Extraordinary Home Care Dba St Marys Home Care

Nonprofit profile at a glance

EIN
272021133
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Bayside, NY, USA
Phone
7182818835
Rating
73
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Support Services

Official website

Reported finances

Revenue
$38,224,503
Expenses
$40,376,394
Assets
$11,622,394
Liabilities
$26,480,657

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

15 people listed

Executive titles in this filing

  • EDWIN F SIMPSER MD (President & CEO)

Highest reported compensation

  • EDWIN F SIMPSER MD (President & CEO): $1,019,859 total reported compensation
  • WILLIAM L MEAD (COO/CFO): $682,205 total reported compensation
  • CARLA CANGEMI (VP/CMO): $556,378 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

A certified home health agency (chha) providing home-based therapy and related rehabilitation services to children and young adults with special needs.

What it reported doing in 2024

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.

Operating model

Revenue model
Earned-program. 96% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 65
  • Accountability: 81
  • Sustainability: 15
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 90.6%; rating input score 91
  • Program expense ratio: 86.4%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 11th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -5.6%; rating input score 15; 15th percentile among comparable filings
  • Total-asset coverage ratio: 0.29; rating input score 7; 7th percentile among comparable filings
  • Liabilities to assets ratio: 2.28; rating input score 1; 1st percentile among comparable filings
  • Officer compensation ratio: 4.7%; rating input score 53; 53rd percentile among comparable filings

Growth

  • Program expense growth: 3.4% per year; rating input score 100; 29th percentile among comparable filings
  • Revenue growth: 8.8% per year; rating input score 100; 69th percentile among comparable filings
  • Asset growth: 9.8% per year; rating input score 100; 64th percentile among comparable filings

Details

  • Where the money goes: 90.6% of revenue deployed · 86.4% of spending went to programs
  • Governance: 2 of 3 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $34.9M in reported program spending
  • Leadership: top reported pay $1M · 15 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.8M reported
  • Consistency: 31 of 31 current checks pass
  • Schedules: 7 filed schedules · includes major donors and executive pay
  • Filing history: 13 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 6 filed money-flow records
  • Related organizations: 7 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 15/100.
  • High — Sustainability: Total-asset coverage ratio scored 7/100.
  • High — Sustainability: Liabilities to assets ratio scored 1/100.
  • Review — Sustainability: Officer compensation ratio scored 53/100.