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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH Case Management 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.SMH Case Management 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. SMH Case Management 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. SMH Case Management has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Once a year, each board member, officer or key employee of the organization completes a conflict of interest questionnaire, statement and acknowledgement which confirm 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Salaries for the Executive team are paid by 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SMH Case Management, Inc. makes its organizing documents, conflict of interest policy and financial statements available to the public upon request and at managements discretion.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>ST MARYS HEALTHCARE SYSTEM FOR</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>CHILDREN INC 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>11360</ZIPCd>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ST MARYS COMMUNITY CARE PROFESSIONALS</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>CORP 29-01 216TH STREET</AddressLine1Txt>
          <CityNm>BAYSIDE</CityNm>
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          <ZIPCd>11360</ZIPCd>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>SMH ADMINISTRATIVE SERVICES</BusinessNameLine1Txt>
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        <EIN>271529374</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT AND SUPPORTING SERV.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>TYPE II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ST MARYS REHABILITATION CENTER FOR</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>NY</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>EXTRAORDINARY HOME CARE DBA ST MARYS</BusinessNameLine1Txt>
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      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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