ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY (EIN 16-1085780)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349304510
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-13T14:23:05-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161226221EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13214ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161085780EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTCANameControl
Phone3154882951Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1813 FAY ROADAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code132193098ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL ZINGAROName
TitleCFOTitle
Phone3154882951Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH J SCHLEGELName
PTINP00301329PTIN
Phone3154463600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL ZINGARONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1813 FAY ROADAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code132193098ZIPCode
FieldValueIRS element (for citing)
Gross Receipts37030229GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ST-CAMILLUS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1969YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionST. CAMILLUS IS A RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO CARING FOR LIFE THROUGH A BROAD RANGE OF HEALTHCARE SERVICES. THE ORGANIZATION OPERATES A 284 BED SKILLED NURSING FACILITY WHICH INCLUDES A 20 BED UNIT DEDICATED TO TRAUMATIC BRAIN INJURY, ALONG WITH AN ADULT DAY HEALTH CARE PROGRAM, A CERTIFIED HOME HEALTH CARE AGENCY, AND AN OUT PATIENT DIAGNOSTIC AND TREATMENT CENTER. THROUGH THESE SERVICES, ST. CAMILLUS HELPS TO ADDRESS THE LONG-TERM CARE, REHABILITATION AND HOME AND COMMUNITY BASED CARE NEEDS OF OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees712TotalNbrEmployees
Total Nbr Volunteers116TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year384452ContributionsGrantsPriorYear
Contributions Grants Current Year189333ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35260482ProgramServiceRevenuePriorYear
Program Service Revenue CY36483740ProgramServiceRevenueCY
Investment Income Prior Year40118InvestmentIncomePriorYear
Investment Income Current Year14295InvestmentIncomeCurrentYear
Other Revenue Prior Year320231OtherRevenuePriorYear
Other Revenue Current Year342861OtherRevenueCurrentYear
Total Revenue Prior Year36005283TotalRevenuePriorYear
Total Revenue Current Year37030229TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year23364751SalariesEtcPriorYear
Salaries Etc Current Year24092973SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13082314OtherExpensePriorYear
Other Expenses Current Year12681465OtherExpensesCurrentYear
Total Expenses Prior Year36447065TotalExpensesPriorYear
Total Expenses Current Year36774438TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-441782RevenuesLessExpensesPriorYear
Revenues Less Expenses CY255791RevenuesLessExpensesCY
Total Assets BOY19290265TotalAssetsBOY
Total Assets EOY18834902TotalAssetsEOY
Total Liabilities BOY14979759TotalLiabilitiesBOY
Total Liabilities EOY14289610TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4310506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4545292NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionST. CAMILLUS IS A RESIDENTIAL HEALTHCARE FACILITY DEDICATED TO CARING FOR LIFE THROUGH A BROAD RANGE OF HEALTHCARE SERVICES. THE ORGANIZATION OPERATES A 284 BED SKILLED NURSING FACILITY WHICH INCLUDES A 20 BED UNIT DEDICATED TO TRAUMATIC BRAIN INJURY, ALONG WITH AN ADULT DAY HEALTH CARE PROGRAM, A CERTIFIED HOME HEALTH CARE AGENCY, AND AN OUT PATIENT DIAGNOSTIC AND TREATMENT CENTER. THROUGH THESE SERVICES, ST. CAMILLUS HELPS TO ADDRESS THE LONG-TERM CARE, REHABILITATION AND HOME AND COMMUNITY BASED CARE NEEDS OF OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense30957208Expense
Revenue36808815Revenue
DescriptionCARE AND TREATMENT OF PATIENTS IN A RESIDENTIAL HEALTH CARE FACILITY AND AN OUTPATIENT CLINIC.Description
Total Program Service Expense30957208TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109629NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees712NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARGARET FRIGONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3154882951TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1813 FAY ROADAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code132193098ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
DOUGLAS J REICHER
TRUSTEE1.00X000
REV LOUIS AIELLO
MEMBER/TRUSTEE1.00X000
JOHN J CANNIZZARO
SECRETARY/MEMBER/TRUSTEE1.00X000X
PETER CAPPUCCILLI JR
TRUSTEE1.00X000
JOHN F CATANZARITA
TRUSTEE1.00X000
CHARLES P CONOLE
MEMBER/TRUSTEE1.00X000
PATRICIA A CURTIN
MEMBER/TRUSTEE1.00X000X
JEANNE E BISHOP MD
TRUSTEE1.00X000
JAMES N JEROSE
TRUSTEE1.00X000
RV MSGR RICHARD KOPP
MEMBER/TRUSTEE1.00X000
WAYNE V LA FRANCE
TRUSTEE1.00X000
PAUL MELLO
TRUSTEE1.00X000
SHEILA LEMKE MD
TRUSTEE1.00X000
DAVID J MOYNIHAN
TRUSTEE1.00X000
BRENDA A RIGAS
TRUSTEE1.00X000
JAMES D SPENCER
CHAIR/TRUSTEE/MEMBER1.00X000X
DERRICK J SUEHS
TRUSTEE1.00X000
MARY GRACE VANNORTWICK
VICE CHAIR/TRUSTEE1.00X000X
WILLIAM LOEHR
TRUSTEE1.00X000
DANIEL J ROSS
TRUSTEE1.00X000
ANNE MARIE MULLEN
TRUSTEE1.00X000
AILEEN BALITZ
PRESIDENT32.001863080444X8.00
MICHAEL ZINGARO
VP FINANCE32.0010909905369X8.00
MICHAEL SCHAFER
VP - NURSING40.0011412305369X
KATHY BARBER
VP - QUALITY MANAGEMENT32.0088305010743X8.00
CHRISTINE KEARNEY
VP - REHABILITATION SVCS39.0094543010774X1.00
HELENA GLASSFORD
VP - HUMAN RESOURCES32.0076725010590X8.00
HEATHER KEMMIS
VP - HOME CARE24.0084726015189X16.00
MARY ELLEN KAIER
VP - LONG RANGE PLANNING34.00102801010788X6.00
DAVID DUBE
MEDICAL DIRECTOR40.0011145000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org968080TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation69266TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC
1900 SELWYN AVENUECHARLOTTENC28207FOOD SERVICE1410318
NURSECORE MANAGEMENT SERVICES
2201 BROOKHOLLOWARLINGTONTX76006NURSING STAFF907593
NURSEFINDERS
7421 OSWEGO ROADLIVERPOOLNY13090NURSING STAFF309312
ADECCO EMPLOYMENT AGENCY
225 GREENFIELD PARKWAYLIVERPOOLNY13088NURSING STAFF307142
ATLAS HEALTHCARE LINEN
414 W TAYLOR STREETSYRACUSENY13202LINEN SERVICES267118
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Government Grants43885GovernmentGrants
All Other Contributions145448AllOtherContributions
Total Contributions189333TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column36483740TotalRevenueColumn
Related Or Exempt Function Income36483740RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue36483740TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11875TotalRevenueColumn
Exclusion$11,875ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real17786Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real17786Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column17786TotalRevenueColumn
Exclusion$17,786ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2420Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other2420Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2420TotalRevenueColumn
Exclusion$2,420ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE623000148071148071
MANAGEMENT FEE INCOME623000107436107436
BEAUTY SHOP REVENUE6230006956869568
FieldValueIRS element (for citing)
Total Other Revenue325075TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column37030229TotalRevenueColumn
Related Or Exempt Function Income36808815RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$32,081ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total925896Total
Management And General925896ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17647319Total
Program Services15068578ProgramServices
Management And General2578741ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4154601Total
Program Services3363154ProgramServices
Management And General791447ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1365157Total
Program Services1151564ProgramServices
Management And General213593ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57007Total
Management And General57007ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39326Total
Management And General39326ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total205021Total
Program Services137364ProgramServices
Management And General67657ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total155887Total
Program Services51752ProgramServices
Management And General104135ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48847Total
Management And General48847ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total458425Total
Program Services412582ProgramServices
Management And General45843ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total107775Total
Program Services107113ProgramServices
Management And General662ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total12810Total
Program Services4194ProgramServices
Management And General8616ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total471020Total
Program Services380541ProgramServices
Management And General90479ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total998881Total
Program Services898993ProgramServices
Management And General99888ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total392856Total
Program Services331955ProgramServices
Management And General60901ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES25833482431448151900
CONTRACT LABOR24820522482052
MANAGEMENT CONTRACT1603826158390219924
NYS ASSESSMENT15002901500290

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1564094Total
Program Services1051726ProgramServices
Management And General512368ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36774438Total
Program Services30957208ProgramServices
Management And General5817230ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY52880BOY
EOY68293EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY50195BOY
EOY16024EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7074870BOY
EOY6772335EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY210902BOY
EOY228094EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY63233BOY
EOY64111EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY289704BOY
EOY307044EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis27133957LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18726770LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9011628BOY
EOY8407187EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2536853BOY
EOY2971814EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19290265BOY
EOY18834902EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4523068BOY
EOY4509126EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7794854BOY
EOY6947130EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2661837BOY
EOY2833354EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14979759BOY
EOY14289610EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4139654BOY
EOY4390445EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY170852BOY
EOY154847EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4310506BOY
EOY4545292EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19290265BOY
EOY18834902EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses255791ReconcilationRevenueExpenses
Reconcilation Other Changes-21005ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance170852BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses-21005InvestmentEarningsOrLosses
Other Expenditures0OtherExpenditures
End Of Year Balance154847EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance376258BeginningOfYearBalance
Investment Earnings Or Losses-94751InvestmentEarningsOrLosses
Other Expenditures110655OtherExpenditures
End Of Year Balance170852EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance437275BeginningOfYearBalance
Contributions110655Contributions
Investment Earnings Or Losses127414InvestmentEarningsOrLosses
Other Expenditures299086OtherExpenditures
End Of Year Balance376258EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1628216BeginningOfYearBalance
Investment Earnings Or Losses88747InvestmentEarningsOrLosses
Other Expenditures1279688OtherExpenditures
End Of Year Balance437275EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1561368BeginningOfYearBalance
Contributions309288Contributions
Other Expenditures242440OtherExpenditures
End Of Year Balance1628216EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis153315OtherCostOrOtherBasis
Book Value153315BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19193483OtherCostOrOtherBasis
Depreciation11959173Depreciation
Book Value7234310BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1229934OtherCostOrOtherBasis
Depreciation1137738Depreciation
Book Value92196BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6277419OtherCostOrOtherBasis
Depreciation5629859Depreciation
Book Value647560BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis279806OtherCostOrOtherBasis
Book Value279806BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8407187TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
MORTGAGE REFINANCING COST, NET OF AMORTIZATION207614
PATIENT FUNDS47816
RESERVE FOR REPLACEMENTS907145
CASH WORKING CAPITAL ESCROW371664
INTEREST IN NET ASSETS OF ST. CAMILLUS FOUNDATION149847
OTHER RECEIVABLES1001728
LONG TERM RECEIVABLES286000
FieldValueIRS element (for citing)
Total Book Value Other Assets2971814TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PATIENTS' FUNDS$47,816
ESTIMATED THIRD PARTY SETTLEMENTS$442,705
ESTIMATED WORKER'S COMPENSATION TRUST LIABILITY$1,692,065
LINE OF CREDIT$308,948
OTHER LIABILITIES$341,820
FieldValueIRS element (for citing)
Total Of Amounts2833354TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS OR GRANTORS TO A SPECIFIC TIME PERIOD OR PURPOSE.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:ST. CAMILLUS AND INTEGRITY ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS OF DECEMBER 31, 2012, THE ORGANIZATION DOES NOT HAVE ANY SIGNIFICANT UNRECOGNIZED TAX BENEFIT OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2009 THROUGH 2012.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonAILEEN BALITZNamePerson
TitlePRESIDENTTitle
Base Compensation Filing Org186308BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org444NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org186752TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 3ReturnReference
ExplanationTHE FACILITY'S SALARY RANGES ARE BASED ON AN INCORPORATION OF A STUDY PERFORMED BY AN INDEPENDENT ACCOUNTING FIRM DURING THE 1990'S, TRENDED FORWARD, AND TWO SEPARATE INDEPENDENT SURVEYS OF SALARY PACKAGES OF SIMILAR POSITIONS RECEIVED DURING 2009.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 4THE FACILITY'S BOARD APPROVED THE AMENDMENT OF THE BYLAWS TO REFLECT A CHANGE TO INCREASE THE NUMBER OF TRUSTEES FROM 25 TO 30. THE FACILITY'S BOARD APPROVED THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO ADD AN ADDITIONAL CORPORATE PURPOSE; FUNDRAISING AND FUND DEVELOPMENT.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE ORGANIZATION VOTE TO ELECT TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BTHE OPERATING DECISIONS MADE BY THE GOVERNING BODY (BOARD OF TRUSTEES) ARE DONE SO BY A MAJORITY VOTE OF THE TRUSTEES AND CAN NOT BE OVERRIDDEN. HOWEVER, ANY BY LAW CHANGES OR NEW TRUSTEE APPOINTMENTS REQUIRE A MAJORITY VOTE OF THE MEMBERS, IF PERSONALLY IN ATTENDANCE AT THE MEETING OR 100% WRITTEN APPROVAL.
FORM 990, PART VI, SECTION B, LINE 11BEFORE THIS FORM 990 WAS FILED WITH THE IRS, ALL OF THE FOLLOWING REVIEWS TOOK PLACE: THE PREPARED FORM 990 WAS REVIEWED BY THE CONTROLLER, CHIEF FINANCIAL OFFICER, AND CORPORATE COMPLIANCE OFFICER, IN CONSULTATION WITH ADMINISTRATIVE STAFF MEMBERS, EXECUTIVE MANAGEMENT, AND ADVISORS TO THE ORGANIZATION. THE PREPARED FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES AND WAS MADE AVAILABLE TO ALL CURRENT VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES WRITTEN DISCLOSURES BY ALL TRUSTEES, OFFICERS, KEY EMPLOYEES, AND OTHER MANAGEMENT OR SUPERVISORY EMPLOYEES WHO ARE IN A POSITION TO INFLUENCE DECISION MAKING FOR THE ORGANIZATION. SUCH INDIVIDUALS ARE REQUIRED TO DISCLOSE ACTUAL AND POTENTIAL CONFLICTS OF INTEREST UPON INITIAL AFFILIATION WITH THE ORGANIZATION, ON AN ANNUAL BASIS, AND WHENEVER REPORTABLE INTERESTS ARISE. THE COMPLIANCE OFFICER, IN COLLABORATION WITH THE PRESIDENT AND/OR THE BOARD CHAIRMAN, REVIEWS WRITTEN DISCLOSURES, OBTAINS FURTHER INFORMATION AS NEEDED, AND EVALUATES ACTUAL AND POTENTIAL CONFLICTS. AS WARRANTED, THE PRESIDENT AND/OR BOARD CHAIRMAN IMPLEMENTS MEASURES TO ENSURE THAT DECISIONS RELATING TO THE ORGANIZATION ARE MADE SOLELY ON THE BASIS OF THE BEST INTERESTS OF THE ORGANIZATION AND IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSES. ANY TRUSTEE WHO HAS A DUALITY OF INTEREST OR A POTENTIAL CONFLICT OF INTEREST AS TO A MATTER COMING BEFORE THE BOARD IS PROHIBITED FROM VOTING OR USING PERSONAL INFLUENCE AS TO BOARD ACTION ON SUCH MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE FACILITY'S SALARY RANGES ARE BASED ON AN INCORPORATION OF A STUDY PERFORMED BY AN INDEPENDENT ACCOUNTING FIRM DURING THE 1990'S AND TRENDED FORWARD AND TWO SEPARATE INDEPENDENT SURVEYS OF SALARY PACKAGES OF SIMILAR POSITIONS RECEIVED DURING 2009. AT THE TIME OF HIRE THE FACILITY'S CEO REVIEWS THE SALARY REQUIREMENTS FOR KEY EMPLOYEES IN RELATION TO CURRENT MARKET CONDITIONS AND SALARY PAYSCALES PREVIOUSLY APPROVED BY THE EXECUTIVE COMMITTEE TO DETERMINE COMPENSATION. ANY SALARY RECOMMENDATIONS PROPOSED THAT ARE NOT COMMENSURATE WITH PREVIOUSLY APPROVED PAYSCALES REQUIRE CONSULTATION WITH AND AGREEMENT FROM THE BOARD CHAIRPERSON. ANNUALLY, OR WHEN CIRCUMSTANCES WARRANT, THE CEO PRESENTS TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL HER RECOMMENDATIONS FOR COMPENSATION OF KEY EMPLOYEES BASED ON PERFORMANCE EVALUATIONS.
FORM 990, PART VI, SECTION C, LINE 18THE FACILITY MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF ST. CAMILLUS FOUNDATION -21,005.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE FACILITY HAS AN AUDIT COMMITTEE MADE UP OF TRUSTEES. THE AUDIT COMMITTEE MEETS TWICE ANNUALLY; THE FIRST MEETING TO REVIEW THE DRAFT FINANCIAL STATEMENTS AND PRELIMINARY FINDINGS; THE SECOND MEETING TO REVIEW THE FINAL FINANCIAL STATEMENTS AND FINDINGS. THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST CAMILLUS FOUNDATION
813 FAY ROADSYRACUSENY13219222429858PROVIDE FINANCIAL SUPPORTNY501 (C) (3)9ST CAMILLUS RESIDENTAL HEALTH CARE FACILITY0
INTEGRITY HOME CARE SERVICES INC
813 FAY ROADSYRACUSENY13219161500579HOME HEALTH SERVICESNY501 (C) (3)9ST CAMILLUS RESIDENTAL HEALTH CARE FACILITY0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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