Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
Elderserve Health Inc
EIN 80-0517818 • 501(c)3 • Bronx, NY
Profile
See schedule o.to serve frail elderly and disabled individuals with high quality services to help them maintain maximum independence and quality of life.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.66x
Liabilities / Revenue
13th percentile
Higher debt load relative to revenue than 13% of similar nonprofits.
Net Margin
24th percentile
Higher net margin than 24% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
22nd percentile
Faster asset growth than 22% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Balance Sheet
Assets
Up$223,017,693
Up $4,138,262 (+1.9%) from 2023
Liabilities
Down$146,581,520
Down $787,240 (-0.5%) from 2023
Net Assets
Up$76,436,173
Up $4,925,502 (+6.9%) from 2023
Revenue
Up$1,265,590,864
Up $131,339,507 (+12%) from 2023
Expenses
Up$1,262,206,822
Up $137,595,864 (+12%) from 2023
Net Income
Down$3,384,042
Down $6,256,357 (-65%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $223,017,693
- Liabilities
- $146,581,520
- Net assets
- $76,436,173
- Revenue
- $1,265,590,864
- Expenses
- $1,262,206,822
- Net income
- $3,384,042
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Nov 12, 2025
- Return Version
- 2024v5.1
- Gross Receipts
- $1,523,597,474
Mission and Program Overview
Mission
Managed long term care for frail, elderly, and disabled individuals.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $94,507,395 | $142,055,850 | ▲ $47,548,455 |
| Accounts Receivable | $78,320,719 | $49,419,128 | ▼ $28,901,591 |
| Intangible Assets | - | $8,861,290 | - |
| Cash and Non-Interest-Bearing Accounts | $30,378,730 | $7,205,832 | ▼ $23,172,898 |
| Land, Buildings, and Equipment, Net | $4,522,326 | $5,229,386 | ▲ $707,060 |
| Savings and Temporary Cash Investments | $1,477,829 | $1,475,142 | ▼ $2,687 |
| Prepaid Expenses and Deferred Charges | $377,764 | $438,194 | ▲ $60,430 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $218,879,431 | $223,017,693 | ▲ $4,138,262 |
| Other Assets Total | $9,294,668 | $8,332,871 | ▼ $961,797 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $77,838,690 | $84,107,136 | ▲ $6,268,446 |
| Other Liabilities | $60,463,430 | $54,837,376 | ▼ $5,626,054 |
| Unsecured Notes Loans Payable | $9,066,640 | $7,637,008 | ▼ $1,429,632 |
| Total Liabilities | $147,368,760 | $146,581,520 | ▼ $787,240 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $71,510,671 | $76,436,173 | ▲ $4,925,502 |
| Total Net Assets Fund Balance | $71,510,671 | $76,436,173 | ▲ $4,925,502 |
| Total Liabilities and Net Assets / Fund Balance | $218,879,431 | $223,017,693 | ▲ $4,138,262 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,599,952 | $4,831,011 | $6,430,963 |
| Leasehold Improvements | $116,041 | $4,199,343 | $4,315,384 |
| Other Land Buildings | $3,513,393 | $502,213 | $4,015,606 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Susan Aldrich | CEO/executive VP | FT | $703,297 | $296,170 | $999,467 |
| Peter K Davidson | Medical Director | FT | $309,987 | $159,563 | $469,550 |
| Jenny Ling | Sr. VP of Regulatory Affairs | FT | $399,200 | $66,182 | $465,382 |
| John Kehoe | Sr. VP OF FINANCE | FT | $377,473 | $63,117 | $440,590 |
| Julieanne J Lau | Sr. VP of Clinical Operations | FT | $291,720 | $77,373 | $369,093 |
| Irina Vainrib | VP of Clinical Operations | FT | $285,330 | $59,379 | $344,709 |
| Camille Sands | VP OF Outreach | FT | $293,311 | $37,399 | $330,710 |
| Elizabeth Musto | MLTC-AVP of ISNP | FT | $303,377 | $21,413 | $324,790 |
| Michelle A Lugo | MLTC-VP Finance | FT | $283,480 | $23,745 | $307,225 |
| Marcia Konrad | Senior VP of Quality | FT | $275,000 | $21,407 | $296,407 |
Board Members and Trustees
| Name | Title |
|---|---|
| Jeffrey S Mauer | Chair |
| Daniel Reingold | President |
| Andrew L Gaines | Vice Chair |
| Constantine Dimas | Trustee |
| David Sable | Trustee |
| Eliot Engel | Trustee |
| Isabel Rivera | Trustee |
| James Shifren | Trustee |
| Jonathan Resnick | Trustee |
| Lawrence J Burian | Trustee |
| Margot Nones | Trustee |
| Martin Hoffman | Trustee |
| Michele R Cohen | Trustee |
| Thomas S Rogers | Trustee |
| Timothy Baxter | Trustee |
| David Pomeranz | Chief Operating Officer |
| Carl Wilner | Interim CFO |
| Joseph Wygoda | Secretary & Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| S&A Unified Home Care | Home Care | 2729 Coney Island Ave, Brooklyn, NY 11235 | $45,876,068 |
| Good Care Agency Inc | Home Care | 2671 Coney Island Ave, Brooklyn, NY 11235 | $36,887,850 |
| Americare Inc | Home Care | 171 Kings Highway, Brooklyn, NY 11223 | $34,384,373 |
| Assistcare Home Health Services LLC | Home Care | 5520 13th Avenue, Brooklyn, NY 11219 | $24,216,013 |
| BNV Home Care Agency Inc | Home Care | 9660 Queens Blvd, Rego Park, NY 11374 | $24,019,669 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $0
- Program Service Revenue
- $1,261,444,388
- Investment Income
- $4,146,476
- Other Revenue
- $0
- Change in Net Assets
- $3,384,042
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $1,265,258,008
- Revenue Not Reported on Financial Statements
- $332,856
- Revenue Not Reported on Form 990
- $670,460
- Other Revenue Adjustments
- $0
- Total Revenue per Audited Statements
- $1,265,928,468
- Total Revenue per Form 990
- $1,265,590,864
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Other Expenses | $1,204,228,260 |
| Salaries, Compensation, and Employee Benefits | $57,978,562 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $1,160,846,707 | $5,257,309 | $0 | $1,166,104,016 |
| Other Salaries and Wages | $33,502,229 | $10,071,168 | - | $43,573,397 |
| Fees for Services Management | - | $20,749,923 | - | $20,749,923 |
| Other Employee Benefits | $5,141,012 | $1,742,982 | - | $6,883,994 |
| Information Technology | - | $4,455,701 | - | $4,455,701 |
| Depreciation Depletion | - | $3,415,440 | - | $3,415,440 |
| Payroll Taxes | $2,490,894 | $875,909 | - | $3,366,803 |
| Insurance | - | $3,188,124 | - | $3,188,124 |
| Pension Plan Contributions | $1,760,693 | $559,733 | - | $2,320,426 |
| Office Expenses | - | $2,050,120 | - | $2,050,120 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,833,942 | - | $1,833,942 |
| Occupancy | - | $1,365,034 | - | $1,365,034 |
| Advertising | - | $1,050,174 | - | $1,050,174 |
| Fees for Services Legal | - | $573,278 | - | $573,278 |
| Interest | - | $366,000 | - | $366,000 |
| Fees for Service Investment Mgmnt Fees | - | $332,856 | - | $332,856 |
| Travel | - | $308,934 | - | $308,934 |
| Fees for Services Accounting | - | $236,160 | - | $236,160 |
| Fees for Services Lobbying | - | $32,500 | - | $32,500 |
| Total Functional Expenses | $1,203,741,535 | $58,465,287 | $0 | $1,262,206,822 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $1,262,206,822 |
| Expenses per Audited Statements | $1,261,873,966 |
| Total Expenses per Audited Statements | $1,261,873,966 |
| Expenses Not Reported on Financial Statements | $332,856 |
| Expenses Not Reported on Form 990 | $0 |
| Other Expense Adjustments | $0 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Federal Income Taxes | $42,154,188 |
| Premium deficiency reserve | $11,457,638 |
| Due to third parties | $1,225,550 |
| due to hebrew home | $0 |
| Subvention Payable | - |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- No
- 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
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Line 6 Classes of members or stockholders
“Riverspring health holding corp. Is the sole member of elderserve health, inc”
Form 990, Part VI, Line 11B Review of form 990 by governing body
“The audit committee reviews the 990 with the chief executive officer, chief financial officer, chief operating officer, executive vice president, and the preparer, and reports their findings to the full board of directors. The complete 990 is also made available for the entire board of directors to review and comment.”
Form 990, Part VI, Line 12C Conflict of interest policy
“The audit committee reviews the 990 with the chief executive officer, chief financial officer, chief operating officer, executive vice president, and the preparer, and reports their findings to the full board of directors. The complete 990 is also made available for the entire board of directors to review and comment.”
Form 990, Part VI, Line 15A Process to establish compensation of top management official
“The audit committee reviews the 990 with the chief executive officer, chief financial officer, chief operating officer, executive vice president, and the preparer, and reports their findings to the full board of directors. The complete 990 is also made available for the entire board of directors to review and comment.”
Form 990, Part VI, Line 15B Process to establish compensation of other employees
“The audit committee reviews the 990 with the chief executive officer, chief financial officer, chief operating officer, executive vice president, and the preparer, and reports their findings to the full board of directors. The complete 990 is also made available for the entire board of directors to review and comment.”
Form 990, Part VI, Line 19 Required documents available to the public
“These documents are available upon request.”
Filing and Contact Details
Filer
- Filer Name
- Elderserve Health Inc
- EIN
- 80-0517818
- Phone
- 7185811000
- Address
- 5901 PALISADE AVENUE, BRONX, NY 10471
Signing Officer
- Name
- Susan Aldrich
- Title
- CEO/executive VP
- Phone
- 7185811000
- Signed
- 2025-11-12
- Discuss with paid preparer
- Yes
Organization Details
- Formed
- 2009
- Voting Board Members
- 16
- Independent Board Members
- 16
- Employees
- 429
- Volunteers
- 16
Preparer
- Firm
- Forvis Mazars LLP
- Address
- 135 West 50th Street, New York, NY 10020
- Preparer
- Aaron Shapiro
- Phone
- 2128127000
Supplemental Narrative
Additional Explanations
Form 990, Part III, Line 1
“The mission of elderserve health, inc. Is to serve frail, elderly, and disabled individuals with high quality services to help them maintain maximum independence and quality of life. Elderserve health, inc. Is part of riverspring living, a group of long term care affiliates under this common brand name. Riverspring living serves older adults of all faiths through compassionate care and vibrant community engagement. Guided by jewish values and our non-profit mission, it advocates and celebrates a vision of empowered aging. Riverspring living's programs and services include managed care, senior housing, home care, assisted living, rehabilitation and skilled nursing services and specialized services such as elder justice and memory care. Collectively, riverspring empowers over 18,000 patients, residents and members to live forward every day.”
Form 990, Part IX, Line 11G Other Fees
“Personal Care Workers - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: , Fundraising Expenses: ; Nursing - Total Expense: 43989912, Program Service Expense: 43989912, Management and General Expenses: , Fundraising Expenses: ; Transportation - Total Expense: 7870564, Program Service Expense: 7870564, Management and General Expenses: , Fundraising Expenses: ; Social Day Care - Total Expense: 15972740, Program Service Expense: 15972740, Management and General Expenses: , Fundraising Expenses: ; Physical Therapy - Total Expense: 2848745, Program Service Expense: 2848745, Management and General Expenses: , Fundraising Expenses: ; Medical Supplies - Total Expense: 12917808, Program Service Expense: 12917808, Management and General Expenses: , Fundraising Expenses: ; Dental - Total Expense: 2197526, Program Service Expense: 2197526, Management and General Expenses: , Fundraising Expenses: ; Other consulting - Total Expense: XXX-XX-XXXX, Program Service Expense: 196009784, Management and General Expenses: 5257309, Fundraising Expenses: ;”
Form 990, Part XI, Line 9 Other changes in net assets or fund balances
“CHANGE IN PREMIUM DEFICIENCY RESERVE - 871000; Total - 871000;”
Financial Statement Notes
Schedule D, Part X, Line 2 ASC 740 FOOTNOTE
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 7.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 3.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 2.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 34.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 10.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 5.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 25.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 35.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 35.0 |
| 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/HighestCompensatedEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 6 | 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/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | 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/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| 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/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 62865 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 67207 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 34843 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 38754 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 33766 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 51713 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 31286 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 20190 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 50885 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 22969 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 15845 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 22408 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 59451 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | ANDREW L GAINES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JEFFREY S MAUER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JOSEPH WYGODA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CONSTANTINE DIMAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DAVID SABLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ELIOT ENGEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ISABEL RIVERA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | James Shifren |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JAMES SHIFREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Jonathan Resnick |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LAWRENCE J BURIAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | MARTIN HOFFMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHELE R COHEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | THOMAS S ROGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | TIMOTHY BAXTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | CARL WILNER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DANIEL REINGOLD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | DAVID POMERANZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MARGOT NONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | SUSAN ALDRICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | JENNY LING |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Julieanne J Lau |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | CAMILLE SANDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | Elizabeth Musto |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | IRINA VAINRIB |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | John Kehoe |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | MARCIA KONRAD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | Michelle A Lugo |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | Peter K Davidson |
| 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 | 0 |
| 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/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 960713 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 431616 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 317380 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 299424 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 304600 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 293824 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 417621 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 280562 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 284817 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 410099 |
| 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/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 419816 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1759233 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 898166 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY & TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | INTERIM CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CEO/EXECUTIVE VP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | SR. VP OF REGULATORY AFFAIRS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | SR. VP OF CLINICAL OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | VP OF Outreach |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | MLTC-AVP of ISNP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | VP OF CLINICAL OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | Sr. VP OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | SENIOR VP OF QUALITY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | MLTC-VP Finance |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | Medical Director |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2009 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -299661 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 16 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 257706949 |
| IRS990/GrossReceiptsAmt | 0 | 1523597474 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 16 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 213 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 4455701 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4455701 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 3188124 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3188124 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 8861290 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 366000 |
| IRS990/InterestGrp/TotalAmt | 0 | 366000 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4446137 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4446137 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 94507395 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 142055850 |
| IRS990/IRPDocumentCnt | 0 | 16 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 9532567 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4522326 |
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