2025-10-23T11:32:54-05:00 2024-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2024-01-01 161085780 ST CAMILLUS RESIDENTIAL HEALTH CARE FACILITY STCA 3154882951 813 FAY ROAD SYRACUSE NY 132193098 MICHAEL ZINGARO VP OF FINANCE 3154882951 2025-10-14 1 1 MICHELLE MUNDY P01982856 3154227109 2025-10-14 2024 2025-03-06 01:10:19Z MICHAEL SCHAFER 813 FAY ROAD SYRACUSE NY 132193098 36866867 0 X WWW.ST-CAMILLUS.ORG X 1967 NY ST. CAMILLUS IS A RESIDENTIAL HEALTH CARE 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 CARE AND TREATMENT OF PATIENTS IN A RESIDENTIAL HEALTH CARE FACILITY. 20 18 590 18 0 0 1345202 4442229 33337166 31713171 11720 7583 900925 700380 35595013 36863363 0 0 0 0 21694922 21548609 0 0 0 12025194 10713667 33720116 32262276 1874897 4601087 18118000 22777006 9430280 9488199 8687720 13288807 ST. 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. 0 0 26338901 32324308 ST. CAMILLUS IS A RESIDENTIAL HEALTH CARE FACILITY DEDICATED TO CARING FOR LIFE THROUGH A BROAD RANGE OF HEALTHCARE SERVICES. THE ORGANIZATION OPERATES A 284-BED SKILLED NURSING FACILITY, WHICHINCLUDES A 20-BED UNIT DEDICATED TO TRAUMATIC BRAIN INJURY, ALONG WITH CARE AND TREATMENT OF PATIENTS IN A RESIDENTIAL HEALTH CARE FACILITY. 26338901 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 54 0 1 590 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ANNE CONNOR 3154882951 813 FAY ROAD SYRACUSE NY 132193098 GEORGE W CHAPMAN CHAIR 1.00 1.00 X X 0 0 0 CHARLES P CONOLE MEMBER/TRUSTEE 1.00 1.00 X 0 0 0 JAMES D SPENCER MEMBER/TRUSTEE 1.00 1.00 X 0 0 0 REV MSGR RICHARD KOPP MEMBER/TRUSTEE 1.00 1.00 X 0 0 0 DOUGLAS J REICHER SECRETARY 1.00 1.00 X X 0 0 0 ALISON DUNN TRUSTEE 1.00 1.00 X 0 0 0 BARBARA BULLA TRUSTEE 1.00 1.00 X 0 0 0 EILEEN CHASE TRUSTEE 1.00 1.00 X 0 0 0 DR JEANNE E BISHOP TRUSTEE 1.00 1.00 X 0 0 0 JOHN MAESTRI TRUSTEE 1.00 1.00 X 0 0 0 LINDSAY CULLEN TRUSTEE 1.00 1.00 X 0 0 0 MICHELE FERNANDEZ TRUSTEE 1.00 1.00 X 0 0 0 NANCY PAGE TRUSTEE 1.00 1.00 X 0 0 0 PETER CAPPUCCILLI JR TRUSTEE 1.00 1.00 X 0 0 0 SCOTT MCCLURG TRUSTEE 1.00 1.00 X 0 0 0 TIMOTHY HILL TRUSTEE 1.00 1.00 X 0 0 0 TRACI BORIS TRUSTEE 1.00 1.00 X 0 0 0 TRACY BALDUZZI TRUSTEE 1.00 1.00 X 0 0 0 WANDA HINES-MCGRIFF TRUSTEE 1.00 1.00 X 0 0 0 JOHN F CATANZARITA VICE CHAIR 1.00 1.00 X X 0 0 0 SABRINA REVETTE DIRECTOR OF NURSING 40.00 X 130058 0 18275 MICHAEL SCHAFER PRESIDENT 36.00 4.00 X 269039 0 18514 MICHAEL MCCOY UNTIL 62024 VP - NURSING 39.00 1.00 X 83458 0 7152 MICHAEL ZINGARO VP FINANCE 36.00 4.00 X 179364 0 9476 MARY JO STEVENS DIRECTOR OF HUMAN RESOURCES 32.00 8.00 X 111354 0 1188 KATHRYN BARBER VP-QUALITY MANAGEMENT 36.00 4.00 X 139494 0 14829 JESSICA PROPER FROM 62024 VP - NURSING 39.00 1.00 X 71433 0 48 MARIA WEIR DIRECTOR OF FINANCE 40.00 X 132749 0 270 DONNA ORAM DIRECTOR OF REHAB SERVICES 40.00 X 121855 0 19050 NATOSHA FREEMAN LPN 40.00 X 126841 0 26675 DONNA GILLETTE NURSE PRACTIONER 40.00 X 119516 0 27221 JACQUELYN NELSON RN SUPERVISOR 40.00 X 119338 0 13716 1604499 0 156414 19 0 1 0 UNIDINE CORPORATION ONE MARINA PARK DRIVE BOSTON MA 02110 FOOD SERVICE AND FOOD SERVICES MANAGEMEN 1410163 DIAMOND & THIEL CONSTRUCTION CO INC 408 N MIDLER AVENUE SYRACUSE NY 13206 BUILDING CONSTRUCTION PROJECTS 720310 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE MGMT 683889 BUFFALO PHARMACIES 1479 KENSINGTON AVENUE BUFFALO NY 14215 PHARMACY AND PHARMACY CONSULTING 653676 NURSE CONNECTION STAFFING INC 1 COMPUTER DRIVE SOUTH ALBANY NY 12205 TEMPORARY NURSING HELP 539106 14 4308257 133972 30000 4442229 PROGRAM SERVICE REVENUE 623000 31713171 31713171 31713171 7583 7583 60032 0 60032 60032 60032 32715 3504 29211 29211 OTHER REVENUE 900099 611137 611137 611137 36863363 32324308 0 96826 721326 721326 17566906 14989245 2577661 1909666 1610542 299124 1350711 1146677 204034 246848 246848 56086 56086 1930939 1821918 109021 219283 219283 250574 5953 244621 622566 560309 62257 704 704 6995 6995 181046 120513 60533 958760 862884 95876 670715 511375 159340 SUPPLIES 2353741 2284614 69127 CONTRACT LABOR 1824965 1824965 OTHER EXPENSES 1390445 599906 790539 32262276 26338901 5923375 0 2061680 2140898 5844429 7009549 210362 227639 198650 184077 295295 383102 38199410 29690344 5551805 8509066 3955779 4322675 18118000 22777006 3578575 3936376 4613154 4027191 1238551 1524632 9430280 9488199 X 8583039 13170578 104681 118229 8687720 13288807 18118000 22777006 4601087 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 104681 73153 59605 118229 58526 49018 2863 104681 123545 7421 72440 58526 123418 1154 1027 123545 62527 98757 37866 123418 0.99110 0.00890 0 0 153315 153315 27219689 20711910 6507779 2334758 1329934 1004824 8491648 7648500 843148 8509066 PATIENT FUNDS 191451 RESERVE FOR REPLACEMENTS 891236 OTHER RECEIVABLES 671224 LONG TERM RECEIVEABLES 193575 MORTGAGE INSURANCE ESCROWS 200514 DONOR RESTRICTED FUNDS 515196 BOARD RESTRICTED FUNDS 730125 RESIDUAL RECEIPTS 929354 4322675 PATIENTS FUND 191451 OTHER LIABILITIES 193575 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 598226 REFUNDABLE ADVANCE 541380 1524632 PART V, LINE 4: DONOR RESTRICTED ENDOWMENT FUNDS ARE THOSE WHOSE USE BY THE ORGANIZATION HAS BEEN LIMITED BY DONORS OR GRANTORS TO A SPECIFIC TIME PERIOD OR PURPOSE. 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. X X X X X X X 1 NY SADA 31115 31115 CELEBRATION OF SERVICE 1600 1600 3504 1 32715 32715 3504 3504 29211 X X 0 0 0 0 0 0 0 0 0 MICHAEL SCHAFER PRESIDENT 269039 0 0 0 0 0 0 0 18514 0 287553 0 0 0 MICHAEL ZINGARO VP FINANCE 179364 0 0 0 0 0 0 0 9476 0 188840 0 0 0 KATHRYN BARBER VP-QUALITY MANAGEMENT 139494 0 0 0 0 0 0 0 14829 0 154323 0 0 0 NATOSHA FREEMAN LPN 126841 0 0 0 0 0 0 0 26675 0 153516 0 0 0 X 1 30000 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION VOTE TO ELECT TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE 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, OR BY PROXY, AT THE MEETING OR 100% WRITTEN APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B BEFORE THIS FORM 990 WAS FILED WITH THE IRS, ALL OF THE FOLLOWING REVIEWS TOOK PLACE: THE FORM 990 WAS REVIEWED BY THE DIRECTOR OF FINANCE, CHIEF FINANCIAL OFFICER AND CORPORATE COMPLIANCE OFFICER, IN CONSULTATION WITH ADMINISTRATIVE STAFF MEMBERS, EXECUTIVE MANAGEMENT, AND ADVISORS TO THE ORGANIZATION. THE FORM 990 WAS MADE AVAILABLE TO ALL CURRENT VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C 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 POSITON TO INFLUENCE DECISION MAKING FOR THE ORGANIZATION. SUCH INDIVIDUALS ARE REQUIRED TO DISCLOSE ACTUAL AND POTENTIAL CONFLICTS OF INTEREST UPON INITIAL APPLICATION WITH THE ORGANIZATION, ON AN ANNUAL BASIS, AND WHENEVER REPORTABLE INTERESTS ARISE. THE COMPLIANCE OFFICER, IN COLLABORATION WITH THE CHAIR OF THE AUDIT COMMITTEE, IN CONSULTATION WITH THE PRESIDENT, REVIEWS WRITTEN DISCLOSURES, OBTAINS FURTHER INFORMATION AS NEEDED, AND EVALUATES ACTUAL AND POTENTIAL CONFLICTS. AS WARRANTED, THE PRESIDENT, THE CHAIR OF THE AUDIT COMMITTEE, AND/OR BOARD CHAIRMAN IMPLEMENTS MEASURES TO ENSURE THAT DECISIONS RELATING TO THE ORGANIZATIONS 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 15 THE FACILITY'S EXECUTIVE SALARY RANGES FOR THE CEO AND CFO ARE BASED ON AN INCORPORATION OF A STUDY COMPLETED IN 2022. ON AN ONGOING BASIS, THE HUMAN RESOURCES DEPARTMENT CONTACTS THEIR COUNTERPARTS IN THE AREA TO CHECK THEIR RATES AND BENEFITS. LEADING AGE NY CONDUCTS PERIODIC COMPENSATION SURVEYS THAT THE ORGANIZATION REVIEWS TO GAUGE CURRENT SALARY STRUCTURE WITHIN THE INDUSTRY. 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 ANY RECOMMENDATIONS FOR COMPENSATION OF KEY EMPLOYEES BASED ON PERFORMANCE EVALUATIONS. FORM 990, PART VI, SECTION C, LINE 18 THE FACILITY MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PART XII, LINE 2C NO CHANGES FROM THE PRIOR YEAR. INTEGRITY HOME CARE SERVICES INC 813 FAY ROAD SYRACUSE NY 13219 161500579 HOME HEALTH SERVICES NY 501(C)(3) LINE 10 ST CAMILLUS RESIDENTAL HEALTH CARE FACILITY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0