ISLANDS COMMUNITY MEDICAL SERVICES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ISLANDS COMMUNITY MEDICAL SERVICES INC (EIN 01-6012835)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2021-10-19
IRS object ID: 202122929349300502
Schema version: 2019v5.2
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	2021-10-19T07:06:53-05:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1 MARKET SQUARE	AddressLine1Txt
City	AUGUSTA	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	043304637	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	016012835	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ISLANDS COMMUNITY MEDICAL SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ISLA	BusinessNameControlTxt
Phone	2078634341	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 MEDICAL CENTER LOOP	AddressLine1Txt
City	VINALHAVEN	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04863	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD YOUNG	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	2078634341	PhoneNum
Signature	2021-10-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BOB DUBE CPA	PreparerPersonNm
PTIN	P01231018	PTIN
Phone	2076224766	PhoneNum
Preparation	2021-10-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	RICHARD YOUNG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 MEDICAL CENTER LOOP	AddressLine1Txt
City	VINALHAVEN	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04863	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,195,038	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	ISLANDS COMMUNITY MEDICAL SERVICES IS COMMITTED TO SERVING OUR ISLAND COMMUNITIES BY DEDICATING OURSELVES TO THE HEALTH OF OUR PATIENTS. WE SUPPORT WHOLE HEALTH THROUGH EASE OF ACCESS, PREVENTION, OUTREACH, EDUCATION AND TREATMENT BY PROVIDING THE HIGHEST QUALITY PRIMARY, URGENT AND EMERGENT CARE TO OUR PATIENTS AND COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	41	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,561,635	PYContributionsGrantsAmt
CY Contributions Grants	$1,376,456	CYContributionsGrantsAmt
PY Program Service Revenue	$1,223,822	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,265,515	CYProgramServiceRevenueAmt
PY Investment Income	$199,391	PYInvestmentIncomeAmt
CY Investment Income	$161,827	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$2,984,848	PYTotalRevenueAmt
CY Total Revenue	$2,803,798	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	$1,736,113	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,955,703	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$6,594	CYTotalFundraisingExpenseAmt
PY Other Expenses	$924,257	PYOtherExpensesAmt
CY Other Expenses	$901,400	CYOtherExpensesAmt
PY Total Expenses	$2,660,370	PYTotalExpensesAmt
CY Total Expenses	$2,857,103	CYTotalExpensesAmt
PY Revenues Less Expenses	$324,478	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$53,305	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,915,452	TotalAssetsBOYAmt
Total Assets EOY	$6,451,275	TotalAssetsEOYAmt
Total Liabilities BOY	$412,161	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$463,327	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,503,291	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,987,948	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ISLANDS COMMUNITY MEDICAL SERVICES IS COMMITTED TO SERVING OUR ISLAND COMMUNITIES BY DEDICATING OURSELVES TO THE HEALTH OF OUR PATIENTS. WE SUPPORT WHOLE HEALTH THROUGH EASE OF ACCESS, PREVENTION, OUTREACH, EDUCATION AND TREATMENT BY PROVIDING THE HIGHEST QUALITY PRIMARY, URGENT AND EMERGENT CARE TO OUR PATIENTS AND COMMUNITY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,396,690	ExpenseAmt
Revenue	$846,682	RevenueAmt
Desc	THE ORGANIZATION PROVIDED MEDICAL SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES A MEDICAL CLINIC WITH THREE FULL TIME AND TWO PART TIME MEDICAL PROVIDERS. THE CLINIC PROVIDED COVERAGE 24 HOURS A DAY, 7 DAYS A WEEK.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$303,735	ExpenseAmt
Revenue	$240,317	RevenueAmt
Desc	THE ORGANIZATION PROVIDED DENTAL SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES A DENTAL CLINIC WITH TWO DENTAL PROVIDERS WHO WORK 2.5 DAYS PER WEEK. DENTAL EMERGENCIES ARE GENERALLY HANDLED BY THE MEDICAL PROVIDERS IF THE DENTIST IS NOT AVAILABLE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$167,690	ExpenseAmt
Revenue	$178,516	RevenueAmt
Desc	THE ORGANIZATION PROVIDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES THE BEHAVIORAL HEALTH CLINIC WITH TWO FULL TIME THERAPISTS WHO WORK MONDAY THROUGH FRIDAY, AND THERE IS ALSO THE OPTION FOR AFTER HOURS VISITS VIA ZOOM WITH TELEHEALTH. BEHAVIORAL HEALTH EMERGENCIES ARE GENERALLY HANDLED BY THE MEDICAL PROVIDERS IF THE THERAPIST IS NOT AVAILABLE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,868,115	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	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	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	9	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	41	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	0	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	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	DINAH B MOYER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2078634341	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 MEDICAL CENTER LOOP	AddressLine1Txt
City	VINALHAVEN	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04863	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BARBARA HAMILTON
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
EMILY LANE
TRUSTEE	1.00	Yes (X)		$0	$0	$0
KATHI YOUNG
TRUSTEE	1.00	Yes (X)		$0	$0	$0
LAURA BLANKERTZ PHD
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM A LIEBER MD
TRUSTEE	1.00	Yes (X)		$0	$0	$0
MARC CANDAGE
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
CONNIE GEMMER
TRUSTEE	1.00	Yes (X)		$0	$0	$0
RICHARD YOUNG
PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN BLATT
TRUSTEE	1.00	Yes (X)		$0	$0	$0
WESLEY ROBINSON
TRUSTEE	1.00	Yes (X)		$0	$0	$0
SYLVIA LACEY
TRUSTEE	1.00	Yes (X)		$0	$0	$0
JEANNE BINEAU-AMES
TRUSTEE	1.00	Yes (X)		$0	$0	$0
CHESTER WARREN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DIANE COCHRAN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DINAH MOYER
EXECUTIVE DIRECTOR	40.00		Yes (X)	$119,857	$0	$26,317
JEFF BENSON
MEDICAL DIRECTOR	8.00			$126,356	$0	$1,888	Yes (X)
JAMES HOGAN
PHYSICIAN ASSISTANT	40.00			$120,506	$0	$27,749	Yes (X)
JENNIFER DESMOND
CLINICAL DIRECTOR, NURSE PRACTITIONER	40.00			$161,971	$0	$27,653	Yes (X)
CHRISTINA QUINLAN
DIRECTOR OF OPERATIONS	32.00			$145,925	$0	$16,996	Yes (X)
PETER LEVANDOSKI
DENTAL DIRECTOR	2.00			$103,298	$0	$6,610	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$777,913	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$107,213	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	6	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,157,435	GovernmentGrantsAmt
All Other Contributions	$219,021	AllOtherContributionsAmt
Total Contributions	$1,376,456	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	621400	BusinessCd
Total Revenue Column	$1,265,515	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,265,515	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,265,515	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$102,657	TotalRevenueColumnAmt
Exclusion	$102,657	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,450,410	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,391,240	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$59,170	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,170	TotalRevenueColumnAmt
Exclusion	$59,170	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,803,798	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,265,515	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$161,827	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$146,174	TotalAmt
Program Services	$103,763	ProgramServicesAmt
Management And General	$42,411	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,446,876	TotalAmt
Program Services	$1,027,076	ProgramServicesAmt
Management And General	$419,800	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$39,269	TotalAmt
Program Services	$27,138	ProgramServicesAmt
Management And General	$12,131	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$206,120	TotalAmt
Program Services	$146,316	ProgramServicesAmt
Management And General	$59,804	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$117,264	TotalAmt
Program Services	$83,241	ProgramServicesAmt
Management And General	$34,023	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$33,450	TotalAmt
Management And General	$33,450	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,500	TotalAmt
Management And General	$20,500	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$11,794	TotalAmt
Management And General	$11,794	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,285	TotalAmt
Program Services	$26,673	ProgramServicesAmt
Management And General	$10,612	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,578	TotalAmt
Management And General	$1,578	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$89,505	TotalAmt
Program Services	$6,528	ProgramServicesAmt
Management And General	$82,977	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$34,794	TotalAmt
Program Services	$29,575	ProgramServicesAmt
Management And General	$5,219	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$63,829	TotalAmt
Program Services	$36,733	ProgramServicesAmt
Management And General	$27,096	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,651	TotalAmt
Management And General	$13,651	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$116,775	TotalAmt
Program Services	$90,130	ProgramServicesAmt
Management And General	$26,645	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$45,406	TotalAmt
Program Services	$15,776	ProgramServicesAmt
Management And General	$29,630	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL, LAB, & XRAY SU	$130,003	$130,003
MISCELLANEOUS	$92,992	$47,294	$39,104	$6,594
DISPENSARY SUPPLIES	$62,820	$62,820
REPAIRS & MAINTENANCE	$41,884	$6,040	$35,844

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$105,134	TotalAmt
Program Services	$29,009	ProgramServicesAmt
Management And General	$76,125	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,857,103	TotalAmt
Program Services	$1,868,115	ProgramServicesAmt
Management And General	$982,394	ManagementAndGeneralAmt
Fundraising	$6,594	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$48,560	BOYAmt
EOY	$29,963	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$292,336	BOYAmt
EOY	$274,816	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,529	BOYAmt
EOY	$10,445	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$207,048	BOYAmt
EOY	$150,056	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$54,976	BOYAmt
EOY	$66,847	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,548	BOYAmt
EOY	$12,562	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,128,587	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$707,646	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,468,586	BOYAmt
EOY	$1,420,941	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,644,185	BOYAmt
EOY	$3,208,293	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,151,684	BOYAmt
EOY	$1,277,352	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,915,452	BOYAmt
EOY	$6,451,275	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$101,783	BOYAmt
EOY	$147,349	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$5	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$294,085	BOYAmt
EOY	$281,996	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,288	BOYAmt
EOY	$33,982	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$412,161	BOYAmt
EOY	$463,327	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	$3,882,764	BOYAmt
EOY	$4,155,421	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,620,527	BOYAmt
EOY	$1,832,527	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,503,291	BOYAmt
EOY	$5,987,948	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,915,452	BOYAmt
EOY	$6,451,275	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$53,305	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$412,294	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$125,668	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,455	OtherCostOrOtherBasisAmt
Book Value	$136,455	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$989,325	OtherCostOrOtherBasisAmt
Depreciation	$97,342	DepreciationAmt
Book Value	$891,983	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$451,971	OtherCostOrOtherBasisAmt
Depreciation	$148,449	DepreciationAmt
Book Value	$303,522	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$421,502	OtherCostOrOtherBasisAmt
Depreciation	$366,759	DepreciationAmt
Book Value	$54,743	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,334	OtherCostOrOtherBasisAmt
Depreciation	$95,096	DepreciationAmt
Book Value	$34,238	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,420,941	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	BENEFICIAL INTEREST IN CHARITABLE TRUST	Desc
Book Value	$1,277,352	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,277,352	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ACCRUED PENSION PAYABLE	Desc
Amt	$33,982	Amt

Field	Value	IRS element (for citing)
Total Liability	$33,982	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$3,341,760	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$412,294	NetUnrealizedGainsInvstAmt
Other Revenue	$125,668	OtherRevenueAmt
Revenue Not Reported	$537,962	RevenueNotReportedAmt
Revenue Subtotal	$2,803,798	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,803,798	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,857,103	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,857,103	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,857,103	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART XI, LINE 2D - OTHER ADJUSTMENTS:	FormAndLineReferenceDesc
Explanation	BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 125,668.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JENNIFER DESMOND
CLINICAL DIRECTOR, NURSE PRACTITIONE	$161,971	$0	$0	$0	$0	$0	$9,164	$0	$18,489	$0	$189,624	$0	$0	$0
CHRISTINA QUINLAN
DIRECTOR OF OPERATIONS	$145,925	$0	$0	$0	$0	$0	$6,972	$0	$10,024	$0	$162,921	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	LINE 11A EXPLANATION - THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING.
FORM 990, PART VI, SECTION C, LINE 19	PRINT COPIES OF GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY COULD BE PICKED UP AT OFFICE HEADQUARTERS. FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC HOWEVER PERTINENT ANNUAL FINANCIAL RESULTS ARE REPORTED IN THE ORGANIZATION'S ANNUAL REPORT.
FORM 990, PART XI, LINE 9:	GAIN FROM BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 125,668.
FORM 990 ITEM B	AMENDED RETURN EXPLANATION: AT TIME OF ORIGINAL FILING THE AUDITED FINANCIAL STATEMENTS HAD NOT BEEN COMPLETED. AMENDED RETURN NOW INCLUDES FINAL FIGURES AFTER AUDIT WAS COMPLETED., AND THE RELEVANT SCHEDULES AND 990 PAGES HAVE BEEN UPDATED.