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ONONDAGA CASE MANAGEMENT SERVICES INC D/B/A CIRCARE

SYRACUSE, NY · EIN 161363413 · Form 990 · FY2024 · NTEE P800 · Human Services · Medium ($1M-$10M) · cir.care
revenue
$5.2M
expenses
$7.9M
net assets
$2.4M
employees
133
volunteers
24
program ratio
79%
mission · from form 990

ONONDAGA CASE MANAGEMENT, INC. DBA CIRCARE (HERE IN AFTER REFERRED TO AS "CIRCARE") SUPPORTS INDIVIDUALS AND THEIR FAMILIES WHO HAVE ENCOUNTERED OBSTACLES DEVELOP THE RESOURCES AND SUPPORTS TO LIVE A SATISFYING AND NATURALLY INTERDEPENDENT LIFE. CIRCARE'S TEAM OF CARE MANAGERS, CLINICIANS, VOCATIONAL SPECIALISTS, PEER SPECIALISTS, AND MEDICAL PROFESSIONALS ARE TRAINED IN A MULTITUDE OF EVIDENCE-BASED PRACTICES PROVEN TO HELP PEOPLE ATTAIN THEIR DESIRED GOALS AND TO SUSTAIN RECOVERY AND BUILD RESILIENCE. CIRCARE'S TEAM PROVIDES PERSON-CENTERED SERVICES AND PROMOTES PERSONAL CHOICE, RESPECT FOR DIVERSITY, INDIVIDUALITY AND COMMUNITY INCLUSIVENESS.

profile · synthesized from sources

CIRCARE provides community-based behavioral health services to individuals facing mental health challenges, with a focus on those not well-served by traditional systems. The organization operates Assertive Community Treatment (ACT) teams for adults and youth, delivering person-centered, multidisciplinary care in homes, schools, and community settings. Based in Syracuse, NY, CIRCARE supports recovery and resilience through clinical, vocational, and peer-based interventions.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $527K
    ASSERTIVE COMMUNITY TREATMENT TEAM YOUTH (YACT) SEE SCHEDULE O FOR FURTHER DETAILS. THE YOUTH ASSERTIVE COMMUNITY TREATMENT TEAM (YACT) IS A MULTIDISCIPLINARY TEAM THAT INCLUDES PSYCHIATRY, SOCIAL WORK, VOCATIONAL, EDUCATIONAL AND FAMILY FOCUSED, COMMUNITY BASED SERVICES. THE TEAM SERVES YOUTH AGED 10 TO 21 IN THE COMMUNITY WHO ARE DIAGNOSED WITH A MENTAL HEALTH CONDITION AND MEET CRITERIA FOR SERIOUS EMOTIONAL DISTRUBANCE. THE ACT SERVICE MODEL IS AN EVIDENCED BASED PRACTICE DESIGNED SPECIFICALLY TO ASSIST INDIVIDUALS WHO ARE NOT WELL ENGAGED BY TRADITIONAL SERVICES. THE YOUTH ACT TEAM HAS BEEN OPERATIONAL ALMOST ALL YACT SERVICES ARE PROVIDED IN THE COMMUNITY, AT A PERSON'S HOME, A SHELTER, THE HOME OF FAMILY AND/OR FRIENDS, IN SCHOOL, AT MEDICAL SERVICE PROVIDERS, AND OTHER APPOINTMENTS. THE TEAM PROVIDED 849 SERVICES TO CLIENTS IN 2024.
  2. #2 $1.39M
    ASSERTIVE COMMUNITY TREATMENT TEAM (ACT) SEE SCHEDULE O FOR FURTHER DETAILS. THE ASSERTIVE COMMUNITY TREATMENT TEAM (ACT) IS A MULTIDISCIPLINARY TEAM THAT INCLUDES PSYCHIATRY, NURSING, SOCIAL WORK, VOCATIONAL, SUBSTANCE USE REHABILITATION AND A PEER SPECIALIST. THE TEAM SERVES INDIVIDUALS IN THE COMMUNITY WHO ARE DIAGNOSED WITH AND IMPAIRED BY A MENTAL HEALTH CONDITION. THE ACT SERVICE MODEL IS AN EVIDENCED BASED PRACTICE DESIGNED SPECIFICALLY TO ASSIST INDIVIDUALS WHO ARE NOT WELL ENGAGED BY TRADITIONAL SERVICES. IN 2024, THE ACT TEAM SERVED AN AVERAGE OF 60 INDIVIDUAL CLIENTS PER MONTH. THE MAJORITY OF ACT SERVICES ARE PROVIDED IN THE COMMUNITY, AT A PERSON'S HOME, A SHELTER, THE HOME OF FAMILY AND/OR FRIENDS, AT MEDICAL, AND OTHER APPOINTMENTS. THE TEAM PROVIDED 650 SERVICES TO CLIENTS IN A COMBINATION OF METHODS INCLUDING, INPERSON, TELEHEALTH, AND COLLATERAL CONTACT.
named programs · 2 · from sources

What they call their work

Assertive Community Treatment Team (ACT)
Multidisciplinary team providing community-based psychiatric, nursing, social work, vocational, and peer support services to adults diagnosed with serious mental health conditions. Services are delivered in homes, shelters, medical appointments, and other community locations, with an average of 60 clients served monthly.
Youth Assertive Community Treatment Team (YACT)
Community-based multidisciplinary team serving youth aged 10–21 with serious emotional disturbance, including psychiatry, social work, vocational, educational, and family-focused services. Most services are provided in homes, schools, shelters, and medical settings.
activities · 9 groups

What they do

  • Mobile Mental Health Crisis Intervention 2 activities
    • Adult Assertive Community Treatment (ACT) program
      Provides intensive, community-based mental health treatment and support services to adults with serious mental illness, serving an average of 60 clients per month and delivering hundreds to thousands of services annually through in-person, telehealth, and collateral contacts.
    • Youth Assertive Community Treatment (YACT) program
      Operates a Youth Assertive Community Treatment program for children aged 10 to 21 with serious emotional disturbances and their families in Onondaga County, providing 849 community-based services in 2024.
  • School-Based Mental Health and Family Support 1 activity
    • Clinical and crisis-intervention services for youth and families
      Provides clinical, vocational, peer-based, forensic, and crisis-intervention services for youth and their families facing behavioral health challenges.
  • Healthcare Compliance and Ethics Programs 1 activity
    • Compliance and privacy operations
      Operates a Compliance Program with a Code of Conduct and formal Compliance Plan, designates a Privacy Officer, posts Notice of Privacy Practices publicly, trains staff on privacy policies, uses EthicsPoint for confidential reporting, and disposes of records securely via shredding or electronic wiping.
  • Language Access Services 1 activity
    • Language access and appointment communication
      Provides free language assistance for Spanish speakers and uses telephone calls and up to five weekly SMS messages for appointment reminders and follow-ups with consent.
  • Medicaid Health Home Care Coordination 1 activity
    • Lead Health Home care management services
      Manages a network of providers and delivers person-centered care management services to Medicaid beneficiaries with complex chronic and behavioral health needs across ten Central New York counties as a designated Lead Health Home by the New York State Department of Health.
  • Parenting Education and Support Programs 1 activity
    • Parenting education programs
      Offers evidence-based parenting programs at no cost, including Parent Project®, Loving Solutions (for parents of children 5–10), and Changing Destructive Adolescent Behavior (for parents of youth 11–19), meeting weekly for 10 weeks with free childcare, leading to improved parenting skills and reduced family conflict and juvenile justice involvement.
  • Psychiatric Rehabilitation and Recovery Services 1 activity
    • Rehabilitation, recovery, and peer support services for adults
      Delivers daily rehabilitation and recovery services, including vocational support, peer services, and assertive community treatment, during weekday business hours in homes, community locations, or offices.
  • Workforce Readiness Training 1 activity
    • Vocational and educational support services
      Provides person-centered employment and educational services, including job preparation, school enrollment, tutoring, pre-vocational support, and benefits counseling, including through contracts with ACCES-VR and for individuals enrolled in a Health and Recovery Plan (HARP).
  • Uncategorized 1 activity
    • Outpatient behavioral health clinic services
      Provided outpatient behavioral health visits to hundreds of clients annually, including 13,398 visits to 755 clients in 2020, 9,723 visits to 541 clients in 2021, and 2,435 visits to 310 clients from January to May 2022 before clinic closure.
financials · form 990 · fy2024
revenue
Total revenue$5.23M
Contributions & grants$2.61M50%
Program service revenue$2.44M47%
Investment income$181K3%
Other revenue$4K
expenses
Total expenses$7.89M
Program expenses79%
Admin / overhead21%
Fundraising0%
Salaries & benefits$5.44M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$6.24M
Cash$1.86M
Investments$1.74M
Liabilities$3.80M
Net assets$2.45M
Liquid reserves5.5 mo
5 years on record · 2020–2024 · YoY revenue -24.1%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 3
NameTitleHours/wkCompensation
KATHLEEN GAFFNEY-BABB PRESIDENT/CEO 1 $441K
DAVID ZELLINGER THRU JULY 2024 CFO 40 $60K
SCOTT EBNER THRU APRIL 2024 EXECUTIVE DIRECTOR 40 $48K
board members · 20
  • CHERYL PUSZTAI — BOARD MEMBER
  • DANIEL KELLEY — PRESIDENT
  • DAVID MATHIS — BOARD MEMBER
  • DEBORAH DONAHUE — BOARD MEMBER
  • ERIC CHASE — SECRETARY
  • HELEN LOPEZ — BOARD MEMBER
  • JAMES ANTONACCI — BOARD MEMBER
  • JAMES D'ONOFRIO — BOARD MEMBER
  • JANICE JAMES — BOARD MEMBER
  • JOHN BALZANO ESQ — BOARD MEMBER
  • JOSEPH ZIKUSKI — BOARD MEMBER
  • LISA MORROW-WHITTAKER — SECRETARY
  • MARTIN MCDERMOTT — VICE CHAIRPERSON
  • MICHAEL VOLL — BOARD MEMBER
  • PATRICIA BUELL — BOARD MEMBER
  • ROBERT JOHNSON — BOARD MEMBER
  • SCOTT LICKSTEIN ESQ — BOARD MEMBER
  • SCOTT MCGUINNESS PHD — BOARD MEMBER
  • SHANE MCCROHAN ESQ — CHAIRPERSON
  • STACY KEEFE — BOARD MEMBER
relationships · 39

Who they work with

  • ACCES-VR Partner — Contracts with Circare to provide benefits counseling, career exploration, job preparation, and job placement services.
  • Addiction Center of Broome County Partner — Collaborates as a health home partner in providing care management services.
  • CASA Trinity Partner — Collaborates as a health home partner in providing treatment and care management for individuals with chemical dependency.
  • Catholic Charities of Chemung County Partner — Collaborates as a health home partner in delivering services to address poverty and support community well-being.
  • Catholic Charities of Cortland County Partner — Collaborates as a health home partner in providing services for individuals affected by mental illness, substance abuse, and poverty.
  • Catholic Charities of Oswego County Partner — Collaborates as a health home partner in delivering human services to children, families, and individuals in Oswego County.
  • Cayuga County Community Mental Health Center Partner — Collaborates as a health home partner in offering care management for adults with behavioral health, medical, and social needs.
  • Department of Health and Human Services Government — Discloses protected health information to the Department of Health and Human Services for compliance audits and program oversight.
  • Elmira Psychiatric Center Partner — Collaborates as a health home partner in delivering comprehensive psychiatric and community-based mental health services.
  • Family Services of Chemung Partner — Collaborates as a health home partner in providing programs for children, youth, and adults in Chemung County.
  • FreshySites Partner — Web design and development partner for CIRCARE's website
  • HCR Care Management Partner — Collaborates as a health home partner in expanding services aligned with Medicaid reform and health care transformation.
  • Health Homes of Upstate New York Network — Circare is a member of Health Homes of Upstate New York, a consortium of four Health Homes.
  • Health Homes of Upstate New York Partner — Accepts referrals through the Health Homes of Upstate New York network.
  • Health Homes of Upstate New York Partner — Collaborates with Circare in managing a network of providers for individuals with complex health needs.
  • Health Homes of Upstate New York Partner — Collaborates with Health Homes of Upstate New York to deliver Health Home services across 23 counties in western and central New York.
  • Helio Health Partner — Formally affiliated organization merging with Circare to expand comprehensive care for individuals with mental health and substance use challenges.
  • Hillside Family of Agencies Partner — Collaborates as a health home partner in delivering comprehensive health, education, and human services for children and families.
  • Lakeview Mental Health Services Partner — Collaborates as a health home partner in providing care management, supportive housing, and rehabilitative services for individuals recovering from mental illness.
  • Liberty Resources Partner — Collaborates as a health home partner in delivering integrated behavioral health counseling, medication management, and primary care services.
  • Monroe Plan Partner — Collaborates as a health home partner in providing health home services and clinical care management for Medicaid and other publicly insured members.
  • NAVEX Global Partner — Third-party provider of the EthicsPoint hotline system used for confidential and anonymous compliance reporting.
  • NYS Department of Health Government — Discloses protected health information to NYS Department of Health as required by regulation.
  • NYS Office of Mental Health Government — Discloses protected health information to NYS Office of Mental Health as required by regulation.
  • NYS Office of Mental Health Government — Funding and regulatory partner that awarded Circare to establish a Youth Assertive Community Treatment program.
  • New York State Department of Health Government — Designated Circare as a Lead Health Home in 2013.
  • New York State Department of Health Government — Designated Circare as a Lead Health Home.
  • New York State Department of Health Government — Designated as a Lead Health Home by the New York State Department of Health.
  • New York State Office of Mental Health Government — Initiated the program that led to Circare's founding to provide intensive case management services.
  • New York State Office of Mental Health Government — Licensed CIRCARE's outpatient behavioral health clinic and renewed the organization's license for Assertive Community Treatment services.
+ 9 more
strategies · 3

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Assertive Community Treatment (ACT) Model
    methodology: assertive_community_treatment
    By delivering multidisciplinary, team-based behavioral health services directly in community and personal settings, this model improves engagement and prevents institutionalization for individuals with complex needs who are underserved by traditional outpatient care, because proximity and continuity reduce barriers to access and build trusting relationships.
  • Integrated Whole-Person Care
    methodology: whole_person_care
    By unifying physical, behavioral, and social health services within a single care model that includes both professional and personal support networks, this approach improves overall well-being because it treats the individual holistically rather than in fragmented silos, addressing root causes of health disparities.
  • Person-Centered, Recovery-Oriented Care Model
    methodology: person_centered_recovery
    By centering care on individual choice, autonomy, and lived experience within a recovery-oriented framework, this approach fosters engagement, resilience, and community inclusion — particularly for individuals with mental illness, substance use disorders, or disabilities — because it respects personal goals and builds on strengths rather than focusing solely on clinical deficits.