587,811$0$0$0
JULIE CAMPBELL MD
ONCOLOGIST$399,901$0$47,081$0$0$0$5,100$0$4,458$0$456,540$0$0$0
DAVID EVELYN MD
MEDICAL DIRECTOR/V.P$283,250$0$20,265$0$0$0$5,100$0$19,083$0$327,698$0$0$0
AUGUSTE DUPLAN MD
ADOL. PSYCHIATRIST$292,669$0$650$0$0$0$5,100$0$4,458$0$302,877$0$0$0
D ROBERT MACKENZIE MD
FORMER CEO$200,000$0$50,000$0$1,860,554$0$4,000$0$0$0$2,114,554$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APART I, LINE 1A: ALL EMPLOYEES ARE ELIGIBLE FOR A HEALTH CLUB MEMBERSHIP SUBSIDY, CAYUGA MEDICAL CENTER WILL REIMBURSE EMPLOYEES 50% OF THE SINGLE MONTHLY MEMBERSHIP FEE WHEN THEY ATTEND THE HEALTH CLUB AT LEAST 24 TIMES A QUARTER. IF AN INDIVIDUAL DOES NOT MEET THE CRITERIA, THEY WILL NOT RECEIVE THE SUBSIDY.
PART I, LINE 4AD ROB MACKENZIE RECEIVED A SERP LUMP SUM PAYMENT DURING 2013
PART I, LINE 6YEAR END BONUS PROGRAM FOR ALL EMPLOYEES WAS BASED ON THE OPERATING MARGIN, PARTICIPATION IN THE ANNUAL SAFETY TRAINING AND REACHING PREDETERMINED CUSTOMER SATISFACTION SCORES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
TOMPKINS COUNTY AREA DEVELOPMENT INC
A1660583392003-10-09$15,000,000FINANCE CONSTRUCTION & PURCHASE EQUIPMENT000
TOMPKINS COUNTY DEVELOPMENT CORP
B2722907452010-08-31$14,275,000FINANCE CONSTRUCTION & PURCHASE EQUIPMENT000890096AA8
TOMPKINS COUNTY DEVELOPMENT CORP
C2722907452013-04-09$25,000,000FINANCE CONSTRUCTION & PURCHASE EQUIPMENT000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$15,000,000$205,375$269,000$14,525,625200300Yes (1)Yes (1)
B$14,275,000$285,500$142,750$13,846,750201000Yes (1)Yes (1)
C$25,000,000$613,238$24,386,76200Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)Yes (1)00.008200.00820Yes (1)0Yes (1)
B0000Yes (1)0Yes (1)
C0000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
JP MORGAN
AYes (1)Yes (1)Yes (1)15.00000000000000000
DEUTSCHE BANK
BYes (1)Yes (1)Yes (1)12.00000000000000000
(no name)
CYes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LARRY BAUM
BOARD CHAIR & CEO OF COMPUTING CENTER$513,045PAYMENTS TO COMPUTING CENTER FOR SERVICES RENDERED0
GREGORY HARTZ
BOARD DIRECTOR & PRESIDENT/CEO OF TOMPKINS TRUST COMPANY (TTC)$182,427PAYMENTS TO TTC FOR BANK FEES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 VI, SECTION B, LINE 12CCAYUGA MEDICAL CENTER AT ITHACA MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN ANNUALLY. THE HOSPITAL REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY REVIEWING STATEMENTS ANNUALLY FOR CONFLICTS, IDENTIFYING DISQUALIFIED PERSONS, AND RECORDING ALL PROCEEDING RELATED TO A CONFLICT OF INTEREST TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15CAYUGA MEDICAL CENTER AT ITHACA DETERMINES COMPENSATION OF THE CEO AND OTHER OFFICERS BY UTILIZING INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEYS. FORMAL WRITTEN CONTRACT FOR CEO IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19CAYUGA MEDICAL CENTER AT ITHACA FOLLOWS THE IRS DISCLOSURE REQUIREMENTS AND ALL REQUIRED DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:PENSION AND POST RETIREMENT RELATED CHANGES 11,921,977. UNREALIZED GAIN ON INTEREST RATE SWAP 594,354. RESERVE FOR CMA LOAN -8,094,486.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CAYUGA MEDICAL CENTER FOUNDATION
101 DATES DRIVEITHACANY14850161072414SUPPORT CAYUGA MEDICAL CENTER AT ITHACANY501(C)(3)11CAYUGA MEDICAL CENTER AT ITHACA0
CAYUGA MEDICAL ASSOCIATES
101 DATES DRIVEITHACANY14850204356115ESTABLISH MEDICAL PRACTICES FOR LOCAL ACCESSIBILITYNY501(C)(3)90N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAYUGA MEDICAL OFFICE BUILDINGBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DATES DRIVEAddressLine1
CityITHACACity
StateNYState
ZIP Code14850ZIPCode
FieldValueIRS element (for citing)
EIN161261492EIN
Primary ActivitiesBUILDING MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$242,811ShareOfTotalIncomeAmt
Share Of EOY Assets$995,969ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
UBI Code V$918UBICodeVAmt
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.58000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
TOMPKINS OFFICE MANAGEMENT SYSTEM
101 DATES DRIVEITHACANY14850161437217OFFICE MANAGEMENTNYCAYUGA MEDICAL CENTER AT ITHACAC-$122,111$703,7431.00000Yes (1)
CAYUGA AREA PLAN INC
101 DATES DRIVEITHACANY14850161298390HEALTHCARENYC$453,715$524,0000.500000
CAYUGA AREA PREFERRED INC-(CONSOLIDATED W CAYUGA AREA PLAN)
101 DATES DRIVEITHACANY14850161542122HEALTHCARENYC0.500000
CAP CONNECTLLC
101 DATES DRIVEITHACANY14850453969273HEALTHCARENYCAYUGA MEDICAL CENTER AT ITHACAC$75,1410.85000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CAYUGA MEDICAL OFFICE BUILDING ASSOCIATES
L$50,382CONTRACT
CAYUGA MEDICAL OFFICE BUILDING ASSOCIATES
K$496,582CONTRACT
TOMPKINS OFFICE MANAGEMENT SYSTEMS INC
A$13,638CONTRACT
TOMPKINS OFFICE MANAGEMENT SYSTEMS INC
L$50,655CONTRACT
CAP CONNECT LLC
L$248,911CONTRACT
CAP CONNECT LLC
J$18,672CONTRACT
TOMPKINS OFFICE MANAGEMENT SYSTEMS INC
J$6,366CONTRACT