CAYUGA MEDICAL ASSOCIATES PC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- CAYUGA MEDICAL ASSOCIATES PC (EIN 20-4356115)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202423189349307667
- Schema version
- 2023v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T14:05:30-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204356115 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL ASSOCIATES PC | 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 DR | AddressLine1Txt |
| City | ITHACA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14850 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REBECCA GOULD | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 6072744441 | PhoneNum |
| Signature | 2024-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AIMEE JOZIC | PreparerPersonNm |
| PTIN | P01329472 | PTIN |
| Phone | 5853811000 | PhoneNum |
| Preparation | 2024-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | REBECCA GOULD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DATES DR | AddressLine1Txt |
| City | ITHACA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14850 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $117,938,975 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://WWW.CAYUGAMEDICALASSOCIATES.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CAYUGA MEDICAL ASSOCIATES, AS A MEMBER OF CAYUGA HEALTH SYSTEM, PROVIDES COMPREHENSIVE MEDICAL SERVICES TO THE ORGANIZATION'S SERVICE AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 721 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $43,341,001 | PYContributionsGrantsAmt |
| CY Contributions Grants | $34,146,174 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $64,141,311 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $83,641,384 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,076 | PYInvestmentIncomeAmt |
| CY Investment Income | $980 | CYInvestmentIncomeAmt |
| PY Other Revenue | $68,270 | PYOtherRevenueAmt |
| CY Other Revenue | $150,437 | CYOtherRevenueAmt |
| PY Total Revenue | $107,551,658 | PYTotalRevenueAmt |
| CY Total Revenue | $117,938,975 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,770,722 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $79,377,063 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,513,369 | PYOtherExpensesAmt |
| CY Other Expenses | $39,830,586 | CYOtherExpensesAmt |
| PY Total Expenses | $101,284,091 | PYTotalExpensesAmt |
| CY Total Expenses | $119,207,649 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,267,567 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,268,674 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,091,882 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,584,958 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,808,499 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,570,249 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,283,383 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,014,709 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CAYUGA MEDICAL ASSOCIATES, AS A MEMBER OF CAYUGA HEALTH SYSTEM, WILL REMAIN THE REGION'S LEADING HEALTHCARE SYSTEM, AND MOST TRUSTED DRIVER OF INTEGRATED HEALTH SERVICES, TOGETHER WITH VALUED PARTNERS. WE EMPOWER OUR PEOPLE AND EMPLOY OUR CAPABILITIES TO EQUITABLY IMPROVE THE WELL-BEING OF THE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $106,081,142 | ExpenseAmt |
| Revenue | $83,643,737 | RevenueAmt |
| Desc | IN 2023, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO 83,348 PATIENTS IN THE COURSE OF CONDUCTING 319,657 PATIENT VISITS. THE ORGANIZATION PROVIDES MEDICAL CARE TO ALL PATIENTS, REGARDLESS OF INABILITY TO PAY. THE ORGANIZATION ALSO OFFERS A FINANCIAL ASSISTANCE PROGRAM THAT, BASED ON FEDERAL POVERTY GUIDELINES, PROVIDES FREE OR REDUCED FEE CARE TO QUALIFYING INDIVIDUALS. IN 2023, THE ORGANIZATION'S PHYSICIANS CONDUCTED OVER 82,699 VISITS WITH MEDICAID AND LOW INCOME PATIENTS. THE ORGANIZATION CONTINUES WITH THE COMMITMENT TO ACCEPT PATIENTS FROM THE LOCAL PHYSICIANS' REFERRAL CENTER, REGARDLESS OF INABILITY TO PAY. | Desc |
| Total Program Service Expenses | $106,081,142 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 79 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 721 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REBECCA GOULD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (14 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARTIN STALLONE | |||||||||
| PRESIDENT | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $872,692 | $16,013 | ||
| CANDICE OLIVER | |||||||||
| VICE PRESIDENT | 40.00 | Yes (X) | Yes (X) | $391,471 | $0 | $41,839 | |||
| ANDREIA DE LIMA | |||||||||
| TREASURER | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $419,906 | $15,586 | ||
| ELIZABETH COTTON | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $247,944 | $0 | $34,033 | ||||
| E SMITH | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $346,660 | $24,633 | ||||
| M BERLIN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $413,425 | $10,041 | ||||
| JEFFREY PENOYER | |||||||||
| COO | 40.00 | Yes (X) | $136,025 | $240,077 | $31,532 | ||||
| REBECCA GOULD | |||||||||
| CFO | 2.00 | 38.00 | Yes (X) | $0 | $418,607 | $56,769 | |||
| DEIDRE MARIE BLAKE MD | |||||||||
| PHYSICIAN | 40.00 | $1,683,865 | $0 | $41,839 | Yes (X) | ||||
| BENJAMIN F DONOHUE MD | |||||||||
| PHYSICIAN | 40.00 | $1,002,526 | $0 | $22,208 | Yes (X) | ||||
| ALEC A MACAULAY MD | |||||||||
| PHYSICIAN | 40.00 | $954,646 | $0 | $9,900 | Yes (X) | ||||
| MICHAEL WATERS MD | |||||||||
| PHYSICIAN | 40.00 | $1,029,579 | $0 | $41,839 | Yes (X) | ||||
| LAVANYA KODALI MD | |||||||||
| PHYSICIAN | 49.00 | $975,848 | $0 | $41,839 | Yes (X) | ||||
| JOHN COLLETT | |||||||||
| FORMER CFO | 2.00 | 38.00 | $0 | $205,754 | $4,115 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,421,904 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,917,121 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $392,186 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 159 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| CAYUGA ANESTHESIA ASSOCIATES PLLC | |||||
| 201 DATES DRIVE | ITHACA | NY | 14850 | PROFESSIONAL MEDICAL SERVICES | $4,624,846 |
| SALLY'S SIX LLC | |||||
| 801 WEST BUFFALO STREET | ITHACA | NY | 14850 | RENTS | $1,053,817 |
| B&T VISIONS HOLDINGS LLC | |||||
| 15 THORNWOOD DRIVE | ITHACA | NY | 14852 | RENTS | $919,448 |
| EMMONS EMERGENCY MEDICAL SERVICES PLLC | |||||
| 30 THOMAS GROVE | PITTSFORD | NY | 14534 | PROFESSIONAL MEDICAL SERVICES | $637,362 |
| RAMCO DEVELOPMENT & HOLDINGS LLC | |||||
| 408 COMMERCE ROAD | VESTAL | NY | 13850 | RENTS | $594,655 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $34,146,174 | RelatedOrganizationsAmt |
| Total Contributions | $34,146,174 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $61,683,447 | $61,683,447 |
| SERVICE FEES | 621110 | $21,734,781 | $21,734,781 |
| INCENTIVE REVENUE | 621110 | $223,156 | $223,156 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $83,641,384 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $980 | TotalRevenueColumnAmt |
| Exclusion | $980 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,084 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $148,084 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,084 | TotalRevenueColumnAmt |
| Exclusion | $148,084 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $2,353 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,353 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,353 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $117,938,975 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $83,643,737 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $149,064 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,685 | TotalAmt |
| Management And General | $482,685 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,024,428 | TotalAmt |
| Program Services | $59,547,938 | ProgramServicesAmt |
| Management And General | $5,476,490 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,410,449 | TotalAmt |
| Program Services | $2,224,723 | ProgramServicesAmt |
| Management And General | $185,726 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,709,906 | TotalAmt |
| Program Services | $5,843,902 | ProgramServicesAmt |
| Management And General | $1,866,004 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,749,595 | TotalAmt |
| Program Services | $3,331,095 | ProgramServicesAmt |
| Management And General | $418,500 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,795 | TotalAmt |
| Program Services | $210,076 | ProgramServicesAmt |
| Management And General | $39,719 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,431 | TotalAmt |
| Management And General | $43,431 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,569,841 | TotalAmt |
| Program Services | $3,521,801 | ProgramServicesAmt |
| Management And General | $1,048,040 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,670 | TotalAmt |
| Program Services | $19,874 | ProgramServicesAmt |
| Management And General | $104,796 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,776,252 | TotalAmt |
| Program Services | $15,088 | ProgramServicesAmt |
| Management And General | $1,761,164 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,338,782 | TotalAmt |
| Program Services | $5,494,646 | ProgramServicesAmt |
| Management And General | $844,136 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,127 | TotalAmt |
| Program Services | $47,127 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,291 | TotalAmt |
| Program Services | $399,353 | ProgramServicesAmt |
| Management And General | $58,938 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,954,216 | TotalAmt |
| Program Services | $2,865,254 | ProgramServicesAmt |
| Management And General | $88,962 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED MEDICAL SERV | $12,242,673 | $12,242,673 | |
| LEASED MEDICAL PROVIDER | $4,862,129 | $4,862,129 | |
| MEDICAL SUPPLIES | $3,213,092 | $3,128,444 | $84,648 |
| OTHER | $2,950,287 | $2,327,019 | $623,268 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,207,649 | TotalAmt |
| Program Services | $106,081,142 | ProgramServicesAmt |
| Management And General | $13,126,507 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,396,614 | BOYAmt |
| EOY | $2,717,961 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,981 | BOYAmt |
| EOY | $1,982 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,668,017 | BOYAmt |
| EOY | $6,929,886 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,213,900 | BOYAmt |
| EOY | $575,683 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,783,718 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,310,451 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,811,370 | BOYAmt |
| EOY | $1,473,267 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $29,886,179 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,091,882 | BOYAmt |
| EOY | $41,584,958 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,203,932 | BOYAmt |
| EOY | $9,381,443 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,604,567 | BOYAmt |
| EOY | $29,188,806 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,808,499 | BOYAmt |
| EOY | $38,570,249 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,283,383 | BOYAmt |
| EOY | $3,014,709 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,283,383 | BOYAmt |
| EOY | $3,014,709 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,091,882 | BOYAmt |
| EOY | $41,584,958 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,268,674 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,769,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $29,715,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,450,434 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,331,572 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,146,174 | CurrentTaxYearAmt |
| Total | $172,412,349 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,264,433 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,324,940 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,678,810 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $109,815,202 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,641,384 | CurrentTaxYearAmt |
| Total | $330,724,769 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,033,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,040,032 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $97,129,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,146,774 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,787,558 | CurrentTaxYearAmt |
| Total | $503,137,118 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $503,137,118 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,021 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,076 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $980 | CurrentTaxYearAmt |
| Total | $5,063 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,021 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,076 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $980 | CurrentTaxYearAmt |
| Total | $5,063 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,034,228 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $75,041,053 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $97,130,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $153,147,850 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,788,538 | CurrentTaxYearAmt |
| Total | $503,142,181 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99070 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00840 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,985,503 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,651,123 | DepreciationAmt |
| Book Value | $334,380 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,754,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,659,328 | DepreciationAmt |
| Book Value | $1,095,631 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,256 | OtherCostOrOtherBasisAmt |
| Book Value | $43,256 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,473,267 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT-OF-USE ASSETS | $24,442,556 |
| PROF. LIABILITY INSURANCE RECEIVABLE | $3,869,929 |
| DUE FROM AFFILIATES | $1,573,694 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $29,886,179 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LEASE OBLIGATION | $25,318,877 |
| OTHER LIABILITIES | $3,869,929 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,188,806 | TotalLiabilityAmt |
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 |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 | 0 | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEIDRE MARIE BLAKE MD | ||||||||||||||
| PHYSICIAN | $791,708 | $0 | $892,157 | $0 | $0 | $0 | $9,900 | $0 | $31,939 | $0 | $1,725,704 | $0 | $0 | $0 |
| MICHAEL WATERS MD | ||||||||||||||
| PHYSICIAN | $484,849 | $0 | $544,730 | $0 | $0 | $0 | $9,900 | $0 | $31,939 | $0 | $1,071,418 | $0 | $0 | $0 |
| BENJAMIN F DONOHUE MD | ||||||||||||||
| PHYSICIAN | $490,158 | $0 | $512,368 | $0 | $0 | $0 | $9,900 | $0 | $12,308 | $0 | $1,024,734 | $0 | $0 | $0 |
| LAVANYA KODALI MD | ||||||||||||||
| PHYSICIAN | $719,777 | $0 | $256,071 | $0 | $0 | $0 | $9,900 | $0 | $31,939 | $0 | $1,017,687 | $0 | $0 | $0 |
| ALEC A MACAULAY MD | ||||||||||||||
| PHYSICIAN | $495,547 | $0 | $459,099 | $0 | $0 | $0 | $9,900 | $0 | $0 | $0 | $964,546 | $0 | $0 | $0 |
| MARTIN STALLONE | ||||||||||||||
| PRESIDENT | $0 | $796,276 | $0 | $70,577 | $0 | $5,839 | $0 | $6,600 | $0 | $9,413 | $0 | $888,705 | $0 | $0 |
| REBECCA GOULD | ||||||||||||||
| CFO | $0 | $393,888 | $0 | $24,719 | $0 | $0 | $0 | $56,769 | $0 | $0 | $0 | $475,376 | $0 | $0 |
| ANDREIA DE LIMA | ||||||||||||||
| TREASURER | $0 | $399,454 | $0 | $20,452 | $0 | $0 | $0 | $6,600 | $0 | $8,986 | $0 | $435,492 | $0 | $0 |
| CANDICE OLIVER | ||||||||||||||
| VICE PRESIDENT | $373,688 | $0 | $17,783 | $0 | $0 | $0 | $9,900 | $0 | $31,939 | $0 | $433,310 | $0 | $0 | $0 |
| M BERLIN | ||||||||||||||
| BOARD MEMBER | $0 | $388,494 | $0 | $24,931 | $0 | $0 | $0 | $0 | $0 | $10,041 | $0 | $423,466 | $0 | $0 |
| JEFFREY PENOYER | ||||||||||||||
| COO | $136,025 | $227,491 | $0 | $12,586 | $0 | $0 | $4,205 | $0 | $14,741 | $12,586 | $154,971 | $252,663 | $0 | $0 |
| E SMITH | ||||||||||||||
| BOARD MEMBER | $0 | $346,660 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,633 | $0 | $371,293 | $0 | $0 |
| ELIZABETH COTTON | ||||||||||||||
| BOARD MEMBER | $144,869 | $0 | $103,075 | $0 | $0 | $0 | $7,649 | $0 | $26,384 | $0 | $281,977 | $0 | $0 | $0 |
| JOHN COLLETT | ||||||||||||||
| FORMER CFO | $0 | $205,754 | $0 | $0 | $0 | $0 | $0 | $4,115 | $0 | $0 | $0 | $209,869 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS ONE PHYSICIAN SHAREHOLDER WHO OWNS TWO HUNDRED COMMON SHARES. |
| FORM 990, PART VI, SECTION A, LINE 7A | CMA'S RELATIONSHIP WITH THE MEDICAL CENTER IS ESTABLISHED THROUGH THE CORPORATE DOCUMENTS, NAMELY THE BYLAWS AND A SHAREHOLDER AGREEMENT. THROUGH THESE DOCUMENTS, THE CORPORATION SHALL ALWAYS HAVE ONLY ONE SHAREHOLDER WHO MUST BE A PHYSICIAN LICENSED TO PRACTICE MEDICINE IN THE STATE OF NEW YORK EMPLOYED BY CAYUGA MEDICAL CENTER AT ITHACA. THE NUMBER OF DIRECTORS CONSTITUTING THE ENTIRE BOARD SHALL BE FOUR. TWO OF THE BOARD MEMBERS SHALL BE APPOINTED BY MEDICAL CENTER AND SHALL BE PHYSICIANS LICENSED TO PRACTICE MEDICINE WHO ARE EMPLOYEES OF MEDICAL CENTER. TWO BOARD MEMBERS SHALL BE ELECTED BY THE PHYSICIAN ACTION COUNCIL. THE DIRECTORS APPOINTED BY THE PHYSICIAN ACTION COUNCIL NEED NOT BE SHAREHOLDERS OF THE CORPORATION, SO LONG AS THEY ARE LICENSED IN NEW YORK TO PRACTICE MEDICINE AND ARE EMPLOYEES OF THE CORPORATION. THE BOARD MEMBERS ELECTED BY THE PHYSICIAN ACTION COUNCIL ARE SUBJECT TO THE APPROVAL OF MEDICAL CENTER. IF A DIRECTOR RESIGNS, DIRES OR IS REMOVED, A REPLACEMENT SHALL BE APPOINTED OR ELECTED AS SET FOR ABOVE FOR A TERM OF TWO YEARS. EACH DIRECTORS SHALL HOLD OFFICE UNTIL HIS OR HER HAS RESIGNED OR HAS BEEN REMOVED AS HERENAFTER PROVIDED IN THESE BY-LAWS. THE BOARD OF DRIECTORS SHALL INCLUDE UP TO SIX (6) NON-VOTING ADVISORY BOARD MEMBERS. UP TO THREE (3) PHYSICIANS MAY BE APPOINTED BY THE PHYSICIAN ACTION COUNCIL, SUBJECT TO APPROVAL BY THE VOTING BOARD MEMBERS. ONE OF THESE NON-VOTING ADVISORY BOARD MEMBERS MAY BE A PHYSICIAN WHO IS A MEMBER IN GOOD STANDING OF FINGER LAKES MANAGEMENT ASSOCIATES, DBA; CAYUGA AREA PHYSICIANS ALLIANCE, BUT WHO IS NOT AN EMPLOYEE OF THE CORPORATION. THE NON-VOTING ADVISORY BOARD MEMBERS SHALL BE SUBJECT TO THE QUALIFICATION OF ARTICLE IV SECTIONS 3 AND 4. UP TO THREE (3) NON-VOTING ADVISORY BOARD MEMBERS, BUT IN ANY EVENT A NUMBER EQUAL TO THE NUMBER OF PHYSICIANS APPOINTED BY THE PHYSICIAN ACTION COUNCIL, SHALL BE APPOINTED BY MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE ABOVE ANSWER TO 7A FOR COMPLETE EXPLANATION OF MEMBERSHIP STRUCTURE AND DECISION MAKING AUTHORITY. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PROVIDED TO AND REVIEWED BY ITS BOARD OF DIRECTORS BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CAYUGA MEDICAL ASSOCIATES HAS ADOPTED A CONFLICT OF INTEREST POLICY IN 2011, WHICH BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN ANNUALLY. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY REVIEWING STATEMENTS ANNUALLY FOR CONFLICTS, IDENTIFYING AND DISQUALIFIED PERSONS, AND RECORDING RELATED TO A CONFLICT OF INTEREST TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | IT IS THE POLICY AND PRACTICE OF OF CAYUGA MEDICAL ASSOCIATES, PC (CMA) TO COMPENSATE STAFF AT MARKET DRIVEN WAGES COMMENSURATE WITH INDIVIDUAL PERFORMANCE. OUTSIDE SOURCES ARE USED TO DETERMINE APPROPRIATE PAY RANGES FOR ALL ROLES, INCLUDING ANY EXECTIVE COMPENSATION. PHYSICIAN AND KEY EMPLOYEE COMPENSATION IS DETERMINED BASED ON THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) NATIONAL SURVEY DATA AND OTHER REGIONAL AND LOCAL COMPENSATION DATA. IT IS THE INTENT THAT PHYSICIANS ARE COMPENSATED APPROPRIATELY BASED ON THEIR INDIVIDUAL PRODUCTIVITY AS MEASURED IN COLLECTIONS, RVUS, WORK HOURS, DUTIES, ETC. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990. PART XII, LINE 2C | THE ORGANIZATION HAS NOT CHANGED THE OVERSIGHT PROCESS OR THE SELECTIONS PROCESS DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CAYUGA PHYSICIAN PRACTICE PLLC | |||||||||
| 101 DATES DRIVE | ITHACA | NY | 14850 | 611915049 | PROCESS ELECTRONIC PAYMENTS | NY | $0 | $0 | CAYUGA MEDICAL ASSOCIATES PC |
| CMA MEDICAL PRACTICE PLLC | |||||||||
| 101 DATES DRIVE | ITHACA | NY | 14850 | 611871948 | PROCESS ELECTRONIC PAYMENTS | NY | $0 | $0 | CAYUGA MEDICAL ASSOCIATES PC |
| ITHACA MEDICAL ASSOCIATES PLLC | |||||||||
| 101 DATES DRIVE | ITHACA | NY | 14850 | 862943718 | PROCESS ELECTRONIC PAYMENTS | NY | $0 | $0 | CAYUGA MEDICAL ASSOCIATES PC |
| CAYUGA PHYSICIAN PRACTICE PLLC | |||||||||
| 101 DATES DRIVE | ITHACA | NY | 14850 | 862921564 | PROCESS ELECTRONIC PAYMENTS | NY | $0 | $0 | CAYUGA MEDICAL ASSOCIATES PC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL CENTER | 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 | 222325405 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 170(B)(A) | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL OFFICE BUILDING ASSOCIATES | 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 | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | EXCLUDED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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