Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
Northampton Management Systems Inc
EIN 04-3337116 • 501(c)3 • Pittsfield, MA
Profile
Northampton Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.81x
Liabilities / Revenue
83rd percentile
Higher debt load relative to revenue than 83% of similar nonprofits.
Net Margin
35th percentile
Higher net margin than 35% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
25th percentile
Faster asset growth than 25% of similar nonprofits.
Revenue Growth
60th percentile
Faster revenue growth than 60% of similar nonprofits.
Balance Sheet
Assets
Down$50,955,512
Down $228,654 (-0.4%) from 2023
Liabilities
Down$41,360,743
Down $263,911 (-0.6%) from 2023
Net Assets
Up$9,594,769
Up $35,257 (+0.4%) from 2023
Revenue
Up$23,873,058
Up $2,427,123 (+11%) from 2023
Expenses
Up$23,837,801
Up $1,376,441 (+6.1%) from 2023
Net Income
Up$35,257
Up $1,050,682 (+103%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $50,955,512
- Liabilities
- $41,360,743
- Net assets
- $9,594,769
- Revenue
- $23,873,058
- Expenses
- $23,837,801
- Net income
- $35,257
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Nov 10, 2025
- Return Version
- 2024v5.2
- Gross Receipts
- $23,873,058
Mission and Program Overview
Mission
Northampton Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.
Skilled nursing facility and assisted living
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $36,587,726 | $35,375,565 | ▼ $1,212,161 |
| Rtn Earn Endowment Incm Other Fnds | $9,559,512 | $9,594,769 | ▲ $35,257 |
| Accounts Receivable | $4,101,990 | $4,655,125 | ▲ $553,135 |
| Pledges and Grants Receivable | - | $1,067,243 | - |
| Prepaid Expenses and Deferred Charges | $824,313 | $811,198 | ▼ $13,115 |
| Cash and Non-Interest-Bearing Accounts | $877,791 | $642,642 | ▼ $235,149 |
| Inventories for Sale or Use | $47,305 | $47,305 | → $0 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | - | $0 | - |
| Investments Program Related | - | $0 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Total Assets | $51,184,166 | $50,955,512 | ▼ $228,654 |
| Other Assets Total | $8,745,041 | $8,356,434 | ▼ $388,607 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $37,628,028 | $37,008,088 | ▼ $619,940 |
| Accounts Payable and Accrued Expenses | $3,990,996 | $4,352,655 | ▲ $361,659 |
| Mortgage Notes Payable Secured by Investment Property | $5,630 | - | - |
| Total Liabilities | $41,624,654 | $41,360,743 | ▼ $263,911 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $9,559,512 | $9,594,769 | ▲ $35,257 |
| Total Liabilities and Net Assets / Fund Balance | $51,184,166 | $50,955,512 | ▼ $228,654 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $29,869,637 | $2,133,545 | $32,003,182 |
| Land | $4,057,910 | - | $4,057,910 |
| Equipment | $638,973 | $2,544,636 | $3,183,609 |
| Leasehold Improvements | $809,045 | $1,957,383 | $2,766,428 |
| Other Assets Org | $3,358 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Stefanie Holmes | Lpn | FT | $168,747 | $24,984 | $193,731 |
| Robert Buskey | LPN (blend) | FT | $160,242 | $24,984 | $185,440 |
| Jeffrey N Heinze | Administrator | FT | $146,306 | $25,198 | $171,290 |
| Annmarie Wilson | LPN (charge) | FT | $130,237 | $25,198 | $155,435 |
| Emily Uguccioni | Executive Director | FT | $152,496 | $24,984 | $152,496 |
Board Members and Trustees
| Name | Title |
|---|---|
| William C Jones Jr | President & CEO |
| Marcie Gingras | Clerk |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Integritus Healthcare Management Services Inc | Management services | 75 North Street Suite 210, Pittsfield, MA 01201 | $1,528,676 |
| Powerback Rehabilitation | Rehab services | 101 East State Street, Kennett Square, PA 19648 | $877,344 |
| Intelycare Inc | Nursing Registry | 1515 Hancock St Suite 203, Quincy, MA 02169 | $707,471 |
| IntegriNurse Inc | Nursing Registry | 75 North Street Suite 210, Pittsfield, MA 01201 | $440,503 |
| All American Healthcare Srvcs dba AllShifts | Nursing Registry | PO Box 825968, Philadelphia, PA 19182 | $273,252 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $22,421,418
- Investment Income
- $10,424
- Other Revenue
- $1,441,216
- Change in Net Assets
- $35,257
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $12,097,799 |
| Salaries, Compensation, and Employee Benefits | $11,740,002 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $9,482,467 | $583,846 | - | $10,066,313 |
| Interest | - | $1,818,751 | - | $1,818,751 |
| Depreciation Depletion | $1,270,120 | $78,202 | - | $1,348,322 |
| Fees for Services Management | - | $1,279,077 | - | $1,279,077 |
| Other Employee Benefits | $814,896 | $50,174 | - | $865,070 |
| Payroll Taxes | $761,719 | $46,900 | - | $808,619 |
| Insurance | - | $158,904 | - | $158,904 |
| All Other Expenses | $74,112 | - | - | $74,112 |
| Fees for Services Legal | - | $70,908 | - | $70,908 |
| Other Expenses | $69,590 | $156,266 | - | $69,590 |
| Conferences and Meetings | $24,162 | - | - | $24,162 |
| Travel | $5,581 | - | - | $5,581 |
| Total Functional Expenses | $19,055,467 | $4,782,334 | $0 | $23,837,801 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 8B
“Integritus Healthcare, Inc. (IHC) is the parent corporation of CEC ManagementSystems, Inc. Northampton Management Systems, Inc. is a subsidiary of CECManagement Systems, Inc. Governance duties conducted on behalf of NorthamptonManagement Systems, Inc., take place at the IHC level. Meetings of the governingboard and committees with authority to act on behalf of the governing board of IHCare documented.”
Form 990, Part VI, Section B, Line 11B
“Form 990 is reviewed by executive management. Prior to filing, all members of theIntegritus Healthcare Inc., Board are provided with a copy of Form 990 via a secureintranet connection. The Integritus Healthcare Board delegates review of Form 990to its Finance Committee. Finance Committee members conduct their review of Form990 prior to filing.”
Form 990, Part VI, Section B, Line 12C
“The organization enforces and monitors its conflict of interest policy by requiring all members of the governing body and senior employees to disclose potential conflicts of interest (a) annually and (b) as potential conflicts arise. Senior employees are not permitted to have material conflicts of interests and members of the governing body are to abstain from action that may be influenced by their conflict or potential conflict.”
Form 990, Part VI, Section B, Line 15A
“The Integritus Healthcare Board of Trustees reviews and approves the compensation ofthe CEO and President. Every two or three years, the organization engages anationally recognized healthcare compensation firm to provide information concerningmarket rates of compensation and assess the organization's compensation structureagainst those independent benchmarks.”
Form 990, Part VI, Section C, Line 19
“Governance documents, the conflict of interest policy and financial statements areavailable to the public at the office of the Clerk and Vice President and GeneralCounsel at 75 North Street, Suite 210 Pittsfield, MA 01201.”
Filing and Contact Details
Filer
- Filer Name
- Northampton Management Systems Inc
- EIN
- 04-3337116
- Phone
- 4134472996
- Address
- 75 NORTH ST STE 210, Pittsfield, MA 01201
Signing Officer
- Name
- William C Jones Jr
- Title
- President & CEO
- Signed
- 2025-11-10
Organization Details
- Principal Officer
- William C Jones Jr
- Formed
- 1988
- Legal Domicile
- Ma
- Voting Board Members
- 2
- Independent Board Members
- 2
- Employees
- 313
- Volunteers
- 2
Raw XML AppendixShowing 400 of 900 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Desc | 0 | This Corporation is formed exclusively for charitable purposes to acquire, establish, maintain and operate skilled nursing and extended care facilities and render related services to residents who are supported by the Medicaid and Medicare programs as well as by private funds. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
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| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 158904 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 158904 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1818751 |
| IRS990/InterestGrp/TotalAmt | 0 | 1818751 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 47305 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 47305 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 10424 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 10424 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 52 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6635564 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 36587726 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 35375565 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 42011129 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | false |
| IRS990/MissionDesc | 0 | Northampton Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 5630 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9559512 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 9594769 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/TotalAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 8745041 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 8356434 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 50174 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 814896 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 865070 |
| IRS990/OtherExpensesGrp/Desc | 0 | Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Uncollectible Accounts |
| IRS990/OtherExpensesGrp/Desc | 2 | Real Estate Tax |
| IRS990/OtherExpensesGrp/Desc | 3 | Equipment Rental |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 539306 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 156266 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 6552820 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 69590 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 6552820 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 539306 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 156266 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 69590 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 623000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Govt Grants - Emp Train/Retent |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Miscellaneous Revenue |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 1067243 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 373973 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1067243 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 373973 |
| IRS990/OtherRevenueTotalAmt | 0 | 1441216 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 583846 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 9482467 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 10066313 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 46900 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 761719 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 808619 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1067243 |
| IRS990/PoliciesReferenceChaptersInd | 0 | true |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 824313 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 811198 |
| IRS990/PrincipalOfficerNm | 0 | William C Jones Jr |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Ancillary services and |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | patient room & board |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 22421418 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 22421418 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 2010 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 12195932 |
| IRS990/PYOtherRevenueAmt | 0 | 691085 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 20752840 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -1015425 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 10265428 |
| IRS990/PYTotalExpensesAmt | 0 | 22461360 |
| IRS990/PYTotalRevenueAmt | 0 | 21445935 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 35257 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 23873058 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 9559512 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 9594769 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 1067243 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1067243 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 10424 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2010 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 70 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 5 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 12509 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 22421418 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 20752842 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 19277870 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 19470441 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 18437599 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 100360170 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 10424 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 2010 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 70 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 5 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 12509 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00010 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 373973 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 691083 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2575549 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3693225 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1113704 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 8447534 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.92300 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.92160 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 101427413 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 23488661 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 20752842 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 19277870 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 19470441 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 18437599 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 101427413 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 23873058 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 21445935 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 21853489 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 23163666 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 19551308 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 109887456 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleC/CorrectionMadeInd | 0 | false |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | false |
| IRS990ScheduleC/Form4720Filed4912TaxInd | 0 | false |
| IRS990ScheduleC/Form4720FiledSection4955TaxInd | 0 | false |
| IRS990ScheduleC/GrantsOtherOrganizationsInd | 0 | false |
| IRS990ScheduleC/MailingsMembersInd | 0 | false |
| IRS990ScheduleC/MediaAdvertisementsInd | 0 | false |
| IRS990ScheduleC/NotDescribedSection501c3Ind | 0 | false |
| IRS990ScheduleC/OtherActivitiesAmt | 0 | 2229 |
| IRS990ScheduleC/OtherActivitiesInd | 0 | true |
| IRS990ScheduleC/PaidStaffOrManagementInd | 0 | false |
| IRS990ScheduleC/PublicationsOrBroadcastInd | 0 | false |
| IRS990ScheduleC/RalliesDemonstrationsInd | 0 | false |
| IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt | 0 | Part II-B, Line 1(I), Other Lobbying Activities:Annual membership dues are paid to Massachusetts Senior Care Association and American Healthcare Association. A portion of these dues are used to conduct lobbying activities for the fiscal year. |
| IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part II-B, Line 1i - Other Activities Description |
| IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part IV - Additional Information |
| IRS990ScheduleC/TotalLobbyingExpendituresAmt | 0 | 2229 |
| IRS990ScheduleC/VolunteersInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 29869637 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 2133545 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 32003182 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 638973 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2544636 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 3183609 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 4057910 |
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