Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
Bourne Management Systems Inc
EIN 04-3337127 • 501(c)3 • Pittsfield, MA
Profile
Bourne 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.
1.31x
Liabilities / Revenue
85th percentile
Higher debt load relative to revenue than 85% of similar nonprofits.
Net Margin
47th percentile
Higher net margin than 47% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
66th percentile
Faster asset growth than 66% of similar nonprofits.
Revenue Growth
69th percentile
Faster revenue growth than 69% of similar nonprofits.
Balance Sheet
Assets
Up$19,776,250
Up $1,872,526 (+10%) from 2023
Liabilities
Up$25,964,865
Up $1,308,032 (+5.3%) from 2023
Net Assets
Up-$6,188,615
Up $564,494 (+8.4%) from 2023
Revenue
Up$16,972,604
Up $2,529,614 (+18%) from 2023
Expenses
Up$16,408,110
Up $673,677 (+4.3%) from 2023
Net Income
Up$564,494
Up $1,855,937 (+144%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $19,776,250
- Liabilities
- $25,964,865
- Net assets
- -$6,188,615
- Revenue
- $16,972,604
- Expenses
- $16,408,110
- Net income
- $564,494
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
- $16,972,604
Mission and Program Overview
Mission
Bourne Management Systems, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.
Skilled nursing facility
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $12,412,522 | $12,388,582 | ▼ $23,940 |
| Accounts Receivable | $3,160,326 | $4,212,444 | ▲ $1,052,118 |
| Pledges and Grants Receivable | - | $1,079,565 | - |
| Prepaid Expenses and Deferred Charges | $951,460 | $897,949 | ▼ $53,511 |
| Cash and Non-Interest-Bearing Accounts | $238,991 | $64,973 | ▼ $174,018 |
| Inventories for Sale or Use | $37,624 | $37,624 | → $0 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | - | $0 | - |
| Investments Program Related | - | $0 | - |
| Investments in Publicly Traded Securities | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Rtn Earn Endowment Incm Other Fnds | $-6,753,109 | $-6,188,615 | ▲ $564,494 |
| Total Assets | $17,903,724 | $19,776,250 | ▲ $1,872,526 |
| Other Assets Total | $1,102,801 | $1,095,113 | ▼ $7,688 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $12,537,126 | $14,051,582 | ▲ $1,514,456 |
| Tax Exempt Bond Liabilities | $12,112,642 | $11,913,283 | ▼ $199,359 |
| Mortgage Notes Payable Secured by Investment Property | $7,065 | - | - |
| Total Liabilities | $24,656,833 | $25,964,865 | ▲ $1,308,032 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $-6,753,109 | $-6,188,615 | ▲ $564,494 |
| Total Liabilities and Net Assets / Fund Balance | $17,903,724 | $19,776,250 | ▲ $1,872,526 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,897,570 | $421,255 | $6,318,825 |
| Land | $5,282,598 | - | $5,282,598 |
| Leasehold Improvements | $667,611 | $4,223,301 | $4,890,912 |
| Other Land Buildings | $209,880 | $2,039,206 | $2,249,086 |
| Equipment | $330,923 | $1,064,345 | $1,395,268 |
| Other Assets Org | $31,649 | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Lisa Rice | Administrator | FT | $149,696 | $12,646 | $162,342 |
| Joseph Gronroos | R.n. | FT | $128,394 | $12,646 | $141,040 |
| Mary Louise Butler | Director of Nrsg | FT | $139,073 | $1,148 | $140,221 |
| Ruth Crumbliss | LPN unit mgr | FT | $103,855 | $12,646 | $116,501 |
Board Members and Trustees
| Name | Title |
|---|---|
| William C Jones Jr | President & CEO |
| Marcie Gingras | Clerk |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| IntegriNurse Inc | Nursing Registry | 75 North Street Suite 210, Pittsfield, MA 01201 | $1,956,475 |
| Integritus Healthcare Management Services Inc | Management Services | 75 North Street Suite 210, Pittsfield, MA 01201 | $1,075,799 |
| Intelycare Inc | Nursing Registry | PO Box 200413, Pittsburgh, PA 15251-0413 | $936,528 |
| Powerback Rehabilitiation Services | Rehab Services | 101 East State Street, Kennett Square, PA 19348 | $778,519 |
| Integriscript Inc | Pharmacy | 75 North St Suite 210, Pittsfield, MA 01201 | $600,701 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $15,885,652
- Investment Income
- $249
- Other Revenue
- $1,086,703
- Change in Net Assets
- $564,494
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $9,935,023 |
| Salaries, Compensation, and Employee Benefits | $6,473,087 |
| 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 | $5,183,114 | $193,560 | - | $5,376,674 |
| Fees for Services Management | - | $923,320 | - | $923,320 |
| Other Employee Benefits | $638,598 | $23,848 | - | $662,446 |
| Interest | - | $584,693 | - | $584,693 |
| Payroll Taxes | $418,344 | $15,623 | - | $433,967 |
| Depreciation Depletion | $414,009 | $15,461 | - | $429,470 |
| Insurance | - | $79,740 | - | $79,740 |
| Fees for Services Legal | - | $37,496 | - | $37,496 |
| Other Expenses | $29,499 | $785,583 | - | $29,499 |
| Conferences and Meetings | $11,786 | - | - | $11,786 |
| All Other Expenses | $3,442 | - | - | $3,442 |
| Travel | $2,220 | - | - | $2,220 |
| Total Functional Expenses | $13,748,786 | $2,659,324 | $0 | $16,408,110 |
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
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, Line 8B
“Integritus Healthcare, Inc. (IHC) is the parent corporation of CEC ManagementSystems, Inc. Bourne Management Systems is a subsidiary of CEC Management Systems,Inc. Governance duties conducted on behalf of Bourne Management Systems, Inc., takeplace at the IHC level. Meetings of the governing board and committees withauthority to act on behalf of the governing board of IHC are documented.”
Form 990, Part VI, Section B, Line 11B
“Form 990 is reviewed by executive management. Prior to filing, all members of theIntegritus Healthcare Inc., Board are provided with a copy of Form 990 via a secureintranet connection. The Integritus Healthcare Board delegates review of Form 990to its Finance Committee. Finance Committee members conduct their review of Form990 prior to filing.”
Form 990, Part VI, Section B, Line 12C
“The organization enforces and monitors its conflict of interest policy by 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
- Bourne Management Systems Inc
- EIN
- 04-3337127
- 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
- 143
Raw XML AppendixShowing 400 of 874 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/DescribedInSection501c3Ind | 0 | true |
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| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 584693 |
| IRS990/InterestGrp/TotalAmt | 0 | 584693 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 37624 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 37624 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 249 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 249 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 26 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7748107 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 12412522 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 12388582 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 20136689 |
| 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 | Bourne 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 | 7065 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -6753109 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -6188615 |
| 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 | 1102801 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1095113 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 23848 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 638598 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 662446 |
| IRS990/OtherExpensesGrp/Desc | 0 | Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Uncollectible Accounts |
| IRS990/OtherExpensesGrp/Desc | 2 | Telephone |
| IRS990/OtherExpensesGrp/Desc | 3 | Equipment Rental |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 785583 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 7014585 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 33189 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 29499 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 7014585 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 785583 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 33189 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 29499 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 623000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Govt Grants - Emp Train/Retent |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Vending & Misc. Rev. |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 1079565 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 7138 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1079565 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 7138 |
| IRS990/OtherRevenueTotalAmt | 0 | 1086703 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 193560 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 5183114 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 5376674 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 15623 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 418344 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 433967 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1079565 |
| IRS990/PoliciesReferenceChaptersInd | 0 | true |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 951460 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 897949 |
| IRS990/PrincipalOfficerNm | 0 | William C Jones Jr |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 623000 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 623000 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | and Ancillary services |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Patient Room & Board |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 15885652 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 15885652 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 999 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 10434674 |
| IRS990/PYOtherRevenueAmt | 0 | 377535 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 14064456 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -1291443 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 5299759 |
| IRS990/PYTotalExpensesAmt | 0 | 15734433 |
| IRS990/PYTotalRevenueAmt | 0 | 14442990 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 564494 |
| 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 | 16972604 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | -6753109 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | -6188615 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 1079565 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1079565 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 249 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 999 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 254 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 15916 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 37524 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 54942 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 15885652 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 14064456 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 12306291 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13526647 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 13333677 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 69116723 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 249 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 999 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 254 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 15916 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 37524 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 54942 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00070 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00080 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 7138 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 377535 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1011462 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2443305 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1277106 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 5116546 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.93140 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.92830 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 70196288 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 16965217 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 14064456 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 12306291 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13526647 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 13333677 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 70196288 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 16972604 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 14442990 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 13318007 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 15985868 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 14648307 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 75367776 |
| 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 | 2572 |
| 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 | 2572 |
| IRS990ScheduleC/VolunteersInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 5897570 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 421255 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 6318825 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 330923 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1064345 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 1395268 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 5282598 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 5282598 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 667611 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 4223301 |
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