2020-11-09T09:45:49-07:00 2019-12-31 990 2019-01-01 222325405 CAYUGA MEDICAL CENTER AT ITHACA CAYU 6072744441 101 Dates Drive Ithaca NY 14850 Martin Stallone President/CEO 6072744441 2020-11-09 98.159.210.253 2019 2021-01-29 14:40:06Z Martin Stallone 101 Dates Drive Ithaca NY 14850 314875933 0 X www.cayugamed.org X 1981 NY To deliver the highest quality healthcare in partnership with our community, one person at a time. 18 15 1916 271 282019 112831 1235160 417561 237954712 260566605 2377810 6973906 5743987 2300596 247311669 270258668 6750 5865 0 0 110319583 118996579 0 0 0 112450918 123893857 222777251 242896301 24534418 27362367 263637669 270567416 113560752 119957105 150076917 150610311 To deliver the highest quality healthcare in partnership with our community, one person at a time. 0 0 180449242 0 261103657 Patient service - General inpatient and outpatient hospital care. Services are provided to those in need regardless of the patients' ability to pay, race, creed, national origin, life circumstances, or disease. Cayuga Medical Center works closely with the community to determine health needs and to support the development of programs and services that improve the health status of the community. 5865 5865 0 Health career scholarships are awarded to students pursuing a healthcare degree and emergency disaster funds provide temporary funds to employees adversely affected by emergent situations. There were two scholarship participants and 14 employee disaster fund participants in 2019. 0 0 0 180455107 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 346 0 1916 1 1 1 0 0 0 0 0 1 0 X 18 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X John Collett 6072744441 101 Dates Drive Ithaca NY 14850 John Rudd President/CEO of Cayuga Health System 40 0 X 3949219 0 23989 Martin Stallone MD President/CEO Cayuga Medical Center 39 1 X X 807181 0 40688 David Evelyn VP of Medical Affairs 40 0 X 508448 0 144638 Srisatish Devapatla MD Neonatologist 40 0 X 452240 0 27312 John Collett CFO/VP 39 1 X 431450 0 30700 Debra Raupers Chief Nursing Officer 40 0 X 378424 0 64561 Auguste Duplan MD Psychologist 40 0 X 369209 0 32318 Ramesh Vidavalur MD Neonatologist 40 0 X 371196 0 23143 Jim Watson Schuyler Hospital Medical Staff President, Ex-Officio 1 40 X 0 357508 27268 Tracy Gates Chief Operating Officer 40 0 X 320386 0 44007 Ben Saks Schuyler Hospital Medical Staff President, Ex-Officio 1 40 X 0 276743 0 Elizabeth Plocharczyk Medical Staff President, Ex-Officio 1 0 X 2420 0 0 Tom LiVigne Chairman 1 0 X X 0 0 0 Larry Baum Vice Chair 1 0 X X 0 0 0 Greg Hartz Treasurer 1 0 X X 0 0 0 Suzanne Blowers Secretary 1 0 X X 0 0 0 Joel Malina Director 1 0 X 0 0 0 James Brown Director 1 0 X 0 0 0 Gary Ferguson Director 1 0 X 0 0 0 Rev Dr Ken Clarke Director 1 0 X 0 0 0 Paula Younger Director 1 0 X 0 0 0 John Lambert MD Director 1 0 X 0 0 0 Jerry Mickelson Director 1 0 X 0 0 0 Carl Sgrecci Director 1 0 X 0 0 0 Fred Wickham Director 1 0 X 0 0 0 Eunice Nayo Director 1 0 X 0 0 0 Skip Hewitt CMC Auxiliary President, Ex-Officio 1 0 X 0 0 0 Sharon Malick Schuyler Hospital Auxiliary President, Ex-Officio 1 1 X 0 0 0 7590173 634251 458624 98 0 1 0 Navigant Consulting 150 North Riverside Plaza Suite 2100 Chicago IL 60606 Revenue Cycle Services 3620560 Mayo Collaborative Services Inc PO Box 4100 Rochester MN 55903 Laboratory services 3029863 Cayuga Anesthesia Associates PLLC 201 Dates Drive Ithaca NY 14850 Anesthesiology Services 2920378 Ithaca Medical Group PLLC 1301 Trumansburg Rd P Ithaca NY 14850 Oncology Medical Services 2874249 The Hayner Hoyt Corporation 625 Erie Blvd W Syracuse NY 13204 Commercial Construction 2781268 62 0 0 0 0 161686 255875 0 417561 Patient Revenue 622000 248035107 248035107 0 0 12531498 12531498 0 0 260566605 3361620 0 109126 3252494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46697008 1532543 43003729 1613536 3693279 -80993 3612286 0 0 3612286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria Meals Revenue 722212 1590651 0 0 1590651 709945 537052 172893 0 2300596 270258668 261103657 282019 8455431 0 0 5865 5865 0 0 0 0 5630821 0 5630821 0 0 0 0 0 81241143 62300057 18941086 0 10485721 8041012 2444709 0 15604582 11988598 3615984 0 6034312 4627433 1406879 0 1283240 526331 756909 0 411745 152346 259399 0 355003 0 355003 0 135917 0 135917 0 0 0 70000 0 70000 0 18788868 7467210 11321658 0 1646930 0 1646930 0 60810207 55309608 5500599 0 3101101 2710169 390932 0 0 0 0 0 4879365 2611742 2267623 0 306456 113042 193414 0 0 0 0 0 0 0 0 0 759758 0 759758 0 0 0 0 0 12897153 6833926 6063227 0 1300606 1105515 195091 0 Licensure/Certifications/Permit Fees 131197 70746 60451 0 Purchased Services 17016311 16591507 424804 0 0 0 0 0 242896301 180455107 62441194 0 7311 7003 15639322 5061224 0 0 24034313 25920487 0 0 0 0 282238 0 8327090 8877105 13203035 14503582 293462597 176857999 116653432 116604598 68517551 81096514 0 0 0 0 1529995 1529995 15443382 16966908 263637669 270567416 25745018 27898590 0 0 0 0 25783185 22904734 0 0 0 0 0 0 0 0 62032549 69153781 113560752 119957105 X 144707059 144702971 5369858 5907340 150076917 150610311 263637669 270567416 X 27362367 8195434 0 0 0 -35024407 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 107226 0 107226 0 Schedule C, Part II-B, Line 1 Cayuga Medical Center has consultants that lobby on the hospital's behalf and it also belongs to organizations that lobbies on their members' behalf. 1728201 29316 216 0 7226 0 1750507 1703145 35761 199 0 10904 0 1728201 1720662 97 193 0 17807 0 1703145 1711653 30144 181 0 21316 0 1720662 1674520 43088 136 0 6091 0 1711653 0 0.7886 0.2114 0 1 1 12899485 0 12899485 159760125 0 83687512 76072613 2641403 0 1987527 653876 106541301 0 86888514 19652787 11620283 0 4294446 7325837 116604598 Beneficial Interests in Assets of Foundation 7453966 Insurance Receivable 2684117 Equity in Related Parties 5184695 Life Insurance 1644130 16966908 0 Accrued Pension Cost 44117781 Accrued Postretirement Benefit 14320896 Accrued Portion Due to Third Party Payors 7972675 Accrued Insurance Claims 2684117 Fair Value of Interest Rate Swap 58312 69153781 278454102 8195434 0 0 0 8195434 270258668 0 0 0 270258668 277920707 0 0 0 35024406 35024406 242896301 0 0 0 242896301 Schedule D, Part V, Line 4 The intended use of the endowment funds is to support Cayuga Medical Center's ongoing mission to deliver the highest quality healthcare in partnership with our community, one person at a time. Schedule D, Part XII, Line 2d Unrealized Loss on Interest Rate Swap - ($21,458) / Other Changes in Pension & Post-Retirement Obligation - ($11,233,871) / Transfers to Related Parties - ($23,769,077) 1 1 1 X 1 X 1 1 0 0 1824794 1824794 0.0075 38615427 21954021 16661406 0.0686 0 0 40440221 21954021 18486200 0.0761 29576895 802327 28774568 0.1185 1683106 20250 1662856 0.0068 10888246 6349621 4538625 0.0187 35730 35730 0.0001 0 0 42183977 7172198 35011779 0.1441 0 0 82624198 29126219 53497979 0.2202 1 5327319 5090030 45251829 58401120 -13149291 X 1 0 1 1 CAYUGA MEDICAL CENTER AT ITHACA INC 101 DATES DRIVE ITHACA NY 14850 WWW.CAYUGAMED.ORG 5401001H X X X X CAYUGA MEDICAL CENTER AT ITHACA INC 1 0 0 1 X X X X X X X X X 19 1 0 1 1 X https://www.cayugamed.org/wp-content/uploads/2020/08/2019-2024_CHA-CHIP-Tompkins-1.pdf X 1 19 1 https://www.cayugamed.org/wp-content/uploads/2020/08/2019-2024_CHA-CHIP-Tompkins-1.pdf 0 0 1 X 100 300 X 1 1 X X X 1 X WWW.CAYUGAMED.ORG X WWW.CAYUGAMED.ORG X WWW.CAYUGAMED.ORG X X X X X X 1 X 0 X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-CAYUGA MEDICAL CENTER AT ITHACA INC As in years past, the qualitative process provided crucial community input into this assessment. The CHNA/CHIP team was comprised of representatives from Tompkins County, Cayuga Medical Center, and several community-based non-profit organizations. Much of the information driving the selection/confirmation of our priorities was gathered through conversations with service providers and through panels and presentation by peers and providers. Key data indicators were reviewed to guide selection decisions for our priority focus areas. Finally, review of chronic disease indicators revealed that Tompkins County is in the second quartile statewide, indicating the need to continue our efforts to focus on underserved populations, particularly in the rural parts of the county. Schedule H, Part V, Section B, Line 6b-CAYUGA MEDICAL CENTER AT ITHACA INC Tompkins County Health Department, Tompkins County Mental Health, Office for the Aging, Cayuga Health System, Health Planning Council, Horn Research Consulting, Ithaca College, Cornell University, and Cornell Cooperative Extension of Tompkins County. Schedule H, Part V, Section B, Line 11-CAYUGA MEDICAL CENTER AT ITHACA INC Cayuga Medical Center (CMC) is actively working to address the needs of individuals suffering from mental health and/or substance abuse conditions by improving the care available to this population within the hospital setting and actively collaborating with community-based providers for the outpatient setting. Cayuga Medical Center is directly participating in the Tompkins County CHNA/CHIP Steering Committee and has representation from our Cayuga Center for Health Living, a service within CMC that focuses on chronic disease prevention and treatment. The health needs not addressed by the document include: percent of population (all ages) living in poverty, percent of population (under age 18) living in poverty, percent of single parent households with children under the age of 18 living in the home, percent of individuals uninsured and the housing affordability rate. CMC is not directly addressing these health conditions. CMC is however, aligned with and supports the United Way in Tompkins County which helps address housing and poverty needs. CMC additionally is aligned with the Health Planning Council which assists in enrolling individuals into Medicaid and other affordable insurance programs and CMC provides space at the hospital for enrollment of individuals into these programs. Schedule H, Part V, Section B, Line 20d-CAYUGA MEDICAL CENTER AT ITHACA INC Not Utilized per Billing Department 11 Cayuga Medical Center Urgent Care 10 Arrowwood Drive Ithaca NY 14850 Urgent Care Clinic, Diagnostic Imaging, Hematology/Oncology Services. Cayuga Medical Center Urgent Care Cortland 1129 Commons Ave Cortland NY 14850 Urgent Care, Diagnostic Imaging, Lab Services, Outpatient Physical Therapy. Cayuga Medical Center Cayuga Wellness Center 310 Taughannock Blvd Ithaca NY 14850 Cardiac Rehab, Outpatient Physical Therapy, Bariatric Clinic & Nutrition Services. Cayuga Medical Center CHOA 201 Dates Drive Ithaca NY 14850 Hematology & Oncology Services Cayuga Medical Center Surgicare 10 Arrowwood Drive Ithaca NY 14850 Outpatient Surgical Services Cayuga Medical Center Brentwood PT 10 Brentwood Drive Ithaca NY 14850 Outpatient Rehabilitation Services. Cayuga Medical Center Brentwood Imaging 16 Brentwood Drive Ithaca NY 14850 Diagnostic Imaging Services Cayuga Medical Center Cayuga Endoscopy Center 2435 North Triphammer Road Ithaca NY 14850 Endoscopy Services Cayuga Medical Center Dryden Lab Draw 5 Evergreen Street Dryden NY 14850 Lab Draw Station Cayuga Medical Center Craft Road Lab Draw 1020 Craft Road Suite B Ithaca NY 14850 Lab Draw Station Cayuga Medical Center Cayuga Heights Lab Draw 905 Hanshaw Road Ithaca NY 14850 Lab Draw Station Schedule H, Part I, Line 7 Cayuga Medical Center utilized its cost accounting system to obtain the cost of services related to financial assistance and subsidized health services, lines 7a and 7g. All other costs were derived from actual expenses incurred in the period that were directly related to the provision of the service or program. Schedule H, Part I, Line 7, Column f The amount of bad debt expense that was incurred in Form 990, Part IX, line 25, column (A), but subtracted for the purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f) is $511,440. Schedule H, Part I, Line 7g Not Applicable Schedule H, Part III, Section A, Line 4 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 collectability 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. Line 3:For calculating the bad debt expense attributable to patients eligible under the financial assistance policy of the medical center, the denial rate was applied to the reported bad debt expense. This allows the medical center to be conservative in the estimate of what amount the organization's bad debt attributable to patients eligible for financial assistance is. Line 4: "For the year ended December 31, 2019, the Medical Center recorded $5,327,319 of implicit price concessions as a direct reduction of patient service revenue that would have been previously reported as a provision for doubtful accounts." Schedule H, Part III, Section B, Line 8 The cost to charge ratio of 49.06% was calculated from our facilities cost accounting system based on the total cost to total charges on Medicare account only was applied to the Medicare gross patient revenue of $138,637,868. The result was then reduced by the worksheet 6 Medicare revenue of $6,661,917 for the FY 2019. The allowable costs were reduced by the worksheet 6 Medicare costs of $9,614,618 for the FY 2019. All of the shortfall is considered community benefit as none of it is included in Part I Line 7 and reflects services provided at a loss in our community. Schedule H, Part III, Section C, Line 9b CMC's standard operating practice is to stop all collection efforts and hold accounts back from bad debt until the patient is given sufficient time to complete a financial assistance application. Review of the application will be made by the hospital and patients are notified of determination within 30 days of receipt of a completed application. If a patient does not qualify for either partial or full assistance, then a monthly payment plan is offered to the patient for any remaining balances due. If the patient qualifies for any financial assistance, an adjustment is immediately posted to the patients account upon determination of qualification. The accounts for patient's qualifying for financial assistance are earmarked as "charity." Such accounts do not qualify for collection. Schedule H, Part VI, Line 2 To determine the health needs of our community, a comprehensive analysis was conducted through quantitative and qualitative methods. In the quantitative analysis, multiple sources provided the reportable statistics including the New York State Community Health Indicators, the County Health Rankings Report, as well as internal data from Cayuga Medical Center. The data collected for the quantitative assessment was then sorted into the following health categories: Demographics and socioeconomic status, Access to healthcare, Health status of overall population and priority populations, Risk factor behaviors and conditions related to top 5 causes of death, child health, Infectious diseases, Natural environment, Social and mental health environment, and Resources/Assets. For every indicator, comparisons were made utilizing the mean value for each individual county, the aggregate value for the total community, the New York State without New York City state value and the U.S. value where applicable to generate context for interpretation. Information for this assessment was collected in a different manner this year, as the CHNA and Community Health Improvement Plan (CHIP) was a combined effort with the Local Health Department of Tompkins County. The CHNA/CHIP team was comprised of representatives from Tompkins County, Cayuga Medical Center, and several community-based non-profit organizations. Much of the information driving the selection/confirmation of our priorities was gathered through conversations with service providers and through panels and presentation by peers and providers. Key data indicators were reviewed to guide selection decisions for our priority focus areas. For example, data on hospitalizations related to mental health and substance abuse showed steep increases over the last 2-10 years, indicating that mental health and substance abuse continues to be a priority for Tompkins County. Finally, review of chronic disease indicators revealed that Tompkins County is in the second quartile statewide, indicating the need to continue our efforts to focus on underserved populations, particularly in the rural parts of the county. Schedule H, Part VI, Line 3 There is signage in all patient registration areas at Cayuga Medical Center (CMC), as well as in other patient waiting areas, advising patients that financial assistance is available. Financial assistance brochures are also available at all registration areas. Patients who request financial assistance are provided with the CMC policy and an application. Financial counselors are available to assist patients in completion of the application and to answer any questions. Self-pay billing statements provide information on financial assistance policies, as well as the contact information to call for assistance. CMC's call center contacts patients regarding unpaid bills and advises patients of the availability of financial assistance. The Financial Assistance Policy and application are posted and available on the CMC website at www.cayugamed.org. CMC has facilitated enrollers from Medicaid Managed Care Plans on-site. Patients are referred to the facilitated enrollers for determination of Medicaid eligibility. Information regarding the on-site facilitated enrollers is also available on CMC's website. Schedule H, Part VI, Line 4 Located in the Finger Lakes region, Cayuga Medical Center serves populations from six counties: Cayuga, Cortland, Schuyler, Seneca, Tioga, and Tompkins Counties. Many of these areas are designated rural counties and Tompkins County is New York State's smallest Metropolitan Statistical Area. The total service area spans approximately 1,000 square miles in the middle of the state with an average population density of fewer than 125 persons per square mile. There are several distinct health and health-related factors affecting residents of this area: A) The region is home to an older community. Since the 2000 Census, growth in the 65+ age cohort has ranged from 15% to 32% across the region and is projected to increase by 18% between 2016 and 2021. Issues with chronic disease and psychological distress are well documented for this demographic. Overall, 22.9% of adults aged 55 and over are likely to be in fair or poor health, ranging from 19.6% of those aged 55-64 to 32.1% or those azged 85 and over (National Health Statistics Reports, Health Characteristics of Adults Aged 55 Years and Over: United States, 2004-2007, CDC, 2009). B) Access to health care professionals within the region is problematic. Many of the counties have zip codes within that county with Health Professional Shortage Areas (HPSA's) designations for physician, dental, and mental health care for Medicaid beneficiaries. Even when a provider is available, the rural environment, defined by hilly terrains and lakes as geographic barriers, creates transportation challenges that can limit access. C) In aggregate, residents of the services are fiscally challenged. The median household within the region is $58,743, which is $6,580 below the state average (QuickFacts, Census Bureau). Schedule H, Part VI, Line 5 Cayuga Medical Center (CMC) has a mirror board at the Cayuga Health System (CHS) level, CMC's active parent holding company. The majority of the CHS board of directors are all residents of Tompkins County, CMC's primary service area. Additionally, any qualified healthcare professional that meets the high quality standards of our credentialing process may apply and secure medical staff privileges within an identified department or specialty. As a 501(c)(3) organization, CMC reinvests any surplus in annual operating margin to improve the medical care for the community, including patient-side and technology improvements, facility structure and infrastructure, and improvements in care delivery, As an example, CMC is invested in a $6.9 million facilities project to renovate and expand its inpatient Behavioral Services Unit which was completed in late 2019. Part of this project was funded through a NYS grant, however the majority of the project will be funded through CMC's own reserves. Despite the fact that this crucial community resource does not generate surplus revenue, CMC believes it is a vital service for the community, and as such, continues to invest its limited resources to ensure the community's needs are met. CMC operates several programs at a loss every year to ensure such services are available in the community including Neonatology, Cardial Rehab, and behavioral services. Schedule H, Part VI, Line 6 As of September 2014, Cayuga Medical Center is a subsidiary member of Cayuga Health System. Schuyler Hospital is also a subsidiary member of Cayuga Health System. Each subsidiary organization has their own separately identified primary and secondary service areas and is responsible for improving the health of those communities. For 2019, Schuyler Hospital collaborated with its local health department to complete its CHNA/CHIP. As of 2017, Cayuga Health System has a mirror board with representatives from each of the former subsidiary boards as members. The organizations are exploring a more unified approach to the CHNA/CHIP process in future years. The strategic plan is now aligned at the System level, and the needs of each community have been incorporated across the plan. Schedule H, Part VI, Line 7 New York State 1 Employee Disaster Fund 14 5365 0 Book Komarmi Scholarship 1 500 0 Book Schedule I, Part I, Line 2 The 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 pursing a career in the selected health profession. The amount of the scholarship can be up to $1,000, to be awarded at graduation. X X 1 1 X X X X 0 1 0 0 0 1 0 0 1 1 John Rudd President/CEO 729235 0 163891 0 3056093 0 19900 0 4089 0 3973208 0 0 0 Martin Stallone MD President/CEO Cayuga Medical Center 566111 0 241070 0 0 0 33900 0 6788 0 847869 0 0 0 John Collett CFO/VP 315000 0 116450 0 0 0 30700 0 0 0 462150 0 0 0 Tracy Gates Chief Operating Officer 247746 0 72640 0 0 0 37900 0 6107 0 364393 0 0 0 David Evelyn VP of Medical Affairs 370018 0 138430 0 0 0 136900 0 7738 0 653086 0 0 0 Srisatish Devapatla MD Neonatologist 450680 0 1560 0 0 0 20224 0 7088 0 479552 0 0 0 Debra Raupers Chief Nursing Officer 280000 0 98424 0 0 0 64561 0 0 0 442985 0 0 0 Ramesh Vidavalur MD Neonatologist 369636 0 1560 0 0 0 15665 0 7478 0 394339 0 0 0 Auguste Duplan MD Psychologist 367649 0 1560 0 0 0 25100 0 7218 0 401527 0 0 0 Ben Saks Schuyler Hospital Medical Staff President, Ex-Officio 249543 0 27200 0 0 0 0 0 58089 0 334832 0 0 0 Jim Watson Schuyler Hospital Medical Staff President, Ex-Officio 301484 0 56024 0 0 0 0 0 27268 0 384776 0 0 0 Schedule J, Part I, Line 1a All employees are eligible for a health club membership subsidy for which Cayuga Medical Center will reimburse employees 50% of the monthly single membership fee when they attend the health club at least 24 times a quarter. If an employee does not meet the criteria for a quarter, they will not receive the subsidy for that quarter. A gross up payment was made to John Rudd. This was a pension plan lump sum distribution due at retirement, see Schedule J, Part II Explanation. Schedule J, Part I, Line 4 John Rudd, President and CEO, received a pension plan lump sum distribution of $3,056,093 that was due at retirement per his employment contract. The contract was reviewed by a third party consultant and approved by the board of directors. Schedule J, Part I, Line 6 Cayuga Medical Center has a year end bonus program for all employees based on the organization's operating margin compared to targets, employee participation in annual safety training, and reaching predetermined customer satisfaction scores. Schedule J, Part I, Line 8 See explanation for Schedule J, Part I, Line 4. A Tompkins County Development Corporation 272290745 890096AA8 2010-08-31 14275000 Finance construction and purchase of equipment 0 0 0 B Tompkins County Development Corporation 272290745 890096AA8 2013-04-09 25000000 Finance construction and purchase of equipment 0 0 0 A 10145000 0 14275000 0 0 0 285500 0 142750 13846750 0 0 2010 0 0 1 1 B 6872368 0 25000000 0 0 0 613238 0 0 24386762 0 0 2013 0 0 1 1 A 0 0 0 0 0 0 0 1 0 1 B 0 0 0 0 0 0 0 1 0 1 A 1 1 1 Deutshe Bank 12 0 0 0 0 0 B 1 0 0 0 0 0 Larry Baum Board Member 209197 Larry Baum is the Board Chair/Founder, CFO, & minority shareholder of the Computing Center. Payments to the Computing Center for certain computer products, consumables, and services were made in 2019. Transfactions entered into were fair, reasonable, and in the best interest of the Hospital based on ongoing analysis of value, local services, and history of quality services. The hospital's conflict of interest policy was followed related to these transactions. 0 Form 990, Part VI, Section B, Line 11b Reviewed by Controller, External Accountants, CFO, and then all Board Members, in that order. Form 990, Part VI, Section B, Line 12c Cayuga Medical Center maintains a conflict of interest policy which board members are required to sign annually. Cayuga Medical Center regularly and consistently monitors and enforces compliance with the policy by reviewing statement for conflicts, identifying disqualified persons, and recording all proceedings related to conflict of interest transactions. Form 990, Part VI, Section B, Line 15 Cayuga Medical Center determines compensation of the CEO and other officers by utilizing independent compensation consultants and/or compensation surveys. A formal written contract for the CEO is reviewed and approved by the executive committee of the Board of Directors. Form 990, Part VI, Section C, Line 19 Form 990, conflict of interest statement, and financial statements are available upon request to any community members. Form 990, Part XI, Line 9 Unrealized Loss on Interest Rate Swap - ($21,458) / Other Changes in Pension & Post-Retirement Obligation - ($11,233,871) / Transfers to Related Parties - ($23,769,077) Cayuga Health System Inc 101 Dates Drive Ithaca NY 14850 471899601 Support community healthcare NY 501(c)(3) 12 N/A 0 Schuyler Hospital 220 Steuben Street Montour Falls NY 14865 150533564 Hospital NY 501(c)(3) 3 N/A 0 Cayuga Medical Associates 1301 Trumansburg Road Ithaca NY 14850 204356115 Medical Practice NY 501 (c)(3) 9 N/A 0 Cayuga Medical Center Foundation 101 Dates Drive Ithaca NY 14850 161072414 Support NY 501(c)(3) 11 Cayuga Medical Center at Ithaca 0 Cayuga Medical Office Building 101 Dates Drive Ithaca NY 14850 161261492 Building Management NY N/A Related 109126 1525401 0 1163 1 0.58 Tompkins Office Management System 101 Dates Drive Ithaca NY 14850 161437217 Office Management NY Cayuga Medical Center at Ithaca C 258599 1940690 1 1 Island Health & Fitness 310 Taughannock Blvd Ithaca NY 14850 203036206 Fitness NY Tompkins Office Management System C 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 0 0 1 0 0 Cayuga Medical Associates b 23769077 Acknowledgement Letter, Financial Statements Cayuga Medical Associates j 138377 Contract Cayuga Medical Associates l 2188989 Contracts Cayuga Medical Associates m 3408116 Contracts Schuyler Hospital q 1039033 Receipt Documentation Schuyler Hospital l 630871 Receipt Documentation Schuyler Hospital m 74221 Payment/Invoice Documentation Tompkins Office Management System l 67883 Contract. Cayuga Medical Center Foundation l 511750 Contract Cayuga Medical Center Foundation c 350550 Contract Cayuga Medical Office Building l 110228 Contract Cayuga Medical Office Building k 444377 Contracts See Extension.