Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
990 • Fiscal year 2022 • EIN 04-3267751
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
17th percentile
Higher debt load relative to revenue than 17% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
53rd percentile
Higher top officer pay than 53% of similar nonprofits.
Top officer pay equals 0.5% of source-year revenue.
Asset Growth
80th percentile
Faster asset growth than 80% of similar nonprofits.
Revenue Growth
51st percentile
Faster revenue growth than 51% of similar nonprofits.
Assets
Up$93,315,351
Up $9,449,377 (+11%) from 2021
Net Assets
Up$81,393,930
Up $10,443,325 (+15%) from 2021
Liabilities
Down$11,921,421
Down $993,948 (-7.7%) from 2021
Revenue
Up$107,097,540
Up $5,019,691 (+4.9%) from 2021
Expenses
Up$96,264,425
Up $6,862,150 (+7.7%) from 2021
Net Income
Down$10,833,115
Down $1,842,459 (-15%) from 2021
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 | |||
| Cash and Non-Interest-Bearing Accounts | $28,264,336 | $40,676,788 | ▲ $12,412,452 |
| Investments in Publicly Traded Securities | $28,276,706 | $26,187,639 | ▼ $2,089,067 |
| Savings and Temporary Cash Investments | $12,427,835 | $12,159,509 | ▼ $268,326 |
| Land, Buildings, and Equipment, Net | $11,658,187 | $8,725,884 | ▼ $2,932,303 |
| Accounts Receivable | $2,120,673 | $2,012,600 | ▼ $108,073 |
| Prepaid Expenses and Deferred Charges | $1,011,846 | $700,214 | ▼ $311,632 |
| Total Assets | $83,865,974 | $93,315,351 | ▲ $9,449,377 |
| Other Assets Total | $106,391 | $2,852,717 | ▲ $2,746,326 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $9,471,182 | $10,046,215 | ▲ $575,033 |
| Mortgage Notes Payable Secured by Investment Property | $3,444,187 | $1,875,206 | ▼ $1,568,981 |
| Total Liabilities | $12,915,369 | $11,921,421 | ▼ $993,948 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $70,950,605 | $81,393,930 | ▲ $10,443,325 |
| Total Net Assets Fund Balance | $70,950,605 | $81,393,930 | ▲ $10,443,325 |
| Total Liabilities and Net Assets / Fund Balance | $83,865,974 | $93,315,351 | ▲ $9,449,377 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Leasehold Improvements | $3,274,672 | $7,821,076 | $11,095,748 |
| Buildings | $4,535,318 | $2,609,475 | $7,144,793 |
| Equipment | $484,377 | $4,735,841 | $5,220,218 |
| Other Land Buildings | $36,817 | $690,950 | $727,767 |
| Land | $394,700 | - | $394,700 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Robert Wakefield | Executive Director | FT | $451,680 | $37,594 | $489,274 |
| Joanna Duby | Medical Dir/physician | FT | $340,426 | $32,605 | $373,031 |
| Soumya Chandrasekaran | Physician | FT | $277,912 | $31,217 | $309,129 |
| Dorina Omari | Physician | FT | $274,803 | $31,275 | $306,078 |
| Tao Liu | Physician | FT | $278,933 | $9,984 | $288,917 |
| John Coolong | Chief Information Officer | FT | $251,892 | $30,460 | $282,352 |
| Mary Ellen Dugan | Chief Operating Officer | FT | $224,929 | $46,544 | $271,473 |
| Cinthia Coleman | Physician | FT | $243,457 | $18,976 | $262,433 |
| Vivian Chan | Physician | FT | $244,560 | $10,041 | $254,601 |
| Robert Durante | Chief Financial Officer | FT | $217,832 | $23,061 | $240,893 |
| Linda Gauvain | Director of Patient Care S | FT | $158,148 | $23,384 | $181,532 |
| Name | Title |
|---|---|
| Peter Rossetti | President |
| Bob Palleschi | Director |
| Dr Kiame Mahaniah | Director |
| John Feehan | Director |
| Kathy Burns | Director |
| Mary Magner | Director |
| Marilyn Smith | Clerk |
| William Jones | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Lynn Community Health Center | Health Care | 269 UNION STREET, Lynn, MA 01901 | $11,018,971 |
| North Shore Medical Center INC | Hospital Facility | 81 HIGHLAND AVENUE, Salem, MA 01970 | $3,527,280 |
| Northeast Hospital Corporation INC | Hospital Facility | 133 BRIMBAL AVENUE, Beverly, MA 01915 | $2,033,292 |
| Crossway Homecare LLC | Home Health Care Services | 30 MASSACHUSETTS AVENUE, North Andover, MA 01845 | $1,760,100 |
| Associated Home Care | Home Health Care Services | 991 OSGOOD STREET, North Andover, MA 01845 | $1,555,736 |
| Line Item | Amount |
|---|---|
| Other Expenses | $63,124,862 |
| Salaries, Compensation, and Employee Benefits | $33,139,313 |
| Grants and Similar Amounts Paid | $250 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $17,914,790 | $6,556,335 | - | $24,471,125 |
| All Other Expenses | $17,503,649 | $630,399 | - | $18,134,048 |
| Other Expenses | $6,105,243 | - | - | $6,105,243 |
| Other Employee Benefits | $3,564,825 | $1,304,766 | - | $4,869,591 |
| Information Technology | $7,028 | $2,190,043 | - | $2,197,071 |
| Occupancy | $1,885,032 | $236,970 | - | $2,122,002 |
| Payroll Taxes | $1,328,717 | $573,625 | - | $1,902,342 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,896,255 | - | $1,896,255 |
| Depreciation Depletion | $1,646,829 | $154,783 | - | $1,801,612 |
| Advertising | - | $1,058,301 | - | $1,058,301 |
| Fees for Services Other | $9,846 | $679,268 | - | $689,114 |
| Office Expenses | $235,276 | $314,028 | - | $549,304 |
| Insurance | - | $369,774 | - | $369,774 |
| Interest | - | $124,751 | - | $124,751 |
| Fees for Services Legal | - | $116,370 | - | $116,370 |
| Travel | $58,708 | $32,971 | - | $91,679 |
| Fees for Services Accounting | - | $42,750 | - | $42,750 |
| Grants to Domestic Orgs | $250 | - | - | $250 |
| Total Functional Expenses | $79,983,036 | $16,281,389 | $0 | $96,264,425 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $96,264,425 |
| Expenses per Audited Statements | $96,139,674 |
| Total Expenses per Audited Statements | $96,139,674 |
| Expenses Not Reported on Financial Statements | $124,751 |
| Other Expense Adjustments | $124,751 |
| 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.”
“In-patient hospitalization: program service expenses 5,782,472. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,782,472. Transportation: program service expenses 4,631,185. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,631,185. Home health care: program service expenses 4,250,042. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,250,042. Client home medical equipment rental: program service expenses 1,014,875. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,014,875. Client meals: program service expenses 515,649. Management and general expenses 0. Fundraising expenses 0. Total expenses 515,649. Program supplies: program service expenses 349,522. Management and general expenses 10,190. Fundraising expenses 0. Total expenses 359,712. Miscellaneous expenses: program service expenses 6,101. Management and general expenses 341,153. Fundraising expenses 0. Total expenses 347,254. Client personal care items: program service expenses 192,172. Management and general expenses 0. Fundraising expenses 0. Total expenses 192,172. Sco contracted services: program service expenses 191,066. Management and general expenses 0. Fundraising expenses 0. Total expenses 191,066. In-home companion services: program service expenses 179,256. Management and general expenses 0. Fundraising expenses 0. Total expenses 179,256. Dues and subscriptions: program service expenses 44,987. Management and general expenses 108,970. Fundraising expenses 0. Total expenses 153,957. Bank service charges: program service expenses 0. Management and general expenses 90,932. Fundraising expenses 0. Total expenses 90,932. Equipment rental: program service expenses 45,803. Management and general expenses 38,380. Fundraising expenses 0. Total expenses 84,183. Staff training: program service expenses 44,905. Management and general expenses 36,532. Fundraising expenses 0. Total expenses 81,437. Client translation services: program service expenses 75,781. Management and general expenses 0. Fundraising expenses 0. Total expenses 75,781. Equipment repairs: program service expenses 68,265. Management and general expenses 0. Fundraising expenses 0. Total expenses 68,265. Client laundry services: program service expenses 61,932. Management and general expenses 0. Fundraising expenses 0. Total expenses 61,932. Licenses and permits: program service expenses 49,636. Management and general expenses 1,742. Fundraising expenses 0. Total expenses 51,378. Contributions: program service expenses 0. Management and general expenses 2,500. Fundraising expenses 0. Total expenses 2,500.”
“Gain on sale of property and equipment 2,201,630.”
“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, 2022, 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, 2022. The organization does not expect any material change in uncertain tax benefits within the next 12 months.”
“Interest expense -124,751. Gain on sale of property and equipment 2,201,630.”
“Interest expense 124,751.”
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 | 9471182 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10046215 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2120673 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2012600 |
| 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 | 1058301 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1058301 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 630399 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 17503649 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 18134048 |
| 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/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 28264336 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 40676788 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 96 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1896255 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1896255 |
| 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 | 11018971 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 3527280 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2033292 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1760100 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1555736 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 269 UNION STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 81 HIGHLAND AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 133 BRIMBAL AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 30 MASSACHUSETTS AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 991 OSGOOD STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LYNN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SALEM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BEVERLY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | NORTH ANDOVER |
| 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 | 01915 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 01845 |
| 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 | NORTHEAST HOSPITAL CORPORATION INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | CROSSWAY HOMECARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ASSOCIATED HOME CARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | HEALTH CARE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | HOSPITAL FACILITY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | HOSPITAL FACILITY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOME HEALTH CARE SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HOME HEALTH CARE SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 250 |
| IRS990/CYInvestmentIncomeAmt | 0 | 320152 |
| IRS990/CYOtherExpensesAmt | 0 | 63124862 |
| IRS990/CYOtherRevenueAmt | 0 | 21186 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 106756202 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 10833115 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 33139313 |
| IRS990/CYTotalExpensesAmt | 0 | 96264425 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 107097540 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 154783 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1646829 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1801612 |
| 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 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, 2022 AND NOW IS REIMBURSED FOR CASE MANAGEMENT SERVICES ON A PER MEMBER PER MONTH BASIS AT A RATE OF $312 PMPM. IN MARCH OF 2020 THE COVED PANDEMIC OCCURRED WHICH NECESSITATED THE TEMPORARY CLOSURE OF ALL PACE ADULT DAY HEALTH CENTERS (ADHC) DAY PROGRAMING. IMMEDIATELY THE ELEMENT CARE MEDICAL AND NURSING TEAMS DEVELOPED A PLAN TO PROVIDE IN HOME SERVICES TO OVER 800 PACE PARTICIPANTS TO MAINTAIN THEIR SAFETY IN THE COMMUNITY. TO DATE THIS OUTREACH CONTINUES IN ADDITION TO A PARTIAL REOPENING OF THE ADHC IN JUNE 2020 BASED ON SQUARE FOOTAGE PER SITE AND THE ABILITY TO PROVIDE A SAFE, SOCIALLY DISTANCED ENVIRONMENT FOR PARTICIPANTS AND STAFF. |
| 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 | 328 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 79983036 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 42750 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 42750 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 116370 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 116370 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 679268 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 9846 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 689114 |
| 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 | 37594 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 23061 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 46544 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 32605 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 30460 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 23384 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 31275 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 9984 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 10041 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 31217 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 18976 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KATHY BURNS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | MARY MAGNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOHN FEEHAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DR KIAME MAHANIAH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BOB PALLESCHI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MARILYN SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | WILLIAM JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | PETER ROSSETTI |
| 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 | LINDA GAUVAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DORINA OMARI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TAO LIU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | VIVIAN CHAN |
| 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 | 451680 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 217832 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 224929 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 340426 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 251892 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 158148 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 274803 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 278933 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 244560 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 277912 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 243457 |
| 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 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | PRESIDENT |
| 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 PATIENT CARE S |
| 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/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GrantAmt | 0 | 250 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 250 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 250 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 107097540 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 21186 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 41 |
| 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 | 2190043 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 7028 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2197071 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 369774 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 369774 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 124751 |
| IRS990/InterestGrp/TotalAmt | 0 | 124751 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 320152 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 320152 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 28276706 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 26187639 |
| IRS990/IRPDocumentCnt | 0 | 340 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 15857342 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 11658187 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8725884 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 24583226 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| 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 | 3444187 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1875206 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 70950605 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 81393930 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 21186 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 21186 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -2591420 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 70950605 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 81393930 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 236970 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1885032 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 2122002 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 314028 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 235276 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 549304 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 106391 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 2852717 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 2201630 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1304766 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3564825 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4869591 |
| IRS990/OtherExpensesGrp/Desc | 0 | PHARMACY |
| IRS990/OtherExpensesGrp/Desc | 1 | NURSING HOME CARE |
| IRS990/OtherExpensesGrp/Desc | 2 | CLIENT MEDICAL CARE |
| IRS990/OtherExpensesGrp/Desc | 3 | ASSISTED LIVING FACILIT |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 12485388 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 9575178 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 7662277 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 6105243 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 12485388 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 9575178 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 7662277 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 6105243 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 6556335 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 17914790 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 24471125 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 573625 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1328717 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1902342 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1011846 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 700214 |
| IRS990/PrincipalOfficerNm | 0 | ROBERT DURANTE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 106756202 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 106756202 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 3125000 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 2250000 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1150918 |
| IRS990/PYOtherExpensesAmt | 0 | 56587343 |
| IRS990/PYOtherRevenueAmt | 0 | 21186 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 97780745 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 12675574 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 30564932 |
| IRS990/PYTotalExpensesAmt | 0 | 89402275 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 102077849 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 10833115 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| 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 | 106756202 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 12427835 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 12159509 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 3125000 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 3125000 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 341338 |
No mirrored PDF or thumbnail assets are attached yet.
Displayed year
2022 • Form 990Detailed filing. Detailed filing data is available for this year.