CAYUGA MEDICAL ASSOCIATES PC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CAYUGA MEDICAL ASSOCIATES PC (EIN 20-4356115)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201213199349303811
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-11-14T12:59:54-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161071694 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCIARABBA WALKER & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E BUFFALO ST SUITE 402 | AddressLine1 |
| City | ITHACA | City |
| State | NY | State |
| ZIP Code | 14850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204356115 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL ASSOCIATES PC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAYU | NameControl |
| Phone | 6072772365 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DATES DRIVE | AddressLine1 |
| City | ITHACA | City |
| State | NY | State |
| ZIP Code | 14850 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID GEORGE EVELYN | Name |
| Title | VICE-PRESIDENT | Title |
| Phone | 6072772365 | Phone |
| Date Signed | 2012-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID M STINSON | Name |
| PTIN | P00213287 | PTIN |
| Phone | 6072725550 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANIEL ROB MCKENZIE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DATES DRIVE | AddressLine1 |
| City | ITHACA | City |
| State | NY | State |
| ZIP Code | 14850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17806469 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE ACCESS TO PRIMARY CARE AND MEDICAL SPECIALTIES TO THE RESIDENTS OF TOMPKINS COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 125 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5991261 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6750387 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8732302 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10990039 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -2565 | InvestmentIncomePriorYear |
| Investment Income Current Year | 283 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 60697 | OtherRevenuePriorYear |
| Other Revenue Current Year | 960 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14781695 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17741669 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10067277 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12318755 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5093641 | OtherExpensePriorYear |
| Other Expenses Current Year | 5520889 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15160918 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17839644 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -379223 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -97975 | RevenuesLessExpensesCY |
| Total Assets BOY | 2308958 | TotalAssetsBOY |
| Total Assets EOY | 2437569 | TotalAssetsEOY |
| Total Liabilities BOY | 1111855 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1345292 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1197103 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1092277 | NetAssetsOrFundBalancesEOY |
| Mission Description | CAYUGA MEDICAL ASSOCIATES, PC WAS FORMED EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE RESIDENTS OF TOMPKINS COUNTY AND SURROUNDING AREAS, AND EXISTS TO FURTHER THE CHARITABLE MISSION OF CAYUGA MEDICAL CENTER AT ITHACA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16469846 | Expense |
| Revenue | 10990039 | Revenue |
| Description | IN 2011, THE ORGANIZATION PROVIDED MEDICAL SERVICES TO 16,962 PATIENTS IN THE COURSE OF CONDUCTING 67,228 PATIENT VISITS. THE ORGANIZATION PROVIDES MEDICAL CARE TO ALL PATIENTS, REGARDLESS OF ABILITY 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 2011, THE ORGANIZATIONS PHYSICIANS CONDUCTED OVER 6,590 VISITS WITH MEDICAID AND LOW INCOME PATIENTS. THE ORGANIZATION CONTINUES WITH THE COMMITMENT TO ACCEPT PATIENTS FROM THE LOCAL PHYSICIANS REFERRAL CENTER, REGARDLESS OF ABILITY TO PAY. | Description |
| Total Program Service Expense | 16469846 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 19 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 125 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL ASSOCIATES PC ADMIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6072772365 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 821 CLIFF ST | AddressLine1 |
| City | ITHACA | City |
| State | NY | State |
| ZIP Code | 14850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DANIEL ROB MACKENZIE MD | |||||||
| PRESIDENT | 2.00 | X | X | 0 | 459595 | 18472 | |
| MARTIN STALLONE MD | |||||||
| SECRETARY/TREASURER | 40.00 | X | X | 356890 | 12000 | 25218 | |
| JOHN P MEAD MD | |||||||
| BOARD MEMBER | 40.00 | X | X | 258656 | 5000 | 25218 | |
| DAVID GEORGE EVELYN MD | |||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 301426 | 18472 | |
| STEPHANIE GOODWIN MD | |||||||
| PHYSICIAN | 40.00 | 499027 | 0 | 16639 | X | ||
| QUTAYBEH MAGHAYDAH MD | |||||||
| PHYSICIAN | 40.00 | 474036 | 0 | 22835 | X | ||
| BRETT YOUNG MD | |||||||
| PHYSICIAN | 40.00 | 471473 | 0 | 9604 | X | ||
| JONATHAN MAUSER MD | |||||||
| PHYSICIAN | 40.00 | 454949 | 0 | 22835 | X | ||
| BARRY POLLACK MD | |||||||
| PHYSICIAN | 40.00 | 432110 | 0 | 16132 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2947141 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 778021 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 175425 | TotalOtherCompensation |
| Number Individuals GT100 K | 22 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PRACTICE RESOURCES LLC | |||||
| 1001 WEST LAFAYETTE STREET STE 400 | SYRACUSE | NY | 132042856 | MEDICAL BILLING SERVICE | 446002 |
| MED-CARE ADMINISTRATORS LLC | |||||
| 587 MAIN ST | NEW YORK MILLS | NY | 13417 | PRACTICE MANAGEMENT | 418569 |
| ITHACA ORTHOPEADIC GROUP | |||||
| 10 BRENTWOOD DRIVE SUITE B | ITHACA | NY | 14850 | PROFESSIONAL MEDICAL SERVICES | 393000 |
| CAYUGA ENT | |||||
| 2 ASCOT PLACE | ITHACA | NY | 14850 | PROFESSIONAL MEDICAL SERVICES | 359307 |
| WEATHERBY LOCUMS | |||||
| 6451 NORTH FEDERAL HIGHWAY SUITE 8 | FORT LAUDERDALE | FL | 33308 | STAFFING | 215707 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 6750387 | RelatedOrganizations |
| Total Contributions | 6750387 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT FEES | 621110 | 9329486 | 9329486 |
| HOSPITALIST REVENUE | 621110 | 1560000 | 1560000 |
| SERVICE FEES | 621110 | 75070 | 75070 |
| MISCELLANEOUS | 900099 | 25483 | 25483 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10990039 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 283 | TotalRevenueColumn |
| Exclusion | $283 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 65760 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 64800 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 960 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 960 | TotalRevenueColumn |
| Exclusion | $960 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17741669 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10990039 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,243 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10728863 | Total |
| Program Services | 10728863 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358538 | Total |
| Program Services | 358538 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 711578 | Total |
| Program Services | 711578 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 519776 | Total |
| Program Services | 519776 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26605 | Total |
| Management And General | 26605 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93939 | Total |
| Management And General | 93939 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1723871 | Total |
| Program Services | 474617 | ProgramServices |
| Management And General | 1249254 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163167 | Total |
| Program Services | 163167 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56891 | Total |
| Program Services | 56891 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140973 | Total |
| Program Services | 140973 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1208954 | Total |
| Program Services | 1208954 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48375 | Total |
| Program Services | 48375 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291609 | Total |
| Program Services | 291609 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 614947 | Total |
| Program Services | 614947 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 277526 | 277526 |
| BAD DEBT | 244900 | 244900 |
| LEASED MD'S | 236467 | 236467 |
| COMMUNICATIONS | 71361 | 71361 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321304 | Total |
| Program Services | 321304 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17839644 | Total |
| Program Services | 16469846 | ProgramServices |
| Management And General | 1369798 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94817 | BOY |
| EOY | 249730 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6402 | BOY |
| EOY | 586 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 767207 | BOY |
| EOY | 898404 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73007 | BOY |
| EOY | 82992 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2062622 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 862165 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1362125 | BOY |
| EOY | 1200457 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5400 | BOY |
| EOY | 5400 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2308958 | BOY |
| EOY | 2437569 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 379782 | BOY |
| EOY | 275854 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 732073 | BOY |
| EOY | 1069438 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1111855 | BOY |
| EOY | 1345292 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1197103 | BOY |
| EOY | 1092277 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1197103 | BOY |
| EOY | 1092277 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2308958 | BOY |
| EOY | 2437569 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -97975 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6851 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 6356795 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3647914 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5991261 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6750387 | CurrentTaxYear |
| Total | 22746357 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2844218 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3712629 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6415537 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8732302 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10983188 | CurrentTaxYear |
| Total | 32687874 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2844218 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10069424 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10063451 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14723563 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17733575 | CurrentTaxYear |
| Total | 55434231 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 55434231 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 387 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7599 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 25461 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 61315 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66043 | CurrentTaxYear |
| Total | 160805 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 387 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7599 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 25461 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 61315 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66043 | CurrentTaxYear |
| Total | 160805 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2844605 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10077023 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10088912 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14784878 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17799618 | CurrentTaxYear |
| Total | 55595036 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99710 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00290 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 618272 | OtherCostOrOtherBasis |
| Depreciation | 132835 | Depreciation |
| Book Value | 485437 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1437224 | OtherCostOrOtherBasis |
| Depreciation | 724084 | Depreciation |
| Book Value | 713140 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7126 | OtherCostOrOtherBasis |
| Depreciation | 5246 | Depreciation |
| Book Value | 1880 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1200457 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PAYROLL LIABILITIES | $202,506 |
| ACCRUED PAYROLL | $344,812 |
| ACCRUED EXPENSES | $522,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1069438 | TotalOfAmounts |
| Total Revenue | 17741669 | TotalRevenue |
| Total Expenses | 17839644 | TotalExpenses |
| Excess Or Deficit For Year | -97975 | ExcessOrDeficitForYear |
| Other | -$6,851 | OtherAmount |
| Total Adjustments | -6851 | TotalAdjustments |
| Excess Or Deficit Per FS | -104826 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 17799618 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 64800 | OtherRevenues |
| Revenue Not Rptd F990 | 64800 | RevenueNotRptdF990 |
| Revenue Subtotal | 17734818 | RevenueSubtotal |
| Other Revenues Not Included | 6851 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 6851 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17741669 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17904444 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 64800 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 64800 | ExpensesNotRptdF990 |
| Expenses Subtotal | 17839644 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 17839644 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | SECTION 481(A) ADJUSTMENT -6,851. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT PAID TO LESSOR 64,800. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SECTION 481(A) ADJUSTMENT- YEAR 4 6,851. |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENT PAID TO LESSOR 64,800. |
| PART XI, LINE 8 AND PART XII, LINE 4B - SECTION 481(A) ADJUSTMENT. IN 2008, THE ORGANIZATION CHANGED ITS ACCOUNTING METHOD FROM CASH TO ACCRUAL FOR ITS AUDITED FINANCIAL STATEMENTS AND FOR FORM 990 REPORTING. AS A RESULT OF THE CHANGE IN ACCOUNTING METHOD, 2008 BEGINNING BALANCES WERE RESTATED ON THE ACCRUAL BASIS, RESULTING IN AN INCREASE TO NET ASSETS OF $27,401. FOR TAX PURPOSES THIS ADJUSTMENT IS RECOGNIZED OVER A FOUR YEAR PERIOD. FOR 2011, CMA HAS RECOGNIZED THE 4TH YEAR OF THE SECTION 481(A) INCOME ADJUSTMENT TOTALING $6,851, AS SHOWN ABOVE IN PART XI, LINE 8 AND PART XII, LINE 4B. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL ROB MACKENZIE MD | |||||||||||||
| 0 | 357000 | 0 | 102595 | 0 | 0 | 0 | 4900 | 0 | 13572 | 0 | 478067 | 0 | 0 |
| MARTIN STALLONE MD | |||||||||||||
| 341890 | 12000 | 15000 | 0 | 0 | 0 | 7350 | 0 | 17868 | 0 | 382108 | 12000 | 0 | 0 |
| JOHN P MEAD MD | |||||||||||||
| 258656 | 5000 | 0 | 0 | 0 | 0 | 7350 | 0 | 17868 | 0 | 283874 | 5000 | 0 | 0 |
| DAVID GEORGE EVELYN MD | |||||||||||||
| 0 | 254896 | 0 | 46530 | 0 | 0 | 0 | 4900 | 0 | 13572 | 0 | 319898 | 0 | 0 |
| STEPHANIE GOODWIN MD | |||||||||||||
| 499027 | 0 | 0 | 0 | 0 | 0 | 1154 | 0 | 15485 | 0 | 515666 | 0 | 0 | 0 |
| QUTAYBEH MAGHAYDAH MD | |||||||||||||
| 474036 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 15485 | 0 | 496871 | 0 | 0 | 0 |
| BRETT YOUNG MD | |||||||||||||
| 471473 | 0 | 0 | 0 | 0 | 0 | 3945 | 0 | 5659 | 0 | 481077 | 0 | 0 | 0 |
| JONATHAN MAUSER MD | |||||||||||||
| 454949 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 15485 | 0 | 477784 | 0 | 0 | 0 |
| BARRY POLLACK MD | |||||||||||||
| 432110 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 8782 | 0 | 448242 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | IN ACCORDANCE WITH CMAS MISSION TO BY A PHYSICIAN-LED ORGANIZATION, IN 2012, THE BOARD PROCEEDED WITH REVISING THE BY-LAWS SO THAT ADDITIONAL BOARD MEMBERS COULD BE RECRUITED. THE BY-LAWS STATED THAT BOARD MEMBERS SHALL CONSIST OF (4) VOTING MEMBERS. 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 BOARD CAN ALSO CONSIST OF UP TO (6) NON-VOTING ADVISORY BOARD MEMBERS WITH UP TO (3) BEING PHYSICIANS. THESE (3) NON-VOTING ADVISORY BOARD MEMBERS, WILL BE 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 6 | THE ORGANIZATION HAS ONE SHAREHOLDER WHO OWNS TWENTY 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 SOLE SHAREHOLDER AND PRESIDENT OF THE CORPORATION WILL BE THE PRESIDENT/CEO OR THE VICE PRESIDENT FOR MEDICAL AFFAIRS OF THE MEDICAL CENTER. NEW YORK LAW REQUIRES THAT ALL THE SHAREHOLDERS AND MEMBERS OF THE BOARD, EXCEPT THE SECRETARY, MUST BE PHYSICIANS. IN ORDER TO KEEP THE LINK TO THE MEDICAL CENTER, THE BYLAWS PROVIDE THAT SO LONG AS THERE IS ONLY ONE SHAREHOLDER, ONE OF THE NON-VOTING ADVISORY BOARD MEMBERS WHO IS A VICE-PRESIDENT OF THE MEDICAL CENTER MAY BE ELECTED BY THE VOTING BOARD MEMBERS TO SERVE AS THE SECRETARY OF THE CORPORATION. OTHER BOARD MEMBERS MAY BE OTHER PHYSICIANS WHO MAY BE EMPLOYEES OF THE CORPORATION, BUT THEIR APPOINTMENT IS SUBJECT TO THE APPROVAL OF THE MEDICAL CENTER. THE SHAREHOLDER AGREEMENT CONTROLS THE ACTIONS OF THE INDIVIDUAL MEDICAL CENTER EMPLOYEE WHO SERVES AS THE PRESIDENT AND SOLE SHAREHOLDER OF THE CORPORATION. IF THAT PERSON EVER LEAVES THEIR POSITION AT MEDICAL CENTER, THE SHARES MUST BE TENDERED TO ANOTHER PERSON WHO MEETS THE FOLLOWING QUALIFICATIONS: IS A PHYSICIAN, HOLDS THE TITLE PRESIDENT/CEO OR VICE PRESIDENT FOR MEDICAL AFFAIRS AND IS APPROVED BY MEDICAL CENTER. SO THAT THERE IS NO CONFUSION, THE SHAREHOLDER AGREEMENT MAKES CLEAR THAT THE SHAREHOLDER DESIGNATES ALL RIGHTS TO ANY DIVIDENDS TO MEDICAL CENTER. HOWEVER, UNDER THE BYLAWS, THERE WILL BE NO DIVIDENDS PAID. THEREFORE, CAYUGA MEDICAL ASSOCIATES SHALL BE ORGANIZED AND OPERATED EXCLUSIVELY FOR THE CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE RESIDENTS OF TOMPKINS COUNTY AND ITS SURROUNDING AREA. | |
| 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 11 | 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 VII, COLUMN B: | DRS MEAD AND STALLONE SPEND BETWEEN 1 TO 2 HOURS PER WEEK WORKING FOR ADVISORY GROUPS OF CAYUGA MEDICAL CENTER. | RELATED ORGANIZATION HOURS |
| FORM 990, PART XI, LINE 5: | SECTION 481(A) ADJUSTMENT -6,851. TOTAL TO FORM 990, PART XI, LINE 5: -6,851. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | NO CHANGES FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAYUGA MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 DATES DRIVE | AddressLine1 |
| City | ITHACA | City |
| State | NY | State |
| ZIP Code | 14850 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222325405 | EIN |
| Primary Activities | HOSPITAL | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Exempt Code Section | 501 C(3) | ExemptCodeSection |
| Public Charity Status | 170(B)(1)(A)(III) | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CAYUGA MEDICAL CENTER | ||
| C | 6750387 | ACKNOWLEDGMENT LETTER |
| CAYUGA MEDICAL CENTER | ||
| J | 29368 | LEASE AGREEMENT |
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