2023-11-02T08:36:11-07:00 2022-12-31 990 2022-01-01 204356115 CAYUGA MEDICAL ASSOCIATES PC CAYU 6072772365 101 Dates Drive Ithaca NY 14850 Rebecca Gould Chief Financial Officer 6072744441 2023-11-15 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z Rebecca Gould 101 Dates Drive Ithaca NY 14850 107551658 0 X www.cayugahealth.org X 2006 NY Cayuga Medical Associates, as a member of Cayuga Health System, provides comprehensive medical services to the organization's service area. 4 0 593 0 0 0 41450434 43341001 55719748 64141311 1268 1076 65968 68270 97237418 107551658 0 0 0 0 59534446 67770722 0 0 0 36834981 33513369 96369427 101284091 867991 6267567 9424563 22091882 11408747 17808499 -1984184 4283383 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 90716299 0 64210657 In 2022, the organization provided medical services to 81,096 patients in the course of conducting 288,015 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 2022, the organization's physicians conducted over 99,599 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. 0 0 0 90716299 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 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 0 0 0 1 101 0 1 593 1 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Cayuga Medical Associates PC Administration 6072772365 1301 Trumansburg Rd Suite P Ithaca NY 14850 Deidre Blake MD Physician 40 0 X 1675476 0 0 Martin Stallone MD President 2 40 X X 0 999371 54196 Benjamin Donohue MD Physician 40 0 X 1010162 0 0 Alec Macaulay MD Physician 40 0 X 953920 0 0 Michael Waters MD Physician 40 0 X 914212 0 0 Lavanya Kodali MD Physician 40 0 X 793081 0 0 John Collett CFO 2 40 X 0 522400 37400 Andrea de Lima MD Board Member/Physician 2 40 X X 0 442726 57598 Candice Oliver DO Vice President 40 2 X X 394008 5000 0 Elizabeth Cotton MD Physician 40 40 X 296633 0 0 Jeffrey Penoyer COO 40 0 X 284926 0 0 6322418 1969497 149194 138 0 1 0 Cayuga Anesthesia Associates PLLC 201 Dates Drive Ithaca NY 14850 Professional Medical Services 5374499 Hayes Locums LLC PO Box 88122 Chicago IL 60680 Professinal medical services 2579375 Sally's Six 801 west Buffalo Street Ithaca NY 14850 Rents 1044959 Brent-Park 15 Thornwood Drive Ithaca NY 14850 Rents 693201 URMC Neurosurgery 601 Elmwood Ave Box 888 Rochester NY 14642 Professional Medical Services 672873 37 0 0 0 43331572 0 9429 0 43341001 Patient Fees 621110 55623215 55623215 0 0 Service Fees 621110 8251754 8251754 0 0 Other Revenue 900099 26846 26846 0 0 Incentive Revenue 900099 239496 239496 0 0 0 0 0 0 64141311 1076 1076 0 0 0 0 0 0 0 0 0 0 68270 0 0 0 68270 0 68270 68270 0 0 0 0 0 0 107551658 64210657 0 0 0 0 0 0 0 0 0 0 391350 0 391350 0 0 0 0 0 55607431 51373928 4233503 0 2067675 1927030 140645 0 6814792 5357417 1457375 0 2889474 2586668 302806 0 0 0 0 0 228415 0 228415 0 58104 0 58104 0 0 0 0 0 0 0 0 0 0 0 4332197 1266840 3065357 0 126903 126903 0 0 111389 102304 9085 0 1420165 1420165 0 0 0 0 0 0 3543449 3065840 477609 0 34110 34110 0 0 0 0 0 0 0 0 0 0 47 47 0 0 0 0 0 0 450465 355754 94711 0 2168651 2059819 108832 0 Leased Medical Providers 3038885 3038885 0 0 Medical Supplies 2407146 2407146 0 0 Bad Debt 2359736 2359736 0 0 Contracted Medical Services 13233707 13233707 0 0 101284091 90716299 10567792 0 1847555 2396614 1874 1981 0 0 5534131 6668017 0 0 0 0 0 0 0 0 591203 1213900 17663530 5852160 1449800 11811370 0 0 0 0 0 9424563 22091882 6028541 2203932 0 0 0 0 0 0 0 0 0 0 0 0 10839 0 5369367 15604567 11408747 17808499 X -1984184 4283383 0 0 -1984184 4283383 9424563 22091882 6267567 0 0 0 0 0 X X 0 1 X 1 0 X 18148900 23769077 29715092 41450434 43331572 156415075 31667161 36264433 45324940 55678810 109815202 278750546 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 49816061 60033510 75040032 97129244 153146774 435165621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 435165621 3708664 718 1021 1268 1076 3712747 0 0 0 0 0 0 3708664 718 1021 1268 1076 3712747 0 0 0 0 0 0 22266 52559 110016 106906 95116 386863 53546991 60086787 75151069 97237418 153242966 439265231 0.99067 0.98783 0.00845 0.01122 X Schedule A, Part III, Line 12 Rental and misc. income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1985503 1518685 466818 0 2177920 1619739 558181 0 13500107 2713736 10786371 11811370 Accrued expenses 46680 Accrued payroll, taxes and benefits 4238895 Current portion of lease obligation 2521873 Lease obligation, net of current portion 8797119 15604567 105191922 0 0 0 0 0 105191922 0 2359736 2359736 107551658 98924355 0 0 0 0 0 98924355 0 2359736 2359736 101284091 Schedule D, Part XI, Line 4b Bad Debt - $2,359,736 Schedule D, Part XII, Line 4b Bad Debt - $2,359,736 X 1 1 X 0 0 0 0 0 0 0 0 0 Deidre Blake MD Physician 867238 0 808238 0 0 0 9150 0 26951 0 1711577 0 0 0 Martin Stallone MD President 0 772869 0 205614 0 20888 0 0 0 0 0 999371 0 0 Alec Macaulay MD Physician 528573 0 425347 0 0 0 9150 0 0 0 963070 0 0 0 Benjamin Donohue MD Physician 532876 0 477286 0 0 0 9150 0 10466 0 1029778 0 0 0 Michael Waters MD Physician 490998 0 423214 0 0 0 9150 0 26951 0 950313 0 0 0 Lavanya Kodali MD Physician 748977 0 44104 0 0 0 9150 0 26951 0 829182 0 0 0 Candice Oliver DO Vice President 380375 0 13633 0 0 5000 9150 0 26951 0 430109 5000 0 0 John Collett CFO 0 441050 0 81350 0 0 0 0 0 0 0 522400 0 0 Jeffrey Penoyer COO 238487 0 46439 0 0 0 8824 0 26951 0 320701 0 0 0 Andrea de Lima MD Board Member/Physician 0 383729 0 58997 0 0 0 0 0 0 0 442726 0 0 Elizabeth Cotton MD Physician 139533 0 157100 0 0 0 9104 0 27000 0 332737 0 0 0 Schedule J, Part I, Line 1a The organization subsidizes a portion of health club fees if employees attend the required number of visits per month. 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 CMAS 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 AND WHO IS A PARTY TO A SHAREHOLDER AGREEMENT APPROVED IN ALL RESPECTS 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, DIES OR IS REMOVED, A REPLACEMENT SHALL BE APPOINTED OR ELECTED IN THE SAME MANNER AS THE DEPARTING DIRECTOR. EACH DIRECTOR SHALL BE APPOINTED OR ELECTED AS SET FORTH ABOVE FOR A TERM OF TWO YEARS. EACH DIRECTOR SHALL HOLD OFFICE UNTIL HIS OR HER SUCCESSOR HAS BEEN DULY ELECTED AND QUALIFIED, OR UNTIL HIS OR HER DEATH, OR UNTIL HE OR SHE HAS RESIGNED OR HAS BEEN REMOVED AS HEREINAFTER PROVIDED IN THESE BY-LAWS. THE BOARD OF DIRECTORS 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 A, Line 8a ALL MINUTES OF MEETINGS ARE RECORDED AND FILED WITH CORPORATE DOCUMENTS ONCE APPROVED. Form 990, Part VI, Section A, Line 8b ALL MINUTES OF MEETINGS ARE RECORDED AND FILED WITH CORPORATE DOCUMENTS ONCE APPROVED. 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 ANY DISQUALIFIED PERSONS, AND RECORDING ALL PROCEEDING RELATED TO A CONFLICT OF INTEREST TRANSACTIONS. Form 990, Part VI, Section B, Line 15 IT IS THE POLICY AND PRACTICE 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 EXECUTIVE COMPENSATION. PHYSICIAN AND KEY EMPLOYEE COMPENSATION IS DETERMINED BASED ON 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 Services PLLC 101 Dates Drive Ithaca NY 14850 862943718 Process electronic payments NY 0 0 Cayuga Medical Associates PC Cayuga Medicine Services 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) (1) (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 Cayuga Medical Center c 43331572 Review and approval of budgeted cash subsidy by organization's senior leadership as well as Board approval when the final budget is presented. Cayuga Medical Center k 81800 Lease agreement (equipment rental) Cayuga Medical Center k 106817 Lease agreement Cayuga Medical Center j 65128 Lease agreement Cayuga Medical Center l 2978592 Written agreement Cayuga Medical Center m 3498074 Written agreement Cayuga Medical Office Building Associates k 256876 Lease agreement