Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
990 • Fiscal year 2019 • EIN 04-3267751
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
48th percentile
Higher debt load relative to assets than 48% of similar nonprofits.
Liabilities / Revenue
31st percentile
Higher debt load relative to revenue than 31% of similar nonprofits.
Net Margin
25th percentile
Higher net margin than 25% of similar nonprofits.
Top Officer Pay
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
5th percentile
Faster asset growth than 5% of similar nonprofits.
Revenue Growth
35th percentile
Faster revenue growth than 35% of similar nonprofits.
Assets
Down$64,134,540
Down $7,460,917 (-10%) from 2018
Net Assets
Down$47,661,054
Down $1,621,473 (-3.3%) from 2018
Liabilities
Down$16,473,486
Down $5,839,444 (-26%) from 2018
Revenue
Down$89,277,278
Down $592,003 (-0.7%) from 2018
Expenses
Up$91,475,761
Up $1,345,861 (+1.5%) from 2018
Net Income
Down-$2,198,483
Down $1,937,864 (-744%) from 2018
Provide healthcare and social services to frail participants in the northshore and merrimack valley 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 | |||
| Cash and Non-Interest-Bearing Accounts | $29,208,836 | $21,211,235 | ▼ $7,997,601 |
| Investments in Publicly Traded Securities | $17,465,810 | $18,753,689 | ▲ $1,287,879 |
| Land, Buildings, and Equipment, Net | $14,599,450 | $14,461,181 | ▼ $138,269 |
| Savings and Temporary Cash Investments | $5,020,323 | $5,080,592 | ▲ $60,269 |
| Accounts Receivable | $3,914,766 | $4,112,214 | ▲ $197,448 |
| Prepaid Expenses and Deferred Charges | $739,971 | $459,238 | ▼ $280,733 |
| Total Assets | $71,595,457 | $64,134,540 | ▼ $7,460,917 |
| Other Assets Total | $646,301 | $56,391 | ▼ $589,910 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $13,435,445 | $11,523,533 | ▼ $1,911,912 |
| Mortgage Notes Payable Secured by Investment Property | $5,655,869 | $4,949,953 | ▼ $705,916 |
| Deferred Revenue | $3,221,616 | $0 | ▼ $3,221,616 |
| Total Liabilities | $22,312,930 | $16,473,486 | ▼ $5,839,444 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $49,282,527 | $47,661,054 | ▼ $1,621,473 |
| Total Net Assets Fund Balance | $49,282,527 | $47,661,054 | ▼ $1,621,473 |
| Total Liabilities and Net Assets / Fund Balance | $71,595,457 | $64,134,540 | ▼ $7,460,917 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $6,228,819 | $5,654,797 | $11,883,616 |
| Leasehold Improvements | $6,373,814 | $4,691,082 | $11,064,896 |
| Equipment | $980,027 | $3,851,302 | $4,831,329 |
| Other Land Buildings | $106,421 | $673,836 | $780,257 |
| Land | $772,100 | - | $772,100 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Robert Wakefield | Executive Director | FT | $414,133 | $18,762 | $432,895 |
| Joanna Duby | Medical Dir/physician | FT | $292,016 | $28,314 | $320,330 |
| Dorina Omari | Physician | FT | $247,035 | $27,086 | $274,121 |
| John Coolong | Chief Information Officer | FT | $221,166 | $26,393 | $247,559 |
| Tao Liu | Physician | FT | $228,812 | $11,718 | $240,530 |
| Robert Durante | Chief Financial Officer | FT | $180,639 | $21,233 | $201,872 |
| Mary Ellen Dugan | Chief Operating Officer | FT | $190,643 | $5,034 | $195,677 |
| Geraldine Swimm Schlesinger | Director of Nursing | FT | $177,865 | $4,832 | $182,697 |
| Michael Kramer | Physician | FT | $115,142 | $10,752 | $125,894 |
| Cinthia Coleman | Physician | FT | $106,838 | $8,508 | $115,346 |
| Soumya Chandrasekaran | Physician | FT | $101,808 | $7,208 | $109,016 |
| Name | Title |
|---|---|
| John Feehan | PRESIDENT (SINCE OCT '18) |
| Dr Kiame Mahaniah | Director |
| Marilyn Smith | Director |
| Paul Crowley | Director |
| Peter Rossetti | Director |
| William Jones | Director |
| John Baker | Clerk |
| Robert Mazzone | TREASURER (SINCE OCT '18) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Lynn Community Health Center | Health Care | 269 UNION STREET, Lynn, MA 01901 | $10,526,021 |
| North Shore Medical Center INC | Hospital Facility | 81 HIGHLAND AVENUE, Salem, MA 01970 | $3,361,967 |
| Glen Care One At Peabody Glen | Nursing Home Facility | 199 ANDOVER STREET, Peabody, MA 01960 | $2,410,918 |
| Ocean Transportation INC | Transportation Services | 182 ALLEY STREET, Lynn, MA 01905 | $2,107,959 |
| Crossway Homecare LLC | Home Health Care Services | 30 MASSACHUSETTS AVENUE, North Andover, MA 01845 | $1,861,824 |
| Line Item | Amount |
|---|---|
| Other Expenses | $60,764,065 |
| Salaries, Compensation, and Employee Benefits | $30,711,696 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $17,867,589 | $5,190,757 | - | $23,058,346 |
| All Other Expenses | $19,066,832 | $353,743 | - | $19,420,575 |
| Other Expenses | $6,163,046 | - | - | $6,163,046 |
| Other Employee Benefits | $3,112,443 | $928,632 | - | $4,041,075 |
| Occupancy | $2,043,871 | $202,515 | - | $2,246,386 |
| Depreciation Depletion | $1,988,808 | $160,246 | - | $2,149,054 |
| Payroll Taxes | $1,400,336 | $583,689 | - | $1,984,025 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,628,250 | - | $1,628,250 |
| Information Technology | $3,813 | $1,278,059 | - | $1,281,872 |
| Office Expenses | $444,139 | $320,704 | - | $764,843 |
| Fees for Services Other | $32,423 | $549,197 | - | $581,620 |
| Insurance | - | $358,653 | - | $358,653 |
| Interest | - | $227,747 | - | $227,747 |
| Travel | $94,103 | $93,657 | - | $187,760 |
| Advertising | - | $153,214 | - | $153,214 |
| Fees for Services Accounting | - | $40,025 | - | $40,025 |
| Fees for Services Legal | - | $30,400 | - | $30,400 |
| Total Functional Expenses | $79,376,273 | $12,099,488 | $0 | $91,475,761 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $91,475,761 |
| Expenses per Audited Statements | $91,248,014 |
| Total Expenses per Audited Statements | $91,248,014 |
| Expenses Not Reported on Financial Statements | $227,747 |
| Other Expense Adjustments | $227,747 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“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.”
“Assisted living facilities: program service expenses 5,040,955. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,040,955. Transportation: program service expenses 4,956,962. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,956,962. Home health care: program service expenses 4,326,236. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,326,236. Sco contracted services: program service expenses 1,320,484. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,320,484. Client home medical equipment rental: program service expenses 1,244,176. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,244,176. Client meals: program service expenses 883,921. Management and general expenses 0. Fundraising expenses 0. Total expenses 883,921. Program supplies: program service expenses 446,135. Management and general expenses 0. Fundraising expenses 0. Total expenses 446,135. Client personal care items: program service expenses 218,057. Management and general expenses 0. Fundraising expenses 0. Total expenses 218,057. Dues and subscriptions: program service expenses 32,926. Management and general expenses 114,929. Fundraising expenses 0. Total expenses 147,855. Equipment rental: program service expenses 58,733. Management and general expenses 85,312. Fundraising expenses 0. Total expenses 144,045. Staff training: program service expenses 75,494. Management and general expenses 53,705. Fundraising expenses 0. Total expenses 129,199. Client translation services: program service expenses 110,505. Management and general expenses 418. Fundraising expenses 0. Total expenses 110,923. Day away services: program service expenses 102,593. Management and general expenses 0. Fundraising expenses 0. Total expenses 102,593. In-home companion services: program service expenses 96,100. Management and general expenses 0. Fundraising expenses 0. Total expenses 96,100. Licenses and permits: program service expenses 60,115. Management and general expenses 17,365. Fundraising expenses 0. Total expenses 77,480. Bank service charges: program service expenses 0. Management and general expenses 66,455. Fundraising expenses 0. Total expenses 66,455. Equipment repairs: program service expenses 37,465. Management and general expenses 0. Fundraising expenses 0. Total expenses 37,465. Client laundry services: program service expenses 33,404. Management and general expenses 0. Fundraising expenses 0. Total expenses 33,404. Miscellaneous expenses: program service expenses 11,792. Management and general expenses 14,951. Fundraising expenses 0. Total expenses 26,743. Entertainment: program service expenses 10,779. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,779. Contributions: program service expenses 0. Management and general expenses 608. Fundraising expenses 0. Total expenses 608.”
“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, 2019, 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.”
“Interest expense -227,747.”
“Interest expense 227,747.”
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 | 13435445 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 11523533 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3914766 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4112214 |
| 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 | 153214 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 153214 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 353743 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 19066832 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 19420575 |
| 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 | 37 FRIEND ST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LYNN |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 01902 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 29208836 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 21211235 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 88 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1628250 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1628250 |
| 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 | 10526021 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3361967 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2410918 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 2107959 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1861824 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 269 UNION STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 81 HIGHLAND AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 199 ANDOVER STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 182 ALLEY STREET |
| 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 | PEABODY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | LYNN |
| 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 | 01960 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 01905 |
| 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 | GLEN CARE ONE AT PEABODY GLEN |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | OCEAN TRANSPORTATION 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 | NURSING HOME FACILITY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | TRANSPORTATION SERVICES |
| 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 | 925809 |
| IRS990/CYOtherExpensesAmt | 0 | 60764065 |
| IRS990/CYOtherRevenueAmt | 0 | 21186 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 88330283 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -2198483 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 30711696 |
| IRS990/CYTotalExpensesAmt | 0 | 91475761 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 89277278 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 3221616 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 160246 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1988808 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2149054 |
| 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. THE ORGANIZATION HAD AN INCREASE IN PROGRAM SERVICES ENROLLMENT.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 NORTHSHORE AND THE MERRIMACK VALLEY. 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 OUTSOURCES TO LCHC AND GLSS FOR THEIR PROGRAM AND MEDICAL SERVICES EXPERTISE.ELEMENT CARE RENEGOTIATED ITS CONTRACT WITH CCA EFFECTIVE JANUARY 1, 2019 AND NOW IS REIMBURSED FOR CASE MANAGEMENT SERVICES ON A PER MEMBER PER MONTH BASIS AT A RATE OF $284 PMPM. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 369 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 79376273 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 40025 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 40025 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 30400 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 30400 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 549197 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 32423 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 581620 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 36.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| 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/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/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 | 18762 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 21233 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 5034 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 28314 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 26393 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 4832 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 27086 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 11718 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 10752 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 7208 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 8508 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | PAUL CROWLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARILYN SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | PETER ROSSETTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR KIAME MAHANIAH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | WILLIAM JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOHN BAKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROBERT MAZZONE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOHN FEEHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ROBERT WAKEFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ROBERT DURANTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARY ELLEN DUGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOANNA DUBY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JOHN COOLONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | GERALDINE SWIMM SCHLESINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DORINA OMARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TAO LIU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MICHAEL KRAMER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SOUMYA CHANDRASEKARAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | 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 | 414133 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 180639 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 190643 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 292016 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 221166 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 177865 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 247035 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 228812 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 115142 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 101808 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 106838 |
| 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/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CLERK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TREASURER (SINCE OCT '18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PRESIDENT (SINCE OCT '18) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | MEDICAL DIR/PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR OF NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | 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/GainOrLossGrp/SecuritiesAmt | 0 | 356033 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 373632 |
| IRS990/GrossReceiptsAmt | 0 | 89294877 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 21186 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 30 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1278059 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3813 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1281872 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 358653 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 358653 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 227747 |
| IRS990/InterestGrp/TotalAmt | 0 | 227747 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 569776 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 569776 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 17465810 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 18753689 |
| IRS990/IRPDocumentCnt | 0 | 396 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 14871017 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 14599450 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 14461181 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 29332198 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 17599 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| 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 | 5655869 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 4949953 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 49282527 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 47661054 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 356033 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 356033 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 21186 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 21186 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 577010 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 202515 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 2043871 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2246386 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 320704 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 444139 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 764843 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 646301 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 56391 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 928632 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3112443 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4041075 |
| IRS990/OtherExpensesGrp/Desc | 0 | NURSING HOME CARE |
| IRS990/OtherExpensesGrp/Desc | 1 | PHARMACY |
| IRS990/OtherExpensesGrp/Desc | 2 | CLIENT MEDICAL CARE |
| IRS990/OtherExpensesGrp/Desc | 3 | IN-PATIENT HOSPITALIZAT |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 10081321 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 9813798 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 7263751 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 6163046 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 10081321 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 9813798 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 7263751 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 6163046 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 5190757 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 17867589 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 23058346 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 583689 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1400336 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1984025 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 739971 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 459238 |
| IRS990/PrincipalOfficerNm | 0 | ROBERT DURANTE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 88330283 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 88330283 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1593989 |
| IRS990/PYOtherExpensesAmt | 0 | 60661928 |
| IRS990/PYOtherRevenueAmt | 0 | 21186 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 88254106 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -260619 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 29467972 |
| IRS990/PYTotalExpensesAmt | 0 | 90129900 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 89869281 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -2198483 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 21186 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 88330283 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 5020323 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 5080592 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3721 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3360 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 7081 |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.