ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY (EIN 16-1085780)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349307319
Schema version
2010v3.4
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)
Timestamp2011-11-14T17:48:44-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH J SCHLEGELName
Phone3154463600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts33908395GrossReceipts
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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees761TotalNbrEmployees
Total Nbr Volunteers98TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year93884ContributionsGrantsPriorYear
Contributions Grants Current Year325807ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33585222ProgramServiceRevenuePriorYear
Program Service Revenue CY33093599ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year438809OtherRevenuePriorYear
Other Revenue Current Year488989OtherRevenueCurrentYear
Total Revenue Prior Year34117915TotalRevenuePriorYear
Total Revenue Current Year33908395TotalRevenueCurrentYear
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 Year21997998SalariesEtcPriorYear
Salaries Etc Current Year22291920SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12007467OtherExpensePriorYear
Other Expenses Current Year12990081OtherExpensesCurrentYear
Total Expenses Prior Year34005465TotalExpensesPriorYear
Total Expenses Current Year35282001TotalExpensesCurrentYear
Revenues Less Expenses Prior Year112450RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1373606RevenuesLessExpensesCY
Total Assets BOY20055972TotalAssetsBOY
Total Assets EOY19821560TotalAssetsEOY
Total Liabilities BOY13962741TotalLiabilitiesBOY
Total Liabilities EOY14974521TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6093231NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4847039NetAssetsOrFundBalancesEOY
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
Expense29883218Expense
Revenue33582588Revenue
DescriptionCARE AND TREATMENT OF PATIENTS IN A RESIDENTIAL HEALTH CARE FACILITY AND AN OUTPATIENT CLINIC.Description
Total Program Service Expense29883218TotalProgramServiceExpense
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 Stmt1IndependentAuditFinancialStmt
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 Organization1BsnssRltnshpWithOrganization
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees761NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
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 (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
REV LOUIS AIELLO
MEMBER/TRUSTEE1.00X000
JOHN J CANNIZZARO
SECRETARY/MEMBER1.00X000X
PETER CAPPUCCILLI JR
TRUSTEE1.00X000
JOHN F CATANZARITA
TRUSTEE1.00X000
CHARLES P CONOLE
MEMBER/TRUSTEE1.00X000
PATRICIA A CURTIN
CHAIR/MEMBER/TRUSTEE1.00X000X
KATHY DUSCKAS
TRUSTEE1.00X000
JAMES N JEROSE
TRUSTEE1.00X000
RV MSGR RICHARD KOPP
MEMBER/TRUSTEE1.00X000
WAYNE V LA FRANCE
TRUSTEE1.00X000
MAUREEN DUNN MCGLYNN
TRUSTEE1.00X000
PAUL MELLO
TRUSTEE1.00X000
JAMES J MURPHY
MEMBER/TRUSTEE1.00X000
MICHAEL R O'LEARY MD
TRUSTEE1.00X000
BRENDA A RIGAS
TRUSTEE1.00X000
JAMES D SPENCER
MEMBER/TRUSTEE1.00X000
RONALD WSTAHL MD
TRUSTEE1.00X000
DERRICK J SUEHS
TRUSTEE1.00X000
MARY GRACE VANNORTWICK
VICE CHAIR/TRUSTEE1.00X000X
RICHARD J PRATT
TRUSTEE1.00X000
WILLIAM LOEHR
TRUSTEE1.00X000
DANIEL J ROSS
TRUSTEE1.00X000
AILEEN BALITZ
ADMINISTRATOR/PRESIDENT40.001647430392XX
DAVID DUBE
MEDICAL DIRECTOR20.009181000X
MICHAEL ZINGARO
VP FINANCE40.009675901204X
CHAD GOODMAN
VP - NURSING40.009261809299X
DEBRA BOWERS
VP - HOME CARE40.00142150398X
KATHY BARBER
VP - QUALITY MANAGEMENT40.008443309471X
CHRISTINE KEARNEY
VP - REHABILITATION SERVIC40.008223608288X
HELENA GLASSFORD
VP - HUMAN RESOURCES40.007164209480X
HEATHER KEMMIS
VP - HOME CARE40.0074285013270X
FieldValueIRS element (for citing)
Total Reportable Comp From Org772741TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation51802TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
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 SERVICE1399973
HAYNER HOYT CORPORATION
625 ERIE BOULEVARD WESTSYRACUSENY13204BUILDING CONTRACTOR816112
NURSECORE MANAGEMENT SERVICES
2201 BROOKHOLLOWARLINGTONTX76006NURSING STAFF509132
NURSEFINDERS
7421 OSWEGO ROADLIVERPOOLNY13090NURSING STAFF286590
ADECCO EMPLOYMENT AGENCY
225 GREENFIELD PARKWAYLIVERPOOLNY13088NURSING STAFF279819
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants110655GovernmentGrants
All Other Contributions215152AllOtherContributions
Total Contributions325807TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUDescription
Business Code623000BusinessCode
Total Revenue Column33093599TotalRevenueColumn
Related Or Exempt Function Income33093599RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue33093599TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column488989TotalRevenueColumn
Related Or Exempt Function Income488989RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue488989TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33908395TotalRevenueColumn
Related Or Exempt Function Income33582588RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total706100Total
Management And General706100ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17500762Total
Program Services14786992ProgramServices
Management And General2713770ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2767851Total
Program Services2242111ProgramServices
Management And General525740ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1317207Total
Program Services1131205ProgramServices
Management And General186002ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total66897Total
Management And General66897ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46200Total
Management And General46200ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total239694Total
Program Services159796ProgramServices
Management And General79898ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total144069Total
Program Services34057ProgramServices
Management And General110012ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total64378Total
Management And General64378ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1110890Total
Program Services999801ProgramServices
Management And General111089ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total138971Total
Program Services134179ProgramServices
Management And General4792ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34480Total
Program Services11457ProgramServices
Management And General23023ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total8018Total
Management And General8018ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1020990Total
Program Services918891ProgramServices
Management And General102099ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total352748Total
Program Services296735ProgramServices
Management And General56013ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES30328972889803143094
CONTRACT LABOR23652502365250
MANAGEMENT CONTRACT1565427154504320384
NYS ASSESSMENT10892821089282
EQUIPMENT RENTAL AND MA30806724809159976

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1401823Total
Program Services1030525ProgramServices
Management And General371298ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35282001Total
Program Services29883218ProgramServices
Management And General5398783ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY310849BOY
EOY12782EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1225551BOY
EOY232779EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6178245BOY
EOY7058383EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY307345BOY
EOY529277EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY82177BOY
EOY75765EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY273095BOY
EOY277414EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26575868LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17145366LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9765488BOY
EOY9430502EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1913222BOY
EOY2204658EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20055972BOY
EOY19821560EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3174442BOY
EOY3351086EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8834855BOY
EOY8597024EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1953444BOY
EOY3026411EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13962741BOY
EOY14974521EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5655956BOY
EOY4470781EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY437275BOY
EOY376258EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6093231BOY
EOY4847039EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20055972BOY
EOY19821560EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1373606ReconcilationRevenueExpenses
Reconcilation Other Changes127414ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

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 Balance437275BeginningOfYearBalance
Contributions110655Contributions
Investment Earnings Or Losses127414InvestmentEarningsOrLosses
Other Expenditures299086OtherExpenditures
End Of Year Balance376258EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1561368BeginningOfYearBalance
Contributions309288Contributions
Other Expenditures242440OtherExpenditures
End Of Year Balance1628216EndOfYearBalance
FieldValueIRS element (for citing)
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 Basis18938950OtherCostOrOtherBasis
Depreciation10602782Depreciation
Book Value8336168BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6126887OtherCostOrOtherBasis
Depreciation5455231Depreciation
Book Value671656BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1356716OtherCostOrOtherBasis
Depreciation1087353Depreciation
Book Value269363BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9430502TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
MORTGAGE REFINANCING COST, NET OF AMORTIZATION254366
PATIENT FUNDS43083
RESERVE FOR REPLACEMENTS841997
FUNDED DEPRECIATION ACCOUNT464058
CASH WORKING CAPITAL ESCROW311664
INTEREST IN NET ASSETS OF ST. CAMILLUS FOUNDATION265603
OTHER RECEIVABLES23887
FieldValueIRS element (for citing)
Total Book Value Other Assets2204658TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PATIENTS' FUNDS$43,083
ESTIMATED THIRD PARTY SETTLEMENTS$1,706,719
ESTIMATED WORKER'S COMPENSATION TRUST LIABILITY$846,609
LINE OF CREDIT$430,000
FieldValueIRS element (for citing)
Total Of Amounts3026411TotalOfAmounts
Total Revenue33908395TotalRevenue
Total Expenses35282001TotalExpenses
Excess Or Deficit For Year-1373606ExcessOrDeficitForYear
Other$127,414OtherAmount
Total Adjustments127414TotalAdjustments
Excess Or Deficit Per FS-1246192ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt33908395TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal33908395RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033908395TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35249583TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal35249583ExpensesSubtotal
Other Expenses Not Included32418OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt32418ExpensesNotRptdOnFinStmt
Total Expenses Per Form99035282001TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. 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 2007 THROUGH 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN INTEREST IN NET ASSETS OF ST. CAMILLUS FOUNDATION 127,414.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:FORFEITED GRANTS 32,418.

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
Base Compensation Filing Org164743BaseCompensationFilingOrg
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 Org392NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org165135TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDR MICHAEL O'LEARY CEO OF LABORATNamePerson
FieldValueIRS element (for citing)
RelationshipLABORATORY ALLIANCE OF CNY DOES LAB WORK FOR THE FACILITY.Relationship
Amount Of Transaction228953AmountOfTransaction
Description Of TransactionINDEPENDENT CONTRACTORDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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. UPON RECOMMENDATION BY THE FINANCE COMMITTEE, THE PREPARED FORM 990 WAS PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, ACTING ON BEHALF OF THE ENTIRE BOARD, FOR FINAL APPROVAL. COMPLETED FORM 990 WAS MADE AVAILABLE TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING.
THE 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 12C
THE 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 B, LINE 15
THE FACILITY MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:CHANGE IN INTEREST IN NET ASSETS OF ST. CAMILLUS FOUNDATION 127,414. TOTAL TO FORM 990, PART XI, LINE 5: 127,414.FORM 990, PART XI, LINE 5:
FORM 990, PART XI, LINE 2C: THE 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
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 Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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