ISLAND NURSING HOME INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ISLAND NURSING HOME INC (EIN 51-0172239)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-03-27
- IRS object ID
- 202430879349300743
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-03-27T15:25:25-04:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 830772076 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LG&H | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12 STILLWATER AVE STE 5 | AddressLine1Txt |
| City | BANGOR | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510172239 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ISLAND NURSING HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ISLA | BusinessNameControlTxt |
| Phone | 2073482351 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 587 NORTH DEER ISLE ROAD | AddressLine1Txt |
| City | DEER ISLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04627 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEON WEED | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2073482351 | PhoneNum |
| Signature | 2024-03-01 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LEON | PersonFirstNm |
| Person Last | WEED | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWN L CHAREST CPA | PreparerPersonNm |
| PTIN | P01758513 | PTIN |
| Phone | 2079904585 | PhoneNum |
| Preparation | 2024-03-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DEBORAH ADKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 587 NORTH DEER ISLE ROAD | AddressLine1Txt |
| City | DEER ISLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04627 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,458,822 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ISLANDNURSINGHOME.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | ISLAND NURSING HOME IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF INNOVATIVE AND QUALITY HEALTHCARE TO AN AGING POPULATION WHILE MAINTAINING COMMUNITY RELATIONSHIPS AND HONORING OUR CORE VALUES OF CARE, COMPASSION, AND SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 5 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $226,355 | PYContributionsGrantsAmt |
| CY Contributions Grants | $154,750 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,759,157 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $39,278 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,517 | PYInvestmentIncomeAmt |
| CY Investment Income | $787,544 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,004,029 | PYTotalRevenueAmt |
| CY Total Revenue | $981,572 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,446,917 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $137,219 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $5,980 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,368,472 | PYOtherExpensesAmt |
| CY Other Expenses | $491,868 | CYOtherExpensesAmt |
| PY Total Expenses | $2,815,389 | PYTotalExpensesAmt |
| CY Total Expenses | $629,087 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$811,360 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $352,485 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,398,014 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,849,048 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $151,840 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $166,292 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,246,174 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,682,756 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ISLAND NURSING HOME IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF INNOVATIVE AND QUALITY HEALTHCARE TO AN AGING POPULATION WHILE MAINTAINING COMMUNITY RELATIONSHIPS AND HONORING OUR CORE VALUES OF CARE, COMPASSION, AND SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $200,983 | ExpenseAmt |
| Revenue | $39,278 | RevenueAmt |
| Desc | NURSING HOME CARE - 32-BED LONG TERM CARE FACILITY OFFERING SKILLED NURSING, RESIDENTIAL AND ANCILLARY SERVICE TO MEDICALLY NEEDY RESIDENTS THAT CLOSED. EXPLORING OPTIONS TO REOPEN AS A RESIDENTIAL CARE FACILITY. | Desc |
| Total Program Service Expenses | $200,983 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 5 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORAH ADKINS | PersonNm |
| Phone | 2073482351 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 587 NORTH DEER ISLE ROAD | AddressLine1Txt |
| City | DEER ISLE | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04627 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| DEBORAH ADKINS | ||||||
| FINANCE CONT | 40.00 | Yes (X) | $63,336 | $0 | $0 | |
| HEIDI GILLEN | ||||||
| DIRECTOR | 2.00 | $18,803 | $0 | $0 | Yes (X) | |
| JOANNA BENTLEY | ||||||
| DIRECTOR | 10.00 | $0 | $0 | $0 | Yes (X) | |
| BRIAN BILLINGS | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| BILL COHEN | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RONDA DODGE | ||||||
| PAST PRESIDE | 20.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JEFF EATON | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| GIDGET FAGERBERG | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SKIP GREENLAW | ||||||
| TREASURER | 15.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TIM HOECHST | ||||||
| PAST SECRETA | 10.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ROBERTA JOHNSON | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| CINDY LASH | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| DONNA STINSON | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| KAREN VICKERSON | ||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | |
| LEON WEED | ||||||
| PRESIDENT | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $82,139 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $154,750 | AllOtherContributionsAmt |
| Noncash Contributions | $117,950 | NoncashContributionsAmt |
| Total Contributions | $154,750 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT SERVICE REVENUE | Desc |
| Total Revenue Column | $39,278 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,278 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $39,278 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,904 | TotalRevenueColumnAmt |
| Exclusion | $25,904 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $517,390 | SecuritiesAmt |
| Other | $721,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $450,204 | SecuritiesAmt |
| Other | $27,046 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $67,186 | SecuritiesAmt |
| Other | $694,454 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $761,640 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $694,454 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $67,186 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $981,572 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $733,732 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $93,090 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,336 | TotalAmt |
| Management And General | $63,336 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,888 | TotalAmt |
| Management And General | $46,888 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,995 | TotalAmt |
| Management And General | $26,995 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,100 | TotalAmt |
| Management And General | $41,100 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,786 | TotalAmt |
| Management And General | $57,786 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,295 | TotalAmt |
| Management And General | $19,295 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,361 | TotalAmt |
| Program Services | $4,466 | ProgramServicesAmt |
| Management And General | $5,915 | ManagementAndGeneralAmt |
| Fundraising | $5,980 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,082 | TotalAmt |
| Management And General | $49,082 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3 | TotalAmt |
| Management And General | $3 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,519 | TotalAmt |
| Program Services | $196,517 | ProgramServicesAmt |
| Management And General | $2 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,222 | TotalAmt |
| Management And General | $24,222 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| IT EXPENSES | $56,547 | $56,547 |
| MAINT SUPPLIES/REPAIRS | $26,213 | $26,213 |
| VEHICLE EXPENSE | $3,398 | $3,398 |
| BANK CHARGES | $919 | $919 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423 | TotalAmt |
| Management And General | $423 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,087 | TotalAmt |
| Program Services | $200,983 | ProgramServicesAmt |
| Management And General | $422,124 | ManagementAndGeneralAmt |
| Fundraising | $5,980 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600 | BOYAmt |
| EOY | $5,704 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,493 | BOYAmt |
| EOY | $317,695 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,060 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,902 | BOYAmt |
| EOY | $29,700 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $818 | BOYAmt |
| EOY | $1,048 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,463,898 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,286,023 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,398,160 | BOYAmt |
| EOY | $1,177,875 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,724,138 | BOYAmt |
| EOY | $2,195,799 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,843 | BOYAmt |
| EOY | $121,227 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,398,014 | BOYAmt |
| EOY | $3,849,048 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,705 | BOYAmt |
| EOY | $34,777 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,742 | BOYAmt |
| EOY | $131,515 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,840 | BOYAmt |
| EOY | $166,292 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,908,436 | BOYAmt |
| EOY | $2,227,097 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,337,738 | BOYAmt |
| EOY | $1,455,659 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,246,174 | BOYAmt |
| EOY | $3,682,756 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,398,014 | BOYAmt |
| EOY | $3,849,048 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $352,485 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $84,097 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $100,763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $89,640 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,033,280 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,355 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $154,750 | CurrentTaxYearAmt |
| Total | $1,604,788 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,380,920 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,579,151 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,903,814 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,759,157 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,278 | CurrentTaxYearAmt |
| Total | $17,662,320 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,481,683 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,668,791 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,937,094 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,985,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $194,028 | CurrentTaxYearAmt |
| Total | $19,267,108 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,437 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,200 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,050 | CurrentTaxYearAmt |
| Total | $31,697 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,359,114 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,474,908 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $969,424 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $138,680 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,278 | CurrentTaxYearAmt |
| Total | $3,976,404 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,361,551 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,475,558 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $975,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $145,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,328 | CurrentTaxYearAmt |
| Total | $4,008,101 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,259,007 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,031 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,652 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,475 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,904 | CurrentTaxYearAmt |
| Total | $170,630 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,031 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,652 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,475 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,904 | CurrentTaxYearAmt |
| Total | $170,630 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,520,714 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,708,443 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,971,569 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,017,080 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $219,932 | CurrentTaxYearAmt |
| Total | $19,437,738 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.78500 | PublicSupportCY509Pct |
| Public Support PY509 | 0.77820 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,233,345 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $131,194 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,364,539 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,489,908 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$163,291 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $93,272 | AdministrativeExpensesAmt |
| End Year Balance | $1,233,345 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,199,269 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $365,019 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $74,380 | OtherExpendituresAmt |
| End Year Balance | $1,489,908 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,209,232 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $67,190 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $77,153 | OtherExpendituresAmt |
| End Year Balance | $1,199,269 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,194,166 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $89,907 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $74,841 | OtherExpendituresAmt |
| End Year Balance | $1,209,232 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.77710 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22290 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,290 | OtherCostOrOtherBasisAmt |
| Book Value | $55,290 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,759,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,914,637 | DepreciationAmt |
| Book Value | $844,561 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,272,335 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,002,481 | DepreciationAmt |
| Book Value | $269,854 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $377,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $368,905 | DepreciationAmt |
| Book Value | $8,170 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,177,875 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE DONATIONS | $70,773 |
| REFUNDABLE ADVANCES | $60,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $131,515 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 2, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | INTENDED USE OF EARNINGS ON EDNOWMENT FUNDS INCLUDE FUNDING FOR SCHOLARSHIPS AND OPERATING ACTIVITIES OF THE NURSING HOME. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $117,950 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MEAN VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | ISLAND NURSING HOME IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF INNOVATIVE AND QUALITY HEALTHCARE TO AN AGING POPULATION WHILE MAINTAINING COMMUNITY RELATIONSHIPS AND HONORING OUR CORE VALUES OF CARE, COMPASSION, AND SERVICE. |
| FORM 990, PAGE 2, PART III, LINE 3 | ORGANIZATION CLOSED THE NURSING HOME AND RESIDENTIAL CARE OPERATIONS IN OCTOBER 2021 DUE TO SEVERE STAFFING SHORTAGES. OPTIONS ARE STILL BEING EXPLORED FOR POTENTIAL REOPENING OF THE RESIDENTIAL CARE FACILITY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WAS PROVIDED TO THE GOVERNING BODY BY EMAIL PRIOR TO BEING FILED. IT WAS REVIEWED BY THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT, WHICH AFFIRMS SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, AND (C) HAS COMPLIED WITH THE POLICY. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST TRANSACTION SHALL BE APPROVED OR RATIFIED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE ADMINISTRATOR IS REVIEWED ANNUALLY BY THE BOARD. THE PROCESS FOR DETERMINING THE ADMINISTRATOR'S COMPENSATION INCLUDES A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD. THIS OCCURS ON A PERIODIC BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VIII | FORM 990, PART VIII LINE 7(A) COLUMN (II) INCLUDES 700,000 FROM THE SALE OF BED RIGHTS WITH A 0 COST BASIS. |