Liabilities / Assets
36th percentile
Higher debt load relative to assets than 36% of similar nonprofits.
EIN 54-2063425 • 501(c)3 • Westborough, MA
Profile
To provide home health services, including but not limited to nursing services, to medically complex children and adults, many of whom are developmentally disabled.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
36th percentile
Higher debt load relative to assets than 36% of similar nonprofits.
Liabilities / Revenue
25th percentile
Higher debt load relative to revenue than 25% of similar nonprofits.
Net Margin
78th percentile
Higher net margin than 78% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
85th percentile
Faster asset growth than 85% of similar nonprofits.
Revenue Growth
71st percentile
Faster revenue growth than 71% of similar nonprofits.
Assets
Up$15,388,593
Up $4,878,085 (+46%) from 2024
Liabilities
Up$1,220,071
Up $508,772 (+72%) from 2024
Net Assets
Up$14,168,522
Up $4,369,313 (+45%) from 2024
Revenue
Up$17,236,687
Up $5,333,142 (+45%) from 2024
Expenses
Up$12,867,374
Up $1,869,116 (+17%) from 2024
Net Income
Up$4,369,313
Up $3,464,026 (+383%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide home health services, including but not limited to nursing services, to medically complex children and adults, many of whom are developmentally disabled.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $6,925,722 | $11,005,633 | ▲ $4,079,911 |
| Land, Buildings, and Equipment, Net | $1,682,164 | $1,891,069 | ▲ $208,905 |
| Cash and Non-Interest-Bearing Accounts | $973,773 | $1,244,953 | ▲ $271,180 |
| Accounts Receivable | $873,866 | $1,186,469 | ▲ $312,603 |
| Prepaid Expenses and Deferred Charges | $54,983 | $60,469 | ▲ $5,486 |
| Total Assets | $10,510,508 | $15,388,593 | ▲ $4,878,085 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $711,299 | $1,220,071 | ▲ $508,772 |
| Total Liabilities | $711,299 | $1,220,071 | ▲ $508,772 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $9,771,022 | $14,168,522 | ▲ $4,397,500 |
| Net Assets With Donor Restrictions | $28,187 | - | - |
| Total Net Assets Fund Balance | $9,799,209 | $14,168,522 | ▲ $4,369,313 |
| Total Liabilities and Net Assets / Fund Balance | $10,510,508 | $15,388,593 | ▲ $4,878,085 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $519,781 | $1,800,351 | $2,320,132 |
| Buildings | $1,296,288 | $484,379 | $1,780,667 |
| Land | $75,000 | - | $75,000 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Carolyn Brennan | Treasurer | FT | $239,884 | $41,148 | $281,032 |
| Julie Khourie | Nurse Staff | FT | $237,852 | $19,583 | $257,435 |
| Marie Hardy | Nurse Staff | FT | $158,038 | $41,270 | $199,308 |
| Caryl Andrade | Nurse Staff | FT | $187,955 | $37,417 | $187,955 |
| Andrea Howe | Nurse Staff | FT | $131,811 | $37,417 | $169,228 |
| Monica Banks | Nurse Staff | FT | $159,343 | - | $159,343 |
| Andre Blanchet | President | - | $44,408 | - | $44,408 |
| David Coulter | Director | - | $300 | - | $300 |
| Name | Title |
|---|---|
| Elizabeth Valerio | Director |
| Jacques Pelletier | Director |
| Steffani Santiago | Director |
| Daniel Kalus | Clerk |
| Patricia Luce | Clerk |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $11,955,682 |
| Other Expenses | $911,692 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,912,562 | $1,052,173 | - | $9,964,735 |
| Payroll Taxes | $743,022 | $87,718 | - | $830,740 |
| Other Employee Benefits | $586,987 | $69,347 | - | $656,334 |
| Pension Plan Contributions | $450,714 | $53,159 | - | $503,873 |
| Depreciation Depletion | - | $206,793 | - | $206,793 |
| Insurance | $69,292 | $12,228 | - | $81,520 |
| Advertising | $61,492 | $10,852 | - | $72,344 |
| Information Technology | - | $71,863 | - | $71,863 |
| Office Expenses | $45,288 | $10,331 | - | $55,619 |
| Other Expenses | $61,504 | $52,443 | - | $52,443 |
| All Other Expenses | $2,663 | $44,572 | - | $47,235 |
| Fees for Services Accounting | - | $46,000 | - | $46,000 |
| Travel | - | $22,878 | - | $22,878 |
| Fees for Services Other | - | $16,600 | - | $16,600 |
| Fees for Services Legal | - | $9,838 | - | $9,838 |
| Total Functional Expenses | $10,933,524 | $1,933,850 | $0 | $12,867,374 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $12,867,374 |
| Total Expenses per Audited Statements | $12,867,374 |
| Total Expenses per Form 990 | $12,867,374 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Matthew Brennan | Family Member | Salary | No | - |
| Matthew Brennan | Family Member | Benefits | No | - |
“The form 990 is reviewed by the treasurer. The treasurer provides board members with information concerning the form 990 as deemed necessary.”
“The treasurer/executive director is charged with the responsibility to monitor and enforce compliance with the conflict of interest policy. She knows each and every officer, board member, and employee and is aware of all transactions which might involve a conflict. When and if there is an issue it is dealt with informally.”
“The salary and benefits for the chief executive officer are approved by the president and the board of directors.”
“The salaries and benefits of other officers are approved by the president and board of directors. The salaries of other employees are set by senior members of management.”
“Copies of the articles of organization, bylaws, form 990, conflict of interest policy, and audited financial statements are kept on file in the organization's business office in westborough, massachusetts, and are available to the public upon request.”
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 | 711299 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1220071 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 873866 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1186469 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HOME HEALTH SERVICES, INCLUDING BUT NOT LIMITED TO NURSING SERVICES, TO MEDICALLY COMPLEX CHILDREN AND ADULTS, MANY OF WHOM ARE DEVELOPMENTALLY DISABLED. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 10852 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 61492 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 72344 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 44572 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 2663 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 47235 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | CAROLYN BRENNAN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5088451226 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 18 IVY PATH |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SHREWSBURY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 01545 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | true |
| IRS990/BusinessRlnWithOrgMemInd | 0 | true |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 973773 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1244953 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 323471 |
| IRS990/CYOtherExpensesAmt | 0 | 911692 |
| IRS990/CYOtherRevenueAmt | 0 | 2682856 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 14230360 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 4369313 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 11955682 |
| IRS990/CYTotalExpensesAmt | 0 | 12867374 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 17236687 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 206793 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 206793 |
| IRS990/Desc | 0 | HOME HEALTH SERVICES WERE PROVIDED TO APPROXIMATELY 74 INDIVIDUALS DURING THE FISCAL YEAR. BY THE END OF THE YEAR, APPROXIMATELY 2,900 HOURS PER WEEK OF NURSING SERVICES WERE PROVIDED. IN ADDITION, TRAINING AND EDUCATION WERE PROVIDED TO FAMILIES, CLINICIANS, AND OTHER STAKEHOLDERS IN THE PATIENTS' LIVES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 28187 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 172 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 10933524 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 46000 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 46000 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 9838 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 9838 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 16600 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 16600 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 41148 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 19583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 41270 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 37417 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CAROLYN BRENNAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JULIE KHOURIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARIE HARDY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CARYL ANDRADE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ANDREA HOWE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MONICA BANKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ANDRE BLANCHET |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAVID COULTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DANIEL KALUS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | PATRICIA LUCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JACQUES PELLETIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | STEFFANI SANTIAGO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ELIZABETH VALERIO |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 239884 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 237852 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 158038 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 187955 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 131811 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 159343 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 44408 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 300 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | NURSE STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | NURSE STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | NURSE STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | NURSE STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | NURSE STAFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CLERK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CLERK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 2002 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 17236687 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 11 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 71863 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 71863 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 12228 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 69292 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 81520 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 323471 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 323471 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 3 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2284730 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1682164 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1891069 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 4175799 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE HOME HEALTH SERVICES, INCLUDING BUT NOT LIMITED TO NURSING SERVICES, TO MEDICALLY COMPLEX CHILDREN AND ADULTS, MANY OF WHOM ARE DEVELOPMENTALLY DISABLED. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9799209 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 14168522 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 9771022 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 14168522 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 10331 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 45288 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 55619 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 69347 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 586987 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 656334 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 1 | COMMUNICATION |
| IRS990/OtherExpensesGrp/Desc | 2 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 101602 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 10854 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 54599 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 52443 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 61504 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 101602 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 72358 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 54599 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 52443 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621610 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | FEDERAL EMPLOYEE RETENTION CR |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 2682856 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 2682856 |
| IRS990/OtherRevenueTotalAmt | 0 | 2682856 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1052173 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8912562 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 9964735 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 87718 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 743022 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 830740 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 53159 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 450714 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 503873 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 54983 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 60469 |
| IRS990/PrincipalOfficerNm | 0 | CAROLYN BRENNAN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 531110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICAID REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 12175116 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 2055244 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 12175116 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 2055244 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 301499 |
| IRS990/PYOtherExpensesAmt | 0 | 1049594 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 11602046 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 905287 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 9948664 |
| IRS990/PYTotalExpensesAmt | 0 | 10998258 |
| IRS990/PYTotalRevenueAmt | 0 | 11903545 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 4369313 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 6925722 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 11005633 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 610248 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 74982 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1695091 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 2380321 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 323471 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 301499 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 130626 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 9371 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 47772 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 812739 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 14230360 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 11602046 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 11270052 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 11027995 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 9396206 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 57526659 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 323471 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 301499 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 130626 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 9371 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 47772 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 812739 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.01000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.01000 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearAmt | 0 | 2681856 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 2681856 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.66120 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.70180 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 41923097 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt | 0 | 4802011 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt | 0 | 3866949 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3171061 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3496435 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2647427 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 17983883 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt | 0 | 4802011 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt | 0 | 3866949 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3171061 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3496435 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt | 0 | 2647427 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 17983883 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 14230360 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 11602046 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 11880300 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 11102977 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 11091297 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 59906980 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 17235687 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 11903545 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 12010926 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 11112348 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 11139069 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 63401575 |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 1296288 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 484379 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 1780667 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 519781 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1800351 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2320132 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 12867374 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 75000 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 75000 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 17236687 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 1891069 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 12867374 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 17236687 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 17236687 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 12867374 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | false |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 239884 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 237852 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 158038 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 3 | 187955 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 4 | 131811 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 5 | 159343 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 41148 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 19583 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 41270 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 3 | 37417 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | CAROLYN BRENNAN |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | JULIE KHOURIE |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 2 | MARIE HARDY |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 3 | CARYL ANDRADE |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 4 | ANDREA HOWE |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 5 | MONICA BANKS |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | TREASURER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | NURSE STAFF |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 2 | NURSE STAFF |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 3 | NURSE STAFF |
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