Cayuga Medical Associates Pc

Cayuga Medical Associates Pc shows consistent revenue and asset growth, with expenses closely matching income and no reported officer compensation on 990s.

EIN: 204356115 · Ithaca, NY · NTEE: E20 · Updated: 2026-03-28

$137.7MRevenue

$49.3MAssets

85/100Mission Score (Excellent)

E20

About Cayuga Medical Associates Pc

Cayuga Medical Associates Pc (EIN: 204356115) is a nonprofit organization based in Ithaca, NY, classified under NTEE code E20. The organization reported total revenue of $137.7M and total assets of $49.3M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Cayuga Medical Associates Pc's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

AI Transparency Report

Cayuga Medical Associates Pc demonstrates a pattern of significant growth in revenue and assets over the past decade, with revenue increasing from $31.89 million in 2014 to $117.94 million in 2023. The organization generally operates with expenses closely aligned to revenue, indicating a focus on delivering services rather than accumulating large surpluses, though the 2023 filing shows expenses slightly exceeding revenue by $1.27 million. Asset growth has been particularly strong in recent years, jumping from $9.42 million in 2021 to $41.58 million in 2023, suggesting substantial investment in its operational capacity.

Spending efficiency appears reasonable, with expenses consistently tracking revenue. The absence of reported officer compensation across all filings is a notable aspect of its financial structure, potentially indicating a different compensation model or that key leadership roles are compensated through a related entity. This could be a strength in terms of direct program spending, but also warrants further investigation for complete transparency regarding leadership remuneration.

Overall, the organization exhibits robust financial growth and a consistent operational profile. The lack of reported officer compensation directly on the 990s, while not necessarily a red flag, does present a potential area for enhanced transparency regarding how its leadership is compensated, especially for an organization of its size and revenue. Its consistent growth and asset accumulation suggest a stable and expanding operation.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Cayuga Medical Associates Pc with a Mission Score of 85 out of 100 (Excellent). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

admin: 8%
programs: 90%
fundraising: 2%

According to IRS 990 filings, Cayuga Medical Associates Pc allocates its expenses as follows: admin: 8%, programs: 90%, fundraising: 2%. With 90% directed toward programs, this reflects a strong commitment to its charitable mission.

Executive Compensation Analysis

The IRS 990 filings for Cayuga Medical Associates Pc consistently report 0% officer compensation, which is unusual for an organization with over $100 million in annual revenue. This suggests that executive compensation may be structured through a related entity or not reported in this specific section, warranting further inquiry for full transparency.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Cayuga Medical Associates Pc's IRS 990 filings:

Consistent 0% officer compensation reported on 990s for a large organization, potentially obscuring full leadership compensation details.

Strengths

The following positive indicators were identified for Cayuga Medical Associates Pc:

Strong and consistent revenue growth, from $31.89M in 2014 to $117.94M in 2023.
Significant asset growth, particularly from $9.42M in 2021 to $41.58M in 2023, indicating investment in capacity.
Expenses generally track revenue closely, suggesting efficient use of funds for program delivery.
Positive net assets (Assets exceeding Liabilities) in most recent filings, indicating financial stability.

Frequently Asked Questions about Cayuga Medical Associates Pc

How are the executives of Cayuga Medical Associates Pc compensated if 0% officer compensation is reported on all 990 filings?

The consistent reporting of 0% officer compensation across all 990 filings for an organization of this size suggests that executive compensation may be handled through a related entity, a management services agreement, or another structure not directly reflected in the 'Officer Compensation' section of the 990. Further investigation into related party transactions or other schedules would be needed to understand the full compensation picture.

What is driving the significant increase in assets from $9.42 million in 2021 to $41.58 million in 2023?

The substantial increase in assets, particularly from 2021 to 2023, suggests significant investments in property, plant, equipment, or other long-term assets. This could indicate expansion of facilities, acquisition of new medical equipment, or other strategic capital expenditures to support its growing operations and service delivery.

Does the organization consistently operate at a slight deficit, as seen in the 2023 filing where expenses exceeded revenue?

While the 2023 filing shows expenses ($119,207,649) slightly exceeding revenue ($117,938,975) by $1.27 million, this is not a consistent pattern across all years. Many prior years show a slight surplus or very close alignment between revenue and expenses, indicating a general operational philosophy of spending close to income rather than accumulating large surpluses. A single year's deficit, especially after significant growth, may not indicate a systemic issue.

Filing History

IRS 990 filing history for Cayuga Medical Associates Pc showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2011–2023), Cayuga Medical Associates Pc's revenue has grown by 564.8%, moving from $17.7M to $117.9M. Total assets increased by 1606% over the same period, from $2.4M to $41.6M. Total functional expenses rose by 568.2%, from $17.8M to $119.2M. In its most recent filing year (2023), Cayuga Medical Associates Pc reported a deficit of $1.3M, with expenses exceeding revenue. The organization holds $38.6M in liabilities against $41.6M in assets (debt-to-asset ratio: 92.8%), resulting in net assets of $3.0M.

Year	Revenue	Expenses	Assets	Liabilities	Officer Comp.	PDF
2023	$117.9M	$119.2M	$41.6M	$38.6M	—	—
2022	$107.6M	$101.3M	$22.1M	$17.8M	—	—
2021	$97.2M	$96.4M	$9.4M	$11.4M	—	View 990
2020	$75.2M	$77.0M	$9.7M	$12.5M	—	View 990
2019	$60.1M	$62.3M	$5.7M	$6.7M	—	View 990
2018	$53.5M	$52.9M	$6.4M	$5.2M	—	View 990
2017	$44.9M	$45.7M	$4.9M	$4.3M	—	View 990
2016	$37.7M	$37.3M	$5.0M	$3.7M	—	View 990
2015	$36.0M	$35.3M	$4.2M	$3.3M	—	View 990
2014	$31.9M	$32.4M	$3.1M	$2.8M	—	View 990
2013	$27.7M	$28.7M	$2.9M	$2.4M	—	View 990
2012	$23.3M	$22.9M	$3.4M	$1.9M	—	View 990
2011	$17.7M	$17.8M	$2.4M	$1.3M	—	View 990

Year-by-Year Financial Summary

2023: Revenue of $117.9M, expenses of $119.2M, and assets of $41.6M (revenue +9.7% year-over-year).
2022: Revenue of $107.6M, expenses of $101.3M, and assets of $22.1M (revenue +10.6% year-over-year).
2021: Revenue of $97.2M, expenses of $96.4M, and assets of $9.4M (revenue +29.4% year-over-year).
2020: Revenue of $75.2M, expenses of $77.0M, and assets of $9.7M (revenue +25.1% year-over-year).
2019: Revenue of $60.1M, expenses of $62.3M, and assets of $5.7M (revenue +12.2% year-over-year).
2018: Revenue of $53.5M, expenses of $52.9M, and assets of $6.4M (revenue +19.4% year-over-year).
2017: Revenue of $44.9M, expenses of $45.7M, and assets of $4.9M (revenue +19.0% year-over-year).
2016: Revenue of $37.7M, expenses of $37.3M, and assets of $5.0M (revenue +4.6% year-over-year).
2015: Revenue of $36.0M, expenses of $35.3M, and assets of $4.2M (revenue +13.0% year-over-year).
2014: Revenue of $31.9M, expenses of $32.4M, and assets of $3.1M (revenue +15.0% year-over-year).
2013: Revenue of $27.7M, expenses of $28.7M, and assets of $2.9M (revenue +18.9% year-over-year).
2012: Revenue of $23.3M, expenses of $22.9M, and assets of $3.4M (revenue +31.4% year-over-year).
2011: Revenue of $17.7M, expenses of $17.8M, and assets of $2.4M.

Data Sources and Methodology

This transparency report for Cayuga Medical Associates Pc is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.