2024-11-13T14:05:30-06:00 2023-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2023-01-01 204356115 CAYUGA MEDICAL ASSOCIATES PC CAYU 6072744441 101 DATES DR ITHACA NY 14850 REBECCA GOULD CHIEF FINANCIAL OFFICER 6072744441 2024-11-07 1 1 AIMEE JOZIC P01329472 5853811000 2024-11-07 2023 2024-10-15 13:58:12Z REBECCA GOULD 101 DATES DR ITHACA NY 14850 117938975 0 X HTTPS://WWW.CAYUGAMEDICALASSOCIATES.ORG/ X 2006 NY CAYUGA MEDICAL ASSOCIATES, AS A MEMBER OF CAYUGA HEALTH SYSTEM, PROVIDES COMPREHENSIVE MEDICAL SERVICES TO THE ORGANIZATION'S SERVICE AREA. 5 0 721 0 0 0 43341001 34146174 64141311 83641384 1076 980 68270 150437 107551658 117938975 0 0 0 0 67770722 79377063 0 0 0 33513369 39830586 101284091 119207649 6267567 -1268674 22091882 41584958 17808499 38570249 4283383 3014709 X 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. 0 0 106081142 83643737 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. 106081142 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 79 0 1 721 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X REBECCA GOULD 6072744441 101 DATES DRIVE ITHACA NY 14850 MARTIN STALLONE PRESIDENT 2.00 38.00 X X 0 872692 16013 CANDICE OLIVER VICE PRESIDENT 40.00 X X 391471 0 41839 ANDREIA DE LIMA TREASURER 2.00 38.00 X X 0 419906 15586 ELIZABETH COTTON BOARD MEMBER 2.00 X 247944 0 34033 E SMITH BOARD MEMBER 2.00 X 0 346660 24633 M BERLIN BOARD MEMBER 2.00 X 0 413425 10041 JEFFREY PENOYER COO 40.00 X 136025 240077 31532 REBECCA GOULD CFO 2.00 38.00 X 0 418607 56769 DEIDRE MARIE BLAKE MD PHYSICIAN 40.00 X 1683865 0 41839 BENJAMIN F DONOHUE MD PHYSICIAN 40.00 X 1002526 0 22208 ALEC A MACAULAY MD PHYSICIAN 40.00 X 954646 0 9900 MICHAEL WATERS MD PHYSICIAN 40.00 X 1029579 0 41839 LAVANYA KODALI MD PHYSICIAN 49.00 X 975848 0 41839 JOHN COLLETT FORMER CFO 2.00 38.00 X 0 205754 4115 6421904 2917121 392186 159 1 1 0 CAYUGA ANESTHESIA ASSOCIATES PLLC 201 DATES DRIVE ITHACA NY 14850 PROFESSIONAL MEDICAL SERVICES 4624846 SALLY'S SIX LLC 801 WEST BUFFALO STREET ITHACA NY 14850 RENTS 1053817 B&T VISIONS HOLDINGS LLC 15 THORNWOOD DRIVE ITHACA NY 14852 RENTS 919448 EMMONS EMERGENCY MEDICAL SERVICES PLLC 30 THOMAS GROVE PITTSFORD NY 14534 PROFESSIONAL MEDICAL SERVICES 637362 RAMCO DEVELOPMENT & HOLDINGS LLC 408 COMMERCE ROAD VESTAL NY 13850 RENTS 594655 44 34146174 34146174 PATIENT SERVICE REVENUE 621110 61683447 61683447 SERVICE FEES 621110 21734781 21734781 INCENTIVE REVENUE 621110 223156 223156 83641384 980 980 148084 0 148084 148084 148084 OTHER REVENUE 900099 2353 2353 2353 117938975 83643737 0 149064 482685 482685 65024428 59547938 5476490 2410449 2224723 185726 7709906 5843902 1866004 3749595 3331095 418500 249795 210076 39719 43431 43431 4569841 3521801 1048040 124670 19874 104796 1776252 15088 1761164 6338782 5494646 844136 47127 47127 458291 399353 58938 2954216 2865254 88962 CONTRACTED MEDICAL SERV 12242673 12242673 LEASED MEDICAL PROVIDER 4862129 4862129 MEDICAL SUPPLIES 3213092 3128444 84648 OTHER 2950287 2327019 623268 119207649 106081142 13126507 0 2396614 2717961 1981 1982 6668017 6929886 1213900 575683 7783718 6310451 11811370 1473267 0 29886179 22091882 41584958 2203932 9381443 15604567 29188806 17808499 38570249 X 4283383 3014709 4283383 3014709 22091882 41584958 -1268674 0 X X 0 1 X 1 0 X 23769077 29715092 41450434 43331572 34146174 172412349 36264433 45324940 55678810 109815202 83641384 330724769 60033510 75040032 97129244 153146774 117787558 503137118 0 0 0 503137118 718 1021 1268 1076 980 5063 718 1021 1268 1076 980 5063 60034228 75041053 97130512 153147850 117788538 503142181 1.00000 0.99070 0.00000 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1985503 1651123 334380 5754959 4659328 1095631 43256 43256 1473267 OPERATING LEASE RIGHT-OF-USE ASSETS 24442556 PROF. LIABILITY INSURANCE RECEIVABLE 3869929 DUE FROM AFFILIATES 1573694 29886179 LEASE OBLIGATION 25318877 OTHER LIABILITIES 3869929 29188806 X 1 1 X 0 0 0 0 0 0 0 0 0 DEIDRE MARIE BLAKE MD PHYSICIAN 791708 0 892157 0 0 0 9900 0 31939 0 1725704 0 0 0 MICHAEL WATERS MD PHYSICIAN 484849 0 544730 0 0 0 9900 0 31939 0 1071418 0 0 0 BENJAMIN F DONOHUE MD PHYSICIAN 490158 0 512368 0 0 0 9900 0 12308 0 1024734 0 0 0 LAVANYA KODALI MD PHYSICIAN 719777 0 256071 0 0 0 9900 0 31939 0 1017687 0 0 0 ALEC A MACAULAY MD PHYSICIAN 495547 0 459099 0 0 0 9900 0 0 0 964546 0 0 0 MARTIN STALLONE PRESIDENT 0 796276 0 70577 0 5839 0 6600 0 9413 0 888705 0 0 REBECCA GOULD CFO 0 393888 0 24719 0 0 0 56769 0 0 0 475376 0 0 ANDREIA DE LIMA TREASURER 0 399454 0 20452 0 0 0 6600 0 8986 0 435492 0 0 CANDICE OLIVER VICE PRESIDENT 373688 0 17783 0 0 0 9900 0 31939 0 433310 0 0 0 M BERLIN BOARD MEMBER 0 388494 0 24931 0 0 0 0 0 10041 0 423466 0 0 JEFFREY PENOYER COO 136025 227491 0 12586 0 0 4205 0 14741 12586 154971 252663 0 0 E SMITH BOARD MEMBER 0 346660 0 0 0 0 0 0 0 24633 0 371293 0 0 ELIZABETH COTTON BOARD MEMBER 144869 0 103075 0 0 0 7649 0 26384 0 281977 0 0 0 JOHN COLLETT FORMER CFO 0 205754 0 0 0 0 0 4115 0 0 0 209869 0 0 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. 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 CAYUGA MEDICAL CENTER 101 DATES DRIVE ITHACA NY 14850 222325405 HOSPITAL NY 501(C)(3) 170(B)(A) N/A 0 CAYUGA MEDICAL OFFICE BUILDING ASSOCIATES 101 DATES DRIVE ITHACA NY 14850 161261492 RENTAL NY CAYUGA MEDICAL CENTER EXCLUDED 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0