Liabilities / Assets
96th percentile
Higher debt load relative to assets than 96% of similar nonprofits.
EIN 27-2021133 • 501(c)3 • Bayside, NY
Profile
A certified home health agency (chha) providing home-based therapy and related services to children and young adults with special needs.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
96th percentile
Higher debt load relative to assets than 96% of similar nonprofits.
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
26th percentile
Higher net margin than 26% of similar nonprofits.
Top Officer Pay
69th percentile
Higher top officer pay than 69% of similar nonprofits.
Top officer pay equals 2.7% of source-year revenue.
Asset Growth
7th percentile
Faster asset growth than 7% of similar nonprofits.
Revenue Growth
19th percentile
Faster revenue growth than 19% of similar nonprofits.
Assets
Up$11,622,394
Up $1,496,660 (+15%) from 2021
Liabilities
Up$26,480,657
Up $4,598,300 (+21%) from 2021
Net Assets
Down-$14,858,263
Down $3,101,640 (-26%) from 2021
Revenue
Up$38,224,503
Up $1,220,614 (+3.3%) from 2021
Expenses
Up$40,376,394
Up $2,308,418 (+6.1%) from 2021
Net Income
Down-$2,151,891
Down $1,087,804 (-102%) from 2021
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
A certified home health agency (chha) providing home-based therapy and related services to children and young adults with special needs.
A certified home health agency (chha)providing home-based therapy and related rehabilitation services to children and young adults with special needs.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $5,231,248 | $5,172,811 | ▼ $58,437 |
| Savings and Temporary Cash Investments | $7,007,253 | $3,038,785 | ▼ $3,968,468 |
| Land, Buildings, and Equipment, Net | $91,032 | $194,779 | ▲ $103,747 |
| Cash and Non-Interest-Bearing Accounts | - | $0 | - |
| Other Notes and Loans Receivable, Net | - | $0 | - |
| Pledges and Grants Receivable | - | $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 | - |
| Inventories for Sale or Use | - | $0 | - |
| Prepaid Expenses and Deferred Charges | - | $0 | - |
| Total Assets | $14,567,004 | $11,622,394 | ▼ $2,944,610 |
| Other Assets Total | $2,237,471 | $3,216,019 | ▲ $978,548 |
| Liabilities | |||
| Other Liabilities | $21,070,859 | $21,893,337 | ▲ $822,478 |
| Accounts Payable and Accrued Expenses | $4,065,430 | $3,941,686 | ▼ $123,744 |
| Deferred Revenue | $2,137,087 | $645,634 | ▼ $1,491,453 |
| Total Liabilities | $27,273,376 | $26,480,657 | ▼ $792,719 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $76,862 | $10,158 | ▼ $66,704 |
| Net Assets Without Donor Restrictions | $-12,783,234 | $-14,868,421 | ▼ $2,085,187 |
| Total Net Assets Fund Balance | $-12,706,372 | $-14,858,263 | ▼ $2,151,891 |
| Total Liabilities and Net Assets / Fund Balance | $14,567,004 | $11,622,394 | ▼ $2,944,610 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $194,779 | $581,367 | $776,146 |
| Other Assets Org | $1,886,529 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Carla Cangemi | VP/CMO | - | $274,746 | $76,521 | $366,267 |
| Elangovan Visalakhi | Team Supervisor | FT | $196,318 | $76,371 | $277,689 |
| Aenid Yu | Asso.Director Operatio | FT | $115,312 | $113,402 | $208,714 |
| Elvira Fardella-roveto | VP of Chaa | FT | $116,592 | $91,976 | $208,568 |
| Edwin F Simpser Md | President & CEO | - | $142,542 | $64,603 | $207,145 |
| Adam Waxer | General Counsel | - | $131,577 | $39,955 | $171,532 |
| Name | Title |
|---|---|
| Stephen Brent Wells | Chairman |
| Mark Kelly | Director of Operations |
| Jessica Shaw | Director of Telehealth |
| Steven Polinsky | CIO |
| William L Mead | COO/CFO |
| Sean Lally | Evp Foundation |
| Samuel R Karetsky | Secy/treasurer |
| Sotiri Goring | Team Supervisor |
| Patricia Hackenjos | VP of Hr |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Able Health Care Services INC | Home Health Aides | 1240 BROADCAST PLAZA, Merrick, NY 11566 | $1,543,430 |
| Renaissance Home Health Care | Home Health Aides | 3044 CONEY ISLAND AVENUE 4TH FLOOR, Booklyn, NY 11235 | $1,232,701 |
| Alliance For Health INC | Home Health Aides | 2488 GRAND CONCOURSE ROOM 312, Bronx, NY 10458 | $829,697 |
| Special Touch Homecare Services | Home Health Aides | 2091 CONEY ISLAND AVENUE, Brooklyn, NY 11223 | $646,490 |
| Bestcare INC | Home Health Aides | 4119 WHITE PLAINS ROAD, Bronx, NY 10466 | $585,974 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $26,504,215 |
| Other Expenses | $13,872,179 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $15,595,169 | $2,702,152 | - | $18,297,321 |
| Other Employee Benefits | $4,834,939 | $870,415 | - | $5,705,354 |
| Payroll Taxes | $1,023,459 | $140,152 | - | $1,163,611 |
| Occupancy | $940,764 | $162,037 | - | $1,102,801 |
| Pension Plan Contributions | $808,451 | $163,211 | - | $971,662 |
| Insurance | - | $502,413 | - | $502,413 |
| Current Officers, Directors, Trustees, and Key Employees | $366,267 | - | - | $366,267 |
| Travel | $358,693 | $1,147 | - | $359,840 |
| Office Expenses | $132,518 | $160,906 | - | $293,424 |
| Fees for Services Other | $63,100 | $180,458 | - | $243,558 |
| Information Technology | $79,202 | $93,409 | - | $172,611 |
| Other Expenses | $123,866 | $318,036 | - | $123,866 |
| Fees for Services Accounting | - | $80,926 | - | $80,926 |
| Fees for Services Legal | $13,230 | $50,951 | - | $64,181 |
| Advertising | - | $54,764 | - | $54,764 |
| Depreciation Depletion | $50,743 | - | - | $50,743 |
| Fees for Services Lobbying | $32,686 | - | - | $32,686 |
| Conferences and Meetings | $14,397 | $3,062 | - | $17,459 |
| Total Functional Expenses | $34,892,355 | $5,484,039 | $0 | $40,376,394 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| DUE TO ST. MARY'S HOSPITAL | $13,436,950 |
| Due to New York State Medicaid | $3,733,737 |
| DUE TO ST. MARY'S ADMINISTRATIVE SERVICE | $2,752,993 |
| Operating Lease Liability | $1,969,657 |
“St. Mary's home care's sole member is st. Mary's healthcare system for children, inc. (smhsc)”
“St. Mary's home care's bylaws specifically reserve the power to appoint and remove its board members to the smhsc.”
“St. Mary's home care's bylaws specifically reserve the following powers to smhsc: *mergers, *sales or dissolutions, *amendments to the certificate of incorporation and or bylaws, *operating and capital budgets, *unbudgeted borrowings in excess of $1,000,000, *unbudgeted capital expenditures in excess of $500,000, *a strategic plan and hiring and firing of the ceo.”
“St. Mary's home care's form 990 is reviewed by an external accounting firm prior to submission to the full audit and compliance committee for review. Once the changes from both the accounting firm and audit and compliance committee's review are implemented, a final draft of the 990 is posted to the board of directors' website for access by all board members prior to the submission of the 990 to the irs.”
“Once a year, each board member, officer or key employee of the organization completes a conflict of interest questionnaire, statement and acknowledgement which confirms that each individual has disclosed any potential conflict of interest; has received a copy of the conflict of interest policy; has read, understands, and agrees to comply with the conflict of interest policy. During the course of the year, each board member, officer, and key employee is required to promptly advise the chief executive officer or his/her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire.the chief executive officer, or his/her designee, reviews all completed questionnaires and all subsequent advice of changes, taking such action as is deemed appropriate to address and eliminate potential conflicts of interest, including such steps as reassignment of responsibilities.all disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the audit and compliance committee of the board, together, in each case, with the response or recommendation of management. The audit and compliance committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not shall take such further action as it deems appropriate. Each board member, and any officer or key employee representing a proposed transaction or other matter to the board shall disclose promptly and in good faith to the board such individual's interest in a proposed transaction or other matter to be considered by the board. The individual may not participate in any way in the board's deliberations concerning matters in which he/she has disclosed an interest.following any such disclosure, and after such due diligence and such development and consideration of other alternatives, if any, as the board shall deem appropriate, the board may, in its discretion, authorize or approve the proposed transaction or actions as at least as fair and reasonable to the organization as would otherwise be obtainable by the organization. Such actions shall be by a vote sufficient for such purpose without counting the vote or votes of such interested person or persons and such person or persons may not participate in, determining the presence of a quorum at the meeting.any disclosure, non-participation, and board action taken in accordance with this policy shall be clearly recorded in the minutes of the meeting at which the matter is addressed and resolved.upon reasonable belief that a board member, officer or key employee failed to comply with the policies and directives set forth in its disclosure policy, the board or the audit and compliance committee shall inform the individual of the basis of the belief and provide an opportunity to explain the noncompliance. If after hearing the individual's response and making further appropriate investigations, the board or audit compliance committee determines that the individual has, in fact, failed to comply with such policies and directives, it shall take or recommend appropriate corrective action.”
“Salaries for the executive team are paid by a related organization, smh administrative services. The policies for determining compensation are as follows: st. Mary's healthcare system for children, the sole member of the organization, reviews market pay practices for senior executives in organizations of comparable size and type. This market analysis is then reviewed by the executive review/compensation committee and used as a factor in determining salary adjustments relative to market competitiveness and job performance.”
“Compensation for other executives is managed in a similar manner, with the human resources department in consultation with the ceo, using periodic surveys of the local market to ensure that st. Mary's compensation is competitive.”
“St. Mary's home care makes its organizing documents, conflicts of interest policy and financial statements available to the public upon request and at management's discretion.”
“St. Mary's Home Care follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.St. Mary's Home Care is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. St. Mary's Home Care has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which there was nexus; and to identify and evaluate other matters that may be considered tax positions. St. Mary's Home Care has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4065430 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3941686 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5231248 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 5172811 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | A CERTIFIED HOME HEALTH AGENCY (CHHA)PROVIDING HOME-BASED THERAPY AND RELATED REHABILITATION SERVICES TO CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 54764 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 54764 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | MELISSA SANDLER DIROF FINANCE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7188192889 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 333 EARLE OVINGTON BLVD SUTIE 600 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | UNIONDALE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 11553 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 366267 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 366267 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 3062 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 14397 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 17459 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1543430 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1232701 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 829697 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 646490 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 585974 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1240 BROADCAST PLAZA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 3044 CONEY ISLAND AVENUE 4TH FLOOR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 2488 GRAND CONCOURSE ROOM 312 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2091 CONEY ISLAND AVENUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 4119 WHITE PLAINS ROAD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MERRICK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | BOOKLYN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BRONX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BROOKLYN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BRONX |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NY |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 11566 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 11235 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 10458 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 11223 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 10466 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | ABLE HEALTH CARE SERVICES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | RENAISSANCE HOME HEALTH CARE |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | ALLIANCE FOR HEALTH INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SPECIAL TOUCH HOMECARE SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | BESTCARE INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | HOME HEALTH AIDES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | HOME HEALTH AIDES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | HOME HEALTH AIDES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | HOME HEALTH AIDES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | HOME HEALTH AIDES |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
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| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 272773 |
| IRS990/CYOtherExpensesAmt | 0 | 13872179 |
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| IRS990/CYRevenuesLessExpensesAmt | 0 | -2151891 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 26504215 |
| IRS990/CYTotalExpensesAmt | 0 | 40376394 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
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| IRS990/CYTotalRevenueAmt | 0 | 38224503 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2137087 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 645634 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 50743 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 50743 |
| IRS990/Desc | 0 | PROGRAM SERVICE ACCOMPLISHMENTS: ST. MARYS HOME CARE, A SPECIAL NEEDS CERTIFIED HOME HEALTH AGENCY (CHHA), WAS ESTABLISHED IN 2010 TO EXPAND UPON A LONG-STANDING COMMITMENT TO PROVIDING CARE FOR CHILDREN WITH SPECIAL NEEDS IN A CARE DELIVERY SETTING WHERE CHILDREN CAN HEAL AND THRIVE. TODAY, WE REMAIN THE LARGEST AND MOST COMPREHENSIVE PROVIDER OF SERVICES TO CHILDREN WITH SPECIAL HEALTHCARE NEEDS, DELIVERING CARE INTO THE HOMES OF THOUSANDS OF PATIENTS WHO REQUIRE SPECIALIZED MEDICAL, EDUCATIONAL AND REHABILITATIVE CARE. ST. MARYS HOME CARE PROVIDES SHORT-TERM SKILLED CARE FOR PATIENTS FROM NEWBORN TO 44 YEARS OF AGE. ST. MARYS HOME CARE, IS THE SOURCE FAMILIES TRUSTAND WITH GOOD REASON: WE PIONEERED THE FIRST LONG-TERM PEDIATRIC HOME HEALTHCARE PROGRAM IN NEW YORK OVER 30 YEARS AGO, AND REMAINS THE LARGEST AND MOST COMPREHENSIVE PROVIDER OF SERVICES TO CHILDREN WITH SPECIAL HEALTHCARE NEEDS. THE CHILDREN AND YOUNG ADULTS SERVED BY ST. MARYS HOME CARE ARE OFTEN MEDICALLY FRAGILE AND WITHOUT HOME CARE SERVICES, WOULD OTHERWISE REQUIRE HOSPITALIZATION OR INSTITUTIONAL CARE. THEIR DIAGNOSES RUN THE GAMUT OF CHILDHOOD SEVERE ILLNESSES INCLUDING COMPLICATION OF PREMATURITY, GENETIC DISORDERS, NEURO-DEVELOPMENTAL DISORDERS, NEURO-MUSCULAR DISORDERS, TRAUMATIC BRAIN INJURY, AIDS, CANCER, RESPIRATORY DISORDERS, CARDIAC DISORDERS AND VENTILATOR DEPENDENCE. ST. MARYS HOME CARES USES A FAMILY-CENTERED, TEAM APPROACH TO CARE. OUR GOAL IS TO PROVIDE EXTRAORDINARY CARE AND SUPPORT SERVICES IN THE HOME TO HELP PATIENTS REGAIN INDEPENDENCE. SERVICES PROVIDED BY ST. MARYS HOME CARE INCLUDE COMBINATIONS OF PROFESSIONAL HEALTHCARE SERVICES AND PERSONAL CARE SERVICES THAT ARE TAILORED TO MEET THE NEEDS OF BOTH PATIENTS AND THEIR FAMILIES. SERVICES MAY INCLUDE NURSING CARE, REHABILITATION THERAPIES, PERSONAL CARE BY HOME HEALTH AIDES, PAIN MANAGEMENT, DISEASE AND MEDICATION EDUCATION AND MANAGEMENT, TELEHEALTH, ARRANGING FOR EQUIPMENT, AND COORDINATION OF CARE WITH THE PATIENTS PHYSICIAN, FAMILY AND OTHER HEALTH CARE PROFESSIONALS DURING THE COURSE OF TREATMENT. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 10158 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 305 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
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| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 80926 |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 64181 |
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| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282FiledCnt | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 7.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 37.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 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/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 84043 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 67850 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 52993 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 63406 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 65225 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 74199 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 54683 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 67956 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 68954 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 48997 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 50880 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 56803 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 27663 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | EDWIN F SIMPSER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM L MEAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | CARLA CANGEMI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | SEAN LALLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ADAM WAXER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | PATRICIA HACKENJOS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | STEVEN POLINSKY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | ELVIRA FARDELLA-ROVETO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MARK KELLY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ELANGOVAN VISALAKHI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | SOTIRI GORING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JESSICA SHAW |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | AENID YU |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | STEPHEN BRENT WELLS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SAMUEL R KARETSKY |
| 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 | 298311 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 208735 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 159717 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 157688 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 150342 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 143869 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 935816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 614355 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 503385 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 464872 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 362878 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 326028 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 318787 |
| 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/TitleTxt | 0 | President & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | COO/CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VP/CMO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | EVP FOUNDATION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VP OF HR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP OF CHAA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIR. OF OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TEAM SUPERVISOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TEAM SUPERVISOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIR. OF TELEHEALTH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | ASSO.DIR. OPERATIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SECY/TREASURER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2010 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 3 |
| IRS990/GovernmentGrantsAmt | 0 | 413057 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 38224503 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 51 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 93409 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 79202 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 172611 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 502413 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 502413 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 272773 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 272773 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 203 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 581367 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 91032 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 194779 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 776146 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | A CERTIFIED HOME HEALTH AGENCY (CHHA) PROVIDING HOME-BASED THERAPY AND RELATED REHABILITATION SERVICES TO CHILDREN AND YOUNG ADULTS WITH SPECIAL NEEDS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -12706372 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -14858263 |
| 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/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -12783234 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -14868421 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 162037 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 940764 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1102801 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 160906 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 132518 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 293424 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2237471 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3216019 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 870415 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 4834939 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5705354 |
| IRS990/OtherExpensesGrp/Desc | 0 | Therapists, HHA and Other Fees |
| IRS990/OtherExpensesGrp/Desc | 1 | Equipment Contract |
| IRS990/OtherExpensesGrp/Desc | 2 | NYS Assessment Expense |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 318036 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 10367540 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 87331 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 123866 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 10367540 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 405367 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 123866 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 21070859 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 21893337 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MEDICAL RECORDS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 60 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 60 |
| IRS990/OtherRevenueTotalAmt | 0 | 60 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2702152 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 15595169 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 18297321 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 140152 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1023459 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1163611 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 163211 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 808451 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 971662 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | SEAN LALLY |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | HOME HEALTH CARE SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 36592653 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 36592653 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 1299374 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 312942 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 14148100 |
| IRS990/PYOtherRevenueAmt | 0 | 17331 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 38653691 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -511556 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 26646794 |
| IRS990/PYTotalExpensesAmt | 0 | 40794894 |
| IRS990/PYTotalRevenueAmt | 0 | 40283338 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -2151891 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RelatedOrganizationsAmt | 0 | 945960 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 36592649 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 7007253 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 3038785 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
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