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Nonprofiteer
← CAYUGA HEALTH SYSTEM INC

Form 990 for tax year 2022

Filed by CAYUGA HEALTH SYSTEM INC.

Totals

Total revenue
$122,364
Total expenses
$158,073
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$122,364
Investment income
$0
Other revenue
$0
Total assets, end of year
$654,354
Total liabilities, end of year
$210,777
Net assets or fund balances, end of year
$443,577
Program services expenses (Part IX)
$158,073
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$158,073

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Fee for services

    total $122,364 · related or exempt $122,364 · unrelated business $0 · excluded $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $0 · program services $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0

  • 7 · Other salaries and wages

    total $56,587 · program services $56,587

  • 8 · Pension plan contributions

    total $0 · program services $0

  • 9 · Other employee benefits

    total $17,187 · program services $17,187

  • 10 · Payroll taxes

    total $0 · program services $0

  • 11a · Fees: management

    total $83,080 · program services $83,080

  • 11b · Fees: legal

    total $0 · program services $0

  • 11c · Fees: accounting

    total $0 · program services $0

  • 11d · Fees: lobbying

    total $0 · program services $0

  • 11f · Fees: investment management

    total $0 · program services $0

  • 11g · Fees: other

    total $0 · program services $0

  • 12 · Advertising and promotion

    total $0 · program services $0

  • 13 · Office expenses

    total $1,219 · program services $1,219

  • 14 · Information technology

    total $0 · program services $0

  • 15 · Royalties

    total $0 · program services $0

  • 16 · Occupancy

    total $0 · program services $0

  • 17 · Travel

    total $0 · program services $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0

  • 20 · Interest

    total $0 · program services $0

  • 21 · Payments to affiliates

    total $0 · program services $0

  • 22 · Depreciation, depletion and amortization

    total $0 · program services $0

  • 23 · Insurance

    total $0 · program services $0

  • 24e · All other expenses

    total $0 · program services $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $210,777

  • 10a · Land, buildings and equipment: cost or other basis

    $443,577

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $443,577

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $210,777

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $0 · end of year $443,577

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

Bring together organizations to better serve our community's healthcare needs.

Activities or mission (Part I)

Primary exempt purpose is to bring together organizations to better serve our community's healthcare needs.

  • 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.

    Expenses $158,073 · Revenue $122,364

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Diedre Blake

    CMC Med Staff President

    Total calculated
    $3,350,952
    From this org
    $0
    From related orgs
    $1,675,476
    Other
    $1,675,476
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $867,238 related
    Bonus
    $0 + $808,238 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $26,951 related
    Filer's total
    $0 + $1,711,577 related

  • Martin Stallone MD

    President

    Total calculated
    $1,053,567
    From this org
    $0
    From related orgs
    $999,371
    Other
    $54,196
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    $0 + $772,870 related
    Bonus
    $0 + $205,613 related
    Other
    $0 + $20,888 related
    Deferred
    $0 + $44,700 related
    Nontaxable benefits
    $0 + $9,496 related
    Filer's total
    $0 + $1,053,567 related

  • John-Paul Mead

    Director

    Total calculated
    $652,668
    From this org
    $0
    From related orgs
    $326,334
    Other
    $326,334
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $318,704 related
    Bonus
    $0 + $7,630 related
    Other
    $0
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $15,286 related
    Filer's total
    $0 + $350,770 related

  • John Collett

    CFO/VP of Finance

    Total calculated
    $559,800
    From this org
    $0
    From related orgs
    $522,400
    Other
    $37,400
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $432,706 related
    Bonus
    $0 + $81,350 related
    Other
    $0 + $8,344 related
    Deferred
    $0 + $37,400 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $559,800 related

  • Srisatish Devapatla

    Neonatologist

    Total calculated
    $511,330
    From this org
    $0
    From related orgs
    $468,576
    Other
    $42,754
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $447,008 related
    Bonus
    $0 + $1,200 related
    Other
    $0 + $20,367 related
    Deferred
    $0 + $30,800 related
    Nontaxable benefits
    $0 + $11,954 related
    Filer's total
    $0 + $511,329 related

  • Andreia De Lima Serra

    Vice President

    Total calculated
    $500,324
    From this org
    $0
    From related orgs
    $442,726
    Other
    $57,598
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $383,730 related
    Bonus
    $0 + $58,997 related
    Other
    $0
    Deferred
    $0 + $49,200 related
    Nontaxable benefits
    $0 + $8,398 related
    Filer's total
    $0 + $500,325 related

  • Tracy Gates

    COO

    Total calculated
    $496,911
    From this org
    $0
    From related orgs
    $438,142
    Other
    $58,769
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,150 related
    Bonus
    $0 + $68,531 related
    Other
    $0 + $7,461 related
    Deferred
    $0 + $56,400 related
    Nontaxable benefits
    $0 + $2,369 related
    Filer's total
    $0 + $496,911 related

  • Justin Runke

    Vice President

    Total calculated
    $472,702
    From this org
    $0
    From related orgs
    $416,548
    Other
    $56,154
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,104 related
    Bonus
    $0 + $67,444 related
    Other
    $0
    Deferred
    $0 + $46,700 related
    Nontaxable benefits
    $0 + $9,454 related
    Filer's total
    $0 + $472,702 related

  • Michael Berlin

    Assistant Vice President

    Total calculated
    $432,378
    From this org
    $0
    From related orgs
    $417,926
    Other
    $14,452
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $371,388 related
    Bonus
    $0 + $43,538 related
    Other
    $0 + $3,000 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $727 related
    Filer's total
    $0 + $432,378 related

  • Ramesh Vidavalur

    Neonatologist

    Total calculated
    $425,080
    From this org
    $0
    From related orgs
    $392,626
    Other
    $32,454
    Hours/week
    3 + 37 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,625 related
    Bonus
    $0 + $1,000 related
    Other
    $0 + $16,000 related
    Deferred
    $0 + $23,000 related
    Nontaxable benefits
    $0 + $9,454 related
    Filer's total
    $0 + $425,079 related

  • Tom Livigne

    Chairman

    Total calculated
    $24,000
    From this org
    $0
    From related orgs
    $0
    Other
    $24,000
    Hours/week
    4

  • John Lambert MD

    Director

    Total calculated
    $21,250
    From this org
    $0
    From related orgs
    $0
    Other
    $21,250
    Hours/week
    3

  • Paula Younger

    Vice Chair

    Total calculated
    $19,750
    From this org
    $0
    From related orgs
    $0
    Other
    $19,750
    Hours/week
    4

  • Dr Rev Kenneth Clarke

    Director

    Total calculated
    $17,000
    From this org
    $0
    From related orgs
    $0
    Other
    $17,000
    Hours/week
    3

  • Brooke Hollis

    Director

    Total calculated
    $16,000
    From this org
    $0
    From related orgs
    $0
    Other
    $16,000
    Hours/week
    3

  • Fred Wickham

    Director

    Total calculated
    $15,500
    From this org
    $0
    From related orgs
    $0
    Other
    $15,500
    Hours/week
    3

  • Joel Malina

    Director

    Total calculated
    $8,750
    From this org
    $0
    From related orgs
    $0
    Other
    $8,750
    Hours/week
    3

  • Carl Sgrecci

    Director

    Total calculated
    $4,875
    From this org
    $0
    From related orgs
    $0
    Other
    $4,875
    Hours/week
    3

  • Cris Donovan

    Director

    Total calculated
    $2,250
    From this org
    $0
    From related orgs
    $0
    Other
    $2,250
    Hours/week
    3

  • James Brown

    Director

    Total calculated
    $2,000
    From this org
    $0
    From related orgs
    $0
    Other
    $2,000
    Hours/week
    3

  • La Jerne Terry Cornish

    Director

    Total calculated
    $1,750
    From this org
    $0
    From related orgs
    $0
    Other
    $1,750
    Hours/week
    3

  • Jennifer Whitaker

    Director

    Total calculated
    $1,500
    From this org
    $0
    From related orgs
    $0
    Other
    $1,500
    Hours/week
    3

  • Eunice Nayo MD

    Director

    Total calculated
    $1,000
    From this org
    $0
    From related orgs
    $0
    Other
    $1,000
    Hours/week
    3

  • Greg Hartz

    Treasurer

    Total calculated
    $0
    Hours/week
    4

  • Suzanne Blowers

    Secretary

    Total calculated
    $0
    Hours/week
    4

  • Laurie Mante

    Director

    Total calculated
    $0
    Hours/week
    3

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • Cayuga Health Transport

    Emergency ambulance services · NY · income $122,364 · assets $654,354

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349308903

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