Civic Intelligence

Extraordinary Home Care DBA St Marys Home Care

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.

29-01 216th StreetBayside, NY 11360

www.stmaryskids.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

96th percentile

2.28x

Higher debt load relative to assets than 96% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

68th percentile

0.69x

Higher debt load relative to revenue than 68% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Net Margin

26th percentile

-5.6%

Higher net margin than 26% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

69th percentile

$1,019,859

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 2.7% of source-year revenue.

NTEE E • $25M-$50M nonprofits • Source year 2024

Asset Growth

7th percentile

-20%

Faster asset growth than 7% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

19th percentile

-5.1%

Faster revenue growth than 19% of similar nonprofits.

NTEE E • $25M-$50M nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$20M$0-$20MAssets 2010: $2,110,377Liabilities 2010: $2,125,532Net Assets 2010: -$15,1552010Assets 2011: $3,166,267Liabilities 2011: $2,504,675Net Assets 2011: $661,5922011Assets 2013: $5,286,840Liabilities 2013: $15,891,663Net Assets 2013: -$10,604,8232013Assets 2014: $4,557,726Liabilities 2014: $16,664,874Net Assets 2014: -$12,107,1482014Assets 2016: $5,943,385Liabilities 2016: $14,088,672Net Assets 2016: -$8,145,2872016Assets 2017: $5,998,829Liabilities 2017: $12,750,560Net Assets 2017: -$6,751,7312017Assets 2018: $7,343,301Liabilities 2018: $14,750,862Net Assets 2018: -$7,407,5612018Assets 2019: $7,289,277Liabilities 2019: $17,006,816Net Assets 2019: -$9,717,5392019Assets 2020: $8,897,308Liabilities 2020: $19,589,844Net Assets 2020: -$10,692,5362020Assets 2021: $10,125,734Liabilities 2021: $21,882,357Net Assets 2021: -$11,756,6232021Assets 2024: $11,622,394Liabilities 2024: $26,480,657Net Assets 2024: -$14,858,2632024

Highlighted filing

2024

Assets$11,622,394
Liabilities$26,480,657
Net Assets-$14,858,263

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $16,4702010Expenses 2011: $4,560,0422011Revenue 2013: $26,172,598Expenses 2013: $34,184,119Net Income 2013: -$8,011,5212013Revenue 2014: $26,083,339Expenses 2014: $27,585,664Net Income 2014: -$1,502,3252014Revenue 2016: $28,564,682Expenses 2016: $28,214,246Net Income 2016: $350,4362016Revenue 2017: $30,212,063Expenses 2017: $28,818,507Net Income 2017: $1,393,5562017Revenue 2018: $31,346,220Expenses 2018: $32,002,050Net Income 2018: -$655,8302018Revenue 2019: $34,366,197Expenses 2019: $36,676,175Net Income 2019: -$2,309,9782019Revenue 2020: $34,414,245Expenses 2020: $35,389,242Net Income 2020: -$974,9972020Revenue 2021: $37,003,889Expenses 2021: $38,067,976Net Income 2021: -$1,064,0872021Revenue 2024: $38,224,503Expenses 2024: $40,376,394Net Income 2024: -$2,151,8912024

Highlighted filing

2024

Revenue$38,224,503
Expenses$40,376,394
Net Income-$2,151,891

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.6$26.5$14.9$38.2$40.4$2.15
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.1$21.9$11.8$37.0$38.1$1.06
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.90$19.6$10.7$34.4$35.4$0.97
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.29$17.0$9.72$34.4$36.7$2.31
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.34$14.8$7.41$31.3$32.0$0.66
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.00$12.8$6.75$30.2$28.8$1.39
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.94$14.1$8.15$28.6$28.2$0.35
2014Detailed filing. Detailed filing data is available for this year.$4.56$16.7$12.1$26.1$27.6$1.50
2013Detailed filing. Detailed filing data is available for this year.$5.29$15.9$10.6$26.2$34.2$8.01
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.17$2.50$0.66$4.56
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.11$2.13$0.02$0.02
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 23, 2025
Return Version
2024v5.2
Gross Receipts
$38,224,503
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$194,779$581,367$776,146
Other Assets Org$1,886,529--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Carla CangemiVP/CMO-$274,746$76,521$366,267
Elangovan VisalakhiTeam SupervisorFT$196,318$76,371$277,689
Aenid YuAsso.Director OperatioFT$115,312$113,402$208,714
Elvira Fardella-rovetoVP of ChaaFT$116,592$91,976$208,568
Edwin F Simpser MdPresident & CEO-$142,542$64,603$207,145
Adam WaxerGeneral Counsel-$131,577$39,955$171,532

Board Members and Trustees

NameTitle
Stephen Brent WellsChairman
Mark KellyDirector of Operations
Jessica ShawDirector of Telehealth
Steven PolinskyCIO
William L MeadCOO/CFO
Sean LallyEvp Foundation
Samuel R KaretskySecy/treasurer
Sotiri GoringTeam Supervisor
Patricia HackenjosVP of Hr

Highest Paid Contractors

ContractorServicesLocationCompensation
Able Health Care Services INCHome Health Aides1240 BROADCAST PLAZA, Merrick, NY 11566$1,543,430
Renaissance Home Health CareHome Health Aides3044 CONEY ISLAND AVENUE 4TH FLOOR, Booklyn, NY 11235$1,232,701
Alliance For Health INCHome Health Aides2488 GRAND CONCOURSE ROOM 312, Bronx, NY 10458$829,697
Special Touch Homecare ServicesHome Health Aides2091 CONEY ISLAND AVENUE, Brooklyn, NY 11223$646,490
Bestcare INCHome Health Aides4119 WHITE PLAINS ROAD, Bronx, NY 10466$585,974
Revenue and Support

Revenue Composition

Contributions and Grants
$1,359,017
Program Service Revenue
$36,592,653
Investment Income
$272,773
Other Revenue
$60
Change in Net Assets
$-2,151,891
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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 ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
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
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 6

St. Mary's home care's sole member is st. Mary's healthcare system for children, inc. (smhsc)

Form 990, Part VI, Section A, Line 7A

St. Mary's home care's bylaws specifically reserve the power to appoint and remove its board members to the smhsc.

Form 990, Part VI, Section A, Line 7B

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.

Form 990, Part VI, Section B, Line 11B

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.

Form 990, Part VI, Section B, Line 12C

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.

Form 990, Part VI, Section B, Line 15A

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.

Form 990, Part VI, Section B, Line 15B

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.

Form 990, Part VI, Section C, Line 19

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.

Filing and Contact Details

Filer

Filer Name
Extraordinary Home Care
EIN
27-2021133
Phone
7182818835
Address
29-01 216TH STREET, BAYSIDE, NY 11360

Signing Officer

Name
Sean Lally
Title
President & CEO
Signed
2025-09-23
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sean Lally
Formed
2010
Legal Domicile
Ny
Voting Board Members
3
Independent Board Members
2
Employees
305
Volunteers
2

Preparer

Firm
St Marys Hospital for Children
Address
2901 216th Street, Bayside, NY 11360
Preparer
St Mary's Hospital for Children
Phone
7188192889
Supplemental Narrative

Financial Statement Notes

Part X : FIN48 Footnote

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.

Raw XML AppendixShowing 400 of 814 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/Desc0PROGRAM 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.
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