2023-11-15T10:44:17-07:00 2022-12-31 990 2022-01-01 471899601 CAYUGA HEALTH SYSTEM INC CAYU 6072744441 101 Dates Drive Ithaca NY 14850 Martin Stallone President/CEO 6072744442 2023-11-15 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z Martin Stallone 101 Dates Drive Ithaca NY 14850 122364 0 X X 2014 NY Primary exempt purpose is to bring together organizations to better serve our community's healthcare needs. 18 15 0 0 0 0 0 0 0 122364 0 0 0 0 0 122364 0 0 0 0 0 73774 0 0 0 0 84299 0 158073 0 -35709 0 654354 0 210777 0 443577 X Bring together organizations to better serve our community's healthcare needs. 1 0 158073 0 122364 Cayuga Health Transport, LLC 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 ambulance services. Primary exempt purpose is to bring together organizations to better serve our community's healthcare needs. In doing so, we have added ambulance transport services as part of our commitment to the community we serve. 0 0 0 158073 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 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 Rebecca Gould 6072744441 101 Dates drive Ithaca NY 14850 Diedre Blake CMC Med Staff President 3 37 X 0 1675476 1675476 Martin Stallone MD President 4 36 X X 0 999371 54196 John-Paul Mead Director 3 37 X 0 326334 326334 John Collett CFO/VP of Finance 3 37 X 0 522400 37400 Srisatish Devapatla Neonatologist 3 37 X 0 468576 42754 Andreia De Lima Serra Vice President 3 37 X 0 442726 57598 Tracy Gates COO 3 37 X 0 438142 58769 Justin Runke Vice President 3 37 X 0 416548 56154 Michael Berlin Assistant Vice President 3 37 X 0 417926 14452 Ramesh Vidavalur Neonatologist 3 37 X 0 392626 32454 Tom Livigne Chairman 4 0 X X 0 0 24000 John Lambert MD Director 3 0 X 0 0 21250 Paula Younger Vice Chair 4 0 X X 0 0 19750 Dr Rev Kenneth Clarke Director 3 0 X 0 0 17000 Brooke Hollis Director 3 0 X 0 0 16000 Fred Wickham Director 3 0 X 0 0 15500 Joel Malina Director 3 0 X 0 0 8750 Carl Sgrecci Director 3 0 X 0 0 4875 Cris Donovan Director 3 0 X 0 0 2250 James Brown Director 3 0 X 0 0 2000 La Jerne Terry Cornish Director 3 0 X 0 0 1750 Jennifer Whitaker Director 3 0 X 0 0 1500 Eunice Nayo MD Director 3 0 X 0 0 1000 Greg Hartz Treasurer 4 0 X X 0 0 0 Suzanne Blowers Secretary 4 0 X 0 0 0 Laurie Mante Director 3 0 X 0 0 0 0 6100125 2491212 222 1 1 0 0 Fee for services 621910 122364 122364 0 0 122364 0 0 0 0 0 122364 122364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56587 56587 0 0 17187 17187 0 0 83080 83080 0 0 0 0 0 0 0 0 0 0 0 0 1219 1219 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158073 158073 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210777 443577 0 0 443577 0 0 0 0 0 0 0 0 0 0 0 654354 0 210777 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 210777 X 0 443577 0 0 0 443577 0 654354 X -35709 0 0 0 0 479286 X 1 X 0 1 0 X X 2 Cayuga Medical Center at Ithaca Inc 222325405 3 1 0 0 Schuyler Hospital Inc 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 solely in activities that support and benefit Cayuga Medical Center at Ithaca, Inc., and Schuyler Hospital, Inc. In particular, Cayuga Health Systems, 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 purposes of fostering efficiency, economies of scale, and improved access to health are 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. 0 0 0 0 0 0 0 0 0 0 0 0 443577 0 443577 0 0 0 0 443577 122364 0 0 0 0 0 122364 0 0 0 122364 158073 0 0 0 0 0 158073 0 0 0 158073 X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 Martin Stallone MD President 0 772870 0 205613 0 20888 0 44700 0 9496 0 1053567 0 0 John Collett CFO/VP of Finance 0 432706 0 81350 0 8344 0 37400 0 0 0 559800 0 0 Tracy Gates COO 0 362150 0 68531 0 7461 0 56400 0 2369 0 496911 0 0 Srisatish Devapatla Neonatologist 0 447008 0 1200 0 20367 0 30800 0 11954 0 511329 0 0 Andreia De Lima Serra Vice President 0 383730 0 58997 0 0 0 49200 0 8398 0 500325 0 0 Justin Runke Vice President 0 349104 0 67444 0 0 0 46700 0 9454 0 472702 0 0 Michael Berlin Assistant Vice President 0 371388 0 43538 0 3000 0 13725 0 727 0 432378 0 0 Ramesh Vidavalur Neonatologist 0 375625 0 1000 0 16000 0 23000 0 9454 0 425079 0 0 John-Paul Mead Director 0 318704 0 7630 0 0 0 9150 0 15286 0 350770 0 0 Diedre Blake CMC Med Staff President 0 867238 0 808238 0 0 0 9150 0 26951 0 1711577 0 0 Schedule J, Part I, Line 1a This was addressed in the Cayuga Medical Center at Ithaca, Inc.'s 990 return for 2022. Cayuga Medical Center of Ithaca, Inc. is a related entity of Cayuga Health System, Inc. Schedule J, Part I, Line 4 The response for this was included in the Cayuga Medical Center of Ithaca, Inc.'s 990 return for 2022. Cayuga Medical Center of Ithaca, Inc. is a related party of Cayuga Health System, Inc. Form 990, Part III, Line 2 New service starting in Dec 2022 was Cayuga Health Transport, LLC, which 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 ambulance services. Form 990, Part VI, Section B, Line 11b The 990 is prepared by the accountant and assistant controller of Cayuga Medical Center at Ithaca, Inc, an integrated member of Cayuga Health System, Inc. The 990 is then reviewed by the Controller, external accountants, CFO, and then all members of the Board, in that order. 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 statement 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 Ambulance and related equipment Cayuga Health Transport 101 Dates Drive Ithaca NY 14850 920296304 Emergency ambulance services NY 122364 654354 N/A Extension approval received. Applied due to Audit, cost report submissions, and ongoing cost report audits as well as employee turnover.