Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
EIN 04-3267751 • 501(c)3 • Lynn, MA
Profile
Provide healthcare and social services to frail participants in the northshore and merrimack valley communities by keeping them at home with dignity and respect.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
Liabilities / Revenue
40th percentile
Higher debt load relative to revenue than 40% of similar nonprofits.
Net Margin
24th percentile
Higher net margin than 24% of similar nonprofits.
Top Officer Pay
63rd percentile
Higher top officer pay than 63% of similar nonprofits.
Top officer pay equals 0.6% of source-year revenue.
Asset Growth
39th percentile
Faster asset growth than 39% of similar nonprofits.
Revenue Growth
45th percentile
Faster revenue growth than 45% of similar nonprofits.
Assets
Up$116,973,995
Up $3,578,196 (+3.2%) from 2023
Liabilities
Up$34,900,203
Up $8,160,639 (+31%) from 2023
Net Assets
Down$82,073,792
Down $4,582,443 (-5.3%) from 2023
Revenue
Up$115,982,329
Up $5,964,605 (+5.4%) from 2023
Expenses
Up$119,429,202
Up $13,445,478 (+13%) from 2023
Net Income
Down-$3,446,873
Down $7,480,873 (-185%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Provide healthcare and social services to frail elders in the greater northshore communities by keeping them at home with dignity and respect.
The organization's mission is to provide health and social services to elders of massachusetts located north of boston. Pace is a program of all-inclusive care for the elderly that enables eligible seniors to remain in their own communities rather than being placed in long-term care facilities. The organization's goal is to maximize the health and functioning levels of program enrollees to enable them to continue living in the community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $30,582,173 | $31,793,990 | ▲ $1,211,817 |
| Investments in Publicly Traded Securities | $27,903,648 | $31,575,769 | ▲ $3,672,121 |
| Land, Buildings, and Equipment, Net | $20,530,696 | $29,396,460 | ▲ $8,865,764 |
| Cash and Non-Interest-Bearing Accounts | $27,072,368 | $14,842,212 | ▼ $12,230,156 |
| Accounts Receivable | $1,788,902 | $2,645,148 | ▲ $856,246 |
| Prepaid Expenses and Deferred Charges | $1,068,943 | $1,135,263 | ▲ $66,320 |
| Total Assets | $113,395,799 | $116,973,995 | ▲ $3,578,196 |
| Other Assets Total | $4,449,069 | $5,585,153 | ▲ $1,136,084 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $9,268,330 | $16,513,427 | ▲ $7,245,097 |
| Accounts Payable and Accrued Expenses | $10,929,551 | $13,523,763 | ▲ $2,594,212 |
| Deferred Revenue | $5,602,739 | $0 | ▼ $5,602,739 |
| Other Liabilities | $938,944 | $4,863,013 | ▲ $3,924,069 |
| Total Liabilities | $26,739,564 | $34,900,203 | ▲ $8,160,639 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $86,656,235 | $82,073,792 | ▼ $4,582,443 |
| Total Net Assets Fund Balance | $86,656,235 | $82,073,792 | ▼ $4,582,443 |
| Total Liabilities and Net Assets / Fund Balance | $113,395,799 | $116,973,995 | ▲ $3,578,196 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $26,656,276 | $3,414,644 | $30,070,920 |
| Leasehold Improvements | $1,399,574 | $9,738,835 | $11,138,409 |
| Equipment | $325,128 | $5,302,637 | $5,627,765 |
| Other Land Buildings | $620,782 | $861,422 | $1,482,204 |
| Land | $394,700 | - | $394,700 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Robert Wakefield | Executive Director | FT | $430,977 | $43,260 | $474,237 |
| Joanna Duby | Medical Dir/physician | FT | $359,772 | $37,501 | $397,273 |
| Soumya Chandrasekaran | Physician | FT | $303,586 | $36,380 | $339,966 |
| Dorina Omari | Physician | FT | $297,060 | $36,314 | $333,374 |
| Mary Ellen Dugan | Chief Operating Officer | FT | $254,645 | $53,422 | $308,067 |
| John Coolong | Chief Information Officer | FT | $271,317 | $27,294 | $298,611 |
| Cinthia Coleman | Physician | FT | $267,731 | $21,268 | $288,999 |
| Robert Durante | Chief Financial Officer | FT | $253,222 | $27,833 | $281,055 |
| Vivian Chan | Physician | FT | $255,541 | $19,203 | $274,744 |
| Tao Liu | Physician | FT | $237,808 | $24,145 | $261,953 |
| Linda Gauvain | Director of Patient Care Services | FT | $189,853 | $27,775 | $217,628 |
| Name | Title |
|---|---|
| John Feehan | President |
| Bob Palleschi | Director |
| Darlene Gallant | Director |
| Eliud Alcala | Director |
| Kathy Burns | Director |
| Peter Rossetti | Director |
| Rodolfo Rudy Vega | Director |
| William Jones | Director |
| Brenda Rodriguez | DIRECTOR (SINCE FEB '24) |
| Dr Geoff Pechinsky | DIRECTOR (UNTIL FEB '24) |
| Marilyn Smith | Clerk |
| Mary Magner | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Lynn Community Health Center | Health Care | 269 UNION STREET, Lynn, MA 01901 | $12,237,847 |
| North Shore Medical Center INC | Hospital Facility | 81 HIGHLAND AVENUE, Salem, MA 01970 | $2,995,031 |
| Ocean Transportation | Transportation Services | 182 ALLEY STREET, Lynn, MA 01905 | $2,896,511 |
| Northeast Hospital Corporation INC | Hospital Facility | 133 BRIMBAL AVENUE, Beverly, MA 01915 | $2,832,598 |
| Crossway Homecare LLC | Home Health Care Services | 30 MASSACHUSETTS AVENUE, North Andover, MA 01845 | $2,264,124 |
| Line Item | Amount |
|---|---|
| Other Expenses | $79,783,131 |
| Salaries, Compensation, and Employee Benefits | $39,646,071 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $22,322,422 | $7,346,035 | - | $29,668,457 |
| All Other Expenses | $23,245,030 | $462,583 | - | $23,707,613 |
| Other Expenses | $8,085,400 | - | - | $8,085,400 |
| Other Employee Benefits | $4,148,019 | $1,343,228 | - | $5,491,247 |
| Information Technology | $234,070 | $2,772,312 | - | $3,006,382 |
| Payroll Taxes | $1,754,836 | $750,087 | - | $2,504,923 |
| Occupancy | $2,213,588 | $251,425 | - | $2,465,013 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,981,444 | - | $1,981,444 |
| Depreciation Depletion | $1,786,562 | $121,746 | - | $1,908,308 |
| Advertising | - | $1,075,186 | - | $1,075,186 |
| Fees for Services Other | $38,289 | $964,846 | - | $1,003,135 |
| Office Expenses | $335,874 | $330,659 | - | $666,533 |
| Interest | - | $525,356 | - | $525,356 |
| Insurance | - | $395,026 | - | $395,026 |
| Travel | $87,861 | $58,543 | - | $146,404 |
| Fees for Services Accounting | - | $62,250 | - | $62,250 |
| Fees for Services Legal | - | $56,989 | - | $56,989 |
| Total Functional Expenses | $100,931,487 | $18,497,715 | $0 | $119,429,202 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $119,429,202 |
| Expenses per Audited Statements | $118,903,846 |
| Total Expenses per Audited Statements | $118,903,846 |
| Expenses Not Reported on Financial Statements | $525,356 |
| Other Expense Adjustments | $525,356 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Lease Liabilities | $4,863,013 |
“A copy of the form 990 is provided to the board of directors by the organization prior to its filing.”
“The organization regularly and consistently monitors and enforces compliance with the written conflict of interest policy by requiring an annual affirmation of the policy by all employees and board members. In addition, the board of directors is charged with monitoring and enforcing the policy.”
“Senior managers receive annual performance evaluations. The board of directors appoints a committee consisting of a few board members to serve as the compensation commitee, which is charged with reviewing the executive director's performance evaluation and determining the proper level of compensation by considering not only performance and responsibilities, but also considering salary levels at comparable organizations.”
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
“Home health care: program service expenses 7,453,460. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,453,460. Assisted living facilities: program service expenses 6,971,750. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,971,750. Transportation: program service expenses 5,080,301. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,080,301. Client home medical equipment rental: program service expenses 1,045,844. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,045,844. Client meals: program service expenses 865,565. Management and general expenses 0. Fundraising expenses 0. Total expenses 865,565. Client personal care items: program service expenses 416,828. Management and general expenses 0. Fundraising expenses 0. Total expenses 416,828. Sco contracted services: program service expenses 411,416. Management and general expenses 0. Fundraising expenses 0. Total expenses 411,416. Program supplies: program service expenses 392,040. Management and general expenses 5,008. Fundraising expenses 0. Total expenses 397,048. In-home companion services: program service expenses 193,080. Management and general expenses 0. Fundraising expenses 0. Total expenses 193,080. Bank service charges: program service expenses 0. Management and general expenses 167,986. Fundraising expenses 0. Total expenses 167,986. Equipment rental: program service expenses 103,773. Management and general expenses 26,288. Fundraising expenses 0. Total expenses 130,061. Equipment repairs: program service expenses 120,343. Management and general expenses 0. Fundraising expenses 0. Total expenses 120,343. Dues and subscriptions: program service expenses 13,905. Management and general expenses 104,098. Fundraising expenses 0. Total expenses 118,003. Staff training: program service expenses 61,289. Management and general expenses 38,611. Fundraising expenses 0. Total expenses 99,900. Licenses and permits: program service expenses 38,323. Management and general expenses 50,130. Fundraising expenses 0. Total expenses 88,453. Miscellaneous expenses: program service expenses 7,147. Management and general expenses 66,206. Fundraising expenses 0. Total expenses 73,353. Client translation services: program service expenses 63,966. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,966. Client laundry services: program service expenses 6,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,000. Contributions: program service expenses 0. Management and general expenses 4,256. Fundraising expenses 0. Total expenses 4,256.”
“Change in value of investment in joint venture -2,801,450.”
“The organization has a committee that assumes responsibility for oversight for the audit of its financial statements and selection of an independent accountant. This process has not changed during the year.”
“The organization is a nonprofit organization as described in section 501(c)(3) of the internal revenue code and is exempt from federal and state income taxes on trade or business profits generated by activities related to the organization's exempt function. The organization may be subject to federal and state income taxes for profits generated from trade or business activities unrelated to the organization's exempt function. As of june 30, 2024, management believes that the organization has not generated any unrelated business taxable income. The organization assesses the recording of uncertain tax positions by evaluating the minimum recognition threshold and measurement requirements a tax position must meet before being recognized as a benefit in the financial statements. The organization's policy is to recognize interest and penalties accrued on any uncertain tax positions as a component of income tax expense, if any, in its statements of activities. The organization has not recognized any liabilities for uncertain tax positions or unrecognized benefits as of june 30, 2024. The organization does not expect any material change in uncertain tax benefits within the next 12 months.”
“Interest expense -525,356. Change in value of investment in joint venture -2,801,450.”
“Interest expense 525,356.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 10929551 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 13523763 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1788902 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2645148 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | THE ORGANIZATION'S MISSION IS TO PROVIDE HEALTH AND SOCIAL SERVICES TO ELDERS OF MASSACHUSETTS LOCATED NORTH OF BOSTON. PACE IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY THAT ENABLES ELIGIBLE SENIORS TO REMAIN IN THEIR OWN COMMUNITIES RATHER THAN BEING PLACED IN LONG-TERM CARE FACILITIES. THE ORGANIZATION'S GOAL IS TO MAXIMIZE THE HEALTH AND FUNCTIONING LEVELS OF PROGRAM ENROLLEES TO ENABLE THEM TO CONTINUE LIVING IN THE COMMUNITY. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 1075186 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1075186 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 462583 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 23245030 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 23707613 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | THE ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7817156608 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 235 WOODLAND NORTH AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LYNN |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 01904 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 27072368 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 14842212 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 116 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1981444 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1981444 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 12237847 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 2995031 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2896511 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2832598 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 2264124 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 269 UNION STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 81 HIGHLAND AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 182 ALLEY STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 133 BRIMBAL AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 30 MASSACHUSETTS AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LYNN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SALEM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | LYNN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BEVERLY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | NORTH ANDOVER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 01901 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 01970 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 01905 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 01915 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 01845 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | LYNN COMMUNITY HEALTH CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | NORTH SHORE MEDICAL CENTER INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | OCEAN TRANSPORTATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | NORTHEAST HOSPITAL CORPORATION INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | CROSSWAY HOMECARE LLC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | HEALTH CARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | HOSPITAL FACILITY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | TRANSPORTATION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOSPITAL FACILITY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HOME HEALTH CARE SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2348524 |
| IRS990/CYOtherExpensesAmt | 0 | 79783131 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 113633805 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -3446873 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 39646071 |
| IRS990/CYTotalExpensesAmt | 0 | 119429202 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 115982329 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 5602739 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 121746 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1786562 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1908308 |
| IRS990/Desc | 0 | ELEMENT CARE, INC. IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) WHICH ENABLES ELIGIBLE SENIORS TO REMAIN IN THEIR OWN COMMUNITIES. THE PACE MODEL PROVIDES ONE STOP COMPREHENSIVE HEALTH AND SOCIAL SERVICES FOR ITS PARTICIPANTS. PACE'S GOAL IS TO MAXIMIZE THE HEALTH AND FUNCTIONING LEVELS OF PROGRAM ENROLLEES TO ENABLE THEM TO CONTINUE LIVING IN THE COMMUNITY. TO ACCOMPLISH THIS, THE PROGRAM: PROVIDES A COMPREHENSIVE RANGE OF PREVENTATIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES; USES AN INTEGRATED INTERDISCIPLINARY TEAM TO MANAGE CARE; DEVELOPS APPROPRIATE COMMUNITY-BASED ALTERNATIVES TO PROVIDING CARE IN INSTITUTIONAL SETTINGS AND CONSOLIDATES CAPITATED FUNDING FROM MEDICARE AND MEDICAID.IN JUNE 2004 ELEMENT CARE, ALONG WITH GLSS AND LCHC BECAME A MEMBER OF THE SENIOR CARE OPTIONS (SCO) PROGRAM, THE PARENT ORGANIZATION IS COMMONWEALTH CARE ALLIANCE. THIS IS A STATE-RUN PROGRAM SIMILAR TO THE PACE PROGRAM, WHERE PATIENTS ARE CARED FOR, HOWEVER CCA IS THE DIRECT RECIPIENT OF THE MEDICARE AND MEDICAID REVENUE. THIS PROGRAM ALLOWS ELEMENT CARE TO REACH A WIDER POPULATION, AS THE QUALIFICATION TO BECOME A MEMBER OF THE SCO PROGRAM ARE MORE FLEXIBLE THAN THE PACE PROGRAM. WHEREAS PACE REQUIRES ALL MEMBERS TO BE "NURSING HOME ELIGIBLE", SCO MAY ALLOW FOR MUCH HEALTHIER MEMBERS TO JOIN THE PROGRAM, THEREBY GIVING ELEMENT CARE THE OPPORTUNITY TO ASSIST THESE PATIENTS EARLIER. ELEMENT CARE IS CONSIDERED A PRIMARY CARE SITE AND PROVIDES SERVICES TO PARTICIPANTS IN THE NORTH SHORE. UP UNTIL DECEMBER 31, 2018, ELEMENT CARE OPERATED UNDER A FULL RISK MODEL WHEREBY, CCA RECEIVED MEDICARE AND MEDICAID REIMBURSEMENT (SIMILAR TO ELEMENT CARE) AND THEN REMITTED 86% OF THE PREMIUM RECEIVED LESS CLAIMS EXPENSES TO ELEMENT CARE. ELEMENT CARE IN TURN PROVIDED CARE MANAGEMENT SERVICES TO THESE PARTICIPANTS, AND REMITTED REQUIRED FUNDS TO ITS VENDORS, INCLUDING GLSS AND LCHC FOR THE SERVICES THEY PROVIDE. ELEMENT CARE RENEGOTIATED ITS CONTRACT MORE RECENTLY WITH CCA EFFECTIVE JANUARY 1, 2022, AND NOW IS REIMBURSED FOR CASE MANAGEMENT SERVICES ON A PER MEMBER PER MONTH BASIS AT A RATE OF $312 PMPM.ELEMENT CARE WILL ALSO START NEGOTIATIONS FOR A NEW CONTRACT WITH CCA FOR JANUARY 1, 2025.IN 2023 ELEMENT CARE COMPLETED CONSTRUCTION ON THE NEW LYNN SITE FOR PARTICIPANTS AND THE ADMINISTRATIVE TEAM. CONSTRUCTION WAS ALSO COMPLETED ON A NEW BRIGHTON SITE JUST AFTER THE FISCAL YEAR END, IN AUGUST 2024. ELEMENT CARE MAINTAINS AN INVESTMENT IN A PACE CENTER IN WASHINGTON DC. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 361 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 100931487 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 62250 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 62250 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 56989 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 56989 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 964846 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 38289 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1003135 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 43260 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 27833 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 53422 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 37501 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 27294 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 27775 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 36314 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 24145 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 19203 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 36380 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 21268 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KATHY BURNS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PETER ROSSETTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BRENDA RODRIGUEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR GEOFF PECHINSKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RODOLFO RUDY VEGA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ELIUD ALCALA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | DARLENE GALLANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | BOB PALLESCHI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | WILLIAM JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MARILYN SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARY MAGNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOHN FEEHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ROBERT WAKEFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ROBERT DURANTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MARY ELLEN DUGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JOANNA DUBY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JOHN COOLONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | LINDA GAUVAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | DORINA OMARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TAO LIU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | VIVIAN CHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | SOUMYA CHANDRASEKARAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | CINTHIA COLEMAN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 430977 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 253222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 254645 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 359772 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 271317 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 189853 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 297060 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 237808 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 255541 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 303586 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 267731 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR (SINCE FEB '24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR (UNTIL FEB '24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CLERK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | MEDICAL DIR/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR OF PATIENT CARE SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 115982329 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 29 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 2772312 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 234070 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3006382 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 395026 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 395026 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 525356 |
| IRS990/InterestGrp/TotalAmt | 0 | 525356 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 2348524 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 2348524 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 27903648 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 31575769 |
| IRS990/IRPDocumentCnt | 0 | 432 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 19317538 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 20530696 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 29396460 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 48713998 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | PROVIDE HEALTHCARE AND SOCIAL SERVICES TO FRAIL PARTICIPANTS IN THE NORTHSHORE AND MERRIMACK VALLEY COMMUNITIES BY KEEPING THEM AT HOME WITH DIGNITY AND RESPECT. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 9268330 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 16513427 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 86656235 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 82073792 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1665880 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 86656235 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 82073792 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 251425 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 2213588 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2465013 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 330659 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 335874 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 666533 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 4449069 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 5585153 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -2801450 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1343228 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 4148019 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5491247 |
| IRS990/OtherExpensesGrp/Desc | 0 | PHARMACY |
| IRS990/OtherExpensesGrp/Desc | 1 | NURSING HOME CARE |
| IRS990/OtherExpensesGrp/Desc | 2 | CLIENT MEDICAL CARE |
| IRS990/OtherExpensesGrp/Desc | 3 | IN-PATIENT HOSPITALIZAT |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 15348918 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 12879222 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 8451396 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 8085400 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 15348918 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 12879222 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 8451396 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 8085400 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 938944 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 4863013 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 7346035 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 22322422 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 29668457 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 750087 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1754836 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2504923 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1068943 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1135263 |
| IRS990/PrincipalOfficerNm | 0 | ROBERT DURANTE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 113633805 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 113633805 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1285433 |
| IRS990/PYOtherExpensesAmt | 0 | 70043043 |
| IRS990/PYOtherRevenueAmt | 0 | 15889 |
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