Liabilities / Assets
100th percentile
Higher debt load relative to assets than 100% of similar nonprofits.
South Yarmouth Management Systems Inc
EIN 04-3080763 • 501(c)3 • Pittsfield, MA
Profile
South Yarmouth Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.
Refreshing map…
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
3.72x
Liabilities / Revenue
88th percentile
Higher debt load relative to revenue than 88% of similar nonprofits.
Net Margin
22nd percentile
Higher net margin than 22% of similar nonprofits.
Top Officer Pay
95th percentile
Higher top officer pay than 95% of similar nonprofits.
Top officer pay equals 7.4% of source-year revenue.
Asset Growth
84th percentile
Faster asset growth than 84% of similar nonprofits.
Revenue Growth
48th percentile
Faster revenue growth than 48% of similar nonprofits.
Balance Sheet
Assets
Up$5,972,542
Up $1,082,096 (+22%) from 2023
Liabilities
Up$22,228,208
Up $1,822,516 (+8.9%) from 2023
Net Assets
Down-$16,255,666
Down $740,420 (-4.8%) from 2023
Revenue
Up$11,568,130
Up $667,939 (+6.1%) from 2023
Expenses
Up$12,308,550
Up $484,044 (+4.1%) from 2023
Net Income
Up-$740,420
Up $183,895 (+20%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Summary only. Only limited summary data is available for this year.
- Assets
- $5,972,542
- Liabilities
- $22,228,208
- Net assets
- -$16,255,666
- Revenue
- $11,568,130
- Expenses
- $12,308,550
- Net income
- -$740,420
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Nov 10, 2025
- Return Version
- 2024v5.2
- Gross Receipts
- $11,568,130
Mission and Program Overview
Mission
South Yarmouth Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.
Skilled nursing facility
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $2,167,809 | $2,283,631 | ▲ $115,822 |
| Land, Buildings, and Equipment, Net | $1,360,087 | $1,350,256 | ▼ $9,831 |
| Pledges and Grants Receivable | - | $726,234 | - |
| Prepaid Expenses and Deferred Charges | $455,076 | $566,315 | ▲ $111,239 |
| Cash and Non-Interest-Bearing Accounts | $182,370 | $314,688 | ▲ $132,318 |
| Inventories for Sale or Use | $48,740 | $48,740 | → $0 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | - | $0 | - |
| Investments Program Related | - | $0 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Rtn Earn Endowment Incm Other Fnds | $-15,515,246 | $-16,255,666 | ▼ $740,420 |
| Total Assets | $4,890,446 | $5,972,542 | ▲ $1,082,096 |
| Other Assets Total | $676,364 | $682,678 | ▲ $6,314 |
| Liabilities | |||
| Other Liabilities | $14,360,411 | $16,250,652 | ▲ $1,890,241 |
| Tax Exempt Bond Liabilities | $4,102,933 | $3,923,936 | ▼ $178,997 |
| Accounts Payable and Accrued Expenses | $1,934,015 | $2,053,620 | ▲ $119,605 |
| Mortgage Notes Payable Secured by Investment Property | $8,333 | - | - |
| Total Liabilities | $20,405,692 | $22,228,208 | ▲ $1,822,516 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $-15,515,246 | $-16,255,666 | ▼ $740,420 |
| Total Liabilities and Net Assets / Fund Balance | $4,890,446 | $5,972,542 | ▲ $1,082,096 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | - | $4,955,000 | $4,955,000 |
| Equipment | $456,332 | $2,943,054 | $3,399,386 |
| Leasehold Improvements | $305,408 | $2,651,694 | $2,957,102 |
| Land | $547,000 | - | $547,000 |
| Other Land Buildings | $41,516 | - | $41,516 |
| Other Assets Org | $682,678 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Myrlene Michel | Nsg Coordinator | FT | $160,691 | $14,118 | $174,809 |
| Scott Brewer | Administrator | FT | $160,436 | $14,066 | $174,502 |
| Laboard Andrea Stephen | CNA | FT | $106,989 | $13,487 | $120,476 |
| Megan K Cappuccio | Asst Director of Nrsg | FT | $107,437 | $12,567 | $120,004 |
| Edilene Simoes | Super. Hsk & Laund | FT | $108,782 | $1,235 | $110,017 |
Board Members and Trustees
| Name | Title |
|---|---|
| William C Jones Jr | President & CEO |
| Marcie Gingras | Clerk |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Integritus Healthcare Management Services Inc | Management services | 75 North Street Suite 210, Pittsfield, MA 01201 | $838,998 |
| Intelycare Inc | Nursing Registry | 1515 Hancock St Suite 203, Quincy, MA 02169 | $820,805 |
| IntegriNurse Inc | Nursing Registry | 75 North Street Suite 210, Pittsfield, MA 02026 | $733,460 |
| Powerback Rehabilitation | Rehab Services | 101 East State Street, Kennett Square, PA 19348 | $697,332 |
| Coeur Capital Inc FBO Flo Staffing | Nursing Registry | PO Box 116999, Atlanta, GA 30368 | $334,636 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $10,844,540
- Investment Income
- $344
- Other Revenue
- $723,246
- Change in Net Assets
- $-740,420
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,209,718 |
| Other Expenses | $6,098,832 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,982,725 | $357,816 | - | $5,340,541 |
| Fees for Services Management | - | $676,611 | - | $676,611 |
| Other Employee Benefits | $410,594 | $29,485 | - | $440,079 |
| Payroll Taxes | $400,348 | $28,750 | - | $429,098 |
| Depreciation Depletion | $192,243 | $13,805 | - | $206,048 |
| Interest | - | $115,538 | - | $115,538 |
| Insurance | - | $70,025 | - | $70,025 |
| Fees for Services Legal | - | $60,616 | - | $60,616 |
| Other Expenses | $41,769 | $420,444 | - | $41,769 |
| Travel | $24,829 | - | - | $24,829 |
| Conferences and Meetings | $11,445 | - | - | $11,445 |
| All Other Expenses | $4,225 | - | - | $4,225 |
| Total Functional Expenses | $10,535,460 | $1,773,090 | $0 | $12,308,550 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Due to Affiliates 501(c)3 | $16,279,765 |
| Due to Berkshire Health Systems, Inc. | $5,274 |
| Other Current Liabilities | $471 |
| Cost of Issuance | $-34,858 |
Bond Issues
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Mass Dev Finance Agency | 2016-11-30 | $5,227,830 | Refunding of existing bonds |
Bond Proceeds
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $5,227,830 | $5,227,830 | - | $67,596 |
Bond Financing Compliance
- Rebate not yet due
- Yes
- Form 8038-T filed
- No
- Gross proceeds invested in GIC
- No
- Corrective action procedures
- Yes
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 8B
“Integritus Healthcare, Inc. (IHC) is the parent corporation of Fairview ExtendedCare Services, Inc. South Yarmouth Management Systems, Inc. is a subsidiary ofFairview Extended Care Services, Inc. Governance duties conducted on behalf ofSouth Yarmouth Management Systems, Inc., take place at the IHC level. Meetings ofthe governing board and committees with authority to act on behalf of the governingboard of IHC are documented.”
Form 990, Part VI, Section B, Line 11B
“Form 990 is reviewed by executive management. Prior to filing, all members of theIntegritus Healthcare Inc., Board are provided with a copy of Form 990 via a secureintranet connection. The Integritus Healthcare Board delegates review of Form 990to its Finance Committee. Finance Committee members conduct their review of Form990 prior to filing.”
Form 990, Part VI, Section B, Line 12C
“The organization enforces and monitors its conflict of interest policy by requiringall members of the governing body and senior employees to disclose potentialconflicts of interest (a) annually and (b) as potential conflicts arise. Senioremployees are not permitted to have material conflicts of interests and members ofthe governing body are to abstain from action that may be influenced by theirconflict or potential conflict.”
Form 990, Part VI, Section B, Line 15A
“The Integritus Healthcare Board of Trustees reviews and approves the compensation ofthe CEO and President. Every two or three years, the organization engages anationally recognized healthcare compensation firm to provide information concerningmarket rates of compensation and assess the organization's compensation structure against those independent benchmarks.”
Form 990, Part VI, Section C, Line 19
“Governance documents, the conflict of interest policy and financial statements areavailable to the public at the office of the Clerk and Vice President and GeneralCounsel at 75 North Street, Suite 210 Pittsfield, MA 01201.”
Filing and Contact Details
Filer
- Filer Name
- South Yarmouth Management Systems Inc
- EIN
- 04-3080763
- Phone
- 4134472996
- Address
- 75 NORTH ST STE 210, Pittsfield, MA 01201
Signing Officer
- Name
- William C Jones Jr
- Title
- President & CEO
- Signed
- 2025-11-10
Organization Details
- Principal Officer
- William C Jones Jr
- Formed
- 1990
- Legal Domicile
- Ma
- Voting Board Members
- 2
- Independent Board Members
- 2
- Employees
- 141
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Asst Dir of Nrsg |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Super. Hsk & Laund |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Clerk |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1990 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 2 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 11568130 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 70025 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 70025 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 115538 |
| IRS990/InterestGrp/TotalAmt | 0 | 115538 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 48740 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 48740 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 344 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 344 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 30 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10549748 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1360087 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1350256 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 11900004 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | false |
| IRS990/MissionDesc | 0 | South Yarmouth Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 8333 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -15515246 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -16255666 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | false |
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| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 676364 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 682678 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 29485 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 410594 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 440079 |
| IRS990/OtherExpensesGrp/Desc | 0 | Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Uncollectible Accounts |
| IRS990/OtherExpensesGrp/Desc | 2 | Equipment Rental |
| IRS990/OtherExpensesGrp/Desc | 3 | Telephone |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 420444 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4404360 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 62922 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 41769 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4404360 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 420444 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 62922 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 41769 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 14360411 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 16250652 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 623000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Govt Grants - Emp Train/Retent |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Vending & Misc Rev |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 726234 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | -2988 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 726234 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | -2988 |
| IRS990/OtherRevenueTotalAmt | 0 | 723246 |
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| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5340541 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 28750 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 400348 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 429098 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 726234 |
| IRS990/PoliciesReferenceChaptersInd | 0 | true |
| IRS990/PoliticalCampaignActyInd | 0 | false |
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| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 566315 |
| IRS990/PrincipalOfficerNm | 0 | William C Jones Jr |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Ancillary services & |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | patient room & board |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10844540 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10844540 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 8 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 7439255 |
| IRS990/PYOtherRevenueAmt | 0 | 64557 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 10835626 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -924315 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4385251 |
| IRS990/PYTotalExpensesAmt | 0 | 11824506 |
| IRS990/PYTotalRevenueAmt | 0 | 10900191 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -740420 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 11568130 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | -15515246 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | -16255666 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 0 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleC/CorrectionMadeInd | 0 | false |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | false |
| IRS990ScheduleC/Form4720Filed4912TaxInd | 0 | false |
| IRS990ScheduleC/Form4720FiledSection4955TaxInd | 0 | false |
| IRS990ScheduleC/GrantsOtherOrganizationsInd | 0 | false |
| IRS990ScheduleC/MailingsMembersInd | 0 | false |
| IRS990ScheduleC/MediaAdvertisementsInd | 0 | false |
| IRS990ScheduleC/NotDescribedSection501c3Ind | 0 | false |
| IRS990ScheduleC/OtherActivitiesAmt | 0 | 2175 |
| IRS990ScheduleC/OtherActivitiesInd | 0 | true |
| IRS990ScheduleC/PaidStaffOrManagementInd | 0 | false |
| IRS990ScheduleC/PublicationsOrBroadcastInd | 0 | false |
| IRS990ScheduleC/RalliesDemonstrationsInd | 0 | false |
| IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt | 0 | Part II-B, Line 1(I), Other Lobbying Activities:Annual membership dues are paid to Massachusetts Senior Care Association and American Healthcare Association. A portion of these dues are used to conduct lobbying activities for the fiscal year. |
| IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part II-B, Line 1i - Other Activities Description |
| IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part IV - Additional Information |
| IRS990ScheduleC/TotalLobbyingExpendituresAmt | 0 | 2175 |
| IRS990ScheduleC/VolunteersInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 4955000 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4955000 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 456332 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2943054 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 3399386 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 547000 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 547000 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 305408 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 2651694 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 2957102 |
| IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt | 0 | 682678 |
| IRS990ScheduleD/OtherAssetsOrgGrp/Desc | 0 | Due from third party payors |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 41516 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 41516 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | -34858 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 16279765 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 5274 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 3 | 471 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Cost of Issuance |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | Due to Affiliates 501(c)3 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | Due to Berkshire Health Systems, Inc. |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 3 | Other Current Liabilities |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 1350256 |
| IRS990ScheduleD/TotalBookValueOtherAssetsAmt | 0 | 682678 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 16250652 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | false |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 160691 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 160436 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 33713 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 673925 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 66050 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 14118 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 14066 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 13402 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 74591 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | Myrlene Michel |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | Scott Brewer |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | William C Jones Jr |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | Nsg Coordinator |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | Administrator |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | President & CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 174809 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 1 | 174502 |
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