ISLAND NURSING HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ISLAND NURSING HOME INC (EIN 51-0172239)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-01
IRS object ID: 202321219349300242
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-01T12:17:50-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010523282	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Berry Dunn McNeil & Parker LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2211 Congress St	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	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	2023-04-28	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Joseph R Byrne	PreparerPersonNm
PTIN	P01289281	PTIN
Phone	2077752387	PhoneNum
Preparation	2023-04-28	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	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	$2,260,352	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.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	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	116	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,033,280	PYContributionsGrantsAmt
CY Contributions Grants	$226,355	CYContributionsGrantsAmt
PY Program Service Revenue	$4,903,814	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,759,157	CYProgramServiceRevenueAmt
PY Investment Income	$56,696	PYInvestmentIncomeAmt
CY Investment Income	$18,517	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$5,993,790	PYTotalRevenueAmt
CY Total Revenue	$2,004,029	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$3,103,889	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,446,917	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,305,249	PYOtherExpensesAmt
CY Other Expenses	$1,368,472	CYOtherExpensesAmt
PY Total Expenses	$6,409,138	PYTotalExpensesAmt
CY Total Expenses	$2,815,389	CYTotalExpensesAmt
PY Revenues Less Expenses	-$415,348	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$811,360	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,961,696	TotalAssetsBOYAmt
Total Assets EOY	$3,398,014	TotalAssetsEOYAmt
Total Liabilities BOY	$674,926	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$151,840	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,286,770	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,246,174	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	0	SignificantNewProgramSrvcInd
Significant Change	Yes (1)	SignificantChangeInd
Expense	$2,053,560	ExpenseAmt
Revenue	$1,759,157	RevenueAmt
Desc	Nursing Home Care - Seventy-bed long term care facility offering skilled nursing, residential and ancillary services to medically needy residents.	Desc
Total Program Service Expenses	$2,053,560	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	8	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	116	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deborah Adkins	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2073482351	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	587 North Deer Isle Rd	AddressLine1Txt
City	Deer Isle	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04627	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Ronda Dodge
President	25.00	Yes (X)	Yes (X)	$0	$0	$0
Leon Weed
Vice President	3.00	Yes (X)	Yes (X)	$0	$0	$0
Skip Greenlaw
Treasurer	20.00	Yes (X)	Yes (X)	$0	$0	$0
Tim Hoechst
Secretary	12.00	Yes (X)	Yes (X)	$0	$0	$0
Gidget Fagerberg
Director	3.00	Yes (X)		$0	$0	$0
Roberta Johnson
Director	2.00	Yes (X)		$0	$0	$0
Cindy Lash
Director	2.00	Yes (X)		$0	$0	$0
Karen Vickerson
Director	2.00	Yes (X)		$0	$0	$0
Judy Williams
Past Vice President	3.00	Yes (X)	Yes (X)	$0	$0	$0
Jeffrey Dalrymple
Past Treasurer	3.00	Yes (X)	Yes (X)	$0	$0	$0
Deborah Ludlow
Past Secretary	3.00	Yes (X)	Yes (X)	$0	$0	$0
Debbie Alley
Past Director	3.00	Yes (X)		$0	$0	$0
Barbara Chesney
Past Director	2.00	Yes (X)		$0	$0	$0
Brenda Colson
Past Director	2.00	Yes (X)		$0	$0	$0
Clare Grindal
Past Director	2.00	Yes (X)		$0	$0	$0
Kim Lengert
Past Director	5.00	Yes (X)		$0	$0	$0
Linda Nelson
Past Director	5.00	Yes (X)		$0	$0	$0
Deborah Adkins
Finance Controller	50.00		Yes (X)	$70,714	$0	$0
Matthew Trombley
Past Executive Director	50.00		Yes (X)	$215,785	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$286,499	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Prime Time Healthcare LLC
15380 Weir Street	Omaha	NE	68137	Medical Staffing Services	$732,921
Arete Rehabilitation
1 Stiles Road Suite 203	Salem	NH	03079	Therapy Services	$321,250
Maxim Healthcare Staffing Inc
12558 Collections Center Dr	Chicago	IL	60693	Medical Staffing Services	$206,521

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Government Grants	$193,160	GovernmentGrantsAmt
All Other Contributions	$33,195	AllOtherContributionsAmt
Total Contributions	$226,355	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenu	623000	$1,727,495	$1,727,495
Miscellaneous	623000	$31,662	$31,662

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,759,157	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,568	TotalRevenueColumnAmt
Exclusion	$31,568	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$243,272	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$256,323	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$13,051	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$13,051	TotalRevenueColumnAmt
Exclusion	-$13,051	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,004,029	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,759,157	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$18,517	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$163,699	TotalAmt
Management And General	$163,699	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$783,630	TotalAmt
Program Services	$635,024	ProgramServicesAmt
Management And General	$148,606	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$410,371	TotalAmt
Program Services	$240,590	ProgramServicesAmt
Management And General	$169,781	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$89,217	TotalAmt
Program Services	$62,670	ProgramServicesAmt
Management And General	$26,547	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$33,581	TotalAmt
Management And General	$33,581	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$76,846	TotalAmt
Management And General	$76,846	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$520,897	TotalAmt
Program Services	$494,651	ProgramServicesAmt
Management And General	$26,246	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,390	TotalAmt
Program Services	$6,390	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,283	TotalAmt
Program Services	$22,239	ProgramServicesAmt
Management And General	$16,044	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,567	TotalAmt
Management And General	$2,567	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$92,161	TotalAmt
Program Services	$92,161	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,605	TotalAmt
Program Services	$5,605	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$161	TotalAmt
Management And General	$161	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$216,255	TotalAmt
Program Services	$216,255	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$55,098	TotalAmt
Program Services	$51,146	ProgramServicesAmt
Management And General	$3,952	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Miscellanous	$130,770	$36,971	$93,799
Supplies	$82,798	$82,798
Provider Tax Expense	$63,692	$63,692
Food	$43,368	$43,368

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,815,389	TotalAmt
Program Services	$2,053,560	ProgramServicesAmt
Management And General	$761,829	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part X	Yes (X)	InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$600	BOYAmt
EOY	$600	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$536,599	BOYAmt
EOY	$130,493	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$514,055	BOYAmt
EOY	$13,060	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$38,134	BOYAmt
EOY	$10,902	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,606	BOYAmt
EOY	$818	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$5,490,117	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,091,957	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,561,426	BOYAmt
EOY	$1,398,160	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,178,418	BOYAmt
EOY	$1,724,138	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$116,858	BOYAmt
EOY	$119,843	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,961,696	BOYAmt
EOY	$3,398,014	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$630,155	BOYAmt
EOY	$90,705	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$44,771	BOYAmt
EOY	$393	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$60,742	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$674,926	BOYAmt
EOY	$151,840	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	$2,636,183	BOYAmt
EOY	$1,908,436	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,650,587	BOYAmt
EOY	$1,337,738	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,286,770	BOYAmt
EOY	$3,246,174	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,961,696	BOYAmt
EOY	$3,398,014	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$811,360	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$229,236	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	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	0	FSAuditedInd
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	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	$78,409	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$100,763	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$89,640	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,033,280	CurrentTaxYearMinus1YearAmt
Current Tax Year	$226,355	CurrentTaxYearAmt
Total	$1,528,447	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,468,468	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,380,920	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,579,151	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,903,814	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,759,157	CurrentTaxYearAmt
Total	$22,091,510	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,546,877	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,481,683	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,668,791	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,937,094	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,985,512	CurrentTaxYearAmt
Total	$23,619,957	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$8,530	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,437	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$650	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,200	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,360	CurrentTaxYearAmt
Total	$24,177	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,127,549	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,359,114	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,474,908	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$969,424	CurrentTaxYearMinus1YearAmt
Current Tax Year	$138,680	CurrentTaxYearAmt
Total	$5,069,675	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,136,079	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,361,551	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,475,558	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$975,624	CurrentTaxYearMinus1YearAmt
Current Tax Year	$145,040	CurrentTaxYearAmt
Total	$5,093,852	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$18,526,105	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$41,790	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$39,031	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$39,652	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$34,475	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,568	CurrentTaxYearAmt
Total	$186,516	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$41,790	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$39,031	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$39,652	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$34,475	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,568	CurrentTaxYearAmt
Total	$186,516	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,588,667	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,520,714	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,708,443	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,971,569	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,017,080	CurrentTaxYearAmt
Total	$23,806,473	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.77820	PublicSupportCY509Pct
Public Support PY509	0.77210	PublicSupportPY509Pct
Investment Income CY	0.00780	InvestmentIncomeCYPct
Investment Income PY	0.00770	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

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,142,878	BeginningYearBalanceAmt
Contributions	$16,409	ContributionsAmt
Investment Earnings Or Losses	$108,127	InvestmentEarningsOrLossesAmt
Other Expenditures	$73,248	OtherExpendituresAmt
End Year Balance	$1,194,166	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.85980	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.14020	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	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	$2,765,694	DepreciationAmt
Book Value	$993,504	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,298,554	OtherCostOrOtherBasisAmt
Depreciation	$958,697	DepreciationAmt
Book Value	$339,857	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$377,075	OtherCostOrOtherBasisAmt
Depreciation	$367,566	DepreciationAmt
Book Value	$9,509	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,398,160	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Refundable Advances	Desc
Amt	$60,742	Amt

Field	Value	IRS element (for citing)
Total Liability	$60,742	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	The Organization holds private funds for residents and provides these funds to the resident, as requested, for various personal expenses.
Part V, Line 4:	Intended use of earnings on endowment funds include funding for scholarships and operating activities of the nursing home.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	Matthew Trombley	PersonNm
Title	Past Executive Director	TitleTxt
Base Compensation Filing Org	$138,169	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$25,000	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$52,616	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$215,785	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 4a	During calendar year 2021, Matthew Trombley received a severance payment in the amount of $37,500.
Part I, Line 7	Matthew Trombley received a bonus of $25,000 from the Organization during calender year 2021. The bonus was approved by the Board of Directors and was in recognition of Mr. Trombley's performance over the past year.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, line 3	Organization closed the Nursing Home and Residential Care operations in October 2021 due to severe staffing shortages. Options are being explored for potential reopening of the Residential Care facility.
Form 990, Part VI, Section B, 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, Part VI, Section B, 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, Part VI, Section B, 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, Part VI, Section C, line 19	The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part IX, line 11g	Other Services: Program service expenses 429,929. Management and general expenses 26,246. Fundraising expenses 0. Total expenses 456,175. Therapy services: Program service expenses 64,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,722.
Form 990, Part X, Line 10: Land, Buildings, and Equipment	Section 1.263(a)-3(n) Election: Island Nursing Home, Inc. 587 North Deer Isle Road Deer Isle, ME 04627 EIN: 51-0172239 Section 1.263(a)-3(n) Election: Island Nursing Home, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).