2024-11-12T13:06:37-06:00 2023-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2023-01-01 471899601 CAYUGA HEALTH SYSTEM INC CAYU 6072744441 101 DATES DRIVE ITHACA NY 14850 MARTIN STALLONE MD PRESIDENT 6072744441 2024-11-12 1 0 AIMEE JOZIC P01329472 5853811000 2024-11-12 2023 2024-10-15 13:58:12Z MARTIN STALLONE MD 101 DATES DRIVE ITHACA NY 14850 2590059 0 X N/A X 2014 NY CAYUGA HEALTH'S SYSTEM INC.'S PRIMARY EXEMPT PURPOSE IS TO BRING TOGETHER ORGANIZATIONS TO BETTER SERVE OUR COMMUNITY'S HEALTHCARE NEEDS. 19 15 0 0 0 0 0 0 122364 1307623 0 0 0 1282436 122364 2590059 0 0 0 0 73774 1882161 0 0 0 84299 669762 158073 2551923 -35709 38136 654354 8864695 210777 1173405 443577 7691290 BRING TOGETHER ORGANIZATIONS TO BETTER SERVE OUR COMMUNITY'S HEALTHCARE NEEDS. 0 0 2551923 2590059 CAYUGA HEALTH TRANSPORT, LLC (CHT) IS A DISREGARDED ENTITY FOR TAX PURPOSES OF CAYUGA HEALTH SYSTEM. CHT'S PRIMARY PROGRAM IS TO PROVIDE EMERGENCY AMBULANCE SERVICES TO RESIDENTS OF SCHUYLER COUNTY. WITHOUT CHT, THE RESIDENTS OF SCHUYLER COUNTY WOULD NOT HAVE ACCESS TO EMERGENCY AMBULENCE SERVICES. PRIMARY EXEMPT PURPOSE IS TO BRING TOGETHER ORGANIZATIONS TO BETTER SERVE OUR COMMUNITY'S HEALTHCARE NEEDS. IN DOING SO, WE HAVE ADDED AMBULANCE TRANSPORTS SERVICES AS PART OF OUR COMMITMENT TO THE COMMUNITY WE SERVE. 2551923 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 15 0 0 0 0 0 0 0 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 & CEO 1.00 39.00 X X 0 872692 16013 THOMAS LIVIGNE CHAIR 1.00 1.00 X X 0 20500 0 PAULA YOUNGER VICE CHAIR 1.00 1.00 X X 0 16750 0 R BROOKE HOLLIS DIRECTOR 1.00 1.00 X 0 16750 0 KENNETH CLARKE DIRECTOR 1.00 1.00 X 0 15250 0 FRED WICKHAM DIRECTOR 1.00 1.00 X 0 15500 0 JOEL MALINA DIRECTOR 1.00 1.00 X 0 12000 0 YVETTE CONYERS DIRECTOR 1.00 1.00 X 0 17500 0 CRIS DONOVAN DIRECTOR 1.00 1.00 X 0 30500 0 JAMES BROWN DIRECTOR 1.00 1.00 X 0 29500 0 LA JERNE TERRY CORNISH DIRECTOR 1.00 1.00 X 0 0 0 JENNIFER WHITTAKER DIRECTOR 1.00 1.00 X 0 14250 0 EUNICE NAYO DIRECTOR 1.00 1.00 X 0 48300 0 GREG HARTZ TREASURER 1.00 1.00 X X 0 0 0 SUZANNE BLOWERS SECRETARY 1.00 1.00 X X 0 0 0 LAURIE MANTE DIRECTOR 1.00 1.00 X 0 0 0 GARY KORETZKY DIRECTOR 1.00 1.00 X 0 0 0 JOHN-PAUL MEAD DIRECTOR 1.00 1.00 X 0 313224 31206 PAUL STREETER DIRECTOR 1.00 1.00 X 0 17000 0 REBECCA GOULD CFO/VP OF FINANCE 1.00 39.00 X 0 418607 56769 TRACY GATES COO 1.00 39.00 X 0 404383 15586 JUSTIN RUNKE VICE PRESIDENT 1.00 39.00 X 0 408974 16641 ANDREIA DE LIMA SERRA VICE PRESIDENT 1.00 39.00 X 0 419906 15586 JOHN COLLETT FORMER CFO/VP OF FINANCE 1.00 39.00 X 0 205754 4115 0 3297340 155916 0 1 1 0 0 PATIENT SERVICE REVENU 621910 1307623 1307623 1307623 OTHER OPERATING REVENU 621910 1282436 1282436 1282436 2590059 2590059 0 0 1477188 1477188 404973 404973 142136 142136 519 519 2814 2814 80924 80924 CREDIT LOSS EXPENSE 264374 264374 SUPPLIES 132376 132376 FIXED EXPENSE 45900 45900 OPERATING EXPENSE 719 719 2551923 2551923 0 0 1000 582821 210777 573238 561187 80924 443577 480263 0 7227373 654354 8864695 210777 -639 0 1174044 210777 1173405 X 443577 7689840 1450 443577 7691290 654354 8864695 X 38136 7209577 X X 0 1 X 0 0 X X 2 CAYUGA MEDICAL CENTER AT ITHACA INC 222325405 3 1 0 0 SCHUYLER HOSPITAL 150533564 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X X 1 1 1 1 SCHEDULE A PART IV SECTION E LINE 2A CAYUGA HEALTH SYSTEM, INC. ENGAGES IN ACTIVITIES THAT SUPPORT AND BENEFIT CAYUGA MEDICAL CENTER AT ITHACA, INC., AND SCHUYLER HOSPITAL, INC. IN PARTICULAR, CAYUGA HEALTH SYSTEM, INC. SERVES AS THE ACTIVE PARENT CORPORATION OF CAYUGA MEDICAL CENTER AT ITHACA, INC. AND SCHUYLER HOSPITAL, INC. AND CO-OPERATOR OF THE HOSPITALS OPERATED BY CAYUGA MEDICAL CENTER AND SCHUYLER HOSPITAL. CAYUGA HEALTH SYSTEM, INC. EXISTS TO PROVIDE COORDINATION AND INTEGRATION BETWEEN CAYUGA MEDICAL CENTER AT ITHACA AND SCHUYLER HOSPITAL FOR THE PURPOSES OF FOSTERING EFFICIENCY, ECONOMIES OF SCALE AND IMPROVED ACCESS TO HEALTH CARE IN THE COMMUNITIES SERVED BY CAYUGA MEDICAL CENTER AND SCHUYLER HOSPITAL. SCHEDULE A, PART IV, SECTION E, LINE 2B CAYUGA HEALTH SYSTEM, INC. IS FUNCTIONALLY INTEGRATED WITH CAYUGA MEDICAL CENTER AT ITHACA, INC. AND SCHUYLER HOSPITAL, INC. CAYUGA MEDICAL CENTER AND SCHUYLER HOSPITAL HAVE RESERVED SEVERAL GOVERNANCE AND MANAGEMENT POWERS TO CAYUGA HEALTH SYSTEM, INC. THAT WOULD OTHERWISE BE PERFORMED BY THE INDIVIDUAL HOSPITALS AS APPROPRIATE. SCHEDULE A, PART IV, SECTION E, LINE 3A CAYUGA HEALTH SYSTEM, INC., CAYUGA MEDICAL CENTER AT ITHACA, INC., AND SCHUYLER HOSPITAL, INC. MAINTAIN MIRROR BOARDS. EACH DIRECTOR AND OFFICER OF CAYUGA HEALTH SYSTEM, INC. SERVES AS A DIRECTOR AND/OR OFFICER OF CAYUGA MEDICAL CENTER AT ITHACA, INC. AND SCHUYLER HOSPITAL, INC. FURTHERMORE, COLLECTIVELY, CAYUGA HEALTH SYSTEM INC., CAYUGA MEDICAL CENTER AT ITHACA, INC., AND SCHUYLER HOSPITAL, INC. ARE OPERATED AS A SINGLE, INTEGRATED HEALTH DELIVERY SYSTEM WHICH REQUIRES ONGOING CLOSE AND CONTINUOUS RELATIONSHIP AMONG THE OFFICERS AND DIRECTORS OF THE ORGANIZATION. SCHEDULE A PART IV SECTION E LINE 3B CAYUGA HEALTH SYSTEM, INC., CAYUGA MEDICAL CENTER AT ITHACA, INC., AND SCHUYLER HOSPITAL, INC. ARE OPERATED AS A SINGLE, INTEGRATED HEALTH DELIVERY SYSTEM WHICH REQUIRES ONGOING CLOSE AND CONTINUOUS RELATIONSHIP AMONG THE OFFICERS AND DIRECTORS OF THE ORGANIZATION. 561187 80924 480263 480263 OPERATING LEASE RIGHT OF USE ASSET 17796 INVESTMENTS IN FLAC 7209577 7227373 CURRENT PORTION OF LONG-TERM BORROWINGS 4190 DUE TO AFFILIATE 1156248 OPERATING LEASE LIABILITY, NET OF CURRENT PORTION 13606 1174044 CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 7227373 0 0 0 0 0 0 7227373 0 7227373 1 0 1 0 0 0 X X 0 0 X X X X 0 1 0 0 0 0 0 0 0 MARTIN STALLONE PRESIDENT & CEO 0 796276 0 70577 0 5839 0 6600 0 9413 0 888705 0 0 REBECCA GOULD CFO/VP OF FINANCE 0 393888 0 24719 0 0 0 56769 0 0 0 475376 0 0 ANDREIA DE LIMA SERRA VICE PRESIDENT 0 399454 0 20452 0 0 0 6600 0 8986 0 435492 0 0 JUSTIN RUNKE VICE PRESIDENT 0 384245 0 24729 0 0 0 6600 0 10041 0 425615 0 0 TRACY GATES COO 0 373614 0 23529 0 7240 0 6600 0 8986 0 419969 0 0 JOHN-PAUL MEAD DIRECTOR 0 305594 0 7630 0 0 0 9369 0 21837 0 344430 0 0 JOHN COLLETT FORMER CFO/VP OF FINANCE 0 205754 0 0 0 0 0 0 0 4115 0 209869 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PROVIDED TO AND REVIEWED BY ITS BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CAYUGA HEALTH SYSTEM, INC. MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN ANNUALLY. CAYUGA HEALTH SYSTEM, INC. REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY BY REVIEWING STATEMENTS FOR CONFLICTS, IDENTIFYING DISQUALIFIED PERSONS, AND RECORDING ALL PROCEEDS RELATED TO CONFLICT OF INTEREST TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 CAYUGA HEALTH SYSTEM, INC. 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, FINANCIAL STATEMENTS, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST TO ANY COMMUNITY MEMBERS. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION TO FLAC 7,209,577. FORM 990. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CAYUGA HEALTH TRANSPORT 101 DATES DRIVE ITHACA NY 14850 920296304 EMERGENCY AMBULANCE SERVICES NY 2470998 1655118 CAYUGA HEALTH SYSTEM INC CAYUGA MEDICAL CENTER AT ITHACA INC 101 DATES DRIVE ITHACA NY 14850 222325405 HOSPITAL NY 501(C)(3) LINE 3 CAYUGA HEALTH SYSTEM INC 1 SCHUYLER HOSPITAL INC 220 STEUBEN STREET MONTOUR FALLS NY 14865 150533564 HOSPITAL NY 501(C)(3) LINE 3 CAYUGA HEALTH SYSTEM INC 1 ITHACA ALPHA HOUSE INC 334 W STATE ST PO BOX 789 ITHACA NY 14850 160991369 OPERATE SUBSTANCE/ALCOHOL ABUSE PROGRAM. NY 501(C)(3) LINE 7 CAYUGA HEALTH SYSTEM INC 1 CAYUGA HOLDINGS INC 101 DATES DRIVE ITHACA NY 14850 853812779 MEDICAL LAB AND EQUIPMENT NY CAYUGA HEALTH SYSTEM INC C 1.00000 1 FINGER LAKES ASSURANCE COMPANY LTD PO BOX 69 GRAND CAYMAN CJ 981747937 SELF INSURANCE CJ CAYUGA HEALTH SYSTEM INC C 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0