Onondaga Case Management Services Inc D/b/a Circare

What it reported doing in 2024

Care management services see schedule o for futher details. Circare is a New York state designated lead health home covering 12 counties in central New York. Health home is the New York state department of health's preferred care coordination model. It is not a place but a network of providers working together to enhance an individual's health and overall quality of life. Health home care management is a service model designed for medicaid beneficiaries to ensure effective coordination and management of care, leading to positive health outcomes for individuals. Circare was contracted with 28 different care management agencies across the 12 counties. Circare's health home future includes adding additional health home care management agencies and expanding the current circare health home coverage area into additional counties. As well as being a lead health home, circare is a health home care management agency within the circare health home network. Through health home care management, circare care managers provide care coordination to medicaid beneficiaries who have a serious mental illness, who are living with HIV/AIDS, or who have two or more chronic health conditions. Circare care managers work with individuals to develop and maintain a comprehensive plan for accessing and using services and supports necessary for the person's health. As a health home care management agency, circare provided care 5,845 management services in 2024. In addition, circare is a state designated entity, allowing the agency to help connect individuals to critical home and community based services. Circare has provided these services to several health and recovery plan (harp) members and is contracted as a participating provider with managed care organizations in central New York including fidelis care, united behavioral healthcare, and molina healthcare.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 79%; rating input score 79
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 13th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -50.7%; rating input score 2; 2nd percentile among comparable filings
• Total-asset coverage ratio: 0.79; rating input score 29; 29th percentile among comparable filings
• Liabilities to assets ratio: 0.61; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 1.9%; rating input score 76; 76th percentile among comparable filings

Growth

• Program expense growth: 0.2% per year; rating input score 100; 14th percentile among comparable filings
• Revenue growth: 1% per year; rating input score 100; 15th percentile among comparable filings
• Asset growth: 7.6% per year; rating input score 100; 48th percentile among comparable filings